Rossolimo-Melkersson-Rosenthal syndrome: Cov tsos mob, kev kho mob

Melkersson-Rosenthal syndrome Nws hu ua ib tug kab mob, nrog rau cov triad ntawm cov tub ntxhais cov tsos mob. Lub pathology ntawm lub npe muaj ob cov kws kho mob cov npe. Melkersson piav ob tsos mob, thiab ib tug thib peb cim Rosenthal. Raws li ib tug tshwm sim, tus kab mob no lub npe hu ua tom qab ob tug kws kho mob.

Nyob rau Melkersson-Rosenthal syndrome

syndrome yog polyetiological. Ntawm kuj zoo kawg tseem ceeb rau nws txoj kev loj hlob muaj ib tug xov tooj ntawm lwm yam:

• kab kev tsis haum tshuaj;
• vasomotor mob thiab raws roj ntsha predisposition mus rau lawv;
• pathology ntawm lub lymphatic system nyob rau hauv lub cheeb tsam ntawm lub taub hau thiab lub caj dab;
• mob foci ntawm odontogenic kab mob;
• sinusitis.

Nyob rau hauv lub xub ntiag ntawm Melkersson-Rosenthal syndrome yog tau Neuro-degenerative nws genesis. Rov muaj dua ntawm tus kab mob no yog raws caij nyoog. Mas los ntawm tus Melkersson-Rosenthal syndrome muaj feem xyuam rau cov neeg nyob nruab nrab ntawm 25 thiab 35 xyoo. Yuav ntxias ib tug kab mob hypothermia thiab haus dej haus cawv kev tsim txom, raws li zoo raws li ib tug xov tooj ntawm cov tshuaj. Ob sab sib dho kev koom tes yog ib qho - 75% ntawm txhua tus neeg mob. Heev tsis tshua - tog.

Cov tsos mob ntawm Melkersson-Rosenthal syndrome

Syndrome manifested o ntawm ob daim di ncauj thiab lub puab tsaig. Ces maj mam tsis muaj zog ntawm lub ntsej muag nqaij. Tus neeg yuav yooj yim nqaim ob lub qhov muag, nrog lawv tham, ces kaum ntawm lub qhov ncauj nchuav kua. Nyob rau hauv 30 feem pua ntawm cov neeg mob tsim qhuav los kua muag. Hais txog 20% - enhanced xaav suab rau xws li ib qhov kawg hais tias nws yuav tsis kaj siab. Yuav ua li cas lwm tus tuab Melkersson-Rosenthal syndrome cov tsos mob? Yuav luag 80% ntawm cov neeg mob nyob rau hauv tas li ntawd mus o ntawm ob daim di ncauj tau pom lawv cov muaj zog reddening, hais lus qab, nws saum npoo yuav sis tsis ncaj, bumpy. Ib nrab ntawm cov neeg mob muaj ib tug mob taub hau, qaug dab peg yob.

Yuav ua li cas lwm tus yog yus muaj los ntawm ib tug pathology?

Yuav ua li cas yog cov tsos mob ntawm cerebral syndrome yus Rossolimo-Melkersson-Rosenthal? Chiv, nws yog tsim nyog los hais tias Rossolimo - yog lub npe ntawm peb tus kws kho mob, uas nyob rau hauv 1901 piav txog tus makroheylit (lub qhov ncauj kab mob, kom lawv loj) nyob rau hauv ua ke nrog ntawm lub ntsej muag paj paresis. Tom qab ntawd nws tau ua Melkersson. Tab sis txij thaum qhov kev piav qhia Rossolimo kab mob nws lub npe tej zaum kuj siv nyob rau hauv lub pathology ntawm lub title.

Cerebral syndrome qhia los ntawm lub hom phiaj kev soj ntsuam. Nws yuav qhia raws li:

• mob taub hau (migraine);
• ntawm lub ntsej muag asymmetry ;
• ntawm lub ntsej muag tuag tes tuag taw ntawm lub ntsej muag nqaij ;
• cov tsos mob Tswb lagophthalmos;
• xerophthalmia;
• hyperacusis;
• dysarthria;
• angioneurotic edema ntawm lub ntsej muag (feem ntau yog ob daim di ncauj);
• fissured tus nplaig thiab macroglossia;
• dizgevzii thiab ageusia;
• granulomatous cheilitis.

Raws li qhia syndrome?

Melkersson-Rosenthal syndrome, uas muaj cov duab nyob rau hauv no tsab xov xwm yuav txiav txim los ntawm tus mob. Nyob rau hauv cov ntaub ntawv no, nyob:

• serological kev ntsuam xyuas;
• X-ray, yog hais tias muaj yog ib tug suspicion hais tias cov syndrome tau arisen vim kis kab mob (HIV, syphilis, Lyme kab mob, sarcoidosis);
• electromyography;
• Sib Nqus resonance imaging ntawm lub paj hlwb;
• xeem neuropathy.

cov hoob kawm

Yuav ua li cas yog muaj tus kab mob ntawm Melkersson-Rosenthal? Lub syndrome pib nrog o ntawm daim tawv nqaij. Nws ces propagates mus rau lub qhov ncauj mucosa. Kom nyob rau hauv cov di ncauj loj: sab saum toj - ntau qis - tsawg. Tej zaum koj yuav muaj kev mob ntawm lub ntsej muag paj, thiab tom qab tsim tuag tes tuag taw.

Tus kab mob yog yus muaj los ntawm mob pib. O muaj ob peb teev. Feem ntau nws yog ib qho uas nws kim heev thiab tag nrho captures ob daim di ncauj, uas yog tab xim nyob kaj liab, tej zaum xiavlus zas zoo nkaus li. Nyob ib ncig ntawm lub qhov ncauj yuav tsim tej kab nrib pleb. Ntxhov hais lus, kev cov nyom nrog zaub mov noj.

Yuav ua li cas yog ib tug kab mob ntawm Melkersson-Rosenthal? Lub syndrome kuj pib nrog o. Tab sis nws yog qhov, tsuas tsub kom los txo ntawm lub sij hawm. Edema khaws tseg rau tag nrho cov lub ntsej muag thiab lub qhov ncauj kab noj hniav.

Nws yog ib tug tsis tshua zoo ntawm Melkersson-Rosenthal syndrome, thaum o lub puab tsaig xwb. Feem ntau, qhov no yog ib tug ntawm lawv. Nyob rau hauv sab hauv sab puab tsaig kom meej meej nraim cov hniav. Qhov no mob yog raug xa mus rau los ntawm lub sij hawm "granulomatous khub." Tsis muaj yam qhia ntawm o.

kev kho mob

Yuav ua li cas yog Melkersson-Rosenthal syndrome? Cov kws kho mob siv phais txoj kev los yog conservative. Chiv, tus neeg mob yog nais maum kuaj mus ntes pathologies uas tej zaum yuav ua rau tus kab mob. Phais kho mob tsis tiv thaiv kom txhob tsis tshua mob heev, thiab yog siv ntau rau niaj hom phiaj, thaum cov ntaub so ntswg yog excised daim di ncauj.

Thaum conservative kev kho mob qhov zoo tshaj plaws kev tshwm sim muaj peev xwm ua tau tiav nrog ib tug ua ke ntawm corticosteroids, tshuaj tua kab mob thiab antimalarial tshuaj. "Prednisolone" yog muab ua ke nrog "Oxytetracycline". Thov pyrogenic thiab desensitizing agents. Txhua zaus yuav tsum kab mob kev kho mob. Yog hais tias tus neeg mob yog rhiab rau Staphylococcus, ces siv "toxoid".

Tus Neeg Mob muaj Melkersson-Rosenthal syndrome, Yuav Tsum kws multivitamins, calcium pantothenate, nicotinic acid, vitamin A, xaiv lub "komplamin" Rau kev txhim kho cov ntshav ncig nyob rau hauv cov nqaij mos mos. kev siv ntawm cov chav kawm - 10 hnub. Ib tug zoo tsa "Cavintonum", "Tanakan" thiab "stugeron" yuav tsum tau noj los ntawm 1 mus rau 2 lub hlis. Cov neeg mob tawm raws li "Nerobolum". Qhov no yog ib cov tshuaj uas tsis pub cov laus. Yog tsa los ua tranquilizers thiab sedatives.

Kev kho mob topically

Yuav ua li cas lwm txoj kev muaj peev xwm yuav siv tau los kov yeej cov syndrome Melkersson-Rosenthal? Kev Kho Mob yuav ua tau tshuaj pleev. Nyob rau tib lub sij hawm ua daim ntawv thov ntawm heparin tshuaj pleev. Lawv muab nrog Dimexidum, tawm rau 20 feeb. Tus txheej txheem yog nqa tawm 3 mus rau 4 lub sij hawm txhua txhua hnub. Cov chav kawm - 3-4 lub lis piam.

Rau qhov qis dua di ncauj yog siv elektrofarez heparin. Tus txheej txheem yog ua txhua txhua hnub. Thaum siv fizlechenii currents Bernard, ib tug Helium-neon laser thiab ultrasound.

Daim ntawv thov ntawm corticosteroid thiab methyluracyl ointments yog siv nyob rau hauv inflammatory dab. lub ntsej muag daim npog qhov ncauj yog thov rau 20 feeb, 2 mus rau 3 lub sij hawm txhua txhua hnub. Nyob rau hauv tas li ntawd, daim ntaub ntawv yog ua los ntawm keratoplasty nyiaj.

Thov blockade (3-4 ml), sov ob-feem pua lidocaine, novocaine thiab trimecaine. Tshuaj no yog ua los txhua txhua hnub los yog txhua txhua ob hnub.

Qhov yuav tshwm ntawm Melkersson-Rosenthal syndrome

Syndrome sai sai yuav ntev. Qhov no yog xav reflected nyob rau hauv ib tug neeg lub cev, uas yog distorted thiab mutilated o. Tiv thaiv no tom qab feem ntau muaj kev nyuaj siab thiab kev puas hlwb kev ntshawv siab. Vim nce immobility ntawm ob daim di ncauj thiab ib tug txiv neej uas muaj teeb meem zom thiab nqos, hais lus distortion yog cai. Cov kab nrib pleb uas yuav tshwm sim thaum o thiab muaj peev xwm tshwm sim teeb meem kab mob ua kis kab mob. Qhov no kuj siv rau cov lus. Tej zaum nws yog them nrog tej kab nrib pleb. Nyob rau hauv tas li ntawd, qhov no yuav kis tau vim raug mob edematous mucosa hniav, piv txwv li, thaum lub sij hawm zom zaub mov.

Cov neeg kev txom nyem los ntawm tus kab mob no, nws yog pom zoo kom noj ntau khoom noj khoom haus: thawj hoob kawm, ib tug ntau yam ntawm cereals thiab khoom noj siv mis. Qhov no yog yooj yim los mus zom cov zaub mov thiab thiaj li yuav ua rau muaj kev raug mob rau lub qhov ncauj mucosa. Txiv hmab txiv ntoo thiab zaub muaj kuj pab tau, tab sis lawv yuav tsum tau txiav nyob rau hauv me me slices thiab ntxiv mus rau xam lav. Loj chunks ntawm tej khoom noj khoom haus yog ib qho zoo zom nyob rau hauv lub siv cutlery zaub mov.