Lyell ndi matenda. Kodi muyenera kudziwa?

syndrome Lyell ndi matenda aakulu poizoni-matupi awo sagwirizana chiyambi, amene amakhala ndi detachment ku zigawo m'munsi a khungu. Kenako pali necrosis exfoliated khungu. Pali mitundu iwiri ya matenda a:

• poizoni;
• staphylococcus.

mawonekedwe poizoni chibadidwe akulu ndi ana, pamene staphylococcal ambiri mwa ana.

Kodi syndrome Lyell chiyani?

Matendawa ali ndi makhalidwe zinthu zotsatirazi:

• kufulumira kwa isanayambike zizindikiro;
• khungu angapo totupa - mawanga ofiira ndi kutupa ndi matuza, kuwonjezeka mofulumira mu Volume;
• moto wa khungu ngati lamoto digiri II;
• necrosis ndi exfoliation wa wosanjikiza kumtunda kwa khungu;
• thupi kutentha 39 madigiri, kufooka;
• mutu kwambiri ndi chisokonezo mu lathu mu nthawi ndi malo;
• kusanza, kutsekula m'mimba;
• kugona ndi madzi m'thupi ;
• tsitsi imfa;
• kuwonjezera chiwerengero cha leukocytes mu magazi, aimpso kukanika;
• edema kapena kutupa m'mapapo, kuwonongedwa kwa minofu impso;
• mkhalidwe wa mantha.

Nkofunika kudziwa kuti zizindikiro za matenda Lyell anasonyeza mosiyana. Mwamsanga wodwala kuwona dotolo, chindichepere chiopsezo kuchititsa zizindikiro aakulu ngakhale imfa.

Zimayambitsa matenda

Pali zifukwa zingapo zimene zingachititse kuti syndrome izi:

• mankhwala zingachititse kuti zochita aakulu awo sagwirizana (osiyana mankhwala a sulfa wothandizila antibacterial, mankhwala barbiturates, anticonvulsants ndi njira zina). Akukhulupirira kuti pafupifupi mankhwala alionse amene angakumane nawo chifukwa cha matenda;
• staphylococci;
• media otitis, chifuwa, chimfine mphuno.

syndrome Kuteteza Lyell a

Mu matenda m'pofunika kuti apite kuchipatala kwa dokotala, amene ayenera mankhwala mankhwala.

Izo sizingakhoze ntchito mankhwalawa mankhwala angapo (5-8 osiyana).

Mankhwalawa matenda ayenera kuganizira zonse anakaonekera ndi matupi awo sagwirizana anachita kwa mankhwala.

mankhwala a matenda

Ngati pali kukayikitsa syndrome Lyell, muyenera yomweyo siyani kumwa mankhwala onse amene ntchito kale, ndipo pitani kuchipatala. Chithandizo cha matendawa amapezeka odwala mwakayakaya. Apa, madokotala akuyesetsa kugonjetsa zinthu thupi poizoni, mkhutu magazi clotting, kukhala mapuloteni bwino ndi bwino madzi ndi mchere, kuthandiza kugwira ntchito yachibadwa ziwalo zofunika wodwala.

Malinga mwamphamvu, wodwalayo anatumizidwa mwina mankhwala kapena glucocorticoid, kapena hospitalization ndi mankhwala wotsatira. Ngati wodwala kusonyeza zizindikiro zina tafotokozazi - ponena kuchipatala kukoka n'zosatheka, popeza imfa milandu akayakaya ndi za 30-70% (malinga ndi kafukufuku osiyanasiyana).

syndrome Lyell amaliona mu magawo angapo:

1. Chithandizo cha mantha wodwalayo. Antishock mankhwala kutumikiridwa kwa mtima (saline gemodez ndi ena). mlingo waukulu wa prednisone kudzera droppers (- 250 mg 200) ndi amene anayambitsa.
2. Mokakamizidwa m'chipatala. Pambuyo hospitalization zotsatirazi miyeso kuvomerezedwa ndi:

• Anapitiriza utsogoleli wa prednisolone - 100 - 250 mg tsiku;
• anapitiriza umwana detoxification mankhwala mu mawonekedwe a mtsempha;
• kuvomerezedwa mankhwala mankhwala anakhudzidwa m'madera wa thupi;
• Normalization mapuloteni ndi bwino madzi, komanso asidi-m'munsi;
• mankhwala ochititsa dzanzi;
• chabwino chisamaliro chakhungu: odana ndi bakiteriya lotions, ntchito aerosols, mafuta ndi mavutowo. Kuvomerezedwa nsalu za 2-3 nthawi tsiku, chithandizo cha nembanemba mucous.

Popeza syndrome Lyell ndi matupi awo sagwirizana mu chikhalidwe, kugwiritsa ntchito mankhwala mankhwala ayenera okha ndi mosamalitsa anapatsidwa.