Vasculitis: ke eng, lisosa, matšoao le kalafo

Litaba

• Lisosa tse ka bang teng
• Matšoao ke afe
• Mokhoa oa ho hlahloba o etsoa joang
• Kalafo e etsoa joang

Vasculitis, eo hape e bitsoang angeitis, ke ho ruruha ha methapo ea mali e ka amang sekepe se le seng kapa tse 'maloa, esita le litho tse fapaneng' meleng. Kahoo, sephetho se seholo sa vasculitis ke phokotso kapa ho thiba ha phallo ea mali ka sejaneng se amehileng, se ka hlahisang ischemia, e leng khaello ea oksijene ka har'a lisele mme e ka lebisa ho necrosis ea sebaka se chesang.

Vasculitis e ka aroloa ho latela lisosa le matšoao ho:

• Vasculitis ea mantlha, moo matšoao a ka hlahang ho batho ba phetseng hantle, ba se nang nalane ea mafu;
• Vasculitis ea bobeli, bao matšoao a bona a hlahang ho batho ba fumanoeng ba na le lefu, joalo ka lupus erythematosus, lefu la Buerger, schönlein-henoch purpura.

Ho fumanoa ha mefuta e 'meli ea vasculitis ho etsoa ka liteko tsa laboratori tsa mali le litšoantšo, ho bohlokoa ho ngaka ho lekola ho tiea ha lefu lena le ho bontša kalafo e ikhethileng ka ho fetesisa e ka bang le corticosteroids kapa immunosuppressants.

Lisosa tse ka bang teng

Lisosa tsa ho qaleha ha vasculitis ha li hlake hantle, empa maemong a mangata ho bonahala eka li amana le lefu le itšireletsang mafung, ka hona ho lumeloa hore liphatsa tsa lefutso ke e 'ngoe ea lintlha tsa bohlokoa bakeng sa ponahalo ea lona.

Leha ho le joalo, hajoale ho na le mabaka a tikoloho a bonts'ang bokhoni ba ho hlahisa vasculitis mothong, joalo ka ts'ebeliso ea cocaine kapa amphetamine, boteng ba livaerase tse kang hepatitis B kapa C le parvovirus B19. Ntle le moo, vasculitis le eona e ka bakoa ke litla-morao tsa meriana e meng, joalo ka Penicillamine, Propylthiouracil, Hydralazine, Minocycline kapa ho pepesehela silika.

Matšoao ke afe

Kaha methapo efe kapa efe ea mali 'meleng e ka ameha, vasculitis e ka baka matšoao a fapaneng ho latela sebaka kapa setho se anngoeng ke lefu lena. Kahoo, matšoao a vasculitis ho latela sebaka se amehileng e ka ba:

• Letlalo: mabala a pherese a hlahang ka lihlopha mme a ka lebisa ho senyeheng ha letlalo, ho hlohlona kapa ho lahleheloa ke maikutlo sebakeng seo;
• Nko le litsebe: khafetsa sinusitis, nosebleeds, liso tsa ka mehla tsa masapo kapa otitis, ho se utloe ha nakoana, lentsoe le hlabang, bohloko ba nko;
• Liphio: boteng ba liprotheine le / kapa mali morotong, khatello e phahameng ea mali, maoto le matsoho a ruruhileng le sefahleho, moroto o koahetsoeng ke maru;
• Mala bohloko ba mpeng hangata kamora ho ja, litulo tse nang le mali;
• Lung: ho khohlela mali, phefumoloho e khuts'oane, ho hema ha o hema, pneumonia e sa thibeleng lithibela-mafu;
• Manonyeletso: bohloko, ho ruruha, mocheso, bofubelu le bothata ba ho tsamaisa manonyeletso;
• Mahlo: ho thatafalloa ke ho bona, ho bona habeli kapa ho fifala, bohloko ba leihlo kapa leihlo le lefubelu;
• MetsingHo tlohalitho: bofokoli ba mesifa, ho hlohlona, ​​ho holofala.

Matšoao a mang a ka bang teng ho vasculitis ke ho theola boima ba 'mele ntle le lebaka le utloahalang, bohloko ba khafetsa ba' mele, mokhathala o feteletseng, ho felloa ke takatso ea lijo, malaise kapa feberu.

Haeba ho na le lipelaelo tsa ho ba le vasculitis, ho bohlokoa ho batla tlhokomelo ea bongaka kapele kamoo ho ka khonehang, kaha vasculitis e ka senya litho tsa mmele joalo ka matšoafo kapa liphio.

Mokhoa oa ho hlahloba o etsoa joang

Ho fumanoa ha vasculitis ho entsoe ke angiologist kapa rheumatologist mme ho tla etsoa kamora ho sekaseka nalane ea motho ea lefu, mme maemong a mang liteko tsa laboratori joalo ka ho fumana li-anti-cytoplasmic antibodies (ANCA), e leng lithibela-mafu tse hlaselang cytoplasm, ekaba kopa., teko ea moroto, li-electrolyte, creatinine, tlhahlobo e felletseng ea mali le tlhahlobo ea FAN, e ikemiselitseng ho bona boteng ba li-autoantibodies maling. Utloisisa hore na tlhahlobo ea FAN ke eng le hore na e etsoa joang.

Maemong a ho belaela hore vasculitis e fihletse setho, liteko li kanna tsa hlokahala ho lekola ts'ebetso ea litho tse amehileng tsa litho, joalo ka imaging ea matla a khoheli, ultrasound le computed tomography, ntle le biopsy.

Kalafo e etsoa joang

Kalafo ea mefuta e fapaneng ea vasculitis e etsoa ho latela lebaka la ho ruruha le ho tiea ha boemo ba motho. Maemong a mang, kalafo e etsoa ka lithethefatsi tsa corticosteroid, joalo ka hydrocortisone, dexamethasone, mometasone le betamethasone, mohlala, ntle le li-immunosuppressants tse kang azathioprine, cyclophosphamide kapa mycophenolate. Lekola mefuta ea li-corticosteroids le hore na ke tsa eng.

Leha ho le joalo, ho vasculitis e matla, e amang litho tsa 'mele, motho ka mong o tlameha ho lula sepetlele e le hore a fumane kalafo e nepahetseng,' me maemong a mang ho hlokahala ho buuoa ho nchafatsa phallo ea mali ka sejaneng se lemetseng ke ho ruruha.

Hammoho le kalafo ea lithethefatsi, hajoale tloaelo ea boikoetliso bo bobebe ba 'mele, phomolo e lekaneng, ho ja hantle le phokotso ea maemo a khatello ea maikutlo e bonts'itsoe e le bohlokoa ebile e na le litholoana tse ntle bakeng sa kalafo ea vasculitis.