He aha ka leukocytoclastic vasculitis, nā kumu, nā ʻōuli a me nā lāʻau

Anter

• Nā kumu o ka leukocytoclastic vasculitis
• Nā hōʻailona nui
• Pehea e hana ai i ka lāʻau

ʻO ka leukocytoclastic vasculitis, ka mea i ʻike ʻia me ka vasculitis hypersensitivity a i ʻole ka vasculitis moku liʻiliʻi, e kūlike me ka mumū o nā kīʻaha koko e hiki ke hana ma muli o ka mumū, nā maʻi a me nā maʻi autoimmune paha, e alakaʻi ana i ke ʻano o nā ʻulaʻula ma nā ʻūhā, nā ʻūhā a me ka ʻaoʻao ʻōpū.

Hoʻomaopopo ʻia ke kuhi o kēia ʻano vasculitis me ka noʻonoʻo ʻana i nā ʻōuli i hōʻike ʻia e ke kanaka a me ka hopena o nā hoʻokolohua hoʻokolohua e hiki ke noi ʻia e ke kauka. I ka hapanui o nā hihia, nalowale nā ​​ʻōuli o ka leukocytoclastic vasculitis ma hope o kekahi mau mahina, akā pono paha e hoʻohana i kekahi mau lāʻau e like me antihistamines a i ʻole corticosteroids ma muli o ke koʻikoʻi o ka vasculitis.

Nā kumu o ka leukocytoclastic vasculitis

Hiki i kēia ʻano vasculitis ke loaʻa he mau kumu a pili pinepine ʻia i nā kumu e hāpai i nā loli i ka ʻōnaehana pale. ʻO kēia no ka mea ua manaʻo ʻia ʻo nā ʻōuli o ka leukocytoclastic vasculitis e kū nei ma muli o ke hoʻokumu ʻia ʻana o nā complexes immune i loko o nā kīʻaha koko liʻiliʻi, e hopena ai i ka mumū.

No laila, ʻo nā kumu nui e pili ana i ka ulu ʻana o kēia ʻano vasculitis:

• Allergy i kekahi lāʻau e like me antibiotic, non-steroidal anti-inflammatory drug, beta-blockers, warfarin a me metformin;
• Allergy i kekahi mau meaʻai aiʻole nā ​​mea hoʻohui meaʻai;
• Maʻi kīnā e nā koʻohune, nā mea ʻino a i ʻole nā ​​parasites, nā ʻākena pili infectious e pili pinepine ʻia ana ʻo ʻO Streptococcus pyogenes, Mycobacterium tuberculosis, Staphylococcus aureus, Chlamydia trachomatis, Neisseria gonorrhoeae, nā maʻi hepitis B a me C a me ka maʻi HIV;
• Nā maʻi maʻi autoimmune e like me rheumatoid arthritis, systemic lupus erythematosus a me Sjogren's syndrome;
• Nā maʻi hōʻeha e like me ka maʻi o Crohn a me ka ulcerative colitis, no ka laʻana;
• Nā hoʻololi kūpilikiʻi e like me nā tumors, lymphoma, leukemia a me myelodysplastic syndrome.

ʻO ke kuhi o ka leukocytoclastic vasculitis i hana ʻia e ka mea hana maʻamau, angiologist, rheumatologist a i ʻole dermatologist ma o ka loiloi mua o nā hōʻailona a me nā hōʻailona i hōʻike ʻia e ke kanaka. Hoʻohui ʻia, noi ʻia hoʻi e ke kauka e hana i nā hoʻokolohua hale hana e kōkua ai i ka ʻike ʻokoʻa, e like me ka helu o ke koko, VSH, nā hoʻokolohua e loiloi i ke akepaʻa a me nā hakuʻala a me nā hoʻokolo mimi.

E hōʻoia i ke kuhi, ua paipai ke kauka e hana i kahi biopsy o ka leona, i hiki ai ke hoʻokō ʻia ka loiloi microscopic o nā mea, i hana nui ʻia ma 24 a 48 mau hola mua o ke ʻano o nā hōʻailona mua a me nā hōʻailona. Hoʻomaopopo pehea e hana ai i ka biopsy.

Nā hōʻailona nui

ʻO nā ʻōuli o ka leukocytoclastic vasculitis e pili ana i ka waiho ʻana o nā keʻena pale pale i loko o nā kīʻaha koko, ʻo ia nā hale i hana ʻia e nā mea ʻino, hua ʻia ma muli o ke kaʻina hana hoʻoulu, a me nā antigens e hele nei. Ma hope o ka hoʻokumu ʻia ʻana o nā complexes immune a me ka waiho ʻana i loko o nā moku, hoʻonāuki ʻia nā mea e pili ana i ka hana o ka ʻōnaehana pale, a hiki i ke ʻano o nā ʻōuli, ʻo nā mea nui.

• Ka puka ʻana o nā kiko ʻulaʻula ma ka ʻili;
• ʻO ke ahi wela a me ka ʻeha o nā leona;
• ʻIkioma ikaika;
• Ka helehelena o nā nodule;
• Ke kū mai o nā ulcer crust.

ʻOi aku ka maʻamau o kēia mau ʻōuli ma nā wāwae, nā ʻūhā, ka ʻūhā a me ka ʻōpū o lalo. Hoʻohui ʻia, i nā hihia ʻoi loa, ʻike ʻia nā ʻōnaehana ʻōnaehana e like me ke kuni, ka pohō o ke kaumaha me ke kumu ʻole, ʻeha ka ʻū, ke koko i ka mimi a i ʻole nā ​​feces a hoʻonui ʻia ka nui o ka ʻōpū, no ka laʻana. He mea nui i loko o kēia mau hihia e nīnau i ke kauka i hiki ke hana ʻia ke kuʻina a me ka pono e hoʻomaka i ka hoʻoponopono ʻana.

E nānā i nā hōʻailona a me nā ʻōuli ʻē aʻe o ka vasculitis.

Pehea e hana ai i ka lāʻau

I ka hapanui o nā hihia o ka leukocytoclastic vasculitis, nalo mau nā ʻōuli me ka ʻole o ka pono e mālama ʻia, akā naʻe he mea nui e ʻike ʻia ke kumu no ka mea hiki ke hōʻike ʻia nā hoʻolālā e pale ai i kahi ʻāpana hou o vasculitis, e like me ka hoʻomaha ʻana o ka lāʻau a i ʻole hoʻemi i ka ʻai ʻana o kekahi mau meaʻai, inā pili ka vasculitis i nā maʻi āpau i nā lāʻau a i ʻole nā ​​meaʻai, no ka laʻana.

I nā hihia ʻē aʻe, ke nalo ʻole nā ​​ʻōuli me ka manawa a i ʻole ke ʻike ʻia nā ʻōuli ʻōnaehana, hiki i ke kauka ke hōʻike i ka hoʻohana ʻana o kekahi mau lāʻau i mea e pale ai i ka holomua o ka vasculitis a paipai i ka hoʻomaikaʻi o ke kanaka, a laila hoʻohana ʻia nā antihistamines aiʻole nā ​​corticosteroids, i ka hoʻohui i ka hoʻomaha a me ka hoʻokiʻekiʻe ʻana i nā wāwae.