Necrobiosis Lipoid: Izimbangela, Izimpawu, Sifo Nokuselapha

necrobiosis Lipoid - lena iyingozi kakhulu ezingalapheki esehlaselwa isifo sesikhumba esenyanyekayo. Ifa ayihambi. Lesi sifo kwenzeka lapho iziyaluyalu umzimba emzimbeni. Lokhu lipoidoz lendawo lapho lipids kuthiwa imali dermis, lapho kukhona ukonakala noma necrobiosis collagen.

Izici lipid necrobiosis

Lesi sifo kwenzeka ngesimo ezingamahlalakhona isikhathi eside. Kaningi, ngemva yokutakula okusobala sifo eba kabusha. Kukhona amacala yokutakula nokuguqulwa. Kodwa kunzima kakhulu rarity.

Ngisiphi isiqhema sabantu obala isifo?

necrobiosis Lipoid - isifo abavamile. It kungokwalabo wendawo isikhumba lipoidozam. Isikhathi esiningi ubonakala in iziguli ngifundise ngesifo sikashukela. Ngokuvamile necrobiosis lipid abantu singangena iminyaka 20-40. Ngaphansi ngokuvamile, lesi sifo kwenzeka izingane nasebekhulile. Ngokuvamile, abesifazane iyagula.

engcupheni

Ukuze engcupheni zihlanganisa ukwephula izinqubo umzimba. Ngokuyinhloko, lipid, i-hormone kanye carbohydrate umzimba. A eyingozi luyanda in iziguli ngifundise ngesifo sikashukela izilonda, ukulimala ehlukahlukene (ukulunywa yizinambuzane, nemihuzuko nokunye. D.).

Ukuze lokho isazi ukubhekana?

Uma kukhona izilonda zesikhumba, kuhlanganise nalezo nalesi sifo necrobiosis lipoid, kufanele uthintane wesikhumba. Udokotela ukuxilonga kanye linqume ukwelashwa kudingekile.

Izimbangela isifo

Lipoid necrobiosis isikhumba livela ngenxa iziyaluyalu umzimba. Ikakhulukazi, ngenxa yokuhluleka e inqubo umzimba amafutha kanye carbohydrate. Ngenxa yalokhu, ngo-imithambo yegazi ukuthuthukisa imvelo zokucabanga okubangelwa isifo ushintsho futhi uqale microcirculation iziyaluyalu. Lesi sifo kungavuka abantu abangafuni unezinkinga ukubekezelelana glucose.

Ngenxa microcirculation kahle uqale izinguquko esiwohlozayo kunamaqoqo amangqamuzana esikhumba futhi necrobiosis yabo (ushintsha umzimba intracellular). Futhi ngenxa yalokho - ukonakala amafutha cell.

necrobiosis Lipoid: izimpawu zesifo

Izimpawu yokuqala necrobiosis lipoid - ukubukeka esikhumbeni pink amancane abomvu Izigaxana okweqanda. Kanye emaphethelweni sizungezwe usebe bluish. Maphakathi izilonda qwembe aphuzi-grey. Ngesikhathi esifanayo angase ukukhiqiza Izigaxana elincane elibomvu ngaphansi kwesikhumba. Kubukeka sengathi capillary ukunwetshwa fibrosis. Izilonda kule isinyathelo lungaveli isifo.

Izigaxana futhi lukhule ngokuhamba kwesikhathi ihlangana zibe zingcwecwe obukhulu kokuba surface bushelelezi nge Ukukhalipha ethile. Ngesikhathi touch zingabantu aminyene futhi ngaphandle kobuhlungu. Ngo phakathi isikhumba embozwe ifilimu ayevumela. Kanye emaphethelweni yakha encane isiguqo bluish-bomvu.

Izilonda kukhona ziyalingana futhi uhlala nje zingcwecwe ezimbalwa emhlabeni. Ngokuvamile kuthinta nemilenze ephansi, ikakhulukazi emlenzeni aphansi. Ngezinye izikhathi zingcwecwe zingavela emathangeni, esifubeni, izingalo kanye sezinwele.

