Phototherapy thiab Tsev Phototherapy rau Vitiligo
1. Dab tsi yog vitiligo?
Teb: Vitiligo yog ib qho idiopathic, localized lossis generalized mucocutaneous depigmentation teeb meem. Nyob rau theem pib ntawm vitiligo, muaj ib los yog ob peb hypopigmented macules nrog cov ciam teb tsis meej, uas maj mam nthuav mus rau hauv zoo -txhais depigmented macules uas zoo li milky dawb. Cov neeg mob feem ntau tsis muaj cov tsos mob tshwm sim. Cov kab mob kis tau ntev thiab ntev, thiab qee zaum nws tuaj yeem txhim kho lossis daws qhov tsis raug.
2. Qhov tshwm sim ntawm vitiligo yog dab tsi? Cov neeg mob coob npaum li cas hauv peb lub tebchaws?
Teb: Qhov feem ntau ntawm vitiligo yog li ntawm 0.5% mus rau 2% [1]. Feem ntau, qhov xim ntawm daim tawv nqaij ntawm ib haiv neeg, qhov ntau dua nws qhov ntau dua. Cov neeg uas muaj tawv nqaij daj muaj feem ntau ntawm cov tawv nqaij dub thiab tawv nqaij dawb. Feem ntau ntawm cov pej xeem suav txij li 0.1% mus rau 2.7% [2]. Ib xyoo 2009-2011 kev tshawb fawb txog kev kis kab mob hauv Kaus Lim Qab Teb tau pom tias qhov xwm txheej zoo sib xws ntawm cov txiv neej thiab poj niam, thiab vitiligo tuaj yeem tshwm sim hauv txhua pab pawg hnub nyoog, tab sis nws muaj ntau dua rau cov hluas- yuav luag ib nrab ntawm cov neeg mob tsim tus kab mob ua ntej hnub nyoog 20 [3].
3. Puas yog vitiligo caj ces?
Teb: Lub etiology thiab pathogenesis ntawm vitiligo tseem tsis meej. Kwv yees li ntawm 20% ntawm cov neeg mob vitiligo muaj keeb kwm hauv tsev neeg [4], qhia tias vitiligo yuav yog ib yam kab mob ntsig txog caj ces, tab sis caj ces tsis yog tib yam. Txawm hais tias vitiligo txhim kho muaj feem cuam tshuam rau sab hauv thiab sab nraud ib puag ncig, xws li kev ntxhov siab, kev nyuaj siab, kev ua haujlwm ntau dhau, kev noj zaub mov tsis zoo, raug mob, raug tshav ntuj, thiab rov sib txhuam ntawm qhov chaw puas. Yog tias cov txwj laus muaj vitiligo, lawv cov menyuam yuav tsis tsim nws; seb tus kab mob no puas tshwm sim nyob ntawm cov saum toj no triggering yam. Nyob rau hauv luv luv, vitiligo muaj qee yam caj ces, tab sis seb nws puas tsim tau muaj feem cuam tshuam nrog rau sab hauv thiab sab nraud ib puag ncig, thiab cov xeeb ntxwv ntawm cov neeg mob vitiligo yuav tsis tsim tus kab mob.
4. Kev puas siab puas ntsws puas tuaj yeem ua rau vitiligo?
Teb: Tej zaum. Psychological yam tseem ceeb muaj feem xyuam rau qhov pib ntawm vitiligo [5]. Lub siab thiab endocrine system yog kev sib koom ua ke, thiab kev puas siab puas ntsws tuaj yeem ua rau lub cev muaj kev ntxhov siab. Kev puas siab puas ntsws yog ib qho tseem ceeb ua rau inducing vitiligo los yog aggravating tus mob. Cov kev tshawb fawb tau pom tias tom qab cov neeg mob vitiligo tus mob stabilizes, txhim kho, lossis txawm tias kho tau, tus kab mob feem ntau kis tau los yog rov tshwm sim vim muaj ntau yam xws li kev siv lub hlwb, kev nyuaj siab, thiab kev puas siab puas ntsws siab.
