Yu dɔn ɛva notis, ɔ dɔktɔ tɛl yu se yu gɛt smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl. Na dat wi kin kɔl ``Granuloma'' pan mɛrɛsin. Nɔ fred we yu yɛri dis nem, bikɔs i nɔ tan lɛk kansa. Bɔt i rili impɔtant fɔ no gud gud wan wetin i bi, wetin mek i kin apin, ɛn wetin fɔ du bɔt am.
Wetin na granuloma? Lɛ wi ɔndastand am simpul wan!
Fɔ tɔk am simpul wan, granuloma na smɔl say we inflamɛns kin apin sɔmsay na wi bɔdi. Naw yu kin de wɔnda wetin na inflamɛns. Inflameshɔn na di we aw wi bɔdi in difɛns sistɛm de fɛt sɔntin we de ambɔg wi bɔdi, fɔ ɛgzampul, wan jem ɔ wan Fremdkörper (fɔrin tin) lɛk smɔl chukchuk.
Insay granuloma, na wan kayn wayt blɔd sɛl na wi bɔdi, mɔ di sɛl dɛn we dɛn kɔl makrofag, de rawnd di fɔrina tin we dɔn go insay di bɔdi ɛn tray fɔ stɔp am fɔ mek i nɔ go ɔlsay na di bɔdi. I tan lɛk se yu de rawnd ɛnimi ɛn trap dɛn. Dɛn sɛl dɛn ya kin kam togɛda fɔ mek wan smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl.
dis granuloma dεm kin fכm mכst na di lכng dεm. Bɔt dɛn kin fɔm bak ɛnisay na di bɔdi, lɛk di liva, di kidni, ɛn di skin.
Wetin na di granulomas we gɛt kes ɛn we nɔ gɛt kes?
Pan ɔl we dɛn wɔd ya na sɔm mɛrɛsin, i fayn fɔ no.
- Caseating Granuloma: Dis kayn granuloma gɛt day sɛl dɛn, ɔ nekrɔsis. Dɛn gi am di nem so bikɔs i tan lɛk wan pis chiz (na dat mek di wɔd "caseating" we min chiz) we yu si am ɔnda maykroskɔp. We dɛn day sɛl ya de, dat kin ɛp dɔktɔ dɛn fɔ no wetin mek di granuloma de. Fɔ ɛgzampul, granulomas we sɔm infɛkshɔn dɛn kin kam wit, lɛk TB, kin insay dis kategori.
- non-caseating granuloma: Dis kayn granuloma nכ gεt day sεl dεm. Bɔrku tɛm na tin dɛm wae nɔr kin gɛt dis sik, lɛk sarkoidosis, ɔr ɔda tin dɛm wae dɔn kam insay di bɔdi.
Udat dɛn kin gɛt granulomas?
Pan ɔl we ɛnibɔdi kin gɛt granulomas, sɔm pipul dɛn kin gɛt am mɔ. Na mɔtalman, .
- Pipul wae gɛt lɔng tɛm infekshɔn , lɛk TB ɛn histoplasmosis.
- Fɔ pipul dɛm wae gɛt lɔng tɛm inflammatory conditions . Kron sik na wan pan dɛn kayn sik ya.
- Granulomas kin kam bak pan pipul dɛm wae gɛt wan sik wae dɛn kɔl sarcoidosis , bɔt dɛn nɔr no di rayt kɔz yet.
Yu tink se granulomas denja?
Bɔku tɛm, fɔ gɛt jɔs wan granuloma nɔ kin denja. Mɛmba se dɛn tin ya nɔto kansa. Dɛn na jɔs wan ansa frɔm wi bɔdi in difens sistɛm. Bɔt sɔmtɛm dɛn granulomas ya kin bi sayn fɔ ɔda ɔndalayn mɛdikal kɔndishɔn. Na dat mek yu fɔ bisin bɔt dɛn.
Wetin na di sayn dɛm fɔ granuloma?
Bɔrku tɛm, granulomas nɔr kin kɔz ɛni patikyula sayn. Bɔt if di simptom dɛn apin, dɛn kin dipen pan usay di granuloma de. Dɛn kin apia bak wit di sayn dɛm fɔ di infekshɔn we mek di granuloma. Di kɔmɔn sayn dɛm na:
- Fiva.
- I nɔ izi fɔ blo (dyspnea).
