Lyell ee syndrome. Waxa aad u baahan tahay inaad ogaato?

Lyell ee syndrome waa cudur halis ah oo sun-xasaasiyad asal ah, taas oo ah waxa lagu gartaa askartii ka lakabyada hoose ee epidermis. Later, waxaa jira galleeyda exfoliated epidermis. Waxaa jira laba nooc oo syndrome ah:

• sun ah;
• stafylokok.

foomka sun soo jireenka ah ee dadka waaweyn iyo carruurta, halka staphylococcal ku badan caruurta.

Sidee Lyell ee syndrome?

Cudurku waxa lagu gartaa sifooyinka soo socda:

• suddenness ee bilawga calaamadaha;
• Finan maqaarka badan - baro casaan ah oo leh barar iyo finan, sii kordhaya si degdeg ah ee mugga;
• gubasho maqaarka sida degree gubasho II ah;
• galleeyda oo exfoliation ee lakabka sare ee maqaarka,
• heerkulka jirka ah 39 digrii, tabar,
• madax xanuun daran iyo qas Jihaynta ee waqti iyo meel,
• matag, shuban,
• Lulmo iyo fuuqbaxa ;
• timaha,
• sii kordhaya tirada leukocytes ee dhiigga, cillad kelyaha,
• barar ama caabuq sambabada, burburka unugyada kelyaha,
• xaalad lama filaan ah.

Waxaa muhiim ah in la ogaado in calaamadaha Lyell ee syndrome muujiyey duwan. The si degdeg ah bukaan inaad aragto dhakhtar, yar ee khatarta keeni calaamado halis ah iyo xitaa dhimasho.

Sababaha cudurka

Waxaa jira sababo badan oo keeni in this syndrome:

• daawooyinka keeni kara falcelin xasaasiyad xun (sulfa kala duwan wakiilada bakteeriyada, antibiotics, barbiturates, anticonvulsants iyo siyaabo kale). Waxaa la rumeysan yahay in gebi ahaanba daroogo kasta waxay noqon kartaa sabab u ah cudurka;
• ✰Malax mid;
• otitis media, qufac, san duuf leh.

Ka Hortagga Lyell ee syndrome

In cudurrada waxaa lagama maarmaan ah in ay daawada ka dhakhtar, kuwaas oo waa in daawo doondoonaan.

Ma loo isticmaali karaa in lagu daaweeyo daawooyinka badan (5-8 kala duwan).

In daawaynta cudurada qaado waa in akoonka wax kasta oo ka hor muuqday dareen xaasaasi ah in daawada.

daaweynta cudurka

Haddii uu jiro shaki Lyell ee syndrome, waa in aad si deg deg ah loo joojiyo qaadashada dhammaan daawooyinka hore loo isticmaalay, iyo raadsatid la-talin caafimaad. Daaweynta cudurka ku dhacaa daryeelka degdegga ah. Halkan, dhakhaatiirta ay u halgamayaan in laga adkaado walxaha sunta ah ee jidhka ah, xinjirowga dhiigga oo yaraada, dheelitirto protein iyo dheelitirka biyaha iyo macdanta, ku taageertaa shaqada caadiga ah ee xubnaha muhiimka ah ee bukaanka ah.

Ku xiran tahay darnaanta, bukaanka loo xilsaaray labada antibiotics ama glucocorticoid, ama isbitaal loola dhaqmay xiga. Haddii bukaanka waxaa muujinaya qaar ka mid ah calaamadaha kor lagu sharaxay - iyadoo la tixraacayo isbitaalka si ay u soo jiid aan macquul aheyn ee, tan iyo dhimashada xaaladaha daryeelka degdegga ah wuxuu ku saabsan yahay 30-70% (sida ku cad xogta kala duwan).

syndrome Lyell waxaa lagu daaweeyaa in dhowr marxaladood:

1. Daaweynta lama filaan ah ee bukaanka ah. daroogada Antishock maamula bukaanka (saline gemodez iyo kuwo kale). qaadasho sare ee prednisone dhex droppers (- 250 mg 200) ayaa sidoo kale soo bandhigay.
2. isbitaal khasabka ah. Ka dib markii isbitaal ka dib markii tallaabooyin khasab ah waa:

• Maamulka Sii prednisolone - 100 - 250 mg maalin kasta;
• sii naanin ansaxinta daroogada ee foomka of xididka;
• meelaha antibiotic khasab therapy saameeyeen ee jirka,
• protein caadi iyo dheelitirka biyaha, iyo sidoo kale acid-saldhig,
• suuxdinta,
• daryeel fiican maqaarka: kiriim anti-bakteeriyo, isticmaalka aerosols, cadar iyo xal. linen qasabka ah oo ku saabsan 2-3 jeer maalintii, daaweynta xub-axaleedka.

Tan iyo Lyell ee syndrome waa xasaasiyad ee dabiiciga ah, isticmaalka daroogada ee daaweynta waa in la koobnayn oo si adag loo xilsaaray.