Lipoid necrobiosis: Zvinokonzera, Zviratidzo, kuongorora chirwere neMarapirwo

Lipoid necrobiosis - iri ngozi chaizvo chirwere chamaperembudzi. Nhaka haina inoparadzirwa. The chirwere kunoitika apo metabolic zvirwere mumuviri. Izvi lipoidoz dzematunhu umo lipids vari iiswe dermis, umo degeneration kana necrobiosis kuti collagen.

Features lipid necrobiosis

Hosha rinowanikwa mune chirwere chimiro kwenguva refu. Kazhinji, mushure pachena kuzoita chirwere hwapedyo patsva. Pane zviitiko vaingoerekana kupora. Asi zvikuru husiri nyore kuwana.

Iyo boka revanhu pachena kuti chirwere?

Lipoid necrobiosis - a dererei chirwere. Nderake omunharaunda ganda lipoidozam. Mostly kwakanyorwa chinoonekwa varwere cheshuga mellitus. Kakawanda lipid necrobiosis muvamwe vanhu makore 20-40. Zvishoma kacho, hosha kunoitika muvana uye vakwegura. Kakawanda, vakadzi kurwara.

zvinokonzera njodzi

Nokuti njodzi Zvinhu zvinosanganisira kutyorwa metabolic kwendangariro. Zvikurukuru, lipid, kemikari uye carbohydrate muviri. A ngozi yakawanda varwere cheshuga mellitus maronda, kukuvara siyana (zvipembenene ikaruma, mavanga uye zvichingodaro. D.).

Kuti chii nyanzvi yokutaura?

Kana ganda maronda, kusanganisira vaya vane chirwere lipoid necrobiosis, vanofanira kutanga dermatologist. The chiremba rokuongorora uye taurira mashoko anodiwa kurapwa.

The zvinokonzera chirwere

Lipoid necrobiosis ganda sokuti wakakodzera metabolic zvirwere. Zvikurukuru, nokuda kukundikana mu nedanho muviri kwemafuta uye makabhohaidhiretsi. Nokuda kwaizvozvi, nemidziyo ropa kuva pathological hunhu shanduko kutanga microcirculation zvirwere. The chirwere munogona vanhu vasina nezvinetso shuga shiviriro.

Pamusana havachanyatsogoni microcirculation kutanga chinopedza rokuchinja ganda masero vavo necrobiosis (kuchinja intracellular muviri). Uye somugumisiro - mafuta sero degeneration.

Lipoid necrobiosis: Zviratidzo chirwere

Zviratidzo zvokutanga lipoid necrobiosis - pakuonekwa paganda Pink duku uye tsvuku denderedzwa nodules. Achitevedza kumicheto vari takapoteredzwa rinokwanisa kucheneruka pomukombero. Pakati bheji racho maronda vari yellowish-pfumbu. Panguva iyoyowo tenuka duku dzvuku nodules pasi peganda. Zvinoita sokuti rirambe richibvira cystic kuwedzera. Maronda iyi danho kuzviratidza chirwere.

Nodules nekukura pamusoro nguva batanidza kupinda gobvu plaques kuva kwakanaka pamusoro imwe uchenjeri. Panguva chingakubata vane gobvu uye nyarara. In pakati ganda akafuka translucent firimu. Achitevedza kumicheto vanoumba duku rinokwanisa kucheneruka-tsvuku pamutsago.

Maronda vari zvakafanana, ichibata uye riri chete plaques shoma kumativi. Kakawanda inokanganisa maoko nemakumbo maduku, zvikurukuru pamusoro rezasi gumbo. Dzimwe nguva plaques kuonekwe pamusoro pezvidya, mutumbi, maoko uye ganda romusoro.

Kana chirwere mberi pasina matambudziko, ganda maronda regai kukonzera kusingafadzi uye anorwadza nezvekufadza. Zvikasadaro, tanga kuoneka maronda uye mamwe ganda kuremara. Zvadaro anotanga nokutsva, tingling, kuvaviwa uye kurwadziwa.

Lipoid necrobiosis anotora zvizhinji kuoma kana munhu panguva imwecheteyo panewo shuga. Panyaya iyi, midziyo duku dziri kukanganiswa, uye ichi chete kunowedzera kukuvara ganda. Kana shuga ropa riri pasi, zvino murwere ezvinhu ari zvishoma chakaipa. Plaques zvishomanana kana zvachose nyunguduka. nhamba yavo kunoderedza.

Nemaziso ongororo inoratidza vasanyanye sero elasticity, umo mune zvokurwara kukodzera mafuta muviri. Most zvose kana kutamburawo connective tishu. Dzakananga mhando lipid necrobiosis - chisingaperi granulomatous distsiformny Miescher. Panyaya iyi, ganda Patches kukura zvizhinji. Ndivo denser kuti kubata - zvakafanana pose bhodhi. Kunyanya pakati njodzi yacho.

Diagnostics

Kana kuwedzera ropa shuga yomuropa iri kuchengetwa, kuchave chaiyo muedzo nokuda kuziva miedzo kusagadzikana carbohydrate muviri. Zvikurukuru izvi zvinoitwa vachiri padanho cheshuga. Kuwedzera bvunzo, iva nechokwadi kuti kupa ropa uye weti nemiedzo kuvapo shuga.

Shuga kubvumidza bvunzo - mutoro bvunzo pamwe shuga. The nzira kunosanganisira matanho akawanda ropa muunganidzwa capillaries. Zviri usina chawadya pashure ingestion ose makumi mashanu magiramu ose shuga. Iye asati-zvazvichanyungudutswa mvura. Normal shuga pamwero - asingasviki 5,5 mmol pa fő. maawa maviri mushure bvunzo - kwete kupfuura 7.8 mmol pa fő. Zvarakasiya kubva ndozvakajairwa achireva kutyorwa vazviparadzanise nevamwe hurongwa mabasa. Muchiitiko chino, imwe ongororo yakadzama uye zvakawanda kwazvo. The bvunzo kunoitwa apo padanho shuga pamusoro 6.7 mmol pa fő.

