Puas yog ib qho mob qub rov qab los ntawm qhov txhab ntawm koj daim tawv nqaij? Cia peb tham txog Koebner Phenomenon

Tej zaum koj muaj mob ntawm daim tawv nqaij, xws li mob psoriasis. Koj puas tau pom tias qhov mob qub qub rov tshwm sim dua los ntawm qhov txhab me me lossis qhov txiav ntawm koj daim tawv nqaij? Zoo li tus kab mob pib los ntawm qhov chaw tshiab. Qhov no yog qhov peb hu ua Koebner Phenomenon hauv kev kho mob. Qhov no yuav tshiab me ntsis rau qee tus, yog li hnub no peb yuav tham txog nws kom ntxaws me ntsis, tab sis yooj yim.

Qhov xwm txheej Koebner yog dab tsi?

Hais yooj yim xwb, qhov Koebner Phenomenon yog thaum ib qho mob ntawm daim tawv nqaij uas koj twb muaj lawm, xws li psoriasis lossis vitiligo, rov tshwm sim hauv ib cheeb tsam tshiab ntawm koj daim tawv nqaij, xws li raug mob, txiav, hlawv, lossis phais. Yog xav kom meej, ib daim qauv ntawm tib qho mob qub tshwm sim hauv ib cheeb tsam tshiab. Xav txog, koj muaj ib qho pob me me ntawm koj txhais tes, koj tau txais ib qho pob qhov twg ntawm koj ceg, thiab tom qab ob peb hnub, cov pob kuj tshwm sim hauv tib thaj chaw ntawd. Yog li ntawd.

Qhov no tau tshawb pom thiab piav qhia thawj zaug hauv xyoo 1876 los ntawm tus kws kho mob German hu ua Heinrich Koebner. Yog vim li cas qhov xwm txheej no thiaj li muab lub npe rau nws. Nws kuj hu nws ua 'isomorphic response'. Lo lus Greek 'isomorphic' txhais tau tias 'zoo ib yam'. Qhov no txhais tau tias cov pob tshiab uas tsim muaj qhov zoo sib xws rau qhov mob qub.

Qhov no feem ntau tshwm sim li cas?

Tus mob no, hu ua Koebner Phenomenon, feem ntau pom muaj rau cov neeg uas muaj tus kab mob psoriasis. Qee qhov kev tshawb fawb qhia tias txog li 25% ntawm cov neeg uas muaj tus kab mob psoriasis yuav muaj tus kab mob no. Txawm li cas los xij, nws tsis yog tsuas yog psoriasis xwb.

Tus mob no kuj tseem tuaj yeem tshwm sim rau cov neeg uas muaj pob khaus, vitiligo, lossis mob tawv nqaij hu ua lichen planus. Txawm li cas los xij, nws tsis tshua muaj ntau npaum li lichen planus. Tsis tas li ntawd, Koebner tus mob tau tshaj tawm tias cuam tshuam rau cov neeg uas muaj qee yam mob tawv nqaij tsis tshua muaj.

Dab tsi ua rau muaj qhov xwm txheej Koebner?

Qhov ua rau qhov no yog ib yam dab tsi uas cov kws kho mob tseem tsis tau pom 100 feem pua, koj puas paub? Nws tseem nyob rau theem tshawb fawb. Txawm li cas los xij, cov kws tshaj lij feem ntau xav tias nws yog los ntawm qee yam kev ua ub no, tej zaum ua haujlwm ntau dhau, ntawm peb lub cev tiv thaiv kab mob. Qhov ntawd txhais tau tias lawv xav tias nws yuav muaj feem cuam tshuam nrog cov kab mob autoimmune.

Piv txwv li, psoriasis, uas peb txhua tus paub, yog ib yam kab mob uas muaj kev sib txuas ntawm tus kheej. Yog li, cov neeg uas muaj cov kab mob zoo li no yuav muaj qhov xwm txheej Koebner no ntau dua. Thaum muaj qhov txhab ntawm daim tawv nqaij, qee cov cim qhia thiab cov hlwb raug qhib thaum lub sijhawm kho. Vim muaj qee qhov tsis zoo hauv cov txheej txheem no, tus kab mob tawv nqaij qub yuav tshwm sim hauv qhov chaw tshiab.

Leej twg muaj feem yuav muaj qhov teeb meem no ntau dua?

Raws li peb tau tham ua ntej lawm, cov neeg uas muaj mob psoriasis muaj feem yuav mob ntau tshaj plaws. Tsis tas li ntawd xwb, muaj ntau yam mob ntawm daim tawv nqaij uas ua rau muaj feem yuav mob Koebner's phenomenon ntau dua:

• Kab mob ntsws - Cov no yog los ntawm kev kis kab mob viral.
• Vitiligo - Ib qho mob uas tshwm sim los ntawm kev puas tsuaj ntawm cov hlwb uas muab nws cov xim rau daim tawv nqaij.
• Lichen planus - Qhov no kuj yog ib qho mob uas tuaj yeem ua rau o ntawm daim tawv nqaij, qhov ncauj, thiab rau tes.

