Vasculitis - ukuxilongwa kanye nokwelashwa

Vasculitis - isifo elihlobene ne izinqubo ukuvuvukala esitsheni igazi izindonga. Lokhu ukuvuvukala kwenzeka ngenxa yezizathu ezihlukahlukene. Kodwa avame vasculitis - phetho imisebenzi amagciwane noma amagciwane ezibangela izivikeli mzimba ukulwa izicubu zisifake yayo efanayo, kuhlanganise - ngokumelene izicubu semithambo. Ngakho-ke vasculitis libhekisela eqenjini izifo sokuhlasela kwamasosha omzimba. izimbangela Ezazimzungezile - akuyona nje umthelela izifo. Ngokuvamile, ukwelashwa ngokuvamile vasculitis nzima yokuthi isayensi ukuthi konke okunye ngalesi sifo, okuhlanganisa nezimbangela zayo, indima ufuzo nokunye akusho. Kukhona Ukwahlukaniswa sifo, uhlukanisa kube zamabanga aphansi naphezulu.

vasculitis Primary kungenzeka ngenxa yofuzo kuso, izifo, ezihlukahlukene ukulimala kanye nemithi ethile. vasculitis Secondary zivamise ukwenzeka ngenxa nanoma yiziphi izinkinga lesi sifo. izifo ezinjalo zingase zibe scarlet fever, umdlavuza, psoriasis, futhi meningitis.

Kunamaqembu eziningana vasculitis. Iqembu lokuqala - isifo esithinta imikhumbi emikhulu. Eto cell giant arteritis, lapho kukhona igazi, imfiva, izici ezithile rheumatism. arteritis Takayasu sika, kubathinta ezithinta le-aorta kubangela ischemia.

Iqembu lemikhumbi vasculitis yesibili kuthinta inani eliyisilinganiso. Leli qembu kuhlanganisa sokuqaqamba kwamalunga knotty - kuthinta kwemithambo ye ezinkulu izitho - inhliziyo, izinso, emaphashini, isibindi. Vasculitis ezinganeni ngokuvamile kwenzeka ngesimo Kasavaki syndrome, okuyinto sivezwe kula izilonda kwezicubu lwamafinyila emlonyeni - ngokwesibonelo, iqala ukwambula ebusweni ulimi, futhi amehlo akhe redden. Izandla nezinyawo avele ukuvuvukala, izinga lokushisa likhuphuka kanye nokwenyuka kwezinga ISIZINDA entanyeni lymph.

Iqembu lesithathu lihlanganisa ukunqoba izitsha ezincane. Lokhu kungaba, isibonelo, granulomatosis Wegener sika, elithengiswa ukuba yomoya engenhla futhi kubonakala ngesimo acinene - ubomvu kancane ixubene igazi.

ukunakwa Ngokuvamile okwengeziwe ukukhokha lezo vasculitis, okuyinto Zimelela ukuvuvukala izitsha ezincane igazi. Leli qembu vasculitis ihlukaniswe izinhlobo iguliswa futhi okungezona nomzimba. Umzimba ongezwani nezinto ngokujwayelekile ohambisana nesifanekiso Izilonda nezicubu visceral. ukuvuvukala Non-iguliswa ikakhulukazi emelelwa isikhumba nesineke.

Vasculitis kwesikhumba - lesi sifo kwande ngaphezu a vasculitis letindzala. With simiso ukwelashwa - inqubo kunzima kakhulu kangakanani futhi isikhathi eside. Isizathu sisobala - isifo letindzala libhekene yokuthi hhayi elilodwa eziningana izikhungo kulo lonke ukugula ehilelekile. vasculitis lefundo ukukhiqiza izimpawu ezifana nokopha ezincane esikhumbeni, imfiva, futhi ukulahlekelwa ezinye izitho zangaphakathi. Njengoba uhlobo vasculitis letindzala ukuhlukanisa oluhambisana vasculitis - Izilonda amaningi kanye nolwelwesi lwamafinyila zomzimba. Kodwa ngisho angakwazi hit izicubu namalungu amanye izitho zangaphakathi.

