Viral pemphigus ndi matenda opatsirana ndi kachilombo ka Coxsackie. Matendawa amadziwika ngati kuthamanga kwambiri (nthawi zambiri mochuluka kwambiri kuposa masentimita awiri) ndi zooneka bwino kapena zamagazi zomwe zimakhala pamtunda, palmu, zala ndi mucous memphane pakamwa, pakhosi.
Gulu loopsya limaphatikizapo, poyamba, ana a msinkhu wa msinkhu wachinyamata. Kwa akuluakulu, pulogalamu ya viral imapezeka nthawi zambiri pakati pa zaka 40 ndi 60, nthawizina matendawa ndi ovuta kwambiri kuposa ana. Malingana ndi chiwerengero cha zachipatala, kuchuluka kwa chiŵerengero kumawonjezeka m'chilimwe. Zomwe zimayambitsa viral pemphigus sizinakhazikike, chifukwa cha mankhwalawa siwothandiza nthaŵi zonse.
Zizindikiro za viral pemphigus
Monga taonera kale, ndi matenda pa khungu ndi mucous membrane, chizindikiro translucent papules kuonekera, kuwonjezera, mawonetseredwe otsatirawa amachitika:
- kumverera kowawa mmalo mwa chiphuphu;
- malungo, kufooka, hyperthermia;
- matenda osungira;
- zilonda pambuyo pa zilonda zam'mimba, ndipo kenako - zofiirira zofiira pamalo awo.
Ndi mankhwala a viral pemphigus a pamlomo, pali kupweteka kosalekeza pammero, ndipo chifukwa chake - kuchepa kwa njala.
Ngati chiwerengero cha tizilombo ta tizilombo toyambitsa matenda chikupita patsogolo, njira yothetsera matenda imatha kufalikira ponseponse pa thupi lonse, makamaka m'mimba, m'mimba, pamimba ndi m'mako. N'zotheka kukhazikitsa bwinobwino matenda odwala matenda opatsirana. Ndi cholinga chenicheni cha mayesero omaliza a laboratori omwe amavomerezedwa:
- kuyesa magazi pofuna kukhalapo kwa ma antibodies enieni;
- virological kuyesa zinyenyeswazi, kuchotsedwa ku zilonda ndi mmero;
- cytology scrapings of vesicles.
Kuchiza kwa viral pemphigus
Kudzipiritsa ngati matenda a pemphigus sichivomerezeka! Chowonadi n'chakuti pamene matendawa akuyamba, matendawa akhoza kusokoneza ntchito za thupi (mtima, impso, chiwindi) ndipo zimayambitsa mavuto aakulu monga myocarditis, meningitis, myelitis ndi ziwalo. Pa mimba, kuchotsa mimba mwachangu n'kotheka. Pa milandu yoopsa kwambiri, viral pemphigus imatsogolera ku imfa.
Kuchiza kwa tizilombo toyambitsa matenda pemphigus kwa anthu akuluakulu kumadalira kugwiritsa ntchito mahomoni. Ndipo makonzedwe a mahomoni amaikidwa kuti agwiritsidwe ntchito mkati ndi kunja. Pamene mkhalidwe wa wodwala ukukhazikika, mlingo wa mankhwala umachepa, pofuna kupewa zotsatira zoopsa zomwe zimakhudza kugwiritsa ntchito mahomoni.
Zotsatira zabwino zimapangidwa pamodzi ndi mahomoni a immunosuppressive and cytostatic agents (Sandimmun, Methotrexate, Azathioprine).
Pochiza matendawa, njira monga hemosorption ndi plasmapheresis zomwe zimapangitsanso kuyeretsa magazi, ndi photochemotherapy, zomwe zimathandiza kuchotsa zinthu zowononga, zimathandizanso.
Pofuna kuchepetsa kupwetekedwa mtima ndi kupititsa patsogolo njira zowonongeka, njira zowonongeka zimayambitsanso pakhungu ndi pakhungu (Lidocaine, Diclonin), mavitamini mafuta.
Ndi viral pemphigus pamakutu ndi pammero, zakudya zomwe zimapweteketsa mucous nembanemba (zovuta komanso zowonongeka) ziyenera kuchotsedwa ku zakudya.
Ndizowonjezereka ngati mankhwalawa atatha, mankhwala operekedwa ndi sanatorium ndi spa adzayankhidwa kuti abwezeretsedwe.
Tiyenera kukumbukira kuti chiwopsezo cha viral pemphigus ndi chachikulu kwambiri, kotero pamene kusamalira wodwalayo kuyenera kusunga malamulo oyenera komanso aukhondo. Popewera ndikofunika kumwa mankhwala ndi calcium ndi potaziyamu.