Sarcoidosis ganda: Zvinokonzera, Zviratidzo neMarapirwo

Sarcoidosis, kusvikira ichangopfuura, kwainzi isingawanzowanikwi chirwere. Asi mazuva iwayo, pamberi nzira itsva chirwere, zvakanzi akaonekwa kakawanda. Kokutanga chirwere ichi akarondedzerwa anopfuura zana adarika. Zvadaro zvaionekwa muchimiro tibhii. Gare gare, zvisinei, ichi vanoti zvave akapikisa pakurapa pamutemo.

tsananguro

Sarcoidosis - a systemic chirwere. It inotungamirira pokukundwa Organic hurongwa uye munyama. Most zviitiko kazhinji akanyorwa sarcoidosis mapapu uye ganda. Zvikasadaro chirwere ichi rinonzi chirwere Besnier-Boeck-Schaumann (vachikudza pavadzidzisi vaishanda pamusoro kudzidza chirwere ichi). Sarcoidosis chinhu anogumbura hunhu. Rinoreva granulemotozov boka. Kukura zvokurwara vakaumba zvisumbu masero anogumbura, makatumidzwa granulomas.

Sarcoidosis chaiva chinangwa nzeve kuvarapi, pulmonologists uye mukuru vanoita. The Kudzidza zvinokonzera chirwere, ayo chirwere uye kurapwa chinhu kukamura uchishandisa pakati n'anga. Sarcoidosis zvino zvinogona kuwanikwa kwete chete nokuda migumisiro pakutsvakurudza fluorography, asiwo ganda zvairatidza.

Pakuparadzirwa chirwere

Kakawanda, ganda sarcoidosis, zviratidzo izvo dzichakurukurwa pazasi, iri akaonekwa mune repakati vanhu. The inonyanya zvokurwara vakadzi. Apo neapo chirwere kunoitika muvana. The chikuru chiratidzo hosha - chimiro granulomas. Dzinomirira nodules, izvo riri shoma foci. Dai dzinosiyana kukura uye chimiro. The chirwere haisi communicable chirwere. Sarcoidosis kazhinji kunoitika pasina zviratidzo uye kuona chete kana murwere mumuviri kuzviongorora.

Mabviro ezwi chirwere

Chaiwo zvinokonzera chirwere ichi vachiri kuzivikanwa. Asi vanachiremba vakawanda vanodavira kuti kukura zvokurwara ichi kunokanganisa zvakawanda rose zvikonzero, pakati pavo - immunological, kwezvakatipoteredza uye masero okutodza. Maererano aripo pfungwa, uyewo kukanganisa pathogenic notumwe, mabhakitiriya, tupukanana, mukume uye zvine chepfu. Pamutemo, chirwere ichi ndicho non-communicable. Zvisinei, hatingagoni zvachose kudzivirira kubata vasisanetswi microbial vamiririri kukura zvirwere zvakadai ganda sarcoidosis.

Its zvikonzero vasingazivikanwi saka kure. Pachiitiko ichi, pane pfungwa mbiri. Maererano wokutanga, sarcoidosis nhaka. chechipiri pfungwa Fans nharo kuti chitarisiko hosha iri akarondedzera munhu zvirwere sei kuchinja kwemakemikari omuviri. The chikonzero chikuru enhaka zvatariswa vaiona masoja, kureva, ayo chaiyo paakasangana izvi kana zvimwe zvinokonzerwa. Kazhinji, zvakakodzera kuti panowanikwa chirwere nezvikonzero zvinoverengeka. Zvinokosha kucherechedza kuti mumwe nomumwe rechitatu uye wechitanhatu murwere vakachengeta sarcoidosis ganda maronda.

