Syndrome Lyell kaThixo. Into ekufuneka uyazi?

Lyell kaThixo syndrome sisifo kakhulu ityhefu-komzimba imvelaphi, nto leyo luphawulwa njengebutho evela zomaleko asezantsi sangaphandle. Kamva, kukho necrosis exfoliated sangaphandle. Kukho iintlobo ezimbini syndrome:

• yityhefu;
• staphylococcus.

uhlobo enetyhefu ezendeleyo abadala kunye nabantwana, ngelixa staphylococcal kuxhaphaka kakhulu ebantwaneni.

njani Lyell engqondweni?

Isifo luphawulwa mpawu zilandelayo:

• ngokukhawuleza sokuqala zimpawu;
• irhashalala isikhumba multiple - amabala abomvu kunye ukudumba kunye namadyungudyungu, ukwanda ngokukhawuleza umthamo;
• avuthayo kwesikhumba isidanga isilonda II;
• necrosis kunye exfoliation lo maleko eliphezulu eluswini;
• iqondo lobushushu emzimbeni 39 degrees, buthathaka;
• nentloko isiphazamiso kuqhelaniswa ngexesha kunye nendawo;
• ukugabha, urhudo;
• ukozela kunye emzimbeni ;
• ukuwa kweenwele;
• nokwandisa inani leukocytes egazini, kwekhono sezintso;
• nokudumba okanye ukudumba lung, ukutshatyalaliswa kidney inyama;
• nematha.

Kubalulekile ukuqaphela ukuba iimpawu Lyell engqondweni kubonakaliswa ngokwahlukileyo. I msinyane umguli ukubona ugqirha, incinci esichengeni ebangela iimpawu zesigulo kunye nokufa.

Ezibangela isifo

Kukho izizathu ezininzi ezikhokelela kwesi syndrome:

• iziyobisi kungakhokelela ekubeni ukusabela namachiza okanye nezidlo (ezahlukeneyo sulfa arhente antibacterial, nemithi, barbiturates, anticonvulsants kunye nezinye iindlela). Kukholelwa ukuba phantse naliphi na ichiza inokuba ngunobangela sifo;
• staphylococci;
• media otitis, ukukhohlela, impumlo esihambisayo.

Prevention Lyell engqondweni

Yezifo kunyanzelekile ukuba bafune unyango evela kugqirha, ngubani kufuneka umisele iziyobisi.

Yinto kusetyenziswa unyango amayeza ezininzi (5-8 ezahlukeneyo).

Xa unyango lwezifo kufuneka ithathele ingqalelo yonke into leyo wavela phambi i uxabane ukuba amayeza.

unyango lwesifo

Ukuba kukho urhano of Lyell engqondweni, kufuneka ngoko nangoko uyeke ukuthatha zonke iziyobisi ezazisetyenziswa ngaphambili, uze ufune iingcebiso zonyango. Unyango kwesifo yenzeka labagula kakhulu. Apha, oogqirha bayasokola soyisa izinto zomzimba ezingenabungozi, igazi ekunqandeni kakuhle, wahlala elungelelene iiproteins kunye nokulungelelana ngamanzi kunye neetyuwa, ixhasa eqhelekileyo yokusebenza amalungu ezibalulekileyo malunga nesigulane eso.

Kuxhomekeka ebukhulwini, umguli eyabelwe nokuba antibiotics okanye glucocorticoid, okanye esibhedlele kunye unyango olulandelayo. Ukuba isigulane ibonisa ezinye iimpawu ezichazwe ngentla - ngokubhekisele esibhedlele ukutsala nzima, ekubeni kwanokufa kwiimeko labagula kakhulu imalunga 30-70% (ngokwe data ezahlukeneyo).

syndrome Lyell iphathwa kumanqanaba aliqela:

1. Unyango ethukile xa umguli. amachiza Antishock elawulwa kwisigulana (saline gemodez kunye nabanye). ngeedosi eziphezulu kakhulu prednisone ngokusebenzisa iidropha (- 250 mg 200) nalo zaziswa.
2. esibhedlela enyanzelekileyo. Emva esibhedlele alandelayo amanyathelo umyalelo zezi:

• Ukuqhubeka ulawulo prednisolone - 100 - mg 250 imihla;
• waqhubeka detoxification ukwamkelwa iziyobisi ngohlobo efakwa;
• iindawo mandatory zintsholongwane umzimba therapy abachaphazelekayo;
• Ukuzinza protein kunye nokulungelelana amanzi, kwakunye acid-base;
• Ukubulawa;
• kakuhle isikhumba: lotions anti-yintsholongwane, ukusetyenziswa ulwelo, amafutha kunye nezisombululo. ilinen olugunyazisiweyo amaxesha malunga 2-3 ngemini, unyango ngenwebu yangaphakathi.

Ekubeni Lyell engqondweni into komzimba ngokwendalo, ukusetyenziswa kweziyobisi kwi unyango kufuneka kuphela yaye abelwe ngokungqongqo.