Lipoid necrobiosis: Ua, Cov tsos mob, kuaj thiab kho mob

Lipoid necrobiosis - qhov no yog ib tug heev txaus ntshai mob daim tawv nqaij kab mob. Qub txeeg qub teg yog tsis kis tau. Tus kab mob tshwm sim thaum lub metabolic mob nyob rau hauv lub cev. Qhov no zos lipoidoz nyob rau hauv uas lipids tso nyob rau hauv lub dermis, nyob rau hauv uas muaj yog degeneration los yog necrobiosis ntawm collagen.

Nta lipid necrobiosis

Tus kab mob no tshwm sim nyob rau hauv lub mob daim ntawv rau ib tug ntev lub sij hawm. Heev feem ntau, tom qab lub khees rov qab los ntawm tus kab mob no muaj anew. Muaj mob ntawm txawj rov qab. Tab sis nws yog ib tug heev rarity.

Uas pab pawg neeg ntawm cov neeg raug tus kab mob no?

Lipoid necrobiosis - ib tug kuj tsis tshua muaj tus kab mob. Nws belongs rau lub zos daim tawv nqaij lipoidozam. Feem ntau nws yog pom nyob rau hauv cov neeg mob uas mob ntshav qab zib mellitus. Feem ntau cov feem ntau lipid necrobiosis raug neeg 20-40 xyoos. Tsawg zaus, tus kab mob no tshwm sim nyob rau hauv cov me nyuam thiab cov neeg laus. Feem ntau cov feem ntau, mob cov poj niam.

muaj tej yam

Rau cov uas yuav muaj yam xws li kev ua txhaum ntawm metabolic dab. Yeej, lipid, hormone thiab carbohydrate metabolism. Ib tug uas muaj feem yuav tau yog nce nyob rau hauv cov neeg mob uas mob ntshav qab zib mellitus wounds, ntau yam kev raug mob (kab tom, doog thiab thiaj li nyob. D.).

Yuav ua li cas cov kws muaj txuj nyob rau?

Yog hais tias tej tawv nqaij qhov chaw mob, xws li cov neeg uas muaj tus kab mob no lipoid necrobiosis, yuav tsum tau nrog ib tug dermatologist. Tus kws kho mob yuav kuaj thiab muab cov kev tsim nyog kho mob.

Cov ua ntawm tus kab mob

Lipoid necrobiosis daim tawv nqaij vim metabolic mob. Nyob rau hauv kev, vim muaj ib tug tsis ua hauj lwm nyob rau hauv tus txheej txheem ntawm metabolism ntawm cov nqaijrog thiab carbohydrates. Vim li no, nyob rau hauv cov hlab ntsha tsim pathological xwm ntawm qhov kev hloov thiab pib microcirculation ntshawv siab. Tus kab mob yuav tshwm sim nyob rau hauv cov neeg uas tsis muaj teeb meem nrog piam thaj kam rau ua.

Vim hais tias ntawm impaired microcirculation pib sib hloov ntawm daim tawv nqaij hlwb thiab lawv necrobiosis (hloov intracellular metabolism). Thiab raws li ib tug tshwm sim - tus roj cell degeneration.

Lipoid necrobiosis: cov tsos mob ntawm tus kab mob

Tus thawj cov tsos mob ntawm lipoid necrobiosis - cov tsos ntawm daim tawv nqaij ntawm me me liab thiab xim liab dawb nodules. Raws npoo yog surrounded los ntawm ib tug xiavlus ntug. Nyob rau hauv lub center ntawm cov quav hniav txhab yog yellowish-grey. Nyob rau tib lub sij hawm kuj yuav ua me me liab nodules nyob rau hauv daim tawv nqaij. Nws zoo li capillary cystic expansion. Ua qog nyob rau hauv cov kauj ruam no tsis tshwm sim tus kab mob.

Nodules thiab loj hlob thaum lub sij hawm hauj lwm ua ke rau hauv tuab plaques muaj ib tug du nto nrog rau kev brilliance. Ntawm qhov kov lawv yog tuab thiab tsis mob. Nyob rau hauv nruab nrab ntawm daim tawv nqaij yog them nrog ib tug translucent zaj duab xis. Nrog cov npoo ntawv me me xiavlus-liab cushion.

Txhab yog symmetrical thiab nyob li ib tug ob peb plaques nyob ib ncig ntawm. Feem ntau cov feem ntau muaj feem xyuam rau lub sab nqua, tsuas yog nyob rau hauv lub qis ceg. Tej zaum plaques zaum yuav tshwm sim nyob rau hauv lub ncej puab, npog tas ib ce, caj npab thiab lub tawv taub hau.

