Prurigo Nodularis thiab Koj Cov tawv nqaij

Zoo Siab

• Cov tsos mob
• Duab
• Kev Kho Mob
• Cov tshuaj yeeb yaj kiab
• Txhaj tshuaj
• Cov tshuaj muaj kab ke
• Lwm txoj kev kho mob
• Cov kev kho mob siab dua
• Ntau cov tswv yim ntxiv rau kev tswj hwm koj PN
• Txhawb nqa
• Ua rau
• Cov lus qhia tseeb
• Kev Tiv Thaiv
• Cov nqa mus

Prurigo nodularis (PN) yog ua pob khaus ua pob khaus tawv. PN ua pob ntawm daim tawv nqaij tuaj yeem ua qhov loj los ntawm me me txog ib nrab nti inch. Tus lej ntawm cov nodules tuaj yeem sib txawv ntawm 2 txog 200.

Kev xav dav dav yog tias nws tshwm sim los ntawm khawb tawv nqaij. Cov tawv nqaij khaus tuaj yeem yog vim muaj ntau qhov laj thawj, xws li:

• daim tawv nqaij qhuav
• cov ua cov thyroid kawg
• mob raum

Qhov khaus ntawm PN tuaj yeem ua rau debilitating hauv nws qhov loj. Nws yog xav kom muaj qhov khaus zoo tshaj plaws ntawm qhov khaus khaus tawv.

Kev khawb yog ua rau khaus khaus thiab tuaj yeem ua pob ntau dua thiab tshwm sim ua pob.

PN yog qhov nyuaj los kho. Cia saib cov tsos mob thiab cov hauv kev tswj hwm PN.

Cov tsos mob

PN tuaj yeem pib ua me me, khaus liab ua pob. Nws tshwm sim los ntawm kev khawb tawv nqaij. Cov kab no feem ntau pib ntawm koj sab caj npab lossis ceg tab sis kuj tuaj yeem tshwm nyob rau ntawm koj lub cev, txhua qhov chaw uas koj khawb.

Txoj hnyuv tuaj yeem tuaj yeem khaus zuj zus. Cov pob no tuaj yeem yog:

• nyuaj
• tawv tawv thiab cuaj luaj
• ntau nyob rau hauv cov xim los ntawm nqaij tones rau liab dawb, xim av, lossis xim dub
• kiav txhab
• warty saib

Cov tawv nqaij ntawm cov pob qij tuaj yeem ua kom qhuav. Qee tus neeg nrog PN kuj muaj kev kub nyhiab, plev, thiab kev hloov pauv kub hauv pob, raws li kev soj ntsuam 2019.

Cov pob no tuaj yeem tsim kev kis mob thib ob los ntawm kev khawb me ntsis.

Qhov khaus khaus tuaj yeem ua rau debilitating, tiv thaiv kev pw tsaug zog zoo thiab cuam tshuam koj kev ua haujlwm txhua hnub. Nyeg no tuaj yeem ua rau cov neeg mob PN ntxhov siab thiab ntxhov siab.

Cov pob no tuaj yeem daws yog tias tus neeg nres khawb ntawm lawv. Qee lub sij hawm lawv tuaj yeem ua cov nti me me.

Duab

Kev Kho Mob

Lub hom phiaj ntawm PN kho yog txhawm rau ua kom khaus khaus kos los ntawm kev ua kom khaus.

Koj tus neeg muab kev pab kho mob yuav kho qhov mob uas ua rau koj khaus thiab khawb.

Kev kho PN li niaj zaus cuam tshuam rau ob qho tshuaj pleev thiab cov tshuaj rau cov pob khaus.

Vim tias qhov khaus khaus heev heev thiab txhua qhov teeb meem no txawv, koj yuav tau sim ua ntu sib txawv ntawm kev kho kom paub qhov twg ua hauj lwm zoo tshaj rau koj.

PN yog ib qho kab mob uas tseem muaj qab hau.

Rau qee tus neeg, tsis muaj lub cim uas qhia tau rau qhov khaus. Rau cov tib neeg no, tsis muaj ib txoj kev kho tau zoo.

Tam sim no, Teb Chaws Asmeskas Khoom Noj thiab Tshuaj (FDA) tsis tau pom zoo ib yam tshuaj los kho PN. Txawm li cas los xij, muaj ntau cov tshuaj nyob rau hauv kev tshawb xyuas uas yuav tuaj yeem siv cov ntawv cim npe los kho tus mob.

