O ' z be k is to n respublik asi oliy va o'rta m a X s u s ta lim V azir lig I a d h a m vaisov teri va tanosil
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Teri va Tanosil Kasalliklari (Adham Vaisov) - T., 2009 y.
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Poliadenit VII IX hafta Rozeola 2-3 yil Tuguncha Yiring Qaytalash Yashirin Qaytalash Yashirin D o ‘m boqcha, 3-50-yil gumma Qaytalash 283 ✓Y.Y ilova Turli da\rlarda / a \ i n kechishinin^ umuniiy xarak tcristik asi ^ ^ ^ Z a x m d a \r i T a v s ill B irla m ch i Ik k ila m c h i U ch lam ch i VI o rfo lo g ik elem entlar Q attiq shankr (eroziv, y a ra li) Rozeola, papula, pustula, vezikula D o 'm b o q ch a, gumma (tugun) To sh m a (ele- m ent)larning lo ka liza tsiya si baqat oqish treponema k ir gan jo y d a H am m a jo y d a (teri va shilliq qavat) H am m a yerda (teri va sh illiq qavat, ic h k i a ’zo lar, su y a k la r) T o sh m a o q ib a li I/.siz yo 'q o la d i (eroziya), ch a n diq q o ld ira d i (yara) Asosan izsiz (rozeola, papula), chandiq qoladi (pustula) H a r doim chandiq atrofiya Lim fa tugunlar ka ttalashishi R egio nar adenit Y a q q o l regionar adenitli poliadenit ik k ila m ch i yangi zaxm da, poliadenit b o 'lm aslig i m um - kin ik k ila m c h i qaytalam a zaxm da B o 'lm a y d i Ich k i a V o la r va nerv sistem asi ning zara rla n ish i Juda kam , fu n k sio n a l K a m d a n -k a m fu n k sio n a l K o 'p in c h a y o mon o q ib a tli (organik za ra r- la n is h ) K o n ta g io /lik Y u q u m li Y u q um li Asosan yuqu m siz Sero lo gik м п н т а - lar (klassik) 1 1 3-4 hat'tagacha m an fiy, 6 h afta da n musbat M usbat 97-1 (H)"/nda M usbat 7-10 0 da 284 XXI ilova Birlamchi zaxm va yumshoq shankr qiyosiy tashxisi Ifodalanish Birlamchi zaxm Yumshoq shankr Asosiy toshma Ulcus Ulcus Shikoyatlar Yo‘q Qattiq og‘riq bo‘ladi Tubidagi infiltrat Zich-elastik Yumshoq Yaralar soni 1-2 Doim ko‘payib turadi Ajratmalar Seroz ekssudat, kamroq Yiring ekssudat, ko‘p Shakli va cheti Oval, chetlari tekis, to‘g‘ri Turli shaklda, chetlari yoyilgan va notekis Atrofidagi teri 0 ‘zgarmagan 0 4 k ir yallig'langan Regionar, limfa tugunlari Kattalashgan, zich- elastik, og‘riqsiz, bir- biriga yopishmagan, usti dagi teri o‘zgarmagan Kattalashgan, yumshoq, og‘riqli, bir-biriga yopishgan, ustidagi teri yalligMangan Seroreaksiya (L-infeksiya) Seropozitiv zaxmda musbat Manfiy Chaqiruvchisi Oqish treponema Streptobatsilla Patersona, Dyukreya Unna, Ferrari 285 XXII ilova Ikkilamchi yangi va qaytalanuvchi zaxmni taqqoslash tashxisi Klinik belgilar Yangi zaxm Qaytalanuvchi zaxm Qattiq yara Qattiq yara yoki uning qoldigi boiadi Boimaydi Regional adenit Har doim bo‘ladi Boimaydi Poliadenit Har doim boiadi Ba’zida boiadi Rozeola, papula Soni juda ko‘p, mayda Soni kam, kattaroq Guruhlanishga moyillik Bo‘lmaydi Y uqori Yoyilgan kondiloma Boimaydi Boiadi Pigment dogii zaxm Boimaydi Boiadi Sochning to'kilishi Boimaydi Soch to'kiladi Serologik jarayon Musbat Musbat X X III ilova Rozeolyoz sifilidning differensial tashxisi Ko‘rsat- kich Rozeol yoz sifilis Qiza- miq, qizilcha Qorin va tosh mali tif Toksi koder miya Pushti rang temi ratki Qipiq lanuv- chi te miratki Qov biti chaqqan- dagi d o g ia r Birlam chi effekt Rozeola Roze ola, pete- xiya Roze ola, pete- xiya Roze ola Pushti rangli d ogiar Och pushti rangdan to jigar- rangga- cha b o i gan d o g iar Qizil, ko‘kim- tir kul rang d o g ia r 286 0 ‘tkir yallig‘- lanishli element lar Yo‘q Bor Bor Bor Yo‘q Yo‘q Yo‘q Asosiy joyld- shish Tana- ning yon tarafla- rida Yuz, kaft- ning ustki qismi va tovon Tana K o‘krak ning yuqori qismi