Lipoid necrobiosis: akpatara, Mgbaàmà, Diagnosis na Ọgwụgwọ

Lipoid necrobiosis - nke a bụ nnọọ ize ndụ na-adịghị ala akpụkpọ ọrịa. Nketa na-adịghị-ebute site ná. The ọrịa na-adị mgbe ndị metabolic ọrịa ke idem. Nke a obodo lipoidoz nke lipids na-edebe ke dermis, bụ nke mbelata ma ọ bụ necrobiosis nke collagen.

Atụmatụ lipid necrobiosis

The ọrịa pụtara na-adịghị ala ala ụdị ruo ogologo oge. Ọtụtụ mgbe, mgbe o mgbake nke ọrịa na-amalite n'isi. E nwere otu nke n'amaghi mgbake. Ma ọ bụ nnọọ ihe a ụkọ.

Nke ìgwè nke ndị gụrụ ọrịa?

Lipoid necrobiosis - a dịtụ obere ọrịa. Ọ bụ obodo akpụkpọ lipoidozam. Ukwuu n'ime ya, a hụrụ na ọrịa na-arịa ọrịa shuga mellitus. Ọtụtụ mgbe lipid necrobiosis susceptible ndị mmadụ 20-40 afọ. Obere ọtụtụ, ọrịa emee na ụmụaka na ndị agadi. Ọtụtụ mgbe, na-arịa ọrịa nwanyi.

ihe ize ndụ ihe

N'ihi na ihe ize ndụ ihe na-agụnye imebi nke metabolic n'ibu. Ihu ọma, lipid, hormone na carbohydrate metabolism. A n'ihe ize ndụ na-akpata na-ụba na ọrịa na-arịa ọrịa shuga mellitus ọnyá, dị iche iche na unan (ọtịta ahụhụ, bruises na na. D.).

Iji ihe ọkachamara lebara?

Ọ bụrụ na ọ bụla anụ ọnya, gụnyere ndị na ọrịa lipoid necrobiosis, kwesịrị ịkpọ a dematọlọjist. The dọkịta ga-ịchọpụta ma nye iwu ndị dị mkpa ọgwụgwọ.

Na-akpata ọrịa

Lipoid necrobiosis akpụkpọ egosi ruru metabolic ọrịa. Karịsịa, n'ihi a odida na usoro nke metabolism nke abụba na carbohydrates. N'ihi nke a, na ọbara arịa ịzụlite enweghị nchịkwa ọdịdị nke mgbanwe na-amalite na microcirculation ọrịa. The ọrịa nwere ike ime na ndị na-adịghị nwere nsogbu na glucose ndidi.

N'ihi na nke mkpọchị microcirculation amalite degenerative mgbanwe nke anụ mkpụrụ ndụ na ha necrobiosis (agbanwe intracellular metabolism). Na dị ka a n'ihi - abụba cell mbelata.

Lipoid necrobiosis: mgbaàmà nke ọrịa

The mbụ mgbaàmà nke lipoid necrobiosis - ọdịdị na akpụkpọ obere pink na-acha uhie uhie oval nodules. Tinyere n'ọnụ na-gburugburu a bluish rim. Na etiti nke ihe e dere ede ọnya bụ na-acha ntụ ntụ. N'otu oge ahụ nwere ike na-emepụta obere red nodules n'okpuru anụahụ. Ọ anya dị ka capillary cystic mgbasa. Sores A nzọụkwụ adịghị egosi ọrịa.

Nodules na-eto eto ka oge na-achọghị oké mbadamba nkume ndị e na-enwe a eji ire ụtọ elu na a akpan akpan mgbukepụ. Na na aka ha na ok na enweghi mgbu. Ke n'etiti nke anụ kpuchie a translucent ihe nkiri. Tinyere n'ọnụ etolite obere bluish-acha ọbara ọbara fom.

Ọnya bụ symmetrical na dị nnọọ ole na ole mbadamba nkume ndị e gburugburu. Ọtụtụ mgbe na-emetụta ala ụkwụ, tumadi na ala ụkwụ. Mgbe ụfọdụ, mbadamba nkume ndị e nwere ike igosi na thighs, toso, ogwe aka ya na ahịa ala isi.