- Kɔf.
- Di limf no dɛm we dɔn swel.
- We yu de swet na nɛt.
- Ay rɛd ɔ pen.
- Prɔblɛm dɛn we pɔsin kin gɛt we i de si.
- Lump dɛn we de mek yu fil pen ɛn we at na di skin.
- Ed de at.
Fɔ ɛgzampul, if pɔsin gɛt granuloma na in lɔng, i kin gɛt sɔm sayn dɛn lɛk fɔ kɔf ɛn i nɔ kin izi fɔ blo. If i de divεlכp pan di skin, i kin tan lεk sכm sכm bכdi.
Aw granuloma kin tan lɛk?
Granulomas we de fכm pan di skin kin bi hat, lumpy bumps. Dɛn kin gɛt layt ɔ dak kɔlɔ pas di skin we de rawnd dɛn, ɛn sɔntɛnde dɛn kin gɛt pinkish-pɔpul kɔlɔ. Sɔm pan dɛn kin mek yu fil pen we yu tɔch dɛn.
If yu luk am ɔnda maykroskɔp, yu go si se di sɛl dɛn we de insay wan granuloma rili tayt togɛda. So sɔntɛnde i nɔ kin izi fɔ no usay wan sɛl de dɔn ɛn usay di nɛks wan bigin.
Wetin kin mek pɔsin gɛt granuloma?
Granulomas kin apin we wi imyun sistɛm sɛl dɛn, mɔ di makrofag dɛn, nɔ ebul fɔ pwɛl sɔntin we dɛn tink se denja. Dis denja tin kin bi infεkshכn (lεk baktri dεm כ fכn) כ sכmtin we wi bכdi nכ no (lεk wan tεm we dεn de siw כ wan chukchuk we stכk na di skin).
Makrofag na spɛshal kayn difɛns sɛl na wi bɔdi. Lεk sכm sכm rכbכt dεm, dεn de "swכlo" εn pwεl tin dεm we nכ de insay di bכdi. Bɔt if dɛn nɔ ebul fɔ pwɛl sɔntin, i kin mek ɔda imyun sɛl dɛn kam na di say. Afta sɔm tɛm, ɔl dɛn sɛl ya kin kam togɛda fɔ mek wan tayt grup we dɛn kɔl granuloma.
Sɔmtɛm, wi imyun sistɛm kin ɔva riak ɛn mek wi gɛt inflamɛns we natin nɔr de fɔ fɛt. Dɛn kin si dis pan sɔm ɔtoimyun dizayd dɛm.
Us infεkshכn dεm kin mek yu gεt granulomas?
Di men tin we kin mek pɔsin gɛt granuloma na TB . Bɔt ɔda baktriyal infɛkshɔn, fɛns infɛkshɔn, parasayt, ɛn vayrɔs kin mek bak granuloma. Na sɔm ɛgzampul dɛn ya:
- Aspergillosis we dɛn kɔl Aspergillosis
- Blastomaykɔsis we dɛn kɔl Blastomycosis
- Kandidiasis we pɔsin kin gɛt
- Kat skrach sik, na sik we pusi kin pas
- Kɔksidioidomaykɔsis (Sand Fiva) .
- Saytomegalovayrɔs `(Saytomegalovayrɔs)`
- Histoplasmosis `(Histoplasmosis)`
- Leprɔsi (Di sik we Hansen gɛt) .
- Mizɛl
- Maykobakterium marinum (fish tank granuloma) .
Awtoimyun ɛn nɔ-infɛkshɔn kɔz dɛm fɔ granulomas
Sarkoidosis, lεk aw wi bin dכn tכk, na di men tin we nכ de infεkshכn we de mek granuloma fכmeshכn. Ɔda tin dɛn de we kin mek i apin apat frɔm dat:
- Fɔd ɔ ɔda tin dɛn we de go insay di lɔng (aspiration) .
- Bεriliכsis (biכs fכ di mεtal bεriliכm) .
- Di sik we dɛn kɔl kronik granulomatous (CGD) .
- Di sik we dɛn kɔl Crohn in sik
- Fremdkörper (fɔrin bɔdi) na di skin. Fɔ ɛgzampul: suture thread, tatu ink, splinters.
- Granulomatosis wit polyangiitis
- Rimatik fiva
- Rimatɔyd at at sik
- Sperm granuloma (na poshubul komplikashכn afta vasektomi) .
