Erythema multiforme

Erythema multiforme (EM) inopinza ganda maitiro anouya kubva kuhutachiona kana chimwe chinokonzera. EM chirwere chekuzvidzivirira. Izvi zvinoreva kuti inowanzo gadzirisa yega pasina kurapwa.

EM rudzi rwemaergic reaction. Muzviitiko zvakawanda, zvinoitika mukupindura hutachiona. Muzviitiko zvisingawanzoitika, zvinokonzereswa nemimwe mishonga kana chirwere chemuviri (systemic) chirwere.

Zvirwere zvinogona kutungamira kuEM zvinosanganisira:

• Mavirusi, akadai sehepe simplex anokonzera kutonhora uye genital herpes (yakajairika)
• Utachiona, hwakadai Mycoplasma pneumoniaeizvo zvinokonzera chirwere chemapapu
• Fungus, senge Nhoroondo yeplasma capsulatum, izvo zvinokonzera histoplasmosis

Mishonga inogona kukonzera EM inosanganisira:

• NSAIDs
• Allopurinol (inobata gout)
• Mimwe mishonga inorwisa mabhakitiriya, yakadai sa sulfonamides uye aminopenicillins
• Mishonga yekudzivirira kubata

Zvirwere zvehurongwa zvinosanganiswa neEM zvinosanganisira:

• Chirwere chinoputira chirwere, chakadai seCrohn chirwere
• Systemic lupus erythematosus

EM inowanikwa kazhinji muvakuru makore makumi maviri kusvika makumi mana ekuberekwa. Vanhu vane EM vanogona kuve nenhengo dzemhuri idzo dzakambove neEM zvakare.

Zviratidzo zveEM zvinosanganisira:

• Low-grade fever
• Kutemwa nemusoro
• Huro inorwadza
• Kukosora
• Dzihwa
• Kazhinji kurwara kunzwa
• Itchy ganda
• Joint aches
• Mazhinji maronda eganda (maronda kana nzvimbo dzisina kujairika)

Maronda eganda anogona:

• Tanga nekukurumidza
• Dzoka
• Paradzira
• Simudzwa kana kuvezwa
• Tarisa kunge mikoko
• Iva nechironda chepakati chakakomberedzwa nemhete dzvuku dzakachenuruka, inonziwo chipfuro, iris, kana nzombe-ziso
• Iva nemvura-izere mapundu kana mablister ehukuru hwakasiyana
• Iva uri pamusoro wemuviri wepamusoro, makumbo, maoko, mapama, maoko, kana tsoka
• Sanganisira kumeso kana miromo
• Inoonekwa zvakaenzana pamativi ese emuviri (akaenzana)

Zvimwe zviratidzo zvinogona kusanganisira:

• Ropa rakatsvuka maziso
• Maziso akaoma
• Ziso kupisa, kuchenesa, uye kubuda
• Kurwadziwa kweziso
• Maronda emuromo
• Matambudziko ekuona

Kune maviri mafomu eEM:

• EM madiki anowanzo sanganisira ganda uye dzimwe nguva maronda emuromo.
• EM makuru kazhinji anotanga nefivha uye akabatana aches. Kunze kwemaronda eganda uye nemumuromo maronda, panogona kunge paine maronda mumaziso, sikarudzi, mapapu mweya, kana ura.

Anopa hutano hwako anotarisa paganda rako kuti aongorore EM. Iwe uchazobvunzwa nezve yako nhoroondo yekurapa, senge hutachiona hwechangobva kuitika kana mishonga yawakatora.

Miedzo inogona kusanganisira:

• Ganda lesion biopsy
• Kuongorora kwenyama yeganda pasi pe microscope

EM inowanzoenda yega kana isina kurapwa.

Mubatsiri wako anozoita kuti umire kutora chero mishonga inogona kunge ichikonzera dambudziko. Asi, usarega kutora mishonga iwe pachako pasina kutaura nemupi wako kutanga.

Kurapa kunogona kusanganisira:

• Mishonga, yakadai sema antihistamines, kudzora kuchenesa
• Minyoro inomanikidza inoiswa paganda
• Mishonga yemarwadzo yekudzora kupisa uye kusagadzikana
• Muromo unosuka kudzikamisa kusagadzikana kwemaronda emuromo anokanganisa kudya nekumwa
• Mishonga inorwisa mabhakitiriya yezvirwere zveganda
• Corticosteroids kudzora kuzvimba
• Mishonga yezviratidzo zvemaziso

Hutsanana hwakanaka hunogona kudzivirira hutachiona hwechipiri (hutachiona hunoitika kubva pakurapa hutachiona hwekutanga).

Kushandiswa kwescreen yezuva, zvipfeko zvekudzivirira, uye kudzivirira kuratidzwa kwakanyanya kuzuva kunogona kudzivirira kudzokororwa kweEEM.

Mafomu akapfava EM anowanzo kuve nani mumasvondo maviri kusvika matanhatu, asi dambudziko rinogona kudzoka.

Zvinetso zveEEM zvinogona kusanganisira:

• Patchy ganda ruvara
• Kudzoka kweEM, kunyanya nehutachiona hweHSV

Fonera waunopa ipapo ipapo kana uine zviratidzo zveEM.

EM; Erythema multiforme diki; Erythema multiforme makuru; Erythema multiforme madiki - erythema multiforme von Hebra; Chirwere chinotyisa - erythema multiforme; Herpes simplex - erythema multiforme

• Erythema multiforme pamaoko
• Erythema multiforme, maronda akatenderera - maoko
• Erythema multiforme, tarisa maronda pachanza
• Erythema multiforme pagumbo
• Erythema multiforme paruoko
• Exfoliation inotevera erythroderma

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Holland KE, Soung PJ. Yakawana mapundu mumwana mukuru. Mune: Kleigman RM, Lye PS, Bordini BJ, Toth H, Basel D, eds. Nelson Pediatric Chiratidzo-Kubva Kuongorora. Philadelphia, PA: Elsevier; 2018: chitsiko 48.

Rubenstein JB, Spektor T. Conjunctivitis: chinotapukira uye chisina hutachiona. Mune: Yanoff M, Duker JS, eds. Ophthalmology. 5 ed. Philadelphia, PA: Elsevier; 2019: chitsiko 4.6.

Shah KN. Urticaria uye erythema multiforme. Mu: Yakareba SS, Prober CG, Fischer M, eds. Misimboti uye Maitiro ePediatric Infectious Zvirwere. 5 ed. Philadelphia, PA: Elsevier; 2018: chits. 72.