Chinzonono roseola: chithunzi, zizindikiro, zimene, zosiyanasiyana, kutanthauzira, masiyanidwe matenda, mankhwala

Chindoko - amodzi mwa matenda ambiri ndi mantha kwa m'ma XX. Pakuti nthawi zina matenda panali chifukwa cha imfa ya anthu ambiri. Mu Russia, nthenda zowawa m'maboma lonse, ndi asilikali, msilikali aliyense atenge wachisanu anali ndi kachilomboka. Izi chakale venereal matenda makamaka mwa kugonana kapena prenatally. Koma nsomba n'zotheka ndi ntchito zinthu zina ukhondo, kulumidwa, kuikidwa magazi. matenda angayambe mu mawonekedwe zobisika kwa zaka zambiri, pang'onopang'ono amayenda siteji wina ndi mzake, mantha zizindikiro zawo ndi maonekedwe.

Nthumwi causative

Chancre, kutupa kwa mitsempha lymphatic, chinzonono roseola (mabanga syphilides), papules, pustules ndi mfundo - awa ndi ena mwa mawonetseredwe kunja a chindoko pulayimale ndi sekondale. Koma zikuoneka woona wa zotupa, ziwalo ndi machitidwe ndi spirochete - wotumbululuka treponema (Treponema pallidum). The bakiteriya ndi lotseguka yekha mu 1905. Ilinso ndi elongated thupi mawonekedwe ndi fibrils, motero angathe kutengeka mwauzimu. Ndiko kuti, tizilomboto angachititse momasuka mwa gulu lake, ozama mu yogwirizana intercellular ndi zokhudza ziwalo, mitsempha ya magazi ndi minofu anthu.

chindoko Secondary

Matendawa ali ndi magawo atatu a mafunde a. chindoko yaikulu amakhala ndi oyamba mwapang'onopang'ono tizilomboto mu thupi. anapanga chancre Mu malo oyamba treponema - chowawa chilonda. Kumapeto kwa masabata 6-10 pambuyo matenda amapezeka thupi zokhudza zonse kulephera. Lolani ziwalo zonse (kuphatikizapo fupa, mantha, dongosolo lymphatic, kumva ndi pamaso). Inali nthawi imeneyi, thupi limapezeka chonyansa totupa, ngati kusuntha amene ali chinzonono roseola. Photo odwala amene khungu ali ndi totupa, kuyang'ana zokopa. The totupa zimachitika chifukwa chakuti mbali ya nyongolosi ya anawononga nkhondo ya maselo chitetezo cha m'thupi ndipo zikusonyeza endotoxin - poizoni oopsa amene ali chuma angioparaliticheskim. Izi chizindikiro chindoko anapeza 80% ya milandu nthawi yachiwiri.

thupi ndi zambiri n'zotheka penapake kuchepetsa tizilomboto, umene matenda amakhala zobisika (zobisika) siteji. The totupa Mwamsanga kwa kanthawi, posachedwapa akuwonekanso. Kubalana tizilombo ali odzilamulira, koma chifooke chitetezo cha m'thupi kumayambitsa khalidweli. Ndicho chifukwa dongosolo lawo m'thupi sangathe kugonjetsa kwathunthu matenda. Komanso, anthu thupi kutentha ndi Choncho yabwino moyo wa tizilombo toyambitsa matenda a. nthawi yachiwiri ukhoza kwa zaka 2 mpaka 4, ukuyenda mafunde, ndi kupeza zizindikiro zonse zatsopano matenda.

Kodi matenda khungu akhoza kusokonezedwa?

Chinzonono roseola ndi ofanana pathologies ena a khungu, amene yodziwika ndi totupa pinki:

• Otani dermatitis monga anachita kwa mankhwala mankhwala, chakudya, banja. matupi awo sagwirizana Madontho kusiyana ndi kuti iwo amakonda kuphatikiza, kuyabwa, kuphatikiza ndi mzake.
• Pinki zoster kuwawonetsera monga ofananira mawanga zozungulira. Izi vuto lililonse zotupa tizilombo khungu kuti akudutsa popanda mankhwala. Choncho pali kholo zolengeza (m'mimba 1 cm) umene wapezeka woyamba ndipo ali ndi wokulirapo. Zinthu otsala kuonekera pang'onopang'ono, mawonekedwe awo ndi miyeso angakhale osiyana ndi osiyana Chrixitu.
• marbling wa khungu kumachitika poyankha hypothermia anthu wathanzi kwathunthu. Kudzera pakhungu dilated capillaries chabe translucent, kuwapatsa iwo kum'chitira marbled. Chinzonono roseola pambuyo mapepala wolimba akusisita amakhala ngakhale owala ndi nsangalabwi chithunzi, pa mwake, kusiyiratu.
• Nkhono mawanga (akuda) Komanso kuwamana mtundu pinki, koma nthawizina zimakhala mthunzi wa khofi ndi mkaka. Iwo ili kumbuyo, pachifuwa, ndi zambiri pa theka chapamwamba za thupi. Tinachokera kwa pakamwa follicles tsitsi kwambiri shelled mosiyana mawonetseredwe chindoko.
• Pamaso nsabwe obisika amasonyeza kuda ploschits kulumidwa. Mu malo ya imvi wofiirira mawanga inu nthawi zonse muzindikire dontho laling'ono. Kuda chiyani kutha pamene iwo kukankhira.
• Pamene chikuku totupa opezeka osati pa thupi komanso nkhope. Iwo umaposa pa zophimba pang'ono, zimakhudza pharynx ndi kusiyiratu pa tsiku lachitatu. limatuluka m'thupi kutentha, pali conjunctivitis, kutupa lymph mfundo.
• Chikuku amadziwikanso yodziwika ndi nyamuka lakuthwa kutentha, chikope edema, kutupa nembanemba wa Airways chapamwamba, amavutika kupuma ndipo conjunctivitis. Totupa lalikulu, sachedwa kukhetsa pa nembanemba mucous mkamwa ndi m'kamwa loonetsa madontho woyera.
• Nthenda yofanana ndi tayifodi ndipo tayifodi amapezeka ndi aakulu ambiri kuledzera kwa thupi, malungo ndi kufooka. Ngati Madontho mafuta ndi yankho ndi mowa wa ayodini, iwo kukhala chodera.

