Parakeratosis ndi dermatosis yomwe imadziwika ndi kusasitsa keratin, protein yomwe imakhalapo pakhungu, pamlingo wosanjikiza kwambiri wa epidermis, womwe umatchedwanso wosanjikiza. Amatchula zotupa pakhungu zomwe zimachitika chifukwa cha kupanga keratin kwambiri. Parakeratosis imadziwika ndi mapangidwe ang'onoang'ono ofiira ndi mamba (timamba tating'ono pakhungu) pakhungu. Chotupachi chimapezeka mwa odwala psoriasis, eczema, kapena tincture wa pinki wa Gibert. Kwa makanda, nthawi zambiri amathandizidwa ndi zotupa kapena cephalic dermatitis. Chithandizochi chimachokera ku kayendedwe ka corticosteroids, antihistamines komanso kugwiritsa ntchito chinyezi chomwe chitha kukonza zizindikirazo ndikuzipangitsa kuti zisathe patangotha ​​milungu ingapo.

Parakeratosis ndimatenda akhungu, kapena dermatosis, omwe amadziwika ndi zikwangwani zazing'ono, zofiira pang'ono, zokutidwa ndi masikelo kapena khungu loyera kwambiri. Amatha kuwonekera paliponse pathupi. Zimachitika chifukwa chopanga mopitirira muyeso komanso kusasitsa keratin, khungu lomwe limakhalapo pakhungu. Amawonetsanso vuto la keratinization lomwe limachokera ku:

• kusapezeka kwa magalasi osanjikiza, mwachitsanzo, maselo omaliza omwe ali ndi khungu, la khungu;
• chakuti ma epidermal cell omwe amapanga stratum corneum pamwamba pa khungu amasungabe gawo lawo, pomwe amayenera kutayika.

Zotsatira zake ndikukhazikitsidwa kwa sikelo yolimba kapena yocheperako.

Nthawi zambiri, parakeratosis imakhala yachiwiri kwa:

• Matenda a dermatological monga psoriasis, eczema kapena pinki ya Gilbert's pityriasis pinki;
• kuvulala kobwerezabwereza ku khungu, komwe kumapangitsa kuti khungu lisathenso kugwira ntchito yake yotchinga;
• momwe khungu limayankhira ndikutenga kachilombo kapena bowa.

Kwa makanda, nthawi zambiri amathandizidwa ndi zotupa kapena cephalic dermatitis.

Chimodzi mwazinthu zofunikira za parakeratosis ndikuti sichimaluma.

Kusiyanitsa kumapangidwa pakati pa pitiriasiform parakeratosis ndi Brocq psoriasiform parakeratosis.

Pityriasiform parakeratosis

Izi zimadziwika ndi:

• Kutupa kofanana ndi psoriasiform parakeratosis;
• mawanga ofiira ofiira pang'ono poyerekeza ndi a psoriasiform parakeratosis;
• kupezeka kwa masikelo kapena mamba ang'onoang'ono akhungu;
• Nthawi zina kupezeka kwa mitundu yayitali kwambiri.

Brocq wa psoriasiform parakeratose

Brocq's psoriasiform parakeratosis, yotchedwanso psoriasiform eczematide, imadziwika ndi:

• zosiyanasiyana eczematids, kapena tizirombo, amene amakhala pa thunthu ndi pa mizu ya miyendo;
• kwa odwala ena, amathanso kupezeka pamutu, makamaka pamalire a omaliza;
• kupezeka kwa zigamba za mitundu yofiira;
• kupezeka kwa masikelo, kapena mamba tating'onoting'ono ta khungu, lomwe mtundu wake ndi woyera, ndikukumbutsa za psoriasis;
• kusinthika komwe kumachitika mozungulira, nthawi zambiri kumakhala kosiyana.

Palibe mankhwala enieni. Kuwongolera kwa parakeratosis ndikofunikira kwambiri. Zimagwiritsa ntchito mankhwala ndi makonzedwe:

• antiseptics am'deralo ngati atapatsidwa kachilombo koyambitsa matenda;
• corticosteroids yakomweko pakakhala kutupa kapena kukomoka, ndiye kuti kusintha kwa zilondazo kukhala chikanga;
• antihistamines ya kuyabwa.

Kugwiritsa ntchito zonunkhira kumatha kukonza zizindikilo ndikuwapangitsa kuti azipita patangotha ​​milungu ingapo.

Parakeratosis wa khomo pachibelekeropo - zimayambitsa chitukuko cha matenda

Chimodzi mwazomwe zimayambitsa kusintha kwa ma cell ndi matenda otupa a ziwalo zoberekera. Amapezedwa pafupifupi 70% ya amayi omwe amabwera kudzawonana ndi katswiri pa chipatala chathu cha gynecological pa Tsvetnoy Boulevard . Choopsa ndi chiyani, matenda mawonetseredwe a kutupa njira nyini ndi khomo pachibelekeropo nthawi zambiri zobisika, yaitali asymptomatic Inde, amenenso amalenga zovuta mankhwala, zofunika kuti chitukuko cha relapses. Pa nthawi yonse yomwe mkazi sapita kwa dokotala, tizilombo toyambitsa matenda timakhudza kwambiri minofu yoyandikana ndi chiberekero!

