Ka linako tse ling ho ba le likokoana-hloko li amahanngoa le tse ling tse ling tsa Rheumatic Diseases
Kakaretso
Ho ba le mongobo ke boemo bo sa tloaelehang bo akarelletsang ho ruruha ha methapo ea mali. Ho ba le meriana e matlafala ha tsamaiso ea hau ea ' mele ea ho itšireletsa mafung e hlasela methapo ea hau ea mali. E 'ngoe le e' ngoe ea methapo ea mali-ea methapo ea mali (e tsamaisang mali ho tloha pelong ea hau), methapong (e jereng mali ho uena), le li-capillaries (tse amanang le methapo e meholo le methapong) - e ka ameha.
Ho ruruha ha sejana sa mali ho ka etsa hore e fokotsehe kapa e koalehe, e leng meeli kapa e sitisang phekolo ea mali e tloaelehileng. Hangata, sekepe sa mali se amehang se ka otlolla 'me sa fokolisa, sa etsa hore motho a na le aneurysm.
Lisosa
Sesosa sa vasculitis ha se tsejoe ka ho feletseng kapa se utloisisoa ka ho feletseng. Ho lumeloa hore tšoaetso, liphello tsa meriana le maloetse a mangata li ka baka. Ho ba le meriana e mengata ho ka amahanngoa le maloetse a mang a mafu a kang a lupus , ramatiki ea mafu a lefu le sjogren's syndrome- empa bakuli ba bangata ba nang le vasculitis ha ba na leha e le efe ea maemo ana. Ho itšetlehile ka hore na sesosa se bakoa ke eng, li-vasculitis li ka ba bonolo, li le matla, kapa tsa beha bophelo kotsing. E ka hlaha e le ketsahalo e le 'ngoe ea matšoao kapa liketsahalo tse ngata.
Matšoao le Matšoao
Matsoao le matšoao a amanang le vasculitis a fapana, ho itšetlehile ka mofuta oa mali le lihlopha tse amehang. Matšoao a tloaelehileng a akarelletsa feberu, ho lahleheloa ke takatso ea lijo, ho lahleheloa ke boima, mokhathala le bohloko.
Matšoao a amanang haholo le karolo ea 'mele e amehang a kenyeletsa:
- Letlalo - matheba a khubelu / a pherese, maqhubu, kapa liso
- Lithako - phefumoloho e khutšoanyane, ho khohlela
- Matšoao - ho senyeha kapa bofokoli qetellong
- Lihlopha - mahlaba, bohloko, le ramatiki
- Tšoaetso ea menoana - liso tsa molomo, bohloko ba mpeng, mali a intestinal
- Sinus le ENT - ho ruruha ha sinus, ho ruruha ha tsebe ho bohareng, lisosa tsa nko, ho lahleheloa ke kutlo
- Mahlo - mahlo a khubelu, a hlollang, kapa a tukang, pono e phatsimang, kutloisiso e khanyang, bofofu
- Boko-bohlooho-hlooho, liphetoho tsa mosebetsi oa kelello, matšoao a kang leqeba
Tsejoa
Joaloka maemo a mangata a bongaka, ho hlahlojoa ha vasculitis ho itšetlehile ka motsoako oa liphuputso tse nang le matšoao le matšoao, histori ea bongaka, tlhahlobo ea 'mele, le liphello tsa liteko tsa ho hlahloba. Liteko tse ling tsa mali li ka supa matšoao a phokolo ea mali (lipalo tsa hemoglobin le hematocrit ) le matšoao a seng a tobileng a ho ruruha ( tekanyo ea serythrocyte sedimentation le protheine ea C-reactive ). Tlhahlobo e 'ngoe ea mali, ANCA (li-anti-neutrophil cytoplasmic antibodies), e sebelisoa e le letšoao la ho hlahloba vasculitis ea tsamaiso.
Khatello ea mali e ka phahama, haholo-holo ha ho na le tšebetso ea liphio. Litekanyo tse phahameng tsa protheine kapa lisele tsa mali tse fumanoang ho urinalysis li ka boela tsa e-na le maikutlo a ho ameha ha liphio. Electrocardiogram (EKG) kapa pelo echocardiogram e sebelisetsoa ho hlahloba ntho efe kapa efe e sa tloaelehang e amanang le pelo. Li-x-ray, li-test, li-ultrasound tsa mpa, litšoantšo tsa litho tsa CT, le MRI angiography ho hlahloba methapo ea mali kaofela li lekoa ho thusa ho theha lefu lena.
Ho hlahloba likarolo tsa mahlaseli ka mokhoa o mong ke mokhoa o mong oa ho hlahloba methapo ea mali bakeng sa matšoao a ho ruruha kapa tšenyo ea lisele.
Litlhare
Kalafo e laetsoeng e tla itšetleha ka mofuta oa vasculitis le litho tse amehang, hammoho le ho tiea le tsoelo-pele ea boemo boo. Ka tloaelo, meriana e tla laeloa hore e laole ho ruruha, li- immunosuppressants li ka sebelisoa ho phekola tsamaiso ea 'mele ea ho itšireletsa mafung,' me meriana e meng e ka thusa ho fokotsa matšoao a itseng. Li-glucocorticoids, tse atisang ho bitsoa steroids , ke tsona tse ka sehloohong tsa ho phekola vasculitis.
Mefuta
Ho na le maemo a ka bang 20 a fapaneng a khetholloang e le vasculitis, ho kenyelletsa:
- Maloetse a Behcet
- Maloetse a Moqapi
- Ts'ebetso ea Methapo ea Bohareng
- Churg-Strauss Syndrome
- Cryoglobulinemia
- Cell Giant Arteritis
- Henoch-Schonlein Purpura
- Polyangiitis Microscopic
- Polyarteritis Nodosa
- Polymyalgia Rheumatica
- Rheumatoid Vasculitis
- Arthaitis ea Takayasu
- Granulomatosis ea Wegener
The Bottom Line
Le hoja vasculitis e nkoa e le boemo bo sa tloaelehang, ho na le ho potlaka ho amanang le ho hlahlojoa ha eona. Ha ho na pheko ea vasculitis, empa ho hlahlojoa ha pele le kalafo ho ka thusa ho laola matšoao le ho laola tsoelo-pele ea lisele tsa 'mele le tšenyo ea litho.
Lisebelisoa:
> Paul A. Monach, MD, PhD le Peter A. Merkel, MD, MPH. Matšoafo. Koleji ea Amerika ea Rheumatology Thuto ea Mamello. E hlalositsoe ka May 2015.
Ho ba le Vasculitis ke Eng? Johns Hopkins Vasculitis Center. Johns Hopkins Medicine.