Koj puas tau muaj ib lub pob liab me me ntawm koj lub cev, tshwj xeeb tshaj yog ntawm koj ob txhais ceg, uas sai sai hloov mus ua ib qho qhov txhab loj, tob, thiab mob heev? Tej zaum koj yuav xav tias qhov no yog ib qho qhov txhab ib txwm muaj, lossis koj raug ib yam kab tom. Tab sis qee zaum nws tuaj yeem nyuaj dua li ntawd, thiab nws xav tau kev saib xyuas tshwj xeeb. Hnub no peb tab tom tham txog ib qho mob uas tsis tshua muaj nyob hauv Sri Lanka, tab sis nws yog ib qho tseem ceeb kom paub txog. Ntawd yog Pyoderma Gangrenosum .
Hauv lwm lo lus, Pyoderma Gangrenosum yog dab tsi?
Kab mob Pyoderma Gangrenosum (hais tias: pyo-der-ma gane-gra-no-sum) yog ib yam mob uas rov tshwm sim ntev heev rau ntawm daim tawv nqaij. Nws pib ua ib lub pob me me, tsis muaj xim (liab, ntshav, xiav) lossis muaj kua dej ntau ntawm koj daim tawv nqaij. Tom qab ntawd nws loj hlob sai heev, kis mus rau lwm qhov, thiab ua rau lub qhov txhab qhib thiab tob (qog) uas tawg los ntawm daim tawv nqaij.
Muaj ib lossis ntau qhov mob no tshwm sim rau ntawm lub cev. Yog tias qhov mob tsis hnyav heev, tej zaum yuav muaj ib qho mob xwb. Txawm li cas los xij, thaum mob hnyav, tej zaum yuav muaj ntau qhov mob. Cov mob no mob heev.
Qhov tseem ceeb yog tias Pyoderma Gangrenosum feem ntau tshwm sim ua ke nrog lwm yam mob hauv lub cev. Qhov no txhais tau tias nws tuaj yeem tshwm sim ua ib qho tsos mob ntawm lwm yam mob es tsis yog kab mob ntawm nws tus kheej.
Leej twg yuav muaj tus mob no tshaj?
Txawm hais tias tus kab mob no tuaj yeem tshwm sim rau txhua lub hnub nyoog, nws tsis tshua muaj rau cov menyuam yaus. Nws feem ntau tshwm sim rau cov poj niam hnub nyoog ntawm 20 thiab 50. Tsis tas li ntawd, yog tias koj muaj cov mob hauv qab no, koj qhov kev pheej hmoo ntawm kev mob Pyoderma Gangrenosum yog siab dua me ntsis.
- Mob Pob Qij Txha Rheumatoid: Qhov no yog ib yam kab mob autoimmune uas ua rau o thiab mob hauv cov pob qij txha.
- Ulcerative Colitis : Ib qho mob uas lub txheej ntawm txoj hnyuv loj o.
- Kab mob Crohn: Lwm yam kab mob uas tuaj yeem ua rau o nyob qhov twg hauv txoj hnyuv.
- Qee hom mob qog noj ntshav: tshwj xeeb yog cov mob qog noj ntshav uas cuam tshuam nrog cov ntshav xws li mob leukemia lossis lymphoma.
Tus mob no tsis tshua muaj nyob hauv Sri Lanka. Hais kwv yees li, hauv lub tebchaws zoo li Asmeskas, tus kab mob no tau tshaj tawm tias muaj li ib tus neeg hauv txhua puas txhiab tus neeg. Tab sis nws tsis zoo uas tsis paub txog qhov no vim nws tsis tshua muaj.
Cov tsos mob tseem ceeb ntawm Pyoderma Gangrenosum yog dab tsi?
Txawm hais tias tus mob no tuaj yeem tshwm sim txhua qhov chaw ntawm lub cev, feem ntau pom ntawm ob txhais ceg, pob luj taws, thiab taw. Nws kuj tuaj yeem tshwm sim ntawm tes, caj dab, thiab qhov chaw mos. Tam sim no cia peb saib seb koj yuav muaj cov tsos mob dab tsi nrog tus mob no.
| Cov tsos mob | Kev piav qhia |
|---|---|
| Kev hloov pauv ntawm daim tawv nqaij | Thaum xub thawj nws zoo li ib lub pob me me, liab, ntshav, xiav, lossis dub lossis cov pob khaus uas puv nrog kua qaub rau ntawm daim tawv nqaij. Cov no tuaj yeem loj hlob sai heev. |
| Cov qhov txhab qhib (Ulcers) | Lub pob me me ntawd sai sai nthuav dav, hloov mus ua ib qho qhov txhab tob thiab qhib uas rhuav tshem daim tawv nqaij. Cov npoo ntawm cov qhov txhab no tsa thiab pom tseeb. |
| Mob thiab o | Qhov txhab thiab thaj chaw ib puag ncig o thiab mob, ntau dua li qhov txhab ib txwm muaj. |
| Lwm yam nta | Tej tus neeg kuj yuav muaj cov tsos mob dav dav xws li kub taub hau thiab mob pob qij txha. |
Ua cas ho muaj tej yam zoo li no tshwm sim? Yog vim li cas?
