Parakeratosis: tsananguro, zvinokonzera uye kurapwa

Parakeratosis: tsananguro, zvinokonzera uye kurapwa

Parakeratosis idermatosis inoratidzirwa nekukasira kusingaenzanisike kwekeratin, iyo inowoneka mapuroteni eganda, padanho repamusoro soro peiyo epidermis, inonziwo horny layer. Iyo inoratidzira ganda lesion rinokonzerwa nekuwandisa kugadzirwa kweiyi keratin. Parakeratosis inoratidzirwa nekuumbwa kwezvidiki zvidimbu zvitsvuku uye zviyero (zvidiki zvidiki zveganda) paganda. Ichi chironda chinowanikwa mune varwere vane psoriasis, eczema, kana Gibert's pink tincture. Mune vacheche, inowanzo kuve inosanganisirwa nejasi rash kana cephalic dermatitis. Iyo yekurapa inoenderana nekutungamirwa kwecorticosteroids, antihistamines uye kuiswa kweye moisturizer iyo inogona kugadzirisa zviratidzo uye kuita kuti zvinyangarika mukati memavhiki mashoma.

Chii chinonzi parakeratosis?

Parakeratosis chirwere cheganda, kana dermatosis, iyo inoratidzika nekuonekwa kwemavara madiki, akatsvuka zvishoma, akafukidzwa nezviyero kana ganda jena rakatetepa. Vanogona kuoneka chero kupi pamuviri. Izvo zvinokonzerwa nekunyanyisa kugadzirwa uye kusanzwisisika kusimba kwekeratin, iyo inowoneka protein yeganda. Ivo vanoratidzira muchokwadi keratinization kusagadzikana kunobva ku:

  • kushayikwa kweiyo granular layer, kureva iro rekupedzisira maseru ane nuclei, epidermis;
  • iyo chokwadi chekuti masero epidermal ayo anoumba stratum corneum pamusoro peganda anochengetedza musimboti, kana iwo aifanirwa kunge akarasikirwa nawo.

Mhedzisiro yacho kuumbwa kwezvikwiriso zvakawandisa kana zvishoma.

Ndezvipi zvikonzero zveparakeratosis?

Kazhinji kazhinji, parakeratosis ndeyechipiri kune:

  • dermatological hosha senge psoriasis, eczema kana kunyange Gilbert's pityriasis pink;
  • kudzokorora kushungurudzika kune epidermis, izvo zvinoguma neganda risingachaite basa raro rekare sedziviriro yekudzivirira;
  • kuita kweganda kune hutachiona nehutachiona kana fungus.

Mune vacheche, inowanzo kuve inosanganisirwa nejasi rash kana cephalic dermatitis.

Ndezvipi zviratidzo zveparakeratosis?

Chimwe chezvinhu zvakasarudzika zveparakeratosis inyaya yekuti hazvinyatso kuruma.

Musiyano unoitwa pakati pe pitiriasiform parakeratosis uye Brocq psoriasiform parakeratosis.

Pityriasiform parakeratosis

Izvi zvinozivikanwa ne:

  • kuputika kwakafanana neiyo psoriasiform parakeratosis;
  • kutsvuka kushoma kwakatsvuka kwemavara achienzaniswa neaya e psoriasiform parakeratosis;
  • kuvapo kwezviyero kana zvidiki zvidiki zveganda;
  • dzimwe nguva kuvapo kwemavara mune zvisina kujairika kuwanda.

Brocq's psoriasiform parakeratose

Brocq's psoriasiform parakeratosis, inonziwo psoriasiform eczematide, inozivikanwa ne:

  • akasiyana eczematids, kana zvipukanana, izvo zvinogara padanda uye pamidzi yemakumbo;
  • mune vamwe varwere, inogona zvakare kuverengerwa pane yeganda, kunyanya padanho rekupedzisira;
  • kuvapo kwezvimedu zvemavara matsvuku;
  • kuvepo kwezviyero, kana zvidiki zvidiki zveganda, iro ruvara ruchena, uye rinoyeuchidza nezveavo e psoriasis;
  • shanduko inoitika nekukurumidza, kazhinji yakaparadzaniswa.

