Lupus - isifo ezinganyangekiyo

Isifo sephepha esikhumba unalo umyalezo entsonkothileyo Pathogenesis. Zonke iintlobo ezine mycobacteria: avian, inkomo, zinegazi elibandayo kunye nabantu. Ukuze umntu amele ingozi kwabantu kuphela kunye nohlobo lenkomo. izilonda ezinjalo isikhumba - into enqabileyo phakathi dermatoses, kodwa kutsha nje uye isehlo nande khona.

Iimeko ezinegalelo kuphuhliso kwesi sifo zibandakanya: zifo e-nervous system, kwekhono kwamadlala, vitamin ukungalingani, ukuphazamiseka izimbiwa kunye ukutya namanzi, ukuphazamiseka yegazi (ukuxinana lwemithambo), iimeko zemozulu nezentlalo amahlwempu, zizifo ezahlukahlukeneyo esosulelayo. Ezi zinto ziyakwehlisa ngokubonakalayo ukhuselo lomzimba ukunyusa susceptibility ukuya yayo mycobacteria isifo sephepha. Ukuba zingene sangaphandle ngeendlela ezininzi ezahlukeneyo. Bekulula ukuba bayosuleleka umonakalo eluswini isigulana okanye impahla yakhe.

Kukho nenye indlela usulelo. Lupus kunokwenzeka xa pathogen ingena esikhumbeni okanye hematogenically lymphogenous of Iziko isifo sephepha ibekwe namanye amalungu.

Kulo sifo eluswini ziyazibhaqekela iiseli granuloma esosulelayo leyo singqongwe lymphocyte. Kuba kwakhona luphawulwa iimpawu ezifana necrosis caseous, ubukho iiseli ezinkulu Langhans, ubukho mycobacteria kwi ngundoqo granuloma. Isifo sephepha, inkcazelo yayo amaninzi yi histological kufuna unyango ngenyameko.

Lolona hlobo luqhelekileyo yelupus. lupus ezinjalo, obubonakala ngokuba kukuvela iimpawu ezithambileyo hillocks ezithile (lyupom) ukuba umbala elipinki kunye imida ecacileyo (ukuya ku-3 mm) ixhaphake kakhulu kwabasetyhini. Lyupomy na granuloma esosulelayo. Beya bekhula kwaye hlanganisa, kwaye ke kukho nakujoliso olutsha eqinileyo (imilo flat). Ngokuthe ngcembe lyupomy fibrosing. Ngethuba lale nkqubo, yoma amabala. Kukho kwakhona uhlobo lwesifo isilonda Peptic, apho kukho inkqubo exudative kunye lyupomy ulcerate. Kukho izilonda ezibalulekileyo abopha msinya kunye obungalinganiyo, ezinemiphetho ezithambileyo. Kukho iintlobo thumba kunye lupus verrucous. Ngokuqhelekileyo, nerhashalala kubonakala ebusweni, kodwa ukuze ibekwe kwenye indawo. Amaxesha amaninzi luchaphazela inwebu kwiinwebu zezulu, iintsini, imilebe, kunye nempumlo. lupus inhlamba opha elide nelidangeleyo. Xa kungenzeka kubekho iingxaki kunye nophuhliso yelupus-carcinoma.

Kollikvativny lupus - ifomu yesibini ixhaphakileyo lamatyala isifo. Iqhuma ke maloboleznennymi, zamahlathi, akhiwe dermis ezinzulu likhula ngokukhawuleza units umthamo. Ukuba uyakwazi ukufikelela ububanzi of-5 cm. Le ulusu phezu iindawo uye ithinti oluhlaza. Ekuhambeni kwexesha, kwiindawo ezo wathamba, kukho ithumba ebandayo, emva koko break ukukhululwa umxholo wamagazi. Xa isayithi ye iindawo akhiwa izilonda elintlangothi ethambileyo. amanxeba isilonda waphilisa abakhange i imilo ezitenxileyo ezinokwenzeka. Amaninzi luchaphazela intamo, ubuncinane - nemilenze.

lupus Indurativny, miliary sisilonda, lichenoid, amade, papulonekrotichesky iindlela zasesekondari sephepha, ukususela ekuphuhliseni kwimvelaphi enye nakujoliso olutsha losulelo ziye ngaphambili ebegula nesi sifo sabantu.

Iifom Primary zinqabile, ngokuba ugonyo ezisanda kuzalwa ngoku sithethayo. Uxilongo ubeke phezu data anamnesis, picture lwezonyango, iziphumo zeemvavanyo tuberculin, amasiko kunye noviwo histological.

Xa sifo, ezifana unyango lwesifo sephepha ulusu azezi manyathelo alandelayo: ichemotherapy tuberculostatic, ukwandisa sifo, ukuphucula iinkqubo yokucolwa. Ngu tuberkulostaticheskoy machiza ziquka isoniazid, protionamid, streptomycin, pyrazinamide, rifampicin, ethambutol, florimitsin, kanamycin.