Qhov sib txawv tseem ceeb ntawm kev mob ruas thiab leucoderma yog mob ruas yog cov tawv nqaij uas ua rau cov tawv nqaij tsis zoo ntawm daim tawv nqaij vim muaj kab mob los ntawm Mycobacterium leprae, thaum leucoderma yog cov tawv nqaij uas ua rau cov tawv nqaij dawb ntawm daim tawv nqaij vim yog ib feem. los yog ua kom tiav daim tawv nqaij pigmentation.
Feem ntau, kab mob ntawm daim tawv nqaij sib txawv heev hauv cov tsos mob thiab qhov hnyav. Lawv tuaj yeem ua ib ntus lossis mus tas li. Ntxiv mus, cov kab mob ntawm daim tawv nqaij no yuav tsis mob lossis mob. Ntau yam ntawm daim tawv nqaij muaj teeb meem tshwm sim. Tab sis qee qhov muaj cov tshuaj genetic predispositions. Txawm hais tias feem ntau cov tawv nqaij mob me me, lwm tus tuaj yeem qhia qhov teeb meem loj dua hauv lub cev. Leprosy thiab leucoderma yog ob hom kab mob sib txawv ntawm daim tawv nqaij.
Tus kab mob Leprosy (Hansen's Disease) yog dab tsi?
Leprosy yog ib qho mob ntawm daim tawv nqaij uas ua rau cov tawv nqaij tsis zoo ntawm daim tawv nqaij vim yog kis los ntawm Mycobacterium leprae. Nws tseem hu ua Hansen's disease (HD). Ntxiv rau qhov mob ntawm daim tawv nqaij, tus kab mob no tseem ua rau puas tsuaj rau cov hlab ntsha, kab mob ua pa, thiab qhov muag. Cov hlab ntsha puas tuaj yeem ua rau tsis muaj peev xwm hnov mob uas tuaj yeem ua rau qhov poob ntawm ib tus neeg sab nraud (nqaj lossis lub cev appendages) los ntawm kev raug mob rov qab. Tib neeg tuaj yeem ntes tus mob ruas yog tias lawv tsuas yog los ze thiab rov sib cuag nrog lub qhov ntswg thiab qhov ncauj los ntawm ib tus neeg mob ruas. Cov menyuam yaus yuav kis mob ruas ntau dua li cov laus.
Daim duab 01: Leprosy
Leprosy yog txhais los ntawm tus naj npawb thiab hom mob ntawm daim tawv nqaij cov neeg muaj. Yog li ntawd, muaj peb hom mob ruas: tuberculoid, lepromatous, thiab ciam teb. Tuberculoid yog ib hom mob hnyav dua. Daim ntawv tuberculoid yog tus cwj pwm los ntawm tsuas yog ib lossis ob peb thaj tsam ntawm cov tawv nqaij, xim daj ntseg. Lepromatous yog hom mob hnyav dua. Nws ua rau cov tawv nqaij ua pob, pob khaus, loog, thiab cov leeg tsis muaj zog. Lub caij no, cov neeg uas muaj daim ntawv ciam teb muaj cov tsos mob ntawm ob hom tuberculoid thiab lepromatous. Leprosy tuaj yeem kuaj tau nrog daim tawv nqaij slit smear, lepromin test, daim tawv nqaij biopsy, thiab M. Leprae DNA PCR. Tsis tas li ntawd, thawj kab tshuaj tua kab mob rau kev kho mob ruas yog dapsone, rifampicin, thiab clofazimine. Lwm cov tshuaj muaj xws li ofloxacin, moxifloxacin, minocycline, clarithromycin, rifapentine, thiab diarylquinolone. Ntxiv nrog rau cov kev xaiv kho mob saum toj no, cov tshuaj tiv thaiv BCG tseem ua haujlwm tiv thaiv M. Leprae.
Leucoderma (Vitiligo) yog dab tsi?