5. Ntev npaum li cas - pw tsaug zog lig lossis pw tsis tsaug zog tuaj yeem ua rau vitiligo?
Teb: Nws yog ua tau. Ntev - mus ua haujlwm hmo ntuj tsis pom zoo rau cov neeg mob vitiligo. Vitiligo yog ib qho kev xav- kab mob ntsig txog, cuam tshuam nrog kev ua haujlwm ntau dhau, kev ntxhov siab ntawm lub hlwb, thiab pw tsaug zog tsis txaus. Ntev ntev- ua haujlwm hmo ntuj ua rau pw tsaug zog tsis txaus thiab lub cev tsis muaj zog, uas tuaj yeem ua rau mob hnyav dua.
6. Kev puas tsuaj ntawm daim tawv nqaij puas tuaj yeem ua rau cov neeg mob vitiligo?
Teb: Tej zaum. Vitiligo feem ntau tshwm sim hauv cov cheeb tsam uas muaj kev sib txhuam los yog raug mob. Thaum cov tawv nqaij ib txwm ntawm cov neeg mob vitiligo raug txhawb los ntawm khawb, kev raug mob, lossis lwm yam, daim tawv nqaij ntawm thaj chaw ntawd hloov mus rau xim dawb, qhia tias vitiligo nyob rau theem zuj zus. Qhov tshwm sim ntawm cov pob dawb ntawm qhov chaw ntawm daim tawv nqaij puas hauv ib xyoos yog hu ua Koebner phenomenon. Qhov kev puas tsuaj tuaj yeem tshwm sim los ntawm lub cev, tshuaj lom neeg, lossis kev tsis haum tshuaj, nrog rau lwm yam kab mob ntawm daim tawv nqaij lossis kev ua xua.
7. Puas tsim nyog los npog vitiligo dawb pob nrog tattoos?
Teb: Nws tsis pom zoo rau cov neeg mob kom npog cov pob dawb nrog tattoos. Tattoos kuj yog ib hom kev raug mob, uas tuaj yeem ua rau Koebner tshwm sim thiab ua rau mob hnyav dua. Clinically, qee cov neeg mob muaj kev sib kis ntawm cov pob dawb tom qab tattooing rau lawv, thiab qhov xwm txheej no nyuaj rau kho. Yog li ntawd, thaum kuaj vitiligo, kev kho mob yuav tsum tau pib sai li sai tau los tswj tus mob. Tsis txhob npog qhov chaw nrog tattoos, vim qhov no yuav ncua sijhawm kho kom zoo.
8. Cov neeg mob vitiligo puas yuav tsum zam qee yam zaub mov?
Teb: Cov neeg mob Vitiligo tsis xav tau kev txwv kev noj zaub mov ntau dhau, vim tias kev noj zaub mov tsis zoo rau tus mob. Kev txwv tsis pub noj zaub mov ntau dhau yuav cuam tshuam rau kev noj zaub mov kom zoo thiab lub siab xav, uas tsis zoo rau kev rov qab los ntawm tus kab mob. Kev noj zaub mov zoo nrog kev noj zaub mov zoo thiab tsis pom zoo haus cawv. Qee cov neeg mob muaj comorbid Hashimoto's thyroiditis; Nyob rau hauv tas li ntawd, lawv yuav tsum tsis txhob iodine - khoom noj khoom haus nplua nuj, xws li nqaij nruab deg.
