Vasculitis - matenda ndi mankhwala

Vasculitis - matenda kugwirizana ndi njira yotupa m'makoma magazi chotengera. kutupa Izi zimachitika pa zifukwa zosiyanasiyana. Koma nthawi zambiri vasculitis - zotsatirapo za zochita za tizilombo kapena mabakiteriya amene amayambitsa chitetezo cha m'thupi kulimbana ndi minofu ya chamoyo wake omwewo, kuphatikizapo - ndi minofu mtima. Choncho vasculitis amatanthauza gulu la matenda autoimmune. zimayambitsa - si mmene matenda. Nthawi zambiri mankhwala kawirikawiri vasculitis zovuta chifukwa chakuti sayansi sakudziwa chirichonse za matenda, kuphatikizapo zimayambitsa, udindo wa majini ndi zina zotero. Pali gulu la matenda, lomwe limapanga malire mu pulayimale ndi sekondale.

vasculitis chachikulu kumachitika chifukwa cha kutengera za kumtundu kwa izo, matenda, zosiyanasiyana kuvulala ndi mankhwala ena. vasculitis Secondary zambiri zimachitika chifukwa cha mavuto zilizonse za matendawa. matenda amenewa angakhale chofiira malungo, khansa, psoriasis, ndi meninjaitisi.

Pali magulu angapo a vasculitis. Woyamba gulu - matenda imagwira mitsempha yaikulu. Eto chimphona selo arteritis, mmene muli magazi m'thupi, malungo, zina la misempha. Takayasu a arteritis, zikuwononga moyo ndi msempha amachititsa ischemia.

A gulu lachiwiri la ziwiya vasculitis zimakhudza mtengo pafupifupi. gulu Izi zikuphatikizapo knotty nyamakazi - zingamvekere mitsempha ya akuluakulu ziwalo - mtima, impso, m'mapapo, chiwindi. Vasculitis ana nthawi zambiri amapezeka mu mawonekedwe Kasavaki matenda, chimene chimaoneka mu zotupa za zimakhala mucous m'kamwa - mwachitsanzo, akuyamba osokoneza padziko chinenero, ndi maso ake redden. Manja ndi mapazi kuoneka kutupa, auka kutentha ndi ukuwonjezeka mu mfundo khosi lymph.

Gulu lachitatu zikuphatikizapo akunde ziwiya yaing'ono. Izi zikhoza kukhala Mwachitsanzo, granulomatosis Wegener a, amene anagawira Airways chapamwamba ndipo anawonetseredwa mu mawonekedwe a m'mphuno - mafinya pang'ono wothira mwazi.

tcheru Kawirikawiri kwambiri pa kulipira vasculitis anthu omwe ukufanizidwa ndi kutukusira kwa mitsempha kakang'ono ka magazi. Gulu la vasculitis lagawidwa mitundu matupi awo sagwirizana ndi sanali matupi awo sagwirizana. Matupi awo sagwirizana amaonera zotupa ndi zimakhala choipidwa. Non-matupi awo sagwirizana kutupa makamaka ukufanizidwa ndi khungu la mtima.

Vasculitis wa khungu - matenda ndi ambiri kuposa wina vasculitis zokhudza zonse. Ndi dongosolo mankhwala - ndondomeko ndi kovuta kwambiri ndipo nthawi yaitali. chifukwa ndi losavuta - matenda zokhudza zonse yodziwika ndi yakuti si wina koma zingapo malo mu matendawo ali nawo. vasculitis zokhudza zonse kutulutsa zizindikiro monga kukha magazi yaing'ono khungu, malungo, ndi imfa ya zina mwa ziwalo mkati. Monga mtundu wa zokhudza zonse vasculitis kusiyanitsa hemorrhagic vasculitis - zotupa angapo ndipo zimagwira ntchito zosiyanasiyana mucous ya thupi. Koma ngakhale iye akhoza kugunda minofu zimfundo ndi zina ziwalo.

Zikuoneka zambiri hemorrhagic vasculitis ana, omwe si akale ngakhale zaka 14. matenda ndi matenda-matupi awo sagwirizana. Hemorrhagic vasculitis ana ndi pachimake, zimakhudza khungu microcircular njirayo, impso, mafupa, kapepala kakuti m'mimba ndi ena ziwalo zina. Zizindikiro: mwina osakaniza m'mimba, hemorrhagic, limodzi malungo. Totupa, amene akuwonekera ndi matenda, kudzera mwa kukha magazi yaing'ono symmetrically kuwonekera manja kupinda, miyendo. Patapita nthawi kubadwa kwake iwo anayamba wofiirira, ndiye - wotumbululuka. Komanso formations mtundu akutembenukira bulauni ndipo chikasu. Vasculitis ana zimachitika osakaniza ndi matenda ena, kuphatikizapo caries mano, zilonda zapakhosi aakulu ndi matenda TB. Infection kapena chinthu china timapitiriza tilinazo thupi. Against zina uyu amaoneka hyperergic anachita. Ndipo zimene zingachititse kuti asinthe dongosolo la coagulation magazi ndi njira ya zochita za chitetezo cha m'thupi.

Pamene matenda a vasculitis chithandizo kumatanthauza kukhala wodwala pa bedrest mpaka zotupa kutha, chowasiyanitsa ku chakudya allergens zonse zotheka kuti akhoza ali zipatso, chocolate ndi koko, mazira, ndi zina zotero. Komanso, mankhwala ntchito antiplatelets, anticoagulants, zakupha chikumbumtima, mahomoni ndi mankhwala ena. Mankhwalawa vasculitis ana angayambe mode polupostelnom patapita masiku angapo pambuyo kutha kwa totupa lapansi. Kupondelezedwa kwa mosamalitsa contraindicated. Ngati pali m'matumba a matenda aakulu, mankhwalawa mankhwala vasculitis mankhwala sali m'gulu (ie. A. Pali chiopsezo cha thupi lawo siligwirizana). Ngati matenda ndi zovuta, m'pofunika kugwiritsa ntchito mankhwala immunosuppressive.

Tsopano, mwatsoka, zambiri kawirikawiri kuposa kale, anapeza matenda a vasculitis. Muzilemekeza ndi choyamba, kuchepetsa zimene zimakumana zizindikiro asiya kukula ndi kukhala. M'pofunika kuti chitetezo chokwanira ndi zimakhala limba asiya. mankhwala Suppressive (immunosuppressants) thandizo ku "kudzilimbitsa" mphamvu ya chitetezo cha m'thupi cholinga kuukira thupi zimakhala yekha, ngakhale isanatuluke akuyamba amayambiranso ndi vasculitis pang'ono. Kuliona mu ndime yachiwiri cholinga kubwezeretsa thupi ku zinawonongedwa.

Matenda a vasculitis zikuphatikizapo kusanthula mkodzo ndi magazi zitsanzo, kuphunzira boma ziwiya, X-ray ndi biopsy. Kuposa mitundu ina, woopsa zokhudza zonse vasculitis. Chithandizo akuchokera utsogoleli wa immunoglobulins ntchito mankhwala cytotoxic, kuyeretsa magazi, kumwa mankhwala amene amachepetsa mphamvu magazi kuti aumirira.