He aha kāu e ʻike ai e pili ana i nā Calulified Granulomas

Anter

• Calcified vs. noncalcified granulomas
• He aha nā hōʻailona?
• Nā kumu maʻamau
• Pehea e hōʻoia ʻia ai
• Nā koho lapaʻau
• Nā pilikia i hiki
• He aha ke kuanaʻike?

Hōʻike Overview

ʻO kahi granuloma i hoʻopili ʻia kahi ʻano kikoʻī o ka mumū o nā mea i lilo i helu ʻia i ka hala ʻana o ka manawa. Ke kapa ʻia kekahi mea ma ke ʻano he “kalekaia,” ʻo ia hoʻi aia i loko ona nā waihona o ka element calcium. Loaʻa i ka Calcium kahi hōʻiliʻili e hōʻiliʻili i nā meaola e hoʻōla nei.

Hoʻokumu pinepine ʻia ke kūkulu ʻana i nā granulomas e kahi maʻi. I ka wā o kahi maʻi, hoʻopuni a hoʻokaʻawale nā ​​pūnaewele pale i nā mea haole, e like me ka bacteria. Hiki ke kumu ʻia ʻo Granulomas e nā ʻōnaehana pale ʻē aʻe a i ʻole nā ​​kūlana hoʻāla. ʻIke pinepine ʻia lākou i nā akemāmā. Akā hiki ke loaʻa iā lākou i loko o nā kino ʻē aʻe o ke kino, e like me ke akepaʻa a i ʻole ka ʻūpā.

Calcified vs. noncalcified granulomas

ʻAʻole helu ʻia nā granulomas āpau. Hana ʻia ʻo Granulomas i kahi ʻāpana spherical o nā hunaola e hoʻopuni ana i kaʻiʻo i hoʻā ʻia. Hiki iā lākou ke helu i ka manawa. ʻO ka granuloma i helu ʻia he ʻano like me ka iwi a e ʻikea me ka mālamalama ma mua o nā kiko a puni ma kahi X-ray.

Ma muli o ka loaʻa ʻole o nā waihona calcium i noncalcified granulomas, hiki iā lākou ke hōʻike ʻia ma ke ʻano he puʻupuʻu liʻiliʻi loa o nā hunaola ma kahi X-ray a i ʻole CT scan. Ma muli o kēia, ʻike hewa pinepine ʻia lākou e like me nā ulu maʻi ʻaʻai ke nānā ʻia i kēia ʻano.

He aha nā hōʻailona?

Inā loaʻa iā ʻoe kahi granuloma helu, ʻaʻole paha ʻoe i ʻike a ʻike paha i kekahi ʻōuli. ʻO ka maʻamau, e hoʻokumu wale kahi granuloma i nā ʻōuli inā e hoʻopili ana i ka hiki o kahi ʻokena e hana pono ma muli o kona nui a i ʻole kona wahi.

Inā loaʻa iā ʻoe kahi granuloma i helu ʻia a ke ʻike nei ʻoe i nā ʻōuli, pili paha ia i ke ʻano o ka hele ʻana i lalo e hoʻokumu i ka granuloma.

Nā kumu maʻamau

ʻO ke hoʻokumu ʻia ʻana o nā granulomas i hoʻolaʻa ʻia i nā akemāmā ma muli o nā maʻi. Hiki i kēia mau mea mai kahi maʻi bacteria, e like me ka maʻi kō (TB). Calcified granulomas hiki ke hana pū kekahi mai nā maʻi fungal e like me histoplasmosis a i ʻole aspergillosis. ʻO nā kumu noninfectious o nā granulomas māmā e pili ana i nā kūlana e like me sarcoidosis a me Wegener's granulomatosis.

Hiki i nā granulomas Calcified ke hana i nā mea ʻē aʻe ma mua o nā akemāmā, e like me ke akepaʻa a me nā ʻāpala.

ʻO nā kumu infectious ʻoi loa o ka granulomas o ke akepau ka maʻi bacteria me TB a me ka schistosomiasis maʻi maʻi parasite. Hoʻohui ʻia, ʻo sarcoidosis ka mea maʻamau noninfectious kumu o ka ate granulomas. Hiki i kekahi mau lāʻau ke kumu i ke kūkulu ʻana i nā granulomas o ke ake.

Calcified granulomas hiki ke hana i ka lola ma muli o ka TB koʻohune maʻiʻaʻai a me ka fungal maʻiʻaʻai histoplasmosis. ʻO Sarcoidosis kahi kumu noninfectious o granulomas i ka pākī.