Nco ntsoov tham txog kev phiv uas yuav tshwm sim los ntawm cov tshuaj thiab siv cov tshuaj noj uas tsis nyob nrog koj tus kws kho mob.

Cov tshuaj yeeb yaj kiab

Koj tus neeg muab kev pab kho mob yuav hais qhia qee yam tshuaj yuav tom khw (OTC) los yog tshuaj kho qhov muag kom daws qhov khaus thiab ua kom koj cov tawv nqaij txias.

Cov piv txwv tuaj yeem suav nrog:

• pleev cov tshuaj pleev zoo li clobetasol lossis calcineurin inhibitors xws li pimecrolimus. (Cov no tej zaum yuav them rau los pab lawv ua haujlwm tau zoo dua qub.)
• tshuaj pleev roj tar
• tshuaj pleev vitamin D-3 tshuaj pleev (calcipotriol)
• capsaicin qab zib
• menthol

Txhaj tshuaj

Koj tus kws kho mob yuav qhia kev txhaj tshuaj corticosteroid (Kenalog) rau qee qhov hnoos.

Cov tshuaj muaj kab ke

Koj tus neeg saib xyuas kev noj qab haus huv tuaj yeem sau ntawv cia lossis tawm tswv yim OTC cov tshuaj antihistamines kom pab koj tsaug zog thaum hmo ntuj.

Lawv kuj tuaj yeem sau tshuaj noj uas feem ntau siv tshuaj pab tshuaj tiv thaiv pab kom koj tsis txhob khawb. Paroxetine thiab amitriptyline tau muaj kev vam meej hauv kev pab PN nodules kom zoo dua.

Lwm txoj kev kho mob

Cov kev kho mob uas yuav pab ua kom cov hnoos qeev zoo dua thiab pab kom khaus:

• Tshuaj Kho Mob. Txoj kev kho kom sov yog kev siv cov ultra-txias kub ntawm lub qhov txhab
• Kev Kho Duab. Kws yees siv duab ultraviolet teeb (UV).
• Psoralen siv nyob rau hauv ua ke nrog UV. Psoralen thiab UVA siv ua ke yog hu ua PUVA.
• Pulsed zas xim laser. Pulsed dye laser yog txoj kev kho mob siv los tua cov kabmob muaj kabmob.
• Zoo siab kev kho mob laser. Qhov ntsuas tsis pom ntawm 308 nanometers muaj PN uas tsis teb rau lwm cov kev kho mob.

Koj tus neeg muab kev pab kho mob yuav tseem qhia tswv yim kom thim rov qab los pab koj nres khawb.

Cov kev kho mob siab dua

Qee qhov kev sim tshuaj txuam nrog kev siv cov tshuaj tua cov ntawv cim tau pom cov lus cog tseg hauv kev txo cov khaus.

• naloxone leeg ntshav thiab naltrexone qhov ncauj mu-opioid receptor antagonists, uas tej zaum yuav muaj kev phiv thawj zaug
• Cov tshuaj tiv thaiv kab mob, uas suav nrog cyclosporine thiab methotrexate
• gabapentinoids, uas yog siv rau cov neeg uas tsis teb rau lwm txoj kev kho mob lossis cov uas muaj mob neuropathies
• thalidomide, uas tau pom tias ua tiav, tab sis tau pom tias yog qhov khoom siv kawg vim tias muaj kev phiv ntau
• nalbuphine thiab nemolizumab, uas tam sim no tab tom kuaj
• isoquercetin, uas yog ib qho muab tso ntawm tsob ntoo quercetin
• , uas yog koob tshuaj txhaj tiv thaiv

Ntau cov tswv yim ntxiv rau kev tswj hwm koj PN

Txhua tus neeg cov tawv nqaij sib txawv, thiab nws yuav siv sijhawm me ntsis los nrhiav cov sijhawm uas ua rau koj khaus.

Kev sib txuam ntawm cov tshuaj yuav ua haujlwm zoo tshaj plaws. Nws yog ib qho tseem ceeb uas sim los ua kom khaus khaus lub voj voog kom tiv thaiv ntau pob tw thiab cia cov qub los daws.

Ib qho ntxiv rau cov tshuaj kho mob thiab OTC cream:

• Siv ib pob dej khov rau qhov chaw khaus.
• Nqa dej sov so, da dej luv luv nrog colloidal oatmeal.
• Moisturize nquag nrog Vaseline lossis ib qho tshuaj pleev hypoallergenic.
• Siv cov xab npus tsis muaj ntxhiab thiab lwm yam khoom rau cov tawv nqaij rhiab.

