Koj puas muaj cov pob liab, qee zaum puag ncig ntawm koj lub caj dab, hauv siab, nraub qaum, lossis caj npab? Lawv puas yog cov tawv nqaij tawv, tawv nqaij tawv, thiab qhuav? Muaj ntau tus neeg txhawj xeeb txog qhov teeb meem no. Nws yog ib qho ib txwm xav tias nws tsuas yog ib qho mob ntawm daim tawv nqaij lossis ib yam dab tsi loj dua. Hnub no, peb yuav tham txog Subacute Cutaneous Lupus Erythematosus, lossis SCLE luv luv, ib hom mob lupus uas tsuas yog cuam tshuam rau daim tawv nqaij xwb. Thaum koj paub txog qhov no tag nrho, nws yuav yooj yim dua rau koj los daws qhov teeb meem no.
Hais yooj yim xwb, SCLE yog dab tsi?
Zoo, cia peb hais yooj yim xwb. SCLE yog ib yam mob uas yog ib pawg kab mob hu ua lupus, thiab nws feem ntau cuam tshuam rau daim tawv nqaij. Lupus yog ib yam mob uas tshwm sim vim muaj teeb meem nrog peb lub cev tiv thaiv kab mob. Feem ntau, peb lub cev tiv thaiv kab mob tawm tsam cov kab mob uas ua rau muaj kab mob. Tab sis hauv ib yam mob zoo li lupus, lub cev no pib tawm tsam peb cov hlwb noj qab haus huv tsis raug.
SCLE yog ib hom mob lupus uas cuam tshuam rau daim tawv nqaij. Cov kws kho mob hu ua Cutaneous Lupus Erythematosus (CLE). Lo lus "Subacute" txhais tau tias yog hom mob o uas pom hauv kev kuaj tawv nqaij, uas yog ib daim tawv nqaij me me uas raug coj mus kuaj.
Qhov tseem ceeb, kwv yees li ib nrab ntawm cov neeg uas muaj SCLE kuj muaj tus mob lupus uas feem ntau pom, Systemic Lupus Erythematosus, lossis SLE . SLE yog ib yam mob uas tsis yog tsuas yog cuam tshuam rau daim tawv nqaij xwb, tab sis kuj cuam tshuam rau cov kab mob sab hauv xws li lub raum, lub plawv, thiab lub hlwb. Yog li nws tseem ceeb heev uas yuav tsum tham nrog kws kho mob yog tias koj muaj cov tsos mob ntawm SCLE.
Tus kab mob no cuam tshuam rau txhua tus neeg li cas los xij, yog li ntawd nws yuav nyuaj me ntsis rau kev kuaj mob. Qhov tseem ceeb tshaj plaws yog nrhiav tus kws kho mob uas mloog koj lus thiab nrhiav kev kho mob zoo rau koj.
Cov hom SCLE tseem ceeb yog dab tsi?
SCLE pom tau ob txoj kev tseem ceeb. Ob qho no zoo li txawv me ntsis. Cia peb saib seb lawv yog dab tsi.
| Hom SCLE | Cov tsos thiab cov yam ntxwv |
|---|---|
| Annular SCLE | Hom mob ntawm daim tawv nqaij no ua rau cov pob liab, tawv nqaij tawv, puag ncig, lossis zoo li lub nplhaib (plaques) tshwm sim rau ntawm daim tawv nqaij. Cov pob no feem ntau tshwm sim rau thaj chaw uas raug tshav ntuj. Tom qab cov pob no kho, daim tawv nqaij ntawm cov chaw ntawd yuav daj me ntsis. Cov kws kho mob hu qhov no ua hypopigmentation . |
| Papulosquamous SCLE | Hom pob khaus no yog ua los ntawm cov pob me me thiab cov tawv nqaij zoo li cov nplai. Thaum xub thawj siab ib muag, nws zoo li eczema lossis psoriasis. Hom no kuj tseem ua rau mob hnyav dua los ntawm tshav ntuj . |
Cov tsos mob ntawm SCLE yog dab tsi?
Cov tsos mob tseem ceeb ntawm SCLE yog pob khaus ntawm daim tawv nqaij. Cov no feem ntau pom ntawm cov qhov ntawm koj lub cev uas feem ntau raug tshav ntuj, xws li caj dab, hauv siab, nraub qaum, thiab caj npab.
Qhov kev puas tsuaj no tuaj yeem zoo li no:
- Cov pob liab, zoo li lub nplhaib, thiab kheej li lub qe. Qee zaum cov nplhaib no tuaj yeem txuas rau ib leeg thiab zoo li ib daim qauv loj.
- Tawv nqaij liab, tawv qhuav, tawv tawv tawv. Feem ntau qhov no zoo li mob psoriasis.
