I-Stevens-Johnson syndrome yisifo esibucayi se-dermatological, esibonakaliswe ngendlela yamapulethi amaningi kanye nama-vesicles asakazeka kuwo wonke isikhumba, kufaka phakathi izibungu ezinomuncu.
Stevens-Johnson syndrome - izimbangela zesifo
Ochwepheshe bakholelwa ukuthi amandla okuthuthukisa isifo sikaStephen-Johnson azuze njengefa. Njengomthetho, i-syndrome iphakama njengempendulo yokusabela okubangelwa ukwelapha uhlobo olusheshayo ekwamukelwa:
- ama-antibiotics;
- i-sulfonamide;
- izidakamizwa-izilawuli ze-system central neyesisindo;
- izidakamizwa eziphikisana nezidakamizwa ezingekho ukuvuvukala.
Ngaphandle kwalokho, amafomu amancane kanye nezifo zingasusa lesi sifo:
- i-parotitis;
- isingenisi;
- umkhuhlane;
- i-herpes;
- inkukhu ikhukhu;
- isifo sofuba;
- i-mycoplasmosis;
- i-brucellosis;
- i-salmonellosis;
- I-AIDS, njll.
Kwezinye izimo, isizathu esiqondile sesifo asikwazi ukukhonjwa.
Izimpawu zikaStevens-Johnson Syndrome
Lesi sifo siphuthuma ngokushesha. Esikhathini sokuqala, kukhona:
- izinga lokushisa eliphezulu (kufika kuma-degrees angu-40);
- umkhuhlane;
- ikhanda elibi;
- ubuhlungu bomzimba nobuhlungu;
- i-tachycardia;
- ubuhlungu emqaleni;
- isifo sohudo;
- ukuhlanza;
- ukukhwehlela.
Amahora amaningana emangqamuzaneni omlomo emlonyeni kukhona amabhubhu, ngenxa yalokhu isiguli asikwazi ukuphuza nokudla. Kukhona umonakalo weso njenge-conjunctivitis ye-allergen enenkinga ngesifo sokuvuvukala okuhlanzekile. Ngesikhathi esifanayo, ukuguguleka kwamagciwane kanye nezilonda kungathuthuka kwi-cornea ne-conjunctiva, kanye nentuthuko:
- i-keratitis;
- i-blepharitis ;
- iridocyclitis.
Cishe isigamu samacala esi sifo sithinta izitho ze-genito-urinary.
I-Stevens-Johnson syndrome ibhekwa ngamabhulabhisi amhlophe esikhumbeni 3 kuya ku-5 cm ngobukhulu nge-serous noma igazi eliqukethwe. Ngemuva kokuvula izibhansela, ama-crusts abomvu akhiwa.
Izinkinga ezikhona ze-syndrome yizi:
- ukungakwazi ukusebenza kwama-renal;
- i-pneumonia;
- ukuphuma ekhanda;
- i-bronchiolitis;
- ubumpumputhe.
Izibalo zezokwelapha zithi: "Isifo ngasinye se-Stevens-Johnson syndrome siyashona.
Ukwelashwa kwe-Stevens-Johnson syndrome
Uma kwenzeka isifo se-Stevens-Johnson, i-ambulensi ihlose ukugcwalisa uketshezi. Lesi siguli siphinde sithole ukwelashwa okufana nalokho okusetshenziselwa ukwelapha iziguli ezinokushisa okukhulu, usebenzisa ukomisa nokuxazulula izixazululo. Ukuhlanza igazi, i-hemocorrection yangaphandle ihlelwe:
- i-plasma filtration;
- i-hemosorption;
- ukuzivivinya;
- ulwelwesi plasmapheresis .
Ukumnika ama-plasma, amaprotheni amakhemikhali, izixazululo ze-saline zenziwa. I-Prednisolone nezinye i-glucocororostosteroids zilawulwa ngokuqondile. Izitho zangasese zomlomo ziphathwa ngama-disinfectants, isibonelo, i-hydrogen peroxide. Iso le-glucocorticosteroid liyanqamuka likhuphuke emehlweni futhi amafutha agcoba. Uma uhlelo lwe-urogenital luyathinteka, amafutha e-solcoseryl nama-glucocorticosteroid asetshenziswa. Ukuze uvimbele ukuphindaphindiwe kokuphendula kwe-allergen sebenzisa ama-antihistamine. Lapho i-edema ye-larynx yesiguli iboniswa, isiguli siy
Indawo ebalulekile ukwelashwa kwesiguli esinama-Stevens-Johnson syndrome yinhlangano esibhedlela yezinyathelo zokuvimbela izinkinga zebhaktheriya, kubandakanya:
- ubumpofu welineni;
- ukuhlukaniswa kwezinye iziguli nezivakashi;
- ukwelashwa emoyeni ngemisebe ye-ionizing.
Isiguli esine-Stevens-Johnson syndrome kumele sinikezwe ukudla okungamakhemikhali okubandakanya ukungena kokudla okumanzi noma okugcoba, ukuphuza okuningi. Iziguli ezinzima ziboniswa ukondleka kwesisu.