Rao vat: Benh LUPUT BAN DO: Nguyen nhan-Trieu chung - dieu tri.

PhanVien.Com . Rao Vat . Dich Vu Gia Dinh . Benh LUPUT BAN DO: Nguyen nhan-Trieu chung - dieu tri.

Benh LUPUT BAN DO: Nguyen nhan-Trieu chung - dieu tri.

Tin rao Benh LUPUT BAN DO: Nguyen nhan-Trieu chung - dieu tri duoc dang vao chu de Dich Vu Gia Dinh, khu vuc Ha Noi , the loai Chua xac dinh ngay 22/7/2010 boi Rao Vat. Benh LUPUT BAN DO: Nguyen nhan-Trieu chung - dieu tri da co tat ca 166 luot xem.
Benh LUPUT BAN DO: Nguyen nhan-Trieu chung - dieu tri - Bản không dấu.
Benh LUPUT BAN DO: Nguyen nhan-Trieu chung - dieu tri - Bản có dấu.

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Trong dieu tri benh LUPUT BAN DO (Systemische lupus erythematodes SLE)

Dai Cuong:Luput ban do (Systemische lupus
erythematodes SLE) la mot loai benh to chuc lien ket man tinh
thuong gap. Vi vet ban do ngoai da co nhieu hinh dang hoac nhu canh
buom hoac nhu mat qui nen co ten goi Ban Do Canh Buom (Hong ho diep
sang), Hoang Ban Lang Sang, Mat Qui Sang...
Dac diem cua benh la phat sinh o mat va phan co the lo ra ben ngoai, da
co ban do, phu, ban teo dang buom, boc mot lop vay, kem theo sot, dau
khop va nhung ton thuong noi tang, nu mac benh nhieu va tuoi tu 20 den
40.
Thuong chia lam 2 loai: Lupus ban do dang dia va Lupus ban do he thong.
day la mot benh viem man tinh cua mo lien ket ma nguyen nhan chua biet
ro. Benh tac dong toi da va nhieu co quan noi tang nhu khop xuong, tim,
phoi, nao. Benh thuong thay o phu nu con tre.
O dang dien hinh, nguoi benh co cac ban vay do tren mui, hai ma cong
them viem khop.Vay ban nay cung co the xuat hien o phan tren co the, rat
nhay cam voi tia nang mat troi.
Nguyen Nhan
YHHD cho rang co so cua benh la mot phan ung tu mien do hinh thanh cac
tu khang nguyen tai cac to chuc da bi bien doi do nhieu nguyen nhan nhu
co hoc (chan thuong), hoa hoc (thuoc, hoa chat), ly hoc (tia xa, nong,
lanh), vi khuan, vi rut. Cung nhu trong qua trinh tu mien dich noi
chung, trong LE co vai tro cua cac he thong te bao mien dich T va B (mat
can bang giua Lympho T va Lympho B).
Theo YHCT, Lupus la do tien thien bat tuc, noi thuong that tinh, Can khi
uat tre gay nen am duung khi huyet mat dieu hoa, khi tre huyet u gay
tac kinh lac sinh benh; hoac than tinh hu suy, hu hoa boc len, kem theo
co bi long leo, phoi nang nong xam nhap gay u tre mach lac; Hoac do
nhiet doc tich tu nung nau dinh huyet, huyet mach bi chan thuong, tang
phu roi loan gay nen benh. Benh vao thoi ky cuoi thi thuong am se lam
ton thuong duong dan den Ty Than duong hu.
Trieu Chung Lam Sang
1- LE Dang Dia (The Man): la the thuong gap nhat chiem 75-80~ vi tri
thuong gap la mat, da dau, niem mac moi, lung ban tay, thuong chi co
khoang 1-3 dam. Ba trieu chung co ban la ban do, day sung, teo da.
. Ban do la trieu chung chinh, sung huyet, co hinh gian mach lan tan, do
ca dam hoac bi phu tung cho do vay hoa sung, hoac chi co o vung ngoai
vi.
. Day sung chu yeu o cac lo chan long gian rong thanh tung diem, tung
cham kho, rap, tai cac lo chan long.
. Seo teo duoc hinh thanh dan dan qua nhieu thang nam, seo thanh diem
nho hoac dam deu dan, lom, mau trang nga, co ranh gioi ro, tren vet seo
teo da co hinh gian mach lan tan, an len ton thuong co cam giac com it
nhieu va hoi dau, hinh dang lam sang co the da dang tuy theo vi tri: o
mat thuong tren song mui, go ma,vung truoc tai doi xung thanh hinh canh
buom, o da dau thanh vet do co vay gan chat hoac co diem day sung xen ke
seo teo da, gay trui toc... Ngoai ra co nhung the khac nhu the ban do
ly tam, ban do ngay cang lan rong roi chuyen thanh the he thong. The day
sung co vay trang nhu phan hoac sui tang gai nhu hat com, the da dau co
vay mo; The go cao thanh dam do.
2. LE He Thong: la the nang nhat, co the tien phat hoac thu phat tu cac
the khac chuyen thanh, ngay cang gap nhieu hon. Ton thuong da dang o da,
noi tang va nhieu co quan khac, co khi cap dien co khi tu tu, nhieu
truong hop tu vong sau thoi gian ngan, co khi tien trien man tinh, luc
tang luc giam that thuong. Ton thuong da va niem mac nhu the tren nhung
da dang hon, rong khap hon, kem theo cac ton thuong toan than nhu sot,
dau co, ton thuong khop, noi tang. Sot thuong la thap, nhieu luc cao den
40-41oC (luc benh cap dien).
Dau khop: khoang co 90% dau cac khop to nho chan tay, bien hien viem
khop phong thap, co khi dan den teo co bien dang, dau khop co dinh hoac
di chuyen.
Ton thuong noi tang: 30-50% ton thuong tim mach (viem noi hoac ngoai tam
mac, viem co tim), 45-75% ton thuong than (viem cau than, suy than
cap), 25% bieu hien bien chung tam than kinh (co giat, liet nua nguoi,
roi loan tam than, viem day than kinh ngoai bien), 20-60% ton thuong
phoi (viem phoi, viem mang phoi), ngoai ra co the kem theo roi loan tieu
hoa; viem gan viem lach, sung hach rai rac. Lupus ban do he thong la
mot benh co trieu chung lam sang rat da dang, nhieu khi rat kho chan
doan, nhat la the lupus khong co ton thuong ngoai da, ma tren day chi
gioi thieu 2 the lam sang thuong gap.
Chan Doan
Chan doan dua vao trieu chung lam sang: ban do, day sung, teo da, ban do
canh buom. Mot so xet nghiem can thiet: bach cau, hong cau, tieu cau
thuong ha, toc do lang mau tang, CPR (+), tang alpha va be ta globulin,
Transaminaza thuong tang, nuoc tieu co albumin, hong cau, tru nieu, xet
nghiem mien dich: globulin mien dich IGG tang cao, te bao LE (+), ty le
bo the trong mau thap (duoi 50 UI)...
Chan doan phan biet voi:
. LE dang dia voi lao da, a sung lien cau, vay nen, nam da, trung ca
do...
. LE he thong voi di ung thuoc, vay nen, viem bi co, viem da khop dang
thap...
Dieu Tri
a - Doi voi LE dang dia (the man) phep tri chu yeu la tu am, duong
huyet, nhuan da b
b- Doi voi LE he thong, thuong gap co 5 the, luan tri nhu sau:
+ Nhiet Doc Thinh : ban do, sung phu, co diem u huyet, u ban, boc huyet,
ket mac mat co diem xuat huyet, sot cao, but rut, khat nuoc, tao bon,
luoi do tham, reu vang, mach Hong Sac.
Dieu tri: Luong huyet, thanh nhiet, giai doc
+ Am Hu Hoa Vuong : da vung benh do sam, sot keo dai, luc cao luc thap,
moi mieng kho, u tai, hoa mat, chan tay dau, mo hoi trom, luoi thon do,
mach Te Sac.
Dieu tri: Tu am, giang hoa
+ Khi Tre Huyet U : da co diem u huyet, u ban, nguc suon tuc, dau, chan
an, gan lach to, an dau, chat luoi do, mach Te hoac Sap.
Dieu tri: So Can, giai uat, ly khi, hoat huyet
+ Tam Duong Bat Tuc: nguc tuc, hoi hop hoac dau nhoi, but rut, kho ngu,
mieng kho, so lanh, sac mat tai nhot, luoi beu, nhot, reu luoi trang
mong, mach Te Nhuoc hoac Ket Dai.
Dieu tri: Ich khi, duong tam
+ Ty Than Duong Hu: Ban do khong ro hoac khong co, sot nhe so lanh, cac
khop dau nhuc, toc thua, kinh nguyet khong deu hoac tat kinh, met moi,
tu han, ra mo hoi trom, tieu long, tieu it, luoi beu, co dau rang, mach
Nhu Te.
Dieu tri: On than, trang duong, kien ty, loi
thuy
Thuoc Dung Ngoai: Diposalic,Glovate hoac Flucinar
Phac do dieu tri hieu qua duoc nhieu BS khuyen dung la ket hop 02
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Rao vat tuong tu: Benh LUPUT BAN DO: Nguyen nhan-Trieu chung - dieu tri.

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  5. Ban Honda Wave 100 Thailan may moc nguyen dzin.moi dep 12.5 Trieu (23.9.2011).
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  8. chi 135 trieu so huu ngay vi tri dep tai TP BD (13.8.2011).
  9. Chi voi 3 trieu ban se co 1 website ban hang truc tuyen (18.6.2010).
  10. BAN NHA Q.THU DUC (10 x 15,5 = 155m2) – Gia 1 Ty – THU NHAP 6 TRIEU/THANG – CHU QUYEN NHA (SO DO) (15.9.2010).
  11. So huu can ho 75m2, moi 100%, cach Phu My Hung 3km, chi 315 trieu nhan nha o ngay (30.10.2012).
  12. Chuong trinh tang tai nghe phuc vu trien khai va ho tro khach hang (30.4.2011).
  13. ADSL FPT - 0982652368 - tu van, ho tro truc tiep - khuyen mai 1,4 trieu dong (21.5.2009).
  14. Cho thue nha Mat tien nguyen can so 473 Nguyen Chi Thanh P15, Q5 – Tien o va kinh doanh (16.10.2012).
  15. ban piano, ban organ, ban electone (23.8.2011).
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  17. Lonpos Vu Tru - Tro choi kham pha doc dao & giup tre phat trien tri nao (23.12.2011).
  18. May tinh moi tron bo gia re tai Thai Nguyen (21.7.2012).
  19. Tam Nguyen – thiet ke web ho tro quang cao. (13.4.2010).
  20. Sam ngoc linh tuoi nguyen la - tang cuong sinh luc, bo than trang duong (12.11.2012).
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