Granulomas Form muMutumbi
Sarcoidosis chirwere chinogona kuitika mumuviri wose asi chinowanzobata mapapu. Mu sarcoidosis, kuputika kunobereka makumbo emasero (granulomas) mumuviri maviri. Granulomas inogona kukura nekubatana pamwe uye inokanganisa kuti chikamu mumuviri chinoshanda sei. Chikonzero nei granulomas maitiro asina kunyatsojeka, asi vatsvakurudzi vanofunga sarcoidosis inowedzera apo maitiro ezvirwere zvemagunha anopindura kune chimwe chinhu chiri mumhepo.
Sarcoidosis inobata varume nevakadzi vezera rose uye madzinza. Inowanzowanikwa kune vanhu vakuru pakati pemakore makumi maviri nemakumi mana. Sarcoidosis inowanzoitika muSwedes, Dhanies, African Americans, uye vanhu veAsia, Ireland, uye Puerto Rico. Vanhu avo vanowanzoita sarcoidosis vanosanganisira:
- vashandi vehutano
- vasingatendi
- vadzidzisi vechikoro chepuraimari nekondari
- vanhu vanoratidzwa guruva rekurima, mishonga inouraya, pesticides kana mold
- firefighters
Zviratidzo zveSarcoidosis
Vanhu vazhinji vane sarcoidosis (30 kusvika ku50 muzana) havana zviratidzo. Kazhinji, chirwere chinowanikwa pangozi apo vanhu ava vane bhokisi x ray kune chimwe chinhu. Inenge chikamu chetatu chevanhu vane sarcoidosis vane zviratidzo zvakadai se:
- fever
- kuneta, kushaya simba
- kurasikirwa kana kurasikirwa kwechido
- haunzwi zvakanaka (malaise)
Vanhu vane sarcoidosis vane mapapu anokonzerwa nechirwere (90 muzana yevanhu) vane zviratidzo zvakadai sokuti:
- kukurumidza kufema
- akadzikama
- wheezing
- chifuva chisina kunaka, kunyanya nekukanganiswa
Zviratidzo zveganda mu sarcoidosis (25 muzana yevanhu) zvinogona kusanganisira:
- mazhenje, zvipembenene kana nzvimbo dzeganda rakaputika pedyo nemhino, maziso, kumashure, maoko, makumbo, kana shisa
- zvinosuruvarisa pamakumbo kana shins zvakatsvukuruka kana ruvara rwepepuru kuti zvitsvuke muvara uye zvakasimudzwa zvishoma (zvinonzi "erythema nodosum")
- maronda paganda kana mukati memhino, pamatama, nzeve, maziso kana minwe (inonzi "lupus pernio")
Sarcoidosis inogona kukanganisa maziso, mwoyo uye dzimwe nhengo dzomuviri, zvichiita zviratidzo zvakare. Sarcoidosis inogona kukonzera marwadzo akabatana uye musimba. Zviratidzo zve sarcoidosis zvinogona kuuya nekuenda kana kupedzisa kwenguva yakareba. Vamwe vanhu vanogona kunge vane zviratidzo zvishomanana chete; vamwe vanogona kuva nezvinetso zvakawanda.
Kuongorora Sarcoidosis
Kuongorora kwe sarcoidosis kunogona kuva kwakaoma nekuda kwezviratidzo zvakasiyana siyana zvinogona kubereka uye nokuti zvirwere zvakawanda zvinogona kukonzera zviratidzo zvakafanana. Nyaya yezvokurapa yakazara uye kuongorora kwakakwana muviri kunogona kubatsira kuziva sarcoidosis. Chiremba angangoita mhando dzakasiyana siyana dzekuedza, dzakadai sebhokisi x-ray, mapapu ekugadzirisa maitiro, electrocardiogram (ECG) uye computerized tomography (CT) scan kutarisa zviratidzo zve sarcoidosis uye rubatsiro nekuongorora. Muenzaniso wemapapu emapapu (mapapu biopsy) anowanzotorwa kutarisa kuvapo kwegranulomas .
Kurapa Sarcoidosis
Sarcoidosis inobva pamunhu kumunhu, saka kurapa kuchave kwakasiyana kune murwere mumwe nomumwe uye kunobva maonero aanoita chirwere chacho. Kuziva kuti muviri wakawanda unokanganiswa ne-sarcoidosis uye kuti chirwere chacho chinoshanda sei chichatibatsira kuziva chirongwa chekurapa.
Vanhu vasina zviratidzo zvakawanda havadi kurapwa. Kune avo vane zviratidzo, mushonga prednisone ndiyo mushonga mukuru. Mamwe mishonga, yakadai seRheumatrex (methotrexate) kana Imuran (azathioprine), inogona kupiwa pamwe ne prednisone kana kutorwa chete. Mamwe mishonga inogona kudiwa zvichienderana nezviratidzo, zvakadai semadonhwe eziso kana mishonga yemwoyo. Erythema nodosum inowanzoenda pasina kurapwa. Lupus pernio inogona kurapwa nemakrisheni kana mishonga inotorwa nemuromo kana kuiswa mujecha.
Sources:
> "Sarcoidosis." Lung Diseases. June 2007. National Heart Lung uye Blood Institute.
Wu, Jennifer J., naKarin Rashcovsky Schiff. "Sarcoidosis." American Family Physician 70 (2004): 312-322.