Lupus - he nui maʻi maʻi

Tuberculosis o ka ili i ka luna 'etiology a me ka pathogenesis. A pau eha 'ano o ka mycobacteria: avian, bovine, anu-koko a me kanaka. No kekahi kanaka ho i ka pilikia wale nō kanaka a me ka bovine type. Oia ili lesions - he ke nānā kŰia i waena o dermatoses, akā, nei ua ka mahuahua mea hiki wale mai.

Nā kūlana ka hoʻopukaʻana i ka ulu ana o keia maʻi nā: maʻi o ka'emi'ōnaehana, hormonal dysfunction, wikamina imbalance, kāna hana o ka mea pōhaku a me ka wai pūnao, circulatory kāna hana (venous congestion), ilihune climatic a me ka pilina rula, na infectious maʻi. Mau kumumea me ka nui loa emi i ka hoomalu ana o ke kino a me ka hoomahuahua i ka susceptibility i kona tuberculosis mycobacteria. Lakou komo iloko o na epidermis ma na mea he nui naʻano likeʻole. Iwi oluolu no ka iho mailoko o ma ka poino a hiki i ka ili o ka hoʻomanawanui a me kona poe a pau.

Aia o kekahiʻaoʻao o ka maʻiʻaʻai. Lupus hiki ana i ka wa a ka pathogen komo iloko o kaʻili a me lymphogenous hematogenically o tuberculosis ipu ahi ke aupuni 'o' ē aʻe nā loko.

Ma keia maʻi i loko o kaʻili i 'akomi i infectious granuloma keena a ua hoopuniia oukou e lymphocytes. No ka mea, ua i wehewehe aku e na symptoms me caseous necrosis, i ke alo o ka nunui Langhans keena, i ke alo o ka mycobacteria i loko o ka kikowaena hapa o ka granuloma. Tuberculosis, i ka wehewehena o ka i mea loa pinepine ma ka histological pono akahele lapaau.

Ka loa e like me ka ano o ka lupus. Oia lupus, a i wehewehe aku ma ka hanana o ka pahee symptoms manaʻo Iegasaduha (lyupom) me kekahi a pink ano me ka maopopo palena (i i 3 mm) ka loa, he pono ole i ka wahine. Lyupomy i infectious granuloma. Ka mea, e ulu a merge, a laila, loaʻa he paa foci (palahalaha shape). Ua lyupomy fibrosing. I loko o kēia kaʻina hana, ka me ka makaʻu no atrophy. Aia mea no hoi kekahi ano o peptic ulcer mai, ma a he mea he exudative kaʻina a me ka lyupomy ulcerate. Aia i superficial ulcers kahe wale me ka haoʻa, pahee lua penei. Aia i kekahi ano o kaʻeho, a verrucous lupus. IeAUPIIe, IAa IO, he poʻe noʻonoʻoʻole akaka ma luna o ka maka, akā, i ke aupuni 'wahi. Pinepine e loli ai ka mucousʻili lahilahi o ka lani, nui aʻe ana, mau lehelehe, a me ka ihu. Konaʻena lupus i ka lōʻihi, a sluggish pele. I ka loaʻa paha e complications me ka hooulu ana o ka lupus-carcinoma.

Kollikvativny lupus - i ka lua o ka loa e like me ka ano o ka maʻi hihia. Nā pele ho maloboleznennymi, anuanu, aia i loko o ka hohonu dermis, a hoʻomaka koke ulu ma ka buke huahelu. Ka mea, ke kau i kekahi anawaena o 5 knm. Ka ili ma luna o nā aka wahi mai he bluish tint. Over manawa, na aka wahi i hoopalupaluia, aia no he anu abscess, ma hope a hemo mai me ke kala o ka koko maʻiʻo. Ma ka paena o nā aka wahi i hana ulcers me ka pahee lua penei. i haʻalele hoolaia ulcer scars me ka ole shape. Loa pinepine e loli ai i ka ai, ma ka liʻiliʻi loa - i ka lala.

Indurativny lupus, ulcerative miliary, lichenoid, warty, papulonekrotichesky mea kiʻekiʻe ano o ka tuberculosis, mai ka ulu 'ana i ke kāʻei kua o nā foci o ka maʻiʻaʻai i mua i ka maʻi i ka maʻi o ke kanaka.

N ano mea pohihihi keia, no ka mea, o ka vaccination o nā pēpē i mea a ianoiyuaa a underway. I kaʻike, e kau ma luna o ka anamnesisʻikepili, lapaʻau kiʻi, ka hopena o ka tuberculin ho'āʻo ma, ka moʻomeheu a me ka histological ninaninau.

Ma ia i ka maʻi, e like me tuberculosisʻili lapaʻau ua hoemi ia i ka kēia mauʻanuʻu: tuberculostatic chemotherapy, 'ō e hoʻonele, ka hoʻoikaika' ana metabolic keʻano o ka hanaʻana. By tuberkulostaticheskoy ai 'nā isoniazid, protionamid, streptomycin, pyrazinamide, rifampicin, ethambutol, florimitsin, kanamycin.