Qhov zoo tshaj plaws yog, cov pob no feem ntau tsis khaus lossis tso cov qhov txhab . Txawm li cas los xij, cov tawv nqaij yuav tseem muaj xim tsis zoo tom qab cov pob zoo lawm.
Dab tsi yog cov yam ntxwv uas ua rau SCLE loj hlob tuaj?
Nws nyuaj rau nrhiav ib qho ua rau muaj SCLE. Nws yog ib qho teeb meem nyuaj heev. Cov kws tshawb fawb ntseeg tias muaj ntau yam ua rau nws.
- Cov yam ntxwv ntawm caj ces: Qhov no txhais tau tias tej zaum yuav muaj kev sib txuas ntawm caj ces. Yog tias ib tug neeg hauv koj tsev neeg muaj mob lupus, koj kuj yuav muaj feem yuav muaj mob no thiab.
- Tej yam ib puag ncig: Qhov tseem ceeb tshaj plaws ntawm cov no yog lub teeb ultraviolet , uas yog lub hnub ci. Tsis tas li ntawd xwb, nws ntseeg tias tej yam xws li kev haus luam yeeb thiab tshuaj tua kab kuj tuaj yeem muaj feem cuam tshuam.
- Qee cov tshuaj: Kwv yees li ib feem peb ntawm cov neeg uas muaj SCLE yuav mob tom qab noj qee cov tshuaj. Qhov no hu ua "Drug-induced SCLE."
| Qee cov tshuaj uas ua rau SCLE |
|---|
| Cov tshuaj tiv thaiv kab mob fungal |
| Qee cov tshuaj tiv thaiv kev qaug dab peg |
| Qee cov tshuaj kho mob ntshav siab, piv txwv li ACE inhibitors |
| Cov tshuaj kho mob qog noj ntshav |
| Qee cov tshuaj siv los kho mob gastritis (Proton pump inhibitors - PPIs) |
| Qee cov tshuaj siv los kho cov kab mob xws li mob pob qij txha (cov tshuaj tiv thaiv qog nqaij hlav necrosis) |
Leej twg muaj feem yuav mob SCLE ntau dua?
- Nws tshwm sim ntau zaus rau cov poj niam dua li cov txiv neej.
- Nws feem ntau pom muaj nyob rau hauv cov neeg hnub nyoog ntawm 40 thiab 60 xyoo .
- Txawm hais tias nws feem ntau tshwm sim rau cov neeg dawb, qhov mob no tuaj yeem tshwm sim rau cov neeg ntawm txhua haiv neeg.
Kev kuaj mob thiab kev kho mob ntawm tus kab mob
Yog koj muaj cov tsos mob no, thawj qhov koj yuav tsum ua yog mus ntsib kws kho mob. Tej zaum yuav xa koj mus rau kws kho mob tawv nqaij lossis kws kho mob pob qij txha.
Yuav kuaj mob li cas?
Tus kws kho mob yuav kuaj koj daim tawv nqaij thiab nug koj txog koj cov tsos mob. Tom qab ntawd lawv yuav ua cov kev kuaj mob hauv qab no kom paub tseeb tias koj muaj mob:
- Kev kuaj tawv nqaij: Qhov no suav nrog kev coj cov qauv tawv nqaij me me los ntawm ib lub mole ntawm koj daim tawv nqaij hauv qab tshuaj loog thiab kuaj nws hauv qab lub tshuab microscope. Qhov no tuaj yeem pab txiav txim siab seb lub mole puas yog los ntawm SCLE lossis lwm yam mob ntawm daim tawv nqaij.
- Kev kuaj ntshav: Yuav ua tau ntau yam kev kuaj ntshav.
- Kev suav cov ntshav tag nrho (CBC)
- Tus nqi Sed (ESR) thiab C-reactive protein (CRP) - Cov no kuaj xyuas seb puas muaj kev o ntawm lub cev.
- Kev kuaj Antinuclear antibody (ANA): Qhov no yog ib qho kev kuaj tseem ceeb heev rau kev kuaj mob lupus.
- Kev kuaj mob raum thiab siab ua haujlwm
- Kev kuaj zis
Yuav kho tus mob SCLE li cas?
Qhov tseem ceeb tshaj plaws thiab tus lej ib hauv kev kho SCLE yog kev tiv thaiv hnub , vim tias hnub ci yog qhov tseem ceeb tshaj plaws uas ua rau tus kab mob no hnyav zuj zus.
