Hemosiderosis mapapo: Zizindikiro ndi mankhwala

Hemosiderosis mapapo - matenda oopsa kwambiri. Kumachitika pamene misa maselo a magazi pokhudzana ndi minofu ya m'mapapo anthu. Pamene imeneyi kwa nthawi yaitali chitukuko cha hemosiderin pigment okhala chitsulo.

hemosiderosis ndi chiyani?

Matenda zimenezi zimatheka pamaziko a X-ray Komabe, pali zizindikiro zambiri zimene pamaso yake kapadera. Zizindikiro chosiyana kuti wodwalayo gemosiderkoz mapapo - chifuwa zoipa, hawking kwa magazi, kufupika kwa mpweya, magazi mu mapapo. Pakhoza kukhala thupi ndi tachycardia.

Pamaziko a X-ray mapapo dokotala kupanga matenda lolozeka. maphunziro ena ankachititsanso kuti atsimikizire kuti wodwala akudwala matenda izi. Ndi Kupenda sputum, umagwirira magazi, mu Zikavuta - m'mapapo biopsy.

Chithandizo cha matenda ofalitsidwa ndi ntchito corticosteroids ndi mankhwala kuthetsa zizindikiro zenizeni.

chiwonetsero cha matenda

Idiopathic m'mapapo mwanga hemosiderosis amatchedwanso matenda cholinga-Gellerstedta. Izi ndi vuto pathological, amene kumaonekera chifukwa cha wapadera pigment hemosiderin mafunsidwe a m'mapapo anthu. Mbali yaikulu ya pigment ichi chakuti tichipeza chitsulo okusayidi. Iye ali ndi udindo kwa kusungiramo chitsulo m'thupi. Pa matenda osiyanasiyana izo amasonkhana zimakhala ndi, imbaenda ku matenda a wodwalayo. Amatha kudziunjikira matupi aumunthu.

Pakati pake penipeni, hemosiderin - mitundu kusungidwa mu yopuma chitsulo thupi. Chifukwa cha nsalu iyi ndi kutchulidwa dzimbiri hue. Munthu akayamba idiopathic m'mapapo mwanga hemosiderosis, mu zimakhala za thupi kudziunjikira kuti magalamu asanu a chitsulo.

Palokha chitsulo kudzikundikira sindiye bwanji kugwira ntchito zinthu zofunika thupi, mu nkhani iyi m'mapapo. Komabe, ngati limodzi ndi m'mapapo mwanga hemosiderosis sclerosis, ndi matenda zinchito mu thupi mosalephera.

Pachiopsezo odwala atengeke matenda ndi ana ndi achinyamata. zambiri kuposa akazi.

Zimayambitsa matenda

Hemosiderosis mapapo angayambe anthu pa zifukwa zosiyanasiyana. Ambiri - ndi kobadwa nako chilema makoma mtsuko wa kufalitsa m'mapapo mwanga. Chifukwa cha ichi, mu thupi pali zikutha m'mayiko capillaries ndi kutha zosakhalitsa magazi. Choncho exuded erythrocytes, ndi m'mapapo zimakhala kawirikawiri m'mapapo microbleeds.

Chifukwa cha chitsulo ichi adzamasulidwa ndi kugwa mu hemosiderin lapansi. Nayenso, ndi chosakanikirana ndi macrophages alveolar anaonetsera mu epithelia ndi maselo za indofeliyamu mu muyeso waukulu. Komanso unachita fateful ndi vuto lina kobadwa nako. Zosalongosoka kugwirizana pakati pa matupi awiri, mu nkhani iyi - mitsempha bronchial ndi mitsempha ya phapo.

Immunoallergic chikhalidwe cha matenda

Zoyambitsa ndi morphogenesis ya m'mapapo hemosiderosis angakhalenso immunoallergic. Pamene maofesi m'thupi kuwononga malinga yaikulu ya capillaries m'mapapo mwanga. Pali kuphwanya ntchito zawo, mwa Mitsempha kuonongeka mu mapapo imagwera chitsulo muyeso, chifukwa ntchito thupi kwambiri kusokonezedwa.

Komanso, amaika mafunsidwe a hemosiderin mu minofu m'mapapo kumathandiza kuti ndondomeko mofulumira chiwonongeko cha maselo ofiira, limodzi ndi kutuluka kwa magazi, lomwe limapezeka mu ndulu ya. A mkulu mlingo wa chitsulo mayamwidwe m'matumbo yaitali ntchito mankhwala ndi okhutira mkulu chitsulo.

Pa siteji koyamba hemosiderosis m'mapapo mwanga ana angayambe ngati matenda idiopathic kuti si kugwirizana ndi mavuto ena. A akhoza limodzi ndi matenda Gainer (mu ngati thupi ndi yovuta kwambiri zonsezo zili Bovine mkaka zachilengedwe).