Qov Periferik o‘sishi Birlash- maydi Birla- shadi Birla- shadi Birla- shadi Birlash- maydi Birla- shadi Birlash- maydi Qipiq- lanish Papi- rosli gofrir- langan qog‘oz tuzili- shida Qipiq- simon qipiq lanish Qo‘shim- cha diag nostik simptom lar Polia denit, zaxmga musbat serolo gik reaksiya Larin- git, Bronxit yorug‘- likdan qo'rquv Yuqo ri ha rorat Yuqo ri ha rorat, tugun cha, pufak chalar, qichi shish Qichi shish Balser- ning yodli sina masi Qichi shish, bit bo'li shi 287 XXIV ilova Papulyoz sifilidning differensial tashxisi Ko'rsatkichlar Papulyoz sifilid Qizil yassi temiratki Psoriaz Birlamchi affekt Papula Papula Papula Elementlar shakli Aylana Poligonal Aylana, oval Rangi Mis-qizil Binafsha tusli to'q qizil rang Tiniq qizil Konsistensiya Periferik o'sishga moyillik Zich-elastik Yo'q Yumshoq Bor Yumshoq Bor Asosiy joylashishi Turli (oyoq va qo'llar yozuvchi qismida ko'proq) Oyoq va qo'llar bukuvchi qismi, og'iz va jinsiy a ’zolar shilliq qavatlari Oyoq va qo'llar yozuvchi qismi, boshning sochli qismi Toshmalar muddati 1,5-2 oy Oylar Oylar, yillar Tashxisning qo'shimcha belgilari Yadasson simp tomi, musbat serologik reak siyalar, oqish treponemani aniqlanishi Kyobner simp tomi, qichishish, kindiksimon botiq, mum yaltirog'i, Uikxem turi Auspitts triadasi, Kyobner simptomi 288 X X V ilova Ikkilamchi sifilidning ko‘rinishi va differensial tashxisi Sifilidlar tafovuti Sifilidlar ko'rinishi Boshqa kasalliklar bilan Dog'li a) rozeola Oddiy, shishli, qipiq- lanuvchi, birlashuvchi, nuqta- simon, aylanasimon Jiberning pushti rangli temiratkisi, eshakemi, rang-barang temiratki, toksikodermiya, mramor teri, infeksion rozeola b) leykoderma Dog'li, aylanali, mramorli Vitiligo, rang-barang temiratki, ikkilamchi de- va giperpigmentatsiya Papulyoz Miliar, lentikulyar, tangachali, suvla- nuvchi, vegetatsiya lanuvchi (keng kondilomalar), psoriazsimon Qizil yassi temiratki, psoriaz, o'tkir uchli kondilomalar, parapsoriaz, papulyozli psevdosifilis, vegetatsiyalanuvchi po'rsildoq yara Vezikulyoz Yo'q Suvchechak, o'rab oluvchi temiratki, Dyuringning gerpetiform dermatiti Pustulyoz Impetiginoz, husnbu zarsimon, chechak- simon, ektimatoz, rupiyasimon Strepto- va stafilokokk impetigosi, oddiy ektima, yodli va bromli husnbuzarlar Soch to'kilishi (alopetsiya) O'choqli, diffuz, aralash O'choqli kallik, boshning sochli qismining zamburug' kasalliklari (trixofitiya, mikrosporiya), qizil yugirik Shilliq qavat sifilidlari Dog'li, papulyoz, pustulyoz Anginalar turlari (oddiy, Vensan anginasi), aftoz stomatit, qizil yassi temiratki, lepromalar 289 XXVI ilova Tuberkulyoz volchanka va do‘mboqchali sifilidning differensial tashxisi Diagnostik belgi Do'mboqchali sifilid Tuberkulyoz volchanka Birlamchi afTekt Do'mboqcha Do'mboqcha Do'mboqcha rangi Mis qizil Sariq tusli qizil Konsistentsiya Qattiq elastik Yumshoq «Zond» simptomi Manfiy Musbat «Olma jelesi» simptomi Manfiy Musbat Chandiq xarakteri Mozaik Yuzaki, silliq, nozik Chandiqlarda yangi Yo'q Odatda bo'ladi do'mboqchalar hosil bo'lishi Tuberkulin sinamasi Manfiy Musbat Zaxmga serologik Musbat Manfiy reaksiyalar Kasallik boshlanishi Turli davrda Asosan bolalik davrida Kasallik kechishi Oylar ichida tez K o'p yillar sekin o'zgaradi davolanganda o'zgaradi X X V II ilova Serologik reaksiyalarning nisbiy sezgirligi Zaxm davrlari Serologik reaksiyalar turi RW RIF RIBT Birlamchi zaxm Ikkilamchi zaxm Uchlamchi zaxm 3-4-haftadan so'ng musbat Odatda musbat 20-30 % manfiy Pozitivatsiyaning oldinroq bo'lishi Odatda musbat Odatda musbat Pozitivatsiyaning kechroq bo'lishi Odatda musbat Odatda musbat 290 MUNDARIJA KIRISH SO‘Z ..................................................................................................................3 DERMATOVENEROLOGIYA FANI RIVOJLANISHINING QISQACHA T A R IX I...............................................................................................5 UMUMIY QISM. TERIN IN G TUZILISHI OG ‘IZ BO‘SHLIG‘1 SHILLIQ QAVATI VA LAB ANATOMIYASI, GISTOLOGIYASI VA FIZIOLOGIYASI....................................................... 