Leukocytoclastic vasculitis, lisosa, matšoao le kalafo ke eng
Litaba
Leukocytoclastic vasculitis, eo hape e tsejoang e le hypersensitivity vasculitis kapa vasculitis e nyane ea sejana, e tšoana le ho ruruha ha methapo ea mali e ka hlahang ka lebaka la ho ruruha, tšoaetso kapa mafu a itšireletsang mafung, e lebisang ponahalong ea matheba a mafubelu haholo maotong, liropeng le sebakeng sa mpeng.
Ho fumanoa ha mofuta ona oa vasculitis ho etsoa ho nahanoa ka matšoao a hlahisoang ke motho eo le sephetho sa liteko tsa laboratori tse ka kopeloang ke ngaka. Maemong a mangata, matšoao a leukocytoclastic vasculitis a nyamela kamora likhoeli tse 'maloa, leha ho le joalo ho ka hlokahala ho sebelisa meriana e meng e kang antihistamine kapa corticosteroids ho latela boima ba vasculitis.
Lisosa tsa leukocytoclastic vasculitis
Mofuta ona oa vasculitis o ka ba le lisosa tse 'maloa' me hangata o amana le lisosa tse khothalletsang liphetoho tsamaisong ea 'mele ea ho itšireletsa mafung. Lebaka ke hobane ho lumeloa hore matšoao a leukocytoclastic vasculitis a etsahala ka lebaka la sebopeho sa lits'oants'o tsa "immune" methapong e menyenyane ea mali, mme seo se baka ho ruruha.
Kahoo, lisosa tsa mantlha tse amanang le kholo ea mofuta ona oa vasculitis ke:
- Allergy ho meriana e meng joalo ka lithibela-mafu, li-anti-inflammatory lithethefatsi, li-beta-blockers, warfarin le metformin;
- Ts'oaetso ea lijo tse ling kapa lisebelisoa tsa lijo;
- Tšoaetso ke libaktheria, livaerase kapa likokoana-hloko, e leng mafu a tšoaetsanoang khafetsa a amanang le ona Streptococcus pyogenes, Lefuba la Mycobacterium, Staphylococcus aureus, Chlamydia trachomatis, Neisseria gonorrhoeae, likokoana-hloko tsa hepatitis B le C le HIV;
- Ho itšireletsa mafung joalo ka ramatiki ea ramatiki, systemic lupus erythematosus le Sjogren's syndrome;
- Maloetse a ho ruruha joalo ka lefu la Crohn le lefu la ulcerative colitis, mohlala;
- Liphetoho tse mpe joalo ka lihlahala, lymphoma, leukemia le myelodysplastic syndrome.
Ho fumanoa ha leukocytoclastic vasculitis ho etsoa ke ngaka e akaretsang, angiologist, rheumatologist kapa dermatologist ka tlhahlobo ea pele ea matšoao le matšoao a hlahisoang ke motho. Ntle le moo, e kopuoa hape ke ngaka ho etsa liteko tsa laboratori tse thusang ho etsa phapang ea phapang, joalo ka palo ea mali, VSH, liteko tse lekolang liteko tsa sebete le liphio le moroto.
Ho netefatsa tlhahlobo ea lefu lena, ngaka e khothaletsa ho etsa biopsy ea leqeba, e le hore tlhahlobo ea microscopic ea lisele e ka etsoa, e etsoa haholo lihora tse 24 ho isa ho tse 48 tsa ponahalo ea matšoao a pele. Utloisisa hore na biopsy e lokela ho etsoa joang.
Matšoao a mantlha
Matšoao a leukocytoclastic vasculitis a amana le ho beoa ha litsing tsa 'mele tsa ho itšireletsa mafung methapong ea mali, e leng meaho e thehiloeng ke masole a' mele, e hlahisoang ka lebaka la ts'ebetso ea ho ruruha le ho tsamaisa li-antigen. Kamora ho theoa ha lits'oants'o tsa 'mele ea ho itšireletsa mafung le ho beoa ka har'a lijana, ho sebelisoa lintlha tse amanang le ts'ebetso ea sesole sa' mele, tse lebisang ho hlaha ha matšoao, a mantlha e le:
- Ho hlaha ha matheba a khubelu letlalong;
- Ho chesa maikutlo le bohloko ho liso;
- Ho hlohlona ho matla;
- Ponahalo ea maqhutsu;
- Ho hlaha hoa liso tse sitsoeng.
Matšoao ana a atile haholo maotong, liropeng, marameng le mpeng. Ntle le moo, maemong a boima ka ho fetesisa, matšoao a systemic a kang feberu, ho theola boima ba 'mele ntle le lebaka, bohloko ba mesifa, mali ka morong kapa mantle le ho eketsa molumo oa mpa, mohlala. Ho bohlokoa maemong ana ho buisana le ngaka e le hore tlhahlobo e ka etsoa le tlhoko ea ho qala kalafo e hlahlojoe.
Sheba matšoao a mang a vasculitis.
Kalafo e etsoa joang
Maemong a mangata a leukocytoclastic vasculitis, matšoao hangata a nyamela ntle le tlhoko ea kalafo efe kapa efe, leha ho le joalo ho bohlokoa hore sesosa se tsejoe hobane ho ka etsahala hore maano a ho thibela sekhahla se secha sa vasculitis a bontšoa, joalo ka ho emisoa ha moriana kapa tšebeliso e fokotsehileng ea lijo, haeba vasculitis e amana le ho hanana le lithethefatsi kapa lijo, mohlala.
Maemong a mang, ha matšoao a sa nyamele ka nako kapa ha matšoao a systemic a hlaha, ngaka e ka supa ts'ebeliso ea meriana e meng ho thibela tsoelo-pele ea vasculitis le ho khothaletsa ntlafatso ea motho, moo tšebeliso ea li-antihistamine kapa corticosteroids, ntle le ho phomola le ho phahamisa maoto.