Erythema mefuta e mengata

Erythema multiforme (EM) ke karabelo e matla ea letlalo e tsoang ho ts'oaetso kapa sesosa se seng. EM ke boloetse bo ikemetseng. Sena se bolela hore hangata se rarolla se le seng ntle le kalafo.

EM ke mofuta oa khatello ea maikutlo. Maemong a mangata, e etsahala ho arabela tšoaetso. Maemong a sa tloaelehang, e bakoa ke meriana e itseng kapa bokuli ba mmele ka bophara (systemic).

Matšoao a ka lebisang ho EM a kenyelletsa:

• Li-virus, tse kang herpes simplex tse bakang liso tse batang le herpes ea litho tsa botona kapa botšehali (e tloaelehileng haholo)
• Bacteria, joalo ka Mycoplasma pneumoniaee bakang tšoaetso ea matšoafo
• Li-fungus, tse kang Histoplasma capsulatum, e bakang histoplasmosis

Meriana e ka bakang EM e kenyelletsa:

• Li-NSAID
• Allopurinol (e phekola gout)
• Meriana e meng ea lithibela-mafu, e kang sulfonamides le aminopenicillin
• Meriana e thibelang ho inkela

Maloetse a amanang le EM a kenyelletsa:

• Maloetse a ho ruruha a kang lefu la Crohn
• Sesebelisoa sa lupus erythematosus

EM e hlaha haholo ho batho ba baholo ba lilemo li 20 ho isa ho tse 40. Batho ba nang le EM ba ka ba le litho tsa malapa le bona ba bileng le EM.

Matšoao a EM a kenyelletsa:

• Feberu e tlaase
• Ho opeloa ke hlooho
• Metso o bohloko
• Khohlela
• Nko ea metsi
• Boikutlo bo bobe ba kakaretso
• Letlalo le hlohlona
• Mahlaba a kopaneng
• Matšoafo a mangata a letlalo (liso kapa libaka tse sa tloaelehang)

Liso tsa letlalo li ka:

• Qala kapele
• Khutla
• Ho jaleha
• Phahamisoa kapa o soeufatsoe
• Shebahala joaloka hives
• E-ba le seso se bohareng se lika-likelitsoeng ke masale a bofubelu bo bosootho, hape a bitsoang sepheo, iris kapa lipoho-leihlo
• E-ba le maqhubu a tlatsitsoeng ka metsi kapa li-blister tsa boholo bo fapaneng
• E be ka holim'a mmele o ka holimo, maoto, matsoho, liatla, matsoho kapa maoto
• Kenyelletsa sefahleho kapa molomo
• E hlaha ka mokhoa o ts'oanang ka mahlakore ka bobeli a 'mele (a lumellanang)

Matšoao a mang a kenyeletsa:

• Mahlo a mali
• Mahlo a omileng
• Ho chesa mahlo, ho hlohlona le ho qhala
• Bohloko ba mahlo
• Liso tsa molomo
• Mathata a pono

Ho na le mefuta e 'meli ea EM:

• EM e nyane hangata e kenyelletsa letlalo mme ka linako tse ling liso tsa molomo.
• Boholo ba EM hangata bo qala ka feberu le mahlaba a kopaneng. Ntle le liso tsa letlalo le liso tsa molomo, ho kanna ha ba le liso mahlong, liphatseng tsa botona le botšehali, moea oa matšoafo kapa mala.

Mofani oa hao oa tlhokomelo ea bophelo o tla sheba letlalo la hau ho fumana EM. U tla botsoa ka nalane ea hau ea bongaka, joalo ka ts'oaetso ea morao-rao kapa meriana eo u e nkileng.

Liteko li ka kenyelletsa:

• Letlalo lesapo la biopsy
• Ho hlahlojoa lisele tsa letlalo ka tlas'a microscope

Hangata EM e ea itsamaela ka kalafo kapa ntle le eona.

Mofani oa hau o tla emisa ho noa meriana efe kapa efe e ka bakang bothata. Empa, u se ke oa emisa ho noa meriana u le mong ntle le ho bua le mofani oa hau pele.

Kalafo e ka kenyelletsa:

• Meriana, joalo ka li-antihistamine, ho laola ho hlohlona
• Metsoako e mongobo e sebelisoa letlalong
• Meriana ea bohloko ho fokotsa feberu le ho se utloise bohloko
• Ho hlatsoa molomo ho fokotsa bohloko ba liso tsa molomo tse sitisang ho ja le ho noa
• Lithibela-mafu bakeng sa tšoaetso ea letlalo
• Corticosteroids ho laola ho ruruha
• Meriana ea matšoao a mahlo

Bohloeki bo botle bo ka thusa ho thibela tšoaetso ea bobeli (tšoaetso e hlahang ho phekoleng tšoaetso ea pele).

Ts'ebeliso ea setlolo se sireletsang letlalo letsatsing, liaparo tse sireletsang le ho qoba ho ipeha letsatsing ka mokhoa o fetelletseng ho ka thibela ho hlaha hape ha EM.

Mefuta e bonolo ea EM hangata e ba betere libekeng tse 2 ho isa ho tse 6, empa bothata bo ka khutla.

Mathata a EM a ka kenyelletsa:

• 'Mala oa letlalo
• Ho khutla ha EM, haholoholo ka tšoaetso ea HSV

Letsetsa mofani oa hau hanghang haeba o na le matšoao a EM.

EM; Erythema multiforme e nyane; Erythema multiforme kholo; Erythema multiforme e nyane - erythema multiforme von Hebra; - lefu le bohloko la e leng - erythema multiforme; Herpes simplex - erythema multiforme

• Erythema multiforme matsohong
• Erythema multiforme, liso tse chitja - matsoho
• Erythema multiforme, liphofu tse hlasetsoeng letsohong
• Erythema multiforme leotong
• Erythema multiforme letsohong
• Ho tlosoa ka ntle ho erythroderma

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