Lipoid necrobiosis: Zoyambitsa, Zizindikiro, Matendawa ndi Chithandizo

Lipoid necrobiosis - ichi ndi oopsa kwambiri aakulu khungu matenda. Madalitso si opatsirana. Matendawa amapezeka pamene matenda kagayidwe kachakudya mu thupi. Izi lipoidoz m'dera limene lipids ndi waikamo mu dermis, imene pali alibe kapena necrobiosis ya kolajeni.

NKHANI zamadzimadzi necrobiosis

Matendawa amapezeka mu mawonekedwe aakulu kwa nthawi yaitali. Nthawi zambiri, pambuyo ayambe mwina matenda akufotokozera mwatsopano. Pali milandu kuchira lachibadwa. Koma si m'chipani.

Zomwe gulu la anthu ongoyendayenda matenda?

Lipoid necrobiosis - matenda n'chosoŵa. Adzaupereka kwa khungu m'deralo lipoidozam. Makamaka kuoneka odwala ndi shuga. Nthawi zambiri zamadzimadzi necrobiosis anthu atengeke zaka 20-40. Pasanathe ambiri, matenda amapezeka ana ndi okalamba. Nthawi zambiri, kudwala akazi.

Zina mwa zifukwa

Pakuti Zifukwa monga kuyan'anila za njira kagayidwe kachakudya. Kwenikweni, zamadzimadzi, timadzi ndi zimam'patsa kagayidwe. Chinthu choopsya kwambiri chifukwa odwala ndi mabala shuga, kuvulala zosiyanasiyana (tizilombo ting'onoting'ono, kusupuka ndi zina zotero. D.).

Zimene katswiri kuthana?

Ngati zotupa aliyense khungu, kuphatikizapo matenda lipoid necrobiosis, ayenera kukaonana ndi dermatologist. adokotala oterewa ndi mankhwala chithandizo kutero.

The zimayambitsa matenda

Lipoid necrobiosis khungu zikuoneka chifukwa matenda kagayidwe kachakudya. Makamaka, chifukwa walephera ndondomeko kagayidwe kunyama ndi chakudya. Chifukwa cha ichi, mu ziwiya magazi kukhala pathological chikhalidwe cha kusintha ndi kuyamba matenda microcirculation. matenda angayambe anthu amene alibe mavuto ndi shuga kulolerana.

Chifukwa cha mkhutu microcirculation kuyamba kusintha osachiritsika maselo a khungu ndi necrobiosis awo (kusintha okhudza maselo ambiri kagayidwe). Ndipo chifukwa - mafuta selo alibe.

Lipoid necrobiosis: zizindikiro za matendawo

Zizindikiro zoyambirira za necrobiosis lipoid - kuoneka pa khungu la pinki ang'ono ndi wofiira tinatake tozungulira chowulungika. Pamodzi m'mbali amacheza ndi felemu bluish. Pakati pa zotupa pa zolengeza ndi chikasu imvi. Pa nthawi yomweyo akhoza kubala ang'onoang'ono tinatake tozungulira wofiira pansi pa khungu. Izo zikuwoneka ngati capillary enaake kukula. Zilonda kake siziwoneka matenda.

Tinatake tozungulira ndi kukula pa nthawi kuphatikiza mu mipukutuyi wandiweyani ndi yosalala pamwamba ndi nzeru makamaka. Pa kukhudza ali wandiweyani ndipo sabweretsa chisoni. Pakati pa khungu yokutidwa ndi translucent filimu. Pamodzi m'mbali kupanga yaing'ono bluish-wofiira khushoni.

Zotupa ndi symmetrical ndi ili chabe mipukutuyi ochepa. Nthawi zambiri amakhudza miyendo m'munsi, makamaka pa mwendo m'munsi. Nthawi zina mipukutuyi uonekere pa ntchafu, torso, manja ndi khungu.

Ngati matenda m'kati popanda mavuto, ndi zotupa musati chifukwa zosasangalatsa chowawa zomverera. Apo ayi, adzawonekera zilonda ndi zilema zina khungu. Ndiye izo zikuyamba moto, kumva kulasalasa, kuyabwa ndi ululu.

Lipoid necrobiosis kumafunika kovuta ngati munthu nthawi yomweyo palinso matenda ashuga. Pankhaniyi, ziwiya yaing'ono amakhudzidwa ndi zimenezi zikuthandiza okha kuwononga khungu. Ngati magazi shuga ndi otsika, ndiye alili penapake yachibadwa. Mipukutuyi pang'ono kapena kwathunthu kupasuka. chiwerengero chawo amachepetsa.

Tosaoneka mupeza kuchepa selo elasticity, imene pali kudwala a kagayidwe zosayenera mafuta. Koposa zonse pamene akuvutika minofu connective. mtundu wa zamadzimadzi necrobiosis - aakulu granulomatous distsiformny Miescher. Pankhaniyi, khungu kapena yamawangamawanga kukula kwa zambiri. Iwo lolemererapo ndi kukhudza - monga pamwamba pa bolodi. Makamaka pakati pa zinkakhala m'dera.

diagnostics

Ngati kuchuluka misinkhu shuga magazi anati, kudzakhala mayeso wapadera kudziwika matenda a zimam'patsa kagayidwe. Kwenikweni, zimenezi pa siteji oyambirira a shuga. Kuwonjezera mayeso, onetsetsani kupereka magazi ndi mkodzo mayesero pamaso pa shuga.