Tsis yog txhua tus neeg uas muaj cov kab mob no yuav muaj tus kab mob Koebner, tab sis muaj kev pheej hmoo.

Cov mob tawv nqaij twg ua rau muaj qhov no?

Qhov tseem ceeb ntawm no yog tias qhov xwm txheej Koebner tuaj yeem tshwm sim los ntawm kev raug mob uas cuam tshuam lossis ua puas rau ob qho tib si txheej sab saud ntawm daim tawv nqaij, daim tawv nqaij uas peb pom (epidermis) , thiab txheej tob dua me ntsis hauv qab (dermis) . Xav txog tej yam zoo li no:

• Cov qhov tho ntawm daim tawv nqaij xws li qhov chaw txhaj tshuaj, qhov tho pob ntseg, thiab qhov ntswg tho.
• Thaum tom los ntawm kab lossis lwm yam tsiaj, piv txwv li, cov tsiaj xws li yoov tshaj cum thiab ntsaum.
• Thaum daim tawv nqaij khaus. Cia peb xav tias koj raug ib tug pas ntoo khaus thaum koj ua haujlwm hauv lub vaj, ib tug miv khaus, lossis ib tug yoov tshaj cum tom koj thiab tom koj hnyav heev.
• Muaj ib txhia neeg txhob txwm ua kom lawv daim tawv nqaij tawg (khaws daim tawv nqaij), tej yam zoo li ntawd.
• Cov qhov txhab phais, lwm yam kev raug mob, kev raug mob los ntawm kev ntog lossis txiav.
• Thaum koj kos duab rau ntawm daim tawv nqaij, vim tias qhov ntawd yuav tsum tau siv koob txhaj tshuaj rau hauv daim tawv nqaij thiab txhaj tshuaj kua mem. Qhov no kuj tuaj yeem tshwm sim thaum lub sijhawm tshem tawm daim duab .
• Kub hnyiab. Nws tuaj yeem yog los ntawm hluav taws, nws tuaj yeem yog los ntawm dej kub. Kub hnyiab qee zaum tuaj yeem tshwm sim, tab sis lawv tsis ua rau muaj qhov xwm txheej Koebner ntau npaum li lwm yam kev raug mob.
• Kev kho mob hluav taws xob rau cov kab mob xws li mob qog noj ntshav kuj tuaj yeem ua rau daim tawv nqaij puas tsuaj, yog li qhov mob no qee zaum tuaj yeem tshwm sim los ntawm thaj chaw ntawd (qhov no kuj tsis tshua muaj).

Hais yooj yim xwb, nws tuaj yeem pib nrog kev raug mob rau koj daim tawv nqaij.

Cov tsos mob ntawm qhov tshwm sim Koebner yog dab tsi?

Cov tsos mob ntawm Koebner tus mob sib txawv nyob ntawm seb koj muaj mob tawv nqaij li cas, thiab qhov mob ntawd hnyav npaum li cas (mob hnyav zuj zus) thaum lub sijhawm ntawd. Cov pob tshiab lossis kev hloov pauv ntawm daim tawv nqaij feem ntau pib tshwm sim hauv 10 txog 20 hnub ntawm qhov raug mob . Txawm li cas los xij, qee zaum nws yuav siv sijhawm ntau lub lis piam lossis, tsis tshua muaj, ntau lub hlis rau qhov no tshwm sim.

Cov yam ntxwv tseem ceeb uas pom tau yog:

• Cov qhov txhab tshiab no tsim rau ntawm daim tawv nqaij uas yav tas los noj qab nyob zoo, tsis muaj kab mob, hauv tib thaj chaw uas raug mob.
• Lawv zoo ib yam li koj tus kab mob tawv nqaij qub.Piv txwv li, yog tias koj muaj mob psoriasis, cov pob tshiab yuav tshwm liab zoo li mob psoriasis thiab yuav tev tawm zoo ib yam li mob psoriasis. Yog tias koj muaj mob vitiligo, cov pob tshiab kuj yuav hloov dawb.
• Feem ntau, cov no yog kab ncaj, zoo li tus kab mob tau kis mus rau ntawm qhov txhab. Tab sis qhov no tsis yog txhua lub sijhawm, thiab tuaj yeem sib txawv nyob ntawm seb qhov txhab zoo li cas.

Cov chaw no qee zaum zoo li ib tug neeg tau kos ib txoj kab nrog tus pas ntsuas. Qhov ntawd kuj yog ib qho tshwj xeeb ntawm qhov no.

