Mlembi: William Ramirez
Tsiku La Chilengedwe: 24 Sepitembala 2021
Sinthani Tsiku: 13 Novembala 2024
Anonim
Necrobiosis lipoidica matenda ashuga - Mankhwala
Necrobiosis lipoidica matenda ashuga - Mankhwala

Necrobiosis lipoidica matenda ashuga ndichikhalidwe chachilendo cha khungu chokhudzana ndi matenda ashuga. Zimabweretsa madera ofiira ofiira pakhungu, makamaka kumiyendo yakumunsi.

Chifukwa cha necrobiosis lipoidica diabeticorum (NLD) sichidziwika. Amaganiziridwa kuti amalumikizidwa ndi kutupa kwa mitsempha yamagazi yokhudzana ndi zinthu zomwe zimadzipangitsa kukhala zokha. Izi zimawononga mapuloteni pakhungu (collagen).

Anthu omwe ali ndi matenda a shuga amtundu woyamba 1 amatha kutenga NLD kuposa omwe ali ndi matenda amtundu wa 2. Amayi amakhudzidwa kwambiri kuposa amuna. Kusuta kumawonjezera ngozi ku NLD. Pafupifupi theka la theka la anthu omwe ali ndi matenda a shuga amakhala ndi vutoli.

Khungu la khungu ndi gawo la khungu lomwe ndi losiyana ndi khungu lozungulira. Ndi NLD, zotupa zimayamba zolimba, zosalala, zotumphukira zofiira (papules) pamapazi ndi kumunsi kwa miyendo. Nthawi zambiri amapezeka m'malo omwewo mbali ziwiri zathupi. Sakhala opweteka koyambirira.

Pamene ma papuleti amakula, amadzichepetsera. Amakhala ndi malo onyezimira achikasu ofiira ofiira kuti akhale oyera. Mitsempha imawonekera pansi pa gawo lachikasu la zilondazo. Zilondazo zimakhala zozungulira kapena zozungulira mozungulira bwino. Amatha kufalikira ndikulumikizana kuti awoneke ngati chigamba.


Zilonda zimatha kupezeka pamanja. Nthawi zambiri, zimatha kuchitika m'mimba, pankhope, pamutu, mgwalangwa, kapena pansi pa mapazi.

Kupwetekedwa mtima kumatha kuyambitsa zilonda. Ma nodule amathanso kukula. Dera limatha kuyabwa komanso kupweteka.

NLD ndiyosiyana ndi zilonda zomwe zimatha kupezeka pamapazi kapena akakolo mwa anthu omwe ali ndi matenda ashuga.

Wothandizira zaumoyo wanu amatha kuyang'anitsitsa khungu lanu kuti atsimikizire matendawa.

Ngati kuli kotheka, wothandizira anu akhoza kuchita nkhonya kuti adziwe matendawa. Biopsy imachotsa minofu m'mphepete mwa chotupacho.

Omwe amakupatsani mayeso amatha kuyesa mayeso a glucose kuti awone ngati muli ndi matenda ashuga.

NLD ikhoza kukhala yovuta kuchiza. Kulamulira shuga wamagazi sikumasintha zizindikilo.

Chithandizo chingaphatikizepo:

  • Mafuta a Corticosteroid
  • Jekeseni wa corticosteroids
  • Mankhwala osokoneza bongo
  • Mankhwala osokoneza bongo
  • Mankhwala omwe amatulutsa magazi
  • Thandizo la Hyperbaric oxygen lingagwiritsidwe ntchito kuonjezera kuchuluka kwa mpweya m'magazi kuti uchiritse zilonda
  • Phototherapy, njira zamankhwala zomwe khungu limadziwika bwino ndi kuwala kwa ultraviolet
  • Mankhwala a Laser

Zikakhala zovuta kwambiri, chotupacho chimatha kuchotsedwa ndi opaleshoni, kutsatiridwa ndi kusuntha khungu (kumtengowo) kuchokera mbali zina za thupi kupita kumalo opareshoni.


Mukamalandira chithandizo, onetsetsani kuchuluka kwa shuga kwanu monga mwalangizidwa. Pewani kuvulaza m'deralo kuti zotupa zisasanduke zilonda.

Ngati mukudwala zilonda, tsatirani njira momwe mungasamalire zilondazo.

Mukasuta, mudzauzidwa kuti musiye. Kusuta kumatha kuchepetsa kuchira kwa zotupa.

NLD ndi matenda okhalitsa. Zilonda sizichira bwino ndipo zimatha kubwereranso. Zilonda zimakhala zovuta kuchiza. Maonekedwe akhungu atha kutenga nthawi kuti akhale abwinobwino, ngakhale atalandira chithandizo.

NLD sichingayambitse khansa yapakhungu (squamous cell carcinoma).

Omwe ali ndi NLD ali pachiwopsezo chachikulu cha:

  • Matenda a shuga
  • Matenda ashuga nephropathy

Itanani omwe akukuthandizani ngati muli ndi matenda ashuga ndikuwona zilonda zosachiritsa mthupi lanu, makamaka kumunsi kwamiyendo.

Neprobiosis lipoidica; NLD; Matenda a shuga - necrobiosis

  • Necrobiosis lipoidica matenda ashuga - pamimba
  • Necrobiosis lipoidica matenda ashuga - mwendo

Fitzpatrick JE, High WA, Kyle WL. Zotulutsa za Annular ndi targetoid. Mu: Fitzpatrick JE, High WA, Kyle WL, olemba., Eds. Dermatology Yosamalira Mwachangu: Kuzindikira Kwazizindikiro. Philadelphia, PA: Elsevier; 2018: mutu 16.


James WD, Elston DM, Chitani JR, Rosenbach MA, Neuhaus IM. Zolakwa mu kagayidwe. Mu: James WD, Elston DM, Tsatirani JR, Rosenbach MA, Neuhaus IM, eds. Matenda a Andrews a Khungu: Clinical Dermatology. Wolemba 13.Philadelphia, PA: Elsevier; 2020: mutu 26.

Patterson JW. Mchitidwe wa granulomatous reaction. Mu: Patterson JW, mkonzi. Matenda a Khungu la Weedon. 5th ed. Philadelphia, PA: Elsevier; 2021: mutu 8.

Rosenbach MA, Wanat KA, Reisenauer A, White KP, Korcheva V, White CR. Ma granulomas osapatsirana. Mu: Bolognia JL, Schaffer JV, Cerroni L, olemba. Matenda Opatsirana. Wolemba 4. Philadelphia, PA: Elsevier; 2018: mutu 93.

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