Pemphigus
Cov ntsiab lus ntawm tsab xov xwm
  1. kev piav qhia dav dav
    1. Ua rau
    2. Hom thiab cov tsos mob
    3. Teeb meem
    4. Kev tiv thaiv
    5. Kev kho mob hauv cov tshuaj tseem ceeb
  2. Cov khoom noj muaj txiaj ntsig rau pemphigus
    1. kev paub qab hau
  3. Cov zaub mov txaus ntshai thiab teeb meem rau pemphigus
  4. Cov ntaub ntawv peev txheej

General piav qhia ntawm tus kab mob

Qhov no yog ib tug mob pathology ntawm autoimmune keeb kwm uas cuam tshuam rau ntawm daim tawv nqaij thiab mucous daim nyias nyias. Pemphigus tuaj yeem loj hlob nyob rau txhua lub hnub nyoog, txawm li cas los xij, feem ntau cuam tshuam rau cov txiv neej thiab poj niam uas tau hla lub hnub nyoog 40 xyoo, tus kab mob hnyav tshaj plaws hauv cov neeg muaj hnub nyoog 40-45 xyoo, thiab tsis tshua muaj rau cov menyuam yaus. Kev faib tawm ntawm pemphigus suav txog li 1% ntawm cov kab mob dermatological.

Ua rau

Lub etiology ntawm pemphigus tsis tuaj yeem tsim kom ntev txaus, tab sis cov kev tshawb fawb tau lees paub tias qhov ua rau ntawm daim tawv nqaij pathology yog qhov ua haujlwm tsis zoo ntawm lub cev.[3].

Txoj haujlwm ntawm lub cev tiv thaiv kab mob yog tiv thaiv kab mob txawv teb chaws. Cov kab mob autoimmune tshwm sim thaum, raws li kev ua haujlwm tsis zoo, lub cev tiv thaiv kab mob tawm tsam cov hlwb ntawm lub cev, nyob rau hauv rooj plaub ntawm pemphigus, daim tawv nqaij. Cov tshuaj tiv thaiv uas tsim los ntawm lub cev tiv thaiv kab mob yuam kev tawm tsam cov proteins nyob rau hauv cov khaubncaws sab nraud povtseg ntawm daim tawv nqaij noj qab haus huv. Demosomes, uas yog qhov sib txuas ntawm cov hlwb ntawm daim tawv nqaij nyob rau hauv qhov kev tawm tsam ntawm autoantibodies, poob lawv cov kev sib txuas thiab raug rhuav tshem, thiab cov kab noj hniav tsis muaj cov kua nruab nrog cev, uas yog vim li cas acantholytic vesicles tsim (li no lub npe ntawm kab mob).

Cov xwm txheej txaus ntshai rau kev txhim kho pemphigus tuaj yeem yog ob qho tib si exogenous (kab mob sib kis, kab mob, kev ua haujlwm) thiab endogenous ua rau, suav nrog cov caj ces predisposition. Yog vim li cas rau txoj kev loj hlob ntawm pemphigus tuaj yeem ua rau muaj zog poob siab, nrog rau pathology ntawm adrenal cortex.

Cov neeg ua haujlwm ua liaj ua teb, uas feem ntau ntsib nrog cov tshuaj tua kab thiab tshuaj tua kab, nrog rau cov neeg ua haujlwm hauv kev lag luam hlau thiab cov tsev luam ntawv, feem ntau yuav tsim pemphigus.

Hom thiab cov tsos mob

Cov yam ntxwv ntawm cov kab mob uas nthuav tawm yog cov hlwv me me nrog cov ntsiab lus serous, uas yog nyob ntawm tus neeg mob lub cev, nyob ntawm seb hom pemphigus:

  • hais lus phem - Qhov sib txawv ntawm cov npuas npuas nrog lub log nyias thiab flaccid thoob plaws hauv lub cev. Nrog rau daim ntawv tsis zoo los yog zoo tib yam, npuas thaum pib ntawm kev loj hlob ntawm tus kab mob yog nyob rau hauv lub mucous daim nyias nyias ntawm lub qhov ntswg thiab qhov ncauj, yog li ntawd cov neeg mob mus rau tus kws kho hniav thiab kho tsis tiav, nkim sij hawm. Cov neeg mob txhawj xeeb txog kev ua pa phem, mob hauv qhov ncauj thaum noj mov, hais lus thiab nqos qaub ncaug. Cov neeg mob tsis nco ntsoov pom cov npuas me me uas ua rau muaj qhov tshwm sim tshwm sim, yog li cov kev tsis txaus siab tseem ceeb yog qhov mob erosion hauv qhov ncauj, uas kws kho hniav feem ntau kuaj tau tias yog stomatitis. Nrog pemphigus vulgaris, ulcers uas tsim thaum lub vesicles qhib sib koom ua ke thiab tsim cov kab mob loj. Tsis zoo li stomatitis, uas yog tus cwj pwm los ntawm kev yaig nrog cov xim dawb, pemphigus ulcers muaj xim liab dawb thiab glossy nto. Thaum lub larynx raug cuam tshuam los ntawm pemphigus, tus neeg mob lub suab yuav hoarse;
  • erythematous Daim ntawv ntawm pemphigus yog tus cwj pwm los ntawm qhov tseeb tias nws feem ntau cuam tshuam rau ntawm daim tawv nqaij ntawm lub hauv siab, ntsej muag, caj dab thiab tawv taub hau. Cov pob khaus ntawm seborrheic xwm nrog thaj tsam ntshiab yog them nrog xim av lossis daj crusts; thaum qhib, erosion raug. Hom pemphigus no tsis yooj yim rau kev kuaj mob, yog li daim ntawv erythematous tej zaum yuav nyob rau hauv ntau tshaj ib xyoos, thiab nyob rau hauv cov ntaub ntawv ntawm ib tug exacerbation, nws yuav pom cov tsos mob ntawm ib tug hais lus phem;
  • nplooj nplooj - Cov pob khaus ntawm qhov xwm txheej erythema-squamous tuaj yeem tshwm sim rau thaj tsam yav dhau los ntawm daim tawv nqaij, tom qab ntawd npuas nrog cov phab ntsa nyias qhib, tsim kev yaig, uas qhuav thiab dhau los ntawm lamellar crusts. Daim ntawv no ntawm pemphigus, raws li txoj cai, cuam tshuam rau ntawm daim tawv nqaij, npuas me me sai sai kis rau ntawm daim tawv nqaij noj qab haus huv, qee zaum, mucous daim nyias nyias yuav puas;
  • nroj tsuag daim ntawv yog manifested los ntawm npuas nyob rau hauv lub cheeb tsam ntawm daim tawv nqaij folds, nyob rau hauv qhov chaw ntawm cov npuas, yaig nrog ib tug putrid tsw thiab purulent plaque ntaub ntawv nyob rau hauv lub sij hawm.

Ntxiv nrog rau cov pob khaus ntawm daim tawv nqaij thiab cov mucous membranes, cov neeg mob pemphigus muaj cov tsos mob dav dav:

  1. 1 qaug zog;
  2. 2 poob los yog poob qab los noj mov;
  3. 3 poob phaus txawm tias muaj kev noj haus ntxiv;
  4. 4 ua tsaug zog.

Teeb meem

Nrog kev kho tsis raws sijhawm lossis tsis raug, cov npuas kis thoob plaws hauv lub cev, sib koom ua ke thiab tsim cov kab mob loj. Kev khiav pemphigus yog qhov txaus ntshai heev nrog rau daim tawv nqaij hlawv. Cov kab mob ntawm daim tawv nqaij cuam tshuam rau tus neeg mob lub neej zoo, tus neeg mob tsis tuaj yeem txav mus tau zoo. Thaum muaj kab mob erosions, qhov teeb meem feem ntau yog pyoderma.[4]… Nws kuj tseem muaj peev xwm kis tau cov txheej txheem inflammatory mus rau hauv nruab nrog cev, raws li qhov tshwm sim ntawm cov phlegmon thiab mob ntsws.

Ntawm ib feem ntawm ENT, kev hnov ​​​​lus tsis hnov ​​​​lus yuav tshwm sim raws li qhov teeb meem ntawm pemphigus; mycoses yeej ntawm cov teeb meem dermatological. Cov teeb meem ntawm cov hlab plawv system yog manifested nyob rau hauv daim ntawv ntawm ischemia, angina pectoris thiab microangiopathy.

Qhov kev pheej hmoo ntawm kev tuag ntawm cov neeg mob pemphigus yog siab heev - txog li 15% ntawm cov neeg mob tuag nyob rau hauv 5 xyoo tom qab pib ntawm tus kab mob.

Kev tiv thaiv

Raws li kev tiv thaiv kev tiv thaiv los tiv thaiv kev txhim kho ntawm pemphigus, koj yuav tsum:

  • hloov ntaub pua chaw pw tsis tu ncua;
  • hloov ris tsho hauv qab txhua hnub;
  • raws sij hawm kho daim tawv nqaij pathologies;
  • tshem tawm ntawm cov neeg ua hauj lwm nrog pustular eruptions;
  • systematic tswj ntawm ib tug dermatologist;
  • txwv tsis pub noj ntsev, rog thiab carbohydrates;
  • saib xyuas cov ntshav qabzib thiab ntshav siab nyeem ntawv;
  • nruj me ntsis raws li cov cai ntawm kev tu tus kheej.