9. Cov neeg mob vitiligo puas tuaj yeem noj zaub mov uas muaj vitamin C?
Teb: Yog. Ntau tus neeg ntseeg tias vitamin C muaj cov nyhuv whitening thiab ntshai tias noj nws yuav ua rau vitiligo phem dua. Qhov tseeb, cov nyhuv whitening ntawm vitamin C los ntawm nws lub peev xwm los txo qhov tsim cov xim granules hauv melanocytes, uas tsis cuam tshuam rau kev loj hlob ntawm melanocytes. Tus yuam sij rau vitiligo pib yog nyob rau hauv kev ciaj sia ntawm melanocytes; Yog li ntawd, qhov tshwm sim, kev loj hlob, thiab rov ua dua ntawm vitiligo tsis zoo cuam tshuam nrog kev noj cov vitamin C. Hauv lub neej niaj hnub, feem ntau cov zaub mov muaj vitamin C rau qee qhov, yog li cov neeg mob tsis tas yuav zam lawv. Txiv hmab txiv ntoo nplua nuj nyob rau hauv vitamin C, xws li kiwifruits, jujubes, thiab txiv kab ntxwv, kuj yuav noj ib txwm.
10. Puas muaj txiaj ntsig rau cov neeg mob vitiligo noj cov zaub mov dub ntau dua li cov noob hnav dub?
Teb: Cov melanin muaj nyob hauv cov zaub mov tsis muaj kev sib txuas lossis kev sib raug zoo nrog cov xim ntawm daim tawv nqaij. Tsis muaj kev tshawb fawb tau pom tias kev noj cov zaub mov dub tuaj yeem pab kho cov pob dawb hauv cov neeg mob.
11. Vim li cas cov neeg mob vitiligo yuav tsum kuaj lawv cov tshuaj hormones?
Teb: Vitiligo muaj feem xyuam rau
kab mob endocrine. Kev ntsuas cov tshuaj hormones tuaj yeem pab nkag siab zoo dua qhov ua rau thiab qhov hnyav ntawm endocrine imbalances. Qee cov neeg mob muaj qhov txawv txav ntawm cov thyroid hormones lossis anti-thyroid antibodies; kev txheeb xyuas qhov ua rau yog qhov tsim nyog rau kev siv tshuaj kho mob. Qee qhov xwm txheej, cov kev kho mob ntxiv xws li nyob ze ntawm lub teeb ci infrared tuaj yeem txhawb nqa tag nrho cov tawv nqaij noj qab haus huv, txawm tias nws tsis yog kev kho mob tseem ceeb rau vitiligo.
12. Vim li cas vitiligo thiaj li ua rau lub caij nplooj ntoos hlav lig thiab lub caij ntuj sov?
Teb: Vitiligo muaj kev sib raug zoo nrog cov caij nyoog - qhov tshwm sim nyob rau lub caij nplooj ntoos hlav thiab lub caij ntuj sov yog siab dua nyob rau lub caij nplooj zeeg thiab lub caij ntuj no. Qhov no feem ntau cuam tshuam rau ultraviolet (UV) hluav taws xob. Thaum lub caij nplooj ntoos hlav lig thiab lub caij ntuj sov, UV siv maj mam nce, qhov kub thiab txias nce, tib neeg hnav khaub ncaws tsawg dua, thiab qhov tshwm sim ntawm daim tawv nqaij raug tshav ntuj nce ntau. Txawm li cas los xij, lub cev hloov mus rau UV hluav taws xob tseem nyob rau theem qis. Yog li ntawd, tus mob ntawm ntau tus neeg mob vitiligo yog nquag ua phem rau lub sijhawm no. Tsis tas li ntawd, nws kuj tseem yuav cuam tshuam rau lub caij nyoog kub thiab av noo. Kev kho lub teeb xiav rau ntawm daim tawv nqaij tau tshawb pom hauv dermatology rau lwm yam mob, tab sis rau vitiligo, tswj UV raug tseem ceeb.
13. Vim li cas kuv cov pob dawb tau nce ntxiv tom qab taug kev mus rau Thaib teb?
Teb: Thaib teb nyob rau sab hnub tuaj Asia, nyob ib sab ntawm lub hiav txwv, muaj qhov kub thiab txias thiab muaj zog UV hluav taws xob. Cov tawv nqaij xim ntawm cov neeg Suav yog sib zog dua li cov neeg nyob hauv Thaib teb, yog li lawv cov kev tiv thaiv UV tsis muaj zog, thiab lawv tsis kam ua rau muaj zog UV hluav taws xob nyob rau hauv qis - cheeb tsam latitude. Tsis tas li ntawd, tej yam xws li kev qaug zog mus ncig, kev so tsis zoo, kev noj zaub mov tsis zoo, thiab kev ua kom lub cev tsis zoo yuav ua rau lub cev tsis muaj zog, ua rau mob hnyav dua.
