Erythema nodosum

Erythema nodosum iri polyetiological chirwere. In vana, richiwanika sezvo mhinduro TB utachiona, izvo uwirirane yatinenge exacerbation pamusoro tibhii mapfupa, node nodes uye nhengo dzomukati. In vakuru, erythema nodosum achiumbwa muchimiro chepfu-sema
vascular siyana pavakanzwa kudhaka uye chisingaperi zvirwere. zvikuru zvakajeka
akaratidza kubatana streptokkokovoy chirwere pavarwere vane chirwere kuti nodular
erythema, mhaka chirwere zvinogona nokuda kutyorwa kuri intestinal microflora.
Dzimwe nguva chirwere ndiye mugumisiro asingashiviriri dzimwe zvinodhaka,
dzakadai nemishonga, sulphonamides, yokudzivirira, Sera, bromides.

Zviratidzo zvinosanganisira mapundu, zvakawanda zvive, fivha yakaderera-mugiredhi, kurwadziwa mapfundo mapfupa, gastrointestinal zvirwere. In kuyaruka uye vana rikunde rikwanise chimiro chirwere pamwe RA marwadzo. Musi extensor hukawanika repasi makumbo, dzakatendereka uye emberi
pane zvinorwadza zvakafanana, ichibata zvomoto nzvimbo siyana pakukura kubva pizi. Nodes havana miganhu zvakajeka uye zvishoma amutsa pamusoro ganda pamusoro. Chirwere erythema nodosum rakakamurwa sokuora mhando dzakawanda. Dzichitama chimiro kwakasiyana refu kosi uye tsika kudzokazve.
Pamusoro-infiltration erythema nodosum kunoratidzwa katsika peripheral kukura uye guru kukura. zvirwere achiperekedzwa
nefivha, vakawedzera erythrocyte sedimentation zvazvingava, kuzvimba uye kurwadziwa mapfundo.

In arterioles uye capillaries lumen watetepeswa kuti obliteration. zvidzidzo Zvakadzama sandara kazhinji ulcerate uye kuguma vanga atrophy. The chirwere, mukusiyana kuti mushonga maitiro, dzinoratidzwa simba rinomutsa vana coloring, monomorphic nodes, localization pamusoro Anterior pemvura tibia pavarwere vane chirwere pamusoro erythema nodosum, kurapwa kuri symptomatic. Munguva chenjera chimiro aibuda vana TB maperembudzi ari kuona uye yakakodzera ARV kuitiswa. In vana vakura, izvozvo nechinangwa rheumatism uye muzinda chirwere. Parallel vakagadzwa mishonga inorwisa mabhakitiriya.

Zvikuru kushandiswa chloride uye calcium yakawanda gluconate, reopirin, Naprosyn, pirabutol Brufen, aminokaprorenovaya acid. Mune zvimwe zviitiko, kusavapo tibhii yakatarwa glucocorticoid mahormone (urbazon, prednisolone, dexamethasone), uye antimalarials (delagil, rezohin). Pasina contraindications dzavakatumirwa irradiation Goldstone mekuri mwenje, kugamuchirwa mavhitaminzi akadai Aevitum, ascorbic acid, rutin. Pachirehwa UHF kurapa solljuks, daitermiya. Externally rikashandiswa anorumanya ihtiola mhinduro, mafuta atsemina dispersible Mikulicz okuzora, chikwereti kana Wisniewski.

In chenjera erythema nodosum panguva mubhedha murwere zororo inokurudzirwa. Weather zvakanaka upenyu. zviitiko erythema nodosum mhuri kunomboitika, kunokonzerwa nekutora zvimwe zvinodhaka zvoutachiona uye kunanzvana pamuviri. Zvinoitawo unowanikwa zvakavhenganiswa muchimiro hosha, pazviri pasingabviri kuti kuona pachena chikonzero chacho. Erythema nodosum, vane zvikonzero zviri kusiyane haiwanzowaniki urwere, akacherechedza kunyanya vakadzi. The chirwere vangazivikanwa chero zera, asi chinonyanya nevakawanda vana pasi 2 makore vechiduku. Kuwanda ari chirwere kunoenderana kwokuomerwa akaipa zvinhu, kusanganisira nguva yegore, nzvimbo yomugariro. Nezvokumutswa pakurapa mycobacterial kunyatsoshanda uye streptococcal zvirwere mumakore achangopfuura, kuitika erythema nodosum chirwere kunoderedza yekudyidzana.