24 TERINING ASOSIY FU N K SIY A LA RI................................................................ 26 Teri kasalliklari sabablari (Etiologiyasi va patogenezi)..............................................28 Teri kasalliklarining tashxis asoslari............................................................................31 Teridagi morfologik toshmalar. Birlamchi va ikkilamchi elementlar 32 Birlamchi morfologik elementlar................................................................................33 Ikkilamchi morfologik elementlar 38 TERIDAGI GISTOMORFOLOGIK 0 ‘ZGARISHLAR 44 KASALLIK TARIXNOMASI 45 Teri kasalliklarini tashxis etish va ulami davolashning umumiy prinsiplari................................................................................................. 49 Teri kasalliklarini umumiy va mahalliy davolash usullari 50 Mahalliy qoilaniluvchi kortikosteroid preparatlar 59 ASOSIY QISM. TERI KASALLIKLARI DERMATITLAR 62 Ekzema (GUSH) 67 Chegaralangan neyrodermit (Neurodermitis sircumsrinta) 70 Atopik d erm atit..............................................................................................................71 Qichima (Prurigo)...........................................................................................................73 ESHAKEM (U R TIC A R IA ).........................................................................................74 TOSHMASIZ, TARQOQ TERI QICHISHISHI 77 Tarqoq teri qichishiga (differensial tashxisda) sababi boMishi mumkin kasalliklar 78 ANAFILAKTIK SHOK 81 Birlamchi tezkor terapiya bosqichi 82 Ikkilamchi terapevtik muolajalar bosqichi 83 Fotodermatozlar. Terining quyosh nuriga javoban reaksiyasi 84 Fotodermatozlaming zamonaviy tasnifi........................................ 85 Kech teri porfiriyasi (Porphyria cutanea tard a).........................................................88 291 TUGUNCHALAR BILAN KECHADIGAN KASALLIKLAR 91 Tangachali temiratki (Psoriasis vulgaris)...................................................................91 Qizil yassi temiratki (Lichen ruber planus) 95 Jiberning pushti rangli temiratkisi (Pityriasis rosea Gibert) 98 DO‘MBOQCHALAR BILAN KECHADIGAN KASALLIKLAR 99 TERI SILI (Tuberkulosis cutis)...................................................................................99 Moxov (lepra)............................................................................................................... 102 Teri leyshmaniozi. Borovskiy kasalligi (Leishmaniosis cutis)................................. 105 TERINING ALLERGIK VASKULITLARI......................................................... 108 DISXROMIYALAR................................................................................................... I ll Vitiligo 111 TERINING YIRINGLI KASALLIKLARI........................................................... 112 Piodermitlar (piodermia)............................................................................................ 112 Stafilokokkli piodermitlar 113 Streptokokkli piodermitlar 117 Piogen granulema (Granuloma pyogenicum s. bortiomycoma)............................ 