Tsis tas li ntawd xwb, koj tus kws kho mob yuav pom zoo kom siv cov tshuaj pleev lossis cov tshuaj noj nyob ntawm seb koj cov tsos mob hnyav npaum li cas.
| Hom kev kho mob | Piv txwv (tsuas yog raws li daim ntawv sau tshuaj) |
|---|---|
| Cov tshuaj steroids sab nraud | Hydrocortisone, Triamcinolone, Clobetasol |
| Lwm cov tshuaj pleev rau daim tawv nqaij (Topical calcineurin inhibitors) | Tacrolimus, Pimecrolimus |
| Cov tshuaj tua kab mob malaria hauv qhov ncauj | Hydroxychloroquine, Chloroquine |
| Cov tshuaj tiv thaiv kab mob hauv qhov ncauj | Methotrexate, Azathioprine |
| Lwm hom tshuaj | Dapsone, Retinoids, Monoclonal antibodies (IVIG, Rituximab) |
Ceeb Toom: Tsis txhob siv cov tshuaj no yam tsis tau kev qhia los ntawm kws kho mob. Tsuas yog koj tus kws kho mob thiaj li txiav txim tau qhov kev kho mob zoo tshaj plaws rau koj.
Yuav ua li cas thiaj nyob tau nrog SCLE?
SCLE yog ib yam kab mob uas yuav mob mus tas li (mob ntev). Qhov no txhais tau tias tej zaum cov tsos mob yuav nce ntxiv thiab tej zaum yuav txo qis. Txawm li cas los xij, nws tuaj yeem tswj tau zoo thiab koj tuaj yeem ua neej nyob li qub.
Kev tiv thaiv hnub yog tus lej ib!
Qhov no yog qhov tseem ceeb tshaj plaws uas koj ua tau.
- Siv cov tshuaj pleev thaiv hnub uas muaj SPF 50 lossis siab dua txhua hnub thaum koj tawm mus rau hauv lub hnub . Qhov no yog qhov yuav tsum tau ua, txawm tias thaum hnub uas muaj huab cua hnyav los xij.
- Tsis txhob nyob rau lub hnub ci ntsa iab ntawm 10 teev sawv ntxov thiab 4 teev tsaus ntuj.
- Thaum tawm mus rau hauv lub hnub, hnav cov khaub ncaws tiv thaiv lub hnub, xws li lub kaus mom dav thiab cov khaub ncaws tes ntev.
- Tsum tsis txhob siv cov txaj pw tanning kiag li.
Kev saib xyuas koj tus kheej zoo kuj yog kev kho mob!
- To taub txog tus kab mob: Nyeem txog tus kab mob no los ntawm cov chaw txhim khu kev qha thiab kawm koj tus kheej. Qhov no yuav ua rau koj nkag siab zoo dua txog yam uas tshwm sim hauv koj lub cev.
- Nrhiav ib tus kws kho mob uas koj ntseeg siab: Tej zaum koj yuav tsum tau mus ntsib kws kho mob tsis tu ncua, yog li ntawd txuas ntxiv mus nrhiav kev kho mob los ntawm ib tus kws kho mob uas mloog koj thiab nkag siab koj.
- Tsim kom muaj kev txhawb nqa: Kev tham nrog cov neeg uas nyob rau hauv qhov xwm txheej zoo sib xws thiab qhia koj cov kev paub dhau los yuav muab lub zog loj rau koj lub hlwb.
- Saib xyuas koj tus kheej: Noj zaub mov kom noj qab nyob zoo, tawm dag zog, pw tsaug zog zoo, thiab tswj kev ntxhov siab. Tej yam no yuav pab tau koj tswj tau tus kab mob.
Vim tias koj muaj SCLE thiab xav tau kev tiv thaiv koj tus kheej ntawm lub hnub ntau heev, koj yuav tsim muaj qhov tsis txaus vitamin D. Nws yog ib lub tswv yim zoo los tham nrog koj tus kws kho mob txog qhov no thiab noj cov tshuaj vitamin D ntxiv yog tias tsim nyog.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- SCLE yog ib qho mob uas cuam tshuam rau daim tawv nqaij hauv lupus mus tas li.
- Cov tsos mob tseem ceeb yog cov tawv nqaij uas raug tshav ntuj yuav liab, zoo li lub nplhaib, lossis ua pob khaus.
- Kev tiv thaiv tshav ntuj yog qhov tseem ceeb tshaj plaws thiab yog thawj kauj ruam hauv kev tswj tus kab mob no.
- Cov pob no feem ntau tsis khaus lossis ua rau muaj caws pliav, tab sis lawv tuaj yeem ua rau daim tawv nqaij tsis zoo nkauj.
- Yog koj muaj cov tsos mob no, tsis txhob ntshai thiab mus ntsib kws kho mob sai li sai tau. Yog koj kho thiab tswj tau zoo, koj yuav ua tau lub neej zoo li qub.
💬 Comments (0)
Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus