Chithokomiro

Erythroderma ndikufalikira kwofiira pakhungu. Zimaphatikizana ndi kukulitsa, khungu, ndi khungu, ndipo zimaphatikizapo kuyabwa ndi kutayika tsitsi.

Erythroderma imatha kuchitika chifukwa cha:

• Kuphatikizika kwa khungu lina, monga eczema ndi psoriasis
• Zomwe zimachitika ndi mankhwala kapena mankhwala, monga phenytoin ndi allopurinol
• Mitundu ina ya khansa, monga lymphoma

Nthawi zina chifukwa chake sichidziwika. Amakonda kwambiri amuna.

Zizindikiro zimatha kuphatikizira izi:

• Kufiira kwa 80% mpaka 90% ya thupi
• Zigamba za khungu
• Khungu lakuthwa
• Khungu limayabwa kapena limapweteka ndi fungo
• Kutupa kwa mikono kapena miyendo
• Kuthamanga kwa mtima
• Kutaya madzi, kumabweretsa kuchepa kwa madzi m'thupi
• Kuchepetsa kutentha kwa thupi

Pakhoza kukhala matenda achiwiri pakhungu.

Wothandizira zaumoyo wanu adzafunsa za zizindikilo zanu ndikutenga mbiri yanu yazachipatala. Wothandizira adzayesa khungu ndi dermatoscope. Nthawi zambiri, chifukwa chimatha kudziwika mayeso atatha.

Ngati zingafunike, mayesero otsatirawa atha kuyitanidwa:

• Chikopa cha khungu
• Kuyesedwa kwa ziwengo
• Mayesero ena kuti apeze chifukwa cha erythroderma

Popeza erythroderma imatha kubweretsa zovuta zazikulu, wothandizirayo ayamba kulandira chithandizo nthawi yomweyo. Izi nthawi zambiri zimaphatikizapo kuchuluka kwa mankhwala a cortisone kuti achepetse kutupa.

Mankhwala ena atha kukhala:

• Mankhwala ochiritsira chomwe chimayambitsa erythroderma
• Maantibayotiki a matenda aliwonse
• Mavalidwe ogwiritsidwa ntchito pakhungu
• Kuwala kwa ultraviolet
• Kuwongolera kwakumwa kwamadzimadzi ndi ma electrolyte

Zikakhala zovuta kwambiri, munthuyo amafunika kuthandizidwa kuchipatala.

Zovuta zingaphatikizepo:

• Matenda achiwiri omwe angayambitse sepsis (kuyankha kotupa thupi)
• Kutaya kwamadzimadzi komwe kumatha kubweretsa kuchepa kwa madzi m'thupi komanso kusalingana kwa mchere (ma electrolyte) mthupi
• Mtima kulephera

Itanani omwe akukuthandizani nthawi yomweyo ngati:

• Zizindikiro zimangokulirakulira kapena sizikupola, ngakhale atalandira chithandizo chamankhwala.
• Mumakhala ndi zotupa zatsopano.

Zowopsa za erythroderma zitha kuchepetsedwa potsatira malangizo a omwe amapereka kwa chisamaliro cha khungu.

Dermatitis yotulutsa; Dermatitis exfoliativa; Pruritus - exfoliative dermatitis; Pityriasis rubra; Matenda ofiira; Exfoliative erythroderma

• Chikanga, atopic - pafupi-mmwamba
• Psoriasis - yakulitsa x4
• Dermatitis yapamwamba
• Kutulutsidwa kutsatira erythroderma

Calonje E, Brenn T, Lazar AJ, Billings SD. Spongiotic, psoriasiform ndi pustular dermatoses. Mu: Calonje E, Brenn T, Lazar AJ, Billings SD, eds. Matenda a McKee a Khungu. 5th ed. Philadelphia, PA: Elsevier; 2020: mutu 6.

James WD, Elston DM, Chitani JR, Rosenbach MA, Neuhaus IM. Pityriasis rosea, pityriasis rubra pilaris, ndi matenda ena amtundu wa papulosquamous and hyperkeratotic. Mu: James WD, Elston DM, Tsatirani JR, Rosenbach MA, Neuhaus IM, eds. Matenda a Andrews a Khungu. Wolemba 13. Philadelphia, PA: Elsevier; 2020: mutu 11.

Whittaker S. Erythroderma. Mu: Bolognia JL, Schaffer JV, Cerroni L, olemba. Matenda Opatsirana. Wolemba 4. Philadelphia, PA: Elsevier; 2018: mutu 10.