Erythema thunzi. Erythema - unyango

Erythema ephelekwa ngokwandisa emithanjeni, ngenxa kwegazi olunzulu kubo. erythema thunzi (erythema annulare) yenye iimpawu isifo samathambo kwisigaba esebenzayo, ezifana zihlaselana, kunye nembonakalo nezinye izifo emzimbeni. Esi sifo sichaphazela abantwana ikakhulu kunye nabantu abatsha ukuya kwiminyaka engama-30. Ngenkulungwane yokugqibela, iingcali kuqikelelwa erythema thunzi njengokuba isifo kunye abane olihlwempu. Ekuhambeni kwexesha lethu, kukho nini unyango olusebenzayo ezintsha zezigulo samathambo kuqikelelo ekulweni erythema kakhulu nethemba.

Imbali nasekufundweni erythema

Iimpawu zesi sifo zabonwa ngoogqirha ekuqaleni kwenkulungwane lokugqibela. Owokuqala ukuchaza erythema thunzi, yayisa izifo ulusu oogqirha babantwana ukusuka Austria G. Lendorff kunye X .Leyner ngo-1922. Bachaza isifo njengenye iimpawu rheumatism. Ngoko ke, esi sifo ukwabizwa ngokuba erythema kwamalunga Lendorffa-Leiner. UGqirha Besnier evela eFransi ngexesha ekuthiwa thunzi erythema erytheme margine en umonakalo, ngoko ngemithombo amazwe amaninzi ukufumana igama erythema marginatum.

Ngowe-1975, H. Stollerman thunzi imilo zityhila erythema, oko awubonisi samathambo. Ezininzi izifundo histological endle baye bavumela ezo irhashalala abanezakhono ukwahlula uhlobo kwesi sifo, unobangela ezo akukho sifo samathambo, kwaye ulawulo njengokutyhoboza yawo yeendonga semithambo, kwakunye zizifo ezahlukahlukeneyo kunye ukuphazamiseka kwamajoni omzimba.

Iimpawu erythema thunzi

erythema thunzi esizibonakalisa ngokohlobo amakhonkco pink okanye obomvu closed ukuba kuvela ulusu. Amaninzi amabala ngeenxa okanye okweqanda, kunye iziko sakuba kwaye kaninzi adumbileyo. kwimimandla echaphazelekayo musa wayixobula elula. Izigulane bangase ukurhawuzelela kunye imvakalelo elivuthayo kummandla ochaphazelekayo.

Amakhonkco ukwanda ubukhulu, ngokufuthi ngaphakathi kubo, ukuyilwa uluntu olutsha. Njengoko zixhaphakile amabala erythema luyakwazi ukudibanisa kunye namanye, oyinxalenye umzobo iimilo ezahlukeneyo. Isifo kwenzeka ngamaza, kwaye ukuba amakhonkco omnye nyamalala emva kwethuba esikhundleni sabo, ububomvu entsha. Lihlasele endaweni enye malunga neeveki ezintathu. Inkangeleko yabangxamayo kwi inwebu yangaphakathi, isikhumba amasundu kweentende akukho okufana izifo ezifana ring erythema. Photo ubonisa ngokucacileyo uhlobo ezitshangubeni isikhumba erythema.

erythema thunzi yenzelwe phezu kwesifuba, amagxa, ubuso nentamo, maxa wambi kwi ngasemva, iingalo kunye nemilenze. Ngobunzulu ibala idla kwandiswa ngempembelelo ezithile. Phakathi kwabo, isiphumo lobushushu, zombini urhulumente ngokweemvakalelo ephantsi eziphakamileyo, utshintsho yonyango (esexesheni, ukukhulelwa kwamadlala okanye amalungiselelo steroid) njalo njalo. Kwezinye iimeko erythema ibonakale atypically, sikhatshwe ukuyilwa yabangxamayo nemfusa vesicles. Ukuba kunye emakhonkcweni kuvela phezu maqhuqhuva eluswini, oogqirha kubona oko luphawu esalatha kuphuhliso kwabathile samathambo. Kwangaxeshanye, lo erythema thunzi aba izigulane kwisigaba ekuphulukenwe nalo emva yokuduka wabonakala eziphambili nesifo samathambo.

