teri tanosil kasalliklar kafedrasi Terining anatomiyasi ,patogistologiyasi, fiziologiyasi . Teri toshmalari .Tashhis quyish asoslari

Kirish Dermatovenerologiya –teri-nanosil kasalliklarni o’rganadigan fan

Terining tuzilishi Epidermis Derma Gipoderma

terining funxiyalari Himoya Nafas olish –chiqarish va rezorbcion funxiyalari Termoregulaciya Immun funkciyasi Almachinuv funkciyasi Sekretor va exekretor funkciyasi Receptor funkciyasi

Terining tuzilishi Epidermis Derma Gipoderma

Теrining limfa va qon tomirlari

Теridagi morfologik toshmalar

Birlamchi morfologik toshmalar Kovaksiz : Pyatno – dog – MACULA Uzelok –Tuguncha – PAPULA Bugorok–dumboqcha – TUBERCULUM Uzel – Тugun – NODUS Кovakli : Puzirek –Pufakcha -VESICULA Puzir-Pufak -BULLA Gnoynichok –Yiringcha -PUSTULA Voldir –burtma -URTICA

Birlamchi toshmalar

Pufakchalarning turlari joylashishi gistopatologiya Klinik turi Intraepidermal Subepidermal Spongioz, ballonli distrofiya Bazal membranasi tagida hujayralararo suyuqlikni yalligli tuplanishi Birkamerali,kupkamerali Birkamerali

Пуакчалар ..\..\мультимедиа.JPG

Pufaklarning turlari . Intraepidermal Akantoliz Joylashishi Gistopatologiya Кlinik turlari Intraepidermal Akantoliz Birkamerali qopqogi ilvillagan pufak Subepidermal Bazal membranasining tagida hujayralar aro suyuqlikni yalligli tuplanishi Dirkamerali zich qopqoqqli pufak и,

Yiringchalarni turlari Gistopatologiya Klinik turi Stafilokokkli yuza Chuqur Soch follikulasini uzagini 2/3 qismini yiringli yalliglanishi Butun soch follikulasini yeki bir nechtasiniyalliglanishi , hamda atrofidagi tuqimalarni ham Konussimon tuguncha yiringli boshchasi bilan Konussimon infiltrat nekrotik uzagi bilan birkamerali qopqogi ilvillagan pufak Streptokokkli yuza Epidermisda joylashgan yiringli kovak Derma va gipodermada joylashgan yiringli yara Fliktena Ektima

Doglarni turlari Turi Gistopatologiya Klinik turi PIGMENTLI Сунъии Tomirli PIGMENTLI Сунъии Yalligli , Yalligsiz ( Tomirning passiv kengayishi yoki proliferasiyasi ) GEMORRAGIK TOMIRLARNI O’TQAZUVCHANLIGI ORTISHI NATIJASIDA ) MELANIN(+-) BUYOQLARNING MAYDA BO’LAKCHALARINI IMPREGNASIYASI ROZEOLA ,ERITEMA, TELEANGIEKTAZIYA, LIVEDO PETEHIYA, PURPURA, VIBICESS,EKXIMOZ GIPER VA DEPIGMENTLI KO’MIR , CHANG,METALL

Tugunchalarni turlari joylashishi gistopatologiya Klinik turlari epidermal Dermal Epidermodermal akantoz, giperkeratoz Dermaning surgichsimon qavatida yalligli infiltrat Papillomatoz , almashuv moddalarning tuplanishi Akantoz ,granulez , giperkeratoz , dermaning surgishsimon qavatida infiltrat Miliarniye Lentikular,numullar,har hil shakkli va konsistenciyali tugunchqalar va pilakchalar

Derma va gipodermaning chuqur qavatlarining produktiv yalliglanishi tugunlarning turlari turi gistopatologiya Yalligli Yalligsiz Derma va gipodermaning chuqur qavatlarining produktiv yalliglanishi Almashuv moddalarning tuplanishi ( holesterin ,kalciy ) –almashuv natijasida usimtalar hujayralarning klonini proliferaciyasi

