Chithandizo cha Stevens-Johnson Syndrome

Zamkati

• Zothetsera mavuto
• Zovuta zotheka

Chithandizo cha Stevens-Johnson Syndrome chikuyenera kuyambika ndikuzindikiritsa chomwe chimayambitsa kusintha kwa khungu, kuti izi zitheke kuchotsedwa musanayambe mankhwala omwe cholinga chake ndi kukonza zovuta ndi zizindikilo.

Chifukwa chake, monga momwe zimakhalira nthawi zambiri, matendawa amawoneka ngati zotsatira zoyipa za mankhwala (nthawi zambiri maantibayotiki) adotolo amafunikira kuti asiye kugwiritsa ntchito mankhwalawa, ndikuwongolera chithandizo chatsopano chavuto lomwe linali kuchitidwa, kuwonjezera pa chithandizo cha matendawa.

Popeza matendawa ndi vuto lalikulu kwambiri, lomwe lingawopseze moyo, nthawi zambiri chithandizo chimayenera kuchitidwa ku ICU ndi seramu ndi mankhwala mwachindunji mumitsempha, kuphatikiza pakuwunika pafupipafupi zizindikilo zofunika.

Kumvetsetsa bwino zomwe zizindikilo za matendawa ndi chifukwa chake zimachitika.

Zothetsera mavuto

Atachotsa mankhwala onse omwe mwina adayambitsa kukula kwa Stevens-Johnson Syndrome, dokotala nthawi zambiri amalamula kuti mugwiritse ntchito mankhwala ena kuti muchepetse zizindikiro:

• Kupweteka kumachepetsa, kuti muchepetse ululu m'malo omwe akhudzidwa ndi khungu;
• Corticosteroids, kuchepetsa kutupa kwa khungu;
• Antiseptic kutsuka mkamwa, kutsuka mkamwa, dzanzi pang'ono mucosa ndikulola kudyetsa;
• Madontho odana ndi zotupa m'maso, kuchepetsa mavuto omwe angakhalepo m'maso.

Kuphatikiza apo, zimakhalanso zachizolowezi kupanga mavalidwe nthawi zonse kumadera okhudzidwa ndi khungu, pogwiritsa ntchito ma compress opakidwa mafuta odzola kuti athandizenso kukonzanso khungu, kuchepetsa kusapeza bwino ndikuchotsa khungu lakufa. Mtundu wina wa zonona zonunkhira zitha kugwiritsidwanso ntchito kupaka madera ozungulira zilondazo, kuti zisakule kukula.

M'mavuto ovuta kwambiri, kuphatikiza pamankhwala onse omwe afotokozedwa, mwina pangafunikirebe kugwiritsabe ntchito seramu mwachindunji mumtsinje kuti madzi azisungunuka, komanso kuyika chubu cha nasogastric chololeza kudyetsa, ngati mucosa wa m'kamwa amakhudzidwa kwambiri. Nthawi zina, adokotala amatha kuperekanso njira zina zopatsa thanzi komanso zopatsa thanzi kuti athandize munthu kukhala ndi thanzi komanso kuti athe kuchira.

Zovuta zotheka

Chifukwa zimakhudza madera akulu pakhungu, Stevens-Johnson Syndrome imatha kukhala ndi zovuta zazikulu, makamaka ngati chithandizo sichinayambike munthawi yake. Izi ndichifukwa choti zotupa pakhungu zimachepetsa chitetezo chamthupi, zomwe zimathandizira kuthandizira matenda opatsirana mthupi komanso kulephera kwa ziwalo zingapo zofunika.

Chifukwa chake, nthawi zonse kukayikiridwa kuti mankhwala ena akumwa amayamba kukayikiridwa, ndikofunikira kupita kuchipatala kukayang'ana momwe zinthu ziliri ndikuyambitsa chithandizo choyenera, posachedwa.

Onani zina mwazizindikiro kuti muchepetse kuzindikira zomwe zingachitike chifukwa cha mankhwalawa.