Granuloma annulare

Granuloma annulare (lat Granuloma anulare.) - simele ezingamahlalakhona relapsing dermatosis cishe engaziwa imvelaphi uhlobo imvelo polyetiological, libhekene ukubukeka phezu kwesikhumba semali ngamaqhubu plotnovata-granulomas, okuyinto zihlelwe ngendlela izindandatho.

Ukuthuthukiswa granuloma annulare kubhekwe njengendlela inkulumo morphological hyperergic ukusabela ukuvuvukala kwesikhumba okuyinto itheleleke nge izici ezihlukahlukene heterogeneous. Granuloma annulare unobuhlobo nge sarcoidosis, imfiva ye-rheumatism, izifo eziningi ezingelapheki (ikakhulukazi isifo sofuba - the paratuberculosis yasekuqaleni) kodwa inqubo granulomatous akuveli lwegciwane ethile futhi okushintshiwe reactivity kwezicubu.

Lapho granuloma annulare ukubaluleka okukhulu unamathele kwempilo bangangenwa yilesi sifo humoral kanye neselula: anda amazinga IgG, Igm, kulandele sebethule yokugcina, njengoba ingxenye SOC ukuncoma phezu Imithambo encane yegazi. Kukhona izikhathi lapho kubonakala isici samathambo anti-umzimba DNA enqubeni nucleation ungaba ukufana ne izici lomkhuba Arthus. Granuloma annulare ezengeziwe ekuthuthukiseni imisebenzi yabo ngohlobo HRT, iqhaza izakhiwo amasosha omzimba okuyiwo ahambisana ukwanda CEC. Njengoba sihambisana nale, kukhona inkolelo yokuthi granuloma annulare uhlobo izifo ezicutshini.

Ngo granuloma annulare kubaluleke kakhulu indima endocrinopathies, in iziyaluyalu oluthile carbohydrate umzimba (isikhumba Hyperglycemia). Uma iziguli elinomlando sikashukela ngokuvamile itholiwe, okuyinto lunomthelela ngoba yezinkinga microvascular.

Granuloma annulare ezinganeni nakubantu abadala akuhlukile, indlela ehlukile yokwelashwa, amalungiselelo umthamo ngqo edingekayo.

Granuloma annulare. Ukwelashwa futhi isenzo sokuqala

Lapho granuloma annular kunabadala abaningana ukudla okudingekayo ukuze ngempumelelo ukuqeda lokhu ukutheleleka. Beka umkhawulo ngokwabo ukudla ocebile carbohydrate, abantu abanale mass umzimba okusezingeni eliphezulu - is contraindicated ukudla nge kilojoule ongaphakeme. Kungenzeka, uma uya kudokotela, lapho imithi wena ezinye zalezi izidakamizwa nezinye izakhamzimba: amavithamini leqembu B, "Tocopherol acetate," "retinol", "ergocalciferol", ascorbic acid, "Ferrotseron", "Gemostimulin", "Askofer "" Zhektofer "," Ferrum-Lek "," Konferon ". Uma uqaphela ukuthi isikhumba livela granuloma annular, aqhubeke ngokushesha sinisele elinegciwane endaweni chloroethyl. Ukuze ekwelapheni isikhumba liyasetshenziswa iqhwa carbonic acid kanye liquid nitrogen.

Uma kukhona granuloma annulare enye indlela enhle ekwelapheni - ingxenye ezilimele trituration yokugcoba ahlukahlukene obkalyvanie ekumisweni kwe hydrocortisone. Yokugcoba asetshenziswa eziqukethe corticosteroids: lokoid, Elokim.

Eqonda, annular amafomu granuloma ngokujulile ukuthi torpid olwenziwa emisebeni, bavame ukutusa ama-NSAID, UFO, ngezinye izikhathi izifundo elincane corticosteroids letindzala, aminoquinolines, kabusha PUVA yokwelapha, retinoids elimnandi. Kodwa kuyafaneleka ukuthi zindlela ezingenhla zokwelapha okungashiwo ayiqondakali kahle futhi angase abizwe ngokuthi njengoba kabi imithi emzimbeni okungatheni kanye nezinkinga ezingathi sína.

Ungakhohlwa ukuthi ukuze ususe ngokuphelele granuloma annular ngokwanele eyodwa kuphela umsipha ukudabuka. Ngemva kokuhlukana zonke ndawo onegciwane iqala ukubohla kancane futhi ukuthola ukubukeka zemvelo evamile. Kodwa abanye, bengazi ukuthi granuloma yabo iye behlisa ijubane, bakhathala siqhubeke sifeza izinyathelo zokwelapha ekhaya.