Chinzonono roseola: matenda masiyanidwe

Roseola, chifukwa chindoko, m'pofunika kusiyanitsa (kusiyanitsa) kuchokera zina totupa Umboni Wopereŵera, ofanana mu maonekedwe awo. Komanso tizilombo ting'onoting'ono, chifuwa, matenda opatsirana (nsungu, chinzonono). Chifukwa zikamera wa kuphulika zina zosiyana, monga maonekedwe a anaonetsa, maonekedwe, ndi zizindikiro zosonyeza kuti ndi njira mankhwala.

Mothandizidwa ndi njira zasayansi zingadziŵike kuti totupa - ichi roseola chinzonono. Diff. matenda zachokera serological magazi ndi kupeza antigens ndi chitetezo kwa tizilomboto lapansi. RIF amapereka wangwiro chifukwa kusanthula. Kuti tichite zimenezi, kutenga magazi wodwalayo phunziro ananenanso kwa magazi kalulu zakhudzana ndi nthumwi causative wa matenda, ndi seramu wapadera. Kuwaona mu kuwala maikulosikopu pamaso pa chamoyo treponema akutsimikiza glare - kuwala. Popeza matenda limapezeka yobiriwira chowala.

Choona chidwi n'chakuti ngati wodwala m'nsinga kulowa ku ml ya 3 mpaka 5 asidi nicotinic (0.5% njira), mawanga kukhala omveka hue. Komanso kwambiri kuti matenda ndi kukhalapo zizindikiro zina za chindoko sekondale. Komanso mapangidwe a chancre a chindoko makamaka sitepe.

zizindikiro zina

Othimbirira pinki kapena kuzungulira mawonekedwe lofiira ngati chinzonono roseola. Zizindikiro a chindoko sekondale mulinso:

• microfocal kapena akakufunsani alopecia (wamba 20% odwala ndi imafika ku chiyambi cha mankhwala);
• "Mkanda Venus" pakhosi, kawirikawiri pa mapewa, miyendo ndi kuchepetsa kumbuyo;
• papular syphilide;
• pustular syphilide;
• kuwonongeka timinofu ndi hoarseness.

zizindikiro totupa

Chinzonono roseola, chithunzi chimene zambiri pa Intaneti, amakhala ndi zinthu zina:

• mawanga munthu zamitundu mpaka 1 cm;
• totupa ndi yosokoneza contours;
• Madontho yosalala pamwamba, asymmetrical;
• contours anamaliza ndi asymmetrical;
• osati zinaphatikizidwa kuti zinthu mzake;
• Madontho musati protrude pamwamba pa khungu;
• Kodi kukula pa periphery ya;
• pampanipani, pang'ono mphenzi ya mtundu, koma posakhalitsa;
• kupweteka khungu ndi kuyabwa.

Long osati kudutsa roseola akhoza kukhala lachikasu bulauni hue. Okha totupa si zoipa ndipo si owopsa. Komabe, iwo ndi chizindikiro cha thupi kuti ankafunika thandizo mwamsanga.

Chinzonono roseola: kutanthauzira totupa

Malo okondedwa mawanga malo ankaona kumalekezero ndi mbali pamalo wa thupi (chifuwa ndi pamimba). Mwina pa anaŵerama nthambi, kupanda kumtunda kwa miyendo. Roseola kawirikawiri zimachitika pa mapazi, manja ndi nkhope. totupa malawi mosalongosoka ndi lambiri. Iye amapezeka pang'onopang'ono, kufika chitukuko komaliza kwa masiku 8-10. Chinzonono roseola mitundu zachokera maonekedwe a mawanga.