Yog hais tias tus kab mob no loj zuj zus tsis muaj teeb meem, daim tawv nqaij qhov chaw mob tsis ua tsis kaj siab thiab mob ncus. Txwv tsis pub, xub thawj tshwm sim ulcers thiab lwm yam daim tawv nqaij tsis xws luag. Ces nws pib kub, tingling, khaus thiab mob.

Lipoid necrobiosis yuav siv sij hawm nyuab heev yog hais tias tus neeg nyob rau ntawm tib lub sij hawm muaj kuj yog ib tug ntshav qab zib. Nyob rau hauv cov ntaub ntawv no, lub me me cov hlab ntsha uas cuam tshuam, thiab qhov no tsuas yog ntxiv rau daim tawv nqaij puas tsuaj. Yog hais tias cov ntshav qab zib tsawg tsawg, ces tus neeg mob tus mob yog dog dig li qub. Plaques cov los yog kiag li yaj. Lawv tus xov tooj tau tsawg.

Tsom qhia ib tug txo cell elasticity, nyob rau hauv uas yog ib tug pathology ntawm kev muaj roj metabolism. Feem ntau ntawm tag nrho cov thaum nws suffers lub connective cov ntaub so ntswg. Cov hom lipid necrobiosis - mob granulomatous distsiformny Miescher. Nyob rau hauv cov ntaub ntawv no, daim tawv nqaij thaj ua rau thaj rau hauv lub loj ntawm ib tug ntau heev. Lawv yog cov denser mus rau lub kov - li rau qhov chaw ntawm lub Rooj Tswjhwm Saib. Tshwj xeeb tshaj yog nyob rau hauv nruab nrab ntawm lub cheeb tsam cov.

diagnostics

Yog hais tias qhov kev nce rau hauv cov ntshav qab zib theem yog cai, yuav muaj ib tug tshwj xeeb kev kuaj rau lub nrhiav kom tau kev mob ntawm carbohydrate metabolism. Yeej, qhov no yog ua li cas nyob rau ntawm ib thaum ntxov rau theem ntawm cov ntshav qab zib. Nyob rau hauv tas li ntawd mus rau lub xeem, koj yuav tsum muab cov ntshav thiab zis kev ntsuam xyuas rau lub xub ntiag ntawm qab zib.

Qabzib kam kuaj - ib tug load xeem nrog piam thaj. Tus txheej txheem yuav ob peb theem ntawm cov ntshav sau cov hlab ntsha. Nws yog nyob rau ib qho kev npliag plab tom qab haus ntawm xya caum-tsib grams ntawm qabzib. Nws pre-yaj nyob rau hauv dej. Tej zib theem - tsawg tshaj li 5.5 mmol ib liter. Ob teev tom qab sim - tsis ntau tshaj li 7.8 mmol ib liter. Hloov los ntawm lub cai hais kev ua txhaum ntawm insular system zog. Nyob rau hauv cov ntaub ntawv no, ib tug tob thiab muaj txhij txhua dua xeem. Qhov kev kuaj ntawd yog ua li cas thaum lub theem ntawm qab zib saum toj no 6.7 mmol ib liter.

Diagnostics yog koom, tshwj tsis yog dermatological thiab kho, txawm endocrinology Center. Ua ntej muaj yog ib tug sab nraud kev soj ntsuam ntawm tus neeg mob. Ces muab ib tug histological txoj kev tshawb no ntawm kuaj tau los ntawm kev kuaj ntawm lub qhov cov tawv nqaij. Nws siv tej uas tseg tau ntawm lipids nrog Sudan kom paub tias pawg ntawm roj grain.

Nyob rau hauv cov hlab ntsha them xim rau cov loj hlob ntawm endothelial phab ntsa thiab fibrosis. Differential mob yog nqa tawm:

• cov quav hniav scleroderma;
• granuloma annulare;
• induratum erythema Bazin;
• papulonekroticheskim vasculitis;
• panniculitis;
• sarcoidosis;
• Dermatitis qis ceg;
• erythema nodosum thiab t. d.

tshuaj

Rau cov kev kho mob ntawm lipid necrobiosis yuav tsum hu mus rau lub Center rau endocrinology. Nws ua ib tug tag nrho cov kev soj ntsuam ntawm tus neeg mob. Taw los ntawm lub zaub mov los khom nyob rau hauv cov ntshav qab zib theem. Rau cov kev kho mob ntawm inflammatory thiab siv tshuaj txhim kho microcirculation:

• "Hingamin".
• "Acetylsalicylic acid".
• "Ksantinola nicotinate."
• "Dipyridamole" thiab ib txhia lwm leej lwm tus.

Tsis tas li ntawd muab anti-ntshav qab zib cov tshuaj thiab tshuaj pleev, uas muaj xws li adrenocortical cov tshuaj hormones. Zoo kev pab tshuaj daim ntawv thov "Dimexidum" (25-30 feem pua). Kev Kho Mob yuav ua tau ob qho tib si ambulatory thiab nyob ruaj ruaj.

