Vasculitis - kuongorora chirwere uye kurapwa

Vasculitis - chirwere chokuita anogumbura pezvakaitwa muropa mumudziyo masvingo. kuzvimba uku kunoitika nezvikonzero zvakasiyana-siyana. Asi kazhinji vasculitis - migumisiro mabasa nemavhairasi kana utachiona kuti kuti zvirwere kundorwa zvinyama wayo chete muviri, kusanganisira - pamusoro vascular tishu. Naizvozvo vasculitis rinoreva boka kuti autoimmune zvirwere. zvikonzero Its - haasi chete matambudziko zvirwere. Kazhinji, kurapwa inowanzoshandiswa vasculitis kuoma ndechokuti sayenzi haazivi zvose pamusoro chirwere, kusanganisira zvinokonzera dzayo, basa masero okutodza uye zvichingodaro. Pane kupatsanura pakati chirwere, iyo rinokamukana kuva nesekondari.

Primary vasculitis kunogona kuitika nokuda majini kubatwa nawo, zvirwere, akasiyana-siyana akuvara uye vamwe mishonga. Secondary vasculitis Kazhinji kuitika nokuti chero zvakaoma kunzwisisa zviri chirwere. zvirwere zvakadai angava mutsvuku fivha, kenza, psoriasis, uye yomumuzongoza.

Kune mapoka wandei vasculitis. Boka rokutanga - chirwere chinobata midziyo makuru. Eto hofori Sero arteritis, umo kupererwa, fivha, zvimwe zvaidiwa rheumatism. arteritis Takayasu vake, kwakakanganisa kukanganisa yeropa kunokonzera ischemia.

Boka midziyo vasculitis rechipiri kunokanganisa avhareji ukoshi. boka iri zvinosanganisira knotty chearthritis - zvinokanganisawo arteries mikuru zvomukati - mwoyo, neitsvo, mapapu, chiropa. Vasculitis muvana rinowanzoberekera muchimiro Kasavaki urwere, riri kwakunoitwa maronda ari mucous munyama mumuromo - somuenzaniso, anotanga kutsemuka pemvura mutauro, uye meso ake redden. Maoko nemakumbo kuonekwa kuzvimba, tembiricha rinobuda uye kunowedzera pamutsipa node nodes.

Boka rechitatu rinosanganisira kukunda midziyo diki. Izvi zvingava Somuenzaniso, granulomatosis Wegener raMwari, riri akagovera rokumusoro Airways uye kunoratidzwa muchimiro nasal - pus zvishoma hwakakanyiwa ropa.

Kazhinji zvikuru pfungwa kubhadhara vasculitis avo, izvo vanomirirwa kuzvimba zviduku tsinga. Ichi boka vasculitis rakakamurwa sema uye non-sema marudzi. Sema Kazhinji chokuita ganda maronda uye visceral munyama. Non-sema kuzvimba dzinowanzotsigi- anomiririrwa ganda murwere.

Vasculitis ganda - chirwere ndiye anonyanya pane imwe systemic vasculitis. With ichi marapirwo hurongwa - zvichiitika rakaoma zvikuru uye refu. Chikonzero chacho chiri pachena - a systemic chirwere dzinoratidzwa ndechokuti hapana mumwe asi wandei nzvimbo yose chirwere rinobatanidzwa. Systemic vasculitis kubereka zviratidzo zvakadai hemorrhages diki paganda, fivha, uye akafirwa vamwe zvomukati. Sezvo rudzi systemic vasculitis kusiyanisa Hemorrhagic vasculitis - vakawanda ganda maronda uye mucous membranes muviri. Asi kunyange iye anogona yakarova zvinyama pamusoro mapfundo zvimwe zvomukati.

Rinooneka kazhinji Hemorrhagic vasculitis nevana, izvo kunyange makore 14 okuberekwa. chirwere ichi ane chirwere-sema. Hemorrhagic vasculitis nevana riri chakasimba, kunokanganisa ganda microcircular njanji, itsvo, majoini, ari nemudumbu uye dzimwe nhengo. Zviratidzo: zvichida ibatanidzo abdominal, Hemorrhagic, vadyi, fivhiri. Chimbi, iyo kunoratidzwa pamwe chirwere, dzinomiririrwa hemorrhages duku symmetrically Vakaonekwa vachipfugama maoko, makumbo. Vamwe nguva pashure pokuberekwa yaro vanotanga dzepepuru, ipapo - hapana. Uyezve idzodzo ruvara akatendeuka mashava uye anova tsvuku. Vasculitis muvana Kazhinji akabatana nevamwe zvirwere, kusanganisira mazino caries, chisingaperi tonsillitis uye TB hweHIV. Chirwere kana mumwe chikonzero runogonesa muviri nehanya. Against sensitization ichi rinowanikwa hyperergic kuita. Uye kuti zvingaita kuti kuchinja maitiro ropa coagulation uye zvigadziriswe kuita zviri zvirwere.

Apo chirwere kuti vasculitis kurapwa kunosanganisira murwere kugara pasi bedrest kusvikira maronda inonyangarika, kudzingwa zvokudya zvichiita allergens zvose kuti anogona ine Citrus zvibereko, chocolate but, mazai, uye nezvimwewo. Uyezve, kurapwa vakashandisa antiplatelets, anticoagulants, desensitizing, hormone uye zvimwe zvinodhaka. The Mabatirwo vasculitis muvana munogona polupostelnom muoti pashure pezvizuva pashure kunyangarika yacho mapundu. Kutyorwa kuri zvachose contraindicated. Kana pane muhomwe echirwere zvirwere, pakurapa vasculitis asingaurayiwi kurapa zvisiri (kureva. A. Pane njodzi neutachiona). Kana chirwere chakaoma, zvakakodzera kushandisa zvinodhaka immunosuppressive.

Zvino, zvinosuwisa zvikuru kupfuura kare, akawana chirwere kuti vasculitis. Vachiona zviri, pakutanga kwezvose, kuderedza zvirwere pavakanzwa zviratidzo varega akure. Zvakafanira kuti kutapata pamusoro nhengo dzomuviri dzakarega. Suppressive zvinodhaka (immunosuppressants) rubatsiro "kudzikamisa" hondo zvirwere zvakagadzirirwa kurwisa muviri pachake munyama, kunyange panguva ino anotanga kubva atanga zvishoma vasculitis. Vachiona payo danho rechipiri ndehwokuti kudzorera muviri kubva zvakakanganiswa.

Chirwere pakati vasculitis kunosanganisira kuongorora weti uye ropa ivhu, kudzidza mamiriro midziyo, X-ray uye biopsy. Kupfuura dzimwe mhando, ngozi systemic vasculitis. Treatment inobva kwokubatsira immunoglobulins vaishandisa cytotoxic zvinodhaka, pakuchenesa ropa, achitora mishonga kuti kuderedza kukwanisa ropa kuti clot.