Raunin jijiyoyin jiki na vasculitis
Rashin hankali na jijiyoyin jiki wani abu ne mai matukar tasiri ga magani, kamuwa da cuta, ko kuma baƙon abu. Yana haifar da kumburi da lalacewar jijiyoyin jini, galibi cikin fata. Ba a amfani da kalmar sosai a halin yanzu saboda ana samun karin takamaiman sunaye da yawa.
Rashin kwayar cutar tabin hankali, ko kuma karamin jirgin ruwa vasculitis, ana haifar da shi ne:
- Raunin rashin lafiyan magani ko wani abu na baƙi
- A dauki ga kamuwa da cuta
Yawanci yakan shafi mutanen da suka girmi shekaru 16.
Sau da yawa, ba za a iya samun dalilin matsalar ba ko da da nazarin tarihin likita sosai.
Rashin lafiyar rashin lafiyar jiki na iya zama kamar tsari, necrotizing vasculitis, wanda zai iya shafar jijiyoyin jini cikin jiki bawai kawai a cikin fata ba. A cikin yara, yana iya zama kamar Henoch-Schonlein purpura.
Kwayar cutar na iya haɗawa da:
- Sabon kumburi mai cike da taushi, shunayya ko launin ja-ja-ja a manyan wurare
- Ciwan fata yawanci yana kan kafafu, gindi, ko akwati
- Buruji akan fata
- Hives (urticaria), na iya ɗaukar tsawon sa'o'i 24
- Bude raunuka tare da mataccen nama (marurai necrotic)
Mai ba da sabis na kiwon lafiya zai kafa asalin cutar akan alamun. Mai ba da sabis ɗin zai sake nazarin duk wani magani ko magunguna da kuka sha da kuma cututtukan kwanan nan. Za a tambaye ku game da tari, zazzabi, ko ciwon kirji.
Za a yi cikakken gwajin jiki.
Ana iya yin gwajin jini da fitsari don neman rikicewar tsarin irin lupus erythematosus, dermatomyositis, ko hepatitis C. Jarabawar jinin na iya haɗawa da:
- Kammala lissafin jini tare da banbanci
- Erythrocyte ƙimar ƙwanƙwasawa
- Kwamitin sunadarai tare da hanta enzymes da creatinine
- Antinuclear antibody (ANA)
- Rheumatoid factor
- Antineutrophil cytoplasmic kwayoyin cuta (ANCA)
- Levelsara matakan
- Cryoglobulins
- Cutar hepatitis B da C
- Gwajin HIV
- Fitsari
Biopsy na fata yana nuna kumburin ƙananan hanyoyin jini.
Manufar magani shine a rage kumburi.
Mai ba ku sabis zai iya ba da umarnin aspirin, nonsteroidal anti-inflammatory drugs (NSAIDs), ko corticosteroids don rage kumburin jijiyoyin jini. (KADA KA ba da asfirin ga yara sai dai kamar yadda ka bayar da shawara).
Mai ba ku sabis zai gaya muku ku daina shan magunguna da za su iya haifar da wannan yanayin.
Raunin tabin hankali vasculitis galibi yakan wuce lokaci. Yanayin na iya dawowa cikin wasu mutane.
Mutanen da ke fama da cutar vasculitis ya kamata a binciki tsarin vasculitis.
Matsaloli na iya haɗawa da:
- Lalacewa ta dindindin ga jijiyoyin jini ko fata tare da tabo
- Cututtukan jini waɗanda ke shafar gabobin ciki
Kirawo mai ba ku sabis idan kuna da alamun rashin kuzari na vasculitis.
KADA KA sha magungunan da suka haifar da rashin lafiyan baya.
Vesselananan ƙananan jirgi vasculitis; Ciwon vasculitis; Leukocytoclastic vasculitis
- Vasculitis a kan dabino
- Ciwon mara
- Vasculitis - urticarial a hannu
Habif TP. Rawanin tabin hankali da cutar vasculitis. A cikin: Habif TP, ed. Clinical Dermatology. Na 6 ed. Philadelphia, PA: Elsevier; 2016: babi na 18.
Jennette JC, Falk RJ, Bacon PA, et al. 2012 sake fasalin taron yarjejeniya na kasa da kasa na taron kasa da kasa na cutar vasculitides. Arthritis Rheum. 2013; 65 (1): 1-11. PMID: 23045170 www.ncbi.nlm.nih.gov/pubmed/23045170.
Patterson JW. Tsarin yanayin vasculopathic. A cikin: Patterson JW, ed. Ilimin Lafiyar Weedon. 4th ed. Philadelphia, PA: Elsevier Churchill Livingstone; 2016: babi na 8.
Dutse JH. Tsarin vasculitides. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 270.
Sunderkötter CH, Zelger B, Chen KR, et al. Nomenclature na cutanous vasculitis: ƙari na dermatologic zuwa ga 2012 Revised International Chapel Hill Consensus Conference Nomenclature na Vasculitides. Arthritis Rheumatol. 2018; 70 (2): 171-184. PMID: 29136340 www.ncbi.nlm.nih.gov/pubmed/29136340.