Granuloma annulare

Granuloma annulare (Lat Granuloma anulare.) - chinomiririra chirwere relapsing dermatosis pamusoro vasingazivikanwi mavambo mhando kunge polyetiological hunhu, dzinoratidzwa chitarisiko paganda pemvura yakawanda nodules plotnovata-granulomas, izvo dzikarongwa dziri marin'i.

Development granuloma annulare vaiona somunhu morphological mashoko hyperergic anogumbura maitiro ganda riri utachiwana siyana heterogeneous zvinhu. Granuloma annulare ane ukama sarcoidosis, rheumatic fivha, siyana chisingaperi zvirwere (kunyanya tiibhii - pakutanga paratuberculosis) asi granulomatous muitiro hahubvi zvikuru utachiona hwakakura uye akachinjwa reactivity munyama.

Kana granuloma annulare zvikuru wanamatira zvinetso zvakasiyana-siyana humoral uye cellular kutapata: zvakawedzera kwevari IgG, IgM, zvichiteverwa deposition neyokupedzisira, sezvo Soc kuzadzikisa chezvinonhuwira pamusoro pamasvingo zviduku tsinga. Pane nguva apo akaona RA chinhu, Anti muviri kuti DNA iri nucleation kwacho vanogona kufanana ne zvinhu zviri chinonakidza Arthus. Granuloma annulare zvimwe dzichiri mabasa avo mhando HRT, pamwe kutora chikamu masoja zvivako, izvo pamwe nokuwedzera CEC. Pamwe izvi, pane dzidziso kuti granuloma annulare rudzi zvirwere connective tishu.

In granuloma annulare basa rinokosha endocrinopathies, zvikurukuru kusagadzikana carbohydrate muviri (ganda hyperglycemia). Kana varwere vane nhoroondo chirwere cheshuga rinowanzoshandiswa dzakaonekwa, iyo inokosha ngozi nokuda microvascular matambudziko.

Granuloma annulare muvana uye vakuru hapana zvakasiyana, yakasiyana nzira yokurapa, chaiwo chipimo chemushonga raida gadziriro.

Granuloma annulare. Treatment uye wokutanga chiito

Kana annular granuloma pane vakawanda zvokudya hunodiwa kuti abudirire kubvisa chirwere ichi. Muganhu nezvokudya wakafuma makabhohaidhiretsi, nokuti vanhu vane refu body mass pachavo - iri contraindicated chikafu pamwe yakaderera macalorie. Kazhinji, kana ukaenda chiremba, achaita aisirwe vamwe zvinodhaka izvi uye zvinowedzera: mavhitaminzi muboka B, "Tocopherol Acetate," "Retinol", "ergocalciferol", ascorbic acid, "Ferrotseron", "Gemostimulin", "Askofer "" Zhektofer "," Ferrum-naAmareki "," Konferon ". Kana ukaona kuti ganda sokuti annular granuloma, angokurumidza diridza utachiona nzvimbo chloroethyl. Nokuti kurapa ganda rinoshandiswawo chando carbonic asidhi uye mvura senitrogen.

Kana pane granuloma annulare imwe nzira yakanaka chokubata - mugove kukuvaradzwa trituration nezvizoro siyana obkalyvanie kuturika kuti hydrocortisone. Ekuzora anoshandiswa kuti ane corticosteroids: lokoid, Elokim.

Neakangwara, zvakadzika annular granuloma siyana kuti torpid kuitwa kuti nemwaranzi, kazhinji vanokurudzira NSAIDs, UFO, dzimwe nguva duku mapoka systemic corticosteroids, aminoquinolines, kuzodzosera PUVA kurapa, zvinonhuwirira retinoids. Asi zvinokosha kuziva kuti apa nzira yokurapa havana ruzivo kunzwisiswa uye anganzi sezvo zviduku nemishonga uye zvinetso zvakakomba.

Usakanganwa kuti kuitira kubvisa zvachose granuloma annular zvakakwana mumwe chete shwashwa atsamwira. Asiyana zvose utachiona nharaunda anotanga kuserera zvishoma nezvishoma uye kuwana hwandaiva dzinongoitika Kutarira. Asi vamwe, asingazivi kuti granuloma kwavo seiyi, ramba kuita kuchirapa matanho ari kumba.