Ọ bụrụ na ọrịa ahụ na-aga n'ihu na-enweghị nsogbu, na-anụ ọnya ghara ime ka wetara na-egbu mgbu sensations. Ma ọ bụghị ya, na mbụ na-egosi ọnyá na ndị ọzọ na anụ ntụpọ. Mgbe ahụ ọ na-amalite na-ere, tingling, itching na ihe mgbu.

Lipoid necrobiosis ewe otutu ike ma ọ bụrụ na onye na n'otu oge ahụ e nwekwara a-arịa ọrịa shuga. Na nke a, na obere arịa na-emetụta, na nke a nanị na-agbakwụnye na akpụkpọ mebiri. Ọ bụrụ na ọbara sugar bụ ala, mgbe ahụ, ọrịa na-arịa bụ dịtụ nkịtị. Mbadamba nkume ndị e ikpe ma ọ bụ kpam kpam igbari. Ọnụ ọgụgụ ha mbelata.

Microscope nnyocha na-ekpughe a ọnụ cell ekwedo, bụ nke a daa ọrịa nke na-ezighị ezi abụba metabolism. Na nke ka nke mgbe ọ na-ata ahụhụ na connective anụ ahụ. Specific ụdị lipid necrobiosis - adịghị ala ala granulomatous distsiformny Miescher. Na nke a, na akpụkpọ patches hà a otutu ihe. Ha na-denser na aka - ka elu nke osisi. Karịsịa n'etiti ndị emetụtara n'ógbè.

nchọpụta nsogbu

Ọ bụrụ na-abawanye na ọbara glucose etoju na-hụrụ, ga-enwe a pụrụ iche ule maka nchọpụta nke ọrịa nke carbohydrate metabolism. Ihu ọma, nke a na-eme na mbụ ogbo nke-arịa ọrịa shuga. Na mgbakwunye na ule, jide n'aka na-enye ọbara na mmamịrị ule n'ihi na ọnụnọ nke sugar.

Glucose ndidi ule - a ibu ule na glucose. The usoro na-agụnye ọtụtụ nkebi nke ọbara collection capillaries. Ọ bụ na ihe efu afo mgbe ingestion nke iri asaa na ise grams nke glucose. Ọ tupu etisasịwo ke mmiri. Nkịtị glucose larịị - erughị 5.5 mmol kwa liter. Awa abụọ mgbe ule - karịa 7.8 mmol kwa liter. Deviations si norm gosiri a mebiri Insular usoro ọrụ. Na nke a, a miri na ndị ọzọ nyochaa. Ule na-eme mgbe larịị nke glucose n'elu 6.7 mmol kwa liter.

Nchọpụta nsogbu na-emekwa ụfọdụ, ma e wezụga dermatological na ọgwụgwọ, ọbụna Endocrinology Center. First e bụ mpụga ule nke onye ọrịa. Mgbe e kenyere a histological ọmụmụ nke samples nwetara site biopsy nke emetụtara anụ. Ọ na-emetụta kpọmkwem staining nke lipids na Sudan mata ụyọkọ nke abụba ọka.

Na ọbara arịa ntị na proliferation nke endothelial mgbidi na fibrosis. Esi nchoputa a rụrụ:

• ihe e dere ede scleroderma;
• granuloma annulare;
• induratum erythema Bazin;
• papulonekroticheskim vasculitis;
• panniculitis;
• sarcoidosis;
• Dermatitis ala ụkwụ;
• erythema nodosum na t. d.

ọgwụ

Maka ọgwụgwọ nke lipid necrobiosis ga kpọtụrụ Center maka Endocrinology. Ọ enịmde a full nyochaa onye ọrịa. Họpụtara Oriri dozie ke ọbara glucose etoju. Maka ọgwụgwọ nke mkpali na-eji ọgwụ ọjọọ eme rụọ microcirculation:

• "Hingamin".
• "Acetylsalicylic acid".
• "Ksantinola nicotinate."
• "Dipyridamole" na ụfọdụ ndị ọzọ.

Kwukwara mgbochi ọrịa ọgwụ ọjọọ na ointments, nke na-agụnye adrenocortical homonụ. Ọfọn enyemaka ngwọta ngwa "Dimexidum" (25-30 percent). Ọgwụgwọ nwere ike ịbụ ma Ambulatory na anyịnya.

