Lyell's syndrome (lebitso la bobeli ke lefu la Stevens-Johnson) ke tšoaetso e matla haholo, e bonahalitsoeng lebothong le lefung la letlalo le ka holimo, hammoho le ho tahoa ha sebōpuoa sohle ka lebaka la bohato bo tsoelang pele. Lynd's syndrome e nkoa e le eona ea bobeli e thata ka ho fetisisa ka mor'a ho ts'oa ha banaphylactic ka lebaka la boemo bo bakoang ke hypersensitivity ea motho ho lintho tse itseng. Lyell's syndrome, e bitsoang "epidermal necrolysis", e ile ea hlalosoa ka lekhetlo la pele ka 1956, empa ho fihlela hona joale ha ho na tumellano ho batho ba bongaka mabapi le ho qala ha lefu lena.
Mabaka a Lyell's Syndrome
Maemong a mangata, lefu la Lyell's syndrome le hlaha e le litsietsi:
- ka mor'a ho noa meriana (lithibela-mafu, sulfonamide, joalo-joalo), lijo li tlatsetsa esita le litokisetso tsa vithamine;
- ka tšoaetso ea staphylococcal;
- ka lebaka la phetoho ea ts'ebetso ea 'mele ea ho itšireletsa mafung ha' mele o matlafatsoa ke tšoaetso e kopantsoe le ho pepeseha ha lithethefatsi tsa allergenic.
Maemong a mang ho ke ke ha khoneha ho theha lisosa tse tobileng tsa tšebetso ea maikutlo, empa, joalokaha litsebi li bolela, sehlopha sa kotsi se akarelletsa batho ba utloang bohloko:
- dermatitis;
- pollinoses;
- lefu la pherekano le bolaeang .
Matšoao a Lyell's Syndrome
Hangata boloetse bo qala ka ho eketseha ha mocheso oa likhato tse 40 kapa ho feta. Tabeng ena, mokuli o na le bohloko bo bohloko ba hlooho le mahlo. Ho omella le letšollo ho tsejoa. Ka mor'a nako e itseng, leqhubu le hlaha letlalong, le tšoana le ho phalla masopong le scarlet fever, ho tsamaea le ho hlohlona kapa ho utloa bohloko. Ntlha ea pele, libaka tse monate tse hloekileng li sebakeng sa sebakeng sa inguinal le sebakeng sa masapo a axillary, ebe butle-butle ba qala ho nka karolo eohle ea 'mele.
Tšobotsi ea tšobotsi ea Lyell's syndrome ke lesela la letlalo la letlalo le nang le kamano e fokolang le letlalo la mokuli. Sena se etsa hore ho be le mekhoa e metle ea ho tsoa mali. Libakeng tsa lipere, ho thehoa libululoa, tseo ha li buletsoe, li pepesa libaka tse kholo tse nang le serous exudate. Ts'oaetso ea bobeli e tsamaeang le eona e baka hore khoholeho ea mobu e lokolloe, e bakang monko o sa thabiseng o tsoang 'meleng. Litho tse bohloko tsa molomo, mahlo le litho tsa botona le botšehali li boetse li fetoha liphetoho tse mpe. Kotsi e kholo ho bophelo bo botle le bophelo e emeloa ke:
- ho felloa ke matla ha metsi 'meleng;
- toxicosis e matla;
- mocheso oa 'mele o moholo;
- ho tlōla ha tsamaiso ea pelo;
- leukocytosis le ho khoneha ntshetsopele ea agranulocytosis le pancytopenia;
- e oela ka har'a li-coma.
Phekolo ea Lyell's Syndrome
Ha ho na le matšoao a tšoaroang ke lefu lena, o lokela ho potlakela ho letsetsa ambulense. Mokuli o behoa setsing sa tlhokomelo e boima kapa litsi tsa tlhokomelo e matla. Maemo a ho lula ka nako e le 'ngoe a tšoana le a bōpiloeng bakeng sa bakuli ba chesang le serame. Ntho e ka sehloohong e hlokahalang bakeng sa tlhokomelo le kalafo ke bofokoli. Mokhatlo o hlophisitsoeng oa phekolo ea lefu la Lyell o latelang:
- Ho felisoa ha lithethefatsi tsohle tse sebelisoang pele ho nts'etsopele ea lefu lena.
- Li-glucocorticosteroids li laeloa.
- Mefuta e meholo e tšoaroa ka oli ea meroho le vithamine A.
- Lisebelisoa tsa saline le colloidal li khothalletsoa ho tlatsa metsi a lahlehileng ke 'mele.
- Li-immunomodulators li sebelisoa.
- Ha u kopanela tšoaetsong ea bobeli, li-antiseptics le lithibela-mafu li sebelisoa.
Ka nako e nepahetseng le ka tsela e nepahetseng e tšoaroang kalafo e thusa ka potlako ho hlaphoheloa ha mokuli ea nang le lefu la Lyell.