Ngati hemosiderosis amapezeka kachiwiri, m'mapapo mikrokrovotecheniya kungachititse kuti BP, umene ukhoza vuto aakulu.

Komanso, matenda akhozanso kukopeka ndi vuto la Goodpasture. kugonjetsedwa uwu wa alveoli ya m'mapapo ndi impso, limodzi ndi amamuyambitsa timabala awo. Matendawa zambiri phunziro kwa amuna zaka 20 mpaka 30. Pali maganizo za chikhalidwe chake cholowa.

patsogolo hemosiderosis

Idiopathic m'mapapo mwanga hemosiderosis ana nthawi zambiri amayamba ndi matenda. Zimakhala ngati n'zosavuta SARS, komanso matenda ena aakulu kwambiri - chikuku, akuphokosera chifuwa ndi malungo. Komanso, izo zikhoza kukhala zotsatira za kuledzera.

Patsogolo hemosiderosis akufotokozera mavuto aakulu mtima. Kungakhale onse a matenda mtima - matenda mtima, cardio ndi matenda ena.

zimayambitsa pafupipafupi mobwereza patsogolo hemosiderosis protrude yaitali padzuwa pa otsika kutentha, wamphamvu kapena kuvutika maganizo kupsyinjika, kugwiritsa ntchito mankhwala ena.

Ngati hemosiderosis umayenda mkati alveoli a m'mapapo, kuti zithunzi bwino kuda owoneka a microbleeds ndi malo kwambiri miyala ya hemosiderin ofanana ndi tinatake tozungulira, amene anakonza kuchokera pakati pa periphery ya phapo.

zizindikiro

Hemosiderosis kumachitika m'njira zingapo. Pachimake, subacute ndi kobwereza. Ngati matenda chikuoneka ana, nthawi zambiri kumachitika mwamsanga zaka sukulu, kuyambira zaka zitatu. Komabe, pali odwala amene matenda imaikidwa mu masabata loyamba la moyo.

Owonetseredwa matenda m'mapapo mwanga kukha mwazi ndi magazi, kumverera kulephera kupuma.

Pa zosayembekezereka matendawo anthu zikuoneka zolemera chifuwa dzimbiri mtundu, mu Zikavuta, akhoza kutsokomola magazi. Ana, magazi kungakhale mu masanzi.

Kuzionetsetsa, madokotala kulabadira wheezing, tachycardia, malungo, nthawi zambiri wodwala anadandaula ululu mu chifuwa ndi pamimba, komanso malo. Zingakhalenso nthenda kukulitsa a chiwindi ndi dontho lakuthwa mu thupi.

Ngati hemoptysis amapitirizabe kwa nthawi yaitali, wodwalayo akufotokozera magazi m'thupi, kufooka ndi chizungulire. Khungu amakhala wotumbululuka, ndi kuzungulira maso pali khalidwe yellowness. Munthu wotopa mofulumira ndi mosalekeza amamva phokoso m'khutu. Lolemera nthawi ya matenda angayambe kwa maola angapo kwa masiku 10-15. Choncho, simungakhoze kuchita popanda chithandizo.

M'nthawi ya akuchuluka chifuwa ndi kupuma movutikira mwina ndichepe, koma zimandivuta zolimbikitsa, kuwona dotolo chofunika yomweyo. Mu chikhululukiro dandaulo sangakhale alipo konse, ndipo munthu akhoza kukhala ndi moyo wodzaza chopindulitsa.

Ndi aliyense exacerbation wa nthawi matenda chikhululukiro yafupika, koma chiwerengero kuonjezera nthawi ndi kukula kwa mavuto. Chimodzi mwa zotsatira za magazi m'thupi - okwana zikutha m'mayiko thupi. Nthawi zina, ngakhale kufa kwa wodwala - ndi zotsatirapo zomvetsa chisoni zingachitike chifukwa cha pachimake m'mapapo mwanga kukha mwazi ndi mwadzidzidzi kupuma kulephera.

matenda hemosiderosis

Pofuna molondola oterewa hemosiderosis m'mapapo mwanga, muyenera maganizo katswiri wa akatswiri angapo. Choyamba, ndi pulmonologist, panthawiyi, dokotala. Komanso ayenera kuphunzira mawonetseredwe matenda a matenda. Simungakhoze kuchita popanda kuphunzira X-ray, kusanthula sputum, magazi (ngati kusanthula ambiri, ndipo amuzolengedwa) m'mapapo biopsy.