Leucoderma yog ib qho mob ntawm daim tawv nqaij uas ua rau dawb thaj ua rau ntawm daim tawv nqaij vim yog ib feem lossis ua tiav ntawm daim tawv nqaij pigmentation. Nws tseem hu ua vitiligo. Muaj ob hom leukoderma: tsis yog segmental thiab segmental. Non-segmental leucoderma yog tus cwj pwm los ntawm thaj ua rau thaj dawb tshwm nyob rau hauv ob qho tib si ntawm lub cev, uas feem ntau sib luag hauv cheeb tsam lawv tshwm sim. Segmental leucoderma yog tus yam ntxwv los ntawm thaj ua rau thaj dawb txwv rau ib ntu lossis ib nrab ntawm lub cev.
Daim duab 02: Leucoderma
Cov tsos mob ntawm leucoderma muaj xws li depigmentation ntawm daim tawv nqaij raug tshav ntuj, khaus ntawm thaj chaw dawb thaum raug tshav ntuj los yog tawm hws ntau dhau, cov plaub hau daj ntxov ntxov, hloov xim ntawm retina, thiab lwm yam. Leucoderma feem ntau yog vim autoimmune. kab mob. Lwm qhov laj thawj ntawm tus mob no tuaj yeem suav nrog cov noob caj noob ces, kab mob (viral lossis kab mob), kev ua haujlwm (kev raug rau qee yam tshuaj), thiab lwm yam neurogenic. Tsis tas li ntawd, leucoderma tuaj yeem kuaj tau los ntawm kev kuaj lub cev, kuaj tawv nqaij, lossis kuaj ntshav. Kev kho mob rau leucoderma muaj xws li tshuaj (pimecrolimus thiab tacrolimus), kho lub teeb, thiab daim tawv nqaij grafts.
Dab tsi zoo sib xws ntawm Leprosy thiab Leucoderma?
- Leprosy thiab leucoderma yog ob hom kab mob sib txawv ntawm daim tawv nqaij.
- Nyob rau hauv ob qho kev kho mob, daim tawv nqaij yog xim daj ntseg.
- Kev kuaj mob ntawm ob qho kev kho mob tuaj yeem ua los ntawm kev kuaj lub cev.
- Lawv tuaj yeem kho nrog tshuaj.
Qhov txawv ntawm Leprosy thiab Leucoderma yog dab tsi?
Leprosy yog ib qho mob ntawm daim tawv nqaij uas ua rau cov tawv nqaij tsis zoo ntawm daim tawv nqaij vim muaj kab mob los ntawm Mycobacterium leprae, thaum leucoderma yog ib qho mob ntawm daim tawv nqaij uas ua rau cov tawv nqaij dawb ntawm daim tawv nqaij vim yog ib feem lossis ua tiav ntawm daim tawv nqaij pigmentation. Yog li, qhov no yog qhov sib txawv tseem ceeb ntawm leprosy thiab leucoderma. Tsis tas li ntawd, mob ruas tau muab faib ua peb yam xws li tuberculoid, lepromatous, thiab ciam teb, thaum leucoderma muab faib ua ob hom uas tsis yog segmental thiab segmental.
Cov duab hauv qab no nthuav tawm qhov sib txawv ntawm tus mob ruas thiab leucoderma hauv daim ntawv teev npe rau ib sab ntawm kev sib piv.
Summary – Leprosy vs Leucoderma
Leprosy thiab leucoderma yog ob hom kab mob ntawm daim tawv nqaij. Leprosy ua rau cov tawv nqaij tsis zoo ntawm daim tawv nqaij vim muaj kab mob los ntawm Mycobacterium leprae, thaum leucoderma ua rau thaj tsam dawb ntawm daim tawv nqaij vim yog ib feem lossis ua tiav ntawm daim tawv nqaij pigmentation. Yog li, qhov no yog qhov sib txawv tseem ceeb ntawm leprosy thiab leucoderma.
