Vasculitis: nws yog dab tsi, ua rau, tshwm sim thiab kho mob

Zoo Siab

• Cov teeb meem muaj peev xwm
• Cov tsos mob zoo li cas
• Yuav kuaj li cas
• Yuav kho tus mob li cas

Vasculitis, tseem hu ua angeitis, yog qhov mob ntawm cov hlab ntshav uas tuaj yeem cuam tshuam tsuas yog ib lossis ntau lub ntsha, thiab txawm tias muaj cov kabmob sib txawv hauv lub cev. Yog li, qhov tseem ceeb tshaj plaws ntawm vasculitis yog qhov txo qis los yog txhaws cov ntshav hauv cov hlab ntsha cuam tshuam, uas tuaj yeem ua rau ischemia, uas yog qhov tsis muaj oxygen nyob rau hauv cov ntaub so ntswg thiab tuaj yeem ua rau necrosis ntawm thaj chaw mob.

Vasculitis tuaj yeem raug faib raws li cov laj thawj thiab cov tsos mob mus rau hauv:

• Thawj vasculitis, nyob rau hauv uas cov tsos mob tuaj yeem tshwm sim hauv cov neeg noj qab haus huv, tsis muaj keeb kwm ntawm kab mob;
• Vasculitis Secondary, uas nws cov tsos mob tshwm sim hauv cov neeg uas tau txheeb xyuas tus kab mob, xws li mob lupus erythematosus, Buerger's mob, schönlein-henoch purpura.

Kev kuaj mob ntawm ob hom vasculitis yog tsim los ntawm kev kuaj ntshav thiab ntsuas duab, ua ib qho tseem ceeb rau tus kws kho mob kuaj xyuas qhov mob hnyav thiab qhia qhov kev kho mob tshwj xeeb tshaj plaws, uas tuaj yeem ua nrog corticosteroids lossis immunosuppressants.

Cov teeb meem muaj peev xwm

Cov laj thawj ntawm qhov pib ntawm vasculitis tsis yog qhov tseeb tag nrho, tab sis feem ntau nws zoo li cuam tshuam nrog tus kab mob autoimmune, yog li nws ntseeg tias kev mob caj ces yog ib qho tseem ceeb rau nws txoj kev pom.

Txawm li cas los xij, tam sim no muaj cov xwm txheej ib puag ncig uas qhia tias muaj peev xwm tsim cov vasculitis hauv tus neeg, xws li kev siv cocaine lossis amphetamines, muaj cov kab mob xws li kab mob siab B lossis C thiab parvovirus B19. Ntxiv rau, vasculitis tuaj yeem tshwm sim los ntawm cov kev mob tshwm sim los ntawm qee cov tshuaj, xws li Penicillamine, Propylthiouracil, Hydralazine, Minocycline los yog raug rau silica.

Cov tsos mob zoo li cas

Txij li thaum cov hlab ntsha hauv lub cev tuaj yeem cuam tshuam, vasculitis tuaj yeem ua rau cov tsos mob sib txawv raws li thaj av lossis ib qho uas tau cuam tshuam los ntawm tus kabmob. Yog li, cov tsos mob ntawm vasculitis raws thaj tsam cuam tshuam, tuaj yeem yog:

• Daim tawv nqaij: cov nplaim tawg uas tshwm sim hauv pawg thiab tuaj yeem ua rau daim tawv nqaij tawg, khaus lossis poob ntawm qhov hnov ​​ntawm thaj av;
• Ntswg thiab pob ntseg: mob ntsws, mob ntswg, mob tawm pob ntawm lub qhov txhab lossis mob otitis, lag ntseg ib ntus, lub suab tsis nrov, mob qhov ntswg;
• Raum: muaj cov protein thiab / lossis ntshav hauv cov zis, ntshav siab, o nqua thiab ntsej muag, pos huab;
• Pauj: mob plab feem ntau tom qab noj mov, tso quav ntshav;
• Lub ntsws: hnoos tau ntshav, ua pa txog siav, hawb pob thaum nqus pa, tshuaj tua kab mob ua paug;
• Pob qij txha: mob, o, kub, liab thiab nyuaj txav ntawm cov pob qij txha;
• Ob lub qhov muag: teeb meem hauv lub zeem muag, kho qhov muag lossis plooj plooj, qhov mob ntawm qhov muag lossis liab liab;
• LeegNtawmcov tswv cuab: leeg tsis muaj zog, tingling, tuag tes tuag taw.

Lwm cov tsos mob uas kuj tuaj yeem tshwm sim hauv vasculitis yog poob phaus yam tsis pom tseeb, ua mob hauv lub cev, nkees heev, tsis qab los noj mov, kub taub hau lossis kub taub hau.

Yog tias muaj kev ua xyem xyav ntawm muaj vasculitis, nws yog ib qho tseem ceeb uas yuav tsum tau nrhiav kev kho mob sai li sai tau, raws li vasculitis tuaj yeem ua rau puas tsuaj rau cov plab hnyuv siab raum xws li lub ntsws lossis lub raum.

Yuav kuaj li cas

Kev kuaj mob ntawm vasculitis yog tsim los ntawm tus kws kho mob hlwb lossis kws rheumatologist thiab yuav tau ua tom qab kev txheeb xyuas tus neeg mob tus keeb kwm, thiab qee qhov kev sim hauv tsev kuaj mob xws li nrhiav kev tiv thaiv kab mob anti-cytoplasmic (ANCA), uas yog cov tshuaj tua kabmob uas tua cytoplasm, tau thov., kuaj ntshav, electrolytes, creatinine, ua tiav kev kuaj ntshav thiab kev kuaj mob FAN, uas yog lub hom phiaj txhawm rau txhawm rau kuaj pom muaj cov kab mob autoantibodies hauv cov ntshav. Nkag siab tias daim ntawv xeem FAN yog dab tsi thiab nws yuav ua li cas.

Thaum lub sijhawm raug xoom xaim ntawm lub vasculitis tau mus txog ib qho khoom hauv nrog cev, kev kuaj mob kuj yuav tsim nyog los ntsuas qhov haujlwm ntawm Organs cuam tshuam cov kabmob, xws li cov duab sib nqus resonance, ultrasound thiab suav tomography, ntxiv rau kev txiav me.

Yuav kho tus mob li cas

Kev kho mob ntawm ntau hom mob vasculitis yog nqa tawm raws li qhov laj thawj ntawm qhov mob thiab mob hnyav ntawm tus neeg. Qee qhov xwm txheej, kev kho mob ua tiav nrog cov tshuaj corticosteroid, xws li hydrocortisone, dexamethasone, mometasone thiab betamethasone, piv txwv li, ntxiv rau cov tshuaj tiv thaiv kab mob xws li azathioprine, cyclophosphamide lossis mycophenolate. Tshawb xyuas seb hom corticosteroids thiab lawv yog dab tsi rau.

Txawm li cas los xij, hauv vasculitis hnyav, uas cuam tshuam cov kabmob, tus neeg yuav tsum tau nyob hauv tsev kho mob kom tau txais kev kho mob uas tsim nyog, thiab qee qhov kev phais mob yog tsim nyog los rov tsim cov ntshav hauv lub nkoj kom raug mob los ntawm tus mob o.

Nrog rau kev kho nrog cov tshuaj, tam sim no cov kev tawm dag zog lub cev qoj ib ce, so kom txaus, noj mov zoo thiab txo kev ntxhov siab tau pom tias yog ib qho tseem ceeb thiab nrog cov txiaj ntsig zoo rau kev kho vasculitis.