Ikkilamchi morfologik toshmalar

hipo-hyperpigmentatio Fissura-trshina –yerilish Ikkilamchi morfologik toshmalar hipo-hyperpigmentatio Fissura-trshina –yerilish Exoriatio-ssadina –tirnalish Ulcus-yazva –yara Squama-cheshuyka –tangacha Crusta-korka -каloq Cicatrix-rubec-chandiq Lichenizatio-lihenifikatio-dagallanish Vegetatio

vegetaciyalar shilinish

ГЕРПЕСДАГИ ПУФАКЧАЛАР

ИККИЛАМЧИ ТОШМАЛАР

Teri kasalliklarni tashhis quyish asoslari Anamnez yigish Тerini Ko’rikdan utqazish Тerini lokal statusini ifodalash

Teri holatini qushimcha tekshirish usullari

Grattaj –qavatma qavat qirish usuli Diaskopiya usuli Umumiy klinikaviy tekshirish usuli Sog’lom teri va shilliq qavatlarni kurikdan utqazish

Тekshirishning qushimcha usullari Allergik holatlarda epikutan va intrakutan teri testlari Mikologik , bakteriologik ,virusologik ,serologik testlar Immunofluorescent testlar autoimmun kasalliklarda Аngiografik tekshiruvlar Proktologik tekshiruvlar Biokimeviy analizlar

ТЕРИ КАСАЛЛИКЛАРНИ ДАВОЛАШ ПРИНЦИПЛАРИ Etiologik Паtogenetik Simptomatik

Рejim Parhez Меdikamentoz terapiya ( umumiy va mahalliy ) Fizioterapiya Psihoterapiya Кurortoterapiya Hirurgik davolash

Махаллий терапия Namlash Pastalar Sepma va kukun Chayqatma –aralashmalar ( boltushki ) Кremlar Plastirlar Laklar

qaloq va yerilishlar

Yerilish va tangachalar

The subject: “ANATOMY, Histology, General Pathology and Pathomorphology skin, skin dise»ases framework for the diagnosis, factors contributing to diseases The main tasks of dermatology as a science and clinical disciplines are: studying the function and structure of skin in normal and pathological. Studying the relationship of skin diseases with pathology of internal organs and body systems. Determining the causes and pathogenesis of various skin diseases (dermatosis). Development of methods for diagnosis, treatment and prevention of skin diseases. Leather is one of the key bodies involved in maintaining homeostasis rights. As a result, the impact of exogenous and endogenous factors on the skin, it can develop pathological processes. In the skin distinguish the following structures in the morphofunctional unity. - Epidermis - dermis - gipoderma - skin appendages. The epidermis, dermis, and composed of gipoderma: epidermis - epithelial - dermis - connective - gipoderma - fat and connective. In the epidermis of allocating processes associated with changes in epidermal kinetics (hyperkeratosis, granulosis, acanthosis), in violation of the differentiation of cells of epidermis (parakeratosis, diskeratoz), in violation of epidermal connections (akantoliz, ballooning and vakuolnaya dystrophy, spongioz) papillomatosis, a violation of the skin microcirculation. Fundamentals of diagnosis of skin diseases. Polymorphous skin rash is the response of the organism, which has its own characteristic clinical features. There are basic elements of the morphological nature of inflammation: - exudation - proliferatio. To primary morphological elements include: a stain, papula, tuberculum, bulla, vesicular, urtica, pustule. By the primary elements include exssudation- bulla, vesicular, pustule, urtica (suspended). For the primary proliferative elements include: papula, tuberculum, the node. By the secondary elements are: dishromii skin peeling, crusta, erosion, ulcer, lihenifikatsiya, vegetation, rhagas, excoratio, cicatrix. Examination and diagnosis. Examination of skin lesions and hearth with the help of a magnifying glass, palpation, scratches (grattazh), symptom vitropressii (diascopy) specialized laboratory research methods for diagnosis. Microscopic examination, detection of allergic reactions through skin tests, specific studies of blood, immunodiagnostics etc. Factors contributing to the disease: As a result, the impact of exogenous and endogenous factors on the skin, it can develop pathological processes: the exogenous factors that may cause a pathological condition of the skin: - Physical: friction, pressure, high and low temperature, radiation and other energy - chemical, infectious: bacteria, viruses, pathogenic fungi, protozoa. Endogenous factors that can cause skin diseases are: - a violation of the balance of vitamins A, C, set in - a violation of metabolism (carbohydrate, lipid, mineral) - chronic gastro intestinal tract, dysfunction of endocrine glands - sensibilization organism to various agents of the environment - genetic predisposition, immune deficiency and autoimmune processes - organic and functional disorders of nervous system.