Izinto ezibangela izifo

Unobangela samathambo rheumatism erythema na kwisigaba esebenzayo, kunye ukubonakala amakhonkco eluswini rhoqo izenzo carditis intwasahlobo etsolo samathambo kunye juvenile. Ukuze oogqirha kwiimeko ezininzi erythema setyhula isiqinisekiso lokufunyaniswa "rheumatism".

Forms nerevmatoidnoy erythema thunzi ukuphuhlisa ngenxa yokuba ezinye izizathu. Phakathi kwabo:

• izifo fungal ezifana ngeenyawo imbaleki, yaye candidiasis;
• ukungasebenzi le nkqubo yonyango;
• iingxaki omzimba;
• ukunxila;
• izifo focal (osteomyelitis, tonsils, cholecystitis, njl);
• Dysproteinemia, okanye waphula kwiproteni ukwakhiwa igazi;
• kukwalisa amayeza;
• wegazi, lymphoma, adenocarcinoma;
• nokudumba;
• glomerulonephritis;

Treatment thunzi erythema

Ngokumalunga ekulweni izifo ezifana erythema thunzi, unyango lwajoliswa yokunqanda oonobangela kolusu. Ukuba isifo ihamba phambi usulelo emzimbeni, elwa emiselweyo. Kwakhona, xa zokujongana erythema annulare ezisetyenziswa ngokuqhelekileyo vitamin unyango, ukwamkelwa immunostimulating, antihistamines, calcium kunye sodium thiosulfate. Inika ukutya nomonde ukutya, apho akukho zamavumba ekutyeni. Unyango lwe erythema, nto leyo unobangela rheumatism, ikakhulu ijolise kuliwe izifo.

migrans erythema

Ukuba ulusu livela ring enye imizila ziluma kweli ziko, ke umbuzo izilonda ezifana erythema migrans ring. Kuye kwafumaniseka ukuba olu hlobo lwesifo kunokwenzeka ngenxa ukulunywa amakhalane kunye nezinye izinambuzane.

Unobangela of migrans erythema e usulelo ubabalo, ngokuqhelekileyo ziintsholongwane. Isifo kunzima ngokwaneleyo, kaninzi iba ezingapheliyo. Kubalulekile ukuphawula ukuba migrans erythema lidla ukuba idluliselwe ukusuka kumama isiya kusana olungekazalwa. Iimpawu zokuqala - isikhumba ukuba bomvu, ukudumba kunye yokuzikhwebula. Le sisilonda esidumbileyoesingaphakathi kancane ngobukhulu kwaye yenza uhlobo limsi. Ngaphezu koko luphawulwa kuphuhliso nokubhala.Kweli of exocytosis, nto leyo ebonakalisa njengoko zikhusela, iiseli zomzimba ezosulelekileyo asuse izinto eziyityhefu ngalo inwebu ngaphezulu. Ijwabu afunxwe leukocytes ekhethiwe. Ukungena uviwo olungqongqo ovumela uxilongo echanekileyo.

Akumangalisi, ukulunywa namakhalane, iinyosi, ngoonomeva kunye nezinye izinambuzane ukuba uphuhliso migrans erythema ahlekise. uhlobo ezinokuntsonkotha singanyangekiyo wesifo kuthathwa ukuba ifomu yalo ezingapheliyo, nto leyo imvelaphi kwiimeko ezininzi ayaziwa. Ke yena erythema luphawulwa iindumbisa kakhulu, iintlungu kunye ukurhawuzelela rhoqo kunye otshisayo. Kuba lokufunyaniswa erythema ezingapheliyo kwaqhutywa uphando olubanzi, kubandakanywa ucazululo olupheleleyo igazi nomchamo, kunye nofundo lokuba afunxwe sangaphandle.

Unyango lwe migrans erythema

Uthomalaliso olwenziwe ngokusebenzisa antibiotics ebanzi-omoya. iziyobisi Ukhetho ugqirha liqhuba ngokuxhomekeke ifomu eqongeni. Umzekelo, inyathelo lokuqala onika nemiphumo emihle isicelo medicament "Doxycycline" kwisithuba seeveki omnye ukuya ezimbini. Ukuba sifo kwi eziqatha, ugqirha ukubekwa iziyobisi "Tsetriakson" macwecwe kunye "penicillin" intramuscularly iintsuku 14-21. unyango olongezelelweyo kuquka ukuthatha mzimba. ukhetho unyango Optimal ezikhethiweyo isifo ezifana erythema migrans umsesane, kwiimeko ezininzi, igalelo ibuyambo ekhawulezileyo.

