Matšoao a Stevens-Johnson ke lefu le tebileng la dermatological, le hlahisitsoeng ka mofuta oa li-papules le li-vesicles tse ngata tse jalang holim 'a letlalo, ho kenyeletsa le liphatsa tsa lefutso.
Matšoao a Stevens-Johnson - sesosa sa lefu lena
Litsebi li lumela hore matla a ho hlahisa lefu la Stephen-Johnson a futsitse. E le molao, lefu lena le hlahisa e le karabelo ea ho itšoara ha mofuta o potlakileng moketeng:
- lithibela-mafu;
- sulfonamide;
- lithethefatsi-taolo ea tsamaiso ea methapo ea bohareng;
- li-antisteroidal tse khahlanong le ho ruruha lithethefatsi.
Ntle le moo, litloaelo tse kotsi le tšoaetso li ka tsosa lefu lena:
- parotitis;
- masale;
- feberu;
- herpes;
- khoho ea likhoho;
- lefuba;
- mycoplasmosis;
- brucellosis;
- salmonellosis;
- AIDS, joalo-joalo.
Maemong a mang, sesosa se tobileng sa lefu lena ha se khone ho fumanoa.
Matšoao a Stevens-Johnson Syndrome
Lefu lena le hlaha ka potlako. Nakong ea pele, ho na le:
- mocheso o phahameng (ho fihlela likhatong tse 40);
- feberu;
- hlooho e bohloko;
- bohloko ba mesifa le majoe;
- tachycardia;
- bohloko bo molaleng;
- letšollo;
- ho hlatsa;
- ho khohlela.
Ka lihora tse 'maloa monoaneng oa molomo ho na le li-bubble, ka lebaka la seo mokuli a ke keng a se noa le ho se ja. Ho na le tšenyo ea mahlo e le mokokotlo oa conjunctivitis le bothata bo itseng ka mokhoa oa ho ruruha ha purulent. Ka nako e ts'oanang, khoholeho ea metsi le liluru li ka hlahisoa ka cornea le conjunctiva, hammoho le tsoelo-pele:
- keratitis;
- blepharitis ;
- lisahelena.
Hoo e ka bang halofo ea liketsahalo tsa lefu lena li ama litho tsa genito-urinary.
Matšoao a Stevens-Johnson a khetholloa ke krimson blisters letlalong la 3 ho isa ho 5 cm ka boholo le li-serous kapa tsa mali. Ka mor'a ho bula machachetsi, li-crusts tse khubelu li thehoa.
Mathata a khonehang a lefu lena ke:
- ho se sebetse ka matla ho renal;
- pneumonia;
- tsoa mali ho tsoa senya;
- bronchiolitis;
- bofofu.
Lipalo-palo tsa bongaka ka boikokobetso li re: mokuli e mong le e mong ea 10 ea nang le lefu la Stevens-Johnson o shoa.
Phekolo ea lefu la Stevens-Johnson
Bakeng sa lefu la Stevens-Johnson, ambulense e ikemiselitse ho tlatsa metsi. Mokuli o boetse o fumana phekolo e tšoanang le e sebelisetsoang ho phekola bakuli ba chesang haholo, ka ho omisa le ho thibela lisebelisoa. Ho hloekisa mali, ho hlophisoa hamocorrection ea 'mele o hlophisitsoeng:
- filtration ea mali;
- ho shemosorption;
- ho se hlokomele;
- membrane plasmapheresis .
Infusion ea plasma, liprotheine metsoako, tharollo ea saline e etsoa. Prednisolone le tse ling tsa glucocorticosteroids li laoloa ka hloko. Litho tse bohloko tsa molomo li tšoaroa ka li-disinfectants, mohlala, hydrogen peroxide. Leihlo la Glucocorticosteroid le theoha mahlo 'me mafura a koahetsoe. Ha tsamaiso ea urogenital e ameha, mafura a solcoseryl le glucocorticosteroid li sebelisoa. Ho thibela phetoho ea phekolo ea phekolo ho sebelisa li-antihistamine. Ha edema ea larynx ea mokuli e hlalositsoe, mokuli ke
Sebaka sa bohlokoa kalafo ea mokuli ea nang le lefu la Stevens-Johnson ke mokhatlo oa sepetlele oa mehato ea ho thibela mathata a baktheria, ho akarelletsa:
- bonyane ba line;
- ho ikarola ho bakuli ba bang le baeti;
- phekolo ea moea ka mahlaseli a kotsi.
Mokuli ea nang le lefu la Stevens-Johnson o tlameha ho behoa lijo tsa hypoallergenic tse akarelletsang ho ja lijo tse nang le metsi kapa mashed, lino tse ngata. Bakuli ba matla ba bontšoa phepo e nepahetseng ea parenteral.