14. Puas yog kev tiv thaiv tshav ntuj hais txog kev tiv thaiv "qhov chaw dawb" lossis "dawb ntawm daim tawv nqaij"?
Teb: Tag nrho -lub hnub tiv thaiv lub cev yuav tsum tau hais txog. Cov chaw dawb yuav tsum muaj kev tiv thaiv zoo los ntawm lub hnub. Yog tias cov pob dawb nyob ntawm lub ntsej muag, lub kaus mom nrog lub brim tuaj yeem hnav; yog tias lawv nyob rau lwm qhov ntawm lub cev, tshuaj pleev thaiv hnub yuav tsum tau siv. Txij li cov chaw dawb ntawm vitiligo tsis muaj kev tiv thaiv xim, lawv muaj feem cuam tshuam rau tshav ntuj, thiab lub hnub raug ntau dhau ua rau muaj kev pheej hmoo ntawm daim tawv nqaij. Cov tawv nqaij ib txwm xav tau kev tiv thaiv tshav ntuj, tab sis qhov no tsis txhais hais tias "tsis muaj hnub ci" - nws txhais tau tias "tsis txhob raug tshav ntuj ntau dhau." Kev tshav ntuj ntau dhau yog ib qho tseem ceeb ua rau vitiligo; Kev tshav ntuj ntau dhau ntawm daim tawv nqaij yuav ua rau muaj kev loj hlob lossis qhov pib tshiab ntawm cov pob dawb. Rau kev kho mob ntawm lub ntsej muag, kev kho lub teeb liab ntawm lub ntsej muag tuaj yeem suav tias yog ib qho kev sib txuas hauv qee qhov kev kho mob phototherapy los txhawb kev kho mob yam tsis muaj kev pheej hmoo UV.
15. Puas yog vitiligo tshwm sim los ntawm kev tiv thaiv tsis zoo?
Teb: Qhov pib ntawm vitiligo muaj feem xyuam rau lub cev tiv thaiv kab mob, tab sis nws tsis tuaj yeem tsuas yog ntaus nqi qis lossis kev tiv thaiv tsis zoo. Qhov pib ntawm qee cov neeg mob vitiligo muaj feem xyuam rau lub cev tsis muaj zog; Qee cov neeg mob muaj comorbid autoimmune kab mob, manifested li overactive tiv thaiv. Cov kev tshawb fawb tau pom tias qhov pib ntawm vitiligo muaj feem cuam tshuam nrog kev tiv thaiv kab mob tshwj xeeb ntawm T lymphocytes hauv lub cev, uas ua rau kev puas tsuaj lossis kev puas tsuaj ntawm melanocytes.
16. Cov neeg mob vitiligo puas muaj kab mob autoimmune?
Teb: Qhov pib ntawm vitiligo tej zaum yuav cuam tshuam rau autoimmunity. Cov ntawv ceeb toom txawv teb chaws qhia tias 20% -30% ntawm cov neeg mob muaj cov kab mob autoimmune, thaum cov ntaub ntawv hauv tsev qhia tias tus nqi no yog 4.76% -6.69% [2]. Qhov tshwm sim ntawm cov kab mob autoimmune ntawm cov neeg hauv tsev neeg ntawm cov neeg mob vitiligo kuj siab dua li cov pej xeem, nrog rau cov kab mob autoimmune thyroid yog feem ntau. Tsis tas li ntawd, qhov tshwm sim ntawm vitiligo nyob rau hauv cov neeg mob uas muaj kab mob autoimmune yog 10-15 npaug ntau dua li cov pej xeem.