Diagnostics iri kuroorana, kunze dermatological uye dzokurapwa, kunyange momuviri Center. First pane kuongorora kwokunze murwere. Zvadaro basa rimwe histological kudzidza kuti ivhu yaunganidzwa biopsy pakati njodzi ganda. Pachirehwa dzakananga staining pamusoro lipids pamwe Sudan kuziva masumbu mafuta zviyo.

In ropa midziyo teererai pamusoro kuwandisa endothelial masvingo uye fibrosis. Differential chirwere rinoitwa:

• Dombo scleroderma;
• granuloma annulare;
• induratum erythema Bazin;
• papulonekroticheskim vasculitis;
• panniculitis;
• sarcoidosis;
• Dermatitis dzikisa gumbo;
• erythema nodosum uye t. d.

mishonga

Nokuti kurapa lipid necrobiosis vanofanira kuonana Center kuti momuviri. It achiitisa wenguva kuzviongorora murwere. NeMutungamiriri Diet kugara neropa shuga yomuropa. Nokuti kurapa kwezvinodhaka anogumbura uye kushandiswa kuvandudzwa microcirculation:

• "Hingamin".
• "Acetylsalicylic asidhi".
• "Ksantinola nicotinate."
• "Dipyridamole" nevamwe.

Also ushandiswe mishonga Anti-chirwere cheshuga uye mafuta okuzora, izvo zvinosanganisira adrenocortical mahormone. Well rubatsiro mhinduro kushanda "Dimexidum" (25-30 muzana). Kunokwanisa zvose ambulatory uye mira.

Uyezve, mishonga, kuva kwayo sezvamunoita vhitamini E. Kugadzwa Nomudzimu physiotherapy pamwe Bucky mwaranzi uye X-ray irradiation. Munyaya dzakaoma kunzwisisa, kurapwa rinoitwa surgically. Munguva oparesheni, resected pathological inotungamirwa. Next, unofanira kuita ganda kusonanidzwa.

Hazvifaniri unozvidzinga munhu chirwere ichi sezvo lipoid necrobiosis. Mabatirwo mberi fomu cheshuga wokutanga dhigirii: kune dzakasiyana siyana insulin yakakodzera. Tikafunga rechipiri - a sulfonylurea. Pakati mavhitaminzi vanogadzwa "Aevit", "Ascorutin", vhitamini B uye niacin. Kana necrobiosis yakatarwa bromides kana mishonga zvinodhaka. Uyewo Kusimudzira microcirculation - "Etamsylate", "komplamin" nezvimwewo ...

Ushandiswe lipotropics, apo nondiabetic hunhu chirwere - "Dipromony" kupinza intramuscularly. Kana dzomunharaunda kurapwa rinoshandisirwa phonophoresis pamwe heparin kana prednisolone mafuta. The vakasununguka Mazuva fonoforeza kushandiswa corticosteroid mumiririri, ndikarangarira pasi bhandeji.

Mabatirwo zvavo mishonga

Nokuti kurapa lipid necrobiosis chevarwere mishonga vanofanira kutanga dermatologist. Self-mishonga pasina chiremba atifarire iri zvikuru kunaka. Sezvo dzakakodzera zvavo mishonga celery vakabudirira kuiswa (500g) uye Lemons (6 zvidimbu), izvo yakabikwa kwemaawa maviri ari kugeza nemvura, pre-wakatemerwa ari blender. Vakagadzirira nzira kubatwa mangwanani imwe spoon. Musanganiswa yaichengetwa mufiriji.

rubatsiro Good pakurapa arosi nesinamoni. magiramu makumi maviri nekinamoni upfu yakabikwa mvura. Akandipa kuchitonhora, uye akawedzera kuti aizomupa milligrams gumi Aloe muto. Hwakakanyiwa, huviri zvakaenzana zvikamu. The akadhakwa yokutanga mangwanani usina chawadya. Wechipiri - manheru, asati yokurara.

For kukamura uchishandisa kushandiswa yaigadzirwa steamed anorumanya guruva rinopfumburwa nemipaini kana womuouki omuti. How ngozi lipoid necrobiosis? Kana marapirwo zvikasashanda kana kumhanya, unogona kufamba kuti kukura neronda rinonyenga.

dziviriro chirwere

Kudzivirira - dzose bvunzo pakiriniki nokuda kuziva miedzo chirwere cheshuga kana zvimwe zvirwere chokuita havachanyatsogoni metabolic pezvakaitwa mumuviri. Zvinokurudzirwa dzokushanyira kuDzimba uye kumbotambudzika kuongororwa nachiremba kumusoro mwedzi mitanhatu ose. Izvi zvichakubatsira kubvisa matambudziko akawanda uye kudzivirira kukura zvichibvira zvirwere. Vanhu vanenge zviitiko cheshuga, zvakafanira kuti nguva dzose kuongorora shuga siyana pakati pehama. Kana cheshuga, zviri rokumanikidzirwa uye nenguva kurapwa - zvakare kudzivirira lipid necrobiosis.

Kuwedzera ose apa, kudzivisa chero panyama kukuvara, kunyanya makumbo (kunyanya mhuru). Ko kunze zvokudya mafuta zvokudya uye zvakakangwa. Sarudzo dzinofanira kupiwa yakabikwa zvokudya uye steamed.