Daim Tawv Nqaij Hloov Mus Tshuaj Rau Hauv Miv

2024 Tus sau: Daisy Haig | [email protected]. Kawg hloov kho: 2023-12-17 03:09

Cutaneous Tshuaj Txhaum tawg ntawm kab mob miv

Cutaneous tshuaj tawg tuaj yeem sib txawv nyob rau thaj chaw hauv chaw kho mob thiab pathophysiology - kev hloov ua haujlwm uas haum rau tus kab mob. Lawv tuaj yeem npog ntau qhov pom ntawm cov kabmob thiab cov phiajcim hauv tsev kho mob, thiab nws yog qhov yuav tsum tau muaj ntau yam kev txhaum tshuaj me me uas tsis tshua pom tshwm lossis tsis qhia txog; yog li, xwm txheej tshwm sim rau cov tshuaj tshwj xeeb tsis paub thiab feem ntau cov ntaub ntawv muaj tseeb ntawm cov tshuaj tsis haum xeeb tau muab tshaj tawm los ntawm cov ntawv qhia hauv tib neeg cov ntawv nyeem.

Qee hom tshuaj tsis zoo tshwm sim rau kev txheeb ze.

Cov tsos mob thiab Hom

• Khaus, ntev heev khawb
• Tiaj tiaj, cov khauj liab me me thiab ua pob
• Exfoliative erythroderma, qhov xwm txheej qhov twg tsawg kawg 50 feem pua ntawm daim tawv nqaij lub cev sab hauv qhov chaw hloov xim liab thiab nplai
• Nplai
• Khaus Khawb
• Kev ua xua
• Daim tawv nqaij liab thiab o
• Cov tawv nqaij tsaus nti lossis cov plaques (cov kab uas hla daim tawv) uas nthuav dav thiab tuaj yeem ntshiab hauv nruab nrab, ua rau pom tus heev nyuj lub qhov muag
• Blistering daim tawv nqaij vim kev quav yeeb tshuaj pemphigus / pemphigoid (ib qho tsis zoo autoimmune tsis zoo ntawm daim tawv nqaij)

Ua rau

• Tshuaj txhua yam

• Exfoliative erythroderma (tev tawv liab):

  • Feem ntau cuam tshuam nrog cov tshuaj zawv plaub hau thiab dips
  • Feem ntau pom nrog cov kev hloov pauv rau cov tshuaj pleev pob ntseg hauv pob ntseg, feem ntau yog pob ntseg pob ntseg thiab ntawm pob ntseg pinnae (sab nraud ntawm pob ntseg)
• Muaj peev xwm tshwm sim tom qab thawj koob tshuaj, lossis tom qab lub lis piam mus rau lub hlis ntawm kev tswj hwm ntawm tib cov tshuaj vim kev hnov mob (thaum lub cev ua rau lub siab txias tom qab rov ua kis tas rau ib qho khoom siv)

Kev kuaj mob

Koj yuav tsum tau muab qhov keeb kwm ntxaws ntawm koj tus miv noj qab haus huv, qhov pib ntawm cov tsos mob, thiab tej zaum qhov xwm txheej uas yuav ua rau muaj tus mob no sai sai. Cov keeb kwm koj muab tej zaum yuav qhia koj cov kws kho tsiaj kom paub tias dab tsi ua rau tawv nqaij cov tshuaj tiv thaiv thiab seb qhov teeb meem yuav tsum tau kho rau qhov tob tob lossis tsuas yog ib qho mob sab nraud. kws kho tsiaj yuav ua ib qho kev kuaj mob tag nrho ntawm koj tus miv. Qhov kev kuaj yuav muaj cov tshuaj dermatologic tag nrho, nrog rau cov tawv nqaij ua paug rau cov neeg kuaj ntshav kuaj hauv chav kuaj thiaj li yuav txiav txim tawm lossis paub meej tias muaj kab mob thiab kab mob. Yuav qhia tau cov nqaij mus kuaj ntawm daim tawv nqaij. Koj tus kws kho tsiaj tseem yuav xaj kom muaj ntshav tshuaj, suav ua kom tiav cov ntshav, ib lub ntsuas hluav taws xob thiab tso zis.

Kev Kho Mob

Yog tias pom tias qhov tshuaj tiv thaiv yog los ntawm lwm qhov sab nraud, koj yuav tsum tsum tsis txhob siv cov tshuaj zawv plaub hau lossis lwm yam tshuaj pleev. Tsis tas li ntawd nco ntsoov khaws cov tshuaj tu tsev uas koj siv, vim nws muaj peev xwm ua rau koj tus miv hnov mob rau cov tshuaj ntxuav hauv pem teb, lossis lwm yam tshuaj ntxuav tu. Yog tias nws pom tias yuav siv cov tshuaj raws, koj tus kws kho tsiaj yuav pom qhov hloov tsis haum rau cov tshuaj. Yog hais tias kev kuaj mob yog Stevens - Johnson syndrome (SJS), los yog muaj tshuaj lom epidermal necrolysis (TEN), ob qho tib si cov tshuaj phom sij uas muaj feem ua rau cov tawv nqaij ua kom tawv nqaij, koj tus miv yuav tsum tau kho nyob rau hauv ib qho chaw pw. Kev saib xyuas zoo tshaj plaws thiab kev txhawb nqa dej / kua zaub mov / cev nqaij daim tawv yuav tsum tau saib xyuas, thiab daws qhov mob uas cuam tshuam nrog cov mob no tuaj yeem muab tau.

Txog kev mob ntsws ntev thiab pheej rov qab idiopathic erythema multiforme (EM), kab mob ntawm daim tawv nqaij ntawm qhov tsis paub, azathioprine feem ntau ua haujlwm. Tib neeg cov tshuaj tiv thaiv immunoglobulin (IVIG) tau siv ua tiav rau cov mob EM thiab TEN loj heev thaum tsis kho cov teeb meem, tab sis feem ntau ua rau tsis raug nqi.

Nyob thiab Tswj

Tus kws kho tsiaj yuav teem sij hawm rov qab ntsib nrog koj rau koj tus miv, nyob ntawm qhov ua rau thiab mob tawv nqaij miv. Yog tias koj tus menyuam daim tawv nqaij mob rov mob lossis mob loj tuaj, koj yuav tsum hu rau tus kws kho tsiaj sai li sai tau.