Sarcoidosis wa khungu: Zoyambitsa, Zizindikiro ndi Chithandizo

Sarcoidosis, mpaka posachedwapa, anayesedwa matenda osowa. Koma masiku awa, pamaso pa njira yatsopano matenda izo anapezeka kawirikawiri. Kwa nthawi yoyamba matendawa amanenedwa kuposa zapitazo. Ndiye iwo ankaona mawonekedwe a chifuwa chachikulu. Komabe, patapita amanena wakhala limatsutsa mankhwala boma.

tanthauzo

Sarcoidosis - matenda zokhudza zonse. Zimadzetsa kugonjetsedwa kachitidwe organic ndi zimakhala. Nthawi zambiri za pafupipafupi olembedwa mapapo sarcoidosis ndi khungu. Apo ayi matenda amatchedwa matenda Besnier-Boeck-Schaumann (polemekeza madokotala amene anagwira ntchito pa kafukufuku wa matenda). Sarcoidosis ndi khalidwe yotupa. Zimatanthauza granulemotozov gulu. Mu chitukuko cha kudwala anapanga masango maselo yotupa, ndipo amatchedwa granulomas.

Sarcoidosis anali chinthu chidwi madokotala, pulmonologists ndi madokotala ambiri. Kuphunzira zimayambitsa matenda, matenda ake ndi mankhwala ndi apakhungu madokotala. Sarcoidosis tsopano angapezeke osati kokha pamaziko a zotsatira za kafukufuku fluorography, komanso zikuonetsa khungu.

Kufala kwa matenda

Nthawi zambiri, khungu sarcoidosis, zizindikiro amene ayankhidwa pansipa, amawapeza anthu usinkhu wapakati. The kudwala ambiri mwa akazi. matenda osowa kwambiri amapezeka ana. The chizindikiro chachikulu cha matenda - kuoneka granulomas. Iwo akuyimira tinatake tozungulira, zomwe zili mu foci zochepa. Zingasiyane kukula ndi mawonekedwe. Matendawa si matenda opatsirana. Sarcoidosis nthaŵi zambiri popanda zizindikiro zilizonse ndipo wapezeka kokha pamene wodwala thupi bwino.

The etymology matendawa

Zimayambitsa chenicheni cha matenda ichi sakudziwika. Koma madokotala ambiri amakhulupirira kuti chitukuko cha kudwala izi zimakhudza wonse osiyanasiyana zifukwa pakati pawo - immunological, chilengedwe ndi majini. Malingana ndi chiphunzitso alipo, kusokoneza bowa tizilombo, mabakiteriya, tizilombo, mungu ndi poizoni. Mwalamulo, matenda awa ndi omwe si opatsirana. Komabe, sitingathe kwathunthu kukusalani kuthekera chikoka wothandizila tating'onoting'ono pa chitukuko cha matenda monga khungu sarcoidosis.

zimayambitsa sakudziwika kutali. Pa nthawiyi, pali maganizo awiri. Malinga woyamba, sarcoidosis tinatengera. chachiwiri maganizo Fans amanena kuti maonekedwe a matenda ndi ofanana ndi chitetezo cha munthu anachita kusintha m'thupi. Chifukwa chachikulu cha makhalidwe cholowa ankaona m'thupi, ndiko kuti, anachita yake yeniyeni kuti zimenezi kapena zotsatira. Monga ulamuliro, m'pofunika kuti pakutchulidwa matendawa pa zifukwa zingapo. Dziwani kuti aliyense wachitatu ndi mtima chimodzi anati zotupa sarcoidosis.

