Annular erythema. Erythema - mankhwala

Erythema limodzi ndi kuwonjezeka capillaries, chifukwa tima kotunga magazi kwa iwo. Annular erythema (Erythema annulare) ndi imodzi mwa zizindikiro enaake ophwanya matenda mu gawo yogwira, monga polyarthritis, ndi kuwonetseredwa matenda ena mu thupi. matendawa amakhudza makamaka ana ndi achinyamata zaka 30. M'zaka zapitazi, akatswiri akuti annular erythema monga matenda ndi madokotala ananena zawo osauka. Mu nthawi yathu, pamene pali latsopano mankhwala ochiza matenda enaake ophwanya zanyengo polimbana erythema chidaliro ndithu.

Mbiri ya kuphunzira erythema

Zizindikiro za matenda anali atazindikira mwa madokotala kumayambiriro kwa zaka za m'ma lomaliza. Woyamba kufotokoza erythema annular, n'kupita nazo kwa matenda khungu madokotala ku Austria G. Lendorff ndi X .Leyner mu 1922. Amafotokoza matenda monga mmodzi mwa zizindikiro za la misempha. Choncho, matenda amatchedwanso erythema enaake ophwanya Lendorffa-Leiner. Doctor Besnier ku France nthawi lotchedwa annular erythema erytheme margine paulendo mipukutuyi, kotero magwero lachilendo zambiri dzina la erythema marginatum.

Mu 1975, H. Stollerman annular mawonekedwe awulule erythema, amene sanali chiwonetsero cha matenda enaake ophwanya m'thupi. Ambiri histological maphunziro m'munda asiya totupa anthu aluso kusiyanitsa mtundu wa matenda, chifukwa cha zimene sizili matenda enaake ophwanya ndi autonomic lamulo wakuswa makoma mtima, komanso matenda osiyanasiyana ndi matenda a chitetezo cha m'thupi.

Zizindikiro annular erythema

Annular erythema kumaonekera mwa mawonekedwe a mphete pinki kapena wofiira chatsekedwa kuti awonekere khungu. Nthawi zambiri mawanga chonse kapena chowulungika, ndi malo wotumbululuka ndipo nthawi zambiri kutupa. malo anakhudzidwa musati peel ndipo sabweretsa chisoni. Odwala kuona kuyabwa ndi kuwotchedwa kumverera mu zinkakhala m'dera.

Mphete kuwonjezera kukula, zambiri mwa iwo mapangidwe madera atsopano. Monga kuchuluka kwa mawanga erythema akhoza kuphatikiza ndi mzake, kupanga chithunzi cha mosiyanasiyana. Matendawa amapezeka mafunde, ndipo ngati wina mphete kutha patapita kanthawi mu malo awo, redness latsopano. kuukira wina m'malo wina pafupifupi milungu itatu. Maonekedwe a zidzolo pa nembanemba wa mucous, khungu la m'manja ndi zidendene si mmene matenda monga mphete erythema. Photo zikusonyeza chikhalidwe cha zotupa za erythema.

Annular erythema isanafalikire pa chifuwa, mapewa, nkhope ndi khosi, nthawi zina kumbuyo, mikono ndi miyendo. Mphamvu ya banga kaŵirikaŵiri kumatheka chifukwa cha chikoka cha zinthu zina. Pakati pawo, zotsatira za kutentha, onse otsika ndi mkulu maganizo boma, kusintha endocrine (kusamba, mahomoni kulera zosiyanasiyanazi kapena kukonzekera steroid) ndi zina zotero. Nthawi zina kuwonetseredwa atypically erythema, limodzi ndi mapangidwe wofiirira totupa ndi vesicles. Ngati pamodzi ndi mphete awonekere tinatake tozungulira khungu, madokotala amaona chizindikiro kunenanso chitukuko kusalabadira kwa matenda enaake ophwanya m'thupi. Pa nthawi yomweyo, erythema annular anati odwala mu gawo ayambe pambuyo kutha kwa mawonetseredwe chachikulu cha matenda rheumatoid.