Shuga kulolerana mayeso - katundu mayeso ndi shuga. Ndondomeko kumafuna magawo angapo a magazi zosonkhanitsira capillaries. Ndi pa chopanda kanthu m'mimba pambuyo ingestion wa magalamu makumi asanu shuga. Iye Pre-kusungunuka mu madzi. Normal shuga mlingo - zosakwana 5.5 mmol pa lita. maora awiri mayeso - osapitirira 7,8 mmol pa lita. Zolakwika mwakale kumasonyeza kuphwanya ntchito insular dongosolo. Pankhaniyi, zakuya ndi bwino bwino. mayeso zachitika pamene mlingo wa shuga pamwamba 6.7 mmol pa lita.

Diagnostics ndi chinkhoswe, kupatula dermatological ndi achire, ngakhale Endocrinology Center. Choyamba pali kuunikidwa kunja wodwalayo. Anatumizidwa kuphunzira histological zitsanzo akamagwira biopsy wa khungu akhudzidwa. Agwiritsidwa kudetsa enieni lipids ndi Sudan kudziwa masango tirigu mafuta.

Mu magazi zotengera tcheru pa kuchuluka kwa mpanda za indofeliyamu ndi fibrosis. matenda masiyanidwe ikuchitika:

• zolengeza matendawa;
• granuloma annulare;
• induratum erythema Bazin;
• papulonekroticheskim vasculitis;
• panniculitis;
• sarcoidosis;
• Dermatitis m'munsi mwendo;
• erythema nodosum ndi T. d.

mankhwala

Zochizira zamadzimadzi necrobiosis lankhulani wokhudza Endocrinology. Iwo amachititsa kufufuza zonse zimene wodwalayo. Zoikidwa ndi Zakudya kuthetsa madzi a shuga magazi. Zochizira mankhwala yotupa ndi ntchito kuwongolera microcirculation:

• "Hingamin".
• "Acetylsalicylic asidi".
• "Ksantinola nicotinate."
• "Dipyridamole" ndi ena.

Komanso Kwalamulidwa mankhwala odana ndi matenda ashuga ndi zodzola, monga timadzi adrenocortical. Chabwino thandizo njira ntchito "Dimexidum" (peresenti 25-30). Chithandizo zimakhala ambulatory ndi n'kupuma.

Komanso, mankhwala, ndi mu kapangidwe kake vitamini E. Kuikidwa ndi physiotherapy ndi Bucky cheza ndi X-ray walitsa. Pa nkhani zikuluzikulu, mankhwala amachitidwa opaleshoni. Pa opaleshoni, resected mapangidwe pathological. Kenako, muyenera kuchita khungu kumezetsanitsa.

Sitiyenera kuwopseza aliyense matenda ichi monga necrobiosis lipoid. Mankhwala a mtundu kupata ndi digiri yoyamba shuga: pali mitundu yosiyanasiyana ya insulin. Against maziko a wachiwiri - ndi sulfonylurea. Mavitamini amaikidwa "Aevit", "Ascorutin", vitamini B ndipo niacin. Pamene necrobiosis yoikidwiratu bromides kapena mankhwala azitsamba. Komanso zingathandize microcirculation - "Etamsylate", "komplamin" etc ...

Kwalamulidwa lipotropics, pamene nondiabetic chikhalidwe cha matenda - "Dipromony" mayikidwe intramuscularly. Pamene chithandizo m'dera umagwiritsidwa phonophoresis ndi heparin kapena prednisolone mafuta. The masiku ufulu fonoforeza ntchito corticosteroid wothandizira, ntchito pa bandeji.

Chithandizo cha mankhwala wowerengeka

Zochizira zamadzimadzi necrobiosis mankhwala wowerengeka ayenera kuonana ndi dermatologist. Self-mankhwala popanda chilolezo dokotala kwambiri osafunika. Yoyenera mankhwala wowerengeka udzu winawake bwinobwino ntchito (500g) ndi mandimu (6 zidutswa), amene yophika kwa maola awiri mu madzi osamba, chisanadze akanadulidwa mu blender ndi. njira wokonzeka anatengedwa m'mawa supuni imodzi. The osakaniza awasungira mu firiji.

Good thandizo pa matenda a aloye ndi sinamoni. magalamu makumi awiri sinamoni ufa madzi owiritsa. Unathandizira kuti kuziziritsa, ndi anawaonjezera kulowetsedwa wa mamiligalamu khumi madzi aloe. Osokonezeka, anagawa m'magulu awiri ofanana. The ataledzera choyamba m'mawa pa chopanda kanthu m'mimba. The chachiwiri - madzulo, basi isanafike nthawi yogona.

Ntchito apakhungu anapangidwa kuchokera steamed compresses ufa wa paini kapena thundu khungwa. Koopsa lipoid necrobiosis? Ngati mankhwala si ntchito kapena kuthamanga mungayende kuti chitukuko cha chilonda.

kupewa matenda

Kuteteza - mayeso zonse mu chipatala chifukwa kudziwika a shuga kapena matenda ena amagwirizana ndi njira mkhutu kagayidwe kachakudya mu thupi. Iwo m'pofunika kukaona GP ndi kubatizidwa zachipatala kukayezedwa miyezi sikisi iliyonse. Izi zimathandiza kuchotsa mavuto ambiri ndi kupewa chitukuko cha matenda zotheka. Anthu amene anali milandu shuga, m'pofunika zonse kuwunika misinkhu shuga pakati pa abale. Mu nkhani ya matenda a shuga, ndi mokakamizidwa yake mankhwala - ndi kupewa zamadzimadzi necrobiosis.

Kuwonjezera pa pamwamba pa zonse, kupewa choipa chilichonse thupi, makamaka miyendo (makamaka ng'ombe). Tisawasale zakudya zakudya mafuta ndi yokazinga. Zokonda ayenera kupatsidwa chakudya yophika ndi steamed.