Syndrome o Lyell. He aha e hiahia ana koe ki te mohio?

syndrome o Lyell ko te mate nui takenga paitini-mate pāwera, āhuatanga nei i te wehe i nga papa o raro o te kiriwaho. I muri mai, i reira he necrosis exfoliated kiriwaho. E rua ngā momo o te syndrome:

• paitini;
• staphylococcus.

puka paitini tūturu i roto i ngā pakeke me ngā tamariki, i te staphylococcal atu noa i roto i ngā tamariki.

Nahea syndrome o Lyell?

huru no te mate e te āhuatanga e whai ake nei:

• fakafokifā o tīmatanga o tohu;
• ponana kiri maha - wahi whero ki ngawhatanga me opupu, te whakanui ake tere i roto i te rōrahi;
• mura o te kiri rite te tohu wera II;
• necrosis me exfoliation o te kahu o runga o te kiri;
• pāmahana tinana o 39 nga nekehanga, ngoikore;
• pāhoahoa kino me te ngangau i roto i te takotoranga i roto i wa me te wāhi;
• ruaki, korere;
• te momoe me te maroketanga ;
• ngaro makawe;
• te whakanui ake i te maha o leukocytes i te toto, pōrearea tākihi;
• edema ranei pūkahukahu mumura, whakangaromanga o tākihi kiko;
• he āhua o te ru.

He mea nui ki te mōhio e whakakitea nga tohu o te syndrome o Lyell rerekē. Ko te he manawanui wawe ki te kite i te tākuta, te iti te mōrea o meinga tohu nui, me te ara te mate.

Ko te take o te mate

He maha ngā take e arahi ki tenei syndrome:

• raau taero e kia arahi ki tauhohe nui pāwera (rerekē sulfa māngai antibacterial, paturopi, barbiturates, anticonvulsants me ētahi atu tikanga). Kei te whakapono te reira e tata e taea tetahi tarukino e he take o te mate;
• staphylococci;
• pāpāho otitis, mare, ihu mātihetihe.

syndrome Ārai Lyell a

I roto i te mate, ko te mea nui ki te rapu maimoatanga i te tākuta, ko wai e whakahau taero.

e kore e taea te whakamahi i te reira i roto i te maimoatanga o rongoā maha (5-8 rerekē).

tango kia I roto i te maimoatanga o mate ki pūkete katoa i puta mai i mua i te urupare kë ki te rongoā.

maimoatanga o te mate

Ki te kahore he māharahara o te syndrome o Lyell, me mutu koe tonu tango taero katoa i i whakamahia i mua, a ka rapu i tohutohu hauora. Treatment o te mate puta i roto i te tiaki kaha. Here, e aro tākuta ki te hinga matū paitini o te tinana, upoo- toto waimaero, mau tonu te pūmua toenga me te toenga o te wai me ngā kohuke, tautoko te mahi noa o whekau nui o te manawanui.

Tei runga i te pakeke, whakaritea te manawanui rānei paturopi ranei glucocorticoid, hohipera ranei ki te maimoatanga muri. Ki te te whakaatu i te manawanui etahi o nga tohu whakaahuatia ana i runga - ki te tohutoro ki te hōhipera ki te wahia te taea, mai te tahuti nei i roto i te kaha wā tiaki ko e pā ana ki 30-70% (kia rite ki ngā raraunga).

syndrome tukinotia Lyell te i roto i te maha o ngā wāhanga:

1. Maimoatanga o te ru i roto i te manawanui. taero Antishock whakahaere ki te manawanui (saline gemodez me ētahi atu). Kei te whakaurua hoki - pota tiketike o te prednisone roto droppers (250 mg 200).
2. hohipera herea. I muri hohipera e whai ake mehua whakahauanga he:

• whakahaere tonu o te prednisolone - 100 - 250 mg ia;
• tonu detoxification whakatamarikitanga o raau taero i roto i te puka o te rō-uaua;
• whakahauanga paturopi wāhi therapy pānga o te tinana;
• pūmua māori me te toenga wai, me te waikawa-turanga;
• rehunga;
• tiaki pai kiri: hinu anti-kitakita, te whakamahi o aerosols, hinu me rongoā. rinena whakahauanga e pā ana ki 2-3 wa he ra, maimoatanga o kiriuhi mucous.

Mai he pāwera i roto i te natura syndrome o Lyell, me iti te whakamahi o te raau taero i roto i te maimoatanga, me te tino whakaritea.