Rossolimo-Melkersson-Rosenthal chirwere: Zviratidzo, Treatment

Melkersson-Rosenthal urwere It akadana chirwere, pamwe vanamwari vatatu vatatu dzaKora zviratidzo. The zvokurwara kwezita pane vanachiremba mazita maviri. Melkersson akatsanangura zviratidzo zviviri, uye wechitatu akacherekedza Rosenthal. Somugumisiro, chirwere ainzi pashure vanachiremba maviri.

On Melkersson-Rosenthal urwere

urwere huri polyetiological. Zvikuru nokuda kwayo kukura ane zvinoverengeka:

• rwarisa chisimbwa;
• vasomotor zvirwere uye nenhaka kubatwa kwavari;
• zvokurwara of nhengo dzinobudisa ino munzvimbo musoro uye mutsipa;
• chisingaperi foci pamusoro odontogenic chirwere;
• sinusitis.

In pamberi Melkersson-Rosenthal chirwere zvinogoneka neuro-chinopedza ayo Genesisi. Dzokororo chirwere iri mumwaka. Kunyanya kubva Melkersson-Rosenthal chirwere chinobata vanhu pakati 25 uye 35 okuberekwa. Kungakonzera mumwe hypothermia chirwere uye kudhakwa nedoro, uyewo dzinoverengeka zvinodhaka. Bilateral mafambirano kwakakurumbira - 75% vose nyaya. Very Kashoma - vakatsigira.

The zviratidzo Melkersson-Rosenthal urwere

Syndrome akaratidza mumatenhere miromo uye matama. Zvadaro zvishoma nezvishoma tsandanyama dzechiso. Munhu anova zvakaoma kuderedza meso, kutaura, makona muromo akadira mvura. Muna 30 muzana varwere kuva rakaoma kana mvura-mvura maziso. About 20% - kunowedzera kunzwisisa mazwi zvokuti kuti anova hachifadzi. Chiizve maitiro Melkersson-Rosenthal urwere zviratidzo? Vanenge 80% wevarwere kuwedzera mumatenhere zvemiromo kuona Hwakatsvuka yavo simba, mutauro kunowandawo, ayo pamusoro anova gogonera, nematambudziko. Hafu varwere kusangana anotemwa nemusoro, pfari mabhanzi.

Chii chimwe dzinoratidzwa zvokurwara?

Ndezvipi zviratidzo chepfungwa chirwere hwokuratidza Rossolimo-Melkersson-Rosenthal? Pakutanga, zvakakosha kutaura kuti Rossolimo - ndiro zita chiremba wechitatu, uyo muna 1901 akarondedzera makroheylit (muromo chirwere, kuwedzera kukura kwavo) yakasanganiswa chiso tsinga paresis. Gare gare zvakaita Melkersson. Asi sezvo zvirwere rondedzero Rossolimo zita rake dzimwe nguva rinoshandiswa muna zvokurwara iri rokuremekedza.

Cerebral chirwere pachena chinangwa kuzviongorora. It kungaratidzwa se:

• nomusoro (migraine);
• chako asymmetry ;
• Chiso rutivi rwomuviri kuti tsandanyama dzechiso ;
• chiratidzo Bell lagophthalmos;
• xerophthalmia;
• hyperacusis;
• dysarthria;
• angioneurotic edema chiso (kazhinji miromo);
• fissured rurimi uye macroglossia;
• dizgevzii uye ageusia;
• granulomatous cheilitis.

Rinotaurwa chirwere?

Melkersson-Rosenthal urwere, ine mapikicha munyaya ino inogona pakutsvaga chirwere. Muchiitiko chino, vakabata:

• serological miedzo;
• X-ray, kana pane fungidziro kuti chirwere kwamuka nokuda zvirwere (HIV, njovhera, chirwere cheLyme, sarcoidosis);
• electromyography;
• Magnetic resonance kuri uropi;
• ongororo Neuropathy.

kosi

Sei chirwere Melkersson-Rosenthal? The chirwere rinotanga mumatenhere ganda. Zvino propagates dzaiita zvokutaurwa mucosa. Kuwedzera muromo size: pamusoro - zvakawanda kudzika - zvishoma. Unogona kuona kwokurwadziwa chiso etsinga, uye zvadaro kutanga dzomuviri.

The chirwere kunoratidzwa rikwanise Pazvinotanga. Kuzvimba hwapedyo maawa akawanda. Kazhinji chaizvo uye zvakazara rinoburitsa miromo, ayo kupendwa inopenya mutsvuku, dzimwe nguva rinokwanisa kucheneruka tint anooneka. Around muromo zvingaite makatsemuka. Anetseka kutaura, matambudziko nokudya.