Uma isifo siqhubeka ngaphandle yezinkinga, le izilonda zesikhumba musa abangele emizweni akujabulisi futhi kubuhlungu. Kungenjalo, kuqala ukuvela izilonda nezinye ukukhubazeka isikhumba. Khona-ke iqala evutha, ukuluma, ukulunywa futhi ubuhlungu.

necrobiosis Lipoid kuthatha eningi nzima uma umuntu ngesikhathi esifanayo kukhona sikashukela. Kulokhu, izitsha ezincane iyathinteka, futhi lokhu kunezela umonakalo isikhumba kuphela. Uma izinga likashukela egazini liphansi, bese isimo lesiguli Kuthi evamile. Zingcwecwe kancane noma ngokuphelele chaza. Inombolo yabo incipha.

luhlolo ezincane kwembula kuyaqina ukwehla cell, lapho kukhona zokugula ka okungafanele amafutha umzimba. Ngaphezu kwakho konke uma uyisisulu ezicutshini. uhlobo oluthile lipid necrobiosis - ezingamahlalakhona distsiformny granulomatous Miescher. Kulokhu, isikhumba othungelela usayizi okuningi. Ziyakwazi luthe ukuqina touch - efana ebusweni ebhodini. Ikakhulukazi phakathi endaweni ethintekile.

ukuhlola

Uma kwamazinga igazi glucose okubonakalayo, njalo kuzakuba khona ukuhlolwa okukhethekile ukuthola iziyaluyalu carbohydrate umzimba. Ngokuyinhloko, lokhu kwenziwa ngendlela efanele usaqala sikashukela. Ngaphezu isivivinyo, qiniseka ukunikeza ukuhlolwa egazi noma omchamo ukuze unoshukela.

Glucose ukubekezelelana test - ukuhlolwa umthwalo nge-glucose. Inqubo uhlanganisa izigaba eziningana ukuqoqwa igazi liphuma kuma-capillary. Kuyinto esiswini esingenalutho emva ukungenisa amagremu ayisikhombisa nanhlanu glucose. Yena pre-yahlakazeka emanzini. Jwayelekile glucose ezingeni - esingaphansi 5.5 mmol ilitha. amahora amabili ngemuva kokuhlolwa - hhayi ngaphezulu kuka 7.8 mmol ilitha. Ngeziphambeko kusukela kuyinsakavukela isho ukwephulwa of insular uhlelo imisebenzi. Kulokhu, ukuhlolisisa ezijulile futhi ngokuphelele. Ukuhlolwa kwenziwa lapho ezingeni glucose ngenhla 6.7 mmol ilitha.

Ukuxilonga ukwenza, ngaphandle dermatological nokwelapha, ngisho Endocrinology Centre. Okokuqala kukhona kokuxilongwa sangaphandle isiguli. Labe selithumela isifundo histological amasampuli etholwe biopsy kwesikhumba ethintekile. Lusebenza staining ezithile lipids nge Sudan ukuhlonza amaqoqo yokusanhlamvu amafutha.

Ngo igazi izitsha sinake ku ekwandeni izindonga endothelial futhi cystic. Imiphumela yaloku kuhlola okungenhla Ukwahlukaniswa Kwenziwa:

• scleroderma-plaque;
• granuloma annulare;
• erythema induratum Bazin;
• vasculitis papulonekroticheskim;
• panniculitis;
• sarcoidosis;
• Dermatitis umlenze aphansi;
• erythema nodosum futhi t. d.

imithi

Ukuze ekwelapheni lipid necrobiosis kumele uxhumane Centre for Endocrinology. It uqhuba luhlolo egcwele nesineke. Aqokwe Ukudla ukuba bazohlala amazinga igazi glucose. Ukuze ekwelapheni izidakamizwa ukuvuvukala futhi wasebenzisa ekuthuthukiseni microcirculation:

• "Hingamin".
• "Acetylsalicylic acid".
• "Ksantinola nicotinate."
• "Dipyridamole" kanye nabanye.

Futhi ebekiwe elwa ne-sikashukela kanye yokugcoba, ezihlanganisa ama-hormone adrenocortical. Nokho ikhambi usizo isicelo "Dimexidum" (amaphesenti 25-30). Ukwelashwa kungaba kokubili ambulatory futhi umile.

