Periarteritis nodosa - ndichiyani?

Nodular nodosa otchedwa zokhudza zonse vasculitis, mtundu wa matenda mtsempha wamagazi, amene amakhala ndi zotupa mpanda wa mitsempha sing'anga-kakulidwe ndi ka chikhalidwe yotupa-necrotic. Umayamba chithunzi matenda a matenda ndi malungo, arthralgia, ndi myalgia. Ndiye, syndromes izi angayambe: ubongo, cutaneous, trombangiitichesky, mtima, aimpso ndi m'mapapo mwanga.

Kuti atsimikizire nodular nodosa, kuchititsa morphological Kupenda biopsies khungu. Mankhwalawa immunosuppressants kwambiri amagwiritsidwa ntchito corticosteroids ndi wothandizila cytotoxic. Kambiranani za kuopsa kwa matenda ndi zotheka Nditaphunzira ndikachita nawo mkati limba.

The etiology izi matenda ndi mpemphero. Akukhulupirira kuti periarteritis nodosa kumachitika chifukwa matenda enaake, monga chiwindi B. Ndipo matenda stimulant akhoza anayambitsa seramu, katemera, ena mankhwala, komanso hypothermia.

Yankho mfundo zonsezi ndi hyperergic anachita. Nthawi zambiri amadwala periarteritis nodosa amuna zaka 30 mpaka 50.

Periarteritis nodosa: Gawo

matenda agawidwa:

1. Classic.
2. Khungu ndi trombangiitichesky.
3. Mphumu.
4. Monoorganny.

Chitukuko cha matenda imatengedwa chosaopsa pamene taonera cutaneous mawonekedwe bezvistseropaty. Odwala amaonedwa labwinobwino ku mawu chikhalidwe ndi somatic. Chikhululukiro ndi kugonjetsedwa ndithu, koma pachimake vasculitis sangathe mulibemo.

Pakuti trombangiiticheskogo zosinthika matendawa amakhala ndi pang'onopang'ono. Pamene pali pafupipafupi wolumikizira oopsa, matenda microcirculatory ndi neuritis zotumphukira.

Kuyambiranso periarteritis nodosa kumachitika chifukwa kulipira kapena kuchepetsa mlingo wa glucocorticoids, mankhwala cytotoxic, matenda, kuzirala, ndi chifuwa mankhwala.

Kuonetsetsa matenda ngati gawo: yogwira, anafooka ndi sclerotic.

Pamene zinthu m'malo osowa kumachitika pamene periarteritis nodosa akufotokozera mphezi liwiro ndipo amapereka mtima pa chaka ku imfa.

Periarteritis nodosa: Zizindikiro

Ngati nthawi ya matenda pachimake, malungo, kuzizira, zopweteka minofu molumikizana mafupa, kuwonda, ndi zizindikiro khalidwe la polyarthritis. Nthawi zina mukhoza kuona kupweteka kwambiri pamimba, amene bwino anasonyeza khalidwe dyspeptic. Komanso si zachilendo pa periarteritis nodosa - kupweteka kwambiri minofu.

Ndi khalidwe la matenda a vuto la impso ndi maonekedwe a matenda oopsa, amene nthawi zina amakhala oopsa. Pali mu mapuloteni mkodzo. Nthawi zambiri ingawononge mtima, m'mnyewa wamtima infarction zimachitika.

Nthawi zina matendawa amayamba ndi kuwonongeka kwa mapapo, bronchial mphumu.

Ngati matenda wadutsa mu mawonekedwe aakulu, akhoza kutayika zizindikiro chotero ambiri monga nyamakazi malungo. Koma m'malo pali matenda la kugonjetsedwa ziwalo mkati. Mwachitsanzo, mtima kapena impso. Akutulukira exacerbation kungachititse kuti kuwonongeka kwa ziwalo zina ndi kachitidwe.

Anandipeza ndi matenda, zochokera chiwonongeko cha ziwalo zina osakaniza ndi malungo ndi kuzizira. Komanso, mayerekezo matendawa kumachitika chifukwa kuwonongeka limba monga impso, mtima kapena m'mapapo. Chofunika kwambiri kwa matenda ndi zonse kuwunika wodwalayo. Nthawi zambiri, palibe wapadera, khalidwe okha zizindikiro za matenda kulibe. Nthawi zina matendawa akhoza zikutsimikiziridwa ndi kuphunzira zidutswa za minofu kapena khungu, limene analandira pa biopsy.

Tsopano inu mukudziwa zomwe periarteritis nodosa, mankhwala ake ayenera kuperekedwa kokha moyang'aniridwa ndi achipatala.