I-parakeratosis i-dermatosis ebonakala ngokuvuthwa okungavamile kwe-keratin, iphrotheni eyingxenye yesikhumba, ezingeni longqimba olungaphezulu kakhulu lwe-epidermis, olubizwa nangokuthi ungqimba lwezimpondo. Iveza isilonda sesikhumba esibangelwa ukukhiqizwa ngokweqile kwale keratin. I-Parakeratosis ibonakala ngokwakheka kwamabala amancane abomvu nezikali (izikali zesikhumba ezincane) esikhumbeni. Lesi silonda sitholakala ezigulini ezine-psoriasis, eczema, noma i-tincture epinki ka-Gibert. Ezinsaneni, kuvame ukuhlotshaniswa ne-diaper rash noma i-cephalic dermatitis. Ukwelashwa kusekelwe ekuphathweni kwe-corticosteroids, ama-antihistamine kanye nokufakwa kwe-moisturizer engathuthukisa izimpawu futhi izenze zinyamalale phakathi namasonto ambalwa.

I-Parakeratosis yisimo sesikhumba, noma i-dermatosis, ebonakala ngokubonakala kwama-plaque amancane, abomvu kancane, ambozwe ngezikali noma isikhumba esimhlophe esincane kakhulu. Angavela noma kuphi emzimbeni. Zibangelwa ukukhiqizwa ngokweqile nokuvuthwa okungavamile kwe-keratin, iphrotheni eyingxenye yesikhumba. Babonisa empeleni ukuphazamiseka kwe-keratinization okubangelwa:

• ukungabikho kongqimba lwe-granular, okungukuthi ungqimba lokugcina lwamaseli aqukethe ama-nuclei, we-epidermis;
• iqiniso lokuthi amaseli e-epidermal akha i-stratum corneum ebusweni besikhumba agcina i-nucleus yawo, lapho kufanele ngabe ilahlekile.

Umphumela uba ukwakheka kwezikali eziminyene kakhulu noma ezingaphansi.

Imvamisa, i-parakeratosis iba yesibili ku:

• izifo zesikhumba ezifana ne-psoriasis, i-eczema noma i-pityriasis ka-Gilbert pink;
• ukuhlukumezeka okuphindaphindiwe ku-epidermis, okuholela esikhumbeni singasadlali indima yaso evamile njengesivikelo sokuzivikela;
• ukusabela kwesikhumba ekungenweni yigciwane noma ukhunta.

Ezinsaneni, kuvame ukuhlotshaniswa ne-diaper rash noma i-cephalic dermatitis.

Enye yezici ze-parakeratosis yiqiniso lokuthi ayilunywanga.

Kwenziwa umehluko phakathi kwe-pitiriasiform parakeratosis ne-Brocq psorasiform parakeratosis.

I-Pityriasiform parakeratosis

Lokhu kubonakala ngokuthi:

• ukuqubuka okufana ne-psorasiform parakeratosis;
• umbala obomvu kakhulu wamabala uma kuqhathaniswa nalawo e-psorasiform parakeratosis;
• ukuba khona kwezikali noma izikali zesikhumba ezincane;
• ngezinye izikhathi ukuba khona kwezingulube ngobuningi obungajwayelekile.

I-Brocq's psorasiform parakeratose

I-Brocq's psorasiform parakeratosis, ebizwa nangokuthi i-psorasiform eczematide, ibonakala ngalezi:

• izinhlobonhlobo zama-eczematid, noma izinambuzane, ezihlala esiqwini nasezimpandeni zezitho;
• kwezinye iziguli, kungase futhi kubekwe endaweni phezu kwesikhumba, ikakhulukazi emaphethelweni aso sakamuva;
• ukuba khona kwama-patches ombala obomvu;
• ukuba khona kwezikali, noma izikali ezincane zesikhumba, umbala wawo omhlophe, futhi okukhumbuza lezo ze-psoriasis;
• i-evolution eyenzeka ngokuphazima kweso, ngokujwayelekile ngokwehlukana.