The zimayambitsa matenda

Chifukwa cha rheumatoid la misempha erythema ali gawo yogwira, ndi maonekedwe a mphete pakhungu zambiri amachita nyengo yachisanu ikupita pachimake enaake ophwanya carditis ndi polyarthritis. Madokotala nthawi zambiri zozungulira erythema ndi chitsimikiziro cha matenda a "la misempha".

Mafomu nerevmatoidnoy erythema annular kukhala chifukwa zifukwa zina. Pakati pawo:

• matenda a mafangasi monga phazi takuphazi, ndi candidiasis;
• wonongeka a dongosolo endocrine;
• m'thupi mavuto dongosolo;
• kuledzera;
• matenda focal (osteomyelitis, zilonda zapakhosi, cholecystitis, etc.);
• Dysproteinemia, kapena kuphwanya mapuloteni zikuchokera magazi;
• thupi lawo siligwirizana ndi mankhwala;
• khansa, lymphoma, adenocarcinoma;
• sepsis;
• glomerulonephritis;

Chithandizo annular erythema

Pankhani polimbana ndi matenda monga erythema annular, chithandizo kwenikweni umalimbana kuthetsa mavuto a zotupa. Ngati nthendayo limodzi ndi kukhalapo kwa matenda m'thupi, maantibayotiki zinalembedwa. Komanso, pochita zinthu ndi vitamini mankhwala erythema annulare amagwiritsidwa ntchito immunostimulating phwando, mankhwala, calcium ndi sodium wochuluka thiosulfate. Imakhala chakudya mtima zakudya, zimene palibe allergens chakudya. Chithandizo cha erythema, omwe chifukwa cha misempha, kwenikweni umalimbana kulimbana matenda akuluakulu.

erythema migrans

Ngati khungu limapezeka mphete limodzi ndi kuda kuluma pakati, ndi funso la zotupa monga erythema migrans mphete. Anapeza kuti mtundu uwu wa matenda angayambe chifukwa kulumidwa nthata ndi tizilombo tina.

Chifukwa cha migrans erythema ku matenda mtima, kawirikawiri tizilombo toyambitsa matenda. matenda ndi zovuta zokwanira, kawirikawiri aakulu. Dziwani kuti erythema migrans amamuchititsa kuti kuchokera mayi kwa mwana wosabadwayo. Koyamba zizindikiro - khungu redness, kutupa ndipo ukuchoka. The chotupa pang'onopang'ono kukula kukula ndi ndipamene mtundu wa mphonje. Komanso yodziwika ndi siteji chitukuko cha exocytosis, amene chidawoneka ntchito atetezeke, kachilombo maselo minofu aithamangitse poizoni kudzera nembanemba pamwamba. Minofu kusalola leukocytes wapezeka. Adzalowerera kuona atakhala kuti amalola matenda zolondola.

Characteristically, ndi kulumidwa nthata, njuchi, hornets ndi tizilombo tina chifukwa chitukuko cha migrans pachimake erythema. mtundu More zovuta ndi woipa wa matenda akuti ndi mawonekedwe ake aakulu, zomwe ziri chiyambi cha nthawi zambiri silikudziwika. Ndipo iye erythema yodziwika ndi kutupa kwambiri, ululu ndi kuyabwa zonse ndi moto. Kwa matenda a erythema aakulu anachita kafukufuku mabuku, kuphatikizapo kusanthula wathunthu magazi ndi mkodzo, ndipo kuphunzira kusalola khungu.

Chithandizo cha migrans erythema

The mankhwala ikuchitika mwa mankhwala yotakata-sipekitiramu. Kusankha mankhwala dokotala amakhala malingana mawonekedwe ndi siteji. Mwachitsanzo, sitepe yoyamba amapereka umapangitsa wa medicament ntchito "Doxycycline" mwa masabata limodzi kapena awiri. Ngati matenda ali kwambiri, adokotala akhoza mankhwala osokoneza bongo "Tsetriakson" miyala ndi "Penicillin" intramuscularly kwa masiku 14-21. mankhwala zina kumafuna kutenga mavitamini. Mulingo woyenera chithandizo njira anasankha matenda monga erythema migrans mphete, nthawi zambiri kumathandiza kuti ayambe mofulumira.