Matenda kuli kovuta kwambiri. Zambiri kutenga miyezi kapena zaka Akatswiri kudziwa matenda. Nthawi zina anamuika iye atamwalira. Chinthu ndi woyamba si zizindikiro zenizeni, ofanana ndi matenda ena ambiri, ndipo ambiri musataye iwo phindu. Kawirikawiri chabe matenda kupuma limodzi ndi chifuwa ndi magazi m'thupi.

gawo pachimake

Ngati madokotala anandipeza idiopathic m'mapapo mwanga hemosiderosis, mankhwala n'kofunika. Thupi lenilenilo sangathe kulimbana ndi vutoli. Mu mawonekedwe pachimake cha matenda limodzi ndi crackles ndi palpitations. Pa nthawi yomweyo yafupika mlingo wa maselo ofiira, okwera bilirubin milingo ya chitsulo seramu m'magazi ndi kochepa.

Pa mavuto zimachitika leukocytosis, ESR mlingo likutuluka, zomwe kawirikawiri limasonyeza kutupa. Mu masiteji ina ya matenda limapezeka polycythemia. Ndi mtima wabwino chotupa ndondomeko limodzi ndi hyperplasia maselo mafupa.

maphunziro X-ray

Mu kuphunzira X-ray mu magawo oyambirira a matenda yodziwika ndi kuchepa kwa chilungamo cha minda ya m'mapapo. Pa nthawi yomweyo, pa magawo wachitatu ndi wachinayi ndi ananena kwambiri asiyane ndi matenda a minofu connective ndi zipyera khalidwe.

Nthawi zambiri pali mithunzi watsopano mogwirizana, ngakhale kuti zaka kutha. Pa spirography akuoneka mavuto kupuma, pa electrocardiogram wa - miokardiostrofiya. matenda Final amathandiza m'mapapo biopsy.

hemosiderosis chithandizo

Wopambana chithandizo cha matenda zimatheka pamene maphunziro yaitali mankhwala a corticosteroids. Mwachitsanzo, "Prednisolone" amathandiza kuchiza hemosiderosis m'mapapo mwanga. Mankhwala minimizes ndi permeability Mitsempha ndi kumabwezera mmbuyo chitukuko cha zochita autoimmune.

Ngati mankhwala ndiwofatsa akuzindikiridwa kukhala operewera, njira ndiye opaleshoni ntchito. Akhoza kwathunthu kapena pang'ono kuchotsedwa ndulu, akhoza kuchepetsa chiopsezo kuchotsedwa. Ndiponso amachepetsa imabwera mavuto ndi wodwala moyo amayembekezeka pambuyo opaleshoni zingawonjezere ndi zaka 7-10.

Kukonzekera mu gawo pachimake chitukuko matenda

N'zochititsa chidwi kuti mu gawo pachimake ndi kupewa mankhwala ofanana zinalembedwa. Pamene matenda a "m'mapapo mwanga hemosiderosis" kuchitira khalidwe bwino ndi osakaniza wothandizila cytostatic ndi plasmapheresis. Izi amachepetsa maonekedwe a autoantibodies yatsopano ndi kuthandiza thupi kulimbana ndi akalewo.

Komanso ndi njira - kuchotsa chitsulo mu mkodzo, ntchito kulowetsedwa ichi "Desferal". Mankhwalawa zizindikiro ntchito bronchodilators, antikoagulyarnye zikutanthauza.

Yaitali chikhululukiro madokotala akhoza kukwaniritsa, pamene akulemekeza odwala awo zakudya kwambiri kuti amakonda mankhwala onse zochokera mkaka wa ng'ombe. Ngati matenda zimapita ku siteji aakulu, mwina kuika ku feteleza. makamaka kugwirizana ndi mavuto aakulu mtima.

mitundu hemosiderosis

Madokotala angapo mitundu ya matenda. Makamaka, hemosiderosis m'mapapo mwanga yodziwika (macropreparations "Brown induration kuwala"). Pankhaniyi, mapapo kuwonjezera kukula, ndi kapangidwe wandiweyani kwambiri. Komanso, mdima-wofiira bulauni mu pafupi pa yachigawo wosanjikiza noticeable yochitidwa ndi inclusions brownish.

Iwo zingachitikenso hemosiderosis m'mapapo (micropreparations № 111). Pankhaniyi, zofiirira inki kuonekera mkati maselo ndi kunja kuti pa Perls zasayansi anachita kukhala buluu kapena Kamaoneka. Iwo akukangana ndi cavities bronchi ndi alveoli.

Komanso, ziwiya izi ndi m'mapapo anthu yatupa kwambiri ndi ochuluka. Matendawa limodzi ndi magazi kwakukulu kugawa pakati alveoli lapansi. Pa nthawi yomweyo iwo anapeza wosanjikiza minofu connective.