Parakeratosis: txhais, ua rau thiab kho mob

Parakeratosis: txhais, ua rau thiab kho mob

Parakeratosis yog kab mob dermatosis uas yog tus yam ntxwv txawv txav ntawm cov keratin, cov protein ntau ntawm cov tawv nqaij, nyob rau theem ntawm txheej txheej txheej sab saum toj ntawm txheej txheej, tseem hu ua horny txheej. Nws xaiv cov tawv nqaij los ntawm ntau dhau ntawm cov keratin no. Parakeratosis yog tus cwj pwm los ntawm kev tsim ua me me thaj ua rau thaj thiab cov nplai (cov tawv nqaij me me) ntawm daim tawv nqaij. Cov kab mob no pom nyob hauv cov neeg mob psoriasis, eczema, lossis Gibert's pink tincture. Hauv cov menyuam mos, nws feem ntau cuam tshuam nrog mob khaub thuas los yog cephalic dermatitis. Kev kho mob yog ua los ntawm kev tswj hwm corticosteroids, tshuaj antihistamines thiab thov siv cov tshuaj moisturizer uas tuaj yeem txhim kho cov tsos mob thiab ua rau lawv ploj mus li ob peb lub lis piam.

Parakeratosis yog dab tsi?

Parakeratosis yog tawv nqaij, lossis kab mob dermatosis, uas yog tus yam ntxwv zoo li cov plaques me me, me ntsis liab, npog nrog cov nplai lossis tawv dawb heev. Lawv tuaj yeem tshwm nyob qhov twg ntawm lub cev. Lawv yog vim muaj cov khoom tsim tawm ntau dhau thiab ua tsis tiav ntawm keratin, cov protein uas muaj nyob hauv daim tawv nqaij. Lawv cuam tshuam qhov tseeb teeb meem keratinization uas tshwm sim los ntawm:

  • qhov tsis muaj txheej txheej txheej, piv txwv li txheej txheej kawg ntawm cov cell uas muaj cov nuclei, ntawm daim tawv nqaij;
  • qhov tseeb tias cov kab mob epidermal uas tsim los ntawm stratum corneum ntawm cov tawv nqaij khaws lawv cov keeb, thaum lawv yuav tsum tau poob nws.

Qhov tshwm sim yog tsim los ntawm ntau dua lossis tsawg tuab nplai.

Dab tsi ua rau parakeratosis?

Feem ntau, parakeratosis yog theem thib ob rau:

  • kab mob ntawm daim tawv nqaij xws li psoriasis, eczema lossis txawm tias Gilbert's pityriasis liab;
  • rov ua haujlwm raug mob rau daim tawv nqaij, uas ua rau daim tawv nqaij tsis ua nws txoj haujlwm ib txwm ua los tiv thaiv kab mob;
  • cov tshuaj tiv thaiv ntawm daim tawv nqaij mus rau kis kab mob lossis kab mob hu ua fungus.

Hauv cov menyuam mos, nws feem ntau cuam tshuam nrog mob khaub thuas los yog cephalic dermatitis.

Cov tsos mob ntawm parakeratosis yog dab tsi?

Ib qho tshwj xeeb ntawm parakeratosis yog qhov tseeb tias nws ua haujlwm tsis khaus.

Qhov sib txawv yog ua los ntawm pitiriasiform parakeratosis thiab Brocq psoriasiform parakeratosis.

Pityriasiform parakeratose

Qhov no yog tus yam ntxwv:

  • pob khaus zoo ib yam li psoriasiform parakeratosis;
  • qhov xim liab me ntsis ntawm qhov me me piv rau cov psoriasiform parakeratosis;
  • muaj cov nplai los yog cov tawv nqaij me me teev;
  • qee zaum muaj cov xim nyob hauv ntau qhov txawv txav.

Brocq tus psoriasiform parakeratose

Brocq's psoriasiform parakeratosis, tseem hu ua psoriasiform eczematide, yog tus yam ntxwv los ntawm:

  • ntau yam eczematids, lossis kab tsuag, uas zaum ntawm lub cev thiab ntawm cov hauv paus hniav ntawm cov ceg;
  • hauv qee tus neeg mob, nws tseem tuaj yeem ua rau thaj tsam ntawm tawv taub hau, tshwj xeeb yog nyob ib puag ncig tom kawg;
  • muaj nyob ntawm thaj ua rau thaj xim liab;
  • muaj cov nplai, lossis nplai me me ntawm daim tawv nqaij, xim uas dawb, thiab nco txog cov neeg uas mob psoriasis;
  • ib qho kev hloov pauv uas tshwm sim hauv spurts, feem ntau zoo sib nrug.

Yuav kho tus mob parakeratosis li cas?

