Lupus - matenda aakulu

Chifuwa chachikulu cha khungu etiology zovuta pathogenesis. Onse amitundu inayi mycobacteria: avian, Bovine, mwankhanzaku ndi anthu. Munthu kuimira ngozi kokha munthu ndi mtundu Bovine. Chotero khungu zotupa - chodabwitsa osowa pakati dermatoses, koma posachedwapa pakhala zochitika kuchuluka.

Zikhalidwe zimathandiza kuti chitukuko cha matenda monga: matenda ya ubongo, mahomoni kukanika, vitamini vutoli, matenda a mchere ndipo thupi madzi, matenda magazi (venous kuchulukana), osauka nyengo ndi chikhalidwe, matenda osiyanasiyana opatsirana. mfundozi kuchepetsa chitetezo cha m'thupi ndipo kuwonjezera chiwopsezo zake mycobacteria TB. Iwo umalowa mu khungu mu njira zambiri zosiyana. Wokongola zosavuta kachilomboko mwa kuwonongeka kwa khungu la mtima kapena chuma chake.

Pali njira ina matenda. Lupus angayambe pamene tizilomboto likulowerera khungu kapena lymphogenous hematogenically TB moto inali ku ziwalo zina.

Mu matenda a khungu wapezeka maselo opatsirana granuloma amene amacheza ndi lymphocytes. Pakuti yodziwika ndi zizindikiro monga necrosis caseous, pamaso pa maselo yaikulu Langhans, pamaso pa mycobacteria m'chigawo chapakati cha granuloma lapansi. Chifuwa chachikulu, tanthauzo la chomwe nthawi zambiri kwambiri ndi histological amafuna mankhwala mosamala.

The yofala kwambiri lupus. lupus amenewa, yodziwika ndi pakutchulidwa zizindikiro zofewa hillocks yeniyeni (lyupom) ndi mtundu pinki ndi omveka bwino (mpaka 3 mm) ndi ambiri mwa akazi. Lyupomy ndi matenda granuloma. Iwo amakula ndi kuphatikiza, kenako pali foci olimba (lathyathyathya mawonekedwe). Pang'onopang'ono lyupomy fibrosing. Pa ndondomeko imeneyi, chilonda manja. Palinso mtundu wa matenda chironda chachikulu, chimene ndi ndondomeko exudative ndi lyupomy ulcerate. Pali zilonda zachiphamaso magazi mosavuta ndi m'goli, m'mbali zofewa. Palinso mitundu ya chotupa ndi verrucous lupus. Kawirikawiri, totupa limapezeka pa nkhope, koma akhoza malo ena. Nthawi zambiri zimakhudza Kakhungu mucous m'mlengalenga, m'kamwa, milomo ndi mphuno. lupus olaula ndi yaitali komanso waulesi otaya. Pamene pangakhale mavuto ndi kukula lupus-carcinoma.

Kollikvativny lupus - wachiwiri ambiri mawonekedwe a milandu matenda. Kuphulika ndi maloboleznennymi, wandiweyani, yomwe ili dermis kwambiri ndi kukula mofulumira mayunitsi buku. Iwo kufika m'mimba mwake wa masentimita 5. Khungu pa mfundo ali ndi kulocha bluish. M'kupita kwa nthawi, mfundo ndi linayamba pali abscess ozizira, kenako kusiya amasulidwe zili wamagazi. Pamalo a mfundo za anapanga zilonda m'mbali zofewa. Anachiritsa zipsera chilonda atsala ndi mawonekedwe ndi osasamba. Nthawi zambiri zimakhudza khosi, osachepera - nthambi.

Indurativny lupus, anam'peza miliary, lichenoid, warty, papulonekrotichesky mitundu yachiwiri ya TB, kuyambira osauka ndi maziko a foci zina zamatenda m'mbuyomu akhala kudwala nthenda ya anthu.

njira yaikulu n'zochepa, chifukwa katemera wa ana panopa yayambika. Matenda kuvala deta anamnesis, matenda chithunzi, zotsatira za mayesero tuberculin, chikhalidwe zoona histological.

Mu matenda amenewa, monga mankhwala TB khungu yafupika zinthu zotsatirazi: tuberculostatic Morning utithandize chitetezo chokwanira, kusintha njira kagayidwe kachakudya. Ndi mankhwala tuberkulostaticheskoy monga isoniazid, protionamid, streptomycin, pyrazinamide rifampicin, ethambutol, florimitsin, kanamycin.