Qhov no puas ua rau muaj teeb meem?

Qhov no yuav zoo li ntshai me ntsis rau koj. Tab sis qhov tseeb, Koebner Phenomenon feem ntau tsis ua rau muaj teeb meem loj. Nws tsuas yog qhov rov tshwm sim ntawm koj tus mob qub xwb. Qhov ntawd txhais tau tias cov pob tshiab tsis txaus ntshai rau lub neej. Txawm li cas los xij, qee zaum cov pob tshiab tuaj yeem khaus thiab mob ib yam li cov pob qub. Tsis tas li ntawd, hauv qee qhov mob, xws li psoriasis, kev kis tus kab mob tuaj yeem ua rau koj ntxhov siab me ntsis.

Yuav ua li cas thiaj paub txog qhov xwm txheej Koebner?

Tsis muaj kev kuaj ntshav tshwj xeeb lossis lwm yam kev kuaj mob los kuaj qhov no. Thaum koj mus ntsib kws kho mob tawv nqaij, nws yuav kuaj koj daim tawv nqaij kom zoo. Tom qab ntawd, lawv yuav nug txog koj cov mob tawv nqaij yav dhau los, seb puas muaj leej twg hauv koj tsev neeg tau muaj cov mob zoo sib xws, thiab seb koj puas tau raug mob rau koj daim tawv nqaij tsis ntev los no. Tag nrho cov ntaub ntawv no, nrog rau cov tsos ntawm cov pob ntawm koj daim tawv nqaij, yuav pab tus kws kho mob txiav txim siab seb qhov no puas yog Koebner phenomenon. Yog li ntawd , nws yog ib qho tseem ceeb heev uas koj qhia qhov tseeb rau tus kws kho mob thiab tsis txhob zais dab tsi.

Qhov no kho li cas?

Nov dua, tej zaum koj yuav xav tsis thoob thaum paub tias tsis muaj kev kho mob tshwj xeeb rau Koebner Phenomenon. Qhov laj thawj yog tias nws tsis yog ib yam kab mob tshiab, tab sis tsuas yog ib qho kev tshwm sim ntawm koj tus mob daim tawv nqaij qub. Yog li ntawd, nws raug kho tib yam li tus mob qub.

Piv txwv li, yog tias nws yog vim muaj tus kab mob psoriasis, cov kev kho mob zoo ib yam rau tus kab mob psoriasis, xws li cov tshuaj pleev, tshuaj pleev, tshuaj ntsiav, thiab qee zaum kev kho mob los ntawm lub teeb, yuav raug siv rau cov chaw tshiab no. Ib yam li ntawd, yog tias nws yog vim muaj tus kab mob vitiligo, cov kev kho mob zoo ib yam yuav raug siv rau qhov ntawd.

Qhov tseem ceeb tshaj plaws yog ua raws li koj tus kws kho mob tawv nqaij cov lus qhia raws nraim.

Puas muaj peev xwm tiv thaiv tau qhov teeb meem Koebner?

Nws yuav nyuaj rau tiv thaiv qhov no kom tag nrho, tshwj xeeb yog tias koj muaj mob tawv nqaij. Txawm li cas los xij, muaj tej yam uas peb ua tau los txo qhov kev pheej hmoo.

Txoj kev zoo tshaj plaws yog tswj koj tus kab mob tawv nqaij thawj zaug kom zoo.Qhov ntawd txhais tau tias, yog tias koj muaj mob psoriasis, koj yuav tsum ua raws li koj tus kws kho mob cov lus qhia kom koj cov tsos mob tsawg li tsawg tau. Qhov xwm txheej Koebner feem ntau yuav tshwm sim thaum lub sijhawm ua haujlwm ntawm tus kab mob.

Ntxiv rau, koj yuav tsum txo qhov kev raug mob thiab kev puas tsuaj ntawm daim tawv nqaij kom tsawg li ntau tau.

Cov lwm yam no kuj yuav pab tau:

• Txo lossis tsum tsis txhob khawb koj daim tawv nqaij, khawb koj cov rau tes, thiab khawb koj cov rau tes . Khawb tau, tsuas yog tsis txhob khawb kom txog thaum mob xwb.
• Tiv thaiv koj daim tawv nqaij ntawm lub hnub. Thaum tawm mus sab nraud thaum nruab hnub, tshwj xeeb tshaj yog thaum 10 teev sawv ntxov txog 4 teev tsaus ntuj, hnav khaub ncaws tes ntev yog tias ua tau, lub kaus mom, thiab siv tshuaj pleev thaiv hnub uas muaj SPF zoo.
• Xav ob zaug txog kev kos duab rau ntawm daim tawv nqaij thiab qee qhov kev tho. Yog tias koj muaj cov teeb meem ntawm daim tawv nqaij no, cov no tuaj yeem ua rau muaj qhov teeb meem Koebner.
• Siv hnab looj tes thaum ua haujlwm nrog cov khoom ntse lossis ua tej yam xws li ua teb.