Kev kho mob hauv cov tshuaj tseem ceeb

Pemphigus kev kho mob yog ntev thiab nyuaj. Pemphigus qhia txog kev kho mob nyuaj:

  1. 1 kev kho mob;
  2. 2 kev kho mob hauv zos;
  3. 3 cov txheej txheem extracorporeal.

Kev kho mob hauv zos suav nrog kev kho mob ntawm daim tawv nqaij nrog kev kho mob thiab hormonal ointments thiab irrigation ntawm erosions nrog tshuaj tua kab mob.

Extracorporeal kev kho mob suav nrog kev siv hemodialysis thiab plasmaphoresis.

Lub hauv paus tseem ceeb ntawm kev kho pemphigus yog kev kho tshuaj hormone. Tus neeg mob tau muab tshuaj, thiab cov neeg mob pw hauv tsev kho mob tau muab cov tshuaj corticosteroids rau hauv cov hlab ntsha. Txoj kev kho mob yuav tsum tau ua raws li nruj me ntsis raws li kev noj tshuaj hormonal tuaj yeem ua rau muaj kev phiv loj heev:

  • kev nyuaj siab;
  • pw tsis tsaug zog;
  • ntshav siab;
  • rog rog, txawm tias tsis muaj calorie ntau ntau;
  • steroid-type diabetes;
  • siab heev ntawm lub paj hlwb;
  • quav quav.

Nrog rau qhov exacerbation, cov tshuaj tau pom tias ua rau lub cev tsis muaj zog. Cov neeg mob uas muaj pemphigus hnyav yuav xav tau kev hloov ntshav plasma. Nyob rau hauv cov ntaub ntawv loj ntawm pathology, intravenous immunoglobulin yog muab.

Txhawm rau tiv thaiv kev kis kab mob tom qab qhib cov hlwv, cov tshuaj tua kab mob tau muab rau cov neeg mob pemphigus. Cov khaub ncaws ntub dej hauv cov roj av jelly yog siv rau qhov mob thiab qhov chaw oozing. Nyob rau hauv cov ntaub ntawv ntawm exacerbation, nws raug nquahu kom hnav cov khaub ncaws xoob ua los ntawm cov ntaub ntuj tsim.

Cov khoom noj muaj txiaj ntsig rau pemphigus

Muab qhov muaj feem yuav muaj teeb meem, cov neeg mob tau pom zoo kom noj zaub mov uas nplua nuj nyob hauv zaub roj, calcium, txiv hmab txiv ntoo thiab zaub. Cov zaub mov yuav tsum tau boiled los yog steamed. Tso cai:

  • zaub xam lav, borscht, okroshka, taum pauv thiab taum kua zaub;
  • lub caij vinaigrette thiab zaub zaub xam lav nrog zaub roj (pob kws, taub dag, linseed, sunflower, thiab lwm yam);
  • nqaij qaib qe nyob rau hauv daim ntawv ntawm ib tug omelet los yog mos-boiled tsis ntau tshaj 3 zaug ib lub lim tiam, yog hais tias ntau zaus, ces tsis muaj yolk;
  • unsweetened txiv hmab txiv ntoo thiab berries, xws li: raspberries, cranberries, cherries, currants, blackberries, quince, citrus txiv hmab txiv ntoo, txiv apples, pomegranates;
  • los ntawm cov khoom noj siv mis - tsev cheese, kefir, fermented ci mis nyuj, mis nyuj, cheese nyuaj nrog cov roj tsis ntau tshaj 45%;
  • noj ntau yam ntawm bakery khoom nrog bran los yog rye hmoov;
  • porridge ua los ntawm buckwheat, mov, lentils, pob kws;
  • nqaij ntshiv - nqaij nyuj, nqaij qaib, qaib ntxhw, luav, boiled thiab ci;
  • boiled ntses ntawm tsawg-rog ntau yam: pike perch, carp, pike;
  • confectionery nrog piam thaj hloov;
  • zaub thiab nplooj ntsuab: taum, dib, txiv lws suav, taub dag, zucchini, celery, tarragon, parsley, lettuce;
  • los ntawm dej qab zib - qaug zog tshuaj yej, compotes, txiv hmab txiv ntoo dej qab zib.