The Mhando chikuru sarcoidosis

Sezvambotaurwa, pakutanga kuti chirwere kunoratidzwa ganda nekumhanyirira. Hazvina vamwe kuchinja pathological, varehwa pakugadzirwa tsvuku nodules, echitema uye chikwangwani chakanyorwa. In chirwere ichi pane anonzi erythema nodosum. The inonyanya melkouzelkovy sarcoidosis. It kunoratidzwa nechitarisiko vakawanda duku dzvuku makwapa kuti tinoshandurirwa pamusoro nguva dzakaoma kunzwisisa dzounyengeri batana kusachinja-chinja. Krupnouzelkovy sarcoidosis kunoratidzwa muna chitarisiko nodules kuroorwa uye shoma muzvizhinji. ganda maronda iyi vakaratidza pamberi ane zvakakwana guru idenderedzwa nodes, dzinoratidzwa unopinza miganhu.

Nedzimwe mhando chirwere

Kune dzimwe akasiyana chirwere. Doctors kusiyanisa:

1. Diffuse infiltrative sarcoidosis. Skin rashes vari achiumbwa batana plaques. Vari riri pamusoro kana chiso. Border masangano kuti vane shava ruvara, apo Blurred. The dhayamita iri masendimita 15.
2. Angiolyupoid Brock Potro. Neoplasms vakachengeta pamusoro mhino uye matama. Kazhinji, vane pakutanga tsvuku makwapa kana filetovogo ruvara. Panzvimbo yavo, saka pane plaques shava.
3. Chilblains lupus Besnier-Tennesona. Habitat - kumeso uye nzeve. Maronda vari dzvuku yepepuru uye sandarara.
4. Darier-Roussy sarcoid. Nokuti chimiro ichi chirwere inozivikanwa nodes makuru, izvo dziri pasi peganda uye iumbe infiltration. Localization - mudumbu, dzakatendereka uye muhapwa.
5. Subcutaneous nodular-mhando. Subcutaneous nodules aonekwa makumbo kana mutumbi. Idzodzo zvishoma, vane nyarara uye famba. Sarcoid anogona coalesce kuumba plaques infiltratnye nematambudziko penyika.

Kazhinji, ganda sarcoidosis, kurapwa izvo tichakurukura munyaya ino, ndiye nguva nenguva. Panguva apo nodules kunyangarika, iri nzvimbo ganda rakasiyana utano tishu. It ane pigmentation uye scaly. Kunze ndiko lupus Besnier-Tennesona. Panyaya iyi, iyo nzvimbo pashure kunyangarika maronda regai wakasiyana utano tishu. Sarcoidosis ganda, mufananidzo iyo chinopiwa munyaya ino chinoratidza kukundwa kukuru chiso murwere. Zvadaro - pamusoro zviratidzo.

Skin Sarcoidosis: zviratidzo chirwere

The dzakananga zviratidzo zvechirwere chacho: plaques, nodes, vanga sarcoidosis, maculo-populeznye kuchinja. Pakati zvisingawanzoitiki kuratidzwa vanogona kutaurwa: urikanwi, psoriasiform kuchinja, ichthyosis, alopecia, chipikiri zvirwere. Zvinonzi kuzivikanwa kuti vazhinji ganda maronda pamwe vanyoro zviratidzo. Zvisinei, pane chirwere ganda maronda kuti kukonzera kushatiswa ari munhu.

Sarcoidosis ganda, mapikicha uye zviratidzo izvo dzaitaurwa bhuku, ane zvimwe chinosiyanisa zvinhu. Its chinokosha ndiko paumbwe hwakasimba anorovera paganda wamativi, chiso, uye mune zvimwe zviitiko hunde. Ruvara chezvisimbiso zvichisiyana pinkish yakatsvuka kuti rinokwanisa kucheneruka uye shava. Kazhinji pane amalgamation kuti zvinhu zviri shava makwapa paganda duku saizi, mune zvimwe zviitiko, anorovera vanoda.

Sarcoidosis romusoro anogona kuva mumwe tanga zvinoratidza chirwere. Muchiitiko ichi zvakafanira kuti chirwere nedzimwe nhengo uye hurongwa, iro rinogona rirwadze. The kukundwa peganda romusoro, sezvinoita mutemo, pamwe kuvapo maronda paganda pahuma. In pakati nzvimbo kuti kuderera arambe achirema uye dhayamita bvudzi, izvo zvinogona kutanga paumbwe foci pakati alopecia.