Txhawb nqa

Hu rau Nodular Prurigo International yog xav paub ntau ntxiv lossis koom nrog nws tus kheej Facebook pab pawg lossis qhib Facebook pab pawg.

Koom tes nrog kev sim PN kuaj kho mob kuj yog ib txoj kev xaiv.

Ua rau

Qhov tseeb ua rau PN tsis nkag siab tag nrho, tab sis cov qhov txhab ntseeg tau ntseeg tias yog los ntawm cov tawv nqaij khaus, uas tuaj yeem yog vim ntau yam.

PN tau cuam tshuam nrog ntau yam mob, suav nrog:

• atopic dermatitis (eczema) Daim tawv nqaij dermatitis
• mob ntshav qab zib
• mob raum tsis ua hauj lwm
• kab mob siab C
• cov leeg mob hlwb
• kev puas siab puas ntsws
• tom qab herpetic neuralgia
• cov kua mis
• lichen planus
• congestive plawv tsis ua haujlwm
• Mob Hlwb Mob Hlwb Ntev (COPD)
• HIV
• qee cov tshuaj siv rau qhov mob qog noj ntshav (pembrolizumab, paclitaxel, thiab carboplatin)

Nws tau xav tias PN tshwm sim thaum lwm yam kev mob ua rau khaus thiab khawb (qhov khaus khaus khaus), uas ua rau muaj qhov txhab tshwm sim.

Txawm hais tias qhov mob ntawd raug daws tau, PN tau hais rau qee zaum muaj mob.

Ib qho ntxiv, kev tshawb pom xyoo 2019 hais tias kwv yees 13 feem pua ​​ntawm cov neeg muaj PN tsis muaj mob lossis lwm yam.

Cov kws tshawb nrhiav tau saib rau ntawm cov hauv qab txheej txheem kev koom tes hauv PN, uas suav nrog:

• cov kev hloov pauv ntawm daim tawv nqaij hlwb
• cov leeg
• neuropeptides thiab neuroimmune system hloov pauv

Raws li qhov ua rau kev txhim kho PN hloov zuj zus, cov kws tshawb nrhiav cia siab tias kev kho zoo yuav ua tau tiav.

Cov lus qhia tseeb

• PN tshwm sim rau cov tib neeg muaj hnub nyoog 20 txog 60 xyoo.
• PN cuam tshuam txog txiv neej thiab poj niam sib npaug.
• PN yog tsawg. Muaj ob peb txoj kev tshawb fawb ntawm nws nthuav dav lossis tshwm sim. Kev tshawb fawb xyoo 2018 ntawm 909 cov neeg mob nrog PN pom tias cov neeg Asmeskas Dub cov neeg mob yuav tsum muaj PN dua li cov neeg mob dawb.

Kev Tiv Thaiv

Txog thaum paub tseeb qhov teeb meem ntawm PN paub, nws nyuaj rau kev tiv thaiv. Tsis khawb khawb tawv nqaij yog txoj kev nyiam.

Yog tias koj raug mob rau PN, vim yog noob caj noob ces lossis lwm tus kabmob, saib xyuas koj daim tawv nqaij kom zoo. Mus ntsib kws kho mob rau kev kho qhov mob khaus khaus. Sim ua kom tsis txhob khaus khaus khaus ua ntej nws pib.

Ntau yam tshuaj kho tuaj yeem pab ua kom khaus ua ntej nws yuav nyuaj rau kev tswj hwm.

Cov nqa mus

PN yog kev khaus khaus tawv nqaij uas muaj peev xwm ua xiam oob khab. Qhov tseeb tiag tsis yog muaj kev nkag siab, tab sis nws paub tias yuav txuam nrog rau lwm yam mob.

Muaj ntau txoj kev kho tau, tab sis yuav siv sijhawm ntev los tswj koj PN kom zoo. Nws yog qhov yuav tsum tau ua ke nrog tshuaj pleev, tshuaj, thiab lwm yam kev kho mob yuav ua haujlwm rau koj.

Qhov xov xwm zoo yog tias ntau yam tshuaj tshiab thiab kev kho mob tseem tab tom raug txhim kho thiab tab tom kuaj. Raws li cov neeg tshawb nrhiav kawm paub ntau ntxiv txog PN mechanism, yuav muaj kev kho kom zoo dua qub.