I-Eosinophilic granuloma complex emakati

Iyini i-eosinophilic granuloma complex?

I-Eosinophilic granuloma complex (EG) wuhlobo lwesilonda sesikhumba kanye ne-mucosal, ngokuvamile i-oral cavity, emakati. Ingavezwa ngezindlela ezintathu: i-indolent ulcer, i-granuloma eqondile kanye ne-eosinophilic plaque. Ibonakala ngokuqoqwa ezindaweni ezithile ze-eosinophils - uhlobo lwe-leukocyte oluvikela umzimba kuma-parasites futhi luhilelekile ekuthuthukiseni ukusabela okweqile. Noma yiliphi ikati lingakhula, kungakhathaliseki ubudala kanye nohlobo.

Indlela izinhlobo ezahlukene ze-CEG ezizibonakalisa ngayo

• Isilonda esingapheli. Kwenzeka kulwelwesi lwamafinyila lomlomo, olubonakaliswa ukwanda kobukhulu bomlomo ongenhla noma ophansi, ukuguguleka kolwelwesi lwamafinyila, kuphenduke isilonda. Ngokukhula kwalesi sifo, kungathinta ikhala nesikhumba se-muzzle. Okuhlukile ukuthi lezi zilonda azibuhlungu.

• I-Granuloma. Kubonakaliswa emlonyeni womlomo ngendlela yamaqhuqhuva amhlophe olimini, esibhakabhakeni, kungase kube nokuguguleka noma izilonda, i-foci ye-necrosis. Ukuma komugqa we-EG kubonakala njengezintambo ngaphakathi kwemilenze yangemuva, ephumela ngaphezu kwesikhumba. Igranuloma yomugqa ihambisana nokulunywa nokuba nempandla. Ikati lingase likhathazeke kakhulu, lihlale likhotha.

• Ama-plaque. Zingenzeka kunoma iyiphi ingxenye yomzimba kanye nolwelwesi lwamafinyila. Phuma ngaphezu kwesikhumba, kungase kube nokubukeka okupinki, okukhalayo. Okukodwa noma okuningi, okuyindilinga nokungajwayelekile, okuyisicaba. Uma ukutheleleka kwesibili kunamathiselwe, i-pyoderma, i-papules, i-pustules, ukuvuvukala kwe-purulent, ngisho nezindawo ze-necrosis zingase zenzeke.

Izimbangela ze-granulomas

Imbangela eqondile ye-eosinophilic granuloma complex ayaziwa. Ngokuvamile izilonda ziyi-idiopathic. Kunesizathu sokukholelwa ukuthi i-allergies, ikakhulukazi ukusabela kwezeze, i-middge, ukulunywa omiyane, kungabangela i-CEG. I-atopic dermatitis ingabuye ihambisane nezilonda, ama-plaque emvelo ye-eosinophilic. I-hypersensitivity yokudla nokungabekezelelani. I-Hypersensitivity, eyaziwa nangokuthi i-allergies yokudla, ayivamile kakhulu, okubonisa ukuthi ikati alizwani nohlobo oluthile lwamaprotheni okudla. Ngenani elingakanani i-allergen ingena emzimbeni - akunandaba, noma ngabe i-crumb encane, ukusabela kungase kwenzeke, kuhlanganise nokubonakala kwefomu elilodwa noma ngaphezulu kwe-eosinophilic granuloma. Ngokungabekezelelani, okwenzeka lapho kuvezwa inani elithile lento, izimpawu zivela ngokushesha futhi zisheshe zinyamalale. Okusho ukuthi, kulokhu, ukuvela kwe-plaque, izilonda noma izilonda eziqondile akunakwenzeka.

