Vasculitis: he aha ia, kumu, hōʻailona a me ka mālama ʻana

Anter

• Nā kumu kūpono
• He aha nā hōʻailona
• Pehea e hana ʻia ai ke kuhi
• Pehea e hana ai i ka lāʻau

ʻO Vasculitis, i kapa ʻia hoʻi he angeitis, ʻo ia ka hoʻā o nā kīʻaha koko e hiki ke hoʻopili i hoʻokahi a i ʻole mau moku, a me nā ʻano ʻokoʻa i ke kino. No laila, ʻo ka hopena nui o ka vasculitis ka hōʻemi a blockage paha o ke kahe o ke koko i loko o ka moku i hoʻopilikia ʻia, a hiki i ka hopena i ka ischemia, ʻo ka nele o ka oxygen i loko o nā aʻa a hiki ke alakaʻi i ka nekrosis o ka wahi i puhi ʻia.

Hiki ke hoʻokaʻawale ʻia ka vculculitis e like me nā kumu a me nā ʻōuli i:

• ʻO ka vasculitis kumu, kahi e ʻike ʻia ai nā ʻōuli ma nā kānaka olakino, me ka mōʻaukala ʻole o nā maʻi.
• ʻO ka vasculitis lua, nona nā ʻōuli i ʻike ʻia i ka poʻe i ʻike ʻia me ka maʻi, e like me lupus erythematosus, maʻi ʻo Buerger, schönlein-henoch purpura.

Hana ʻia ke ʻano o nā ʻano ʻelua o ka vasculitis ma o nā hoʻokolohua hoʻokolohua o ke koko a me ke kiʻi ʻana, he mea nui na ke kauka e nānā i ke koʻikoʻi o ka maʻi a hōʻike i ka lāʻau lapaʻau kikoʻī loa, kahi e hiki ai me nā corticosteroids a i ʻole nā ​​pale pale.

Nā kumu kūpono

ʻAʻole maopopo loa nā kumu o ka hoʻomaka ʻana o ka vasculitis, akā i ka hapanui o nā hihia me he mea lā e pili ana ia i kahi maʻi autoimmune, no laila manaʻo ʻia ʻo ka predisposition genetic kekahi o nā mea nui no kāna hōʻike.

Eia nō naʻe, i kēia manawa aia nā mea pili kaiapuni e hōʻike i ka hiki ke hoʻomohala i ka vasculitis i loko o ke kanaka, e like me ka hoʻohana ʻana i ka cocaine a i ʻole nā ​​amphetamines, ke kū ʻana o nā maʻi e like me ka hepatitis B a me C a me ka parvovirus B19. Hoʻohui ʻia, hiki i ka vasculitis ke kumu ʻia e nā hopena ʻē aʻe o kekahi lāʻau, e like me Penicillamine, Propylthiouracil, Hydralazine, Minocycline a i ʻole ke hōʻike ʻana i ka silica.

He aha nā hōʻailona

ʻOiai hiki ke hoʻopili ʻia kekahi kīʻaha koko i ke kino, hiki i ka vasculitis ke hana i nā ʻōuli like ʻole e kaukaʻi ʻia i ka maʻi. No laila, nā hōʻailona o ka vasculitis e like me ka ʻāpana i hoʻopili ʻia, hiki i:

• ʻIli: nā kiko purplish e ʻike ʻia i nā hui a hiki ke alakaʻi i ka haki o ka ʻili, kani a i ʻole ka nalowale ʻana o ka manaʻo ma ka ʻāina.
• Ihu a me nā pepeiao: resusent sinusitis, nosebleeds, recurrent nasal ulcer or otitis, kuli kuli, leo kūho, ʻeha ihu;
• Hakuʻala: ke kūʻana o nā protein a me / a i ʻole ke koko i ka mimi, ke koko kiʻekiʻe, nā lālā pehu a me ke alo, ka mimi ʻōpua;
• Kōkua: ʻeha ka ʻōpū ma hope o ka pāʻina ʻana, nā noho koko;
• Lung: kahe ana ke koko, ka pōkole o ka hanu, ke kani i ka hanu ʻana, ka maʻi kūpikipiki-kūpaʻa;
• Hui: ʻeha, pehu, wela, ʻulaʻula a me ka paʻakikī i ka neʻe ʻana i nā hono;
• Maka: paʻakikī i ka hihiʻo, ʻike maka pālua a pōuliuli paha, ʻeha ma ka maka a me ka maka ʻulaʻula;
• Nā koʻoMailālā: nāwaliwali o ka mākala, ʻūlū ʻana, paralysis.

ʻO nā ʻōuli ʻē aʻe e loaʻa pū paha i ka vasculitis ka pohō o ke kaupaona me ka ʻole o ke kumu, ka ʻeha o ke kino hou, ka luhi nui loa, ka make ʻole o ka makemake, ka malaise a me ke kuni.

Inā loaʻa kahi kānalua no ka loaʻa ʻana o ka vasculitis, he mea nui ka ʻimi ʻana i ka lāʻau lapaʻau i ka wā hiki loa, no ka mea, hiki i ka vasculitis ke hōʻino nui i nā lālā e like me nā mumū a me nā puʻupaʻa.

Pehea e hana ʻia ai ke kuhi

ʻO ka hōʻailona o vasculitis i hana ʻia e ka angiologist a i ʻole ka rheumatologist a e hana ʻia ma hope o ke kālailai ʻana i ka mōʻaukala o ke kanaka, a i kekahi mau hoʻokolohua hoʻokolohua e like me ka ʻike ʻana i nā anti-cytoplasmic antibodies (ANCA), he mau mea ʻino ia e hoʻouka i ka cytoplasm, noi ʻia., hoʻāʻo mimi, electrolytes, creatinine, hoʻāʻo koko piha a me ka hoʻāʻo FAN, ka mea e kuhikuhi ai i ke ola o nā autoantibodies i loko o ke koko. E hoʻomaopopo he aha ka hōʻike FAN a pehea e hana ai.

I nā hihia o ka kānalua ua hiki i ka vasculitis i kahi ʻōpala, pono paha i nā hoʻokolohua e loiloi i ka hana o nā Organs i hoʻopili ʻia, e like me ke kiʻi magnetic resonance, ultrasound a me ka tomography i helu ʻia, me ka biopsy.

Pehea e hana ai i ka lāʻau

Lawe ʻia ka mālama ʻana i nā ʻano ʻokoʻa o ka vasculitis e like me ke kumu o ka lī a me ke koʻikoʻi o ke ʻano o ke kanaka. I kekahi mau hihia, hana ʻia ka lapaʻau me nā lāʻau corticosteroid, e like me hydrocortisone, dexamethasone, mometasone a me betamethasone, no ka laʻana, me ka hoʻohui i nā immunosuppressants e like me azathioprine, cyclophosphamide a mycophenolate. E nānā i nā ʻano o nā corticosteroids a me nā mea no lākou.

Eia nō naʻe, i ka vasculitis koʻikoʻi, pili i nā ʻōpū, pono ke kanaka i ka haukapila no ka loaʻa ʻana o ka lāʻau kūpono, a i kekahi mau manawa pono ka ʻoki e hana hou i ke kahe o ke koko i loko o ka moku i hōʻeha ʻia e ka mumū.

Me nā lāʻau lapaʻau me nā lāʻau, i kēia manawa ka hoʻomaʻamaʻa kino māmā, hoʻomaha kūpono, ʻai olakino a hoʻemi ʻia nā pae koʻikoʻi i hōʻike ʻia he mea nui a me nā hopena maikaʻi loa no ka mālama ʻana i ka vasculitis.