Nzira yekurapa parakeratosis?

Iko hakuna chaiyo kurapwa. Iwo manejimendi eparakeratosis anonyanya kuratidzira. Iyo inoshandisa mushonga uye manejimendi:

  • antiseptics yemuno mune kesi yemuno superinfection;
  • yemuno corticosteroids mune chiitiko chekuzvimba kana eczematization, ndiko kuti kushandurwa kwezvironda kuita eczema;
  • antihistamines yekurumwa.

Kuisa zvinodzikamisa zvinogona kugadzirisa zviratidzo uye kuita kuti zviende mukati memavhiki mashoma.

Parakeratosis yemuromo wechibereko - zvikonzero zvekukura kwechirwere

Chimwe chezvikonzero zvinotungamira zvekuchinja kwemasero ndiko kuzvimba kwezvirwere zvenhengo dzesikarudzi. Vanowanikwa munenge 70% yevakadzi vanouya kuzoona nyanzvi pakiriniki yedu yegynecological pa Tsvetnoy Boulevard. Chii chine ngozi, Parakeratosis yemuromo wechiberekomakiriniki ekuratidzwa kwemaitiro ekuzvimba kwemukadzi uye cervix kazhinji ane yakadzikama, yenguva refu asymptomatic kosi, iyo inozokonzeresa kunetsa mukurapa, zvinodikanwa zvekuvandudza kwekudzokazve. Munguva yose iyo mukadzi asingaendi kuna chiremba, pathogenic microorganisms inokanganisa matishu ari pedyo echibereko!

Kakawanda njodzi yekuzvimba pamwe nekuwedzera mukana wekukuvadza kune cervical mucosa, pamwe necarcinogenesis, kusanganisira chibereko, inosanganiswa nezvirwere zvinotapukira, izvo zvakaratidzwa nemasayendisiti mune dzakawanda zvidzidzo. Pakati pezvinogoneka zvinotapukira zvinowanzobatanidzwa nekuchinja kwemasero, kusanganisira oncology, kune zvirwere zvepabonde (STIs), kusanganisira:

  • trichomonas;
  • chlamydia;
  • herpes simplex virus rudzi rwechipiri (HSV-2);
  • papillomavirus yevanhu (HPV, HPV 16, HPV -18, HPV-31 inozivikanwa seyakanyanya ngozi).

Nenzira, mavhairasi ari iye zvino hutachiona hukuru hunoonekwa muvakadzi uye hunotungamirira kumatambudziko nehutano hwekubereka. Ivo vakaderera muhuwandu hwekuonekwa kune syphilis, gonorrhea. Kunyanya kutyisa inyaya yekuti kusvika ku600 zviuru zviitiko zveoncological pathology zvine chekuita neHPV zvinonyoreswa gore rega munyika. Kana vakatapukirwa nehutachiona uhu, vakadzi vanogona kuita papillomatosis inokanganisa periuterine region. Kazhinji, condylomas inowanikwa muhupamhi hwehutu hunovhara mutsipa, uye hunoonekwa nekuvandudzwa kweiyo inonzi keratinization foci, iyo inoda kusiyanisa kuongororwa zvakananga neparakeratosis. Zvakakosha kuziva kuti zviratidzo izvi zvinogona kusanganiswa.

Chimwe chinokonzera kukura kweparakeratosis inogona kuonekwa sematanho ekurapa nemuromo wechibereko, iyo inokanganisawo maitiro ezvinyama.

Zvimwe zvinokonzeresa kuderera kwehutano hwekubereka uye zvinopindirana zvinodikanwa zvekuchinja kwakashata padanho remasero zvinogona kuva:

  • kuvhiringidzika kwehomoni uye kukanganisa kwekuenda kumwedzi;
  • kudengenyeka kunowanzoitika uye pseudo-erosion pane mucous membrane, kuvapo kwe ectopic foci;
  • matambudziko mubasa rekudzivirira uye nervous systems, kushungurudzika.

