Lefgrena chirwere: Zvinokonzera, kurapwa features, kurapwa, dziviriro

Systemic zvirwere vagara chakavanzika kuna vanachiremba nyika. Imwe sarcoidosis, izvo haana wakarurama kuti etiology uye kuratidzwa muchimiro kuzvimba connective zvinyama mune siyana nhengo uye nyama nokuumbwa granulomas. Lefgrena chirwere - chaizvo kuti sarcoidosis kukanganisa ganda, intrasternal node nodes uye mapfundo.

zvinokonzera

The pathogenesis ndiyo kukura ane autoimmune mhinduro. The rokuzvidzivirira abondera, uye ropa masero machena vanotanga yakarova utano masero zvemapapu, mapfundo ganda.

Lefgrena chirwere kazhinji ikabuda vasikana (makore 20-35). Vana kazhinji havaiti kurwara. Lefgrena chirwere kunotanga acutely, uye ipapo zvishoma nezvishoma zvekuchipatara kuratidzwa anogona pachavo kutora nzvimbo. Kakawanda, pane zvakanaka weboka chirwere.

Kunze nemavhairasi uye kwemabhakitiriya dzidziso kukura sarcoidosis, kunewo kudavira kuti hosha ikabuda vanhu nguva refu uchikurukura kugadzikana makemikari mumafekitari. Haufaniri kuona, uye nhaka chinhu. Ndokusaka polyetiological sarcoidosis chinhu autoimmune chirwere.

zvekuchipatara kuratidzwa

Lefgrena chirwere muna sarcoidosis kunoratidza polisimptomno. Clinical kuratidzwa anotanga acutely. Munhu ane erythema nodosum pamusoro muviri, ane tsika kupararira wamativi, musana, dumbu uye mutsipa. Nodes vane denderedzwa chimiro, dhayamita wavo anogona kusvika kusvika 6 masendimita. Zvinofanira kucherechedzwa kuti panzvimbo paumbwe erythema hakuitiki necrosis.

The kuratidzwa chikuru runoonekwa kuva kukundwa Árbol uye tracheal mumasero. Izvi zvinoratidza ngozi huru murwere:

• mumwe chikosoro;
• nguva kwakawedzera muviri tembiricha;
• husina utano;
• pane sweats usiku;
• kuderera hwakaita hope;
• uremu kunoitika;
• munhu pavanorwadziwa mwoyo.

Gare gare Lefgrena chirwere kunoratidzwa maronda ose mapfundo. Vanova zvinorwadza edematous uye mufambo kuipa. Chinangwa, mumwe anogona kuona imwe mumatenhere node nodes zviri pamutsipa uye muhapwa.

How rokuongorora?

Lefgrena chirwere chakasimbiswa pahwaro Murabhoritari Diagnostics uye kuongorora murwere chiremba. Erythema nodosum wakakurira zvinokosha diagnosing chimiro ichi sarcoidosis. Zvisinei, chiremba anofanira kusiyaniswa kubva tibhii chirwere kana dermatovenereological zvirwere.

Laboratory ropa miedzo acharatidza:

• kuwedzera ESR;
• leukocytosis;
• nechitarisiko gamma globulin.

On the X-ray mufananidzo unogona kuona maitiro chakawedzerwa node nodes, uyewo fibrous deposits. Izvi zvinobatsira kuti chokwadi pane nyaya zvemapapu chirwere.

Zvakaneta kwakunoitwa muchimiro kunoda bronchoscopy pamwe biopsy. Kana kudzidza zvemapapu rinenge havagoni kuona maitiro histological maumbirwo sarcoidosis: Detective zvinhu epithelioid granulomas.

Fungidziro uye zvakaoma kunzwisisa zviri chirwere

Nomumwe inoyerera Lefgrena syndrome. Rinhiko ndedzipiko Zvaifungidzirwa vangabvuma chete zvimwe zvinodiwa. Zvinozivikanwa kuti vakuru munhu, murombo fungidziro. Kana usingaiti kushandisa nguva kuona chiremba, asi chirwere ari kunonoka uye iye vakabatana nemamwe matambudziko:

• Árbol mhingaidzo;
• kufema insufficiency;
• kukura "mwoyo pulmonary";
• emphysema;
• munhu kwemabhakitiriya kasvisto.

Respiratoria kukundikana hwapedyo pashure Árbol mhingaidzo. Murwere mamiriro ezvinhu zvishoma nezvishoma kuderera sezvo mumapapu vanotanga ichabvisa connective zvinyama, muitiro anogona kumira nomuzvarirwo pashure pemakore 1-2.

Zvishoma nezvishoma, mwoyo unotanga kuwedzera nokuda kushaya okisijeni muropa. Asi hatifaniri kuteerera kukumbira rubatsiro pakurapwa, nekuti ikozvino Lefgrena chirwere iri rinorapika.

mabatiro

Zvinosuruvarisa Medco haagoni zvachose kurapa sarcoidosis, sezvo etiology kwayo hakuna zvakazara. Asi vanachiremba varayire kurapa chaiyo kuti anokwanisa kumisa kukura kwacho, kuongorora Lefgrena syndrome. Treatment chinotanga kuenda steroidal Anti-anogumbura zvinodhaka kuti yakaderera kutapata. Also ushandiswe vhitamini zvivako, antioxidants, immunosuppressants.

Yawapiwa chinogara avhareji 8 months. Zvose zvinoenderana munhu zvechadenga zvirwere. Vatsigiri fanira kuongororwa nachiremba kukwira vanorwara chiremba pulmunologom, Zvakanakisa nayo huchavapo 5 years.

Chii dziviriro?

Kudzivirira kukura sarcoidosis, vanofanira kutanga vachizochenjerera nzira yavo youpenyu. Meals vanofanira nepakati, vanoumba mafuta, mapuroteni, makabhohaidhiretsi nenzira optimum reshiyo.

Vanhu mavari sarcoidosis, vanofanira kurega kuputa, asi kuonana hasha makemikoro.