Lyell Syndrome. Yini odinga ukuyazi?

Lyell Syndrome kuyisifo esingathí sina esingase enobuthi-iguliswa imvelaphi, esibonakala by lamabutho kusukela izingqimba engezansi epidermis. Kamuva, kukhona necrosis exfoliated epidermis. Kukhona izinhlobo ezimbili syndrome:

• anobuthi;
• Staphylococcus.

ifomu Toxic esivela abadala kanye nezingane, kuyilapho staphylococcal landile izingane.

Kanjani Lyell Syndrome?

Lesi sifo libhekene izici ezilandelayo:

• ukuzuma kuqala izimpawu;
• amaningi ukuqubuka kwesikhumba - izindawo abomvu ne ukuvuvukala shashaza, anda ngokushesha ivolumu;
• evuthayo kwesikhumba njengendlela degree ezishile II;
• necrosis futhi eliphathisa ungqimba engenhla isikhumba;
• lokushisa komzimba 39 degrees, ngenxa yobuthakathaka;
• izinhlungu zekhanda ezinamandla futhi kuliphazamise ukuma ngesikhathi nendawo;
• ukuhlanza, ukukhishwa isisu;
• ukozela futhi amanzi emzimbeni ;
• nezinwele;
• kwandziswa kwelinani letikhungo leukocyte egazini, ukungasebenzi kwezinso,
• edema noma wamaphaphu ukuvuvukala, ukubhujiswa kwezicubu izinso;
• beshaqekile.

Kubalulekile wazi ukuthi izimpawu Lyell Syndrome wabonakaliswa ehlukile. Ukushesha isiguli ukubona udokotela, kancane ingozi okubangela izimpawu zokugula okungathí sina ngisho nokufa.

Izimbangela zesifo

Kunezizathu eziningana ukuthi kuholele yilesi sifo:

• izidakamizwa angaholela ukusabela kabi komzimba nomzimba (ezahlukene sulfa ejenti elwa namagciwane, imithi elwa namagciwane, barbiturates, anticonvulsants nezinye izindlela). Kukholakala ukuthi cishe zonke izidakamizwa kungaba imbangela isifo;
• staphylococci;
• abezindaba otitis, ukukhwehlela, amakhala yisisu.

Prevention Lyell Syndrome

In izifo kubalulekile ukufuna ukwelashwa udokotela, ngubani kufanele ubeke izidakamizwa.

Ngeke esetshenziswa ekwelashweni imithi amaningi (5-8 ezahlukene).

Esikhathini ekwelapheni izifo kufanele bacabangele konke eyabonakala phambi ukusabela iguliswa ukuthola usizo lwezempilo.

ekwelapheni lesi sifo

Uma kukhona izinsolo Lyell Syndrome, kumelwe ngokushesha ayeke ukuthatha zonke izidakamizwa eyayisetshenziswa phambilini, futhi bafune nezeluleko wezokwelapha. Ukwelashwa lesi sifo kwenzeka egunjini labagula kakhulu. Lapha, odokotela bayehluleka ukunqoba izinto somzimba anobuthi, kahle igazi ekunqandeni, silondoloze amaprotheni ukulinganisela ibhalansi amanzi namaminerali, isekela ukusebenza evamile izitho ezibalulekile isiguli.

Kuye kobukhulu, isiguli babelwe noma amaphilisi noma glucocorticoid, noma esibhedlela nokwelashwa okwalandela. Uma isiguli ibonisa ezinye izimpawu zesifo ezichazwe ngenhla - ebhekisela esibhedlela ukudonsa kwenteke, ngobe nokushona amacala labagula imayelana 30-70% (ngokusho idatha ehlukahlukene).

syndrome Lyell iphathwa ngezigaba eziningana:

1. Ukwelashwa ukushaqeka e isiguli. Antishock izidakamizwa zaphathwa isiguli (nosawoti gemodez nabanye). ebulilini prednisone ngokusebenzisa droppers (- 250 mg 200) is bafaka.
2. esibhedlela ayimpoqo. Ngemva esibhedlela kulandela izinyathelo saziso yilezi:

• Ukuphatha okuqhubekayo prednisolone - 100 - 250 mg nsuku zonke;
• baqhubeka ukwamukelwa ngokukhishwa kobuthi egazini izidakamizwa ngesimo emthanjeni;
• saziso izindawo-antibiotic yokwelapha abathintekayo umzimba;
• Kokulinganisa protein ne ibhalansi amanzi, kanye acid-base;
• izinzwa;
• ukunakekelwa okuhle isikhumba: lotions anti-webhaktheriya, ukusetshenziswa aerosols yokugcoba kanye nezixazululo. nelineni okuphoqelekile 2-3 izikhathi ngosuku, ekwelapheni nolwelwesi lwamafinyila.

Njengoba Lyell Syndrome iguliswa ngokwemvelo, ukusetshenziswa kwezidakamizwa ekwelapheni kumele kungagcini futhi ngokuqinile kunikezelwe.