Vasculitis Ndedzimwe Dzimwe Nguva Inosanganiswa Neimwe Rheumatic Diseases
Overview
Vasculitis isiri mamiriro ezvinhu asingawaniki anosanganisira kuvhiringidza kwemidziyo yeropa. Vasculitis inokura apo muviri wako wekuzvidzivirira unorwisa zvirwere zvako. Chero mimwe midziyo yemuviri-arteri (iyo inotakurisa ropa kure nemwoyo wako), mitsipa (iyo inotakura ropa kumwoyo wako), uye ma-capillaries (ayo anowanidza mishonga miviri uye mitsipa) - inogona kuchinjwa.
Kuvhiringidza kwemukati weropa kunogona kuita kuti ipedze kana kuti ivhare, iyo inogumira kana kudzivirira kutenderera kweropa. Kazhinji, iyo yakagadzirirwa ropa inogona kutambanudza uye kuderedza, zvichiita aneurysm.
Zvinokonzera
Chikonzero chevasculitis hachizivikanwe zvachose kana kunzwisisa. Inofungirwa kuti hutachiona, kupindira kwemishonga, uye chirwere chemoto chinogona kuunza. Vasculitis inogona kusanganiswa nedzimwe zvirwere zverheumatic , zvakadai se lupus , rheumatoid arthritis , uye Sjogren's syndrome- asi varwere vakawanda vane vasculitis havana chero chezviitiko izvi. Zvichienderana nechinokonzera, vasculitis inogona kuva yanyoro, yakaoma, kana kutyisidzira upenyu. Inogona kuitika sechinhu chimwe chete chezviratidzo kana zviitiko zvakawanda.
Zviratidzo nezviratidzo
Zviratidzo nezviratidzo zvakabatana nevasculitis zvinowanzosiyana, zvichienderana nerudzi rwesimbi yeropa uye nhengo dzinobatanidzwa. Zviratidzo zvinowanzoonekwa zvinosanganisira fevha, kurasikirwa nechido, kuora muviri, kuneta uye kurwadziwa.
Zviratidzo nezviratidzo zvinowirirana zvakanyanya kune chikamu chemuviri chakabatanidzwa chinosanganisira:
- Ganda - tsvuku tsvuku, maronda, kana maronda
- Makomba - kufema kufema, kukohwa
- Mitsipa - kushaya simba kana kushaya simba mumagumo
- Joints - aches, kurwadziwa, uye arthritis
- Dumbu remakumbo - muromo wemakumbo, kurwadziwa mumimba, kubuda mumimba
- Sinasi uye ENT-sinus kuvhiringidza, kuputika kwekunze kwemazwi, maponda emumhino, kurasikirwa kwekunzwa
- Meso - matsvuku, maziso, kana maziso anovhenekera, maziso akajeka, kunzwisisa kwekunzwa, kupofu
- Ubongo - musoro, kushandiswa kwepfungwa, kuora-sekufanana nezviratidzo
Kuziva
Sezvo nehuwandu hwehutano hwehutano, kuongororwa kwevasculitis kunobva pakubatanidzwa kwezviwanikwa zvinosanganisira zviratidzo nezviratidzo, nhoroondo yezvechiremba, kuongorora kwepanyama, uye zvinoguma kubva kuongororwa kwekuongorora. Zvimwe ropa rinogona kuongorora zviratidzo zveanemia (hemoglobin and hematocrit tests ) uye zvisingazivikanwi zviratidzo zvekuputika (erythrocyte sedimentation rate uye C-reactive protein ). Imwe yeropa rekuongorora ropa, ANCA (anti-neutrophil cytoplasmic antibodies), inoshandiswa sechirwere chekuongorora zvirongwa zvevasculitis.
Dambudziko reRopa rinogona kukwidziridzwa, kunyanya kana kune mafungiro eimpimpano. Kuwanda kwemaproteine kana masero eropa akawanikwa mumuginhi inogonawo kuratidza kusanganisa kwepso. Electrocardiogram (EKG) kana mwoyo echocardiogram inoshandiswa kuongorora chero kusina kunaka kwakabatana nemwoyo. Chest x-rays, mapapu ekushanda, maziso ekudzivirira maziso, mimba dzemuviri, uye MRI angiography kuongorora mitsipa yeropa zvose zvinoshandiswa kuti zvibatsire kuumba kuongororwa.
Kuongorora zvinyorwa zvese kuburikidza nehupops ndeimwe nzira yekuongorora mishonga yeropa zviratidzo zvekuputika kana kukuvara kwechigunwe.
Mishonga
Iro rinotarisirwa kurapwa ruchaenderana nerudzi rwevasculitis uye nhengo dzinobatanidzwa, pamwe nekuoma uye kufambira mberi kwechiitiko chacho. Kazhinji, mishonga ichagadziriswa kuti ipe kutura, zvirwere zvekudzivirira zvirwere zvinogona kushandiswa kurapa masimba epanyama, uye mamwe mishonga inogona kubatsira kuderedza zviratidzo zvipi zvacho. Glucocorticoids, iyo inowanzonzi steroids , inonyanya kushandiswa mukurapa vasculitis.
Aina
Kune mamiriro anenge makumi maviri akasiyana-siyana anosarudzwa sevasculitis, kusanganisira:
- Matambudziko aBehcet
- Zvirwere zveBhuterger
- Central Nervous System Vasculitis
- Churg-Strauss Syndrome
- Cryoglobulinemia
- Giant Cell Arteritis
- Henoch-Schonlein Purpura
- Microscopic Polyangiitis
- Polyarteritis Nodosa
- Polymyalgia Rheumatica
- Rheumatoid Vasculitis
- Takayasu's Arteritis
- Wegener's Granulomatosis
The Bottom Line
Kunyange zvazvo vasculitis inofungidzirwa sechinhu chisingawanzoitiki, pane kukurumidzira kwakabatana nekuonekwa kwayo. Ikoko hakuna mushonga wevasculitis, asi kutanga kuongororwa uye kurapwa kunogona kubatsira kudzora zviratidzo uye kugadzirisa kufambira mberi kwechigunwe chemuviri uye nhengo.
Sources:
> Paul A. Monach, MD, PhD naPeter A. Merkel, MD, MPH. Vasculitis. American College of Rheumatology Patient Education. Yakavandudzwa May 2015.
Chii Chinonzi Vasculitis? Johns Hopkins Vasculitis Center. Johns Hopkins Mushonga.