Yuav ua li cas yog leukocytoclastic vasculitis, ua rau, cov tsos mob thiab kho
Zoo Siab
Leukocytoclastic vasculitis, tseem hu ua hypersensitivity vasculitis lossis hlab ntsha me vasculitis, ua rau cov hlab ntshav tuaj yeem tshwm sim rau qhov tshwm sim ntawm o, mob sib kis lossis mob autoimmune, uas ua rau pom cov pob liab liab feem ntau rau ntawm txhais ceg, ncej puab thiab hauv plab.
Kev kuaj mob ntawm hom vasculitis no tau ua rau suav nrog cov tsos mob tau nthuav tawm los ntawm tus neeg thiab txiaj ntsig ntawm kev kuaj sim uas tuaj yeem thov los ntawm kws kho mob. Feem ntau, cov tsos mob ntawm leukocytoclastic vasculitis ploj tom qab ob peb lub hlis, txawm li cas los xij nws yuav tsim nyog siv qee cov tshuaj xws li antihistamines lossis corticosteroids nyob ntawm qhov mob ntawm vasculitis.
Ua rau mob leukocytoclastic vasculitis
Hom vasculitis tuaj yeem muaj ntau yam ua rau thiab feem ntau muaj feem xyuam rau cov ntsiab lus uas txhawb nqa cov kev hloov hauv lub cev tsis muaj zog. Qhov no yog vim nws ntseeg tau tias cov tsos mob ntawm leukocytoclastic vasculitis tshwm sim vim yog kev tsim cov kev tiv thaiv kab mob hauv cov ntshav me me, uas ua rau muaj mob.
Yog li, qhov tseem ceeb uas cuam tshuam nrog kev txhim kho ntawm hom vasculitis no yog:
- Ua xua rau qee cov tshuaj xws li tshuaj tua kab mob, tsis siv tshuaj tua tsis-tshuaj steroidal, beta-blockers, warfarin thiab metformin;
- Ua xua rau qee yam zaub mov lossis khoom noj khoom haus ntxiv;
- Kab mob los ntawm cov kab mob, kab mob lossis cab, feem ntau cuam tshuam nrog kev sib kis kab mob tau yog Cov kab mob Streptococcus pyogenes, Mycobacterium tuberculosis, Dab Tsi Staphylococcus aureus, Tus mob chlamydia trachomatis, Neisseria gonorrhoeae, kab mob siab B thiab C virus thiab HIV;
- Cov kab mob autoimmune xws li mob caj dab, mob caj dab lupus erythematosus thiab Sjogren's syndrome;
- Cov mob ntawm txoj hnyuv xws li Crohn kab mob thiab mob ncauj plab, piv txwv;
- Hloov siab hloov xws li qog hlav, mob qog nqaij hlav, mob qog ntshav thiab mob myelodysplastic syndrome.
Kev kuaj mob ntawm tus mob leukocytoclastic vasculitis yog ua los ntawm cov kws kho mob feem ntau, tus kws kho qhov muag, kws kho pob txha caj dab lossis dermatologist los ntawm kev txheeb xyuas pib ntawm cov cim thiab cov tsos mob qhia los ntawm tus neeg. Ib qho ntxiv, nws tseem raug thov los ntawm tus kws kho mob los kuaj ntsuas lub zog uas pab ua kom muaj qhov txawv txav, xws li kuaj ntshav, VSH, kuaj uas ntsuas cov mob siab thiab lub raum thiab lub siab kuaj.
Txhawm rau kom paub tseeb tias kev kuaj mob, tus kws kho mob pom zoo ua qhov nqaij ntawm lub qhov txhab, kom qhov tsom qhov tsom me me ntawm cov ntaub so ntswg tuaj yeem ua, feem ntau ua rau thawj 24 mus rau 48 teev ntawm cov tsos ntawm thawj cov tsos mob thiab cov tsos mob. Nkag siab txog qhov ua li cas yuav tsum ua li cas.
Cov tsos mob tseem ceeb
Cov tsos mob ntawm leukocytoclastic vasculitis muaj feem xyuam rau qhov kev tso tshuaj tiv thaiv kab mob hauv cov hlab ntshav, uas yog cov qauv tsim los ntawm cov tshuaj tiv thaiv kab mob, tsim los ntawm cov txheej txheem ua mob, thiab nthuav tawm ntawm antigens. Tom qab tsim kev tiv thaiv kab mob hauv lub cev thiab tso rau hauv cov hlab, lwm yam cuam tshuam rau kev ua ntawm lub cev tsis muaj zog ua kom rov ua haujlwm, uas ua rau pom qhov tshwm sim ntawm cov tsos mob, lub ntsiab yog:
- Qhov tawm tshiab ntawm cov pob liab liab ntawm daim tawv nqaij;
- Kub yus thiab hnov mob hauv qhov txhab;
- Khaus khaus;
- Cov tsos ntawm nodules;
- Sawv tawm ntawm crust mob.
Cov tsos mob no muaj ntau dua li ntawm ceg, ncej puab, pob tw thiab hauv qab plab. Ntxiv mus, feem ntau, cov tsos mob xws li kub taub hau, poob phaus yam tsis muaj qhov pom tseeb, mob nqaij, ntshav hauv lub tso zis lossis quav thiab ua kom muaj mob plab ntau dua, piv txwv, yuav pom. Nws yog ib qho tseem ceeb hauv cov rooj plaub no kom sab laj nrog tus kws kho mob txhawm rau txhawm rau txheeb xyuas qhov tseeb thiab qhov yuav tsum tau pib kho kev ntsuas.
Txheeb xyuas lwm cov cim thiab cov tsos mob ntawm vasculitis.
Yuav kho tus mob li cas
Feem ntau ntawm leukocytoclastic vasculitis, cov tsos mob feem ntau ploj yam tsis tas yuav kho mob li cas los xij, txawm li cas los xij nws yog ib qho tseem ceeb uas vim li cas thiaj paub vim nws muaj peev xwm pom tau tias cov tswv yim los tiv thaiv kev rov kis tshiab ntawm vasculitis yog qhia, xws li ncua kev noj tshuaj lossis txo kev noj ntawm qee cov zaub mov, yog tias vasculitis muaj feem xyuam rau kev ua xua nrog tshuaj lossis zaub mov, piv txwv.
Hauv lwm qhov xwm txheej, thaum cov tsos mob tsis ploj nrog lub sijhawm lossis thaum pom cov tsos mob tshwm sim, tus kws kho mob yuav qhia txog kev siv qee yam tshuaj txhawm rau txhawm rau tiv thaiv kev mob ntawm vasculitis thiab txhawb kev txhim kho ntawm tus neeg, nyob rau hauv rooj plaub ntawm kev siv tshuaj antihistamines. lossis corticosteroids, ntxiv rau kev so thiab txhawb nqa cov ceg.