Vasculitis wani lokaci ne ake hulɗa da wasu cututtuka na rheumatic
Bayani
Vasculitis wani yanayi ne mai wuya wanda ya shafi ƙonewa na jini. Vasculitis yana tasowa lokacin da kwayoyin rigakafi ke kaiwa ga jini. Duk wani nau'in jini na jini na jikin mutum (wanda yake dauke da jini daga zuciyarka), suma (wanda ke dauke da jini zuwa zuciyarka), kuma capillaries (wanda ke haɗa jigilar ƙararraji da tsoka) - za a iya shafar su.
Kumburi na jirgi mai jini zai iya sa shi ya kunshi ko rufe, wanda iyakancewa ko hana ƙwayar jini na al'ada. Ba da daɗewa ba, jini mai jini ya shafa zai iya ƙuƙasawa kuma ya raunana, ya haifar da animeysm.
Dalilin
Dalilin vascularitis ba a sani ba ko fahimta. An yi imanin cewa kamuwa da cuta, maganin maganin cutar, da kuma cututtuka na autoimmune zai iya haifarwa. Vasculitis za a iya hade da wasu cututtuka na rheumatic , kamar lupus , arthritis na rheumatoid , da ciwon Sjogren- amma yawancin marasa lafiya da vascularitis ba su da wani daga cikin waɗannan ka'idoji. Dangane da dalilin, fasculitis na iya zama mai sauƙi, mai tsanani, ko barazanar rai. Zai iya faruwa a matsayin ɓangare guda na bayyanar cututtuka ko abubuwa masu yawa.
Alamai da cututtuka
Alamun da alamomin da ke da alaka da bambancin bambancin jiki, sun danganta da nau'in jini da gabobin da ke ciki. Alamun da alamun sunadaran sun hada da zazzabi, rashin ciwon abinci, asarar hasara, gajiya, da zafi.
Alamun da alamun cututtuka da suka fi dacewa da sashin jiki na jiki sun hada da:
- Skin - m / purple spots, nodules, ko ulcers
- Kwanyar - rashin ƙarfi na numfashi, tari
- Magunguna - numbness ko rauni a cikin iyaka
- Abokan hulɗa - ciwo, wulakanci, da arthritis
- Yankin gastrointestinal - bakin ulcers, ciwo na ciki, na jini jini
- Sinus da ENT - kumburi na sinus, ƙwaƙwalwar kunne kunnen tsakiya, hanci hanci, jiron hasara
- Eyes - jan, dull, ko idon wuta, hangen nesa, hasken haske, makanta
- Brain - ciwon kai, halin motsin jiki, canje-canje, kamar alamu
Sanin asali
Kamar yadda mafi yawan yanayin kiwon lafiya, ganewar asali na vascularitis na dogara ne akan haɗuwa da binciken da ya haɗa da alamomi da alamomi, tarihin likita, binciken jiki, da kuma sakamakon binciken gwajin. Wasu gwaje-gwaje na jini suna iya nuna alamun anemia (haemoglobin da gwajin hematocrit ) da kuma alamun ƙananan ƙananan ƙwayoyin cuta (erythrocyte sedimentation rate and protein C-reactive ). Wani gwaji na jini, ANCA (anti-neutrophil cytoplasmic antibodies), ana amfani dashi a matsayin alamar bincike don tsabtace jiki.
Ruwan jini zai iya ƙaruwa, musamman idan akwai koda. Babban matakan furotin ko jini wanda aka samo a cikin kwayar cutar zai iya nuna alamar aikin koda. Ana amfani da Electrocardiogram (EKG) ko ƙwaƙwalwar zuciya don bincika duk abubuwan da ke haɗuwa da zuciya. Rikicin x-ray, gwajin aikin gwaggwon biri, duban dan tayi na ciki, CT scans of organs, da kuma MRI angiography don duba jigilar jini duk gwaje-gwaje ne don taimakawa wajen samar da ganewar asali.
Yin nazarin nama samfurori ta hanyar biopsy shine wata hanya don duba jini don alamun ƙonewa ko lalata nama.
Jiyya
Dokar da aka tsara za ta dogara ne akan irin vascularitis da kwayoyin da ke ciki, da kuma tsananin da ci gaba da yanayin. Yawancin lokaci, an wajabta magunguna don sarrafa kumburi, za a iya amfani da immunosuppressants don magance magungunan marasa lafiya, kuma wasu magunguna zasu iya taimaka wajen magance duk wani bayyanar cututtuka. Glucocorticoids, wadanda ake kira su steroids , sune mahimmanci a cikin maganin vascularitis.
Iri
Akwai kimanin yanayi 20 da aka lasafta su a matsayin vascularitis, ciki har da:
- Ciwon Behcet
- Cututtukan Buerger
- Tsarin Tsarin Kwayoyin Tsarin Kwayoyin Vasculitis
- Churg-Strauss Ciwo
- Cryoglobulinemia
- Ciwon ƙwayar cuta mai kamala
- Henoch-Schonlein Purpura
- Microscopic Polyangiitis
- Polyarteritis Nodosa
- Polymyalgia Rheumatica
- Rheumatoid Vasculitis
- Takayasu ta Arteritis
- Wegener ta Granulomatosis
Layin Ƙasa
Duk da yake ana ganin karuwancin yanayin yanayi, akwai gaggawa dangane da ganewar asali. Babu maganin warkar da kwayoyin cutar, amma ganewar asali da magani zai iya taimakawa wajen sarrafa bayyanar cututtuka kuma gudanar da ci gaba da lalata nama da gabar jiki.
Sources:
> Paul A. Monach, MD, PhD da Peter A. Merkel, MD, MPH. Vasculitis. Cibiyar Ilimi ta Rheumatology na Amirka. Updated Mayu 2015.
Menene Vasculitis? Johns Hopkins Vasculitis Center. Medicine Johns Hopkins.