Akukho ukwelashwa okuqondile. Ukuphathwa kwe-parakeratosis empeleni kuyizimpawu. Isebenzisa incwadi kadokotela kanye nokuphatha:

• ama-antiseptics wendawo uma kwenzeka i-superiinfection yendawo;
• i-corticosteroids yendawo uma kwenzeka ukuvuvukala noma i-eczematization, okungukuthi ukuguqulwa kwezilonda zibe yi-eczema;
• antihistamines for ukulunywa.

Ukufaka ama-moisturizers kungathuthukisa izimpawu futhi kuzenze ziphele phakathi namaviki ambalwa.

I-Parakeratosis yomlomo wesibeletho - izimbangela zokuthuthukiswa kwe-pathology

Esinye sezimbangela eziyinhloko zezinguquko zamangqamuzana yizifo ezivuthayo zezitho zangasese. Batholakala cishe ku-70% wabesifazane abeza ukuzobona uchwepheshe emtholampilo wethu wezifo zabesifazane eTsvetnoy Boulevard. Yini eyingozi, ukubonakaliswa kwemitholampilo yezinqubo zokuvuvukala zesitho sangasese sowesifazane kanye nomlomo wesibeletho kuvame ukuba nenkambo ecashile, yesikhathi eside engabonakali, edala ubunzima ekwelashweni, izimfuneko zokuthuthukiswa kokubuyela emuva. Phakathi naso sonke isikhathi lapho owesifazane engayi kudokotela, ama-microorganisms e-pathogenic athinta kabi izicubu eziseduze zesibeletho!

Ngokuvamile ingozi yokuvuvukala ngokukhuphuka kwamathuba okulimala kwe-mucosa yomlomo wesibeletho, kanye ne-carcinogenesis, kuhlanganise nesibeletho, ihlotshaniswa nezifo ezithathelwanayo, okuye kwafakazelwa ososayensi ezifundweni eziningi. Phakathi kwezifo ezithathelwanayo ezivame ukuhlotshaniswa nokuguqulwa kwamaselula, kuhlanganise ne-oncology, kunezifo ezithathelwana ngocansi (STIs), kuhlanganise:

• trichomonas;
• i-chlamydia;
• i-herpes simplex virus uhlobo 2 (HSV-2);
• i-human papillomavirus (i-HPV, i-HPV 16, i-HPV -18, i-HPV-31 ibonwa njengeyingozi kakhulu).

Ngendlela, kungamagciwane okwamanje okuyizifo eziyinhloko ezitholwa kwabesifazane futhi eziholela ezinkingeni zempilo yokuzala. Bangaphansi kwemvamisa yokutholwa kwe-syphilis, i-gonorrhea. Okwethusa kakhulu iqiniso lokuthi izehlakalo ezifika ku-600 XNUMX ze-oncological pathology ezihlobene ne-HPV zibhaliswa minyaka yonke emhlabeni. Uma utheleleke ngaleli gciwane, abesifazane bangase bahlakulele i-papillomatosis ethinta isifunda se-periuterine. Imvamisa, ama-condylomas atholakala ekushukeni kwezicubu ezibopha intamo, futhi atholwa ngokuthuthukiswa kwe-keratinization foci eshiwo, edinga ukuxilongwa okuhlukile ngokuqondile nge-parakeratosis. Kubalulekile ukuqaphela ukuthi lezi zibonakaliso zingahlanganiswa.

Esinye isiqalo sokuthuthukiswa kwe-parakeratosis singabhekwa njengezinyathelo zokwelapha ngomlomo wesibeletho, ezithinta nesakhiwo sezicubu.

Izishoshovu ezengeziwe zokuwohloka kwempilo yokuzala kanye nezimfuneko ezihambisanayo zoshintsho olubi ezingeni lamaselula kungaba:

• ukuphazamiseka kwe-hormonal kanye nokuphazamiseka kokujikeleza kokuya esikhathini;
• ukuguguleka okuphindaphindiwe kanye nokuguguleka kwe-pseudo kulwelwesi lwamafinyila, ukuba khona kwe-ectopic foci;
• izinkinga emsebenzini wesimiso sokuzivikela komzimba kanye nezinzwa, ukucindezeleka.

