Koj puas muaj cov pob me me (granulomas) ntawm koj lub cev thiab? Cia peb tham txog qhov no kom meej!

Koj puas tau pom, lossis tau hnov ​​​​los ntawm ib tug kws kho mob, tias koj muaj cov pob me me hauv koj lub cev, tej zaum hauv koj lub ntsws, lossis qee zaum ntawm koj daim tawv nqaij? Qhov ntawd yog qhov peb hu ua "Granuloma" hauv cov lus kho mob. Tsis txhob ntshai thaum koj hnov ​​​​​​lub npe no, vim nws tsis zoo li mob qog noj ntshav. Tab sis nws tseem ceeb heev kom paub meej tias nws yog dab tsi, vim li cas nws tshwm sim, thiab yuav ua li cas txog nws.

Granuloma yog dab tsi? Cia peb nkag siab yooj yim!

Hais yooj yim xwb, ib qho granuloma yog ib qho chaw me me ntawm kev o uas tshwm sim qhov twg hauv peb lub cev. Tam sim no koj yuav xav paub tias kev o yog dab tsi. Kev o yog txoj kev uas peb lub cev tiv thaiv kab mob tawm tsam qee yam uas ua rau peb lub cev puas tsuaj, piv txwv li ib tug kab mob lossis ib tug Fremdkörper (yam khoom txawv teb chaws) zoo li ib tug pos me me.

Hauv ib qho granuloma, ib hom qe ntshav dawb hauv peb lub cev, tshwj xeeb yog cov qe hu ua macrophages, nyob ib puag ncig cov khoom txawv teb chaws uas tau nkag mus rau hauv lub cev thiab sim tiv thaiv nws kom tsis txhob kis mus rau lwm qhov ntawm lub cev. Nws zoo li ib puag ncig ib tug yeeb ncuab thiab ntes lawv. Cov qe no los ua ke los ua ib lub pob me me, lossis pawg.

Cov granulomas no feem ntau tshwm sim hauv lub ntsws. Txawm li cas los xij, lawv kuj tuaj yeem tshwm sim rau txhua qhov chaw hauv lub cev, xws li lub siab, lub raum, thiab daim tawv nqaij.

Cov granulomas uas muaj caseating thiab cov uas tsis muaj caseating yog dab tsi?

Txawm hais tias cov no yog ob peb lo lus kho mob los xij, nws yog ib qho zoo uas yuav tsum paub.

• Caseating Granuloma: Hom granuloma no muaj cov hlwb tuag, lossis necrosis. Nws tau muab lub npe li ntawd vim nws zoo li ib daim cheese (yog li ntawd lo lus "caseating" txhais tau tias cheese) thaum saib hauv qab lub tshuab microscope. Qhov muaj cov hlwb tuag no tuaj yeem pab cov kws kho mob txiav txim siab qhov ua rau muaj granuloma. Piv txwv li, granulomas tshwm sim los ntawm qee yam kev kis kab mob, xws li tuberculosis, poob rau hauv pawg no.
• Cov granuloma uas tsis yog caseating: Hom granuloma no tsis muaj cov hlwb tuag. Feem ntau nws yog tshwm sim los ntawm cov ua rau tsis kis kab mob, xws li sarcoidosis, lossis cov khoom txawv teb chaws uas tau nkag mus rau hauv lub cev.

Leej twg yuav muaj feem mob granulomas ntau dua?

Txawm hais tias leej twg los xij tuaj yeem mob granulomas, qee tus neeg yuav mob lawv ntau dua. Tshwj xeeb,

• Cov neeg uas muaj kab mob mus sij hawm ntev , xws li mob ntsws thiab histoplasmosis.
• Rau cov neeg uas muaj mob o ntev . Kab mob Crohn yog ib qho mob zoo li no.
• Granulomas kuj tshwm sim rau cov neeg uas muaj mob hu ua sarcoidosis , tab sis tseem tsis tau paub meej tias yog vim li cas.

Cov granulomas puas txaus ntshai?