Mitundu ya roseola chinzonono

Zotsatirazi mitundu ya roseola:

• mwatsopano (koyamba), ndi zotupa wambiri wa mtundu yowala;
• urticaria kapena oedematous (akufanana urticaria);
• annular chinzonono roseola amakhala ndi yamawangamawanga mu mawonekedwe a mphete kapena theka mphete, arcs ndi nkhata zamaluwa;
• ndi mawanga kobwereza kapena kukhetsa roseola kukula, kawirikawiri ochuluka, ndiponso kupenta - kwambiri, koma chiwerengero n'chochepa.

kawirikawiri, odwala kukhala ukuchoka roseola yokutidwa mbale mamba, komanso ofanana matuza, ataliatali pamwamba pa khungu.

nembanemba Mucous zambiri akufotokozera erythematous chinzonono angina. Pa kuda pakhosi erythema kuoneka mdima wofiira, nthawi zina ndi kulocha bluish. maphunziro awo zikuchepa M'mphepete wathanzi mucosa zophimba. Wodwala safuna kumva ululu, si malungo, ndipo ambiri mkhalidwe wa pafupifupi wosweka.

chithandizo

Ngati mukukayikira chikhalidwe chinzonono cha totupa, m'pofunika kutembenukira kwa dokotala posachedwapa. Diagnostics ndi chinkhoswe dermatologist kapena matenda venereal.

The totupa Mwamsanga zokha patapita masiku angapo (mwinanso miyezi), pang'onopang'ono kusintha mtundu. Kenako, ngakhale yatsala pa khungu. Kuchitira m'pofunika sakhala okhadzula ndiponso zinthu zawo. Mwamwayi, nthumwi causative a chindoko ndi osowa bakiteriya amene adakali Sichinatsitsidwe anayamba kukana opha tizilombo. Chinzonono roseola, amene mankhwala ikuchitika ndi ochiritsira penicillin (sodium wochuluka mchere), amamuchititsa kukulitsa. Kale itatha yoyamba mu mnofu jekeseni totupa amakhala kwambiri wofiira hue. Wodwala adzaukitsidwa kutentha. Komanso, mawanga anapanga ku mbali ya thupi, komwe poyamba sanali. Mu mankhwala kuphatikiza, komanso zaka khumi zapitazo, ntchito mtsempha kulowetsedwa mankhwala Arsenic ( "Novarsenol", "Miarsenol"). njira ya mchere ayodini ndi atumiki othandiza amagwiritsidwa ntchito. Chithandizo ndidzadutsa m'mikhalidwe n'kupuma, amene amalola kuti nthawi zonse kuyan'ana umoyo wa wodwalayo.

mankhwala Features

Chithandizo akhale maphunziro, alternating ndi yopuma ndi kukhala oleza. mankhwala chiwembu amusankha payekha ndi mbali matenda a matenda. Kuthetsa blur totupa yoikidwiratu Mercury mafuta, kuchapa ndi saline, komanso mokwanira ukhondo chisamaliro chakhungu.

The Mapa apeze

Bwinobwino ankachitira chindoko anthu athanzi ndi achinyamata ndi thupi lamphamvu. Ana ndi okalamba zanyengo ndi zabwino nthawi zonse zovuta. alili akhoza kuvutika ngati ali zotupa oopsa a mtima, matenda a shuga, matenda a impso, chiwindi, rickets mu mbiri. Komanso, wodwala ayenera kusiya kumwa mowa komanso kuchepetsa kusuta pa chithandizo.

zotsatira za matenda

Nkofunika kudziwa kuti chinzonono roseola - totupa, lomwe limapezeka pamene matenda ndi kale mu Zikavuta. Ngati panthawi imeneyi sayamba mankhwala, izo ndi zotsatira mpaka kalekale, sizingasinthe kuwonongeka kwa ubongo ndi msana, ndi mitsempha ya magazi ndi ziwalo zina za m'kati. Chindoko bwino ndi seamlessly kusinthana kwa Chachitatu, zimene ziri mwamtheradi osati amenable mankhwala. Mu chindoko ukachenjede, lomwe limapezeka mu 40% milandu, ndi zotheka kukhalabe m'thupi ntchito yofunika komanso olimba boma. Monga matenda ambiri opatsirana pogonana, chindoko zambiri umatha kulumala kapena imfa.

kupewa

Chindoko - matenda oopsa n'ngochiritsika yekha langoyamba. About zotupa zokhudza zonse pamene mankhwala tsiku lililonse ndi operewera, zikusonyeza totupa - chinzonono roseola. Kufotokozera za miyeso muyezo njira kwa mitundu yonse ya matenda, matenda opatsirana pogonana. Choyamba, muyenera kupewa chiwerewere, wamba ojambula kugonana. A njira chotchinga cha kulera akadali makamaka njira asachite. Kugwiritsa ntchito makondomu, anthu osati kudziteteza ku matenda, komanso amateteza zotheka matenda a bwenzi la chiwerewere. Ndipotu, si onse 100% otsimikiza kuti thanzi langwiro, anapatsidwa kuti matenda ndi yaitali makulitsidwe nyengo popanda zizindikiro zilizonse.