Kodi zabwino chizindikiro cha Nikolsky amatanthauza chiyani?

Matenda a khungu ndi gulu losiyana - dermatological pathologies. Pali mitundu yambiri ya iwo. Kuti chisamaliro chokwanira chisamakhale chofunikira, muyenera kudziwa bwino matenda a dermatological. Imodzi mwa njira zoyamba ndi kuunika kwa thupi. Zimayamba ndi kufufuza khungu ndikuyang'ana zizindikiro za zizindikiro. Malingana ndi deta iyi, n'zotheka kusiyanitsa matenda omwewo kuchokera kwa wina ndi mnzake. Chimodzi mwa mawonetseredwe kawirikawiri a matenda a dermatological ndi chizindikiro cha Nikolsky. Nthaŵi zambiri, zimapezeka ndi mitundu yosiyanasiyana ya pemphigus.

Chizindikiro cha Nikolsky - ndi chiyani?

Chiwonetserochi cha matenda a dermatological chimadziwika kuyambira kumapeto kwa zaka za zana la 19. Chizindikiro cha Nikolsky kawirikawiri chimapezeka pemphigus, koma chikhoza kuchitika ndi matenda ena. Amakhala mu khungu la khungu lomwe limakhudzidwa ndi kukangana. Izi ndi chifukwa cha ntchito ya acantholysis. Mawu a zachipatalawa amatanthawuza kusintha kwa chisautso chachikulu cha epidermis, chifukwa cha kuphwanya kwa kugwirizana kwa mitundu yosiyanasiyana kumayambira. Chizindikiro cha Nikolsky chiyenera kuyang'aniridwa ponse pa khungu zokhudzana ndi khungu ndi pa mucous nembanemba. Kawirikawiri zimapezeka m'kamwa. Izi ndi chifukwa chakuti mitundu yina ya pemphigus imayamba kukula kuchokera m'mimba ndi mkatikati mwa milomo.

Kodi matendawa amapezeka ndi matenda otani?

Tiyenera kukumbukira kuti chizindikiro cha Nikolsky ndi pemphigus nthawi zonse sichikumana. Matendawa ali ndi mitundu yosiyanasiyana. Mitundu yambiri ya pemphigus ikuphatikizidwa ndi acantholysis. Pachifukwa ichi, chizindikiro chosiyana cha chizindikiro cha Nikolsky chimadziwika. Kusiyanitsa mitundu yotsatira ya matenda:

1. Vulgar pemphigus. Matendawa amakhudza makamaka amayi a zaka 40 mpaka 60. Pachifukwa ichi, pali kuphwanya kwa mucous membrane ya m'kamwa. Mafupa amaoneka pamwamba pa nsanamira, lilime, ndi masaya. Atatsegulira, pali zosokoneza.
2. Pemphigus ndi vegetative. Mitundu imeneyi imasiyana ndi izi, kuwonjezera pamalomo, pakhungu zimakhudzidwa. Kawirikawiri izi ndizo zibokosi za inguin, zam'mimba, anus, umbilical ring. Mphuno imakhala yongopeka ndipo imakhala ndi mawonekedwe ang'onoang'ono. Matendawa ndi osowa.
3. Pulmonate pemphigus. Amadziwika ndi chitukuko chodzidzimutsa komanso chofulumira. Mphuno imapezeka kumalo amodzi mwaubweya wa thupi, mutu. Atatha kutsegula, nsalu zochepa zimakhala (zikufanana ndi mapepala a khungu).

Mitundu yonse ya pemphigus ndi mawonekedwe a acantholytic. Chizindikiro cha Nikolsky chili chabwino. Ndi mitundu ina ya matenda, ndizolakwika.

Kuzindikira matenda a Nikolsky

Pali njira zitatu zomwe zimatheka kuti muzindikire chizindikiro cha Nikolsky ndi pemphigus (chithunzi cha matenda omwe ali m'nkhaniyi). Pachiyambi choyamba, dokotala amakoka forceps ndi chikhodzodzo cha chikhodzodzo. Pankhani iyi, kukana khungu labwino mu mawonekedwe a tepi. Njira yachiwiri ndiyokusakaniza epidermis pakati pa zotupa. Pa nthawi yomweyi, khungu, lomwe limawoneka labwino, limayamba kukanidwa. Chachiwiri, dokotala amapanga kayendetsedwe kake kozungulira m'madera omwe sakhala ndi ming'oma. M'madera awa, epidermis imangowonongeka mosavuta, ndikusiya pamwamba.