ʻO ka hypersensitivity (Allergic) Vasculitis

Anter

• Nā mea hoʻonāukiuki no kahi hopena vasculitis hypersensitivity
• Ke hoʻomaopopo nei i nā ʻōuli o ka vasculitis hypersensitivity
• Pehea ia ʻike?
• He aha kaʻu mau koho lapaʻau?
• Nā pilikia
• Outlook

He aha ka vasculitis hypersensitivity?

ʻO Vasculitis ka mumū o nā kīʻaha koko. Hiki iā ia ke hōʻino i nā kīʻaha koko ma ka mānoanoa, scarring, a hoʻonāwaliwali i nā paia o ka moku. Nui a hewahewa nā ʻano vasculitis. Kūpilikiʻi kekahi a kū i kahi manawa pōkole, ʻoiai ʻo nā mea ʻē aʻe hiki ke hoʻomau. ʻO ka vasculitis hypersensitivity kahi i ʻike ʻia e like me ka leukosittoclastic vasculitis. He kūlana koʻikoʻi ia e hoʻonā i nā kīʻaha koko liʻiliʻi. Kaha ʻia e ka mumū a me ka ʻulaʻula o ka ʻili i kū ke hiki ʻoe i ka launa me kahi mea hoʻoheheʻe. E pili ana i ka nui o ka vasculitis hypersensitivity e lilo i wā lōʻihi a i ʻole reoccurring.

Pili ke ʻano i nā hiʻohiʻona ʻulaʻula i ka ʻili, ka mea maʻamau, palpable purpura. Hānai ʻia ʻo Palpable purpura i mau ʻano ʻulaʻula akā ʻulaʻula i ka waihoʻoluʻu poni. Eia nō naʻe, hiki i nā ʻano rashes ʻē aʻe ke kū aʻe.

ʻO nā kūlana i hiki ke hoʻokumu i kēia ʻili i ka ʻili me:

• nā lāʻau
• nā maʻi maʻi
• maʻi ʻaʻai
• kekahi mea i loaʻa iā ʻoe kahi hopena maʻi ʻino iā

ʻO ka hapa nui o ka vasculitis hypersensitivity e hopena ʻia e ka hopena lāʻau. Hiki iā ia ke hana ma kahi o kekahi mau maʻi a i ʻole nā ​​virus. I kekahi mau hihia, ʻaʻole hiki ke ʻike ʻia ke kumu pono.

Nā mea hoʻonāukiuki no kahi hopena vasculitis hypersensitivity

Hoʻokomo pinepine ʻia ka vasculitis hypersensitivity e kahi hopena i kahi lāʻau. Pili nā lāʻau i pili i ka hypersensitivity vasculitis:

• kekahi mau antibiotic e like me ka penicillin a me nā lāʻau sulfa
• kekahi mau lāʻau kaomi koko
• phenytoin (Dilantin, kahi lāʻau antiseizure)
• allopurinol (hoʻohana no ka gout)

Hiki i nā maʻi bacteria a i ʻole nā ​​virus ke kumu i kēia ʻano vasculitis. Hoʻopili kēia me HIV, hepatitis B, a me hepatitis C. ʻO ka poʻe me nā maʻi autoimmune e like me lupus, rheumatoid arthritis, Sjogren's Syndrome, a me nā maʻi ʻōpala e hiki ke ʻike i kēia ʻano. Hiki iā ia ke hoʻopili i nā kānaka me ka maʻi ʻaʻai.

Ke hoʻomaopopo nei i nā ʻōuli o ka vasculitis hypersensitivity

ʻO ka huaʻōlelo "vasculitis" e pili ana i ka hōʻeha a me nā pohō o ke kīʻaha koko. ʻO kēia mumū a me nā hōʻino ke kumu o ka palpable purpura, ka hōʻailona nui o ka vasculitis.

ʻIke paha kēia mau kiko i ka poni a me ka ʻulaʻula. E ʻike paha ʻoe iā lākou ma kou mau wāwae, ka ʻūhā, a me ka ʻōpū. Hiki paha iā ʻoe ke hoʻomohala i nā palapū a i nā hives ma kou ʻili. Hiki i nā Hives ke ʻalalā i nā ʻili i ʻike ʻia ma ka ʻili ma muli o kahi hopena maʻi.

ʻO nā ʻōuli a me nā hōʻailona ʻuʻuku āu e ʻike ai paha:

• ʻeha pū
• hoʻonui ʻia nā lymph node (nā glands e kōkua ai e hemo i nā bacteria mai ke kahe o ke koko)
• ʻōhumu ʻōhū (i nā hihia ʻike ʻole ʻia)
• fever fever

Ke kumu o ka launa lāʻau ʻana ke kumu, ʻike mau ʻia nā ʻōuli ma waena o ʻehiku a 10 mau lā o ka hōʻike ʻana. ʻIke paha kekahi poʻe i nā ʻōuli ma mua o ʻelua mau lā ma hope o ka lawe ʻana i kekahi mau lāʻau.

Pehea ia ʻike?

ʻO kahi ala kuʻuna e ʻike ai i ka vasculitis hypersensitivity ke hoʻoholo nei inā ʻoe e hui ma ʻekolu o ʻelima mau mea i hōʻike ʻia e ke Kulanui ʻAmelika o Rheumatology.