Feem ntau, muaj ib qho granuloma xwb tsis txaus ntshai. Nco ntsoov tias, cov no tsis yog mob qog noj ntshav. Lawv tsuas yog ib qho kev teb los ntawm peb lub cev tiv thaiv kab mob. Txawm li cas los xij, qee zaum cov granulomas no tuaj yeem yog ib qho tsos mob ntawm lwm yam mob uas twb muaj lawm. Yog vim li ntawd koj yuav tsum txhawj xeeb txog lawv.

Cov tsos mob ntawm granuloma yog dab tsi?

Feem ntau, cov granulomas tsis ua rau muaj cov tsos mob tshwj xeeb. Txawm li cas los xij, yog tias muaj cov tsos mob tshwm sim, lawv nyob ntawm qhov chaw uas cov granuloma nyob. Lawv kuj tseem yuav tshwm sim nrog rau cov tsos mob ntawm tus kab mob uas ua rau cov granuloma. Cov tsos mob feem ntau suav nrog:

• Ua npaws.
• Ua pa nyuaj (ua tsis taus pa).
• Hnoos.
• Cov qog ntshav o.
• Tawm hws thaum hmo ntuj.
• Qhov muag liab los yog mob.
• Teeb meem pom kev.
• Mob thiab tawv ntawm daim tawv nqaij.
• Mob taub hau.

Piv txwv li, yog tias ib tug neeg muaj ib qho granuloma hauv lawv lub ntsws, lawv yuav muaj cov tsos mob xws li hnoos thiab ua pa nyuaj. Yog tias nws tshwm sim rau ntawm daim tawv nqaij, nws yuav zoo li ib lub pob me me.

Cov granuloma zoo li cas?

Cov pob granulomas uas tshwm sim rau ntawm daim tawv nqaij feem ntau yog cov pob tawv thiab pob me me. Lawv tuaj yeem sib dua lossis tsaus dua li daim tawv nqaij ib puag ncig, thiab qee zaum muaj xim liab dawb-ntshav. Qee qhov ntawm lawv yuav mob thaum kov.

Yog koj saib nws hauv qab lub tshuab tsom iav, koj tuaj yeem pom tias cov cell hauv granuloma tau sib sau ua ke nruj heev. Yog li ntawd, qee zaum nws nyuaj rau qhia qhov twg ib lub cell xaus thiab qhov twg tom ntej pib.

Dab tsi ua rau muaj granulomas?

Cov granulomas tshwm sim thaum peb cov hlwb tiv thaiv kab mob, tshwj xeeb tshaj yog macrophages, tsis muaj peev xwm rhuav tshem qee yam uas lawv xav tias txaus ntshai. Qhov txaus ntshai no tuaj yeem yog kev kis kab mob (xws li cov kab mob lossis cov pwm) lossis qee yam uas peb lub cev tsis paub (xws li ib daim xov xaws lossis ib tug pos hniav uas lo rau hauv daim tawv nqaij).

Cov macrophages yog ib hom cell tiv thaiv tshwj xeeb hauv peb lub cev. Ib yam li cov neeg hlau me me, lawv "nqos" thiab rhuav tshem cov khoom uas tsis yog hauv lub cev. Tab sis yog tias lawv tsis tuaj yeem rhuav tshem ib yam dab tsi, nws yuav rub lwm cov cell tiv thaiv kab mob mus rau thaj chaw ntawd. Thaum kawg, tag nrho cov cell no yuav los ua ke los ua ib pawg me me, hu ua granuloma.

Qee zaum, peb lub cev tiv thaiv kab mob ua haujlwm ntau dhau thiab ua rau mob o thaum tsis muaj dab tsi los tawm tsam. Qhov no pom tau hauv qee yam kab mob autoimmune.

Cov kab mob dab tsi ua rau muaj granulomas?