Qhov tseeb, cov kws kho mob tseem tsis tau paub meej tias yog vim li cas Pyoderma Gangrenosum thiaj li ua rau mob, tab sis feem ntau ntseeg tias nws yog los ntawm kev ua haujlwm tsis zoo hauv peb lub cev tiv thaiv kab mob.
Hais yooj yim xwb, peb lub cev tiv thaiv kab mob, lub cev tiv thaiv kab mob, pib tawm tsam peb cov tawv nqaij noj qab nyob zoo yam tsis raug. Peb hu cov kab mob no ua cov kab mob autoimmune.
Ib qho tseem ceeb heev yog tias qee zaum, kev raug mob me me rau ntawm daim tawv nqaij, xws li qhov txiav, khawb, lossis phais, tuaj yeem ua rau lossis ua rau mob Pyoderma Gangrenosum hnyav dua. Hauv kev kho mob, peb hu qhov no tias 'pathergy' . Qhov no yog ib qho tshwj xeeb ntawm tus kab mob no. Piv txwv li, tom qab phais, cov qhov txhab no kuj tuaj yeem tshwm sim nyob ib puag ncig qhov chaw stoma.
Qhov no puas yog ib yam kab mob sib kis tau?
Tsis yog li ntawd kiag li. Qhov no yog ib yam uas yuav tsum nco ntsoov kom meej meej.
Kab mob Pyoderma Gangrenosum tsis yog ib yam kab mob sib kis tau. Nws tsis kis tau ntawm ib tus neeg mus rau lwm tus los ntawm kev kov lossis lwm txoj kev.
Tus kws kho mob yuav kuaj mob Pyoderma Gangrenosum li cas kom raug?
Qhov no yog ib qho teeb meem loj tshaj plaws nrog tus kab mob no. Vim tias tsis muaj ib qho kev kuaj mob twg uas tuaj yeem lees paub tias, 'Yog lawm, qhov no yog nws.' Yog vim li ntawd cov kws kho mob thiaj li ua ntej xyuas kom meej tias lwm yam mob tsis yog ua rau nws. Yog li ntawd, lawv txiav txim siab lwm yam ua rau cov mob no ib qho zuj zus.
Koj tus kws kho mob yuav sim txiav txim seb puas muaj tej yam xws li:
- Cov kab mob bacterial lossis fungal
- Mob qog nqaij hlav
- Cov mob o ntawm cov hlab ntsha
- Lwm yam kab mob autoimmune, xws li lupus
Yuav kom paub tseeb tias tej no yog qhov tseeb, tej zaum koj yuav tau ua qee qhov kev kuaj mob xws li cov no:
- Kev kuaj ntshav: Xyuas seb puas muaj kev o thiab lwm yam kab mob hauv lub cev.
- Kev kuaj mob: Muab ib daim tawv nqaij me me ntawm qhov mob ntawd coj mus kuaj hauv qab lub tshuab kuaj mob me me.
- Kev kuaj pob txha: Yog tias xav tias muaj mob xws li mob qog ntshav.
- Kev kuaj mob tshwj xeeb los ntawm lub koob yees duab: Kev kuaj xws li "(Colonoscopy)" los kuaj xyuas txoj hnyuv loj yog tias xav tias muaj mob xws li kab mob Crohn.
Cov kev kho mob rau qhov no yog dab tsi?
Muaj ntau txoj kev kho mob rau Pyoderma Gangrenosum. Koj tus kws kho mob yuav txiav txim siab seb yuav kho li cas raws li qhov mob hnyav ntawm koj tus mob.
Rau cov xwm txheej me me
Thaum pib mob los yog qhov mob tsis hnyav dhau, tus kws kho mob yuav sau ntawv kom muab tshuaj pleev los yog tshuaj pleev rau ntawm qhov txhab.
- Cov tshuaj pleev Corticosteroid: Cov no yog cov tshuaj muaj zog uas tswj kev o thiab o. Lawv siv ncaj qha rau ntawm qhov txhab.
Yog tias qhov xwm txheej loj heev
Yog tias cov qhov txhab loj, muaj ntau qhov, lossis qhov mob hnyav heev, tej zaum yuav xav tau cov tshuaj noj lossis lwm yam kev kho mob tshwj xeeb.
- Cov tshuaj Corticosteroids:Cov tshuaj xws li prednisone tswj kev o ntawm lub cev.
- Cov tshuaj tiv thaiv kab mob: Cov tshuaj no ua haujlwm los ntawm kev txo cov haujlwm ntawm peb lub cev tiv thaiv kab mob, tiv thaiv nws kom tsis txhob ua puas rau peb lub cev. Cyclosporine yog ib qho tshuaj zoo li no.
- Cov tshuaj lom neeg: Cov no yog cov tshuaj tshiab, siab heev uas tsom mus rau cov protein tshwj xeeb hauv lub cev uas ua rau mob.
