Isizathu sezilonda emilenzeni
Iyintoni i-pyoderma gangrenosum kwaye ifunyanwa njani?
I-Pyoderma gangrenosum yimeko ekhokelela ekuphukeni kwesikhumba. Igama layo lingakhohlisa ekubeni akusuyi-ntsholongwane okanye i-gangrene. I-Pyoderma gangrenosum ihlelwe phantsi kweemeko zeemeko ezibizwa ngokuba yi- neutrophilic dermatoses . I-neutrophils yintlobo yesistim e-immune engabonwa kwiimeko apho kukho ukutshaya.
I-pyoderma gangrenosum ikhona njani?
I-Pyoderma gangrenosum idla ngokuqala njengeqhekeza eliqinileyo okanye i-bus-filled filled bump. Ezi ngxuma zingaphumelela ekuhlahleni okanye ukuvula kwesikhumba, okukhokelela kwisilonda. Ngokuqhelekileyo, imida ingaba yincinci okanye i-gray, kwaye imingcele ingahlaselwa, njengokungathi kukho inqabunga enkulu yesikhumba emaphethelweni. Isiseko sinokugqutywa nge-pus yellow. Kukho iintlobo ezahlukeneyo kwi-pyoderma gangrenosum. Ngamanye amaxesha inokuthi ibonise i-blisters enkulu okanye i-bulky i-"vegetative". I-Pyoderma gangrenosum iphinda ibonise i-pathergy - xa iindawo zesikhumba zixineke, oku kunokukhuthaza i-pyoderma gangrenosum ukuphucula kule mimandla. Oku kubandakanya indawo yokuhlinzwa kwangaphambili kwakunye nakwiindawo ze-colostomy. I-Pyoderma gangreosum inokuba nzima kakhulu.
Xa izibazi ze-pyoderma gangrenosum ulcers ziphilisa, zidla ngokuba zibukeka ngendlela ebonakalayo, kunye neengqungquthela.
Yintoni i-pyoderma gangrenosum ehambelana nayo?
Kwiimeko ezininzi ze-pyoderma gangrenosum, kukho ubudlelwane nezinye iimeko zonyango ezifana nezifo zesibilini okanye ukuphazamiseka kwegazi.
Ziyintoni na i-pyoderma gangrenosum?
I-Pyoderma gangrenosum ixilongwa yokukhutshwa. Oku kuthetha ukuba umboneleli wakho kufuneka akhuphe isifo phambi kokukufumanisa nale meko.
I-neutrophils ebonakalayo kule meko ingaba ngummakishi we-ntsholongwane, ngoko kubalulekile ukuqinisekisa ukuba awukho ubungqina bentsholongwane. Ukukhuphela i-infection, ii- biopsies zisoloko zenziwa kwaye zithunyelwa kwiinkcubeko zenyama. Iimpawu ze-Biopsies zokuhlola i-pathology zidla rhoqo. I-biopsies yekhumba ingenziwa nge-punch technique, ubugcisa be-shave , okanye nge-excge. Iindawo ze-biopsy zingaphilisa kakuhle. Ulwazi lwezonyango kunye noviwo luyimfuneko nokuxilongwa kwe-pyoderma gangrenosum. Ezinye izinto ziquka ubukho bepathergy, umzekelo othile wokutshatyalaliswa kwimijelo ejikelezayo, kunye nokuphendula kakuhle kwindlela yokwelashwa kwe-steroid. Umboneleli wakho angenza nezinye iimvavanyo ezifana nokuhlolwa kwegazi ukuqinisekisa ukuba akukho zizathu ezibangela izilonda.
Iyiphi indlela i-pyoderma gangrenosum ephathwa ngayo?
Iilonda zifuna ukunyamekelwa kwilonda elifanelekileyo. Ngokuqhelekileyo, ukugqoka okungagxininisi kwesikhumba kufuneka kusetyenziswe. Iindawo kufuneka zigcinwe zicocekileyo, kwaye imigaqo yokunakekelwa kwezilonda ezintle kufuneka ilandelwe ukuphucula ukuphulukiswa.
Ukunyangwa kwe-pyoderma gngrenosum kuxhomekeke kubukhulu bomqathango. Ukuba izinga le-pyoderma gangrenosum lincinci kakhulu, unyango lunokuthi lugcinwe kwipilisi yezobugcisa ezifana ne-steroid okanye i-calicidurin inhibitors (isib. Tacrolimus).
Xa kuninzi kakhulu, i-systemic steroids njengalezo ezithathwe ngomlomo zihlala zisetyenziswa. Amanye amayeza enjenge-immunosuppressive angabuye ahlolwe, kubandakanywa kodwa angagqithwanga, i-TNF-inhibitors (njenge- infliximab ), i-cyclosporine, i-minocycline (ngokuqhelekileyo isetyenziswe njenge-antibiotic kodwa nayo inezixhobo ezichasayo), i-dapsone (iphinda isetyenziswe njenge-antibiotic kodwa Kwakhona inezixhobo ezichasayo-ezivuthayo). Olunye unyango olunjenge-intravenous immunoglobulin (IVIG) nalo lusetyenziswe kule mqathango.
Ngaba i-pyoderma gangrenosum iya kunyangwa?
Ngokuqhelekileyo, i-pyoderma gangrenosum ayifanele iqhutywe.
Oku kungenxa yokuba isenzo sokukhawulelana sinokuqhubeka nokuvuselela le meko. Nangona kunjalo, kwimiba ekhethekileyo, ukungenelela ngoncedo kungagunyaziswa, kodwa oku kufuneka kwenziwe ngokuqwalasela ngenyameko.