Tus neeg uas muaj tus kab mob Koebner no muaj mob li cas?

Feem ntau, ib tug neeg uas muaj tus kab mob Koebner Phenomenon no yeej noj qab nyob zoo heev. Raws li tau hais ua ntej lawm, nws tsis tshua muaj teeb meem loj. Qhov zoo tshaj plaws uas koj ua tau yog kho cov pob tshiab ib yam li koj yuav kho koj daim tawv nqaij qub.

Nws tseem ceeb heev uas yuav tsum ua raws li koj tus kws kho mob cov lus qhia kom meej thiab ceev faj kom tsis txhob ua rau koj daim tawv nqaij raug mob. Yog tias koj tswj koj daim tawv nqaij zoo li no, qhov xwm txheej Koebner yuav tsis muaj kev cuam tshuam loj rau koj lub neej.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Yog tias koj muaj mob tawv nqaij uas muaj feem cuam tshuam nrog qhov tshwm sim Koebner, thiab koj pom ib qho ntawm cov hauv qab no, mus ntsib koj tus kws kho mob tawv nqaij lossis kws kho mob hauv tsev neeg tam sim ntawd:

• Yog tias koj daim tawv nqaij mob tam sim ntawd, txhais tau tias cov pob thiab liab nce ntxiv.
• Yog tias daim tawv nqaij khaus heev lossis mob heev, tsis ua li cas.
• Yog tias muaj cov kua dej zoo li kua qaub ntws tawm ntawm qhov txhab, liab thiab o ntawm qhov txhab, lossis muaj cov cim qhia tias muaj kev kis kab mob xws li kub taub hau , nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev kho mob tam sim ntawd.
• Yog tias muaj cov pob khaus tshiab tshwm sim, nws yog ib lub tswv yim zoo kom qhia rau koj tus kws kho mob txog qhov ntawd.

Kuv yuav tsum nug tus kws kho mob li cas?

Thaum koj mus ntsib koj tus kws kho mob, nws yog ib qho tseem ceeb uas yuav tsum nug cov lus nug uas koj xav txog. Qhov no yuav pab koj nkag siab koj tus mob zoo dua. Piv txwv li, koj yuav nug cov lus nug xws li:

• "Kws kho mob, dab tsi ua rau kuv muaj tus kab mob Koebner no?"
• Qhov no muaj feem cuam tshuam li cas rau qhov mob ntawm daim tawv nqaij uas kuv muaj tam sim no?
• Txoj kev kho mob twg zoo tshaj plaws rau kuv?
• "Yuav siv sijhawm ntev npaum li cas rau cov chaw tshiab no kom ploj mus?"
• "Kuv ua tau dab tsi ntxiv los tiv thaiv cov tawv nqaij raug mob thiab qhov xwm txheej Koebner no?"
• Kuv yuav tsum txhawj txog tej teeb meem twg?
• "Yuav ntev npaum li cas kuv mam li mus ntsib kws kho mob dua?"

Hauv kev xaus lus, tej yam uas peb yuav tsum nco ntsoov

Zoo, yog li ntawm no yog cov yam tseem ceeb tshaj plaws uas koj yuav tsum nco ntsoov los ntawm qhov peb tau tham txog. Yog tias koj muaj mob ntawm daim tawv nqaij xws li psoriasis, vitiligo, lossis lichen planus, thiab koj pom cov pob tshiab uas zoo li cov qhov txhab qub qub uas tshwm sim qhov twg koj muaj qhov txiav, khawb, lossis hlawv ntawm koj daim tawv nqaij, nws yuav yog Koebner Phenomenon.

Cov pob tshiab no yuav tshwm sim ob peb hnub lossis ob peb lub lis piam tom qab raug mob. Yuav kom paub tseeb tias qhov no yog qhov tseeb, koj yuav tsum mus ntsib kws kho mob tawv nqaij. Nws yuav sau ntawv rau koj txog kev kho mob uas tsim nyog.

Kev tswj koj cov tawv nqaij mob xws li psoriasis, zoo tuaj yeem txo koj txoj kev pheej hmoo ntawm kev mob Koebner. Txawm li cas los xij, qee zaum cov qhov txhab no tuaj yeem tshwm sim txawm tias tsis muaj tsos mob los xij. Yog li nws yog ib qho tseem ceeb kom tiv thaiv koj cov tawv nqaij ntawm qhov txiav, kub hnyiab, thiab lwm yam kev puas tsuaj ntau li ntau tau. Saib xyuas koj cov tawv nqaij. Tom qab tag nrho, tawv nqaij noj qab haus huv yog lub hauv paus rau lub neej noj qab haus huv.

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