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DABILA

dabilaDar mavridi D. zardob ba boftaho guzashta, onhoro tajziya mekunad va ba fazoi bayni hujayraho pahn megardad (bo chunin khususiyat az dumbal farq dorad). D. metavonad dar har qismi badan ba vujud oyad. Sababi paydoishi D. ba boftahoi narm roh yoftani mikroorganizmho ast. Hususan D.-hoe beshtar duchor meoyand, ki angezandaashon bakteriyahoi zardobi meboshand (stafilokokkho, streptokkokho va g.). D.-i fasodi dar natijai ba boftaho vorid shudani angezandai amrozi siroyatii pusishovar ba vujud meoyad. Mas., qalamchamikrobi ruda, proteya va g. D.-i anaerobi binobar siroyati anaerobi sar mezanad.
Bakteriyaho bisyor vaqt ba boftaho az joyhoi osebdidai pust yo luobpardaho meguzarand. D. metavonad dar natijai az manbai siroyat ba vositai khun pahn gashtani angezandaho yo az manbai siroyat ba boftahoi nazdik guzashtani onho niz paydo shavad (mas., denoflegmona, ki hangomi limfadenit inkishof meyobad).
Ba rushdi D. sust shudani nerui muhofizii organizm binobar mayzadagii muzmin, diabeti qandi, nuqsi immunitet va g. musoidat menamoyand. Dar in bobat darajai bemoriovarii bakteriyaho niz mavqei khos dorad. Hususan bakteriyahoi tosish va bodovari anaerobi tasiri ziyod merasonand. Ba boftahoi narm roh yoftani onho D.- ero ba vujud meorad, ki bo ikhtiloli gardishi khun, mubodilai gazho, ravandhoi biokhimiyavi dar khun va boftaho jarayon megirad. Dar ibtidoi D. nasji zeri pust bo yakhni monand buda, bo moei zardobii tirarang faro girifta meshavad. Badi khuruj yoftani bemori, infiltratsiyai boftahoi narm yakbora afzuda, tarashshuh zardobi megardad. Hangomi D.-i tosish boftahoi zardobgirifta mepusand va badbuy meshavand. Dar mavridi D.-i anaerobii tosishi dar boftahoi narm iltihob rukh namuda, dar onho hubobchahoi sershumori gaz ba vujud meoyand. Vobasta ba jarayon D. shadid va muzmin, vobasta ba mavqe boshad, zeripusti, zeriniyomi, baynimushaki, uzvi, bayniuzvi, pasisifoqi, kosi va g. meshavad.
Hangomi D. dar joi illati dardi sakht ba vujud meoyad; dar mavridi ba sathi boloi nasji zeri pust gustarish yoftani bemori pust varam karda, surkh megardad, tab baland (39 – 400), mavzei illat narm meshavad, bemor tablarza mekunad, beholi va tashnagi rukh menamoyad. Hangomi D – i amiq alomathoi bemori barmahal padid omada zud avj megirand. Gardishi khun va nafaskashi khalal meyobad, fishori arteriya mefaroyad, mariz damkutah meshavad.
D.-i muzmin, odatan, dar mavride ba mushohida merasad, ki agar angezandai on qobiliyati bemoriovarii sust doshta boshad.
Usuli asosii tabobati D. jarrohi ast. Muolija ba vositai antibiotikho, blokadai novokaini, fizioterapiya faqat dar davrai avvali bemori natijai dilkhoh medihad. Sari vaqt tabobat kardani D. saddi ba vujud omadani orizahoi gunogun meshavad. D.-i amiqi bayniuzvi mumkin ast boisi sar zadani ufunat (sepsis) gardad.
Sababi D.- i kudakon asosan siroyati stafilokokkho meboshad. Bisyor vaqt ba inkishofi D. shalhidani pust va piodermiya niz musoidat mekunand. Bemori badi 5 – 8 ruzi ba dunyo omadani tifl ogoz meyobad; haror. baland (38 – 390) gashta, pust surkh (khususan takhtapusht va chorband) meshavad.
Baroi peshgirii D. rioyai qoidahoi behdoshti shakhsi ahamiyati kalon dorad.
Ad.: Zoirov P.T., Bemorihoi pust, D., 1999; Hamon muallif, bolezni koji, D., 2002; Hamon muallif, CHastnaya dermatologiya i venerologiya, D., 2007.

P.T. Zoirov.

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