Stevens-Johnson syndrome chirwere chakakomba chinonzi dermatological, chinoratidzwa nenzira yepapules akawanda uye vesicles zvakapararira pasi peganda, kusanganisira mucous membrane.
Stevens-Johnson syndrome - zvinokonzera chirwere chacho
Nyanzvi dzinofunga kuti simba rekudzidzira chirwere cheStephen-Johnson rakagarwa. Sezvo mutemo, chirwere chinokonzerwa sekuti kupindura kukanganiswa kwechiitiko chekurumidza kurudzi rwekugamuchira:
- antibiotics;
- sulfonamides;
- zvinodhaka-mutongi wepakati yenheyo system;
- nonsteroidal anti-inflammatory drugs.
Kunze kwekuti, maitiro akaipa uye zvirwere zvinogona kukanganisa chirwere ichi:
- parotitis;
- masero;
- furuwenza;
- herpes;
- chicken pox;
- tuberculosis;
- mycoplasmosis;
- brucellosis;
- salmonellosis;
- AIDS, nezvimwewo.
Mune zvimwe zviitiko, chikonzero chaiicho chechirwere hachigoni kuonekwa.
Zviratidzo zveStevens-Johnson Syndrome
Chirwere chacho chinokura nokukurumidza. Pakutanga kwekutanga, pane:
- kutonhora kwakakwirira (kusvika kusvika kune 40 degrees);
- fever;
- severe headache;
- maronda uye marwadzo;
- tachycardia;
- kurwadziwa mumutsipa;
- diarrhea;
- kurutsa;
- chifuva.
Kwemaawa anoverengeka pane mucous membrane yomuromo kune mabhutu, nekuda kwezvinenge zvisingagoni kunwa uye kudya. Pane kuora kweziso seyakagadziriswa conjunctivitis nechinetso mumutauro we purulent inflammation. Panguva imwe chete, kudengenyeka uye zvionda zvinogona kukura pa cornea uye conjunctiva, pamwe nekusimudzirwa:
- keratitis;
- blepharitis ;
- iridocyclitis.
Inenge hafu yezviitiko zvechirwere zvinokanganisa nhengo dzejenito-urinary.
Stevens-Johnson syndrome inozivikanwa nekrismoni blisters paganda 3 kusvika ku5 cm muhukuru neserous kana ropa. Mushure mokuzarura blisters, tsvuku dzinoputika dzinoumbwa.
Zvinetso zvinogona kuitika zvechirwere ndezvi:
- acute renal insufficiency;
- pneumonia;
- kubuda kubva mucheka;
- bronchiolitis;
- bofu.
Matanho ezvokurapa asingatauri anoti: munhu mumwe nomumwe ane chirwere cheStvens-Johnson syndrome anofa.
Kurapa kwaStevens-Johnson syndrome
Mune chiitiko cheStevens-Johnson syndrome, ambulensi inotarisirwa kuunzazve mvura. Murwere anewo chirwere chakafanana neicho chinoshandiswa pakurapa varwere vane kupisa kwakanyanya, vachishandisa kuomesera uye kuporesa zvirongwa. Kuti uchenese ropa, rimwe remhepo rinokonzerwa nehutachiona hwakarongeka:
- plasma filtration;
- hemosorption;
- immunosorption;
- membrane plasmapheresis .
Kuvharirwa kweplasma, mapuroteni emakwenzi, sarine zvinogadziriswa zvinoitwa. Prednisolone nedzimwe glucocorticosteroids zvinoshandiswa zvakanyanya. Mucous membrane yemuromo inorapwa nemishonga inodhaka, semuenzaniso, hydrogen peroxide. Glucocorticosteroid ziso rinodonha richidonha mumeso uye mafuta anozorwa. Apo urrogenital system inogadziriswa, solcoseryl mafuta uye glucocorticosteroid zvinoshandiswa. Kuchengetedza kudzokorora kugadziriswa kwemagetsi kunoshandisa antihistamines. Apo edema yemaranzi emurwere inoratidzwa, murwere ndeye
Nzvimbo inokosha mukurapa kwemurwere naStevens-Johnson syndrome ndiyo sangano iri muchipatara chekuedza kudzivirira zvinetso zvebhakitiriya, kusanganisira:
- sterility yerineni;
- kuzviparadzanisa kune vamwe varwere nevashanyi;
- kuporesa mhepo nemirasi yoniyoni.
Murwere ane Stevens-Johnson syndrome anofanira kunyorwa kuti ave nezvokudya zve hypo hypoergenic zvinosanganisira kudya kwemafuta kana mashed foods, zvizhinji zvekunwa. Vanorwara zvikuru vanoratidzwa neprenteral nutrition.