122 Surunkali chuqur vegetatsiyalanuvchi piodermiya (Pyodermia chronica profunda et vegetans) 123 Gangrenoz piodermiya (Pyodermia gangrenosa) 124 SHANKRSIMON PIODERMIYA (PYODERMIA CHANCRIFORMI) 124 Qo4ir (Scabies)............................................................................................................ 125 Chov bitlashi (pediculus pubicus).............................................................................. 126 Seboreya (Seborrhoea)................................................................................................ 127 Seboreyali derm atit...................................................................................................... 128 HUSNBUZARLAR (A C N E ).................................................................................... 129 Oddiy husnbuzar (Acne vulgaris) 129 Pushti rangli husnbuzar Demodikoz (Acne rosacea) 131 SOCH TO‘KILISHI (Alopecia)................................................................................. 132 ZAMBURUG‘LI KASALLIKLAR 134 Keratomikozlar (Keratomycosis) 135 Dermatomikozlar 137 Trixofitiya, mikrosporiya, favus 140 Chuqur trixofitiya (Trichophytia profunda)............................................................ 141 Mikrosporiya 142 Kal (Favus, Parsha).................................................................................................... 143 KANDIDOZ 144 XEYLITLAR 148 Glandulyar xeylit 151 Meteorologik xeylit...................................................................................................... 152 Aktinik xeylit 152 Melkerson-Rozental sindromi 154 Labning surunkali yorilishi........................................................................................ 155 Lab qizil hoshiyasi va og'iz shilliq pardasi rak oldi kasalliklari 156 So‘galsimon rak oldi kasalligi 157 Rak oldi chegaralangan giperkeratozi 158 Manganotti abraziv-prekankroz xeyliti 158 TERINING VIRUSLI KASALLIKLARI 159 292 Oddiy uchuq (Herpes simplex)................................................................................... 159 Qamrab oluvchi temiratki (Herpes zoster)................................................................ 161 Yuqumli m ollyusk....................................................................................................... 163 So'gallar 164 0 ‘tkir uchli kandilomalar........................................................................................... 164 PO'RSILDOQ YARA (PEM PHIGUS).................................................................... 165 Bullyoz pemfigoid........................................................................................................ 170 Chandiqlanuvchi pemfigoid....................................................................................... 171 DYURINGN1NG GERPETIFORM DERMATOZI (DERMATOZ1S HERPETIFORMIS) 172 Pufak tomirli sindrom ................................................................................................. 173 Bullyoz epidermoliz (Epydermoliz bullosa) 174 K O 'P SHAKLLI EKSSUDATIV ERITEMA (ERYTHEMA EXUDATIVUM MULTIFORM E) 176 BIRIKTIRUVCHI TO'QIM A KASALLIKLARI (KOLLAGENOZLAR)........................................................................................ 179 Sklerodermiya (Sclerodermia).................................................................................... 179 Cheklangan sklerodermiya (Sclerodermia circumscripta)...................................... 180 Diffuz sklerodermiya (Sclerodermia diffusa)............................................................ 180 Qizil yugirik (Lupus erythematodes).......................................................................... 