17. Vim li cas cov neeg mob vitiligo yuav tsum tau kuaj cov kab mob hauv cov kab mob?
Teb: Cov ntawv ceeb toom tau pom tias cov ntshav tooj liab thiab tawv nqaij ceruloplasmin hauv cov neeg mob vitiligo qis dua cov neeg ib txwm muaj. Tsis muaj tooj liab tuaj yeem txo cov haujlwm ntawm tyrosinase, yog li cuam tshuam rau kev tsim melanin. Yog li ntawd, cov neeg mob vitiligo yuav tsum tau mus kuaj kab mob. Yog tias pom muaj qhov txawv txav, cov kab mob yuav tsum tau muab ntxiv rau lub sijhawm kom txhim kho cov txiaj ntsig ntawm kev kho mob.
18. Qhov twg ntawm lub cev muaj feem cuam tshuam rau cov kab mob vitiligo?
Teb: Cov kab mob Vitiligo tuaj yeem tshwm sim nyob qhov twg ntawm lub cev. Lawv feem ntau yuav tshwm sim hauv thaj chaw sib txhuam thiab qhov chaw raug, tshwj xeeb tshaj yog lub ntsej muag, caj dab, lub duav thiab lub plab (qhov twg siv txoj siv tawv), thaj tsam sacrococcygeal, thiab dorsal extensor sab ntawm cov ntiv tes. Kev kho lub teeb liab rau qhov mob tuaj yeem pab tswj kev tsis xis nyob hauv qhov chaw sib txhuam, txawm tias nws tsis txuas ncaj qha rau kev kho cov xim xim.
19. Dab tsi tsis yog -segmental (zoo tib yam) thiab segmental vitiligo?
Teb: Raws li morphology, qhov chaw, thiab kev faib tawm ntau ntawm cov kab mob, vitiligo tuaj yeem muab faib ua ntu thiab tsis yog -segmental (zoo tib yam) hom.
Segmental vitiligo: Cov pob dawb yog ib zaug lossis ntau, faib raws thaj tsam ntawm daim tawv nqaij innervated los ntawm cov hlab ntsha cutaneous (qhia segmental faib). Segmental vitiligo feem ntau cuam tshuam tsuas yog ib sab ntawm lub cev, thaum lwm sab tsis muaj kev cuam tshuam. Nws cov yam ntxwv muaj xws li: kev loj hlob sai nyob rau theem pib, stabilization nyob rau hauv 2 xyoos, cov kab mob feem ntau yog nyob rau hauv cov hlab ntsha innervation ruaj khov, thiab kev kho mob tsis zoo (Daim duab 3-1).
Tsis yog -segmental (zoo tib yam) vitiligo: Nws tuaj yeem nthuav tawm raws li thaj chaw (tsib leeg), tsis sib xws, dav dav, lossis hom acral.
Localized hom: Ib leeg los yog pawg dawb ntawm qhov sib txawv, nyob rau hauv ib cheeb tsam.
Sporadic hom: tawg, ntau qhov chaw dawb, feem ntau faib ua ke, npog tsis pub ntau tshaj 50% ntawm lub cev.
Generalized hom: Feem ntau yog tsim los ntawm sporadic vitiligo, nrog cov pob dawb sib koom ua ke thiab npog ntau tshaj 50% ntawm lub cev nto.
Hom Acral: Qhov tshwm sim tshwm sim thawj zaug ntawm qhov kawg (tes thiab ko taw) thiab feem ntau faib rau hauv cov cheeb tsam no (Daim duab 3-2).
20. Dab tsi yog qhov ua tiav thiab tsis tiav depigmentation hauv vitiligo?
Teb: Raws li qib pigment poob ntawm qhov chaw ntawm qhov txhab, vitiligo qhov txhab tuaj yeem muab faib ua tiav thiab tsis tiav depigmentation.
Ua kom tiav depigmentation: Spots yog dawb huv los yog porcelain dawb. Melanocytes ntawm qhov chaw mob yuav luag tag, tsis muaj melanin - muaj peev xwm tsim tau, thiab kev kho tshuaj tsis zoo (Daim duab 3-3).