• Ma mua o 16 mau makahiki ou.
• Loaʻa iā ʻoe kahi ʻili me ka purpura palpable.
• Loaʻa iā ʻoe kahi ʻeha o ka maculopapular (loaʻa nā ʻāpana pālahalaha a hāpai ʻia).
• Ua hoʻohana ʻoe i ka lāʻau i mua o ka hoʻomohala ʻana i ka ʻili.
• Ua hōʻike kahi biopsy o kou ʻili i kou ʻili i nā hunaola keokeo e pili ana i kou mau kīʻaha koko.

Eia naʻe, ʻaʻole ʻae nā loea āpau ʻo kēia wale nō nā pae hoʻohālikelike e pono ai e noʻonoʻo i ke kuhi ʻana i kēia ʻano. ʻO ka hapalua o nā manawa e like me nā puʻupaʻa, gastrointestinal tract, lungs, puʻuwai, a me nā ʻōnaehana hiki ke pili pū kekahi.

ʻO ka maʻamau, e kōkua i kāu kuhi, e kauka kāu:

• loiloi i kāu mau ʻōuli a nīnau e pili ana i ka mōʻaukala, ka lāʻau, a me ka mōʻaukala maʻi
• loiloi i kāu mōʻaukala olakino a hana i kahi hoʻokolohua kino
• e lawe i kahi mea kiko, a i ʻole biopsy, o kou ʻehu
• e hoʻouna i kahi laʻana i kahi keʻena hoʻokolohua kahi e nānā ʻia ai no nā hōʻike o ka mumū e pili ana i nā kīʻaha koko
• kauoha i nā ʻano kīʻaha koko, e like me ka helu piha o ke koko, nā hoʻokolohua a me nā hana ate, a me ka helu sedryation erythrocyte (ESR) e ana i ke kēkelē o ka hoʻowali kino holoʻokoʻa.

ʻO ke kuhi a me ka mālama ʻana e pili ia i ke kumu o kāu vasculitis a inā aia ka maʻi a me ka mumū o nā mea ʻē aʻe.

He aha kaʻu mau koho lapaʻau?

ʻAʻohe lāʻau lapaʻau no ka vasculitis hypersensitivity iho. ʻO ka pahuhopu nui o ka mālama ʻana e hōʻoluʻolu i kāu mau ʻōuli. I nā hihia maʻalahi, ʻaʻole koi ʻia kahi lapaʻau kūikawā.

E kamaʻilio me kāu kauka e pili ana i nā lāʻau āu e lawe nei. Hiki i kēia ʻike ke kōkua i ka hoʻoholo ʻana i ke kumu no kāu vasculitis. Inā hoʻihoʻi ʻia kou pilikia i kahi lāʻau āu e lawe nei, e ʻōlelo paha ke kauka iā ʻoe e haʻalele i ka lawe ʻana iā ia. Eia naʻe, ʻaʻole pono ʻoe e hōʻoki i ka lawe ʻana i nā lāʻau me ka ʻole o ka ʻōlelo aʻoaʻo a kāu kauka. Pono e hele i waho kou mau ʻōuli ma loko o kekahi mau pule o ka hōʻoki ʻana i ka lāʻau hōʻino.

Kau ʻia ʻoe e ka lāʻau anti-inflammatory, keu hoʻi inā ʻeha pū ʻoe. ʻO ka maʻamau, hoʻohana ʻia nā lāʻau anti-inflammatory nonsteroidal e like me naproxen a i ʻole ibuprofen. Inā ʻaʻole hiki i nā lāʻau anti-inflammatory hōʻoluʻolu ke hōʻoluʻolu i nā ʻōuli, hiki i kāu kauka ke kuhikuhi i nā lāʻau corticosteroids. ʻO Corticosteroids nā lāʻau e kāohi i kāu ʻōnaehana paleʻoni a hoʻemi i ka pehu. Loaʻa i nā Corticosteroids kekahi mau hopena ʻaoʻao, keu hoʻi ke lawe ʻia no kahi wā lōʻihi. Hoʻopili kēia i ka loaʻa ʻana o ke kaupaona, nā hoʻololi koke o ka naʻau, a me ka huehue.

Inā loaʻa iā ʻoe kahi hihia ʻoi aku ka nui e pili ana i ka mumū nui a i ʻole ke komo ʻana o nā mea ʻē aʻe ma kahi o ka ʻili, pono ʻoe e hoʻokipa ʻia i ka haukapila no ka mālama nui ʻana.

Nā pilikia

Kaukaʻi ʻia i ka paʻakikī o kāu vasculitis, loaʻa paha iā ʻoe i kahi scarring ma muli o ka mumū. Hoʻokumu ʻia kēia e nā kīʻaha koko i hōʻino mau loa ʻia.

ʻOi aku ka liʻiliʻi, hiki i ka mumū o nā puʻupaʻa a me nā mea ʻē aʻe i nā kānaka me ka vasculitis hypersensitivity. ʻAʻole ʻike ka hapa nui o nā kānaka i nā ʻōuli o ka ʻōpala o nā meaola. Hiki i nā hoʻāʻo ʻana i ke koko a me ka mimi ke kōkua i ka hoʻoholo ʻana i nā ʻokena e komo pū a me ke koʻikoʻi o ka mumū.

Outlook

Hiki paha i ka vasculitis hypersensitivity ke hoʻi mai inā ʻike ʻia ʻoe i ka lāʻau hōʻeha, maʻi, a mea paha. ʻO ka pale ʻana i kāu mau maʻi āpau i ʻike ʻia e kōkua i ka hōʻemi ʻana i kou manawa o ka loaʻa hou ʻana o ka vasculitis hypersensitivity.