Ukuxilongwa okuhlukile

Ngokuvamile isithombe sazo zonke izibonakaliso ze-eosinophilic granuloma ziyisici. Kodwa kusafanele uqinisekise ukuxilongwa ukuze unikeze ukwelashwa okufanele. Kuyadingeka ukuhlukanisa inkimbinkimbi nezifo ezifana nalezi:

• I-Calicivirus, i-leukemia yezilwane
• Izilonda zefungal
• I-squamous cell carcinoma
• UPyoderma
• I-Neoplasia
• Ukushisa nokulimala
• Izifo ezithathelwana ngomzimba
• Izifo zomlomo womlomo

Diagnostics

Ukuxilongwa kwenziwa ngokucophelela ngesisekelo sedatha ye-anamnestic enikezwe umnikazi, ngokusekelwe emiphumeleni yokuhlolwa kanye nezinqubo zokuxilonga. Uma wazi ukuthi kungani ikati lingase libe nenkinga, qiniseka ukuthi utshela udokotela ngakho. Ngokususa lesi sici ngokushesha ngangokunokwenzeka, uzosindisa isilwane sakho ku-CEG. Uma imbangela ingaziwa, noma ukuxilongwa kukungabaza, khona-ke izinto zithathwa ukuze zihlolwe i-cytological. Isibonelo, isilonda esingenalutho singadideka nezibonakaliso ze-calicivirosis emakati, umehluko kuphela ukuthi ngalesi sifo esithathelwanayo, izilonda zibukeka zingesabisi kangako, kodwa zibuhlungu kakhulu. Ama-Imprint smears awavamile ukufundisa, angabonisa kuphela isithombe se-pyoderma engaphezulu, ngakho-ke kufanele kuthathwe i-biopsy yenaliti enhle. Ingilazi enamaseli atholiwe ithunyelwa elabhorethri ukuze ihlolwe. Inani elikhulu lama-eosinophil litholakala endabeni, okusinika isizathu sokukhuluma nge-eosinophilic granuloma complex. Uma, ngemva kokuhlolwa kwe-cytological, udokotela noma abanikazi banemibuzo yokuthi kungase kungabi i-eosinophilic granuloma complex, kodwa esinye isifo, noma uma ukwelashwa kungasebenzi, khona-ke kulokhu okuqukethwe kuthunyelwe ukuhlolwa kwe-histological. Ukwelashwa Ukwelashwa kuncike imbangela ye granuloma eosinophilic. Ukwelashwa kufanele kuthathwe ngokungathi sína. I-granuloma ingabuyela esimweni sayo sokuqala uma imbangela ingasuswa. Yiqiniso, uma kungesona isimo se-idiopathic, khona-ke ukwelashwa kwezimpawu kuyasetshenziswa. Ukwelashwa kuhlanganisa ukuthatha amahomoni noma ama-immunosuppressants amasonto amabili, njenge-Prednisolone. Lapho abanikazi bengakwazi ukuhambisana nencwadi kadokotela, banikeze ithebhulethi 1 noma izikhathi ezi-2 ngosuku, khona-ke imijovo yomuthi ingasetshenziswa, kodwa akunconywa ukusebenzisa i-glucocorticosteroids esebenza isikhathi eside, umjovo owodwa othatha amasonto amabili. Lokhu kungenxa yokungabikezeli kobude besikhathi nokuqina komphumela womuthi. Isikhathi sokwelashwa cishe amasonto amabili. Uma kufanele usebenzise lesi sidakamizwa isikhathi eside, khona-ke inkambo ye-hormone ikhanseliwe ngokushelela futhi ngokuqinile ngaphansi kokuqondisa kukadokotela. Kodwa, futhi, lokhu ngokuvamile akwenzeki uma abanikazi belandela zonke izincomo ngendlela efanele. Ukwengeza, ukwelashwa kungase kuhlanganise izidakamizwa ezilwa namagciwane ngesimo samaphilisi noma amafutha okugcoba. Into ebaluleke kakhulu ukuba nesineke futhi ulandele imiyalelo kadokotela, khona-ke ngokuqinisekile uzosiza isilwane sakho.