Granuloma annulare

Granuloma annulare (lat Granuloma anulare.) - imele relapsing dermatosis esingapheliyo lohlobo imvelaphi olungaziwayo uhlobo polyetiological kusenokwenzeka, ebonakala ngu ukubonakala kumphezulu eluswini isixa esikhulu maqhuqhuva plotnovata-granulomas, neyohlulwe ngohlobo amakhonkco.

Development granuloma annulare ingqalelo njengendlela morphological hyperergic indlela yokukrala yesikhumba leyo esosulelwa imiba eyahlukeneyo owahlukeneyo. Granuloma annulare na ulwalamano kunye sarcoidosis, samathambo, usulelo ezahlukeneyo ezingapheliyo (ingakumbi tuberculosis - le paratuberculosis original) kodwa inkqubo granulomatous abuphumi pathogen ethile nezihlunu reactivity kuguquka.

Xa granuloma annulare kubaluleke kakhulu iqhotyoshelwe zezigulo ezahlukeneyo sifo humoral kunye zeselula: kumanqanaba ka IgG, IgM, kulandele yokulahlwa kwe yokugqibela, njengoko icandelo SOC kunconywa iindonga imithambo yegazi. Kukho amaxesha xa wabona into samathambo, anti-umzimba ukuya DNA kwinkqubo nucleation sinokuba ukufana kunye iinkalo isenzeko Arthus. Granuloma annulare e ngakumbi ekuphuhliseni imisebenzi yabo uhlobo HRT, kunye nokuthatha inxaxheba izakhiwo omzimba, ezo zihamba kunye nokwanda CEC. Kunye nale, kukho ingcamango yokuba granuloma annulare luhlobo izifo zomzimba nokuqina.

Xa granuloma annulare ebaluleke kakhulu endocrinopathies indima, leyo enokuphazamisa ezithile carbohydrate ukutya (isikhumba hyperglycemia). Xa izigulane linembali seswekile idla elibhaqiweyo, nto leyo into umngcipheko omkhulu kubunzima microvascular.

Granuloma annulare abantwana nabantu abadala akukho ezahlukeneyo, indlela ezahlukeneyo zonyango, amalungiselelo idosi ngqo ezifunekayo.

Granuloma annulare. Treatment kunye nentshukumo yokuqala

Xa granuloma babona kukho iqela zokutya ezifunekayo ukuze ngempumelelo ukulahla usulelo. Nciphisa bona ukudla osisityebi carbohydrate, abantu abaye baba ubunzima umzimba eliphezulu - into contraindicated ukutya kunye calories eliphantsi. Enokwenzeka, ukuba uye kugqirha, uyakukumisela na ezinye zezi machiza kunye nezongezo: iivithamini neqela B, "Tocopherol acetate," "Retinol", "ergocalciferol", ascorbic acid, "Ferrotseron", "Gemostimulin", "Askofer "" Zhektofer "," Ferrum-Lek "," Konferon ". Ukuba uphawula ukuba ulusu ubonakala granuloma thunzi, ukuqhubeka ngoko nangoko ukuze unkcenkceshele eyosulelekileyo indawo chloroethyl. Kuba unyango lwe isikhumba nayo kusetyenziswa ikhephu asidi kunye nitrogen engamanzi.

Ukuba kukho granuloma annulare enye indlela elungileyo ekunyangeni - isabelo umonakalo trituration nezithambiso ezahlukeneyo obkalyvanie lokumiswa hydrocortisone. Ngamafutha asetyenziswa eziqulathe corticosteroids: lokoid, Elokim.

Nezisasaziweyo, deep iintlobo granuloma babona ukuba torpid luqhutyiwe radiation, ngokufuthi isincomo NSAIDs, UFO, maxa wambi izifundo ezincinane corticosteroids lwenkqubo, aminoquinolines, kwakhona PUVA unyango, retinoids enuka kamnandi. Kodwa kubalulekile ukuphawula ukuba iindlela zingentla zonyango ayikaqondwa kwaye inokubangela iziphumo ebezingalindelekanga ezifana iingxaki ezincinane kunye ezinkulu.

Musa ukulibala ukuba ukuze ukususa ngokupheleleyo granuloma thunzi ngokwaneleyo enye kuphela lungu komsipha. Emva kokubulala wonke ummandla owosulelekileyo iqala ukuncipha kancinane ukufumana ujongo oluqhelekileyo yendalo. Kodwa abanye, esazi ukuba granuloma wabo ophele-, qhubeka ukwenza amanyathelo zonyango kweli khaya.