Tus kab mob sib kis tseem ceeb uas ua rau muaj granulomas yog tuberculosis . Txawm li cas los xij, lwm yam kab mob bacterial, fungal infections, parasites, thiab viruses kuj tuaj yeem ua rau muaj granulomas. Nov yog ob peb yam piv txwv:

• Kab mob Aspergillosis
• Kab mob Blastomycosis
• Kab mob Candidiasis
• Kab mob khawb miv, ib yam kab mob uas miv kis tau
• Kab mob Coccidioidomycosis (Kab mob xuab zeb)
• Kab mob Cytomegalovirus (Cytomegalovirus)
• Histoplasmosis `(Histoplasmosis`)
• Kab mob ruas (Hansen's disease)
• Kab mob qhua pias
• Mycobacterium marinum (ntses tank granuloma)

Cov ua rau granulomas yog los ntawm kev tiv thaiv kab mob thiab tsis yog los ntawm kev kis kab mob

Raws li tau hais los saum toj no, sarcoidosis yog qhov ua rau muaj granuloma tsis yog los ntawm kev sib kis. Muaj lwm yam ua rau ntxiv rau qhov ntawd:

• Khoom noj lossis lwm yam khoom nkag mus rau hauv lub ntsws (kev nqus pa)
• Berylliosis (vim raug rau cov hlau beryllium)
• Kab mob granulomatous ntev (CGD)
• Kab mob Crohn
• Fremdkörper (lub cev txawv teb chaws) nyob rau hauv daim tawv nqaij. Piv txwv li: xov xaws, kua pleev duab, cov khoom tawg.
• Granulomatosis nrog polyangiitis
• Mob pob qij txha
• Mob pob qij txha caj qaum
• Sperm granuloma (tej zaum yuav muaj teeb meem tom qab vasectomy)

Koj paub li cas yog tias koj muaj granuloma? (Kev kuaj mob)

Nyob ntawm seb qhov chaw ntawm cov granuloma nyob qhov twg, tus kws kho mob yuav kuaj koj thiab ua "kev kuaj lub cev" lossis kev kuaj duab xws li "X-ray", "ultrasound", lossis "CT scan" kom paub meej txog qhov no.

Txawm li cas los xij, kom paub tseeb tias qhov no yog granuloma, yuav tsum tau coj mus kuaj cov nqaij. Qhov no hu ua biopsy. Cov qauv biopsy no raug kuaj hauv qab lub tshuab microscope los ntawm tus kws kho mob pathologist.

Vim tias feem ntau cov granulomas tsis muaj teeb meem dab tsi, tus kws kho mob yuav tsis ua qhov kev kuaj mob tam sim ntawd. Lawv yuav tos ib pliag kom pom seb qhov loj me puas hloov pauv lossis nws puas ploj mus nws tus kheej.

Yuav kho cov granulomas li cas?

Feem ntau tsis muaj kev kho mob tshwj xeeb rau ib qho granuloma. Vim tias feem ntau lawv yog qhov tshwm sim ntawm ib qho mob uas ua rau muaj granuloma , cov kws kho mob tsom mus rau kev kho qhov mob uas ua rau muaj granuloma.

Xav txog seb, yog tias ib tug neeg muaj cov granulomas hauv lawv lub ntsws vim yog tus kab mob ntsws (tuberculosis), kev kho mob yog rau tus kab mob ntsws xwb. Tom qab ntawd, thaum tus kab mob kho tau zoo lawm, cov granulomas kuj yuav txo qis.

Cov tshuaj siv rau granuloma

Nyob ntawm seb qhov ua rau muaj qhov no, cov tshuaj hauv qab no yuav siv tau los kho cov granulomas:

• Txo qhov mob nrog corticosteroids .
• Yog tias koj muaj cov granulomas vim yog tus mob autoimmune, koj yuav raug sau tshuaj immunosuppressants .
• Yog tias qhov ua rau yog kev kis kab mob, yuav muab tshuaj tua kab mob, tshuaj tua kab mob fungal, lossis tshuaj tiv thaiv kab mob parasitic rau koj.

Yuav tswj cov tsos mob li cas?

Yog koj muaj ib qho granuloma mob heev, koj yuav pom kev pab los ntawm kev noj acetaminophen (piv txwv li, Tylenol®) lossis ibuprofen (piv txwv li, Advil®, Motrin®). Txawm li cas los xij, nws yog qhov zoo tshaj plaws los nrog koj tus kws kho mob tham ua ntej noj tshuaj. Nug nws txog lwm yam uas yuav pab txo koj cov tsos mob.