- Kev Tshem Tawm Cov Nqaij Tuag: Kev phais tshem cov nqaij tuag ntawm qhov txhab qee zaum yuav pab tau. Tab sis qhov no muaj kev pheej hmoo. Vim yog tus mob hu ua 'pathergy' uas peb tau tham ua ntej, hom kev puas tsuaj ntawm daim tawv nqaij no tuaj yeem ua rau tus mob hnyav dua. Yog li qhov no tsuas yog yuav tsum ua nrog kev saib xyuas zoo thiab nyob rau hauv kev saib xyuas ntawm tus kws tshwj xeeb.
Kuv yuav tsum paub dab tsi thaum kuv tseem muaj tus mob no?
Kev nyob nrog Pyoderma Gangrenosum tuaj yeem nyuaj, tab sis nrog kev tswj hwm kom zoo , nws tuaj yeem tswj tau.
Kev kho mob qhov txhab
- Tsis txhob ua rau daim tawv nqaij puas tsuaj: Ceev faj li sai tau thaum muaj tej qhov txiav, tej qhov khawb, thiab tej qhov txhab. Txawm tias yog ib qho khawb me me xwb los kuj ua tau rau muaj qhov txhab tshiab.
- Khaws qhov txhab kom huv: Ntxuav qhov txhab nrog dej huv thiab xab npum raws li koj tus kws kho mob qhia. Qhov no tseem ceeb heev kom tiv thaiv kev kis kab mob.
- Siv daim ntaub qhwv kom raug: Siv cov ntaub qhwv tshwj xeeb uas tsis lo rau ntawm qhov txhab. Rau qee qhov txhab hnyav, koj tus kws kho mob yuav pom zoo kom siv cov ntaub qhwv tshwj xeeb, xws li hydrocolloid. Cov lus qhia ntawm koj tus kws kho mob yog qhov tseem ceeb tshaj plaws.
Lub sijhawm kho
Qhov mob no yuav siv sijhawm ntau lub lis piam, txawm tias ntau lub hlis, los kho. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum ua siab ntev thiab tsis txhob xav tias yuav tau txiaj ntsig tam sim ntawd.
Kev noj qab haus huv ntawm lub hlwb
Nws yog ib qho ib txwm muaj uas yuav muaj kev nyuaj siab thiab ntxhov siab thaum koj ntsib teeb meem mob ntev thiab ntev li no. Tham nrog koj tsev neeg thiab kws kho mob txog koj txoj kev xav. Nrhiav kev pab los ntawm tus kws pab tswv yim txog kev noj qab haus huv ntawm lub hlwb yog tias tsim nyog.
Qhia rau lwm tus kws kho mob
Yog tias koj muaj Pyoderma Gangrenosum, nco ntsoov qhia rau koj tus kws kho mob yog tias koj pom nws rau lwm yam laj thawj (xws li rho hniav lossis phais me), vim tias txhua yam koj ua rau koj daim tawv nqaij tuaj yeem ua rau tus mob rov qab los.
Thaum twg koj yuav tsum mus ntsib kws kho mob?
Muaj ntau qhov xwm txheej uas koj yuav tsum mus ntsib koj tus kws kho mob tam sim ntawd.
- Yog tias koj muaj ib qho mob uas yuav ua rau koj mob xws li mob pob qij txha lossis mob Crohn's thiab muaj cov pob liab lossis cov qhov txhab ntawm koj daim tawv nqaij uas loj sai.
- Yog tias koj qhov txhab zoo li muaj kab mob (piv txwv li, liab, ntshav liab nyob ib puag ncig qhov txhab, o ntxiv, lossis tsw ntxhiab tsw phem).
- Yog koj muaj cov tsos mob tshiab.
- Yog tias cov tshuaj siv rau kev kho mob ua rau muaj kev phiv loj heev.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kab mob Pyoderma Gangrenosum tsis yog tsuas yog ib qho qhov txhab uas pom ntau xwb. Nws yog ib qho mob tawv nqaij uas tsis tshua muaj tab sis loj heev uas ua rau mob heev.
- Qhov no tsis yog kab mob sib kis. Yog li ntawd, tsis tas yuav cais tus neeg mob lossis ntshai tus neeg mob.
- Qhov no feem ntau cuam tshuam nrog teeb meem nrog koj lub cev tiv thaiv kab mob thiab lwm yam kab mob, xws li mob pob qij txha.
- Txawm tias qhov raug mob me me rau ntawm daim tawv nqaij tuaj yeem ua rau tus kab mob hnyav zuj zus tuaj (Pathergy). Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum tiv thaiv koj tus kheej kom tsis txhob raug mob.
- Kev kuaj mob nyuaj heev thiab kev kho mob yuav siv sijhawm ntev. Nws yog ib qho tseem ceeb uas yuav tsum ua siab ntev thiab ua raws li cov lus qhia ntawm kws kho mob.
- Yog tias koj muaj Pyoderma Gangrenosum, nws yog ib qho tseem ceeb uas koj qhia rau koj tus kws kho mob ua ntej ua kev phais lossis kev kho mob ntawm daim tawv nqaij.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus