4 курс / Дерматовенерология / Dermatologia_i_venerologia_KGMU_g_Simferopol_2012_g
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3a6oAeBaHHe Ha'IHHaeTC.H OCTpO c ITO.HBAeHH.H He6011.b IIIOro 6oAe3HeHHOro y3eAKa, KOTOpbIH yseAWIHBaeTC.H B ,n:HaMeTpe .n:o 1-
2 CM, pe3KO Bb!CTynaeT HM rrosepXHOCTbIO OKp~aIOIII.eJ':i KO:>KH. Ko- :>Ka rrpHo6p~TaeT 6arposo-KpacHbIH u:seT. IlpH BOBAe'-IeHHHB npou.ecc HeCKOAbKH:iq'IlOTOBbIX :>KeAe3 Y3Abl CAHBaIOTC.H B Illl.OTHb!H HHcpHAbTpaT, KOTOpbIH MO:>KeT 3aHHMaTb BCIO IlO.D.MbIIIIe'-IHYIOsna,n.Hey. CnycTSI 10-15 ,z:r.He H B u:eHTpe npHilyxAOCTH llO.HBASieTCSI pa3M.Hr'ieHHe, o n -
48
pe.l:(eMieTCSI C0MilTOM cjJAIOKTyaI.J;HH. Ifa BCKpbIBllleI'OCSlHHcpHAbTpaTa Ha'IHHaeT BbI.l:(eASITbCSl CAHBKOo6pa3HbIH I'HOH. IloCAe OTXOJK,D;eHHSI I'HOSI Ha'IHHaeTCSI 3ruKHBAeHHe, 3aBeplllaIOmeecsr cpopMHpOBaHHeM py6u;a. 3a6oAeBaHHe MO:lKeT conpOBOJK,D;aTbCSl pa3BHTHeM cjJAerMOH (pacnpocrprureHHe npou;ecca Ha no.zi;KO)KH)TIO KAeT'!aTey)H AHMcpa.zi;e- HHTa (npH BOBi\.e'!eHHHB npou:ecc i\.HMcpaTH'IeCKHXY3AOB) .
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IlOJJ;Mbillle'IHOHBila):(HHe c6p¥IBaIOT BOAOCbl, KO)K)'npOTHpaIOT CnHpTOM, pacTBopaMH aHHAHHOBbIX KpacHTe11.eii H APYI'HMH aHTHcenTHKaMH. B CTa):(HH a6cu:eAHpOBaHHSI He06XOJJ;HMO BCKpblTHe I'HOHHHKa. I1pH ynopHOM peu:HAHBHpyromeM Te'IeHHHnoKa3aHa HMMYHOTepanHSI (cracpHAOKOKKOBbIH aHaTOKCHH, CTacjJHAOKOKKOBble BaKQHHbl, aYTOBaKU:HHa) B CO'IeTaHHHc o6meYKpenMIIOIIl:HMH c pe.IJ;CTBaMH .
CHK03 OTHOCHTCSI K xpOHH'!eCKHMCTacpHhOKOKKOBbIM nopa- :>KeHHSIM KO:lKH. BcrpeqaeTCsr qame y MY:lK'IHH. B naToreHe3e ocHoBHoe 3Ha'IeHHeHMeJOT CAeJJYIOmHe cpaKTOpbr :
1.HapymeHMe HOpManbHOH cpyHICD,MM CaJlbHO Bonocmmro annapaTa no)J; BJilUIHMeM cpy~MOHaJibHbJX M3MeHeHHH co CTOpOHbl HepBHOl1 H 3H- )l,0KpHHHOH CHCTeMbl.
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Au<J)(pepeH.J&UCVl.bH.ast ouazH.ocmuKa. CTacjJHAOKOKKOBbIH CHK03 Ci\.e.l:(yeT JJ;HcpcpepeHU:HpOBaTh c napa3HTap HbIM CHK030M - HH- cpHAbTpaTHBHO-Hal'HOHTeA'bHOH TpHXOcjJHTHeH 06J1.aCTH 6opOJ(hl H
49
ycoB. IIpH 3TOM HMeJOT 3Ha'IeHHecAepyioru.He rrpH3Ha KH napa3HTapHoro CHK03a:
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5.orcyrcTB11.e peu;11p;11.BOB.
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B COMHHTe i\bHb lX CJ\yqrui:x rrpOBO,ll,HT MHKpOCKOilH IO rHO.H MAH BOJ\OCa - 06uap)')E:em1 crrop rp1160 B BOKpyr BOJ\OCa (3KTOTpHKC) .
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50