Tsis tiav depigmentation: Depigmentation tsis tiav, nrog cov xim pigment tseem nyob hauv thaj chaw dawb. Melanocytes raug txo los yog lawv txoj haujlwm tsis zoo, tab sis kev muaj peev xwm tsim kho melanin tseem nyob, yog li kev kho tshuaj siv tau zoo (Daim duab 3-4).
21. Yam kev coj cwj pwm twg tuaj yeem ua kom muaj qhov tshwm sim thiab kev loj hlob ntawm vitiligo?
Teb: Thaum lub sij hawm ceev ceev ntawm vitiligo, qhov tshwm sim ntawm Koebner yuav tshwm sim (cov pob dawb tshiab tshwm sim ntawm qhov chaw raug mob). Cov cwj pwm xws li raug tshav ntuj, raug mob, khawb, kev sib txhuam (xws li, lub tsho nruj, siv tawv), lub siab ntev, thiab kub hnyiab tuaj yeem ua rau muaj qhov mob tshiab. Tsis tas li ntawd, kev ntxhov siab ntawm kev puas siab puas ntsws, kev ntxhov siab ntau dhau, pw tsaug zog, haus luam yeeb, thiab haus dej kuj tseem ua rau muaj kab mob. Nyob ze ntawm kev kho lub teeb pom kev zoo tau pom tias muaj peev xwm txo tau qhov mob ntawm qhov tshwm sim, tab sis sab laj tus kws kho mob tshwj xeeb rau vitiligo- cov ntawv thov tshwj xeeb.
22. Dab tsi yog qhov kev kho mob tshwm sim ntawm kev loj hlob vitiligo?
Teb: Progressive vitiligo tuaj yeem nthuav tawm cov tsos mob hauv qab no: ntau thiab qhov loj ntawm cov pob dawb, qhov muag plooj ntawm cov kab mob, confetti-xws li cov pob dawb los yog cov kab mob hypopigmented, thiab thaj tsam loj dua pom nyob hauv Ntoo lub teeb dua li ntawm qhov muag liab qab (Daim duab 3-5).
23. Qhov ntsuas twg qhia tias vitiligo tau nkag mus rau theem ruaj khov?
Teb: Yog tias tus naj npawb thiab qhov loj ntawm cov kab mob vitiligo tsis tau nce xyoo dhau los, qhov kev loj hlob tau nres, ciam teb yog qhov pom tseeb lossis cov xim xim tau tshwm sim, thiab qhov chaw ntawm qhov chaw nyob hauv qab Ntoo lub teeb yog tsawg dua los yog sib npaug ntawm thaj chaw pom ntawm qhov muag liab qab, nws qhia tau tias tus mob tau nkag mus rau theem ruaj khov.
24. Kuv tus me nyuam muaj ib qho chaw dawb ntawm caj npab thaum yug los - nws puas yog vitiligo?
Teb: Tej zaum nws yuav yog ib qho achromic nevus, tab sis nws yuav tsum tau sib txawv ntawm vitiligo. Achromic nevi tshwm sim thaum yug los lossis tsis ntev tom qab yug me nyuam, feem ntau yog nyob ib leeg, muaj qhov muag plooj (feem ntau yog serrated), thiab yuav luag tsis muaj pigmentation halo. Qee tus muaj freckle lub teeb xim av-zoo li pob ntawm thaj chaw dawb. Lawv nthuav dav proportionally nrog tus me nyuam txoj kev loj hlob, feem ntau tswj lawv cov duab thiab tsis kis mus thoob lub neej.
25. Yog tias muaj pob dawb ntawm daim tawv nqaij, nws puas yog vitiligo?
Teb: Tsis yog txhua qhov chaw dawb yog vitiligo-lawv kuj tuaj yeem yog nevus anemicus, post-inflammatory hypopigmentation, thiab lwm yam. Nws raug nquahu kom nrhiav kev kho mob sai, thiab tom qab kuaj mob los ntawm kws kho mob, tau txais kev kho mob. Kev kho lub teeb xiav rau ntawm daim tawv nqaij yog qee zaum siv rau kev sib txawv ntawm cov kab mob, pab rau kev kuaj mob kom raug.