The mitundu ikuluikulu ya sarcoidosis

Monga tanenera kale, mu malo oyamba matendawa amakhala ndi ziwengo. Ndi ena pathological kusintha, amene afotokozedwa mu mapangidwe tinatake tozungulira wofiira, Madontho ndi zolengeza. Mu matenda pali otchedwa erythema nodosum. Ambiri melkouzelkovy sarcoidosis. Iwo amakhala ndi maonekedwe a ambiri mawanga laling'ono lofiira kuti timasintha pa nthawi mu mfundo wandiweyani kugwirizana. Krupnouzelkovy sarcoidosis akuwonetseredwa mu maonekedwe a tinatake tozungulira limodzi ndi zochepa zochuluka. zotupa mu nkhani iyi anasonyeza pamaso pa mokwanira lalikulu mfundo ozungulira, yodziwika ndi malire lakuthwa.

Mitundu ina ya matenda

Pali mitundu ina ya matenda. Madokotala kusiyanitsa:

1. Akakufunsani infiltrative sarcoidosis. totupa pakhungu anapanga mu mipukutuyi wandiweyani. Iwo zili pa mutu kapena nkhope. mabungwe Border kuti ndi mtundu bulauni, pamene adachita mdima. awiri ndi 15 cm.
2. Angiolyupoid Brock Potro. Neoplasms anaona pa mphuno ndi masaya. Monga ulamuliro, poyamba ziri zofiira mawanga kapena filetovogo mtundu. Mu malo awo, ndiye pali mipukutuyi bulauni.
3. Chilblains lupus Besnier-Tennesona. Habitat - nkhope ndi makutu. Zotupa ndi red-wofiirira ndi lathyathyathya.
4. Darier-Roussy sarcoid. Pakuti mawonekedwe matenda yodziwika ndi mfundo zikuluzikulu, zimene zili pansi pa khungu ndi kupanga kusalola. Kutanthauzira - pamimba, ntchafu ndi m'khwapa.
5. Subcutaneous nodular-mtundu. tinatake tozungulira Subcutaneous awonekere miyendo kapena torso. Dongosolo pang'ono, iwo ali sabweretsa chisoni ndi mafoni. Sarcoid mwina coalesce kupanga mipukutuyi infiltratnye vuto pamwamba.

Ambiri, khungu sarcoidosis, chithandizo chimene tikambirana chiyani m'nkhani ino, ndi nthawi. Pa nthawi imene tinatake tozungulira kutha, mu malo a khungu wosiyana minofu wathanzi. Iwo ali mtundu ndi wazikang'a. Kupatulapo ndi lupus Besnier-Tennesona. Pankhaniyi, madera pambuyo kutha kwa zotupa musati amasiyana minofu wathanzi. Sarcoidosis wa khungu, chithunzi chimene m'nkhani ino umaonetsa kugonjetsedwa lalikulu la nkhope wodwalayo. Ndiye - pa zizindikiro.

Khungu Sarcoidosis: zizindikiro za matenda

Zizindikiro zenizeni za matenda: kusintha mipukutuyi, mfundo, chilonda sarcoidosis, maculo-populeznye. Pakati pa zinthu zina akhoza kutchulidwa: chilonda, kusintha psoriasiform, ichthyosis, alopecia, matenda misomali. Iwo amanena kuti anthu ambiri zotupa limodzi ndi zizindikiro wofatsa. Komabe, pali khungu aakulu zotupa chopatsa disfigurement munthu.

Sarcoidosis wa khungu, zithunzi ndi zizindikiro za omwe akupezeka m'buku, izo ziyenera zina zimasiyanitsa. Mbali yache ndi mapangidwe tokhala olimba pa khungu la malekezero, nkhope, ndi zina thunthu. Mtundu wa zisindikizo zimasiyanasiyana pinkish wofiira bluish ndi zofiirira. Nthawi zambiri pali kulumikizana kwa zinthu ndi zofiirira mawanga pa khungu la kukula yaing'ono, mu zina, tokhala ndi akalola.

Sarcoidosis scalp ndi imodzi mwa maonekedwe oyambirira a matenda. Pankhaniyi m'pofunika kupanga matenda a ziwalo zina ndi machitidwe, zomwe kuvutika. Kugonjetsedwa kwa khungu, monga ulamuliro, pamodzi ndi kukhalapo kwa zotupa pa khungu la pamphumi. Mu pakati pa malo kuchepa mu kachulukidwe ndi awiri a tsitsi, kumene kungakhale chiyambi cha mapangidwe foci wa alopecia.