Ngaphezu kwalokho, akunikeze imithi, ube ngezithako zawo Vitamin E. Esimisiwe ngu Physiotherapy nge Bucky imisebe futhi-X-ray ngemisebe. Eendabeni ezirareneko, ukwelashwa wenziwa surgically. Phakathi ukusebenza, resected kumiswa sokugembula. Okulandelayo, udinga ukuba afeze isikhumba ngokuxhunyelelwa.

Akumele okwesabisa ubani lo uphethwe njengoba necrobiosis lipoid. Ukwelashwa nokuvikelwa ifomu okuqhubekayo sikashukela idigri yokuqala: kukhona ezahlukeneyo ezahlukene we-insulin. Against isizinda sesibili - a sulfonylurea. Amavithamini bamiswe "Aevit", "Ascorutin", uvithamini B kanye niacin. Lapho necrobiosis esimisiwe bromides noma izidakamizwa ngezindleko zemithi engamakhambi. Kanye ekuthuthukiseni microcirculation - "Etamsylate", "komplamin" etc ...

lipotropics letibekiwe, kuyilapho imvelo nondiabetic zesifo - "Dipromony" Ukufakwa intramuscularly. Lapho ukwelashwa wendawo sisetshenziswa phonophoresis nge heparin noma prednisolone wamafutha. Izinsuku khulula fonoforeza esetshenziswa ejenti ngama-corticosteroid, isicelo ngaphansi ngebhandeshi.

Ukwelashwa nokuvikelwa amakhambi abantu

Ukuze ekwelapheni lipid necrobiosis amakhambi abantu kufanele uthintane wesikhumba. Ukuzelapha ngaphandle kwemvume kadokotela kuyinto engathandeki kakhulu. Njengoba efanelekayo amakhambi abantu isilimo esidliwayo esinamagatsha anamanzi kusetshenziswa ngempumelelo (500g) kanye ulamula (6 izicucu), okuyinto abilisiwe amahora amabili a okugeza amanzi, pre-oqoshiwe in a blender. izindlela Ready ezithathwe ekuseni omunye isipuni. Ingxube elondolozwe ku esiqandisini.

Usizo Good ekwelapheni nangomhlaba, nangokinamona. Twenty amagremu isinamoni powder amanzi abilisiwe. Wafaka kuphole, futhi eyandisa nekufakwa eziyishumi angu enhlaba juice. Mixed, ihlukaniswe yaba izingxenye ezimbili alinganayo. I odakiwe lokuqala ekuseni esiswini esingenalutho. Esesibili - kusihlwa, ngaphambi nje sokulala.

Ukuze ukusetshenziswa ngezihloko ezihlukene ezenziwe kusukela steamed licindezele powder zikaphayini noma i-oak amagxolo. Yeka indlela okuyingozi necrobiosis lipoid? Uma impatho akusebenzi noma ugijime, ungahamba ekuthuthukiseni esibhibhayo.

ekuvimbeleni izifo

Prevention - izivivinyo njalo emtholampilo ukuze ukuthola sikashukela noma ezinye izifo ezihambisana ne kahle izinqubo umzimba emzimbeni. Kungcono ukuvakashela GP kanye ibhekane isheke-up yezokwelapha njalo ngemva kwezinyanga eziyisithupha. Lokhu kuzosiza ukuqeda izinkinga eziningi futhi kuvimbele ukuthuthukiswa izifo kunokwenzeka. Abantu abaye amacala sikashukela, kubalulekile ukuba sihlale njalo siqaphele namazinga kashukela egazini phakathi kwezihlobo. Uma sikashukela, kuba ukuphathwa ayimpoqo kanye ngesikhathi esifanele - futhi nokuvimbela lipid necrobiosis.

Ngaphezu kwakho konke lokhu okungenhla, ukugwema noma yikuphi ukulimala ngokomzimba, ikakhulukazi imilenze (ikakhulukazi inkonyane). Kufanele ngaphandle kusukela ekudleni okunamafutha kanye ethosiwe. Oluthandwayo kufanele banikwe ukudla okuphekwe steamed.