Melkouzelkovy krupnouzelkovy uye sarcoidosis

Sarcoidosis ndiye melkouzelkovym uye krupnouzelkovym. Muchiitiko chokutanga, kuti nodules kazhinji riri pachiso, munharaunda emaoko, mutsipa, pamafudzi mashizha. hukuru yavo diki -. About 0.5 masendimita gobvu uye yakasimba ruvara - pezvitina Hue kana yakatsvukuruka, rinokwanisa kucheneruka. Dzimwe nguva nodules anogona rakapararira muviri. Palpation - nyarara. In weboka pathological kwacho paganda pachena kuti nzvimbo pigmentation. Around vawirwa nenjodzi akaumba pachena pigmented miganhu.

Kana tikafunga musimboti wechipiri, pane kuitika zvakafanana nomunhu nodes. Kukura dzinopfuura muzvirevo nyaya :. Kusvika 2 cm ruvara regai kwakasiyana maduku vaya. Most dzichitaridzika pachiso, mutsipa, groin, dzimwe nguva - iri kunze ruoko. Acne maronda ingangoumbwa Red kana machena. Nokufamba kwenguva, mashoko nodes kazhinji kugadzirisa uye vanosiya pigmented ganda pemvura.

mishonga

Kazhinji, sarcoidosis zvinodhaka ushandiswe varwere zvinotevera: non-steroidal Anti-anogumbura vamiririri, mahormone. Rinotibatsira izere kurapwa. The yakanakisisa nzira ganda hanya siyana chirwere vari corticosteroids, methotrexate uye antimalarials. Hormone mafuta kutongokwizwa kupinda njodzi yacho, sezvo mishonga anoshandiswa mukati. Kuwedzera kune mari idzi, varwere vakanga achiita mishonga kunyaradza uye mune zvimwe zviitiko, Anti-kuora mwoyo.

Skin kuchinja, izvo Nokutadzira Zvinoonekwa inokanganisa zvavo ezvinhu. The murwere iyi vangave vakaora mwoyo fixated pamusoro dambudziko. Sarcoidosis ganda kunyanya inokanganisa pamusoro mupfungwa mamiriro murwere. It chikara denderedzwa: nokuparara mberi chinokurwadzai kukura chirwere nokuita kuti masero chimiro maronda matsva. Uyewo, tisingaverengi pamusoro kugadzirira zvakabatana uye physiotherapeutic kurapa: Ultrasound, Laser uye electrophoresis pamwe hydrocortisone. Pari hosha haina aizvinzwisisa. Naizvozvo, dzimwe nguva, kurapwa kwakaoma. Doctors varayire mashoko operative pachishandiswa kubvisa zviratidzo.

Skin Sarcoidosis: nekurapwa zvavo mishonga

Sarcoidosis zvinogona kurapwa uye zvavo mishonga. Ivo pave ndechokuti granuloma zvichaita vakatsidza zvakafanana kutapata rose kuchasimbiswa. Sezvo pevairwara mushonga, akashandiswa chirwere ichi, kazhinji anoita namo tincture. Inogona kutengwa chemishonga uye uzviite pachako. Kuti izvi zvidaro, 100 g namo zvinokosha kuti vanoomerera pane dende vodka kwemwedzi. Kushandiswa zvinotevera: 25-30 Madonhwe zvazvichanyungudutswa mvura yakabikwa kana mukaka kunwa kamwe zuva mangwanani, usina chawadya. Course - mazuva 28.