Tsis muaj kev kho tshwj xeeb. Kev tswj hwm ntawm parakeratosis yog qhov tseem ceeb ntawm cov tsos mob. Nws siv daim ntawv yuav tshuaj thiab kev tswj hwm:

  • tshuaj tua kab mob hauv ib cheeb tsam yog tias muaj kev kis kab mob hauv ib cheeb tsam;
  • corticosteroids hauv zos thaum muaj mob o lossis eczematization, uas yog hais txog kev hloov pauv ntawm qhov txhab mus rau eczema;
  • antihistamines rau khaus.

Kev thov cov tshuaj moisturizers tuaj yeem txhim kho cov tsos mob thiab ua rau lawv ploj mus li ntawm ob peb lub lis piam.

Parakeratosis ntawm lub ncauj tsev menyuam - qhov ua rau ntawm kev loj hlob ntawm pathology

Ib qho ntawm cov ua rau ntawm kev hloov cellular yog cov kab mob inflammatory ntawm qhov chaw mos. Lawv raug kuaj pom nyob rau hauv yuav luag 70% ntawm cov poj niam uas tuaj ntsib ib tus kws kho mob tshwj xeeb ntawm peb lub tsev kho mob gynecological ntawm Tsvetnoy Boulevard . Dab tsi yog qhov txaus ntshai, Parakeratosis ntawm lub ncauj tsev menyuamCov kev kho mob tshwm sim ntawm cov txheej txheem inflammatory ntawm qhov chaw mos thiab lub ncauj tsev menyuam feem ntau muaj latent, mus sij hawm ntev asymptomatic chav kawm, uas nyob rau hauv lem tsim teeb meem nyob rau hauv kev kho mob, prerequisites rau kev loj hlob ntawm relapses. Lub sijhawm tag nrho cov poj niam tsis mus ntsib kws kho mob, cov kab mob pathogenic cuam tshuam rau cov ntaub so ntswg ntawm lub tsev menyuam!

Feem ntau qhov kev pheej hmoo ntawm o tuaj yeem ua rau muaj kev puas tsuaj rau lub tsev me nyuam hauv plab, nrog rau cov kab mob carcinogenesis, nrog rau lub tsev menyuam, cuam tshuam nrog cov kab mob sib kis, uas tau raug pov thawj los ntawm cov kws tshawb fawb hauv ntau cov kev tshawb fawb. Ntawm cov kab mob sib kis tau feem ntau cuam tshuam nrog kev hloov pauv ntawm tes, suav nrog oncology, muaj cov kab mob sib kis (STIs), suav nrog:

  • trichomonas;
  • chlamydia;
  • herpes simplex virus type 2 (HSV-2);
  • human papillomavirus (HPV, HPV 16, HPV -18, HPV-31 yog lees paub tias yog qhov txaus ntshai tshaj plaws).

Los ntawm txoj kev, nws yog cov kab mob uas tam sim no yog cov kab mob tseem ceeb hauv cov poj niam thiab ua rau muaj teeb meem nrog kev ua me nyuam. Lawv yog cov tsis zoo nyob rau hauv ntau zaus ntawm kev tshawb nrhiav rau syphilis, gonorrhea. Tshwj xeeb tshaj yog ceeb toom yog qhov tseeb tias txog li 600 txhiab tus neeg mob ntawm oncological pathology txuam nrog HPV tau sau npe txhua xyoo hauv ntiaj teb. Thaum kis tus kab mob no, cov poj niam tuaj yeem tsim papillomatosis cuam tshuam rau thaj tsam periuterine. Feem ntau, condylomas nyob rau hauv lub thickness ntawm cov ntaub so ntswg nyob rau hauv lub caj dab, thiab raug kuaj pom nrog kev loj hlob ntawm pronounced keratinization foci, uas yuav tsum tau sib txawv kev kuaj mob ncaj qha nrog parakeratosis. Nws yog ib qho tseem ceeb kom nco ntsoov tias cov kev tshwm sim no tuaj yeem ua ke.

Lwm qhov ua rau kev txhim kho ntawm parakeratosis tuaj yeem suav tias yog kev kho mob nrog lub ncauj tsev menyuam, uas tseem cuam tshuam rau cov qauv ntawm cov ntaub so ntswg.

Ntxiv provocateurs ntawm deterioration nyob rau hauv reproductive noj qab haus huv thiab concomitant prerequisites rau tsis zoo transformations ntawm cellular theem yuav ua tau:

  • hormonal ntshawv siab thiab cuam tshuam ntawm kev coj khaub ncaws;
  • recurrent yaig thiab pseudo-erosion ntawm cov mucous daim nyias nyias, muaj ectopic foci;
  • teeb meem hauv kev ua haujlwm ntawm lub cev tsis muaj zog thiab lub paj hlwb, kev ntxhov siab.