Kubonakala avame oluhambisana vasculitis ezinganeni, engesiyo ngisho engu-14 ubudala. Lesi sifo kuyinto ezithathelwanayo-nomzimba. Oluhambisana vasculitis ezinganeni sibi, kuthinta ithrekhi isikhumba microcircular, izinso, amalunga, pheshana emathunjini namanye izitho. Izimpawu: mhlawumbe inhlanganisela besisu, oluhambisana, ngokuhlanganyela, imfiva. Ukuqubuka, okuyinto kubonakala nalesi sifo, emelelwa nokopha encane afanako kokuvela izingalo ukugoba, imilenze. Esikhathini esithile ngemva kokuzalwa yayo baqala onsomi ke - ayilutho. Ngaphezu kwalokho zokwakheka umbala uphendulela ensundu iba phuzi. Vasculitis ezinganeni uvamise kubonakala inhlanganisela nezinye izifo, kuhlanganise caries zamazinyo, namathansela chronic igciwane le-TB. Ukutheleleka noma enye imbangela ithuthukisa ukuzwela zomzimba. Ukukhombisa ukuphikisana nalokhu sensitization livela ukuphendula hyperergic. Futhi lokho kungaholela ushintsho ohlelweni wegazi coagulation nezinqubo yesenzo kwesimiso somzimba sokuzivikela ezifweni.

Lapho sitholakele ukwelashwa vasculitis kuhilela ukuhlala lesiguli ku bedrest kuze izilonda zinyamalale, baxoshwe Ukudla zonke izinto ezixabana nomzimba kungenzeka ukuthi kungenzeka eziqukethwe ezisawolintshi izithelo, ushokoledi kanye cocoa, amaqanda, kanye nokunye. Ngaphezu kwalokho, ukuphathwa esetshenziswa antiplatelets, anticoagulants, desensitizing, ama-hormone kanye nezinye izidakamizwa. Ukwelashwa vasculitis ezinganeni kungavuka polupostelnom imodi ngemva kwezinsuku ezimbalwa emva ukunyamalala ukuqubuka. Ukuphulwa ngokuqinile contraindicated. Uma kukhona ekhukhwini yizifo ezingamahlalakhona, kuba ekwelapheni vasculitis yokwelapha antibiotic akufakiwe (isb. A. Kukhona ingozi komzimba). Uma lesi sifo kunzima, kubalulekile ukusebenzisa izidakamizwa immunosuppressive.

Manje, ngeshwa, kakhulu ngokuvamile kunakuqala, uthole ukuxilongwa vasculitis. Ukwelapha kunjalo, okokuqala kunakho konke, ukunciphisa omzimba izimpawu ayekile akhule. Kuyadingeka ukuthi amasosha omzimba ngokumelene isitho kwezicubu sebeyekile. izidakamizwa Suppressive (immunosuppressants) usizo "sokwehlisa" amabutho esimiso somzimba sokuzivikela ezifweni yakhelwe ukuhlasela ezicutshini zomzimba, ngisho kulesigaba uqala abaphindela a vasculitis kancane. Ukwelapha kusinyathelo yesibili ihlose ukubuyisela umzimba kusuka yomonakalo.

Ukuxilongwa vasculitis lihlanganisa ukuhlaziya amasampula umchamo futhi igazi, ukutadisha isimo izitsha,-X-ray kanye biopsy. Ngaphezu yimuphi nezinye izinhlobo, kuyingozi vasculitis letindzala. Ukwelashwa kusekelwe nokuphathwa immunoglobulin, ayisiza wasebenzisa izidakamizwa cytotoxic, ngokuhlanza igazi, imithi ukuthi kunciphise amandla igazi ukuze ihlule.