erythema poizoni

mtundu uwu matenda amapezeka akhanda ndi akuwonekera totupa thupi mwanayo. matenda umamumvera 20-40% ya makanda. Monga kuopsa kwa erythema poizoni ogaŵikana mitundu asanawonetseredwebe ndipo anasonyeza (kapena zowombetsa mkota). Mbali yoyamba totupa zazing'ono isanafalikire pa makutu mkati mmbuyo ndi malekezero. The chikhalidwe ambiri a mwana imawunikidwa monga zogwira mtima.

Mu zowombetsa mkota poizoni erythema totupa angapo, kawirikawiri kuphatikiza ndi mzake kupanga vesicles. Kutentha mu nkhani iyi ndi chinawonjezeka ndi mwana umakhala wosakhazikika. Magazi khanda anasonyeza kuchuluka eosinophils. Mtundu uwu wa leukocytes chigwire ntchito ndi zoteteza pamene ingested allergens ndi infestations helminth.

Zina mwa zinthu chiopsezo cha erythema poizoni ndi zotsatirazi:

• mbiri banja;
• toxemia wa mimba, makamaka adalemeradi;
• ntchito mayi woyembekezera ntchito woopsawo;
• intrauterine matenda matenda;
• kukhalapo mu zakudya mayi woyembekezera kapena woyamwitsa ziyenera allergens chakudya, monga zipatso, mazira, chocolate, uchi, currants, raspberries, ndi ena;
• shuga, matenda a chithokomiro England kapena wonenepa mayi.

Ngati erythema wa ana akhanda ndi zotsatira za kukhalapo kwa allergens mu mkaka wa m'mawere kapena chilinganizo kudya, matenda ndi paokha 4-5 masiku mwa mphamvu ya younikanso. chithandizo yeniyeni imaonekera likamanena choopsa cha erythema poizoni.

Chithandizo cha erythema akhanda

Otani mawonekedwe erythema amafuna chithandizo likamanena choopsa cha. dokotala kumene ndi bwino zoyenera mankhwala ndi mafuta wapadera kapena kirimu. Nkofunika pa siteji ya mankhwala kuthetsa kulowa allergens mu thupi la mayi ndi mwana. Monga mankhwala ntchito wothandiza "kashiamu gluconate" mavitamini, "chizolowezi". Totupa ndi vesicles zofunika kangapo patsiku pokonza utoto wobiriwira kapena ofooka 4-5% njira ya permanganate potassium ndipo pambuyo ndondomeko ntchito kwa khungu mwana mwana ufa.

erythema multiforme

Ichi ndi kutukusira kwa khungu ndi nembanemba mucous, ozikidwa pa sayanjana. Erythema multiforme amakhudza ziwalo, ndi nembanemba mucous mkamwa, mphuno ndi kumaliseche. Matendawa amapezeka ana ndi akulu omwe.

Ena mankhwala ndi matenda ena amathandiza kuti chitukuko cha exudative erythema multiforme. mtundu uwu matenda kuchititsa mankhwala penicillin, barbiturates, sulfonamides ndi mankhwala ena. Matenda a zimakonda erythema multiforme ndi mycoplasmosis ndi nsungu. The erythema aakulu imatengedwa matenda chifukwa cha anachita mankhwala. Mwachitsanzo, Stevens-Johnson syndrome.

Chithandizo cha erythema multiforme

Pofuna matenda ntchito onse komanso m'dera mankhwala. Zoyambazo monga kugwiritsa ntchito mankhwala ndi mankhwala phwando immunostimulants. Imodzi, kasamalidwe wodwala matenda aakulu. chithandizo Local kumaonekera ntchito mankhwala othetsa ululu ndi antiseptics, monga "Chlorhexidine" kapena "Furatsilinom" mafutawo zili prednisolone ndi hydrocortisone. Yofunika ankaona mokwanira m'kamwa ukhondo ndi nembanemba ena mucous.