Lupus - ib tug loj heev mob tus kab mob

Mob Ntsws ntawm daim tawv nqaij muaj ib tug complex etiology thiab pathogenesis. Tag nrho plaub hom mycobacteria: avian, bovine, txias-blooded thiab tib neeg. Rau ib tug neeg sawv cev rau ib tug txaus ntshai tsuas yog tib neeg thiab bovine hom. Tej daim tawv nqaij qhov chaw mob - ib tug tsawg phenomenon cov dermatoses, tab sis nyuam qhuav muaj tau ib tug nce cov xwm txheej.

Lub tej yam kev mob nrog rau txoj kev loj hlob ntawm tus kab mob no muaj xws li: cov kab mob ntawm poob siab system, hormonal kawg, vitamin tsis txaus, tsis meej ntawm mineral thiab dej metabolism, lub plawv mob (venous congestion), cov neeg pluag climatic thiab kev mob, ntau yam kab mob kab mob. Tej yam zoo txo cov kev tiv thaiv ntawm lub cev thiab ua rau kom lub nyhav rau nws tuberculosis mycobacteria. Lawv txeem lub epidermis nyob rau hauv ntau txoj kev. Zoo nkauj yooj yim rau kis tus kab mob los ntawm cov kev puas tsuaj rau ntawm daim tawv nqaij ntawm tus neeg mob los yog nws tej khoom.

Muaj yog ib txoj kev kab mob. Lupus yuav tshwm sim thaum lub pathogen penetrates ntawm daim tawv nqaij los yog lymphogenous hematogenically ntawm tuberculosis hearth nyob rau hauv lwm yam kabmob.

Nyob rau hauv no kab mob nyob rau hauv daim tawv nqaij yog kuaj kab granuloma hlwb uas yog surrounded los ntawm lymphocytes. Rau nws yog tseem yus muaj los ntawm tej tsos mob li caseous necrosis, muaj cov loj loj Langhans hlwb, lub xub ntiag ntawm mycobacteria nyob rau hauv lub central ib feem ntawm lub granuloma. Mob Ntsws, lub ntsiab txhais ntawm uas yog feem ntau los ntawm histological yuav tsum tau ceev faj kev kho mob.

Feem ntau daim ntawv ntawm lupus. Tej lupus, uas yog tsiag ntawv los ntawm tshwm sim ntawm mos cov tsos mob tej hillocks (lyupom) muaj ib tug liab xim nrog ntshiab ib thaj tsam (mus txog 3 hli) yog feem ntau nyob rau hauv cov poj niam. Lyupomy yog kab granuloma. Lawv loj hlob thiab hauj lwm ua ke, thiab ces muaj khoom foci (tiaj tus zoo). Maj mam lyupomy fibrosing. Thaum lub sij hawm tus txheej txheem no, qhov caws pliav Atrophy. Muaj kuj yog ib daim ntawv ntawm peptic rwj kab mob, nyob rau hauv uas muaj yog ib qho exudative txheej txheem thiab lyupomy ulcerate. Muaj ces dag ulcers ntshav yooj yim nrog sis tsis ncaj, mos npoo. Tseem muaj ntaub ntawv ntawm cov mob thiab verrucous lupus. Feem ntau, ib tug ua pob liab vog zoo nkaus li nyob rau hauv lub ntsej muag, tiam sis tej zaum yuav nyob rau lwm qhov chaw. Feem ntau muaj feem xyuam rau cov txheej membrane ntawm lub ntuj, cov pos hniav, daim di ncauj, thiab qhov ntswg. Hais lus phem lupus muaj ib tug ntev thiab sluggish txaus. Thaum muaj tej zaum yuav mob nrog rau txoj kev loj hlob ntawm lupus-carcinoma.

Kollikvativny lupus - lub thib ob feem ntau ntau daim ntawv ntawm tus kab mob mob. Lub eruptions yog maloboleznennymi, ntom, nyob rau hauv lub sib sib zog nqus dermis thiab loj hlob sai nyob rau hauv volume units. Lawv yuav ncav cuag ib lub cheeb ntawm 5 cm. Cov tawv nqaij tshaj cov ntshav muaj ib tug xiavlus zas. Thaum lub sij hawm, cov ntshav yog softened, muaj ib tug txias rwj, tom qab uas lawv tawg nrog qhov kev tso tawm ntawm ntshav cov ntsiab lus. Ntawm qhov chaw ntawm cov ntshav yog tsim ulcers nrog mos npoo. Kho rwj nti yog sab laug nrog ib qho lus zoo. Feem ntau cov feem ntau muaj feem xyuam rau lub caj dab, yam tsawg kawg - lub limb.

Indurativny lupus, ulcerative miliary, lichenoid, warty, papulonekrotichesky yog theem nrab ntaub ntawv ntawm tuberculosis, txij li thaum tsim tiv thaiv lub keeb kwm ntawm lwm yam foci ntawm kab mob yav tas los lawm mob nrog tus kab mob no ntawm cov neeg.

Primary ntaub ntawv yog tsis tshua muaj, vim hais tias cov tshuaj txhaj tiv thaiv ntawm cov me nyuam mos tam sim no raws li nram no. Tus kab mob tso rau hauv cov anamnesis cov ntaub ntawv, soj ntsuam daim duab, cov ntsiab lus ntawm tuberculin kev ntsuam xyuas, cov kab lis kev cai thiab histological xeem.

Nyob rau hauv xws li ib tug kab mob, xws li kab mob ntsws tawv nqaij kho mob yog txo mus rau yam nram qab no: tuberculostatic cov kws khomob, mus pab tau txoj kev tiv thaiv, ua kom metabolic dab. Los ntawm tuberkulostaticheskoy tshuaj muaj xws li Isoniazid, protionamid, streptomycin, pyrazinamide, rifampicin, ethambutol, florimitsin, kanamycin.