Komabe ndi matenda akuluakulu ndi ana: zimayambitsa, zizindikiro, chithandizo

Udindo wofunika kwambiri pa matenda a matenda osowa chimagwira matenda amene amalola kusiyanitsa matenda kuchokera angapo matenda ena thanzi. matenda Komabe wa mankhwala yaitali, koma madokotala ananena zawo odwala mu nthawi kuwona katswiri, nthawi zambiri zabwino.

Mbiri ya matenda

Poyamba matenda mu 1897, chifukwa dokotala George Steele. Koma pa nthawi iyi ya matenda Komabe ankaona ankaona yekha mawonekedwe a nyamakazi. Only mu 1971, Erik Bayuoters lofalitsidwa Maphunziro kusiyanitsa matenda kuchokera angapo mavuto ndi zizindikiro zofanana.

ziwerengero Medical kusonyeza kuti matenda kudwala osowa mungathe mofanana oimira amuna ndi akazi. Komabe, odwala ambiri otchulidwa dokotala ndi matenda a Komabe ndipo analandira kutsimikizira matenda - Ana osaposera zaka 16 zakubadwa. Linamveka wamng'ono, ambiri odwala, matenda ndi zovuta chifukwa makolo oyamba anaona zizindikiro za mwanayo, ndi kukhulupirira kuti kuli ngati "m'badwo" vuto.

The zimayambitsa matenda

Kufikira tsopano lino, etiology matendawa bwinobwino. Kafukufuku wosiyanasiyana umalimbana akudzizindikiritsa zimene chikwiyire matenda Komabe mu ana ndi akulu, alephera. Malinga ndi ganizo loperekedwa ambiri amavomereza, matenda ndi chifukwa cha mmene thupi kapena wothandizila opatsirana tizilombo, koma umboni wochirikiza mfundo imeneyi, palibe.

Madokotala anayesetsa kusonkhana matenda ndi mimba, ntchito mankhwala, kuphatikizapo mahomoni wamkazi, nkhawa ndi zinthu zina. Malinga ndi zimene mabuku ena amanena Komabe ndi matenda amatanthauza matenda autoimmune. Authentically inatsimikizira yekha kuti mu gawo yogwira matenda amakhala ndi kusintha mu ndende ya cytokines. Mwina mankhwala tsogolo adzatha kupeza chifukwa cha matenda, ndipo potero kusintha diagnostics ake ndipo mofulumira ayambe odwala.

Zizindikiro za matenda Komabe akuluakulu

Komabe ndi matenda amene Zizindikiro ofanana ndi chiwerengero cha matenda ena amapezeka pa zifukwa zingapo:

• Malungo kumachitika pamene matenda akadali amakhala ndi malungo, chibadidwe angapo matenda opatsirana, inconstancy awo. Pachikhalidwe, kutentha masana kusungidwa mu osiyanasiyana wabwinobwino, koma kawiri patsiku, kukwera kwa madigiri 39 ndipo pamwamba. Pa nthawi yomweyo limodzi mwa magawo asanu a odwala kutsitsa zizindikiro kutentha ndi bwino wodwalayo bwino si anati, zomwe kwambiri complicates matenda.
• Pa nsonga ya kutentha okwera wodwalayo akuwonetseredwa kuphulika khungu, anapereka papules pinki kapena macula. Nthawi zambiri, totupa ili pa thunthu ndi malekezero proximal, kupatula kawirikawiri - chithunzi chikusonyeza totupa pa nkhope. Gawo limodzi la odwala totupa limatuluka pamwamba chivundikiro khungu, wochokera makamaka m'madera a mikangano ndi psinjika. Chotero chizindikiro ndi amatchedwa Koebner chodabwitsa. Si nthawi zonse limodzi ndi zotupa, kuyabwa ndi wotumbululuka ndithu pinki mtundu ndi kupanga nthawi mofulumira zizindikiro imperceptible la wodwalayo. Madokotala apange matenda molondola wodwala kukhala pansi monyanyira kutentha, akuziyambitsa mawu a totupa. Kungakhale shawa ofunda kapena imposition mwa nsalu ofunda. Atypical chiwonetsero cha matenda ndi: alopecia, erythema nodosum, petechial magazi. Komabe, zizindikiro ngati ali osowa.