Sarcoidosis rinowanzoshandiswa kurapwa nemishonga yemakwenzi. Somuenzaniso, kuti chinangwa ichi kushandiswa tincture radiograms Pink. 15-20 samadonhwe mushonga mudutu kufashaira mvura. Tora mangwanani pamberi zvemangwanani uye chisvusvuro. Means vanofanira kunwa makosi maviri, rimwe nerimwe riri mazuva 25. The zororo pakati pavo 2 weeks. Uyewo migumisiro yemakwenzi tii, izvo zvinosanganisira marshmallow mudzi, madzinde oregano uye somuzivi, zvakanaka Marigold maruva, mashizha shiri mountaineer uye plantain. Welding zvinhu zvinofanira kusanganiswa zvakaenzana mativi. Ipapo 1 tbsp. l. Dururirai kufashaira mvura muvhenganiswa (1.5 makapu). Richadzipa nokuti awa rimwe rakaputirwa muchimiro. Tora 2 tbsp. l. nguva vana pazuva. Yawapiwa - mazuva 28. Putsai - pavhiki. Saka unofanira kudzokorora 4 nguva.

Very inoshanda decoction kuti mazambiringa kuchekwa. Zvakakosha kuvidza manyoro acheter 300 d muna 1.5 litres mvura. Kubika kwemaminitsi 15-20, inotonhorera uye epfungwa. Inwai uchi tii, 100-200 g pa zuva. Tea ane kunyaradza ehupfumi kuti Eucalyptus mashizha, iro rinoshandiswawo chirwere ichi. Mangwanani anofanira kuzadza 50 g yakapwanyika mashizha ugodira kuva thermos hafu fő mvura. Evening anwe 100 g of aizomupa nouchi.

Zvinokosha kucherechedza kuti vaiona decoctions anoshandiswa pakurapa sarcoidosis kwete chete mukati, asiwo ari muchimiro lotions (kunze Eucalyptus tii). hanyanisi mafuta Dzakamukurudzirawo ari kutanga kwekupwanyiwa chirwere. Ndezvevakazvigadzirirwa sezvinotevera: grated hanyanisi namafuta sunflower uye rinoshandisirwa ganda. Pakati pezvimwe zvinhu, unogona kuita bhati pamwe somuzivi, chamomil, calendula uye yakatevedzana.

kurumbidza

Kune akawanda vanorumbidza, zvaidiwa izvo achabatsira kuti zvikuru nokukurumidza kupora. Zvazvakadaro, matanho pamusoro dzokororo chirwere haako. Zvisinei, pane mazano ichabatsira yekuzvidzivirira sarcoidosis. Idzi dzinosanganisira: tiine utano hwakanaka (chikakananda kushaya), mishonga yezvirwere anokonzera kwakaderera kutapata, pawakaperera nevasiri zvachose kudya uye musoro kudya. Food inofanira kudyiwa 5-6 kanomwe pazuva migove zviduku. Zvinokoshawo ndezvokuti ndiye ikoroji kwenzvimbo, uyewo kudiwa narwo yokurapa kuongororwa zvakazara kiriniki.

Ko kunze zvokudya nomukaka zvigadzirwa, kuderedza kudyiwa zvihwitsi uye munyu. Asi nhamba michero uye miriwo, nekusiyana, kuwedzera. Zvinofanira sarudza zvibereko pamwe soro zviri vhitamini C. To haabatanidzi ganda kuonana kungatikanganisa zvinhu izvo zvinogona kukonzera kutsamwa uye chisimbwa. Kana murwere kupa zvakakwana systemic kurapwa, chirwere achaita nokukurumidza taramuka. Life anotarisirwa hazvirevi kukanganisa chirwere ichi.

biopsy

nzira inonyatsobudirira chinhu biopsy kuti yapfuura kuziva miedzo sarcoidosis. Rinoshandiswa kuti mangwanani zvokuongorora zvirwere kushandisa zvishoma invasive dzokuvhiya. In sarcoidosis dzingave dzawirwa siyana nhengo uye muviri enyika. Panguva imwe chete ganda chirwere chinogona kukanganisa node nodes, chiropa, chirwatata, mwoyo uye tsinga. Kana murwere akawanikwa ganda sarcoidosis nayo, aifanira kuva kuongorora zvizere. Nekuti pane kazhinji vanoshamiswa uye dzimwe nhengo pamwe chirwere.

