Yini uphawu oluhle luka Nikolsky lisho?

Izifo zesikhumba yiqembu elihlukile - i-dermatological pathologies. Kunezinhlobo eziningi zazo. Ukuze ukhethe ukwelashwa okwanele kubalulekile ukuxilongwa ngokunembile kwezifo ze-dermatological. Enye yezindlela zokuqala ukuhlolwa ngokomzimba. Iqala ngokuhlola isikhumba nokuhlola izibonakaliso zezici. Ngokusho kwale datha, kungenzeka ukuhlukanisa izifo ezifanayo komunye nomunye. Esinye sezibonakaliso ezivamile ze-pathologies ye-dermatological yisifo se-Nikolsky. Ezimweni eziningi, kwenzeka ngezinhlobo ezihlukahlukene ze-pemphigus.

Isimo sikaNicolsky - siyini?

Lokhu kubonakala kwe-pathologies ye-dermatological kuyaziwa kusukela ekupheleni kwekhulu le-19. Isibonakaliso sikaNicolsky sivame ukutholakala ku pemphigus, kodwa singase senzeke kwezinye izifo. Iqukethe inqola yesikhumba ngaphansi kwethonya lokungqubuzana. Lokhu kungenxa yenqubo ye-acantholysis. Leli gama lezokwelapha lisho ukuguqulwa kwendwangu enameva ye-epidermis, ngenxa yalokho ukwephulwa kwezixhumanisi ze-intercellular kuthuthuka. Isibonakaliso sikaNicolsky kufanele sihlolwe kokubili izimpikiswano zesikhumba nasemagqumeni amancane. Ngokuvamile ingatholakala emgodini womlomo. Lokhu kungenxa yokuthi ezinye izinhlobo ze-pemphigus ziqala ukuthuthukisa kusukela kumagundane kanye nomnyango wangaphakathi wezindebe.

Izifo iziphi izifo ezenzekayo?

Kumele kuqashelwe ukuthi isibonakaliso sika Nikolsky nge pemphigus asihlali ngaso sonke isikhathi. Lesi sifo sinamafomu amaningi. Iningi lezinhlobonhlobo ze-pemphigus zihambisana ne-acantholysis. Kulokhu, ukuhluka okuphawulekayo kwesimo sikaNicolsky kubonakala. Ukuhlukanisa lezi zinhlobo zezifo ezilandelayo:

1. Vulgar pemphigus. Lezi zifo zithinta abesifazane ikakhulukazi abaneminyaka engama-40 kuya kwengu-60. Kule nkinga, kukhona ukwephulwa kwebhubhisi elimangcwabeni lomlomo womlomo. Bubbles zivela phezu kwezinsini, ulimi, kanye nezihlathi. Ngemuva kokuvula kwabo, kunezinkinga.
2. I-Pemphigus yi-vegetative. Lezi zinhlobo zihlukile kulokho, ngaphezu kwendawo yomlomo, izindawo zesikhumba zithintekile. Ngokuvame kakhulu lezi zimpungushe ezingenalutho, izimpondo, i-anus, i-ring yambilical. Ama-bubbles angaphezulu kakhulu futhi abe nesimo esincane. Lesi sifo asivamile.
3. Pulmonate pemphigus. Kubonakala ngokuthuthuka okusheshayo nokusheshayo. Ama-bubbles asendaweni yendawo enezinwele zomzimba, ikhanda. Ngemuva kokuvula kwawo, ama-crusts amancane ahlala (afana namashidi esikhumba).

Zonke lezi zinhlobo ze-pemphigus yizinhlobo ze-acantholytic. Isibonakaliso sikaNicolsky sinempilo. Ngezinye izinhlobo zezifo, akulungile.

Ukuxilongwa kwesimo sikaNicolsky

Kunezindlela ezingu-3 lapho kungenzeka khona ukuhlonza uphawu lukaNicolsky nge pemphigus (isithombe sesifo esinikezwe kulesi sihloko). Esikhathini sokuqala, udokotela udonsa i-forceps ngezingubo zesisu. Kulesi simo, ukwenqaba isikhumba esinempilo ngesimo se-tape. Indlela yesibili ukugubha i-epidermis phakathi kwama-blisters. Ngesikhathi esifanayo, isikhumba, esibonakala sinempilo, siqala ukulahlwa. Okwesithathu, udokotela wenza ukunyakaza kwesigodi ezindaweni ezikude kwamabhulebhu. Kulezi zindawo, i-epidermis yonakaliswa kalula, ishiya indawo ephezulu.