Erythema ezininzi

I-Erythema multiforme (EM) sisenzo esibi sesikhumba esivela kusulelo okanye esinye isifo. I-EM sisifo esizimeleyo. Oku kuthetha ukuba ihlala isombulula yodwa ngaphandle konyango.

I-EM luhlobo lokuphendula okungafunekiyo. Kwiimeko ezininzi, kwenzeka ngokuphendula kwintsholongwane. Kwiimeko ezinqabileyo, kubangelwa ngamayeza athile okanye ukugula komzimba (systemic) ngokubanzi.

Usulelo olunokukhokelela kwi-EM lubandakanya:

• Iintsholongwane, ezinjenge-herpes simplex ezibangela izilonda ezibandayo kunye neherpes zangasese (eziqhelekileyo)
• Iintsholongwane, ezinje nge Mycoplasma pneumoniaeezibangela usuleleko lwemiphunga
• Amakhowa, anje nge Imbali yeplasma capsulatum, ezibangela i-histoplasmosis

Amayeza anokubangela i-EM abandakanya:

• Ii-NSAID
• I-Allopurinol (iphatha i-gout)
• Ezinye i-antibiotics, ezinjenge-sulfonamides kunye ne-aminopenicillins
• Amayeza okuthintela ukuhlutha

Izifo zenkqubo ezinxulunyaniswa ne-EM zibandakanya:

• Isifo sesisu sokuvuvukala, njengesifo sikaCrohn
• Inkqubo ye lupus erythematosus

I-EM yenzeka ikakhulu kubantu abadala abaneminyaka engama-20 ukuya kwengama-40 ubudala. Abantu abane-EM banokuba namalungu osapho abaye banayo i-EM ngokunjalo.

Iimpawu ze-EM zibandakanya:

• Umkhuhlane ophantsi
• Intloko ebuhlungu
• Umqala obuhkungu
• Khohlela
• Impumlo enemifinya
• Imvakalelo yokugula ngokubanzi
• Ulusu olurhawuzayo
• Iintlungu ezidibeneyo
• Izilonda ezininzi zolusu (izilonda okanye iindawo ezingaqhelekanga)

Izilonda zolusu:

• Qalisa ngokukhawuleza
• Buya
• Usasazeko
• Ukuphakanyiswa okanye umbala
• Jonga njengemingxuma
• Yiba nesilonda esiphakathi esijikelezwe yimisesane ebomvu, ekwabizwa ngokuba kukujolisa, iris, okanye inkunzi yenkomo
• Yiba neebumpump ezizaliswe ngamanzi okanye i-blisters ezinobukhulu obuhlukeneyo
• Yiba kumzimba ongasentla, imilenze, iingalo, iintende, izandla okanye iinyawo
• Faka ubuso okanye imilebe
• Kubonakala ngokulinganayo kumacala omabini omzimba (ulingano)

Ezinye iimpawu zingabandakanya:

• Amehlo aligazi
• Amehlo omileyo
• Ukutsha kwamehlo, ukurhawuzelela nokukhupha
• Intlungu yamehlo
• Izilonda zomlomo
• Iingxaki zombono

Zimbini iintlobo ze-EM:

• I-EM encinci ihlala ibandakanya ulusu kwaye ngamanye amaxesha izilonda zomlomo.
• I-EM enkulu ihlala iqala ngomkhuhlane kunye nokudibana ngokudibeneyo. Ngaphandle kwezilonda zesikhumba kunye nezilonda zomlomo, kunokubakho izilonda emehlweni, kumalungu esini, kwimiphunga yomoya, okanye emathunjini.

Umboneleli wakho wezempilo uya kujonga ulusu lwakho ukufumanisa i-EM. Uya kubuzwa malunga nembali yakho yezonyango, njengosulelo lwamva nje okanye amayeza owathathileyo.

Uvavanyo lunokubandakanya:

• Ulusu lwesifo se-biopsy
• Uvavanyo lwethishu yesikhumba phantsi kwemicroscope

I-EM ihlala ihamba yodwa kunye okanye ngaphandle kwonyango.

Umboneleli wakho uya kuyeka ukuthatha nawaphi na amayeza anokubangela ingxaki. Kodwa, musa ukuyeka ukuthatha amayeza ngokwakho ngaphandle kokuthetha nomboneleli wakho kuqala.

Unyango lunokubandakanya:

• Amayeza, afana ne-antihistamines, ukulawula ukurhawuzelela
• Ukunyanzelwa kokufuma kufakwe kulusu
• Amayeza eentlungu ukunciphisa umkhuhlane kunye nokungonwabi
• Umlomo uhlamba ukunciphisa ukungonwabi kwezilonda zomlomo eziphazamisa ukutya nokusela
• Iintsholongwane zosulelo lolusu
• ICorticosteroids yokulawula ukudumba
• Amayeza eempawu zamehlo

Ucoceko olulungileyo lunokunceda ukuthintela usulelo lwesibini (usulelo olwenzeka kunyango lokuqala).

Ukusetyenziswa kwescreen selanga, impahla ekhuselayo, kunye nokuthintela ukugculelwa lilanga ngokugqithileyo kunokuthintela ukubuyela kwakhona kwe-EM.

Iifom ezinobumnene ze-EM zihlala zibangcono kwiiveki ezi-2 ukuya kwezi-6, kodwa ingxaki inokubuya.

Iingxaki ze-EM zingabandakanya:

• Umbala wolusu oluxakekileyo
• Ukubuya kwe-EM, ngakumbi kusulelo lwe-HSV

Fowunela umboneleli wakho ngoko nangoko ukuba uneempawu ze-EM.

EM; I-Erythema multiforme encinci; I-Erythema multiforme enkulu; Erythema multiforme encinci - erythema multiforme von Hebra; Isifo esibulalayo - i-erythema multiforme; I-Herpes simplex-erythema multiforme

• I-Erythema multiforme ezandleni
• Erythema multiform, izilonda setyhula - izandla
• I-Erythema multiforme, izilonda ekujoliswe kuzo entendeni
• I-Erythema multiforme emlenzeni
• I-Erythema multiforme esandleni
• Ukukhutshwa ngokulandela i-erythroderma

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URubenstein JB, uSpektor T.I-Conjunctivitis: eyosulelayo nengosuleliyo. Ku: Yanoff M, Duker JS, ii-eds. Ophthalmology. Umhla we-5. IPhiladelphia, PA: Elsevier; I-2019: isahluko 4.6.

U-Shah KN. Urticaria kunye ne-erythema multiforme. Ku: I-SS ende, iProber CG, uFischer M, ii-eds. Imigaqo kunye nokuziqhelanisa nezifo ezosulelayo zabantwana. Umhla we-5. IPhiladelphia, PA: Elsevier; I-2018: isahluko 72.