Melkouzelkovy krupnouzelkovy ndi sarcoidosis

Sarcoidosis ndi melkouzelkovym ndi krupnouzelkovym. Mbali yoyamba, tinatake tozungulira nthawi zambiri ili pa nkhope, m'dera elbows, khosi, masamba phewa. makulidwe awo ang'ono -. About 0.5 masentimita wakuda ndi olimba mtundu - njerwa hue kapena utoto, bluish. Nthawi zina tinatake tozungulira ingafalire thupi lonse. Palpation - sabweretsa chisoni. M'kupita kwa ndondomeko pathological pakhungu timakumana ndi malo mtundu. Padziko malo anakhudzidwa anapanga bwino malire inki.

Ngati tikambirana chimake CE, zimachitika kuoneka mfundo payekha. Mu kukula zichuluka koposa mu nkhani yapita :. Kuwapeza masentimita 2 mtundu musati amasiyana ndi anthu ochepa. Nthawi zambiri kuonekera pa nkhope khosi, groin, nthawizina - kunja kwa dzanja. zotupa ziphuphu zakumaso ungadzakhazikitsidwe ofiira kapena oyera. M'kupita kwa nthawi, mfundo zambiri kuthetsa nasiya ndi inki khungu pamwamba.

mankhwala

Childs, sarcoidosis mankhwala Kwalamulidwa kwa odwala zotsatirazi: sanali steroidal odana ndi yotupa wothandizira, mahomoni. Imakhala mankhwala mabuku. The njira yabwino mitundu khungu kusamalira matenda ndi corticosteroids, methotrexate ndi antimalarials. Mahomoni mafuta kuzitikita mu zinkakhala m'dera, monga mankhwala ntchito mkati. Kuwonjezera ndalama izi, odwala anali kutumikiridwa mankhwala sedative ndi zina, odana depressants.

Khungu kusintha, omwe kusokoneza Kuyang'ana kwa kungasokoneze chikhalidwe ambiri. Wodwala Pankhaniyi akuvutika maganizo fixated pa vutolo. Sarcoidosis khungu makamaka ali kungasokoneze boma maganizo a wodwala. Ndi uzingopitirira: wovulala zina amakwiya chitukuko cha matenda ndi zolimbikitsa maonekedwe a zotupa latsopano. Komanso, kupatula kukonzekera pamwamba ogwirizana ndi physiotherapeutic njira: ultrasound, laser ndi electrophoresis ndi hydrocortisone. Panopa matenda si bwino. Choncho, nthawi zina, mankhwala ndi zovuta. Madokotala mankhwala ndondomeko ntchito kuti kuthetsa zizindikiro.

Khungu Sarcoidosis: Chithandizo cha mankhwala wowerengeka

Sarcoidosis angathe kuchizidwa ndi mankhwala wowerengeka. Amathandiza kuti chakuti granuloma kutsimikiza kuti chitetezo chokwanira mofanana ndi lonse chidzakula. Monga mankhwala ndi wowerengeka, ntchito matenda, nthawi zambiri amachita phula tincture. Izo zikhoza kugulidwa pa mankhwala ndi kuchita izo nokha. Kuti zimenezi zitheke, 100 ga phula m'pofunika kunena mu botolo la mowa wamphamvu kwa mwezi umodzi. Ntchito zotsatirazi: 25-30 madontho kusungunuka m'madzi otentha kapena mkaka kumwa kamodzi pa tsiku m'mawa, pa chopanda kanthu m'mimba. Inde - masiku 28.

