Chithandizo cha matenda a chiwindi autoimmune: njira mankhwala, mavuto, Zoneneratu

Ambiri a ife tamva za matenda monga a chiwindi autoimmune. Kodi kudwala izi? Ndi matenda aakulu omwe ndi kutupa insoluble ngati chiwalo chofunika kwa moyo wathu monga chiwindi. Ikani zachilengedwe, kudwala ichi alibe.

Kodi ngati izi zimachitika?

Ngati matenda "autoimmune chiwindi", nanga izi zikutanthauza chiyani? Izi ndi kudwala kwambiri ndi zifukwa zosadziwika kwathunthu, pang'onopang'ono umawononga maselo chiwindi. Ndipo mu ndondomeko imeneyi kumathandiza matenda a chitetezo m'thupi. Mu gawo loyamba la matenda kumeneko ndi kutukusira kwa parenchyma, ndicho mbali yaikulu ya thupi. Zimenezi amakula mwamsanga ndipo kungayambitse matenda enaake.

Izi limodzi ndi selo imfa ya thupi ofunika kwambiri kwa ife - hepatocytes. malo awo yomweyo chimadzaza waukali ndiponso inelastic connective minofu. Chifukwa, chiwindi si okhoza qualitatively kugwira ntchito zawo.

Mungapeze maina osiyana matenda. Komabe, kudwala ambiri mu mabuku zachipatala kuti njira: yogwira aakulu autoimmune chiwindi. Ndi osowa matenda ndi ambiri mu atsikana akulu akulu kuposa zaka 10 ndi akazi amene alibe atapeza zaka makumi atatu.

zizindikiro

Chipatala kuwonekera kwa matenda zosiyanasiyana. Mwachitsanzo, kotala odwala onse ndi popanda zizindikiro za matenda autoimmune si. Ndipo kumatenga bola ngati munthu alibe mavuto alionse. Zikatero, matenda mwadzidzidzi amakumana ndi anthu kapena kuonetsa zizindikiro zonse za matenda tizilombo, kapena zizindikiro zina likunena za kuwonongeka chiwindi. Mu zosinthika loyamba la zochitika anthu zimayamba kusokoneza chifooko. thupi lake madzi mdima. Khungu ndipo zimagwira ntchito zosiyanasiyana mucous, chikasu, kusafuna kudya. Ngati chachiwiri, pali extrahepatic chikhalidwe cha zizindikirozo. N'chifukwa chake nthawi zambiri madokotala amati kwake mu thupi la matenda osiyanasiyana zokhudza zonse monga nyamakazi, lupus, etc.

Koma ambiri, mawonetseredwe matenda ndi kutopa monga kwambiri, malungo, kuwonjezeka thupi kutentha kwa madigiri 39, lymphadenopathy, ziphuphu, kupweteka m'mimba, makamaka pomwe nusu chapamwamba, kuphwanya mfundo za, komanso kukula yogwira tsitsi mbali zonse za thupi . Ngati matenda wayamba imautsa kaphatikizidwe mahomoni adrenal, amene amapangidwa owonjezera, wodwalayo kukumana ndi kuchepa minofu minofu mapazi ndi manja, liwiro oyimba kulemera owonjezera, maonekedwe zosonyeza Tambasula pa ntchafu ndi manyazi owala pa masaya.

Nthawi zina odwala matenda umafika mwadzidzidzi, zikuoneka bwinobwino n'kuyamba zovuta kwambiri. Zonsezi limodzi ndi pakutchulidwa za matenda fulminant, amene imfa mofulumira kwambiri ya maselo kwa chiwindi. Izi, mu zingathandize kuti mapangidwe mofulumira poizoni, moyipa bwanji, kenako kupatsira ubongo. Zovuta, ngati si kale anaonekera autoimmune chiwindi (zizindikiro), mankhwala. Kulosera tsogolo la matenda mu Zikatero, madotolo akumane kwambiri wodwalayo.

mitundu ya matenda

Chithandizo cha matenda a chiwindi autoimmune mwachindunji amadalira mitundu yake. A mtundu winawake wa matenda anatsimikiza ndi kukhalapo mu seramu magazi a mtundu winawake wa oteteza thupi. Pankhaniyi, pali mitundu itatu ya autoimmune aakulu chiwindi B:

1. Mu mtundu woyamba kuzindikira chitetezo matenda akitini kwa mapulotini, mapuloteni, maselo yosalala minofu, chitetezo antinuclear.

2. Pakuti mtundu wachiwiri wa matenda yodziwika ndi kukhalapo kwa chitetezo ku microsomes, kuti maselo impso ndi chiwindi.

3. Mtundu wachitatu wa kudwala amawapeza milandu la kudziwika chitetezo mankhwala amene ali ndi udindo kwa mapuloteni kaphatikizidwe, i.e. kuti kwa chiwindi sungunuka Antigen.

kudwala Zoyambitsa

Autoimmune chiwindi - matenda amene chitetezo munthu umayamba yogwira kulimbana ndi zimakhala zawo wathanzi kwathunthu ndi maselo. Kodi mizu zimayambitsa zodabwitsazi? Pa funso limeneli, mankhwala amakono sangathe kuyankha panobe. Komabe, asayansi amanena kuti munthu wolephera wa chitetezo cha thupi kupereka matenda osiyana kale ofalitsidwa tizilombo, monga matenda a chiwindi A ndi B ndi C, nsungu, Epstein-Barr HIV.

Akatswiri ena afika ponena, ndi kuti chitukuko cha matenda osiyanasiyana autoimmune, udindo waukulu ndi ankaimba ndi losokonekera yeniyeni. Komabe, tiyenera kudziwa kuti matenda ana osaposera zaka 10 ndi pafupifupi konse wapezeka.

diagnostics

Chithandizo cha matenda a chiwindi autoimmune ndi zambiri aluso ngati nthendayo wapezeka pa oyambirira anayamba chitukuko. Komabe, kudwala matenda ndi kovuta. Childs, chotero matenda madokotala kuyika kokha pamene pang'onopang'ono kukusalani pamaso pa matenda ena. Kuti tichite zimenezi, dokotala kusanthula zizindikiro wodwalayo komanso matenda a moyo wake. Zonsezi zimachitika mu njira ya zokambirana. Pankhaniyi, katswiri umapeza zimene ziri likukuvutitsani munthu, ndi utali kumatenga.

Kenako, kufufuza thupi anachita, imene Adokotala khungu ndipo zimagwira ntchito zosiyanasiyana mucous, amaona wodwala thupi kutentha ndi maseche wokhudza chiwindi lodziwa mavuto ake ndi kuwonjezeka mu kukula. Pamene zilipo amaganiziridwa nawo maphunziro kudwala zasayansi imachitika. Iwo apangidwa kudziwa mlingo wa kumanga globulin ndi ntchito za Ast enzyme. Imakhala malangizo ndi kusanthula immunological magazi. Tichiphunzire ndi chiwindi A ndi B ndi C. dokotala The amapereka malangizo kwa coprogram. kuphunzira ndi chopondapo cheke pamaso pa particles undigested chakudya.

Diagnostics ikuchitika ngati n'koyenera. Pamafunikanso ultrasound mosamala m'mimba, kum'mero ndi duodenum 12 ndi ntchito zida endoscopic. Phunziro lino anafuna kuti achotse pamaso pa zotupa za etiology osiyana. The wodwala anatumizidwa ku biopsy chiwindi, imene yaing'ono chitsanzo minofu akutengedwa za thupi histology ake.

Kamodzi kuzindikiridwa autoimmune chiwindi matenda, ndi mankhwala zotchulidwa dokotala, malangizo onse analandira chiyenera kuchitika ndithu. Only mu nkhani iyi tikhoza kulankhula za Zoneneratu yabwino ya chitukuko cha matenda.

mankhwala kudwala

Kamodzi autoimmune chiwindi (zizindikiro) amadziŵika, ndi chithandizo cha matenda wakhala yofunika, dokotala angagwiritse ntchito njira zosiyanasiyana. Iwo ali motere:

- kutsatira zakudya okhwima;

- mu mankhwala kuchipatala

- kuchita opaleshoni.

Taganizirani za njira izi mwatsatanetsatane.

zakudya

Chithandizo cha matenda autoimmune chiwindi, amene ali gawo pachimake, ikuchitika pansi pa bedi zina okhwima. Pa zosayembekezereka ya gawo chikhululukiro mtima zokwanira bungwe ntchito yanu ndi zina, kupewa mtundu uliwonse (maganizo ndi thupi) kutopa. Komanso, m'pofunika kuthetsa zotsatira pa chiwindi zinthu zosiyanasiyana poizoni, kuphatikizapo mowa ndi mankhwala ozunguza bongo, kudzipatula ndi ulamuliro. Mu nthawi ya chikhululukiro si koyenera komanso kuchititsa ndi physiotherapy mankhwala amene amakhudza dera chiwindi. Ndikoletsedwa ndipo balneotherapy.

Kuti matenda chikhalidwe cha wodwala kwambiri oyenera kudya. Kudzera chithandizo cha matenda autoimmune chiwindi, gastroenterologists kulengeza ntchito zakudya (tebulo № 5). Pamafunikanso soups masamba ndi nyama Taphunzira (nkhuku, ng'ombe). The zakudya odwala ndi nsomba chakudya akhoza m'gulu la wophikidwa kapena yophika. Zakudya, amene tikulimbikitsidwa pa nthawi imene ankafunika chithandizo cha matenda autoimmune chiwindi, zikuphatikizapo zinthu monga otsika-mafuta yoghurt ndi tchizi, ndipo ngati si tsankho, ndiye mkaka ndi mkaka mankhwala. Pamene kuphika kwa anthu amene amadwala matenda a chiwindi autoimmune, n'kofunika kugwiritsa ntchito mafuta ndi masamba mafuta okha zedi yaing'ono. Ziyenera kukhala ndi malire ndipo ntchito mazira. Iwo akhoza m'gulu la zakudya okha 2 kapena 3 pa sabata kwa mazira 1-2 pa tsiku.

No zakudya chiletso si poyerekezera ndi masamba sanali acidic ndi zipatso. Komabe, ntchito zawo, komanso ena onse chakudya nkosaloledwa ayenera kukhala mu uthunthu wololera.

Zakudya, analimbikitsa ndi munthu amene ali mankhwala a chiwindi autoimmune, nadzatonza ku chakudya zakudya yokazinga, nyama mafuta, mchere ndi zokometsera zokhwasula-khwasula, sorelo ndi sipinachi, koko ndi khofi amphamvu, mowa, ndi katundu zam'chitini. Mphamvu Choncho ayenera kukhala fractional. Nkofunika kudya nthaŵi zinayi tsiku, ndipo ndi bwino ngati chakudya ndi kupangidwa kasanu ndi kamodzi. M'pofunikanso kulemekeza chakudya chamagulu kuti thupi amalandira zinthu zonse zofunikira izo.

Kugwiritsa ntchito mankhwala

Ngati mankhwala a chiwindi autoimmune, dokotala ndondomeko ya zochita kudzadalira siteji ndi njira ya matenda. Koma Mulimonsemo, kuwonjezera pa ntchito ya zakudya, odwala anali kutumikiridwa mankhwala zofunika. Malinga ndi zimene zimawonedwa mu mtima ndi matenda a "autoimmune chiwindi" chipatala, mankhwala katswiri awerenge ndi mankhwala osiyanasiyana.

Popeza kuti chifukwa chachikulu cha matenda ndi Hyper-kutsegula ndi wonongeka a chitetezo cha m'thupi, kuyambira intensively kuwononga maselo wathanzi a chiwindi, mu mankhwala dokotala kuyenera kuphatikizapo mankhwala olimbana yimitsira m'thupi. Iwo imunosupressivnye mankhwala ndi mahomoni ndi odana ndi yotupa. Izi makamaka monga mankhwala monga "Prednisolone" ndi "Azathioprine". Mankhwalawa awiri ntchito zochitika komwe mankhwala a chiwindi autoimmune. Mu njira ya mankhwala mwina udindo kaya payekhapayekha kapena pamodzi.

Koma "prednisolone", izi mankhwala ali sipekitiramu waukulu ntchito. Iwo ali kulimbikitsa mitundu yonse ya ndondomeko kagayidwe kachakudya waperekedwa ndipo mwachilungamo wabwino odana ndi yotupa kwenikweni. Mchikakamizo cha mankhwala kuchepetsa ntchito za ndondomeko pathological. Ichi ndi chifukwa onse chikoka mwachindunji wothandizila immunosuppressive pa K-maselo ndi kulimbikitsa kukopa kwake pa suppressor ntchito ya T-lymphocytes.

Only mlingo waukulu wa mankhwala amatha ogwira, ngati matenda autoimmune chiwindi (zizindikiro) chithandizo. Kulosera tsogolo la matenda a matenda milandu, ndi yabwino. Motero, mayesero matenda pa nthawi yomwe kopita ntchito njira pharmacological "Prednisolone" anatero kuchepetsa kukula ndi pafupipafupi zochita immunopathological anati mu minofu chiwindi.

mankhwala ena mankhwala a chiwindi autoimmune - "Azathioprine". Kuyankha m'thupi zingamvekere ndi kupondereza limagwirira mwachangu osauka oyeserera maselo mthupi, komanso kuwonongedwa kwa kuwonongedwa kwa maselo yotupa.

Mankhwala "Azathioprine" amakhudza onse chachikulu ndi sekondale ayankhe m'thupi. Komabe, mankhwala a mankhwala kwa akatswiri ambiri amanena kuti osakwanira kwenikweni. Ichi ndi chifukwa kuphwanya mphamvu mankhwala, komanso mathamangitsidwe wa ndondomeko ya kwe milandu la chiwindi matenda. Kuthetsa nkhaniyi mu njira ya mankhwala ndi pamodzi anatumizidwa mankhwala wina mahomoni - "Prednisolone". Iye amatha yambitsa zotsatira za "azathioprine". Komanso, mavuto mankhwala a chiwindi autoimmune mu zovuta ntchito mankhwala awiri kanayi zing'onozing'ono monga poyerekeza ndi anthu anaona munthu mmodzi yekha "prednisolone". Izi momveka bwino kufunika kwa njira ngati mankhwala.

Kugwiritsa ntchito mankhwala awiri pa nthawi yomweyo kumabwezera mmbuyo chitukuko cha kutupa ndi amalola mphamvu zoteteza za chamoyo paokha kuthetsa glitches alipo. Mwatsoka, kumwa mankhwala awa, odwala amakakamizidwa kwa miyezi sikisi zaka 4. Komabe, madokotala musataye chitsimikizo aliyense kuti kuchita zimenezi adzakhala mmodzi yekha. odwala ambiri kuti anene kangapo pa moyo wawo.

aligorivimu Izi ntchito mankhwala ndipo nthawi kumene chithandizo cha autoimmune chiwindi ana.

Kuthetsa kofermentativnye kudwala ndi mankhwala kagayidwe kachakudya angagwiritsidwe ntchito. Iwo ali ngati vitamini ndi maofesi multivitamin, monga "kokarboksilazu", "Riboksin" ndi ena ambiri. Mu mankhwala ntchito ndi gepatoprotektory okhala mu zikuchokera kwawo phospholipids. Awa ndi mankhwala monga "Livolin", "Esentsiale", "Geptral" ndi ena ambiri. Malinga ndi akatswiri, cholinga cha ndalama awa ayenera kukhala yekha pa siteji ya chikhululukiro, pamene palibe kutupa kutchulidwa.

Pofuna excrete ndi poizoni mankhwala kagayidwe kachakudya ndi anthu amene chiwindi sangathe kulimbana, madokotala mankhwala mtsempha kulowetsedwa mankhwala. Childs, mu Zikatero, mankhwala "Reosorbilakt" kapena saline. Ndondomeko anachita m'manja zonse magazi ndi mkodzo linanena bungwe.

chithandizo zina chiwembu

Chithandizo ntchito osakaniza mankhwala monga "prednisolone" ndi "Azathioprine" mogwira mtima ntchito yochizira matenda ndi pafupifupi zisanu zaka zambiri. mankhwala amenewa kudzakuthandizani kwambiri pa moyo amayembekezeka odwala matenda a chiwindi autoimmune.