Puas tiv thaiv tau kom tsis txhob muaj granuloma?

Qhov tseeb, feem ntau cov neeg tsis muaj dab tsi ua tau los tiv thaiv cov granulomas kom tsis txhob loj hlob. Lawv yog ib feem ntawm peb lub cev tiv thaiv kab mob. Txawm li cas los xij, yog tias koj muaj mob nkeeg, xws li kab mob autoimmune lossis kab mob ntev, kev tswj hwm qhov mob ntawd zoo tuaj yeem txo koj txoj kev pheej hmoo ntawm kev loj hlob ntawm granulomas.

Yuav ua li cas yog tias koj muaj granuloma? (Yuav tsum xav li cas)

Feem ntau cov granulomas tsis muaj teeb meem dab tsi. Lawv yuav ploj mus lawv tus kheej yam tsis tau kev kho mob. Txawm li cas los xij, cov calcified granulomas (granulomas uas tau tawv vim yog calcium deposits) yuav tsis ploj mus yooj yim. Tej zaum koj yuav tau pom tias koj cov ntawv qhia duab tau qhia tib cov calcified granuloma ntev heev. Txawm tias lawv tsis ploj mus los xij, cov calcified granulomas uas tseem tsis tau hloov pauv ntev heev feem ntau tsis muaj teeb meem dab tsi.

Koj tus kws kho mob yuav qhia koj ntxiv txog tej yam mob uas ua rau koj cov granulomas. Yog tias koj muaj cov granulomas ntau zaus, lawv tuaj yeem pab koj tswj koj cov tsos mob.

Kuv yuav saib xyuas kuv tus kheej li cas?

Qhov zoo tshaj plaws uas koj ua tau yog tswj txhua yam mob uas ua rau koj cov granuloma. Tham nrog koj tus kws kho mob txog kev kho koj tus mob tshwj xeeb.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Nco ntsoov mus ntsib kws kho mob hauv cov xwm txheej no:

• Yog tias koj xav tias muaj mob lossis txhawj xeeb txog qhov teeb meem kev noj qab haus huv uas ua rau muaj granuloma.
• Yog tias koj muaj lus nug lossis kev txhawj xeeb txog granuloma uas tus kws kho mob tau pom ntawm X-ray lossis CT scan.
• Yog tias muaj cov tsos mob tshiab tshwm sim, xws li kub taub hau thiab ua pa nyuaj, lossis yog tias cov tsos mob uas twb muaj lawm hnyav zuj zus.

Kuv yuav tsum nug tus kws kho mob li cas?

Nws yog ib lub tswv yim zoo los nug koj tus kws kho mob cov lus nug zoo li no:

• Puas muaj ib qho mob uas ua rau kuv muaj mob granulomas?
• Kuv puas yuav tsum tau txais kev kho mob rau granuloma?
• Kuv puas tuaj yeem tiv thaiv kom tsis txhob muaj cov granulomas?
• Kuv yuav ua li cas rau cov tsos mob ntawm granuloma?

Thaum kawg, tej yam yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Cov granulomas yog ib feem ntawm peb lub cev txoj kev tiv thaiv ntuj. Muaj ntau tus neeg tsim lawv ua cov pob hauv lub ntsws lossis nyob ib puag ncig Fremdkörper (khoom txawv teb chaws) ntawm daim tawv nqaij. Feem ntau, lawv tsis xav tau kev kho mob thiab ploj mus ntawm lawv tus kheej.

Txawm li cas los xij, yog tias koj muaj mob xws li sarcoidosis lossis tus kab mob autoimmune, koj yuav muaj feem ntau dua los tsim cov granulomas. Yog tias koj muaj kev txhawj xeeb txog qhov no, nco ntsoov tham nrog koj tus kws kho mob. Tej zaum yuav muaj lwm txoj kev xaiv uas tuaj yeem pab koj tswj koj tus mob. Nyob kom noj qab haus huv!

Granuloma , kev tiv thaiv kab mob, kev kis kab mob, pob tawv nqaij, ntsws, cov tsos mob, kev kho mob