Pehea e hōʻoia ʻia ai

ʻAʻole paha ʻike ka poʻe i loaʻa ka granulomas i helu ʻia aia lākou ma laila. ʻIke pinepine ʻia lākou i ka wā e hana ai ʻoe i kahi kaʻina hana kiʻi e like me kahi X-ray a i ʻole CT scan.

Ināʻike kāu kauka i kahi o ka helu helu, hiki iā lākou ke hoʻohana i ka ʻenehana kiʻi e loiloi i ka nui a me ke kumu o ka helu ʻana e hoʻoholo inā he granuloma ia. Calcified granulomas ʻaneʻane maikaʻi mau. Eia nō naʻe, ʻoi iki, hiki iā lākou ke hoʻopuni ʻia e kahi tumo maʻi ʻaʻai.

Hana paha kāu kauka i nā hoʻokolohua hou aku e hoʻoholo ai i ka mea i hoʻokumu ai i nā granulomas. ʻO kahi laʻana, inā ʻike ʻia nā granulomas i hoʻopili ʻia i kou ake, e nīnau paha kāu kauka e pili ana i kāu mōʻaukala a me ka mōʻaukala huakaʻi. Hana paha lākou i nā hoʻokolohua hale hoʻokolohua e loiloi i kāu hana ate. Inā pono, hiki ke lawe ʻia kahi biopsy e hōʻoia i kahi ʻano kumu i hoʻokumu i ka granuloma.

Nā koho lapaʻau

No ka mea aneane mau ka maikaʻi o nā granulomas i hoʻopili ʻia, ʻaʻole lākou e koi i ka mālama ʻana. Eia nō naʻe, inā loaʻa ʻoe i kahi maʻi maʻi a i ʻole ke ʻano e hoʻokumu ana i ka granuloma, e hana kāu kauka e mālama i kēlā.

Inā loaʻa iā ʻoe kahi maʻi bacteria a fungal paha, e kauoha kāu kauka i kahi antibiotic a i ʻole antifungal kūpono. Hiki ke hoʻohana ʻia ka lāʻau antiparasitic drug praziquantel e mālama i ka maʻi parasite ma muli o schistosomiasis.

Mālama ʻia nā kumu noninfectious o granulomas e like me sarcoidosis me nā lāʻau corticosteroids a i ʻole nā ​​lāʻau pale pale ʻē aʻe i mea e kaohi ai i ka mumū.

Nā pilikia i hiki

I kekahi manawa hiki i ka granuloma ke alakaʻi i nā pilikia. ʻO nā pilikia mai ka hoʻokumu ʻana i ka granuloma pinepine ma muli o ke ʻano o ke kumu i kumu iā lākou.

Hiki i ke kaʻina o ka granuloma ke hana i kekahi manawa i mea e hoʻopōpō i ka hana aʻa. ʻO kahi laʻana, hiki i ka maʻi parasite schistosomiasis ke hana i nā granulomas e hana a puni nā hua o ka parasite i ke ake. Hiki i ke kaʻina hana o granuloma ke alakaʻi i fibrosis o ke ake. ʻO kēia ka manawa e hōʻiliʻili ai nā mea hoʻohui i loko o nā ake i loko o ke ake. Hiki i kēia ke hoʻopilikia i ka hanana ate a me ka hana.

Inā loaʻa ʻoe i kahi maʻi ʻeleu a i ʻole kahi ʻano ʻē aʻe e alakaʻi ai i ka hoʻokumu ʻana i ka granuloma, he mea nui ia e mālama ʻia e pale i nā pilikia.

He aha ke kuanaʻike?

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o nā granulomas i helu ʻia, ʻaʻole maopopo iā ʻoe aia iā ʻoe ia mau mea. Inā ʻike ʻia ʻoe me ka granuloma i helu ʻia, ʻaʻole pono ka granuloma iā ia iho e koi i ka lāʻau.

Inā loaʻa iā ʻoe kahi ʻano kumu a maʻi paha e alakaʻi nei i ka granuloma hoʻokumu, e hana ana kāu kauka e mālama i kēlā. Pili ka nānā i kēlā me kēia kanaka i ke ʻano o ka mālama ʻana. E hana pū kāu kauka me ʻoe e hoʻokumu i kahi hoʻolālā lapaʻau a e hoʻoponopono i nā hopohopo.