Eosinophilic granuloma yakaoma mumakati

Chii chinonzi eosinophilic granuloma complex?

Eosinophilic granuloma complex (EG) rudzi rweganda uye mucosal lesion, kazhinji kacho mumuromo, mumakati. Inogona kuratidzwa mumhando nhatu: indolent ulcer, linear granuloma uye eosinophilic plaque. Iyo inoratidzirwa nekuunganidza mune dzimwe nzvimbo dze eosinophils - rudzi rwe leukocyte inodzivirira muviri kubva kune zvipembenene uye inobatanidzwa mukugadzirwa kweallergic reactions. Chero kati inogona kukura, pasinei nezera uye kubereka.

Maitiro akasiyana eECG anozviratidza

• Indolent ulcer. Inoitika pamucheka wemukanwa wemuromo, inoratidzwa nekuwedzera kwehukuru hwepamusoro kana pasi pemuromo, kuputika kwemukasi membrane, kushanduka kuva chironda. Nekukura kwechirwere, chinogona kukanganisa mhino uye ganda remuzzle. Iyo peculiarity ndeyekuti maronda aya haarwadze.

• Granuloma. Inoratidzwa mumuromo mhango muchimiro chepfumbu dzakachena parurimi, mudenga, inogona kuve nekukukurwa kana maronda, foci ye necrosis. Chimiro chemutsara weEG chinoratidzika setambo mukati memakumbo eshure, iyo inobuda pamusoro peganda. Linear granuloma inoperekedzwa nekukwenya uye mhanza. Iyo kati inogona kunyanya kunetseka, inogara ichinanzva.

• Plaques. Vanogona kuitika pane chero chikamu chemuviri uye mucous membranes. Inobuda pamusoro peganda, inogona kuva nepiniki, inochema. Imwe kana yakawanda, yakatenderedzwa uye isina kujairika, yakatsetseka. Kana chirwere chechipiri chakabatanidzwa, pyoderma, papules, pustules, purulent kuzvimba, uye kunyange nzvimbo dze necrosis dzinogona kuitika.

Zvinokonzera granulomas

Chikonzero chaicho che eosinophilic granuloma complex hachizivikanwi. Kazhinji maronda ari idiopathic. Pane chikonzero chekutenda kuti allergies, kunyanya maitiro kune nhata, midge, kurumwa neumhutu, inogona kukonzera CEG. Atopic dermatitis inogonawo kuperekedzwa nemaronda, plaques eosinophilic hunhu. Chikafu hypersensitivity uye kusashivirira. Hypersensitivity, inozivikanwawo sechikafu chekudya, haina kunyanya kuwanda, zvichiratidza kuti katsi inopesana nemhando yeprotein yezvokudya. Muhuwandu hupi hupi hupi hunopinda mumuviri - hazvina basa, kunyange kana chiduku chiduku, mhinduro inogona kuitika, kusanganisira nekuonekwa kweimwe kana mamwe maitiro eosinophilic granuloma. Nekusashivirira, kunoitika kana kunoratidzwa kune imwe chiyero chechinhu, zviratidzo zvinokurumidza kuoneka uye zvinokurumidza kupera. Ndiko kuti, munyaya iyi, kuitika kweplaque, maronda kana maronda emutsara hazvibviri.

Kuongororwa kwakasiyana

Kazhinji mufananidzo wekuratidzwa kwese eosinophilic granuloma hunhu. Asi zvichiri kukosha kusimbisa kuongororwa kuitira kuti unyore kurapwa kwakakodzera. Zvakakosha kusiyanisa yakaoma kubva kune zvirwere zvakadai se:

• Calicivirus, feline leukemia
• Zvironda zvefungal
• Squamous cell carcinoma
• Pyoderma
• Neoplasia
• Anopisa nekukuvara
• Zvirwere zvinodzivirira zvirwere
• Zvirwere zvemumuromo mhango

Diagnostics

Kuongororwa kunoitwa zvakakwana pamusana pe data anamnestic inopiwa nemuridzi, zvichienderana nemigumisiro yekuongorora uye maitiro ekuongorora. Kana iwe uchiziva kuti sei kati inogona kuva nechinetso, saka iva nechokwadi chekuudza chiremba nezvazvo. Nekubvisa chinhu ichi nekukurumidza sezvinobvira, iwe unochengetedza chipfuyo chako kubva kuECG. Kana chikonzero chacho chisingazivikanwi, kana kuti chirwere chacho chisina chokwadi, zvino zvinhu zvinotorwa kuti zviongorore cytological. Semuenzaniso, indolent ulcer inogona kuvhiringidzwa nezviratidzo zvecalicivirosis mumakati, nemusiyano chete ndewekuti nehutachiona hwehutachiona uhu, maronda anotarisa zvishoma kutyisa, asi anorwadza zvikuru. Imprint smears kazhinji haina ruzivo, inogona kuratidza chete mufananidzo wepamusoro pyoderma, saka yakanaka yetsono biopsy inofanira kutorwa. Girazi rine masero akawanikwa anotumirwa ku laboratori kuongororwa. Nhamba huru ye eosinophils inowanikwa mune zvinyorwa, izvo zvinotipa chikonzero chekutaura nezve eosinophilic granuloma complex. Kana, mushure mekuongorora kwe cytological, chiremba kana varidzi vane mibvunzo yekuti inogona kunge ichiri eosinophilic granuloma yakaoma, asi chimwe chirwere, kana kuti kurapwa kusingashandi, saka munyaya iyi nyaya yacho inotumirwa kuongororwa kwe histological. mabatiro Kurapa kunoenderana nechinokonzera eosinophilic granuloma. Kurapa kunofanira kutorwa zvakanyanya. A granuloma inogona kudzokera kune yayo yekutanga kana chikonzero chisina kubviswa. Zvechokwadi, kana isiri iyo idiopathic mamiriro, ipapo kurapa kwechiratidzo kunoshandiswa. Kurapa kunosanganisira kutora mahomoni kana immunosuppressants kwemavhiki maviri, akadai sePrednisolone. Kana varidzi vasingakwanisi kutevedzera zvakatemwa nachiremba, ipa piritsi 1 kana kaviri pazuva, ipapo majekiseni emushonga anogona kushandiswa, asi hazvikurudzirwe kushandisa glucocorticosteroids kwenguva refu, jekiseni rimwe chete rinotora mavhiki maviri. Izvi zvinokonzerwa nekusazivikanwa kwenguva uye kusimba kwekuita kwemushonga. Nguva yekurapa inenge mavhiki maviri. Kana iwe uchifanira kushandisa mushonga kwenguva yakareba, ipapo kosi yehomoni inodzimwa zvakanaka uye yakanyatso pasi pekutariswa kwachiremba. Asi, zvakare, izvi hazviwanzo kuitika kana varidzi vakatevedzera zvese zvinokurudzirwa nemazvo. Uyezve, kurapa kunogona kusanganisira antibacterial mishonga mumhando yemapiritsi kana mafuta ekuzora. Chinhu chinonyanya kukosha ndechokuva nemoyo murefu uye kutevera zvinorayirwa nachiremba, ipapo iwe zvechokwadi uchabatsira chipfuwo chako.