Stevens-Johnson Syndrome

Matenda a Stevens-Johnson ndi matenda aakulu a m'mimba, omwe amawoneka ngati mapulogalamu ambiri ndi mapepala omwe amafalikira pamwamba pa khungu, kuphatikizapo mucous membranes.

Matenda a Stevens-Johnson - zimayambitsa matendawa

Akatswiri amakhulupirira kuti chizoloŵezi chokulitsa matenda a Stephen-Johnson ndi choloŵa chawo. Monga lamulo, matendawa amayamba ngati akuyankhidwa kuti asamayesedwe mwamsanga pamwambowu:

• maantibayotiki;
• sulfonamides;
• otsogolera mankhwala osokoneza bongo;
• mankhwala osokoneza bongo omwe alibe mankhwala.

Kuphatikizanso apo, machitidwe opweteka ndi matenda angayambitse matendawa:

• parotitis;
• chikuku;
• fuluwenza;
• herpes;
• nkhuku;
• chifuwa chachikulu;
• mycoplasmosis;
• brucellosis;
• salmonellosis;
• AIDS, ndi zina zotero.

Nthawi zina, chifukwa chenicheni cha matendawa sichitha kudziwika.

Zizindikiro za Stevens-Johnson Syndrome

Matendawa amakula mofulumira. Pachiyambi choyamba, pali:

• kutentha kwakukulu (mpaka madigiri 40);
• malungo;
• kupweteka kwakukulu;
• kupweteka kwa minofu ndi mapiko;
• tachycardia;
• ululu pammero;
• kutsekula m'mimba;
• kusanza;
• chifuwa.

Kwa maola angapo pa mazira a pakamwa pali thovu, chifukwa cha zomwe wodwalayo sangamwe ndi kudya. Kuwonongeka kwa diso kumatulutsa conjunctivitis ndi zovuta mu mawonekedwe a purulent kutupa. Pa nthawi yomweyo, kutentha ndi zilonda zingayambe pa cornea ndi conjunctiva, komanso chitukuko:

• keratitis;
• blepharitis ;
• iridocyclitis.

Pafupi theka la matenda a matendawa amakhudza ziwalo za ubongo.

Matenda a Stevens-Johnson amadziwika ndi khungu lofiira pa khungu 3 mpaka 5 cm mu kukula ndi magawo kapena magazi. Atatsegula zotupazo, ziphuphu zofiira zimapangidwa.

Zovuta zowopsa za matendawa ndi:

• kuperewera kwamtambo kosavuta;
• chibayo;
• kutuluka magazi kuchokera m'chikhodzodzo;
• bronchiolitis;
• khungu.

Ziwerengero zamankhwala mwachangu zimanena kuti: Wodwala 10 aliwonse ndi matenda a Stevens-Johnson amafa.

Kuchiza kwa matenda a Stevens-Johnson

Ngati matenda a Stevens-Johnson akuchitika, ambulansiyo ikufuna kubwezera madzi. Wodwalayo amathandizanso mankhwala ofanana ndi omwe amagwiritsidwa ntchito pochiza odwala omwe amawotcha kwambiri, pogwiritsa ntchito kuyanika ndi kusiritsa mankhwala. Kuyeretsa magazi, kutentha kwake kwapadera kumapangidwa:

• kusamba kwa plasma;
• chiwonetsero;
• chithunzi;
• membrane plasmapheresis .

Kulowetsedwa kwa plasma, mapuloteni, mankhwala a saline amachitika. Prednisolone ndi zina glucocorticosteroids zimayendetsedwa bwino. Mankhwala am'kamwa amachiritsidwa ndi mankhwala ophera tizilombo toyambitsa matenda, mwachitsanzo, hydrogen peroxide. Glucocorticosteroid diso limatsika m'maso ndipo mafuta odzola amaponyedwa. Pamene njira ya urogenital imakhudzidwa, mafuta a solcoseryl ndi glucocorticosteroid amagwiritsidwa ntchito. Pofuna kuteteza mobwerezabwereza kusintha kwa mankhwala kumagwiritsa ntchito antihistamines. Pamene edema ya larynx ya wodwalayo ikufotokozedwa, wodwalayo ali zipangizo za mpweya wabwino.

Malo ofunika kwambiri pa chithandizo cha wodwala ndi matenda a Stevens-Johnson ndi bungwe la chipatala kuti athetse mavuto a bakiteriya, kuphatikizapo:

• sterility of linen;
• kudzipatula kwa odwala ena ndi alendo;
• chithandizo cha mankhwala ndi ma radiation.

Wodwala ali ndi matenda a Stevens-Johnson ayenera kuuzidwa kuti azidya zakudya za hypoallergenic zomwe zimaphatikizapo kudya zakudya zamadzi kapena mashediti, zakumwa zambiri. Odwala odwala amasonyezedwa kuti ali ndi zakudya zokwanira parenteral.