Vasculitis: chii chiri, chinokonzeresa, zviratidzo uye kurapwa

Zvemukati

• Zvinogona kukonzerwa
• Ndezvipi zviratidzo
• Maitiro ekuongororwa kunoitwa
• Kurapwa kunoitwa sei

Vasculitis, inonziwo angeitis, iko kuzvimba kwemitsipa yeropa iyo inogona kukanganisa imwe chete kana yakawanda midziyo, uye kunyangwe nhengo dzakasiyana mumuviri. Nekudaro, iwo mukuru mhedzisiro yevasculitis ndiko kudzikisira kana kuvhara kweropa mumudziyo wakakanganiswa, izvo zvinogona kukonzeresa ischemia, iko kushaikwa kweoxygen munyama uye kunogona kutungamira kune necrosis yenzvimbo ine mweya.

Vasculitis inogona kuverengerwa zvinoenderana nezvinokonzera nezviratidzo mu:

• Primary vasculitis, umo zviratidzo zvinogona kuoneka muvanhu vane hutano, vasina nhoroondo yezvirwere;
• Sekondari vasculitis, vane zviratidzo zvinoonekwa muvanhu vakaonekwa kuti vane chirwere, senge lupus erythematosus, chirwere cheBugerger, schönlein-henoch purpura.

Kuongororwa kwemhando mbiri dzevasculitis kunoitwa kuburikidza nekuongororwa kwerabhoritari kweropa uye kufungidzira, zvichikosha kuna chiremba kuti aongorore kukura kwechirwere uye kuratidza kurapwa kwakanyanya, kunogona kuve nekorticosteroids kana immunosuppressants.

Zvinogona kukonzerwa

Izvo zvikonzero zvekutanga kwevasculitis hazvinyatso kujeka, asi kazhinji zvinoita sekunge zvine chekuita nechirwere chekuzvimiririra, saka zvinofungidzirwa kuti hutachiona hutachiona ndicho chimwe chezvinhu zvakakosha pakuratidzwa kwayo.

Zvisinei, pari zvino pane zvinhu zvakatipoteredza zvinoratidza kugona kukura vasculitis mumunhu, sekushandisa kwecocaine kana amphetamines, kuvapo kwemavhairasi akadai sehepatitis B kana C uye parvovirus B19. Uye zvakare, vasculitis inogona kukonzerwa nemhedzisiro yemimwe mishonga, yakadai sePenicillamine, Propylthiouracil, Hydralazine, Minocycline kana kuratidzwa kune silica.

Ndezvipi zviratidzo

Sezvo chero mudziyo weropa mumuviri uchigona kukanganiswa, vasculitis inogona kukonzera zviratidzo zvakasiyana zvichienderana nedunhu kana nhengo yakabatwa nechirwere ichi. Nekudaro, zviratidzo zvevasculitis zvinoenderana nedunhu rakakanganiswa zvinogona kuva:

• Ganda: purplish mavara anoonekwa mumapoka uye anogona kutungamira mukutyoka kweganda, kurira kana kurasikirwa kwekunzwa mudunhu;
• Mhuno nenzeve: chinowanzoitika sinusitis, kubuda ropa mumhino, maronda emumhino anodzokororwa kana otitis, kusanzwa kwechinguva, izwi rakashoshoma, kurwadziwa mumhino;
• Itsvo: kuvapo kwemapuroteni uye / kana ropa mumurini, kuwedzerwa kweropa, makumbo akazvimba uye kumeso, weti ine makore;
• Utumbo: kurwadziwa mumimba kazhinji mushure mekudya, zvituru zvine ropa;
• Lung: kukosora ropa, kufema kufema, kufema kana kufema, mabayo anodzivirira mabhakitiriya;
• Majoini: kurwadziwa, kuzvimba, kupisa, kutsvuka uye kunetseka mukufambisa majoini;
• Maziso: kuoma kwemaonero, kupetwa kaviri kana kusajeka kuona, kurwadziwa muziso kana ziso dzvuku;
• TsingaKubvanhengo: mhasuru kushaya simba, kurira, kuoma mitezo.

Zvimwe zviratidzo zvinogona kuve zviripo muvasculitis kurasikirwa nekurema pasina chikonzero chinoratidzika, kurwadziwa kwemuviri kunowanzoitika, kuneta zvakanyanya, kurasikirwa nechido, malaise kana fivha.

Kana paine fungidziro yekuti une vasculitis, zvakakosha kutsvaga kurapwa nekukasira, sezvo vasculitis inogona kukuvadza zvakanyanya nhengo dzakadai semapapu kana itsvo.

Maitiro ekuongororwa kunoitwa

Kuongororwa kwevasculitis kunoitwa naiyo angiologist kana rheumatologist uye kunozoitwa mushure mekuongorora nhoroondo yechirwere chemunhu, uye mune dzimwe nguva bvunzo dzemarabhoritari senge yekuona anti-cytoplasmic antibodies (ANCA), ayo ari masoja anorwisa cytoplasm, anogona kunge ari ndokumbira., weti bvunzo, electrolyte, creatinine, kuongororwa kwakazara kweropa uye FAN bvunzo, iyo inovavarira kuona kuvepo kwe autoantibodies muropa. Nzwisisa izvo bvunzo yeFAN uye kuti inoitwa sei.

Mune zviitiko zvekufungidzira kuti iyo vasculitis yasvika kune imwe nhengo, bvunzo dzinogona zvakare kudikanwa kuti dziongorore mashandiro enhengo dzakabatana nhengo, senge magnetic resonance imaging, ultrasound uye computed tomography, kuwedzera kune biopsy.

Kurapwa kunoitwa sei

Kurapa kwemhando dzakasiyana dzevasculitis kunoitwa zvichienderana nechikonzero chekuzvimba uye kuomarara kwemamiriro emunhu. Mune zvimwe zviitiko, kurapwa kunoitwa nemishonga yecorticosteroid, yakadai sehydrocortisone, dexamethasone, mometasone uye betamethasone, semuenzaniso, mukuwedzera kune immunosuppressants senge azathioprine, cyclophosphamide kana mycophenolate. Tarisa uone kuti ndeapi marudzi ecorticosteroids uye zvaari.

Zvisinei, mune zvakanyanya vasculitis, iyo inokanganisa nhengo, munhu wacho anofanira kuramba ari muchipatara kuitira kuti agamuchire kurapwa kwakakodzera, uye mune dzimwe nguva kuvhiyiwa kunodiwa kumutsidzira kuyerera kweropa mumudziyo wakakuvara nekuzvimba.

Pamwe pamwe nekurapwa nemishonga, parizvino tsika yechiedza kurovedza muviri, kuzorora kwakakwana, kudya zvine hutano uye kudzikisira kwematanho kwakaratidzirwa kuve kwakakosha uye nemhedzisiro yakanaka yekurapa vasculitis.