Tsis tas li ntawd, muab tshuaj, muaj nyob rau hauv nws muaj pes tsawg leeg vitamin E. taw los ntawm physiotherapy nrog Bucky rays thiab X-ray irradiation. Nyob rau hauv txoj mob, kev kho mob yog ua surgically. Thaum lub sij hawm lub lag luam, resected pathological tsim. Tom ntej no, koj yuav tsum mus nqa tawm daim tawv nqaij grafting.

Nws yuav tsum tsis txhob hem leej twg no mob raws li lipoid necrobiosis. Kev kho mob ntawm hnyav daim ntawv muaj ntshav qab zib thawj degree: muaj ntau variants ntawm insulin. Tiv thaiv lub keeb kwm ntawm lub thib ob - ib tug sulfonylurea. Ntawm cov vitamins yog tsa "Aevit", "Ascorutin", vitamin B thiab niacin. Thaum necrobiosis tsa bromides los yog herbal tshuaj. Raws li zoo raws li kev txhim kho cov microcirculation - "Etamsylate", "komplamin" thiab lwm yam ...

Ntawv sau yuav tshuaj lipotropics, thaum nondiabetic xwm ntawm tus kab mob - "Dipromony" zoo intramuscularly. Thaum lub zos kev kho mob yog thov phonophoresis nrog heparin los yog prednisolone tshuaj pleev. Cov dawb hnub fonoforeza siv corticosteroid neeg sawv cev, thov nyob rau hauv ib tug ntaub qhwv.

Kev kho mob ntawm pej xeem cov tshuaj

Rau cov kev kho mob ntawm lipid necrobiosis pej xeem tshuaj yuav tsum tau nrog ib tug dermatologist. Self-tshuaj tsis muaj tus kws kho mob pom zoo yog heev undesirable. Raws li haum pej xeem kev kav ntse thov (500g) thiab txiv qaub (6 pieces), uas yog hau rau ob teev nyob rau hauv ib tug dej da dej, pre-tws nyob rau hauv ib tug blender. Npaj txhais tau tias coj nyob rau hauv thaum sawv ntxov ib diav. Cov sib tov twb muab nyob rau hauv lub tub yees.

Zoo kev pab nyob rau hauv cov kev kho mob ntawm aloes thiab cinnamon. Nees nkaum grams ntawm cinnamon hmoov hau dej. Infused kom txias, thiab ntxiv mus rau lub Txoj kev lis ntshav ntawm kaum milligrams ntawm aloe kua txiv. Tov, muab faib mus rau hauv ob sib npaug zos qhov chaw. Tus thawj qaug dej qaug cawv nyob rau hauv thaum sawv ntxov nyob rau ib npliag plab. Qhov thib ob - nyob rau hauv rau yav tsaus ntuj, cia li ua ntej yuav mus pw.

Rau cov tshuaj pleev siv ua los ntawm steamed compresses cov hmoov ntawm ntoo thuv los yog ntoo qhib tawv. Yuav ua li cas txaus ntshai lipoid necrobiosis? Yog hais tias cov kev kho mob tsis ua hauj lwm los yog khiav, koj yuav taug kev mus rau txoj kev loj hlob ntawm gangrene.

tiv thaiv kab mob

Kev tiv thaiv - tsis tu ncua xeem nyob rau hauv lub tsev kho mob rau cov nrhiav kom tau ntawm cov ntshav qab zib los yog lwm yam kab mob txuam nrog impaired metabolic dab nyob rau hauv lub cev. Nws yog ib advisable mus xyuas ib tug GP thiab yauv kho mob daim tshev-up txhua txhua rau lub hlis. Qhov no yuav pab tau tshem ntawm ntau cov teeb meem thiab tiv thaiv kom txhob loj hlob ntawm tau kab mob. Cov neeg uas tau muaj mob ntawm cov ntshav qab zib, nws yog tsim nyog los lossi saib xyuas zib nrog cov txheeb ze. Nyob rau hauv cov ntaub ntawv ntawm cov ntshav qab zib, nws yog yuav tsum thiab raws sij hawm kev kho mob - yog tseem kev tiv thaiv ntawm lipid necrobiosis.

Nyob rau hauv tas li ntawd rau tag nrho cov saum toj no, kom tsis txhob muaj lub cev raug mob, tshwj xeeb tshaj yog cov ob txhais ceg (tshwj xeeb tshaj yog plab hlaub). Yuav tsum tau cais los ntawm cov khoom noj ntawm fatty khoom noj thiab kib. Preference yuav tsum tau muab cov zaub mov siav thiab steamed.