Kuti ajekese maitiro ekuchinja kwepathological, chiremba anofanira kunge achiitisa colposcopy uye kutora smear. A biopsy inoratidzwawo kuti ibvise atypia, inotangira kenza. Mushure mekugamuchira mhedzisiro yebvunzo, nyanzvi inogona kugadzira chirongwa chakanyanya chekurapa parakeratosis uye kudzorera yakakuvadzwa cervical tishu nekuda kwechirwere.

Kurapa Nzira

Kurapa cervix nelaser, mitengo muMoscow

Pakutanga, maitiro ekurapa chirwere chinokonzera, kukanganisa, iyo parakeratosis yakagadzirwa, yakatemwa.

  • pamberi pezvipembenene zvinotapukira, kuzvimba, kurapwa kwemishonga inorwisa mabhakitiriya kunoitwa, zvinoreva zvinorayirwa kusimbisa masimba ezvirwere.
  • neHPV, kubviswa kwekondilomas kunoratidzwawo.

Kana tichitaura nezvebasa rakananga rechiremba ane nzvimbo dzakakanganisika dzekervical mucosa, ipapo nzira shoma shoma dzinoshandiswa kubvisa keratinization foci.

Chiremba wako anogona kukurudzira zvinotevera:

    • Diathermoelectrocoagulation inzira iyo kurapwa kunoitwa nekushandisa yakakwirira-frequency ikozvino kune epithelial masero, izvo zvinotungamira mukunyungudika kwenyama. Iyo nzira haisi iyo inonyanya kufarirwa pakati pevanachiremba nekuda kwehuwandu hwekubuda ropa panguva yekugadzirisa uye munguva yekudzorera.
    • Laser vaporization yakavakirwa pakushandiswa kwechiedza che infrared chakamisikidzwa mudanda, izvo zvinotungamira kune tishu vaporization. Iyo mini-operation inoitwawo pane yekunze uye haidi kugadzirira kwenguva refu. Iyo inoratidzirwa nenjodzi yakaderera yekubuda ropa, inoita kuti zvikwanise kuita paparakeratosis, kunyangwe munzvimbo diki dzekeratinization ye epithelial layer. Izvo zvakakosha, mushure mekupindira, vakadzi vanogona kukurumidza kudzokera kune yavo yakajairika rhythm yehupenyu. Kurapa kunogona kuwanikwa mune vanopfuura 97% yevarwere. Imwe yeakanyanya hunyanzvi uye yemazuva ano michina yekunyengedza iyo makiriniki eRussia anogona kuve akashongedzerwa nawo CO2 laser.

Radio wave surgery imhando yekurapa inova nzira yekucheka nekubatanidza matishu akapfava pasina kuaparadza. Kubviswa kwepathology kunoitika nekuda kwesimba remasaisai eredhiyo epamusoro-soro, ayo anowedzera kuumbwa kwesimba remamorekuru mukati mesero rega rega uye zvinokonzeresa kuzviparadza. Iyo nzira inozivikanwa seyakaderera-inotyisa, haiwanzokonzera kubuda ropa. Iyo nzira haina kuitwa pamusana pezvirwere zvinopisa. Imwe yeanonyanya kushandiswa midziyo yekuvhiya wave wave "Surgitron". Nekubatsirwa kwechigadzirwa, kwete kurapwa chete kunoitwa, asiwo biopsy inotorwa kuti isabvisa oncological pathology. Chishandiso chacho chinoshandiswawo zvakanyanya ku cauterization yekukukurwa kwevhu, kubviswa kwepolyps yemugero wekervical, dissection yevaginal cysts.

Chii chinonzi Parakeratosis uye nei ichiitika? (Actinic keratosis vs Lichen simplex chronicus)

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