Lupus - he mate ma'i nui

Kohi o te kiri he etiology matatini me te pathogenesis. Katoa momo e whā o te mycobacteria: avian, Bovine, matao-toto, me te tangata. Hoki te tangata tohu i te ati tangata anake me te momo Bovine. pāpaka kiri taua - te āhuatanga onge i roto i dermatoses, engari tata ki reira kua he pā nui haere.

Ko te tikanga takoha ki te whanaketanga o tenei mate ngā: mate o te pūnaha io, pōrearea hormonal, huaora tāne i, whakararuraru o kohuke me te pākia e te wai, disorders circulatory (popoketanga venous), ngā takiwā makariri, me te pāpori rawakore, tini o nga mate hopuhopu. Ēnei āhuatanga tino whakaiti i te tiaki o te tinana, me te whakapiki ake i te susceptibility ki tona mycobacteria kohi. tomo ratou nga kiriwaho i roto i maha ngā huarahi rerekē. Tino ngāwari ki te kia huaketo i roto i te kino ki te kiri o te manawanui ana taonga ranei.

He he ara tetahi o mate. Ka taea e Lupus puta ina te ô i te tukumate te kiri hematogenically lymphogenous o kanga kohi kei roto i te tahi atu whekau ranei.

I roto i tenei mate i roto i te kiri e kitea pūtau granuloma hopuhopu e kua karapotia e te lymphocytes. Hoki te hoki āhuatanga reira e taua tohu rite necrosis caseous, te aroaro o ngā pūtau Langhans nui, te aroaro o mycobacteria i roto i te wahi pokapū o te granuloma. Kohi, te whakamāramatanga o te mea tino maha e histological titau maimoatanga tupato.

Ko te puka tino noa o te lupus. Taua lupus, e kua āhuatanga e te takanga o tohu ngohengohe hillocks motuhake (lyupom) he tae māwhero ki rohe mārama (ki runga, ki te 3 mm) he tino noa i roto i nga wahine. Lyupomy he granuloma hopuhopu. tupu ratou, ka hanumi, a ka reira he aronga totoka (te āhua papatahi). Āta lyupomy fibrosing. I roto i tenei tukanga, te atrophy nawe. He he ano hoki te ahua o te mate whewhe keté, i roto i nei i reira ko te tukanga exudative me lyupomy ulcerate. He keha ausia tahe ngāwari ki pāhiwihiwi, tapa ngohengohe. He hoki momo o puku, me te lupus verrucous. Ko te tikanga, puta he ohorere i runga i te mata, engari kia tū ai wāhi kē. E mea pinepine pānga te membrane mucous o te rangi, ngā pae, ngutu, me te ihu. lupus ino i te rere roa, me te puhoi. A, no te reira kia pōauautanga ki te whanaketanga o te lupus-mate pukupuku.

Kollikvativny lupus - tuarua te puka tino noa o te wā mate. He maloboleznennymi, pūrerehu, kei roto i te kiri hohonu, me te tere tipu i roto i ngā wae rōrahi te hūnga. Ka taea e ratou tae te diameter o te 5 cm. Ko te kiri i runga i te kōpuku he kauruku kikorangi. Neke atu i te wa, kua tamaruhia te kōpuku, i reira te mea he whēwhē makariri, i muri nei whatiia e ratou ki te tuku o te ihirangi toto. I te pae o te kōpuku e hanga e mariao ki taha ngohengohe. E mahue tohu whewhe ora ki te āhua kōhikohiko. Nuinga o ngā wā pā te kaki, i te iti rawa - te e alangá.

lupus Indurativny, miliary ulcerative, lichenoid, warty, papulonekrotichesky he momo tuarua o te mate kohi, mai i te whakawhanake ki te papamuri o te tahi atu aronga o te mate, kua mua i kino ki te mate o te iwi.

He onge puka Paraimere, no te mea he tīmata tēnei wā te werohanga o hou. Ko te tātaritanga hoatu i runga i nga raraunga anamnesis, pikitia haumanu, nga hua o whakamātautau tuberculin, te ahurea me te whakamātautau histological.

I roto i te mate i taua, pērā i te maimoatanga kohi kiri e heke ki te whai i ēnei: hahau tuberculostatic, te whakarei ake te mate, te whakapai ake ngā tukanga pūkoro tinana. E tuberkulostaticheskoy taero ngā isoniazid, protionamid, streptomycin, pyrazinamide, rifampicin, ethambutol, florimitsin, kanamycin.