Sengoli: Roger Morrison
Letsatsi La Creation: 1 September 2021
Ntlafatsa Letsatsi: 4 November 2024
Anonim
Collagenosis: ke eng, lisosa tsa mantlha le mokhoa oa ho phekola - Bophelo
Collagenosis: ke eng, lisosa tsa mantlha le mokhoa oa ho phekola - Bophelo

Litaba

Collagenosis, e tsejoang hape e le lefu la collagen, e tšoauoa ka sehlopha sa mafu a ikemetseng le a ho ruruha a lematsang lisele tsa mmele, e leng lisele tse entsoeng ke likhoele, joalo ka collagen, mme e ikarabella mesebetsing e kang ho tlatsa libaka tse lipakeng. litho tsa 'mele, li fana ka ts'ehetso, ntle le ho thusa ho sireletsa' mele.

Liphetoho tse bakoang ke collagenosis li ka ama litho le litsamaiso tse fapaneng tsa 'mele, joalo ka letlalo, matšoafo, methapo ea mali le lisele tsa lymphatic, mohlala, mme li hlahisa matšoao le matšoao a dermatological le rheumatological, a kenyeletsang bohloko ba manonyeletso, liso tsa letlalo, liphetoho tsa letlalo. , ho potoloha ha mali kapa molomo le mahlo a omileng.

Tse ling tsa li-collagenoses tse kholo ke mafu a kang:

1. Lupus

Ke lefu le ka sehloohong la ho itšireletsa mafung, le bakang tšenyo ea litho le lisele ka lebaka la tšebetso ea li-autoantibodies, mme le atile haholo ho basali ba banyane, leha le ka hlaha ho mang kapa mang. Sesosa sa eona ha se e-so tsejoe ka botlalo, mme lefu lena hangata le hlaha butle butle le sa khaotse, ka matšoao a ka bang bobebe ho isa ho a matla, a fapaneng ho ea ka batho.


Lipontšo le matšoao: lupus e ka baka mefuta e fapaneng ea lipontšo tsa bongaka, ho tloha sebakeng sa heno ho hasoa ho pholletsa le 'mele, ho kenyeletsoa likoli tsa letlalo, liso tsa molomo, ramatiki, mathata a liphio, mathata a mali, ho ruruha ha matšoafo le pelo.

Ithute ho eketsehileng ka hore na ke eng le hore na u ka khetholla lupus joang.

2. Scleroderma

Ke lefu le bakang ho bokellana ha likhoele tsa collagen 'meleng, sesosa se sa tsejoeng, mme se ama haholo letlalo le manonyeletso, hape se ka ama ho potoloha ha mali le litho tse ling tsa kahare, joalo ka matšoafo, pelo, liphio le pampitšana ea mala.

Lipontšo le matšoao: hangata letlalo lea tiya, le ba thata, le phatsime le bile le na le mathata a ho potoloha ha mali, le mpefalang butle butle-butle. Ha e fihla lithong tsa kahare, ka mofuta oa eona o pharalletseng, e ka baka mathata a ho hema, liphetoho tsa tšilo ea lijo, ntle le ts'ebetso ea pelo le liphio, mohlala.


Utloisisa matšoao a mefuta e meholo ea scleroderma le hore na u ka e phekola joang.

3. Lefu la Sjogren

Ke mofuta o mong oa lefu le itšireletsang mafung, le khetholloang ke ho kenella ha lisele tsa ts'ireletso ho litšoelesa 'meleng, ho sitisa tlhahiso ea sephiri ke litšoelesa tse lacrimal le tsa mathe. Lefu lena le atile haholo ho basali ba lilemong tse mahareng, empa le ka hlaha ho mang kapa mang, mme le ka hlaha le itšehla thajana kapa la tsamaea le mafu a kang ramatiki, lupus, scleroderma, vasculitis kapa hepatitis, ka mohlala.

