Stevens-Johnson syndrome yog ib yam kab mob loj heev, tshwm sim hauv papules ntau thiab cov hlwv uas kis thoob plaws hauv daim tawv nqaij, nrog rau cov mucous membranes.
Stevens-Johnson syndrome - ua rau mob
Kws txawj ntseeg tau tias qhov propensity los tsim lub syndrome ntawm Stephen-Johnson yog pub. Raws li txoj cai, qhov Syndrome no tshwm sim los ntawm kev ua rau fab tshuaj tiv thaiv ntawm kev tshwm sim tam sim ntawd thaum txais tos:
- tshuaj tua kab mob;
- sulfonamides;
- tshuaj-regulators ntawm lub zog hauv lub cev;
- nonsteroidal anti-inflammatory tshuaj.
Dhau li, cov kab mob npau taws thiab kab mob tuaj yeem ua rau tus kab mob:
- mob ntshav liab;
- measles;
- influenza;
- herpes;
- qaib qoob;
- tuberculosis;
- mycoplasmosis;
- brucellosis;
- salmonellosis;
- AIDS, thiab lwm yam.
Hauv qee qhov mob, qhov tseeb tsis tsim nyog muaj tus kab mob.
Cov tsos mob ntawm Stevens-Johnson Syndrome
Tus kab mob sai sai. Ntawm theem pib, nws muaj:
- siab kub (txog 40 degrees);
- kub cev;
- mob taub hau loj heev;
- leeg thiab mob pob txha;
- tachycardia;
- mob hauv caj pas;
- zawv plab;
- ntuav;
- hnoos.
Ob peb xuab moo ntawm cov kaus hniav ntawm lub qhov ncauj muaj npuas, vim li cas tus neeg mob tsis tuaj yeem haus thiab noj tau. Muaj qhov muag puas tsuaj raws li kev ua xua hluav taws xob nrog ib qho teeb meem nyob rau hauv daim ntawv ntawm purulent oclamps. Nyob rau tib lub sij hawm, yaig thiab mob nqaij hlav tuaj yeem tsim tawm ntawm lub pobtawb thiab kev sib kis, nrog rau txoj kev loj hlob:
- keratitis;
- blepharitis ;
- kab mob qog iridocyclitis.
Kwv yees li ntawm ib nrab ntawm tus kab mob no yuav cuam tshuam rau cov plab hnyuv siab raum.
Stevens-Johnson syndrome yog cov xim ntawm cov hlab ntaws ntawm daim tawv nqaij 3 mus rau 5 cm ntawm qhov loj nrog cov ntshav lossis cov ntshav. Tom qab qhib lub hlwv, liab crusts raug tsim.
Cov teeb meem tshwm sim ntawm tus mob no yog:
- mob raum tsis zoo;
- mob ntsws o;
- los ntshav ntawm lub zais zis;
- bronchiolitis;
- dig muag.
Kev ntsuam xyuas kab mob kev nkeeg tau qhia tias: txhua txhua 10 tus neeg mob nrog Stevens-Johnson syndrome tuag.
Kev kho mob ntawm Stevens-Johnson syndrome
Thaum muaj tus kab mob Stevens-Johnson syndrome, lub tsheb tos neeg mob yog tsom rau kev rov ua kua. Tus neeg mob kuj muaj kev kho mob zoo ib yam li uas siv rau kev kho mob rau cov neeg mob uas muaj mob kub hnyiab, siv cov ziab thiab cov tshuaj tua kab mob. Los lim cov ntshav, ib qho kev siv tshuaj tua kab mob sia mus thoob ntiaj teb yog tsim muaj:
- ntshav lim;
- hemosorption;
- immunosorption;
- membrane plasmapheresis .
Txoj kev lis ntshav ntawm ntshav, cov keeb kwm protein, saline ntsiab yog nqa tawm. Prednisolone thiab lwm yam kab mob glucocorticosteroids yog txhaj tshuaj. Mucous daim ntawm lub qhov ncauj raug kho nrog tshuaj tua kab mob, piv txwv, hydrogen peroxide. Glucocorticosteroid qhov muag tshuaj tso rau hauv qhov muag thiab ointments yog pawned. Thaum lub qhov urogenital system raug cuam tshuam, solcoseryl ointment thiab glucocorticosteroid agents siv. Tiv thaiv kom tsis txhob muaj kev fab hnyav dua qub uas siv cov tshuaj antihistamines. Thaum lub edema ntawm lub ncauj lus ntawm tus neeg mob tau hais, tus neeg mob yog
Ib qho tseem ceeb hauv kev kho ntawm tus neeg mob nrog Stevens-Johnson syndrome yog lub koom haum hauv tsev kho mob ntawm kev ntsuas los tiv thaiv kab mob, nrog rau:
- sterility ntawm linen;
- cais tawm ntawm lwm tus neeg mob thiab qhua;
- pa ya nrog ionizing hluav taws xob.
Tus neeg mob nrog Stevens-Johnson syndrome yuav tsum tau noj ib qho kev noj haus hypoallergenic uas yuav tau txais cov khoom noj ua kua lossis cov khoom noj uas muaj roj, haus dej kom ntau. Cov neeg mob hnyav tau qhia txog kev noj zaub mov.