Sarcoidosis - chii?

Zvichida kwete zvose kunzwa nezvechirwere ichi, sarcoidosis. Chii chirwere ichi chinogona kuwanika munyaya ino. Sarcoidosis - isingawanzowanikwi autoimmune chirwere pamusoro vasingazivikanwi mavambo inokanganisa zvikurukuru mashoko kufema hurongwa. Panyaya iyi, muviri aumba granulomas - zvemamiriro kuunganidza masero masoja anorwisa tishu utano. The granulomas kazhinji kuumbwa mune peripheral uye munyika node nodes, bapu, ganda, ziso. Zvishoma kacho, vachiwanikwa munyika itsvo, chitaka, mwoyo, mapfupa, skeletal tsandanyama, uropi, mate mumasero. Zvinofungidzirwa kuti chirwere vari tichikurumidza vakadzi 30 kusvika 40 makore.

Sarcoidosis. Chii chinonzi chirwere ichi uye chii vari zviratidzo zvayo?

The chirwere kazhinji asymptomatic kana vanyoro zviratidzo. Zvakakomba zviratidzo hariwanikwi. Sarcoidosis kunoratidzwa dzakasiyana-siyana kunoda kurapwa kuratidzwa, izvo kuvimba nzvimbo lesion.

Muzviitiko zvizhinji (90%) munzvimbo pathological kwacho kunosanganisira mumapapu, uye saka chikuru chepfungwa chirwere - kuwedzera intrathoracic node nodes. Mune dzimwe varwere hapana kunyunyuta, vamwe vanogona kuona yakaoma chikosoro, fivha, tsandanyama simba, kupfupika mweya panguva muviri, uyewo zvikuru kukuvara mumapapu (pulmonary insufficiency, fibrosis).

Erythema nodosum kunowanzoguma chirwere kwakadaro, sarcoidosis. Ndezvipi zviratidzo izvi? Kazhinji, cutaneous kuratidzirwa umo kazhinji panguva pamberi mupambare vakaumba gobvu, convex, inorwadza kana achingomutambudza nodes ruvara ruvara. Erythema nodosum kunoratidzwa kurwadziwa muzvitsitsinho mabvi, apo pakutanga, pane kurwadziwa mapfundo, uye chete pashure pemazuva mashoma pane nodes. Kuvapo Zviratidzo izvi kunoratidza kupfuura zvakanaka mukufamba sarcoidosis.

Apo chirwere kungava sei meso. Muchiitiko chino, granuloma yakaumbwa muna conjunctiva. Kazhinji, varwere vanotsutsumwa kurwadziwa, kuoma, akatsvuka, madzerere. Late chirwere sarcoid ziso chirwere rizere noupofu zvakakwana.

Nekuti sarcoidosis chinhu systemic chirwere, inogona kukanganisa dzimwe nhengo. Kana kukuvara itsvo hwapedyo itsvo mabwe, mwoyo - angina uye mwoyo kukundikana, asi pituitary shwanu - chirwere cheshuga insipidus. Hepatic granulomas arege aonekwe dzimwe nguva chikonzero nezvibereko zvayo, muviri mashandiro vari kuchengetedzwa.

Sarcoidosis. pavaipfuura chirwere

Pachishandiswa radiographs ndiwo matanho matatu pulmonary sarcoidosis. Pakutanga anoti bilateral maronda ose intrathoracic node nodes. Yechipiri kunoratidzwa wakakurisa node nodes uye infiltration pamusoro zvemapapu rinenge pasina fibrosis. In wechitatu pane raidudzwa fibrosis pakati mapapu pasina kuwedzera node nodes. Rokutanga uye rechipiri Danho zvinowanzoitika bessimtomno kana extrapulmonary kuratidzwa vane nezvekumwe chikumbiro, semuenzaniso chikosoro uye dyspnea, hatisi.

Sarcoidosis. Diagnostics

The chirwere akanga akatsunga ne X-ray pakuongorora maitiro shading mhiri mufananidzo pachipfuva. Granulomas achiumbwa pulmonary tibhii uye, naizvozvo, anogona zvakare kubudiswa fenzi hosha zvinyama (biopsy), kana akaisa tuberculin ganda bvunzo. Panyaya ropa, serum ACE (angiotensin rokutendeutsa enzayemu) yakawedzera sarcoidosis.

mabatiro

Kazhinji, chiremba pulmonologist vanobata zvirwere zvakadai sarcoidosis. Imhandoi pakurapwa? Kamwe nechirwere akatsinhira, chiremba achasarudza kuburikidza dzakatevedzana nemiedzo, kana chirwere kunoitika nenzira yakanaka kana chinoshingaira fomu. Mumwaka kunotoda yawapiwa kunotaridzwa haamanikidzwi: vaingoerekana kuzvidzora kuporesa kunoitika inopfuura hafu mhosva.

Kana muitiro asina aenda mhiri mubhokisi, riri kuonekwa chiratidzo chakanaka. In pamberi erythema nodosum chirwere anomhanya mumakore 1-1.5. Mune zvimwe zviitiko, yavaipora achatora makore akawanda, dzimwe nguva anofanira kurapwa kuti upenyu. Fungidziro ari murombo, kana iwe zvakagadzira chakakomba kufema nyonganyonga, akarova itsvo, mwoyo, uropi, uye maziso.

With yezviri chimiro chirwere kubatwa ne corticosteroids, izvo achabvisa kurwadza kwemajoini, kupfupika mweya. Uyezve, akashandisa cytostatics, kudzvanyirira kusingadzoreki chokuwanziridza masero masoja.

Varwere vanofanira zano kurega kusvuta uye kudyiwa yakanatswa makabhohaidhiretsi. Unofanirawo siya dheri zvigadzirwa, nokuda kudunhu kugutsikana calcium iri weti uye ropa.