Kalafo ea Stevens-Johnson Syndrome

Litaba

• Lipheko tsa ho kokobetsa matšoao
• Mathata a ka bang teng

Kalafo ea Stevens-Johnson Syndrome e hloka ho qalisoa ka ho supa sesosa se lebisitseng liphetohong tsa letlalo, e le hore ntlha ena e ka tlosoa pele e qala kalafo e ikemiselitseng ho ntlafatsa mathata le matšoao.

Kahoo, joalo ka maemong a mangata, lefu lena le hlaha e le litlamorao tsa meriana e itseng (hangata lithibela-mafu) ngaka e hloka ho emisa ts'ebeliso ea moriana ona, e tataisa kalafo e ncha bakeng sa bothata bo neng bo phekoloa, ntle le kalafo ea lefu lena.

Kaha lefu lena ke bothata bo tebileng haholo, bo ka sokelang bophelo, hangata kalafo e hloka ho etsoa ho ICU ka serum le meriana ka kotlolloho mothapong, ntle le ho lekola matšoao a bohlokoa khafetsa.

Utloisisa hantle hore na matšoao a lefu lena ke eng le hore na hobaneng a etsahala.

Lipheko tsa ho kokobetsa matšoao

Kamora ho tlosa meriana eohle e kanna ea baka tsoelo-pele ea Stevens-Johnson Syndrome, ngaka hangata e laela tšebeliso ea litlhare tse ling ho kokobetsa matšoao:

• Ho kokobetsa bohloko, ho kokobetsa bohloko libakeng tse amehileng tsa letlalo;
• Corticosteroids, ho fokotsa ho ruruha ha likarolo tsa letlalo;
• Motsoako oa likokoana-hloko, ho hloekisa molomo, ho thethefatsa mucosa hanyane le ho lumella ho fepa;
• Marotholi a mahlo a khahlanong le ho ruruha, ho fokotsa mathata a ka bang teng mahlong.

Ntle le moo, ho boetse ho tloaelehile ho roala hangata libakeng tse amehileng tsa letlalo, o sebelisa li-compresses tse kolobisitsoeng ka peterole jelly ho thusa ho nchafatsa letlalo, ho fokotsa ho se utloise bohloko le ho tlosa likarolo tsa letlalo le shoeleng. Mofuta o mong oa tranelate e nosetsang o ka sebelisoa ho sebetsa libakeng tse haufi le liso, ho li thibela ho eketseha ka boholo.

Maemong a mabe ka ho fetesisa, ntle le kalafo eohle e hlalositsoeng, ho ntse ho ka hlokahala ho boloka ts'ebeliso ea serum ka kotlolloho mothapong ho boloka hydration ea mmele, hape le ho kenya tube ea nasogastric ho lumella ho fepa, haeba mucosa ea molomo e amehile haholo. Maemong a mang, ngaka e kanna ea fana ka litlatsetso tse nang le likhalori le limatlafatsi tse ngata ho thusa motho ho boloka boemo ba hae ba phepo e nepahetseng le ho thusa ho hlaphoheloa.

Mathata a ka bang teng

Hobane e ama likarolo tse kholo tsa letlalo, Stevens-Johnson Syndrome e ka ba le mathata a tebileng haholo, haholo ha kalafo e sa qaloe ka nako. Lebaka ke hobane, liso tsa letlalo li fokotsa tšireletso ea 'mele haholo, e qetellang e nolofalletsa tšoaetso e akaretsang' meleng le ho hloleha ha litho tse 'maloa tsa bohlokoa.

Kahoo, neng kapa neng ha ho belaelloa karabelo e sa tloaelehang mofuteng o itseng oa meriana e nooang, ho bohlokoa haholo ho ea sepetlele ho ea lekola boemo le ho qala kalafo e nepahetseng kapele kamoo ho ka khonehang.

Hlahloba matšoao a mang ao u lokelang ho a ela hloko ho fumana karabelo ea lithethefatsi.