Isifo se -Stevens-Johnson sisifo esibi kakhulu se-dermatological, esibonakaliswe ngendlela yamaphepha amaninzi kunye nee-vesicle ezazisasazeka phezu kwesikhumba, kubandakanywa iimbumba ze-mucous.
I-Stevens-Johnson syndrome - izizathu zesifo
Iingcali zikholelwa ukuba ukukhulisa i-syndrome kaStephen-Johnson ilifa. Njengomthetho, i-syndrome iphakanyiswa njengempendulo yokusabela okuthe ngqo kwindlela efanelekileyo ngexesha lokufumana:
- i antibiotics;
- sulfonamide;
- abalawuli beziyobisi basekhompyutheni;
- izidakamizwa ezichasayo ezingabhubhisiyo.
Ngaphandle koko, iindlela ezinobungozi kunye nezifo ziyakhupha isifo:
- parotitis;
- imasisi;
- umkhuhlane;
- herpes;
- inkukhu;
- isifo sofuba;
- i-mycoplasmosis;
- brucellosis;
- salmonellosis;
- AIDS, njl
Kwezinye iimeko, isizathu esona sisifo asikwazi ukuchongwa.
Iimpawu zeStevens-Johnson Syndrome
Esi sifo sikhula ngokukhawuleza. Kwinqanaba lokuqala, kukho:
- ukushisa okuphezulu (kufika kuma-40 degrees);
- umkhuhlane;
- entloko;
- intlungu kunye kunye;
- tachycardia;
- intlungu emqaleni;
- isifo sohudo;
- ukuhlanza;
- ukukhwehlela.
Kwiiyure eziliqela kwiimbrane zomlomo emlonyeni zikhona iibhola, ngenxa yoko isigulane asikwazi ukusela nokutya. Kukho umonakalo wamehlo njengendlela yokuqhathaniswa ne-contrajunctivitis eneenkcenkceshe ngendlela yokuvuvukala. Ngexesha elifanayo, ukuguguleka kwamanzi kunye nezilonda ziyakhula kwi-cornea kunye ne-conjunctiva, kunye nophuhliso:
- keratitis;
- blepharitis ;
- iridocyclitis.
Phantse isiqingatha seemeko zesi sifo sichaphazela izitho ze-genito-urinary.
I-Stevens-Johnson syndrome ibonakala nge-britters ebomvu esikhumbeni 3 ukuya ku-5 cm ngobukhulu kunye neengqungquthela okanye ezigazini. Emva kokuvula i-blister, i-crusts ebomvu yenziwa.
Iingxaki ezinokwenzeka ze-syndrome zi:
- ukungakwazi ukuphelelwa ngumlomo;
- pneumonia;
- ukuphuma kwi-bladder;
- bronchiolitis;
- yimfama.
Iinkcukacha zonyango ngokuthethekileyo zithi: zonke izigulane ezili-10 ezineSystem-Johnson syndrome ziyafa.
Unyango lwe-Stevens-Johnson syndrome
Kwimeko yesifo se-Stevens-Johnson, i-ambulensi ijoliswe ekuzaliseni umbane. Isigulana siphinda sithatha unyango olufanayo nelo lusetyenziselwa ukunyanga izigulane ngokutshisa okukhulu, kusetyenziswa ukomisa nokukhubaza izicombululo. Ukuhlanjululwa kwegazi, i-hemocorrection engaphezulu yalungiselelwa:
- ukucoca i-plasma;
- i-hemosorption;
- ukuxilongwa;
- iplasmapheresis .
Ukuxutywa kwe-plasma, iiprotheyini, izixazululo zetyuwa zenziwa. I-Prednisolone kunye nezinye i-glucocorticosteroids zilawulwa ngokukhawuleza. Iimbumba ezinomlomo zomlomo ziphathwa ngamachiza okubulala i-disinfectants, umzekelo, i-hydrogen peroxide. Iliso le-Glucocorticosteroid liyancipha kwi-eyes kunye namafutha okugcoba. Xa i-urrogenital system ichaphazelekayo, i-solcoseryl amafutha kunye nama-glucocorticosteroid asetyenziswa. Ukuthintela ukuphendulwa kwemizwa ngokuphindaphindiweyo usebenzisa i-antihistamines. Xa i-edema ye-larynx yesigulane ibonisiwe, isigulane
Indawo ebalulekileyo kwonyango yesigulane nesifo seStevens-Johnson yintlangano esibhedlele yamanyathelo okukhusela iingxaki zebhakteria, eziquka:
- ubuncinci beelinen;
- ukwahlukana kwezinye izigulane kunye neendwendwe;
- unyango lwemoya kunye nemisebe yelanga.
Isigulane esinesifo seStevens-Johnson kufuneka sichazwe isidlo se-hypoallergenic esibandakanya ukutya kokutya okanye ukutya okumanzi, isiselo esininzi. Izigulane ezinzima ziboniswa ngesondlo se-parenteral.