Yuav ua li cas puas ib tug zoo Nikolsky tus kos npe rau?

Cov kab mob ntawm daim tawv nqaij mus rau ib tug nyias muaj nyias ib pab pawg neeg - dermatological pathology. Lawv hom no thiaj li muaj ntau yam. Rau cov xaiv uas tsim nyog kho mob yog ib qho tseem ceeb muaj tseeb mob ntawm dermatological kab mob. Ib qho ntawm thawj txoj kev - ib lub cev kev xeem. Nws pib nrog ib ncig ntawm kev soj ntsuam ntawm daim tawv nqaij thiab cov yam ntxwv cov tsos mob. Los ntawm cov ntaub ntawv, ib tug yuav paub qhov txawv cov kab mob uas muaj feem rau txhua lwm yam. Ib tug ntawm cov feem ntau heev ces dermatological pathologies yog ib cov tsos mob ntawm Nikolskoye. Nyob rau hauv feem ntau, nws yog pom nyob rau hauv ntau hom ntawm pemphigus.

Seb mob Nikolsky - yog dab tsi?

Qhov no manifestation ntawm dermatological pathologies paub txij thaum lub caij puv 19 xyoo pua. Nikolsky cov tsos mob tshwm sim nyob rau pemphigus, tab sis kuj tshwm sim nyob rau hauv lwm yam kab mob. Nws cov lus dag nyob rau hauv lub detachment ntawm daim tawv nqaij nyob rau hauv tus ntawm tsis sib haum xeeb. Qhov no yog vim acantholysis txheej txheem. Qhov no kev kho mob lub sij hawm no implies hloov spinosum txheej ntawm lub epidermis, ib tug tshwm sim ntawm uas tsim impaired intercellular bonds. Nikolsky cov tsos mob yuav tsum tau soj ntsuam ob leeg rau ntawm daim tawv nqaij thiab nyob rau hauv txheej week. Feem ntau nws muaj peev xwm yuav nrhiav tau nyob rau hauv lub qhov ncauj kab noj hniav. Qhov no yog vim lub fact tias ib txhia hom pemphigus pib tsim nrog cov pos hniav thiab puab nto ntawm ob daim di ncauj.

Nrog uas cov kab mob tshwm sim no cov tsos mob?

Nws yuav tsum tau muab sau tseg tias cov kos npe ntawm Nikolsky nrog pemphigus tshwm sim tsis yeej ib txwm. Tus kab mob muaj ob peb cov ntaub ntawv. Feem ntau ntawm cov ntau ntau yam ntawm pemphigus nrog acantholysis. Nws yog sau tseg txoj kev version ntawm lub tsos mob Nikolsky. Cov nram qab no hom ntawm tus kab mob:

1. Pemphigus vulgaris. Qhov no pathology muaj feem xyuam rau mas cov poj niam hnub nyoog 40 mus rau 60 xyoo. Nyob rau hauv cov ntaub ntawv no muaj teeb qhov ncauj mucosa. Nyob rau saum npoo ntawm cov pos hniav, tus nplaig, lub puab tsaig npuas tshwm sim. Tom qab lawv qhib nyob twj ywm yaig.
2. Pemphigus vegetans. Qhov no hom yog yus nyob rau hauv uas nyob rau hauv tas li ntawd mus rau lub qhov ncauj kab noj hniav cuam tshuam daim tawv nqaij qhov chaw. Feem ntau cov feem ntau nws yog ib lub inguinal folds, qhov tso, qhov quav, puj ntaws lub nplhaib. Npuas pov tseg ntau surfactants thiab muaj ib tug me me lawm. Tus kab mob yog tsis tshua muaj.
3. Foliaceous pemphigus. Yus cia li pib thiab ceev ceev txoj kev loj hlob. Npuas muaj nyob rau ntawm lub plaub qhov chaw ntawm lub cev, lub taub hau. Tom qab lawv qhib nyob twj ywm nyias kaub puab (yog reminiscent ntawm daim tawv nqaij los xij).

Tag nrho cov hom ntawm pemphigus yog acantholytic cov ntaub ntawv. Seb mob Nikolsky nrog lawv zoo. Nyob rau hauv lwm yam hom tus kab mob no nws yog tsis zoo.

Mob Cov tsos mob Nikolsky

Muaj 3 txoj kev los ntawm cov uas ib tug yuav tshawb nrhiav qhov cov tsos mob nrog Nikolsky pemphigus (yees duab kev mob nkees nyob rau hauv tsab xov xwm). Nyob rau hauv thawj cov ntaub ntawv, tus kws kho mob cia li nkaum kiag lub ciaj tais rau ib tug log zais zis. Yog li ncua tsis noj qab nyob zoo daim tawv nqaij nyob rau hauv daim ntawv ntawm cov kab xev. Qhov thib ob yog cov epidermis sib haum xeeb ntawm bubbles. Nyob rau hauv cov ntaub ntawv no, daim tawv nqaij uas seemed noj qab nyob zoo, yog tseem pib yuav tsum tau tso tseg. Nyob rau hauv lub thib peb cov ntaub ntawv, tus kws kho mob ua zawv zawg zog nyob rau hauv qhov chaw deb ntawm lub npuas. Nyob rau hauv cov qhov chaw, lub epidermis yog yooj yim puas, tawm hauv erosive nto.