Sarcoidosis kawirikawiri ankachitira ndi zitsamba. Mwachitsanzo, ntchito imeneyi cholinga tincture radiograms pinki. 15-20 madontho a mankhwala kupasuka mu madzi otentha. Tengani m'mawa: pamaso chakudya ndi chakudya. Njira ayenera kumwa maphunziro awiri, omwe masiku 25. Kutulukira pakati pa iwo ndi masabata 2. Komanso zotsatira zabwino a tiyi azitsamba, womwenso marshmallow mizu, umatheka oregano ndi tchire, marigold maluwa, masamba mbalame mountaineer ndi plantain. Kuwotcherera zosakaniza ayenera kusakaniza mu magawo ofanana. Ndiye 1 tbsp. L. Thirani otentha madzi osakaniza (1.5 makapu). Kumva kwa ola limodzi mu mawonekedwe atakulungidwa. Tengani 2 tbsp. L. kanayi pa tsiku. Njira ya mankhwala - masiku 28. Kuswa - sabata. Choncho muyenera kubwereza kasanu 4.

kwambiri decoction wa cuttings mphesa. M'pofunika wiritsani nthambi limodzi 300 ga mu 1.5 malita a madzi. Kuphika kwa mphindi 15-20, ozizira komanso kupsyinjika. Kumwa ndi uchi tiyi, 100-200 ga patsiku. Tiyi nazo katundu sedative masamba bulugamu, amene ntchito matenda. M'mawa ayenera lembani 50 g wa masamba wosweka ndi kutsanulira mu thermos theka lita imodzi ya madzi. Madzulo kumwa 100 ga wa kulowetsedwa ndi uchi.

Dziwani kuti decoctions ankaona ntchito pa matenda a sarcoidosis mkati osati kokha, komanso mu mawonekedwe a lotions (kupatula bulugamu tiyi). anyezi mafuta analimbikitsanso mu siteji koyamba za matendawa. Kudakonzedweratu motere: grated anyezi wothira mafuta mpendadzuwa ndi ntchito kwa khungu. Mwa zina, mungachite kusamba ndi tchire, chamomile, calendula ndi motsatizana.

ayamikira

Pali zingapo ayamikira, kugwilizana ndi amene amathandiza kuti ayambe zambiri mofulumira. Mwaichi, zodzitetezera motsutsa zisadzachitikenso matendawa kulibe. Komabe, pali mfundo zotsatirazi zimene zingakuthandizeni kuchepetsa chiopsezo sarcoidosis. Zikuphatikizapo: kukhalabe moyo wathanzi (chikonga achire), mankhwala a matenda amene amayambitsa chifooke chitetezo chokwanira, kugwilizana ndi zakudya sanali kwambiri ndiponso zakudya zanzeru. Food ayenera kudyedwa nthawi 5-6 tsiku chakudya chochepa. Mofanana kwambiri ndi zachilengedwe a m'derali, komanso kufunika mwanjira zachipatala Kupenda zonse kuchipatala.

Tisawasale zakudya za mkaka, kuchepetsa kudya maswiti ndi mchere. Koma ambiri a zipatso ndi masamba, m'malo mwake, kuonjezera. Iwo ayenera kusankha zipatso ndi zili chapamwamba vitamini C. kuchotsa khungu kukhudzana ndi zinthu zikuwononga yomwe INGATHE kuyambitsa kuyabwa ndi ziwengo. Ngati wodwala kupereka zokwanira zokhudza zonse chithandizo, matenda mofulumira kuphwera. Moyo amayembekezeka sikumangotikhudza matenda.

biopsy

njira yabwino kwambiri ndi biopsy kwa kudziwika poyamba sarcoidosis. Izo ntchito matenda oyambirira a matenda pogwiritsa ntchito njira asang'ambe. Mu sarcoidosis angakhudzidwe ndi ziwalo zosiyana ndi machitidwe thupi. Imodzi ndi khate zingakhudze lymph mfundo, chiwindi, ndulu, mtima ndi mantha dongosolo. Ngati wodwala anapeza khungu sarcoidosis, izo ayenera kukumana ndi kufufuza zonse. Chifukwa pali zambiri anadabwa ndi zina ziwalo ndi matenda.

