Necrobiosis lipoidica chirwere cheshuga

Necrobiosis lipoidica chirwere cheshuga chiitiko chisina kujairika cheganda chine hukama neshuga. Inoguma yakatsvuka tsvuku nzvimbo dzeganda, kazhinji pamakumbo ezasi.

Icho chinokonzera necrobiosis lipoidica diabeticorum (NLD) hachizivikanwe. Iyo inofungidzirwa kuve yakabatana neropa remudziyo kuzvimba zvine chekuita ne autoimmune zvinhu. Izvi zvinokuvadza mapuroteni muganda (collagen).

Vanhu vane chirwere cheshuga 1 vane mukana wekuwana NLD kupfuura avo vane chirwere cheshuga cheshuga. Vakadzi vanobatwa zvakanyanya kupinda varume. Kusvuta kunowedzera njodzi yeNLD. Pasina hafu yehafu muzana yeavo vane chirwere cheshuga vanotambura nedambudziko iri.

Ronda reganda inzvimbo yeganda rakasiyana neganda rakatenderedza. NeNLD, maronda anotanga akasimba, akatsetseka, matsvuku mapundu (mapuruule) pane shins uye chikamu chepasi chemakumbo. Ivo vanowanzoonekwa munzvimbo imwechete kumativi akatarisana emuviri. Ivo havana marwadzo mune yekutanga nhanho.

Sezvo mapapuleti anokura, iwo anopfava pasi. Ivo vanogadzira inopenya yeyero brown brown nzvimbo ine yakakwidziridzwa tsvuku kuti ipepuru micheto. Mitsipa inoonekwa pazasi peyero chikamu chemaronda. Izvo zvipembenene zvakaenzana zvisina kutenderera kana denderedzwa nemiganhu yakanyatsotsanangurwa. Vanogona kupararira nekubatana pamwechete kuti vape chitarisiko chechigamba.

Maronda anogona zvakare kuitika kumberi kwemaoko. Kazhinji, zvinogona kuitika padumbu, kumeso, ganda romusoro, zvanza, uye pasi petsoka.

Kushungurudzika kunogona kukonzera maronda kukura maronda. Nodules zvakare inogona kukura. Nzvimbo yacho inogona kuva yakaoma uye inorwadza.

NLD yakasiyana nemaronda anogona kuitika patsoka kana makumbo muvanhu vane chirwere cheshuga.

Anopa hutano hwako anogona kuongorora ganda rako kuti asimbise kuongororwa.

Kana zvichidikanwa, mupi wako anogona kuita punch biopsy kuti aongorore chirwere. Iyo biopsy inobvisa sampuro yetissue kubva kumucheto kwechironda.

Mupiki wako anogona kuita bvunzo yeglucose yekuona kana uine chirwere cheshuga.

NLD inogona kuoma kurapa. Kudzora kweropa glucose hakuiti kugadzirisa zviratidzo.

Kurapa kunogona kusanganisira:

• Corticosteroid makirimu
• Yakabayiwa corticosteroids
• Mishonga inodzvinyirira immune system
• Anti-anogumbura zvinodhaka
• Mishonga inovandudza kuyerera kweropa
• Hyperbaric oxygen therapy inogona kushandiswa kuwedzera huwandu hweoksijeni muropa kukurudzira kupora kwemaronda
• Phototherapy, nzira yekurapa iyo ganda rinonyatso kuburitswa kune ultraviolet mwenje
• Laser kurapa

Muzviitiko zvakakomba, chironda chinogona kubviswa nekuvhiyiwa, kuchiteverwa nekufambisa (kubatanidza) ganda kubva kune zvimwe zvikamu zvemuviri kuenda kunzvimbo inoshandiswa.

Munguva yekurapa, tarisa yako glucose level sekurairwa. Dzivisa kukuvara kunzvimbo yekudzivirira maronda kubva mukuchinja kuva maronda.

Kana iwe ukava nemaronda, tevera matanho ekuti ungachengeta sei maronda.

Ukasvuta, unozokurudzirwa kuti urege. Kusvuta kunogona kunonoka kupora kwemaronda.

NLD chirwere chenguva refu. Maronda haarape zvakanaka uye anogona kudzoka. Maronda anonetsa kurapa. Kuonekwa kweganda kunogona kutora nguva yakareba kuti ive yechinyakare, kunyangwe mushure mekurapwa.

NLD haigone kukonzera kenza yeganda (squamous cell carcinoma).

Avo vane NLD vari panjodzi yekuwedzera ye:

• Chirwere cheshuga retinopathy
• Chirwere cheshuga nephropathy

Fonera mupiki wako kana iwe uine chirwere cheshuga uye uone maronda asiri ekurapa pamuviri wako, kunyanya pachikamu chezasi chemakumbo.

Necrobiosis lipoidica; NLD; Chirwere cheshuga - necrobiosis

• Necrobiosis lipoidica chirwere cheshuga - mudumbu
• Necrobiosis lipoidica chirwere cheshuga - gumbo

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Patterson JW. Iyo granulomatous reaction pateni. Mune: Patterson JW, ed. Weedon's Ganda Pathology. 5 ed. Philadelphia, PA: Elsevier; 2021: chits. 8.

Rosenbach MA, Wanat KA, Reisenauer A, White KP, Korcheva V, White CR. Asina-kutapukira granulomas. Mune: Bolognia JL, Schaffer JV, Cerroni L, eds. Dermatology. 4th ed. Philadelphia, PA: Elsevier; 2018: chits. 93.