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Vasculitis

Pfupiso

Vasculitis inosanganisira kuzvimba kwezvipembenene zveropa. Kunetseka kunogona kuita kuti masvingo ezvipembenene zveropa aite gobvu, izvo zvinoita kuti upamhi hwepasi pechombo chiwedzere kudzikira. Kana kuyerera kweropa kuchideredzwa, kunogona kukonzera kukuvara kwezvikamu zvemuviri nemakwinya. Kune marudzi mazhinji evasculitis, uye mazhinji acho anokura. Vasculitis inogona kukanganisa chombo chimwe chete, kana zvakawanda. Iyo mamiriro anogona kunge ari pfupi kana kwenguva refu. Vasculitis inogona kukanganisa munhu wese, kunyangwe mamwe marudzi akajairika pakati pemapoka ezera. Zvichienderana nerudzi rwaunaro, unogona kuvandudza pasina kurapwa. Mazhinji marudzi anoda mishonga kudzora kuzvimba uye kudzivirira kuzvimba.

Zviratidzo

Zviratidzo zvakajairika uye zviratidzo zvemhando dzakawanda dze vasculitis zvinosanganisira: Kupisa muviri Musoro Kuneta Kurasikirwa nehuremu Kurwadziwa kwemuviri wese Zvimwe zviratidzo uye zviratidzo zvine chekuita nezvikamu zvemuviri zvinokanganiswa, zvinosanganisira: Sisitimu yekugaya. Kana dumbu rako kana ura hwakakanganiswa, unogona kunzwa kurwadziwa mushure mekudya. Maronda uye kuputika kunogona kuitika uye kunogona kukonzera ropa muchimbuzi. Nzeve. Kuzunguzika, kurira munzeve uye kurasikirwa kwekukurumidza kwekunzwa kunogona kuitika. Maziso. Vasculitis inogona kuita kuti maziso ako aoneke akatsvuka uye anokwenya kana kupisa. Giant cell arteritis inogona kukonzera kuona zvakapetwa uye kusapora kwenguva pfupi kana kusingaperi mune rimwe kana maziso ese. Iyi dzimwe nguva ndiyo chiratidzo chekutanga chechirwere. Maoko kana tsoka. Dzimwe mhando dze vasculitis dzinogona kukonzera kushaya simba kana kushaya simba muruoko kana tsoka. Zvanza zvemaoko uye tsoka dzinogona kuzvimba kana kuoma. Mapapu. Unogona kukura kushaya mweya wekufema kana kunyange kukosora ropa kana vasculitis ikakanganisa mapapu ako. Ganda. Kubuda ropa pasi peganda kunogona kuratidzika semavara matsvuku. Vasculitis inogona zvakare kukonzera mapundu kana maronda akavhurika paganda rako. Ita nguva yekuonana nachiremba wako kana uine chero zviratidzo kana zviratidzo zvinokunetsa. Dzimwe mhando dze vasculitis dzinogona kukurumidza kuwedzera, saka kuongororwa kwekutanga ndiko kiyi yekuwana kurapwa kunoshanda.

Nguva yekunoona chiremba

Enda kunachiremba kana uine zviratidzo zvinokunetsa. Marudzi amwe chete e vasculitis anokurumidza kuipa, saka kuongororwa pakutanga ndiyo kiyi yekuwana kurapwa kunobudirira.

Zvinokonzera

Chikonzero chaicho che vasculitis hachizivisike zvizere. Marudzi amwe ane chekuita nemagadzirirwo emuviri wemunhu. Mamwe anobva pakurwisa kwemasero eropa nemasero emuviri. Zvinogona kukonzera iyi reaction yemuviri ndizvo zvinotevera:

  • Zvirwere, zvakaita sehepatitis B nehepatitis C
  • Zvirwere zve ropa
  • Zvirwere zve immune system, zvakaita serheumatoid arthritis, lupus ne scleroderma
  • Kuita reaction kumishonga yakati
Zvinhu zvinokonzera njodzi