erythema ityhefu

Olu hlobo sifo luyenzeka kuzalwa yaye ibonakalisiwe irhashalala emzimbeni yomntwana. Esi sifo kuxhomekeke 20-40% zeentsana. Njengoko ubungqongqo erythema zinetyhefu yahlulwe iintlobo usenokude wavakalisa (okanye ngokubanzi). Kwimeko yokuqala irhashalala ezincinane kwaye eguqulelwe kwi Imihlubulo zangaphakathi umva kunye zomzimba. Imeko jikelele usana kuvavanywa ngokwanelisayo.

In ngokubanzi erythema ityhefu irhashalala ezininzi, kaninzi baye badibane nabanye ukwenza vesicles. Lobushushu kule meko yandiswa, kwaye umntwana uba noko amnye ebantwini. Igazi usana wabonisa eosinophils landa. Olu hlobo leukocytes ukwenza umsebenzi akhuselayo tapeworm zamavumba kunye uhlaselo helminth.

Phakathi imiba basengozini erythema zinetyhefu zezi zilandelayo:

• imbali yosapho;
• toxemia yokukhulelwa, ingakumbi enzima;
• emisebenzi Umama okhulelweyo kumsebenzi eziyingozi;
• usulelo usuleleko intrauterine;
• ubukho kwi ezityiwa umfazi okhulelweyo okanye oncancisayo uyawabophelela ialeji ukutya, ezifana lwawo, iqanda, itshokolethi, nobusi, currants, rasberries, kunye nabanye;
• seswekile, ukuphazamiseka ze esinobubovu lengqula okanye unina sidudla.

Ukuba erythema lo kuzalwa ngenxa ubukho zamavumba ngobisi lwebele okanye yokondla olungumgubo, esi sifo ngokuzimeleyo 4-5 iintsuku emva kokuba amandla uhlaziyo. unyango oluthile uboniswe lweefomu okunzima erythema ityhefu.

Unyango lwe erythema usana

uhlobo yityhefu ye erythema zifuna unyango iintlobo okunzima. Ugqirha unika a ifakwe kakuhle antihistamines aqholiweyo ezizodwa okanye cream. Kubalulekile xa ibakala unyango ukuphelisa ekungeneni zamavumba emzimbeni kamama nomntwana. Njengoko unyango oluncediswayo kusetyenziswa "calcium gluconate" iivithamini, "yesiqhelo". Irhashalala kunye vesicles kuyimfuneko izihlandlo eziliqela ngemini ukwenza ipeyinti oluhlaza okanye ababuthathaka 4-5% isisombululo potassium permanganate, kwaye emva kokuba inkqubo isicelo nolusu baby baby powder.

erythema multiforme

Oku ukudumba ulusu kunye inwebu yangaphakathi, olusekelwe phezu uxabane. Erythema multiforme luchaphazela ngethambo, kwiinwebu emlonyeni, impumlo kunye zangasese. Isifo kwenzeka abantwana kunye nabantu abadala.

amayeza athile amanye usulelo igalelo kuphuhliso exudative erythema multiforme. Olu hlobo lwesifo ebangela antibiotics penicillin, barbiturates, sulfonamides kunye nezinye iziyobisi. Usulelo lwe ezingunobangela ziqhelekileyo erythema multiforme ezi mycoplasmosis kunye herpes. Le erythema kunawo kugqalwa sisifo esibangelwa uxabane nemithi. Umzekelo, Stevens-Johnson syndrome.

Unyango lwe erythema multiforme

Ukuphelisa esi sifo zisetyenziswa omabini amayeza ngokubanzi nabeengingqi. I yangaphambili ziquka ukusetyenziswa elwa immunostimulants yolwamkelo antihistamines. Ngaxeshanye, ulawulo ngomonde abanezigulo ezingapheliyo. unyango Local kubonakaliswe ukusetyenziswa ntlungu kunye ebulala, ezifana "Chlorhexidine" okanye "Furatsilinom", linamafutha ikhontenti prednisolone kunye hydrocortisone. Into ebalulekileyo ingqalelo nococeko yomlomo olunzulu kunye nezinye ngenwebu yangaphakathi.