• Siteji yoyamba ya matenda akadali amakhala ndi maonekedwe a myalgia ndi arthralgia. Mu ichi poyamba anakhudzidwa olowa chimodzi chokha. M'kupita kwa nthawi, matenda chimakwirira mfundo zina, kutenga chikhalidwe cha polyarthritis. Makamaka zokhudza mfundo bondo, m'miyendo, dzanja, m'chiuno, temporomandibular, metatarsophalangeal. Koma mbali ya matenda, mmene ambiri chifukwa ambiri a milandu, ndi chitukuko cha nyamakazi ya wapotalikira mfundo interphalangeal manja. Izi ndi zimene amatilola kusiyanitsa matenda Komabe ku matenda enaake ophwanya m'thupi, wofiira zokhudza zonse lupus kapena nyamakazi.
• Mu 65% ya milandu matenda kumachitika pa maziko a lymphadenopathy. Theka la odwala kuchuluka khomo lachiberekero lymph mfundo. Pa nthawi yomweyo, zina, necrotizing lymphadenitis amatenga khalidwe.
• Pa chiyambi cha matenda, odwala lipoti Amowabu woyaka mu mmero, amene ndi okhalitsa.
• Pakuti Komabe ndi matenda amakhala ndi cardio-m'mapapo mwanga mawonetseredwe monga pneumonitis aseptic, tamponade mtima, valvular vegetations kupuma mavuto syndrome.
• Mu odwala matenda Amowabu ndi ophthalmic. Izi mathithi zovuta corneal alibe zikulumikizana Njanji diso iridocyclitis.

Komabe ndi matenda ana

Symptomatology wa matenda ana ndi wosiyana akuluakulu. Komabe, maonekedwe a Komabe ndi matenda ana akhoza kukhala afewetsedwa, zikubweretsa matenda anachedwa ndi anachedwa mankhwala. Nthawi zina nyamakazi ana kumabweretsa chilema. Popewa izi, makolo ayenera kukhala tcheru kwambiri ku thanzi la mwanayo. Ndipo pamene zizindikiro woyamba wa matenda amanena kuti mmisiri waluso. Anapezerapo Komabe ndi matenda ana zingachititse kuwonjezeka akanagwiritsa ku malekezero amene amafuna alowererepo pa opaleshoni.

matenda a matenda

Popeza pafupifupi popanda zizindikiro zenizeni za matenda, matenda ndi zovuta. Pa mayesero onsewa, makumi awiri Komabe ndi matenda amaliona monga malungo zachilengedwe osadziwika. Nthawi zina, matenda ndi "sepsis". Izo zinali kokha pambuyo pa mndandanda wa maphunziro zinalephereka mankhwala opha tizilombo komanso mabuku angapo zina kusanthula madokotala akhala afike pomvetsetsa kuti ndi matenda a wamkulu Komabe ali. Kuchiza ndi konzanso - nthawi yolandira chithandizo ndi zimafuna nthawi zonse achipatala. N'chimodzimodzinso ndi ana.

Pa matenda analembedwa monga zizindikiro monga malungo, kutupa m'malo olumikizirana mafupa, kuwonjezera lymph mfundo ndi kutupa pakhosi, ndi zinthu zina zopezera ntchito echocardiography, yopangidwa tomography ndi ultrasound. Kuvomerezedwa ndi magazi kusonyeza kuchuluka kwa maselo othandiza magazi kuundana ndi maselo oyera. matenda pa Komabe kwa wodwala amakhala ndi kuchepa mu mlingo wa maselo ofiira. Odwala wamkulu, okwera C-zotakasika mapuloteni ndi ferritin. Choncho kafukufuku kwa chitetezo odana nyukiliya ndi rheumatoid chinthu zambiri negative.

Chithandizo pa chikhululukiro

Zovuta phased mankhwala ikuchitika mu gawo yogwira matenda, kapena chikhululukiro. Mbali yoyamba, ndondomeko anachita mu chipatala, lachiwiri - odwala kulandira chithandizo zofunika, pamene outpatients kapena sanatoria ndipo pogwiritsa thanzi. Chithandizo zikuphatikizapo mankhwala, physiotherapy thupi mankhwala ndi kutikita.

Chithandizo pa matenda pachimake

Pa odwala exacerbation kutenga NSAIDs, immunosuppressants, glucocorticoids. Mankhwala nthawi zonse. Ichi ndi chifukwa chake onse wodwala ndi banja lake ayenera M'sitolo mlingo waukulu wa chipiliro. Komabe ndi matenda akuluakulu ndi ana - matenda aakulu ndipo zinthu ndi likhoza kukhala matenda yake ndi mankhwala molondola.

kaonedwe

Pambuyo mankhwala atatu mitundu zotheka matendawa. Kwambiri mwa iwo - mowiriza kuchira anaona mu gawo limodzi la odwala ndi matenda osowa. China chachitatu cha odwala ndi relapsing mawonekedwe a matenda nthawi. Ovuta kwambiri njira - matenda aakulu mu wamkulu Komabe ali. Chithandizo kumasuka ndi kukhazikitsa mu nkhani iyi mwina sakuphatikizapo mwambo mankhwala, koma arthroplasty, kulola kuti abwezeretse anawononga matenda olowa.