Toxicoderma. Ua rau, txoj kev kho mob thiab kev tiv thaiv

Toxicoderma yog ib qho kab mob rau lub cev (los yog subacute) inflammatory daim tawv nqaij uas tshwm sim los ntawm kev ua los ntawm kev ua los ntawm kev ua los ntawm kev sib thooj ntawm lwm yam tshuaj uas tau nkag mus rau hauv lub cev. Qhov hnyav ntawm tus kab mob no yog nyob ntawm seb muaj pes tsawg leeg uas tau txais los rau hauv lub cev, qhov sib txawv ntawm kev sib txuas nrog nws thiab lub zog ntawm lub cev. Feem ntau, cov tshuaj lom neeg raug tsim los ntawm tshuaj thiab tshuaj (sulfonamides, tshuaj tua kab mob, tshuaj tiv thaiv, barbiturates, analgesics, vitamins). Khoom noj khoom haus toxicodermia tshwm sim nyob rau hauv cov neeg uas mob siab rau tej yam khoom noj (citrus txiv hmab txiv ntoo, txiv pos nphuab, txiv pos nphuab, txiv ntseej, nqaij nruab deg).

Nyob rau hauv cov kev tawm tsam, muaj ib daim ntawv tsawg thiab ntau yam mob toxicodermia, raws li qhov tshwm sim ntawm cov kev tawg - nqaij tawv, papular, nodular, vesicular, pustular, bullous thiab necrotic.
Ntxiv nrog rau daim tawv nqaij, cov pob ua tau tawm los kuj nyob rau hauv cov hnyuv membranes. Feem ntau, kev mob ntawm cov neeg mob yog cov cuam tshuam, lub cev kub ntawm lub nce.

Txwv tsis pub muaj (tsau) toxicoderma tshwm sim los ntawm qhov tshwm sim ntawm ib los yog ntau tshaj ci ntsa iab nrog ib txoj kab uas hla 5 cm. Tom qab kev daws teeb meem, lawv tawm hauv cov xim daj xim daj. Feem ntau, cov tshuaj toxicodermia tsuas yog nyob rau ntawm daim tawv nqaij ntawm thaj tsam ntawm lub qhov zis thiab cov hnyuv mucous. Npuas tej zaum yuav tshwm nyob rau hauv qhov chaw mob, thiab thaum muaj kev puas tsuaj, mob siab heev. Tom qab txiav qee qhov mob ntawm qhov tsis haum, lub pob liab tau ploj tom qab 10-14 hnub.

Diffuse (nquag) toxicodermia yog ib qho kab mob loj heev. Nws txoj kev loj hlob yog nrog los ntawm kub cev, dyspepsia, adynamia. Rashes yog polymorphic feem ntau. Lawv tuaj yeem tshwm sim ntawm eczema, mob qaub ncaug, qoob loo dermatoses.

Cov nqaij ntshiv toxicosis yog los ntawm qhov pom ntawm hyperergic, hemorrhagic thiab pigmented me ntsis rau saum npoo ntawm daim tawv nqaij. Nws ua nws tus kheej ua ntej ntawm daim tawv nqaij ntawm lub hauv pliaj, cheekbones thiab lub tuam tsev, ces - nyob rau hauv extensor chaw ntawm lub nqua thiab pob tw. On qhov chaw ntawm lub me ntsis muaj peeling erythema. Tawm tsam cov keeb kwm ntawm erythema tsim ib lub network pigmentation lossis follicular keratosis.

Cov hlab ntsha toxiccodermia yog pom los ntawm cov tsos ntawm cov oval miliary papules ntawm qhov chaw ntawm qhov lesion. Lawv tuaj yeem peripherally loj hlob thiab sib tshuam, ua cov quav.

Kotty toxicodermia yog cov uas pom los ntawm cov tsos mob hnyav uas me ntsis protrude saum cov theem ntawm cov tawv nqaij noj qab nyob zoo.

Nrog vesicular toxicosis, cov kab mob polymorphic (vesicles) tshwm rau daim tawv nqaij.

Pustular toxicoderma tshwm sim vim muaj kev sib haum xeeb rau halogens (fluoride, chlorine, bromine, iodine), pab pawg B vitamins, qee cov tshuaj. Ntxiv rau cov pustules, cov eels me tuaj yeem tshwm rau daim tawv nqaij ntawm lub ntsej muag thiab lub cev.

Bullous toxicoderma yog tshwm sim feem ntau ntawm daim tawv nqaij ntawm lub caj dab, loj folds, nyob rau hauv cov hnyuv membranes. Nyob ib ncig ntawm lub blisters tshwm muaj tus cwj pwm liab ciam.

Necrotic toxicodermia tsim tawm tsam tom qab ntawm kab mob kis kab mob los yog raws li ib qho tshuaj tiv thaiv rau cov tshuaj. Tus kab mob no ua rau muaj mob. Ntawm daim tawv nqaij thiab mucous daim nyias nyias, liab pob tshwm tuaj, tiv thaiv uas tom qab npuas daim ntawv. Lub tom kawg yog yooj yim rhuav tshem thiab muaj tus kab mob.

Rau kev kho mob zoo ntawm cov tshuaj toxicoderma, nws yog ib qho tsim nyog yuav tau tshem tawm kev sib cuag nrog kev sib thooj. Muab pov thawj antihistamine, desensitizing thiab diuretics, ascorbic acid. Thaum khoom noj khoom haus yog ib qho kab mob, plab hnyuv lav tau, thiab enterosorbents yog cov tshuaj. Rau kev kho mob hauv zos, siv cov tshuaj hlawv dej ("Olazol", "Panthenol"), glucocorticosteroid ointments. Erosions kho nrog 1% daws ntawm poov tshuaj permanganate, fucorcin. Thaum muaj kev sib kis ntawm cov qhov txhab thiab qhov tsis haum rau kev kho, glucocorticosteroids raug hais lus thiab hais lus parenterally. Cov koob tshuaj yog xaiv ib tus zuj zus.

Tshuaj ntawm cov tshuaj lom tovicoderma muaj nyob rau hauv cov tshuaj ntawm cov tshuaj, suav txog kev ua siab ntev rau yav dhau los, tsis txhob tiv tauj nrog cov allergens paub.