Sarcoidosis - ndichiyani?

Mwina si onse anamva za matendawa sarcoidosis. Kodi matenda angapezeke m'nkhani ino. Sarcoidosis - ochepa chabe autoimmune matenda chiyambi osadziwika imagwira makamaka dongosolo kupuma. Pankhaniyi, thupi anapanga granulomas - nthenda kudzikundikira maselo mthupi amene kuukira minofu wathanzi. granulomas The zambiri anapanga mu zotumphukira ndi mkati lymph mfundo, m'mapapo, khungu, diso. Pasanathe ambiri, zikupezeka mu zopangitsa impso, chiwindi, mtima, mafupa, minofu chigoba, ubongo, malovu. Akukhulupirira kuti matenda zambiri amakonda akazi zaka 30 mpaka 40.

Sarcoidosis. Kodi matenda nanga zizindikiro zake?

Matendawo zambiri asymptomatic kapena ndi zizindikiro wofatsa. matenda ali osowa. Sarcoidosis amakhala ndi zosiyanasiyana mawonetseredwe matenda, chimene chimadalira pa malo a chotupa cha.

Nthawi zambiri (90%) mu ndondomeko pathological ikukhudza mapapo, choncho mbali yaikulu ya matenda - kuonjezera intrathoracic lymph mfundo. Odwala ena pali kudandaula ayi, ena akhoza kuona chifuwa youma, malungo, kufooka kwa thupi, kufupika kwa mpweya pa masewera olimbitsa thupi, komanso kuwononga aakulu m'mapapo (m'mapapo mwanga insufficiency, fibrosis).

Erythema nodosum nthawi zambiri limodzi ndi matenda amenewa, sarcoidosis. ndi zizindikiro zotani? Childs, mawonetseredwe cutaneous mu zomwe kawirikawiri kutsogolo atavalanso zoteteza anapanga wandiweyani, otukukira kunja, kupweteka pamene mbamuikha mfundo wofiirira mtundu. Erythema nodosum amakhala ndi ululu akakolo ndi mawondo, pamene woyamba, pali ululu mu malo, ndipo patapita masiku ochepa pali mfundo. Kupezeka kwa zizindikiro zimenezi zikusonyeza njira yabwino kwambiri ya sarcoidosis.

Pamene matenda angakhale maso anakhudzidwa. Pankhaniyi, granuloma aumbike mwa conjunctiva lapansi. Childs, odwala amadandaula kuwawa, dryness, redness, amaona masomphenya. Mochedwa matenda sarcoid matenda diso ana amakumana ndi khungu wathunthu.

Chifukwa sarcoidosis ndi matenda zokhudza zonse, akhoza kudwala ziwalo zina. Ngati impso kuwonongeka akufotokozera miyala impso, mtima - angina ndi mtima walephera, pituitary England - shuga insipidus. granulomas kwa chiwindi mwina adzawonetseredwe zina chifukwa kuchuluka kwake, ntchito thupi anakhalabe.

Sarcoidosis. siteji ya matenda

Kuchokera pa radiographs magawo atatu a sarcoidosis m'mapapo mwanga. Poyamba anati zotupa amgwirizano wa mfundo intrathoracic lymph. wachiwiri amakhala ndi mfundo zikuluzikulu lymph ndi kusalola minofu m'mapapo popanda fibrosis. Wachitatu pali kutchulidwa fibrosis a m'mapapo popanda kuwonjezeka mwanabele. Siteji yoyamba ndi yachiwiri amayambira bessimtomno kapena extrapulmonary mawonetseredwe ndi mmene zikugwirira ntchito, mwachitsanzo chifuwa ndi dyspnea, ndi kwina.

Sarcoidosis. diagnostics

Matendawa anatsimikiza ndi X-ray mosamala shading khalidwe kudutsa chifanizo cha pachifuwa. Granulomas aumbike mwa TB m'mapapo mwanga, choncho angathe zina kupangidwa mpanda matenda minofu (biopsy), kapena kuika tuberculin khungu mayeso. Pankhani magazi, seramu Ace (angiotensin akatembenuka enzyme) adakulabe mu sarcoidosis.

chithandizo

Childs, dokotala pulmonologist amachitira matenda monga sarcoidosis. Kodi mtundu wa mankhwala? Kamodzi matenda zikutsimikiziridwa, adokotala kudziwa kupyola mu mndandanda wa mayesero, kaya matenda kumachitika mu yabwino kapena thupi lithe. Mu nyengo matenda Inde mankhwala ambiri safunika: mowiriza kudziletsa machiritso amapezeka oposa theka milandu.

Ngati ndondomeko alibe apita kuseri chifuwa, amaona chizindikiro chabwino. Pamaso pa matenda erythema nodosum akuthamanga zaka 1-1.5. Nthawi zina, ayambe adzatenga zaka zingapo, nthawi zina mankhwala kwa moyo. Kulosera tsogolo la matenda ndi wosauka, ngati inu anayamba kudwala matenda kupuma, anakantha impso, mtima, ubongo, ndi maso.

Ndi mawonekedwe yogwira matenda kuchitiridwa ndi corticosteroids, zomwe kuthetsa molumikizana mafupa, kupuma movutikira. Komanso, ntchito cytostatics, kupondereza kusalankhula chulutsa maselo mthupi.

Odwala ayenera analangizidwa kuti asiye kusuta fodya ndi kumwa chakudya woyengedwa. Muyeneranso kukusalani mkaka, chifukwa okhutira mkulu kashiamu mu mkodzo ndi magazi.