Ukucacisa uhlobo lwezinguquko ze-pathological, udokotela kufanele enze i-colposcopy futhi athathe i-smear. I-biopsy iboniswa ukuze kukhishwe i-atypia, isandulela somdlavuza. Ngemva kokuthola imiphumela yokuhlolwa, uchwepheshe angakwazi ukudweba uhlelo olufanele lokwelapha i-parakeratosis nokubuyisela izicubu zomlomo wesibeletho ezilimele ngenxa yalesi sifo.

Izindlela Zokwelapha

Ekuqaleni, amaqhinga okwelapha isifo esiyisisekelo, umonakalo, lapho i-parakeratosis isungulwe khona, inqunywa.

• phambi kwezifo ezithathelwanayo, ukuvuvukala, ukwelashwa kwama-antibiotic kuyenziwa, izindlela zinqunyelwe ukuqinisa amasosha omzimba.
• nge-HPV, ukususwa kwama-condylomas nakho kubonisiwe.

Uma sikhuluma ngomsebenzi oqondile kadokotela nezindawo ezithintekile ze-mucosa yomlomo wesibeletho, khona-ke izindlela ezingavamile zisetshenziselwa ukususa i-keratinization foci.

Udokotela wakho angancoma lezi zinketho ezilandelayo:

• • I-Diathermoelectrocoagulation iyindlela lapho ukwelashwa kwenziwa ngokusebenzisa i-high-frequency current kumaseli e-epithelial, okuholela ekuncibilikeni kwezicubu. Indlela ayiyona ethandwa kakhulu phakathi kodokotela ngenxa yengozi enkulu yokopha ngesikhathi sokukhwabanisa kanye nesikhathi sokubuyisela.

• • I-Laser vaporization isekelwe ekusetshenzisweni kokukhanya kwe-infrared okugxilwe ensikeni, okuholela ekuhwameni kwezicubu. I-mini-operation yenziwa futhi ngesisekelo sokulaliswa ngaphandle futhi ayidingi ukulungiswa isikhathi eside. Ibonakala ngengozi ephansi yokopha, yenza kube lula ukwenza i-parakeratosis, ngisho nasezindaweni ezincane ze-keratinization ye-epithelial layer. Okubalulekile, ngemva kokungenelela, abesifazane bangabuyela ngokushesha esigqini sabo sokuphila esivamile. Ukwelashwa kungafinyelelwa ezigulini ezingaphezu kwama-97%. Enye yemishini emisha nesimanje kakhulu yokukhohlisa imitholampilo yaseRussia engahlonywa ngayo i-CO2 laser.

Ukuhlinzwa kwamagagasi omsakazo kuwuhlobo lokwelapha okuyindlela yokusika nokuhlanganisa izicubu ezithambile ngaphandle kokuzibhubhisa. Ukususwa kwe-pathology kwenzeka ngenxa yamandla amaza omsakazo we-high-frequency, okuthuthukisa ukwakheka kwamandla amangqamuzana ngaphakathi kwengqamuzana ngalinye futhi kubangele ukuzibhubhisa kwawo. Inqubo ibonwa njengenobuhlungu obuphansi, ayivamile ukubangela ukopha. Inqubo ayenziwa ngemuva kwezifo ezivuthayo. Enye yemishini evame ukusetshenziswa kakhulu yokuhlinzwa kwamagagasi omsakazo "Surgitron". Ngosizo lwedivayisi, ukwelashwa akwenziwa kuphela, kodwa futhi i-biopsy ithathwa ukuze ikhiphe i-oncological pathology. Idivayisi nayo isetshenziselwa kabanzi ukukhishwa kwe-cauterization, ukususwa kwama-polyps we-canal yomlomo wesibeletho, ukuhlukaniswa kwama-cysts angasese.