26. vitiligo puas tuaj yeem "kho tau tag nrho" (hauv paus)?
Teb: Lub etiology ntawm vitiligo tseem tsis tau paub meej, yog li tsis muaj ib yam li "kev kho radical." Nws tuaj yeem kho tau, tab sis tsis muaj kev lees paub tias nws yuav tsis rov zoo tom qab kho. Kev txheeb xyuas qhia tau tias qhov rov tshwm sim ntawm vitiligo li ntawm rau lub hlis tom qab kho yog 20% -40%. Ib txoj hauv kev zoo los txo qhov rov tshwm sim yog kom tau txais kev kho mob tsis pub dhau rau lub hlis, xws li siv tshuaj pleev ob zaug hauv ib lub lis piam lossis maj mam txo cov koob tshuaj thiab zaus ntawm kev kho mob tom qab qhov txhab tau rov ua dua tshiab. Kev kho lub teeb liab rau qhov mob tuaj yeem pab tswj txhua qhov kev tshaj tawm -kev kho mob tsis xis nyob yog tias mob tshwm sim.
27. Puas yog lub tswv yim "tsis tas yuav maj nrawm rau kev kho mob yog tias cov pob dawb tsis nyob ntawm lub ntsej muag" puas yog?
Teb: Qhov kev nkag siab no tsis raug. Thaum pom cov pob dawb lawm-Txawm lawv qhov chaw nyob ntawm qhov chaw- kev kho mob yuav tsum tau nrhiav tam sim kom tsis txhob ploj mus rau lub sijhawm kho kom zoo. Feem ntau, kev kuaj pom ntxov, kev kuaj mob ntxov, thiab kev kho mob ntxov yog qhov zoo dua rau kev rov qab los ntawm tus kab mob. Yog tias tsis kho, qhov chaw yuav kis tau, thiab qhov ntev ntawm tus kab mob, qhov kev kho mob yuav ua rau tsis zoo. Rau thaj chaw ntawm lub ntsej muag, kev kho lub teeb liab ntawm lub ntsej muag tuaj yeem ntxiv cov qauv kev kho mob hauv tsev rau kev txhawb nqa rov zoo dua.
28. Hom vitiligo twg muaj txiaj ntsig zoo?
Teb: Kev kho cov nyhuv yog ze ze rau qhov chaw ntawm qhov txhab. Tsis yog -segmental vitiligo ntawm lub ntsej muag thiab caj dab muaj tus nqi kho mob siab, thaum acral thiab mucosal vitiligo muaj kev kho mob tsis zoo. Kev kho tus nqi ntawm qhov siab tshaj mus rau qis tshaj yog: taub hau thiab ntsej muag > nraub qaum thiab hauv siab > duav thiab plab > ob txhais tes thiab ko taw > mucous daim nyias nyias. Hauv particular, kev kho tus nqi ntawm vitiligo ntawm lub taub hau thiab lub ntsej muag yog siab heev, ncav cuag 80% -90%. Feem ntau, kev tshawb nrhiav ntxov, kev kuaj mob ntxov, thiab kev kho mob thaum ntxov yog qhov ua tau zoo dua rau kev kho mob; Cov neeg mob vitiligo yuav tsum muaj tus cwj pwm zoo thiab koom tes nrog kev kho mob.
29. Hom vitiligo twg muaj kev kho mob tsis zoo? Yuav ua li cas?
Teb: Vitiligo lesions ntawm tes, ko taw, thiab mucous daim nyias nyias muaj kev kho mob tsis zoo. Kev kho mob dav dav (kev sib txuas tshuaj thiab kev kho mob) tuaj yeem siv tau. Yog tias cov nyhuv tseem tsis zoo, lwm txoj kev kho mob tuaj yeem txiav txim siab tom qab tus mob stabilizes.