Nthawi zambiri chiopsezo cha kutupa ndi mwayi wochuluka wa kuwonongeka kwa khomo lachiberekero mucosa, komanso carcinogenesis, kuphatikizapo chiberekero, zimagwirizanitsidwa ndi matenda opatsirana, omwe atsimikiziridwa ndi asayansi mu maphunziro ambiri. Pakati pa zotheka opatsirana omwe nthawi zambiri amagwirizanitsidwa ndi kusintha kwa ma cell, kuphatikizapo oncology, pali matenda opatsirana pogonana (STIs), kuphatikizapo:

• trichomonas;
• chlamydia;
• herpes simplex HIV mtundu 2 (HSV-2);
• Human papillomavirus (HPV, HPV 16, HPV -18, HPV-31 amadziwika kuti ndi owopsa kwambiri).

Mwa njira, ndi mavairasi omwe panopa ndi matenda akuluakulu omwe amapezeka mwa amayi ndipo amachititsa mavuto ndi uchembere wabwino. Iwo ndi otsika pafupipafupi kudziwika kwa chindoko, chinzonono. Chodetsa nkhaŵa kwambiri ndi chakuti mpaka 600 zikwi zikwi za matenda a oncological okhudzana ndi HPV amalembedwa chaka chilichonse padziko lapansi. Pamene kachilombo ka HIV, akazi akhoza kukhala papillomatosis zimakhudza periuterine dera. Nthawi zambiri, condylomas zili mu makulidwe a minofu akalowa khosi, ndipo wapezeka ndi chitukuko cha kutchulidwa keratinization foci, amene amafuna kusiyana matenda mwachindunji parakeratosis. Ndikofunika kuzindikira kuti mawonetseredwe awa akhoza kuphatikizidwa.

China choyambitsa chitukuko cha parakeratosis akhoza kuonedwa achire miyeso ndi khomo pachibelekeropo, zomwe zimakhudzanso dongosolo la zimakhala.

Zowonjezera zoyambitsa kuwonongeka kwa uchembere wabwino komanso zofunikira zofananira pakusintha koyipa pama cell zitha kukhala:

• hormonal matenda ndi kusokonezeka kwa msambo;
• kukokoloka kobwerezabwereza ndi pseudo-kukokoloka kwa mucous nembanemba, kukhalapo kwa ectopic foci;
• mavuto mu ntchito ya chitetezo cha m'thupi ndi mantha dongosolo, nkhawa.

Kuti afotokoze chikhalidwe cha pathological kusintha, dokotala ayenera kuchititsa colposcopy ndi kutenga chopakapaka. Biopsy imasonyezedwanso kuti iwononge atypia, kalambulabwalo wa khansa. Atalandira zotsatira za mayesero, katswiri akhoza kupanga chiwembu mulingo woyenera kwambiri kuchiza parakeratosis ndi kubwezeretsa kuonongeka khomo lachiberekero minofu chifukwa cha matenda.

Njira Zothandizira

Pachiyambi, njira zochizira matenda oyambitsa matenda, zowonongeka, zomwe zimapangidwira parakeratosis.

• pamaso pa tizilombo toyambitsa matenda, kutupa, mankhwala ophera maantibayotiki amachitidwa, njira zimayikidwa kuti zilimbikitse chitetezo cha mthupi.
• ndi HPV, kuchotsedwa kwa condylomas kumasonyezedwanso.

Ngati tilankhula za ntchito yachindunji ya dokotala ndi madera okhudzidwa a khomo lachiberekero, ndiye kuti njira zochepetsera zimagwiritsidwa ntchito pochotsa keratinization foci.

Dokotala wanu angakulimbikitseni zotsatirazi:

• • Diathermoelectrocoagulation ndi njira yomwe chithandizo chimachitika pogwiritsa ntchito ma cell a epithelial, omwe amatsogolera kusungunuka kwa minofu. Njirayi si yotchuka kwambiri pakati pa madokotala chifukwa cha chiopsezo chachikulu chotaya magazi panthawi yogwiritsira ntchito komanso nthawi yochira.

• • Laser vaporization zimachokera ku ntchito infuraredi kuwala anaikira mu mtengo, amene kumabweretsa vaporization minofu. The mini-opareshoni ikuchitikanso pa outpatient maziko ndipo sikutanthauza nthawi yaitali kukonzekera. Amadziwika ndi chiopsezo chochepa cha magazi, chimapangitsa kuti azitha kuchitapo kanthu pa parakeratosis, ngakhale pamadera ang'onoang'ono a keratinization ya epithelial wosanjikiza. Chofunika kwambiri, atatha kulowererapo, amayi amatha kubwereranso kumayendedwe awo anthawi zonse. Chithandizo chingapezeke mwa odwala oposa 97%. Chimodzi mwazinthu zatsopano komanso zamakono zosinthira zomwe zipatala zaku Russia zimatha kukhala nazo ndi laser CO2.

Opaleshoni yamawayilesi ndi njira yochizira yomwe ndi njira yodulira ndikulumikiza minofu yofewa popanda kuwononga. Kuchotsedwa kwa matenda kumachitika chifukwa cha mphamvu ya mafunde a wailesi yapamwamba kwambiri, yomwe imapangitsa mapangidwe amphamvu a maselo mkati mwa selo lililonse ndikuyambitsa kudziwononga. Njirayi imadziwika kuti ndi yopweteka kwambiri, nthawi zambiri imayambitsa magazi. Ndondomeko si anachita pa maziko a kutupa matenda. Chimodzi mwazinthu zomwe zimagwiritsidwa ntchito kwambiri pa opaleshoni ya wailesi "Surgitron". Mothandizidwa ndi chipangizocho, sikuti chithandizo chokha chimachitidwa, komanso biopsy imatengedwa kuti ichotse oncological pathology. Chipangizochi chimagwiritsidwanso ntchito kwambiri pa cauterization ya kukokoloka, kuchotsedwa kwa ma polyps a ngalande ya khomo lachiberekero, kupasuka kwa zilonda zam'mimba.