Nyatsotaura nonspecific maronda

Cutaneous maronda akakamurwa yakananga uye nonspecific. Funga rokutanga mhando. Kupfumisa erythema nodosum kuitika pasina anokonzera deformations, asi vanoonekwa ne nounyoro kuti palpation. It angaperekedzwa arthritis, fivhiri. Panguva exacerbation zvirwere uyewo kunoitika kuneta uye ganda mapundu, huchavapo vanenge 3-6 mavhiki. Mukutanga kukura chirwere kuonekwa inodziya yakatsvukuruka kurwadza nodes panzvimbo dzapasi migumo. Bilateral dzidzo, kukura unobva 1 kusvika 5 cm anogona kushandurwa kakawanda ruvara yavo piriviri uye nezvisungo yeyero uye girini. Mashoko kakawanda kwete kuchengetwa. Nodes kunyanya kuporesa pasina scarring. Non-chaizvo zviratidzo zvinosanganisira ganda calcification uye limfodemu.

Kazhinji Sarcoidosis ganda, zviratidzo varehwa mune chaiyo maronda ndiyo maculopapular mhando. Kune muhomwe yakatsvukuruka zvisvundu kana Violet ruvara, saizi rinosvika asingasviki 1 cm. Propagates kumeso, mutsipa, miromo, nzeve, makumbo uye yokumusoro shure. Typical granulomas regai kubereka zviratidzo chirwere. Old mavanga, izvo zvino, nokuti chero nezvikonzero, vari pasi zvakakanganisika, zvinogona infiltrated nokuda sarcoid granulomas.

tsvakurudzo

Apo chirwere rinonzi sarcoidosis yemanyorero zvinosanganisira chirwere ganda biopsy nzira uye vakawanda ropa kuongorora uye kuziva pamusoro leukocyte payakavakirwa platelet count. In chirwere ichi, mune zvimwe zviitiko, rimwe leukopenia, trombotsitopepiya, kupererwa neropa, rakajairika - eosinophilia, akaderedza ganda reactivity, hypergammaglobulinemia. Mukuwedzera, varwere vari akadzitira kuti kugutsikana calcium nezuva weti uye ropa serum. Hafu varwere vaiva hypercalciuria, 13% - hypercalcemia. The kuongorora serum ACF. In kupfuura hafu riri kwakasimudzirwa Varwere. Kunopiwa, uye ropa kemisitiri. Zvinofanira kufunga kuwedzera ESR uye Anti-zvenyukireya miviri.

In sarcoidosis vanoita bhokisi X-ray uye computed tomography, sezvo kazhinji chirwere ichi pamwe kukundwa kwavo. Kuti chirwere yakarurama ganda biopsy rinoitwa, pashure izvo zvinhu api aizova dermis uye subcutaneous mafuta inoendeswa histological kuongorora.

kudya zvinenge zvataurwa

Nokuti kunokurumidza kupora unofanira kuomerera zvimwe zvokudya, izvo zvinosanganisira mishonga ine naOmega-3 mafuta acids. Ivo zvinowedzera kugadzirwa mahormone, izvo nechinangwa mukuderedza chokutsva. Kunze mbeu hove mafuta uye neshinda, unofanira kudya michero, miriwo uye nzungu. Muchiitiko chino, unofanira kubvisa avo zvokudya zvinowedzera mukana chokutsva. Somuenzaniso, vhiniga nezvimwe chakaita zvokugadzirwa acidic chimiro. Zvakakodzera kurerutsa kudyiwa shuga, furawa zvigadzirwa zvakakangwa, nyama, Spicy sauces uye condiments, zvinwiwa, dheri zvigadzirwa.

Munyaya ino, isu akatarisa isingawanzowanikwi chirwere - ganda sarcoidosis, mapikicha, uye zviratidzo izvo anoratidza zvakajeka zvekuchipatara kuratidzwa chirwere ichi. Treatment rinoitwa kudiwa pamwe hormone nevamiririri. The kushurudzira pamberi kusachengeteka kukuru chimiro, kazhinji zvakanaka. Zvipatara kazhinji pamusoro outpatient hwaro.