Lyell kuti syndrome. Zvaunofanira kuziva?

Lyell kuti chirwere chirwere chakakomba chepfu-sema mavambo, iyo inozivikanwa nokuva yokuzviparadzanisa apasi akaturikidzana ari Epiderme e. Gare gare, pane necrosis exfoliated Epiderme e. Pane zvimiro zviviri urwere:

• chepfu;
• anonzi Staphylococcus.

Hunokachidza chimiro kuri mumashoko vakuru nevana, apo staphylococcal zvikuru nevakawanda nevana.

Lyell kuti chirwere sei?

The chirwere kunoratidzwa anotevera zvinhu:

• kamwe kamwe kuti kutanga zviratidzo;
• vakawanda ganda upundu - red makwapa pamwe kuzvimba uye Maronda akasiyana, vachiwedzera nokukurumidza vhoriyamu;
• kutsva ganda rive nokupisa dhigirii II;
• necrosis uye exfoliation rokumusoro rukoko ganda;
• muviri tembiricha 39 inegumi, utera;
• chakakomba nomusoro uye kunetswa mune dzidziso panguva uye nzvimbo;
• kurutsa, manyoka;
• Hope uye kupera mvura mumuviri ;
• bvudzi kurasikirwa;
• kuwedzera uwandu leukocytes muropa, renal dysfunction;
• edema kana zvemapapu kuzvimba, kuparadzwa itsvo tishu;
• ezvinhu nehana.

Zvakakosha kuziva kuti zviratidzo Lyell kuti chirwere hwakaratidzwa zvakasiyana. Nokukurumidza murwere kuona chiremba, kashoma ngozi kukonzera nezviratidzo zvakakomba uye kunyange rufu.

Zvinokonzera chirwere

Pane zvikonzero zvinoverengeka kuti kukonzera urwere ichi:

• zvinodhaka kuti zvingaita kuti zvikuru neutachiona (yakasiyana sulfa antibacterial vamiririri, nemishonga, barbiturates, anticonvulsants uye nedzimwe nzira). Zvinofungidzirwa kuti chero mushonga kungava mhaka chirwere;
• staphylococci;
• otitis Vezvenhau, chikosoro, runny mhino.

Prevention Lyell kuti urwere

In zvirwere zvinokosha kutsvaka kurapwa chiremba, uyo anofanira kushandisa mishonga.

Hazvigoni kushandiswa pakurapa vakawanda mishonga (5-8 yakasiyana).

In kurapwa kwezvirwere vanofanira kufunga zvose pamberi chinhu sema maitiro kune mishonga.

pakurapa chirwere

Kana paine fungidziro kuti Lyell kuti chirwere, iwe unofanira pakarepo kurega kushandisa zvinodhaka zvose zvaishandiswa kare, uye kutsvaka zano zvokurapa. Pakurapa chirwere rinowanikwa mune yevanorwara zvikuru. Pano, vanachiremba uchitadza kukunda muviri zvine chepfu, havachanyatsogoni kweropa, kuramba mapuroteni mwero uye pakuenzanisa mvura uye zvicherwa, inotsigira chakaipa nokushanda kwenhengo zvinokosha nhengo zvomurwere.

Zvichienderana kwokuomerwa, murwere basa kana nemishonga kana glucocorticoid, kana muchipatara pamwe nekutambira kurapwa. Kana murwere kuratidza zvimwe zviratidzo pamusoro apa - achitaura kuchipatara kudhonza zvisingabviri, kubva kufa muna yevanorwara zvikuru nyaya iri pamusoro 30-70% (maererano nemashoko siyana).

urwere Lyell ikarapwa mumatanho akawanda:

1. Treatment nehana mune murwere. Antishock mishonga raitongwa murwere (sesaline gemodez nevamwe). yakakwirira mishonga ine prednisone kuburikidza droppers (- 250 MG 200) chiri dzatangwa.
2. Zvairayirwa muchipatara. Pashure muchipatara anotevera matanho fanira vari:

• Akaramba kwokubatsira prednisolone - 100 - MG 250 daily;
• akaramba kuitwa detoxification zvinodhaka muchimiro intravenous;
• fanira inorwisa mabhakitiriya nzvimbo kurapa sei muviri;
• Normalization mapuroteni uye mvura nechiyero, uyewo asidhi-chawo;
• yokutindivadza;
• yakanaka ganda kutarisirwa: Anti-kwemabhakitiriya lotions, kushandiswa aerosols, mafuta uye mhinduro. Fanira werineni anenge 2-3 kanomwe pazuva, mishonga mucous membranes.

Sezvo Lyell kuti chirwere chiri sema zvakasikwa, kushandiswa kwezvinodhaka ari kurapwa inofanira shoma uye zvachose basa.