Lipontšo le matšoao: molomo o omileng le mahlo ke matšoao a mantlha, a ka mpefalang butle butle butle, mme a baka bofubelu, ho chesa le maikutlo a lehlabathe mahlong kapa ho thatafalloa ho koenya, ho bua, ho bola ha meno le ho chesa molomong. Matšoao likarolong tse ling tsa 'mele ha a fumanehe hangata, empa a ka kenyelletsa mokhathala, feberu le bohloko ba manonyeletso le mesifa, mohlala.


Utloisisa hamolemo mokhoa oa ho khetholla le ho fumana lefu la Sjogren.

4. Dermatomyositis

Hape ke mofuta oa lefu le ikemetseng le hlaselang le ho sekisetsa mesifa le letlalo. Ha e ama mesifa feela, e ka tsejoa hape e le polymyositis. Sesosa sa eona ha se tsejoe, 'me se ka hlaha ho batho ba lilemo tsohle.

Lipontšo le matšoao: ho tloaelehile ho ba le bofokoli ba mesifa, bo tloaelehileng ka kutu, ho sitisa ho sisinyeha ha matsoho le noka, joalo ka ho kopanya moriri kapa ho lula / ho ema. Leha ho le joalo, mesifa efe kapa efe e ka fihlelleha, e baka mathata a ho metsa, ho tsamaisa molala, ho tsamaea kapa ho hema, mohlala. Liso tsa letlalo li kenyelletsa mabala a bofubelu kapa a pherese le ho fofa ho ka mpefalang le letsatsi.

Fumana lintlha tse ling mabapi le hore na u ka khetholla le ho phekola dermatomyositis joang.

Mokhoa oa ho netefatsa ts'oaetso

Bakeng sa ho fumana collagenosis, ntle le tlhahlobo ea bongaka, ngaka e ka laela liteko tsa mali tse khethollang ho ruruha le lithibela-mafu tse teng mafu ana, joalo ka FAN, Mi-2, SRP, Jo-1, Ro / SS-A kapa La / SS- B, mohlala. Likokoana-hloko kapa tlhahlobo ea lisele tse chesang li kanna tsa hlokahala.

Mokhoa oa ho phekola collagenosis

Kalafo ea collagen, hammoho le lefu lefe kapa lefe le itšireletsang mafung, e ipapisitse le mofuta oa eona le ho tiea ha eona, mme e lokela ho tataisoa ke rheumatologist kapa dermatologist. Ka kakaretso, e kenyelletsa ts'ebeliso ea li-corticosteroids, joalo ka Prednisone kapa Prednisolone, ntle le li-immunosuppressants tse matla kapa li-immune system, joalo ka Azathioprine, Methotrexate, Cyclosporine kapa Rituximab, joalo ka mokhoa oa ho laola boits'ireletso ba mmele le ho fokotsa litlamorao ho ona mmele.

Ntle le moo, mehato e meng e kang ts'ireletso ea letsatsi ho thibela liso tsa letlalo, le marotholi a mahlo a maiketsetso kapa mathe ho fokotsa ho oma ha mahlo le molomo, e kanna ea ba mekhoa e meng ea ho fokotsa matšoao.

Collagenosis ha e na pheko, leha ho le joalo mahlale a lekile ho hlahisa mekhoa ea kalafo ea sejoale-joale, e ipapisitse le taolo ea boits'ireletso le immunotherapy, e le hore mafu ana a ka laoloa ka katleho.

Hobaneng ho etsahala

Ha ho na lebaka le hlakileng la ho hlaha ha sehlopha sa maloetse a ikemetseng a bakang collagenosis. Le ha li amana le ts'ebetso e fosahetseng le e feteletseng ea sesole sa 'mele, ha ho tsejoe hantle hore na boemo bona bo bakoa ke eng.

Ho na le monyetla oa hore ho na le liphatsa tsa lefutso esita le tikoloho, joalo ka mokhoa oa bophelo le litloaelo tsa ho ja, joalo ka sesosa sa mafu ana, leha ho le joalo, mahlale a ntse a hloka ho tseba hantle lipelaelo tsena ka lithuto tse ling.

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