Ọzọkwa, nye iwu ọgwụ, na-enwe na ya mejupụtara vitamin E. họpụtara physiotherapy na Bucky ụzarị na X-ray irradiation. Na okwu ahụ siri, ọgwụgwọ a rụrụ surgically. N'oge na-arụ ọrụ, resected enweghị nchịkwa guzobere. Ọzọ, mkpa ka ị na-ebu akpụkpọ grafting.

Ọ ga mmenyenjo onye ọ bụla a nchoputa ka lipoid necrobiosis. Ọgwụgwọ nke na-aga n'ihu na ụdị na-arịa ọrịa shuga akpa ntaifiọk: e nwere dị iche iche variants nke insulin. Against ndabere nke abụọ - a sulfonylurea. Nke vitamin na-ahọpụta "Aevit", "Ascorutin", vitamin B na niacin. Mgbe necrobiosis họpụtara bromides ma ọ bụ herbal ọgwụ ọjọọ. Nakwa dị ka rụọ ọrụ ndị microcirculation - "Etamsylate", "komplamin" wdg ...

Kenyere lipotropics, mgbe nondiabetic ọdịdị nke ọrịa - "Dipromony" ntinye intramuscularly. Mgbe obodo ọgwụgwọ na-etinyere phonophoresis na heparin ma ọ bụ prednisolone ude. The free ụbọchị fonoforeza eji Corticosteroid gị n'ụlọnga, etinyere n'okpuru a bandeeji.

Ọgwụgwọ nke ndiife ịgba akwụkwọ

Maka ọgwụgwọ nke lipid necrobiosis ndiife ịgba akwụkwọ kwesịrị ịkpọ a dematọlọjist. Self-ọgwụ enweghị dọkịta mma bụ ukwuu ekwesighi. Dị ka ndị kwesịrị ekwesị ndiife ịgba akwụkwọ celery ọma etinyere (500g) na lemons (6 iberibe), nke a na-sie awa abụọ na a mmiri saa, tupu chopped na a blender. Njikere n'aka weere na ụtụtụ otu tablespoon. The ngwakọta e echekwara na friji.

Good enyemaka na ọgwụgwọ nke aloes na cinnamon. Iri abụọ grams nke cinnamon powder sie mmiri. Nye iji ajụkwa, na kwukwara na infusion nke iri milligrams nke aloe ihe ọṅụṅụ. Agwakọta, kewara abụọ hà akụkụ. The mbụ mmanya na-egbu ke usenubọk na ihe efu afo. The abụọ - na mgbede, dị nnọọ tupu alakpu ụra.

N'ihi Nde eji mere si steamed compresses powder nke pine ma ọ bụ oak n'ụgbụgbọ. Olee otú ize ndụ lipoid necrobiosis? Ọ bụrụ na ọgwụgwọ na-adịghị arụ ọrụ ma ọ na-agba ọsọ, ị nwere ike na-eje ije na mmepe nke ure anụ ahụ.

ọrịa mgbochi

Prevention - mgbe ule n'ụlọ ọgwụ maka nchọpụta nke-arịa ọrịa shuga ma ọ bụ ọrịa ndị ọzọ metụtara na mkpọchị metabolic Filiks ke idem. Ọ bụ ihe amamihe ileta a GP na-ata ike ego-elu ọ bụla ọnwa isii. Nke a ga-enyere tufuo ọtụtụ nsogbu ma gbochie mmepe nke kwere omume ọrịa. Ndị nwere ikpe nke-arịa ọrịa shuga, ọ dị mkpa ka mgbe niile nyochaa glucose etoju n'etiti ndị ikwu. Bụrụ na nke-arịa ọrịa shuga, ọ bụ iwu na-adọ ọgwụgwọ - bụkwa mgbochi nke lipid necrobiosis.

Ke adianade niile n'elu, zere ihe ọ bụla anụ ahụ ọjọọ, karịsịa ụkwụ (karịsịa nwa ehi). Ga-ekwe n'aka nri nke ọdụdụ oriri na e ghere eghe. Mmasị e kwesịrị esie nri na steamed.