Txhawm rau kom paub meej qhov xwm txheej ntawm cov kev hloov pauv pathological, tus kws kho mob yuav tsum tau ua ib qho colposcopy thiab ua smear. Ib qho biopsy kuj tau qhia kom txiav tawm atypia, ua ntej rau mob qog noj ntshav. Tom qab tau txais cov txiaj ntsig ntawm kev ntsuam xyuas, tus kws kho mob tshwj xeeb tuaj yeem tsim cov tswv yim zoo rau kev kho tus kab mob parakeratosis thiab kho cov ntaub so ntswg ntawm ncauj tsev menyuam vim muaj tus kab mob.

Txoj kev kho mob

Kev kho mob ntawm lub ncauj tsev menyuam nrog ib tug laser, nqi nyob rau hauv Moscow

Thaum pib, lub tswv yim ntawm kev kho cov kab mob hauv qab, kev puas tsuaj, tawm tsam parakeratosis tau tsim, txiav txim siab.

  • nyob rau hauv lub xub ntiag ntawm tus kab mob, o, kev kho mob tshuaj tua kab mob yog nqa tawm, txhais tau tias yog muab los mus ntxiv dag zog rau lub cev.
  • Nrog HPV, kev tshem tawm cov condylomas kuj tau qhia.

Yog tias peb tham txog kev ua haujlwm ncaj qha ntawm tus kws kho mob nrog rau thaj chaw cuam tshuam ntawm lub ncauj tsev menyuam, tom qab ntawd cov txheej txheem minimally invasive yog siv los tshem tawm keratinization foci.

Koj tus kws kho mob yuav pom zoo cov kev xaiv hauv qab no:

    • Diathermoelectrocoagulation yog ib txoj hauv kev uas kev kho mob yog ua los ntawm kev siv cov zaus tam sim no rau cov hlwb epithelial, uas ua rau cov ntaub so ntswg melting. Cov txheej txheem tsis yog qhov nrov tshaj plaws ntawm cov kws kho mob vim muaj kev pheej hmoo siab los ntshav thaum tswj hwm thiab lub sijhawm rov qab los.
    • Laser vaporization yog raws li kev siv lub teeb infrared concentrated rau hauv lub teeb, uas ua rau cov ntaub so ntswg vaporization. Kev ua haujlwm me me kuj tseem ua rau tus neeg mob sab nraud thiab tsis tas yuav npaj mus ntev. Nws yog tus cwj pwm los ntawm kev pheej hmoo los ntshav tsawg, ua rau nws muaj peev xwm ua rau parakeratosis, txawm nyob rau thaj chaw me me ntawm keratinization ntawm txheej txheej epithelial. Dab tsi yog qhov tseem ceeb, tom qab kev cuam tshuam, cov poj niam tuaj yeem rov qab mus rau lawv lub neej zoo li qub. Kev kho mob tuaj yeem ua tiav hauv ntau dua 97% ntawm cov neeg mob. Ib qho ntawm cov khoom siv tshiab tshaj plaws thiab niaj hnub rau kev tswj xyuas uas cov chaw kho mob Lavxias tuaj yeem nruab nrog yog CO2 laser.

Xov tooj cua yoj phais yog ib hom kev kho mob uas yog ib qho txheej txheem rau kev txiav thiab coagulating cov ntaub so ntswg uas tsis muaj kev puas tsuaj. Kev tshem tawm ntawm pathology tshwm sim vim lub zog ntawm cov xov tooj cua zaus zaus, uas txhim kho cov tsim ntawm lub zog molecular hauv txhua lub cell thiab provokes nws tus kheej kev puas tsuaj. Cov txheej txheem tau lees paub tias muaj kev raug mob tsawg, tsis tshua ua rau los ntshav. Cov txheej txheem tsis ua rau keeb kwm ntawm cov kab mob inflammatory. Ib qho ntawm cov khoom siv feem ntau siv rau kev phais xov tooj cua yoj "Surgitron". Nrog kev pab ntawm cov cuab yeej, tsis tsuas yog kev kho mob yog nqa tawm, tab sis kuj yog ib tug biopsy raug coj mus tshem tawm oncological pathology. Cov cuab yeej kuj tau dav siv rau cauterization ntawm yaig, tshem tawm polyps ntawm lub ncauj tsev menyuam kwj dej, dissection ntawm qhov chaw mos hlwv.

Parakeratosis yog dab tsi thiab vim li cas nws tshwm sim? (Actinic keratosis vs Lichen simplex chronicus)

Sau ntawv cia Ncua