Traditional tshuaj rau pemphigus

Cov tshuaj niaj hnub ua ke nrog cov tshuaj tuaj yeem txo qhov mob ntawm tus neeg mob pemphigus:

  • lubricate cov tawv nqaij cuam tshuam ob peb zaug ib hnub twg nrog cov kua txiv tshiab celandine;
  • kho ulcers nrog linseed roj[1];
  • muab tso rau hauv cov kua txiv hmab txiv ntoo celandine tshiab. Thawj hnub, 1 tee kua txiv yog yaj hauv ib khob dej, hnub ob, 2 tee yuav tsum tau noj, ntxiv 1 tee txhua hnub, coj mus rau 30;
  • ntxuav cov pob khaus nrog ib decoction raws li cov ceg qhuav thiab nplooj birch;
  • txiav ib tug tshiab nceb raincoat nyob rau hauv ib nrab thiab siv rau sab hauv lub qhov txhab;
  • nettle nplooj kua txiv muaj qhov zoo ntawm qhov txhab zoo;
  • siv aloe nplooj rau qhov chaw puas ntawm daim tawv nqaij [2];
  • rau qhov ncauj rwj, yaug raws li sage broth, calendula paj thiab chamomile raug pom zoo;
  • haus birch kua txiv ntau npaum li sai tau.

Cov zaub mov txaus ntshai thiab teeb meem rau pemphigus

Hauv kev kho mob, cov neeg mob raug qhia kom txo qis kom tsawg, thiab tseem tsis suav nrog cov khoom noj hauv qab no:

  • zaub kaus poom;
  • qej thiab dos;
  • liab thiab dub caviar, nqaij nruab deg, ntses kaus poom, ntses haus thiab qhuav;
  • offal, goose thiab duck nqaij, yaj, nqaij npuas rog;
  • thawj cov kev kawm raws cov nqaij nqaij;
  • dej cawv;
  • qab zib dej qab zib;
  • muaj zog tshuaj yej thiab kas fes;
  • ci khoom, ice cream, chocolate, cocoa, kaus poom txiv hmab txiv ntoo;
  • cov kua txob kub thiab mayonnaise;
  • cov khoom noj ceev thiab yooj yim;
  • chips, crackers thiab lwm yam khoom noj txom ncauj.
Cov ntaub ntawv peev txheej
  1. Tshuaj ntsuab: golden recipes rau tshuaj ntsuab / Comp. A. Markov. - M .: Eksmo; Rooj sab laj, 2007 .– 928 p.
  2. Phau ntawv qhia Popov AP Tshuaj ntsuab. Kev kho mob nrog tshuaj ntsuab tshuaj ntsuab. - LLC “U-Qhov Ntsuas”. Yekaterinburg: 1999.— 560 p., Ill.
  3. Pemphigus, qhov chaw
  4. Bullous Lesions ntawm daim tawv nqaij Graft pub dawb,
Reprint cov khoom siv

Txwv tsis pub siv cov ntaub ntawv yam tsis muaj peb kev sau ntawv tso cai ua ntej yog txwv.

Cov cai tswj kev nyab xeeb

Hauv paug tswj tsis muaj feem xyuam rau kev sim siv cov ntawv qhia, tswv yim lossis zaub mov noj, thiab tseem tsis tau lees tias cov ntaub ntawv sau tseg yuav pab lossis ua phem rau koj tus kheej. Ua tib zoo thiab ib txwm tham nrog kws kho mob tsim nyog!

Mloog!

Tus thawj coj tsis yog lub luag haujlwm rau kev sim los siv cov ntaub ntawv muab, thiab tsis tuaj yeem lav tias nws yuav tsis ua mob rau koj tus kheej. Cov ntaub ntawv tsis tuaj yeem siv rau sau ntawv kho mob thiab ua kev kuaj mob. Nco ntsoov tham nrog koj tus kws kho mob tshwj xeeb!

Khoom noj khoom haus rau lwm yam kab mob:

3 Comments

  1. 천포창질환 한번 제대로 본적도 없는 분이 적은거 같습니다.
    식생 중 몇가지만 빼면 드셔도 되는데 엉뚱한 것들만 나열했네요.
    한약, 홍삼. 녹용, 영지버섯, 술. 담배, 닭백숙(한약재), 인삼들어간 식품들 ..
    을 제외한 음식들은 대개 괜찮습니다.

    그러나 뭔가를 먹어서 천포창을 낫게하겠다? 절대 그런거 없습니다.

  2. pemfigoid rahatsızlığı olan kişiler daha ayrıntılı yemek listesi yapsanız zararlı ve zararsız yenebilir diye açıklama yapsanız çok sevinirim

  3. 천포창 음식으로 조절 할수있나 궁굼 했어요 감사합니다 먹을게 없어요 볐 삹 .

Sau ntawv cia Ncua