zotupa yeniyeni ndi nonspecific

zotupa Cutaneous anawagawa yeniyeni ndi nonspecific. Taonani yoyamba. Matumba a erythema nodosum saonetsa kuchititsa deformations, koma yodziwika ndi kuzikonda kwa palpation. Mwina limodzi ndi nyamakazi, malungo. Pa exacerbation la matenda likugwiritsidwanso kutopa ndi ziwengo, amene kumatenga za 3-6 masabata. Mu woyambirira wa matenda kuoneka ofunda utoto chowawa mfundo ku malekezero m'munsi. maphunziro amgwirizano, kukula kwa wochokera masentimita 1 mpaka 5, zikhoza kusintha kangapo mtundu wawo ku ofiira owala ndi lofiirira, wachikasu ndi wobiriwira. Kaŵirikaŵiri mwaonapo. Mfundo makamaka kuchiritsa popanda amamuyambitsa timabala. Zizindikiro Non-zenizeni monga khungu calcification ndi limfodemu.

Sarcoidosis wa khungu, zizindikiro za amene afotokozedwa mu zotupa mwachindunji zambiri maculopapular mtundu. Pali matumba a pabuka bulauni kapena violet mtundu, kukula ukufika zosakwana 1 cm. Propagates mu nkhope khosi, milomo, makutu, miyendo ndi kumbuyo chapamwamba. granulomas Chitsanzo suli zizindikiro za matenda. zipsera Old kenako, pakuti chirichonse zifukwa, imvera kuwonongeka, akhoza walowerera ndi granulomas sarcoid.

kafukufuku

Pamene nthenda yotchedwa sarcoidosis ambiri zikuphatikizapo matenda khungu biopsy ndondomeko ndi kusanthula ambiri magazi ndi chizindikiritso cha leukocyte chilinganizo kupatsidwa zinthu za m'mwazi kuwerengedwa. Mu matendawa, mwa zina, leukopenia, trombotsitopepiya, kuchepa magazi, ambiri - eosinophilia, yafupika khungu reactivity, hypergammaglobulinemia. Komanso, odwala ndisanabadwe zili kashiamu mu tsiku mkodzo ndi magazi seramu. Theka la odwala anali hypercalciuria, 13% - hypercalcemia. The kusanthula seramu ACF. Mu oposa theka la izo kukwezeka odwala. Zoperekedwa ndi umagwirira magazi. Iwo ayenera kuganizira kuwonjezeka ESR ndi matupi odana nyukiliya.

Mu sarcoidosis kuchita pachifuwa X-ray ndi yopangidwa tomography, nthawi matenda limodzi ndi kugonjetsedwa awo. Kwa matenda molondola khungu biopsy imagwiridwa, kenako nkhani kupanga dermis ndi subcutaneous mafuta walangizidwa Kupenda histological.

kudya pang'ono

Apeze othamanga ayenera kutsatira zakudya zina, womwenso mankhwala okhala ndi Omega-3 mafuta zidulo. Zimachititsa ulimi wa mahomoni omwe umalimbana kuchepetsa kutupa. Kupatula mafuta ndi fulakesi mbewu nsomba, muyenera kudya zipatso, masamba ndi mtedza. Pankhaniyi, muyenera kuthetsa zakudya amene azitaya kutupa. Mwachitsanzo, viniga ndi zina kupanga mtundu acidic. M'pofunika kuchepetsa kudya shuga, mankhwala ufa, yokazinga, savory, sauces zokometsera ndi condiments, zakumwa zoziziritsa kukhosi, mkaka.

M'nkhaniyi, ife anayang'ana pa matenda osowa - khungu sarcoidosis, photos, ndi zizindikiro zimene anasonyeza mawonetseredwe matenda a matenda. Chithandizo ikuchitika makamaka ndi wothandizila m'thupi. The Mapa pamaso pa fomu pachimake, ndi zambiri yabwino. Therapy zambiri pa outpatient maziko.