Vasculitis: menene shi, haddasawa, alamomi da magani

Wadatacce

• Matsaloli da ka iya haddasawa
• Menene alamun
• Yadda ake ganewar asali
• Yadda ake yin maganin

Vasculitis, wanda ake kira angeitis, shi ne kumburin jijiyoyin jini wanda zai iya shafar tasoshi ɗaya ko da yawa, har ma da gabobi daban-daban a jiki. Don haka, babban sakamakon vasculitis shine raguwa ko toshewar jini a cikin jirgin ruwan da abin ya shafa, wanda zai iya haifar da ischemia, wanda shine rashin isashshen oxygen a cikin kayan kuma zai iya haifar da necrosis na yankin da ke kumburi.

Vasculitis za a iya rarraba shi bisa ga dalilai da alamomin cikin:

• Cutar vasculitis na farko, wanda alamun zai iya bayyana a cikin mutane masu lafiya, ba tare da tarihin cututtuka ba;
• Ciwon vasculitis na biyu, wanda alamominsa suka bayyana a cikin mutanen da aka gano suna da cuta, kamar lupus erythematosus, cutar Buerger, schönlein-henoch purpura.

Ganewar nau'ikan nau'ikan cutar vasculitis ana yin ta ne ta hanyar gwajin jini da hoto, yana da mahimmanci ga likita ya duba tsananin cutar kuma ya nuna takamaiman magani, wanda zai iya kasancewa tare da corticosteroids ko immunosuppressants.

Matsaloli da ka iya haddasawa

Dalilan da suka haifar da cutar vasculitis ba su bayyana gaba daya ba, amma a mafi yawan lokuta ana ganin yana da nasaba da wata cuta ta jiki, don haka ana jin cewa kaddarar kwayoyin halitta na daga cikin mahimman abubuwan da ke bayyana.

Koyaya, a halin yanzu akwai abubuwanda suka shafi muhalli wadanda suke nuna ikon kamuwa da cutar vasculitis a cikin mutum, kamar amfani da hodar iblis ko amfetamines, kasancewar ƙwayoyin cuta irin su hepatitis B ko C da parvovirus B19. Bugu da kari, kwayar cutar ta vasculitis kuma ana iya haifar da ita sakamakon wasu magunguna, kamar su Penicillamine, Propylthiouracil, Hydralazine, Minocycline ko kuma fuskantar silica.

Menene alamun

Tunda kowane jijiyoyin jini a jiki zasu iya shafar, vasculitis na iya haifar da alamomi daban daban ya danganta da yanki ko sashin jikin da cutar ta shafa. Don haka, alamun cutar vasculitis dangane da yankin da abin ya shafa, na iya zama:

• Fata: tsabtace wurare waɗanda suka bayyana a rukuni-rukuni kuma zai iya haifar da karyewar fata, ƙwanƙwasawa ko asarar ji a yankin;
• Hanci da kunnuwa: maimaita sinusitis, zubar jini, maimaita ulcers ko otitis, kurma na ɗan lokaci, murya mai zafi, ciwon hanci;
• Koda: kasancewar sunadarai da / ko jini a cikin fitsari, hawan jini, kumburarren hannu da fuska, fitsarin girgije;
• Hanji: ciwon ciki sau da yawa bayan cin abinci, kujerun jini;
• Huhu: tari na jini, rashin numfashi, numfashi yayin numfashi, cutar nimoniya mai jure kwayoyin cuta;
• Gidajen abinci: zafi, kumburi, zafi, ja da wahala wajen motsa haɗin gwiwa;
• Idanu: wahala a hangen nesa, hangen nesa biyu ko gani, ciwo a ido ko jan ido;
• JijiyoyiDagamambobi: rauni na tsoka, tingling, inna.

Sauran cututtukan da za su iya kasancewa a cikin kwayar cuta sune raunin kiba ba tare da wani dalili ba, yawan ciwon jiki, yawan kasala, rashin ci, rashin lafiya ko zazzabi.

Idan akwai tuhuma game da cutar vasculitis, yana da muhimmanci a nemi likita da wuri-wuri, domin kwayar cutar na iya cutar da gabobi kamar huhu ko koda.

Yadda ake ganewar asali

Gano cutar vasculitis ana yin ta ne ta hanyar angiologist ko rheumatologist kuma za a yi shi bayan nazarin tarihin cutar mutum, kuma a wasu lokuta gwaje-gwajen dakin gwaje-gwaje kamar gano kwayoyin anti-cytoplasmic (ANCA), wadanda sune kwayoyi wadanda ke kai hari kan cytoplasm, na iya zama da aka nema., gwajin fitsari, wutan lantarki, creatinine, cikakken gwajin jini da gwajin FAN, wanda yake da nufin gano kasancewar kwayoyin halitta a cikin jini. Fahimci menene jarrabawar FAN da yadda ake yinta.

A cikin yanayin tuhuma cewa cutar vasculitis ta kai ga gaɓoɓi, gwaje-gwaje na iya zama dole don tantance aikin gabobin da abin ya shafa, kamar su hoton magnetic resonance, ultrasound da compote tomography, ban da biopsy.

Yadda ake yin maganin

Ana yin maganin nau'o'in vasculitis daban-daban bisa ga dalilin kumburi da kuma tsananin yanayin mutum. A wasu lokuta, ana yin magani tare da magungunan corticosteroid, kamar su hydrocortisone, dexamethasone, mometasone da betamethasone, alal misali, ban da masu rigakafi irin su azathioprine, cyclophosphamide ko mycophenolate. Bincika irin nau'in corticosteroids da menene don su.

Koyaya, a cikin mummunan vasculitis, wanda ke shafar gabobi, dole ne mutum ya ci gaba da kasancewa a cikin asibiti don karɓar maganin da ya dace, kuma a wasu lokuta yin tiyata ya zama dole don sake samar da gudan jini a cikin jirgin ruwan da kumburin ya ji rauni.

Tare da magani tare da ƙwayoyi, a halin yanzu aikin motsa jiki na haske, isasshen hutawa, cin abinci mai kyau da rage matakan damuwa ya nuna yana da mahimmanci kuma tare da kyakkyawan sakamako don maganin vasculitis.