181 Zamburug'simon mikoz (Mycosis fungoides)......................................................... 183 KAPOSHI SARKOMASI (SARCOMA IDIOPATICUM MULTIPLEX HEMORRAGICUM KAPOSI) 185 Sarkoidoz (Sarcoidosis) 186 T ER IN IN G O'SMALI KASALLIKLARI 187 Bazal hujayrali epitelioma (Epithelioma basocellulare)............................................ 187 Yassi hujayrali karsinoma (Carcinoma spinocellulare)........................................... 188 M elanom a..................................................................................................................... 189 JINSIY Y O ‘L BILAN YUQUVCHI KASALLIKLAR (JYBYUK)................. 194 JYBYUKni davolashning umumiy talablari 198 Sheriklarga kasallik to'g'risida m a’lumot berish 198 Jinsiy yo‘1 bilan yuquvchi infeksiyalar klassifikatsiyasi........................................... 198 ZAXM (SIFILIS, SYPHILIS)................................................................................... 199 Orttirilgan zaxmning umumiy klinik kechishi...........................................................204 Tug'm a zaxm davrlari va ulaming xarakteristikasi................................................. 206 BIRLAMCHI ZAXM (SYPHILIS PRIMARIA) 207 Ikkilamchi zaxm (Syphilis secundaria).......................................................................208 Uchlamchi zaxm (Syphilis tertiaria) 211 Gummoz zaxm (Syphilis gummosa) 212 Zaxmni davolash prinsiplari va usullari 213 Homilador ayolni maxsus, profilaktik va preventiv davolash 219 Bolalarni zaxmga qarshi maxsus va profilaktik davolash 221 Bolalarni profilaktik davolash....................................................................................222 Tug'm a zaxm bilan og'rigan bolalarni maxsus davolash 222 Orttirilgan zaxm bilan og'rigan bolalarni davolash.............................................223 Dispanser hisobidan o'chirish....................................................................................225 YUMSHOQ SHANKR (ULCUS MOLLE) 226 293 VENERIK LIMFOGRANULEMATOZ 227 DONOVANOZ (CHOV GRANULEM ASI).......................................................... 229 UROGENITAL-SEKSUAL-TRANSMISSIV KASALLIKLAR 230 SO'ZAK - GONOREYA (GONORRHOEA)......................................................... 232 UROGENITAL TRIXOMONIAZ (TRICHOMONIASIS UROGENITALIS) 236 UROGENITAL XLAMIDIOZ (CHLAMYDIOSIS UROGENITALIS)......... 238 MIKOPLAZMOZ (MYCOPLASMOSIS) 241 BAKTERIAL VAGINOZ, GARDNERELLEZ (VAGINOSIS BACTERIALIS) 242 UROGENITAL KANDIDAMIKOZ (CANDIDAMYCOSIS UROGENITALIS) 244 SITOMEGALOVIRUS INFEKSIYASI 246 ORTTIRILGAN IMMUN TANQISLIGI SINDROMI 247 Jinsiy yo'l orqali yuqadigan kasalliklar profilaktikasi 249 Venerik kasalliklaming shaxsiy profilaktikasi......................................................... 250 ILOVALAR 251 Ilmiy-uslubiy nashr ADHAM VAISOV TERI VA TANOSIL KASALLIKLARI (darslik) M uharrir G.MIRZAYEVA Musahhih M.QUTLIYEVA Tex.muharrir Ye. DEMCHENKO Kompyuterda sahifalovchi F.BOTIROVA Original maket MCHJ «EL-PRESS»da tayyorlamdi Bosishga 20.06.2009-y.da ruxsat etildi. Bichimi 60x90 1/16. Bosma tobog‘i 18,5+вкл. 0,5. Shartli bosma tobog‘i 18,5+вкл.0,5. Adadi 1345 nusxa. (1- bosish 600) Buyurtma №320. Bahosi kelishilgan narxda. «Yangi asr avlodi» nashriyot-matbaa markazida tayyorlandi. «Yoshlar matbuoti» bosmaxonasida bosildi. 100113. Toshkent, Chilonzor-8, Qatortol ko‘chasi, 60. Murojaat uchun telefonlar Nashr bo limi 278-36-89, marketing bo‘limi 128-78-43 Faks 273-00-14, e-mail: yangiasravlodi@mail.ru Download 5.29 Mb. Do'stlaringiz bilan baham: 
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