Sarcoidosis - ntoni na?

Mhlawumbi ayingabo bonke weva ngesi sifo, sarcoidosis. Yintoni na le sifo ingafumaneka kweli nqaku. Sarcoidosis - iseliswelekile isifo samathambo imvelaphi ongaziwayo ochaphazela ikakhulu isixokelelwano sokuphefumla. Kulo mzekelo, umzimba kwakhiwa granulomas - ulwandiso okungaqhelekanga zeeseli omzimba ezihlasela ephilile. Le granulomas ngokuqhelekileyo eqalisiweyo nkovu neuropathy lwangaphakathi iindawo, umphunga, ulusu, amehlo. Ngokuqhelekileyo, zifumaneka amadlala ntso, nomhlehlo wesibindi, intliziyo, amathambo, izihlunu skeletal, ingqondo, amathe. Kukholelwa ukuba esi sifo ezisengozini abafazi engama-30 ukuya kuma-40.

Sarcoidosis. Yintoni na le sifo yaye ziziphi iimpawu zayo?

Esi sifo badla nazimpawu okanye uneempawu eziphakathi. Iimpawu Severe inqabile. Sarcoidosis iphawulwa ezahlukeneyo izinto zonyango, oko kuxhomekeka kwindawo sisilonda.

Kwiimeko ezininzi (90%) kule nkqubo zophendlo lwezifo ibandakanya imiphunga, yaye ngoko ke inkalo ephambili izifo - ukwandisa iindawo nkovu intrathoracic. Kwezinye izigulane akukho zikhalazo, abanye kufumana i ukhohlokhohlo owomileyo, ifiva, buthathaka kwezihlunu, ukuphelelwa umoya ngexesha umthambo, kwakunye umonakalo omkhulu emiphungeni (pulmonary insufficiency, abanesigulo).

Erythema nodosum kudla kunye sifo, sarcoidosis. Ziziphi ezi mpawu? Ngokuqhelekileyo, obubonakala cutaneous apho ngokuqhelekileyo ngaphambili bembande kwakhiwa zamahlathi, khaxa, buhlungu xa icinezelwe iindawo ebomvu. Erythema nodosum luphawulwa iintlungu kwamaqatha kunye amadolo, ngelixa lokuqala, kukho intlungu kwamalunga, yaye kuphela emva kweentsuku ezimbalwa kukho iindawo. Ubukho kwezi mpawu ibonisa indlela kuFeliks of sarcoidosis.

Xa isifo inokuba amehlo banokuchaphazeleka. Kulo mzekelo, granuloma yaqalwa ngo conjunctiva. Ngokuqhelekileyo, izigulane ezikhala iintlungu, ukoma, ukuba bomvu, ukungaboni. Emva kwexesha kwafunyaniswa ukuba izifo iliso sarcoid igcwele yimfama epheleleyo.

Ngenxa sarcoidosis sisifo systemic, oko kuchaphazela ezinye izigqeba. Ukuba nomonakalo wezintso iphuhlisa amatye kwizintso, intliziyo - angina kunye nesifo sentliziyo, i-posa - isifo seswekile insipidus. granulomas Hepatic ingayi kubonakaliswa maxa wambi kuba indyebo yalo, imisebenzi umzimba ayagcinwa.

Sarcoidosis. Inqanaba lesi sifo

Ngokusekelwe radiographs amabakala ezithathu sarcoidosis miphungeni. Kwindibano yokuqala ithi amanxeba amabini ka ezalathelwe nkovu intrathoracic. Elesibini luphawulwa setyana nkovu eyandisiweyo kunye nathi afunxwe inwebu kwemiphunga ngaphandle abanesigulo. Kulo wesithathu kukho iqapheleka abanesigulo emiphungeni ngaphandle ukwanda kwiindawo nkovu. Inqanaba lokuqala nolwesibini akholisa ukubakho bessimtomno okanye imbonakaliso extrapulmonary abe isicelo eqhelekileyo, umz ukhohlokhohlo kunye dyspnea, abangekhoyo.

Sarcoidosis. ekuxilongweni

Esi sifo ugqibe iimviwo X-ray kukhuhlwe uphawu ngapha umfanekiso apha esifubeni. Granulomas kwakhiwa nesifo yemiphunga, ke ngoko, Ungalungisa ukuveliswa ucingo inyama enesifo (biopsy), okanye ubeke isikhumba uvavanyo tuberculin. Ngokuphathelele igazi, ACE serum (angiotensin ukuguqula enzyme) banda sarcoidosis.

unyango

Ngokuqhelekileyo, a pulmonologist ugqirha ubaphatha izifo ezifana sarcoidosis. Luhlobo luni unyango? Xa uxilongo kuqinisekisiwe, ugqirha uza kuqinisekisa ngokusebenzisa uthotho lweemvavanyo, nokuba esi sifo lwenzeka kwi elilungileyo okanye uhlobo esebenzayo. Ngexesha elilungileyo kwezonyango unyango ngokuqhelekileyo ayifuneki: evele self-impiliso kwenzeka ngaphezu kwesiqingatha amatyala.

Ukuba le nkqubo iye akaphumanga ngaphaya esifubeni, loo nto ithathwa uphawu elungileyo. Phambi sifo erythema nodosum ubaleka kwiminyaka 1-1.5. Kwezinye iimeko, ukumimitheka ziya kuthatha iminyaka eliqela, ngamanye amaxesha kufuneka aphathwe ubomi. Abantu abane abaziintsizana, ukuba aye avelisa kuphazamiseka kakhulu zemiphunga, izintso wambetha, intliziyo, ingqondo, namehlo.

Ngenxa uhlobo esebenzayo zesi sifo aphathwe corticosteroids, apho uza kuziphelisa zonke iintlungu joint, bamba umphefumlo. Ukongeza, wasebenzisa cytostatics, abathintela ukuphinda kwamalweyile ngendlela omzimba.

Izigulana kufuneka mabacetyiswe ukuba ukuyeka ukutshaya kunye nokusetyenziswa carbohydrate ecokisiweyo. Kufuneka kwakhona ngaphandle iimveliso zobisi, ngenxa isiqulatho eliphezulu icalcium umchamo negazi.