IgA vasculitis - Henoch-Schönlein purpura

IgA vasculitis chirwere chinosanganisira mavara epepuru paganda, marwadzo akabatana, matambudziko emudumbu, uye glomerulonephritis (rudzi rweitsvo kusagadzikana). Iyo inozivikanwa zvakare seHenoch-Schönlein purpura (HSP).

IgA vasculitis inokonzerwa nemhinduro isina kujairika yemasoja emuviri. Mhedzisiro yacho kuzvimba mumidziyo mikuru yeropa muganda. Tsinga dzeropa mumajoini, itsvo, kana ura dzinogona kukanganisika. Hazvina kujeka nei izvi zvichiitika.

Iyo syndrome inowanzoonekwa muvana vari pakati pemakore matatu kusvika gumi nemashanu makore, asi inogona kuonekwa muvakuru. Zvakajairika muvakomana kupfuura kuvasikana. Vanhu vazhinji vanovandudza chirwere ichi vaive nechirwere chepamusoro chekufema mumavhiki apfuura.

Zviratidzo uye maficha eIgA vasculitis inogona kusanganisira:

• Mavara epepuru paganda (purpura). Izvi zvinoitika munenge mune vese vana vane mamiriro. Izvi zvinowanzoitika pamusoro pemagaro, makumbo ezasi, uye magokora.
• Marwadzo emudumbu.
• Joint kurwadziwa.
• Urine isina kujairika (inogona kunge isina zviratidzo).
• Manyoka, dzimwe nguva ane ropa.
• Mikoko kana angioedema.
• Kusvotwa uye kurutsa.
• Kuzvimba uye kurwadziwa mu scrotum yevakomana.
• Kutemwa nemusoro.

Anopa hutano anotarisa kumuviri wako otarisa ganda rako. Iko kuongorora kwepanyama kucharatidza maronda eganda (purpura, maronda) uye kubatana nyoro.

Miedzo inogona kusanganisira:

• Urinalysis inofanira kuitwa muzviitiko zvese.
• Yakazara kuverenga ropa. Platelet inogona kunge yakajairika.
• Coagulation bvunzo: izvi zvinofanirwa kunge zvakajairwa.
• Ganda biopsy, kunyanya kune vanhu vakuru.
• Kuongororwa kweropa kutsvaga zvimwe zvikonzero zveropa kuzvimba, senge systemic lupus erythematosus, ANCA-inosangana vasculitis kana hepatitis.
• Muvanhu vakuru, itsvo biopsy inofanira kuitwa.
• Kufungidzira bvunzo dzemudumbu kana kurwadziwa kuripo.

Iko hakuna chaiyo kurapwa. Mhosva zhinji dzinoenda dzoga. Marwadzo akabatana anogona kuvandudzwa nemaNSAID akadai naproxen. Kana zviratidzo zvikasapera, unogona kupihwa mushonga wecorticosteroid senge prednisone.

Chirwere chinowanzo kuve chiri nani pachayo. Zvikamu zviviri kubva muzvitatu zvevana vane IgA vasculitis vane episode imwe chete. Chete chetatu chevana vane zvimwe zvikamu. Vanhu vanofanirwa kuve nepedyo kurapwa kwekutevera kwemwedzi mitanhatu mushure mezvikamu zvekutarisa zviratidzo zvehosha yeitsvo. Vakuru vane njodzi huru yekubatwa nechirwere chetsvo chisingaperi.

Zvinetso zvinogona kusanganisira:

• Kubuda ropa mukati memuviri
• Kuvharika kwematumbo (muvana)
  
• Matambudziko eitsvo (mune zvisingawanzoitika zviitiko)

Fonera mupiki wako kana:

• Unovandudza zviratidzo zveIgA vasculitis, uye zvinogara kweanopfuura mazuva mashoma.
• Iwe une mavara weti kana yakaderera weti kuburitsa mushure mechiitiko.

Immunoglobulin A vasculitis; Leukocytoclastic vasculitis; Henoch-Schönlein purpura; HSP

• Henoch-Schonlein purpura pamakumbo epasi
• Henoch-Schonlein purpura
• Henoch-Schonlein purpura
• Henoch-Schonlein purpura
• Henoch-Schonlein purpura patsoka dzemucheche
• Henoch-Schonlein purpura pamakumbo emucheche
• Henoch-Schonlein purpura pamakumbo emucheche
• Henoch-Schonlein purpura pamakumbo

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Lu S, Liu D, Xiao J, uye al. Kuenzanisa pakati pevakuru nevana neHenoch-Schönlein purpura nephritis. Pediatr Nephrol. 2015; 30 (5): 791-796. PMID: 25481021 www.ncbi.nlm.nih.gov/pubmed/25481021.

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Sunderkötter CH, Zelger B, Chen KR, et al. Nomenclature ye cutaneous vasculitis: Dermatologic addendum kune 2012 yakavandudzwa International Chapel Hill Consensus Musangano Nomenclature yeVasculitides. Arthritis Rheumatol. 2018; 70 (2): 171-184. PMID: 29136340 www.ncbi.nlm.nih.gov/pubmed/29136340.