Panopa Komabe, koposa kuvutika kutsutsana pa ntchito machenjerero ena amene akhala nthawi yochepa kwa odwala ndiponso chifukwa zotsatira ochepa mbali. Mwachitsanzo, akatswiri kulingalira kuti mankhwala akhoza anachita autoimmune chiwindi "Budenofalk". Mankhwala cha gulu la glucocorticosteroids m'badwo 2. Komanso, mavuto kochepa mbali ndi nainte ndi metabolised ndi chiwindi kale poyamba ndimeyi therethrough. Izi zimathandiza kuti abwezeretse thanzi la odwala matenda a chiwindi autoimmune.

Zotsatira za maphunziro a matenda anasonyeza momveka kuti mankhwala "Budenofalk" ntchito limodzi ndi "azathioprine" kupangira ndi kukhalabe chikhululukiro mwa anthu amenewo ndi chiwindi autoimmune amene analibe zizindikiro za matenda enaake chiwindi. Mu mankhwala ili pa zikamera wa ang'onoang'ono, kuposa pambuyo ntchito "Prednisolone" mavuto.

Ofufuza mankhwala akhoza kuyamba matenda muyezo wa chisamaliro ntchito kutaya chiwindi autoimmune.

chithandizo opaleshoni

Nthawi kumene ntchito mankhwala kwa zaka zinayi sanali kusintha wodwala ndipo alibe matenda pokazatelt magazi ake amuzolengedwa, wodwalayo ikuchitika opaleshoni.

Ndi opareshoni kuti ndikasendeza limba mwiniwake wa. Monga ulamuliro, zimatenga gawo la chiwindi mbadwa ya mwazi wa munthu.

mankhwala wowerengeka

Kugwiritsa ntchito ndalama zomwe Chinsinsi analengedwa ndi quacks zochokera zosakaniza zachilengedwe, kulola gulu la ya ndulu, kuthetsa nseru, ndi zizindikiro za kuledzera, komanso kuchotsa ululu.

Ziyenera adzanyamula kukumbukira kuti ngati munthu wapezeka autoimmune chiwindi, chithandizo cha mankhwala wowerengeka yekha mpumulo ndi zizindikiro za matenda, koma kuchotsa izo si bwino kulola. njira zimenezi ndi ntchito pokhapokha pamene pathologies amene angathe kuchizidwa mosavuta. Zimenezi zikugwira ntchito kwa chiwindi A kapena mtundu poizoni.

Kukhazikika bwino polimbana ndi kutupa mu chiwindi zitsamba zosiyanasiyana zotsatira choleretic. Kuyambira kukonzekera infusions ndi decoctions. zitsamba amenewa ndi:

- mizu nettle ndi masamba;
- timbewu tonunkhira, ndi tsabola;
- Yarrow;
- mbewu Horticultural wa fennel;
- liziwawa St. John;
- birch masamba.

Kuyambira zitsamba kukopedwa milandu kuti kutenga musanadye. An kulowetsedwa a duwa m'chiuno tiyi m'malo. Imwani kudzera udzu chifukwa wothandizila uyu ali zoyipa pa dzino enamel.

Zabwino zotsatira pa chiwindi ndi madzi masamba osiyanasiyana, popeza ali ndi ndalama zambiri mavitamini ndi zofunikira mchere. Madzi angagwiritsidwe ntchito pa matenda a chiwindi B kunyumba:

- Yerusalemu atitchoku;
- mbatata zosaphika;
- karoti, kuchepetsedwa ndi madzi;
- udzu winawake ndi dandelion masamba;
- Beets yaiwisi, kuchepetsa ndi madzi.

kaonedwe

Kupulumuka kwa odwala matenda a chiwindi autoimmune, kwathunthu palokha wa mphamvu wa yotupa ndondomeko zikuchitika mu chiwindi. Nthawi wofatsa, 80% ya anthu ndi zaka zoposa 15. Komabe, pakalibe ndi mankhwala okwanira ndi pa matenda aakulu okha ochepa kusamalira kupulumuka zaka zoposa zisanu.