Sei chirwere chirwere Melkersson-Rosenthal? The chirwere zvakare rinotanga kuzvimba. Asi zviri kuramba, zvinowedzera kana zvinoderedza nguva. Edema zvakachengetwa pazviso zvose uye dzaiita zvokutaurwa mhango.

It haiwanzowaniki pamusoro Melkersson-Rosenthal chirwere mhando, kana kuzvimba matama chete. Kazhinji, izvi chete wavo. On yomukati divi matama zvakajeka rabva mazino. Ichi chirwere kunotaurwa neshoko rokuti "granulomatous peya." No zviratidzo kuzvimba.

mabatiro

Sei Melkersson-Rosenthal chirwere? Doctors kushandisa zvomusejari nzira kana kuchinja. Pakutanga, murwere anoongororwa kuziva pathologies kuti kukonzera zvirwere. Kuvhiya kurapwa hakutadzisi dzokororo, uye anoshandiswa zvakawanda zvinangwa zvizorwa, kana zvinyama iri excised miromo.

Kana kuchinja mabatiro migumisiro yakanakisisa inogona kubudirira chete mubatanidzwa corticosteroids, mishonga inorwisa mabhakitiriya uye zvinodhaka antimalarial. "Prednisolone" riri basa pamwe "Oxytetracycline". Shandisa pyrogenic uye desensitizing nevamiririri. GARA kwemabhakitiriya kurapa. Kana murwere inonyatsoziva anonzi Staphylococcus, ipapo zvinoshanda "toxoid".

Patient tine Melkersson-Rosenthal urwere, mutemo unoti ndishandise multivitamins, karusiyamu pantothenate, nicotinic acid, vhitamini A, vakasarudza "komplamin" Nokuti kuwedzera ropa kuparadzirwa munzvimbo nyoro munyama. kushandiswa kosi - mazuva 10. A tsime yakatarwa "Cavintonum", "Tanakan" uye "stugeron" kuti kutorwa 1 kusvika 2 months. Varwere asunungurwa se "Nerobolum". Ichi mushonga kuti kunotadzisa zvokukwegura. Vakagadzwa sezvo mapiritsi uye sedatives.

Treatment topically

Ndezvipi zvimwe nzira inogona kushandiswa kukurira chirwere Melkersson-Rosenthal? Kunokwanisa kukamura uchishandisa. Panguva iyoyo akaratidza kushanda heparin mafuta. Ivo sangana ne Dimexidum, vachisiya kwemaminitsi 20. The nzira rinoitwa 3 kusvika 4 nguva zuva nezuva. The kosi - 3-4 mavhiki.

Nokuti rezasi muromo inoshandiswa elektrofarez heparin. The nzira rinoitwa ose zuva. Kana akashandisa fizlechenii dzenzvimbo Bernard, mumwe nehelium-neon Laser uye Ultrasound.

Kushandiswa corticosteroid uye methyluracyl nezvizoro zvinoshandiswa anogumbura kwendangariro. kumeso rinoshandisirwa kwemaminitsi 20, 2 3 nguva zuva nezuva. Mukuwedzera, mafomu dziri kubva keratoplasty mari.

Shandisa blockade (3-4 Rine mamiririta), dzinodziya maviri muzana lidocaine, novocaine uye trimecaine. Majekiseni dzinoitwa mazuva ose kana mumwe maviri mazuva.

Migumisiro Melkersson-Rosenthal urwere

Syndrome nokukurumidza anova chisingaperi. Izvi zvinoratidzwa zvakasimba mune munhu chitarisiko, iyo akavhiringika uye akakuvadza kuzvimba. Against ichi kumashure vanowanzova mwoyo uye zvinetso mupfungwa. Nokuda kuti vawedzere kutadza kufamba nemiromo uye munhu yakaoma märehtiä uye kumedza, kutaura kusarurama kuri kuchengetwa. The makatsemuka kuti anowanika kana kuzvimba uye zvinogona kuitika utachiona hunokuvadza anokonzera zvirwere zvinotapukira. Izvi zvinoshandawo mutauro. Dzimwe nguva wakafukidzwa makatsemuka. Uyezve, ichi kunowandawo njodzi nokuda kukuvara edematous mucosa mazino Somuenzaniso, panguva dög zvokudya.

Vanhu vanotambura nezvirwere ichi, Zvinokurudzirwa kudya zvokudya zvakawanda zvikukutu: wokutanga makosi, akasiyana-siyana zviyo nezvinogadzirwa nomukaka. Izvi zviri nyore kutsenga zvokudya uye anoderedza mukana wokuti zvinokuvadza dzaiita zvokutaurwa mucosa. Michero nemiriwo zvakare kubatsira, asi vanofanira kubviswa munyika zvidimbu zviduku uye kupamhidzira salads. akakora Large chero zvokudya nani muchikuya pakushandisa Forogo, Banga Nechipunu zvokudya.