Vasculitis inogona kuitika kune ani naani. Zvinhu zvinogona kuwedzera njodzi yematambudziko chaiwo zvinosanganisira:

  • Age (Zera). Giant cell arteritis kazhinji haiuke usati wasvika makore makumi mashanu, nepo Kawasaki chirwere chiri nyaya yakawanda muvana vari pasi pemakore mashanu.
  • Family history (Nhoroondo yemhuri). Behcet's chirwere, granulomatosis ine polyangiitis uye Kawasaki chirwere dzimwe nguva dzinofamba mumhuri.
  • Lifestyle choices (Sarudzo dzehupenyu). Kushandisa cocaine kunogona kuwedzera njodzi yako yekuwana vasculitis. Kusvuta fodya, kunyanya kana uri murume ane makore asingasviki makumi mana nemashanu, kunogona kuwedzera njodzi yako yeBuerger's chirwere.
  • Medications (Mishonga). Vasculitis dzimwe nguva inogona kutangwa nemishonga yakadai se hydralazine, allopurinol, minocycline uye propylthiouracil.
  • Infections (Zvirwere). Kuva nehepatitis B kana C kunogona kuwedzera njodzi yako yevasculitis.
  • Immune disorders (Matambudziko ekudzivirira muviri). Vanhu vane matambudziko umo masisitimu avo ekudzivirira muviri anorwisa miviri yavo pachavo vangave vari panjodzi yakakwira yevasculitis. Zvidzidzo zvinosanganisira lupus, rheumatoid arthritis uye scleroderma.
  • Sex (Bonde). Giant cell arteritis yakawanda zvikuru muvakadzi, nepo Buerger's chirwere chiri nyaya yakawanda muvarume.
Matambudziko

Zvinetso zveVasculitis zvinoenderana nerudzi uye kuomarara kwechirwere chako. Kana kuti zvinogona kunge zvine chekuita nezvinetso zve mishonga inorayirwa yaunoshandisa kurapa chirwere ichocho. Zvinetso zveVasculitis zvinosanganisira:

  • Kukuvadzwa kwezvikamu zvemuviri. Marudzi amwe chete eva vasculitis anogona kuva akakomba, achikonzera kukuvara kwezvikamu zvikuru zvemuviri.
  • Mvere dzeropa ne aneurysms. Mvere yeropa inogona kuumbwa mudziya reropa, ichivhara kuyerera kweropa. Zvisingawanzoitika, vasculitis ichaita kuti ropa rive rakasimba uye rikabvaruka, richiumba aneurysm (AN-yoo-riz-um).
  • Kurasikirwa kwekutarisa kana kuburira. Iri ibasa rinogona kuitika re giant cell arteritis isina kurapwa.
  • Zvirwere. Mishonga inoshandiswa kurapa vasculitis inogona kusimbisa sisitimu yako yekudzivirira. Izvi zvinogona kukugadzira kuti uve nemishonga yakawanda.

Andy Grundstad akanga aneta uye aneta kunzwa aneta uye aneta. "Ndainzwa sekunge ndaiva nemakore 80," anodaro Andy, agronomist ane makore 35 ekuberekwa anogara kunze kweCrosby, North Dakota. Akanga aongororwa aine vasculitis achiri mudiki uye akararama nezvinetso zvakasiyana-siyana zvehutano nepo mapoka ekutarisira achirwira kupa chirwere chakakwana uye kurapwa kwakakodzera. Zviratidzo zveAndy zvakakomba mushure mekuvhunduka muna 2017. Kupisa kwakawanda kwezuva nezuva uye kurwadziwa kwemashure kwakaitika nekuvhunduka kwechipiri muna 2020…

Kuongorora

Chiremba wenyu zvimwe achatanga nekutora nhoroondo yenyu yezvokurapa uye kuita bvunzo yemuviri. Angaita kuti uite bvunzo imwe kana dzakawanda dzekuongorora uye maitiro ekubvisa zvimwe zvirwere zvinoita sevasculitis kana kuongorora vasculitis. Bvunzo nemaitiro angasanganisira:

  • Bvunzo yeropa. Idzi bvunzo dzinotsvaka zviratidzo zvekuzvimba, sekukwirira kweC-reactive protein. Kuverenga kwese kwemasero eropa kunogona kutaura kana uine masero eropa akakwana. Bvunzo yeropa inotsvaka maantibody chaiwo — senge bvunzo yeanti-neutrophil cytoplasmic antibody (ANCA) — inogona kubatsira kuongorora vasculitis.
  • Bvunzo dzekuona mifananidzo. Matekinoroji ekusavhundutsa anogona kubatsira kuona kuti ropa rini nemiviri ndeapi ari kukanganiswa. Anogonawo kubatsira chiremba kuona kana uri kupindura kurapwa. Bvunzo dzekuona mifananidzo yevasculitis dzinosanganisira X-rays, ultrasound, computerized tomography (CT), magnetic resonance imaging (MRI) uye positron emission tomography (PET).
  • X-rays yeropa rako (angiography). Panguva inoitika, catheter inofamba-famba, inofananidzwa nehuni duku, inoiswa mu artery hombe kana vein. Dye chaiyo inobva yaiiswa mu catheter, uye X-rays inotorwa sezvo dye ichizadza artery kana vein. Zvinyorwa zvemidziyo yeropa zvinooneka pa X-rays inobuda.
  • Biopsy. Iri ibasa rokuvhiya umo chiremba wenyu anobvisa sampuli duku yetsvina kubva kunzvimbo yakakanganiswa yemuviri wako. Chiremba wenyu anobva aongorora tishu iyi kuti aone zviratidzo zvevasculitis.
Kurapa

Kurapa kunonyanya kukoshesa kudzora kuzvimba uye kutarisira chero zvirwere zvingave zvichikonzera vasculitis.

Murapi we corticosteroid, se prednisone, ndiwo mushonga unojairika kupiwa kudzora kuzvimba kunobatanidzwa ne vasculitis.

Migumisiro ye corticosteroids inogona kuva yakakomba, kunyanya kana ukaitora kwenguva yakareba. Migumisiro inogona kusanganisira kuwedzera uremu, chirwere cheshuga uye mapfupa asina simba. Kana corticosteroid ichidiwa kurapwa kwenguva refu, iwe ungangoda kuwana dose shoma sezvinobvira.

Mishonga yakawanda inogona kupiwa ne corticosteroids kudzora kuzvimba kuitira kuti dose ye corticosteroids igone kuderedzwa nekukurumidza. Mushonga unoshandiswa unoenderana nerudzi rwe vasculitis iripo. Mishonga iyi inogona kusanganisira methotrexate (Trexall), azathioprine (Imuran, Azasan), mycophenolate (CellCept), cyclophosphamide, tocilizumab (Actemra) kana rituximab (Rituxan).

Mishonga chaiyo yaunoda inoenderana nerudzi uye kuomarara kwe vasculitis yaunayo, matunhu api anobatanidzwa, uye chero matambudziko emurapa aunayo.

Chimwe chezvinhu zvakaoma zvekugara uchirarama ne vasculitis chingave kuita nemigumisiro yemishonga yako. Mazano anotevera anogona kubatsira:

  • Nzwisisa mamiriro ako. Dzidza zvese zvaunogona nezve vasculitis nekurapwa kwayo. Ziva migumisiro inogona kuitika yemishonga yaunotora, uye taura nachiremba wako nezve chero shanduko muhutano hwako.
  • Tora jekiseni dzenguva dzose. Kuchengeta zuva rako nejekiseni, senge yemafuru nemapumonya, kunogona kubatsira kudzivirira matambudziko anogona kubva mumishonga yako, senge hutachiona. Taura nachiremba wako nezve jekiseni.
  • Chengetera rutsigiro rwakasimba. Hama neshamwari dzinogona kukubatsira sezvaunorarama nemamiriro ezvinhu aya. Kana uchifunga kuti zvingabatsira kutaura nevamwe vanhu vari kurarama ne vasculitis, bvunza nhengo yeboka rako rekurapa nezve kubatana nechikwata chekutsigira.

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