Aw yu go no if yu gɛt granuloma? (Diagnosis) .
dipכnt pan di say we di granuloma de, dכkta kin egzamin yu εn du ``fyzikal εgzam'' כ imej tεst lεk ``X-ray'', ``ultrasound'', כ ``CT scan'' fכ gεt aidia fכ dis.
Bɔt fɔ mek shɔ se dis na granuloma, dɛn nid fɔ tek wan tisu sɛmpul ɛn chɛk am. Dɛn kɔl dis bayɔpsi. dis bayopsi sεmpl dεn de egzamin am כnda maykroskכp bay wan patכlכjist.
Bikɔs bɔku pan di granuloma dɛn nɔ kin du bad, dɔktɔ nɔ kin du bayɔpsi wantɛm wantɛm. Dɛn kin wet fɔ sɔm tɛm fɔ si if di sayz chenj ɔ if i go go fɔ insɛf.
Aw dɛn kin trit granulomas?
Bɔrku tɛm, nɔrbɔdi nɔr kin gɛt ɛni patikyula tritmɛnt fɔ wan granuloma. Bikɔs bɔku tɛm dɛn kin kɔmɔt frɔm wan ɔndalayn mɛdikal kɔndishɔn , dɔktɔ dɛn kin pe atɛnshɔn fɔ trit di ɔndalayn kɔndishɔn we mek di granuloma fɔm.
Imajin, if pɔsin gɛt granulomas na in lɔng bikɔs ɔf TB, di tritmɛnt na fɔ di TB. Dɔn, as di sik de wɛl, di granulomas dɛn kin go dɔŋ bak.
Di kayn mɛrɛsin dɛn we dɛn kin yuz fɔ granuloma
Dipen pan di kɔz, dɛn kin yuz dɛn mɛrɛsin ya fɔ mɛn granulomas:
- Ridyus inflamɛns wit kɔtikosterɔyd .
- If yu gɛt granulomas bikɔs ɔf wan ɔtoimyun kɔndishɔn, dɛn kin gi yu di imyun suprɛsant .
- If di kɔz na infekshɔn, dɛn go gi yu di rayt antibayɔtik, antifɔngal, ɔ antiparasayt mɛrɛsin.
Aw fɔ kɔntrol di sayn dɛm?
If yu gɛt granuloma we de mek yu fil pen, yu kin gɛt rilif bay we yu tek asetaminofɛn (e.g., Tylenol®) ɔ ibuprofen (e.g., Advil®, Motrin®). Bɔt i bɛtɛ ɔltɛm fɔ chɛk to yu dɔktɔ bifo yu tek ɛni mɛrɛsin. Aks am bɔt ɔda tin dɛn we go ɛp fɔ mek yu nɔ gɛt di sik.
Yu tink se dɛn kin mek granuloma nɔ fɔm?
Infakt, natin nɔ de we bɔku pipul dɛn kin du fɔ mek dɛn nɔ gɛt granulomas. Dɛn na pat pan wi bɔdi in difens sistɛm. Bɔt if yu gɛt wan sik we de ɔnda yu, lɛk ɔtoimyun sik ɔ infekshɔn we nɔ de mɛn, if yu manej da sik de fayn fayn wan, dat kin mek yu nɔ gɛt granulomas.
Wetin kin apin if yu gɛt granuloma? (Wetin fɔ ɛkspɛkt)
Bɔku pan di granuloma dɛn nɔ kin du bad. Dɛn kin go fɔ dɛnsɛf we dɛn nɔ gɛt tritmɛnt. Bɔt di granuloma dɛn we gɛt kalsiɔm (granulomas we dɔn at bikɔs ɔf di kalsiɔm we dɔn de) nɔ kin go so izi wan. Yu go dɔn notis se yu imej ripɔt dɛn dɔn de sho di sem kalsifa granuloma fɔ lɔng tɛm. ivin if dεn nכ go, di kalsifayεd granulomas we nכ chenj fכ lכng tεm nכ kin du bad.
Yu dɔktɔ go tɛl yu mɔ bɔt ɛni ɔndalayn mɛrɛsin we kin de mek yu gɛt granulomas. If yu gɛt granulomas ɔltɛm, dɛn kin ɛp yu fɔ kɔntrol yu sik dɛn.
Aw a kin kia fɔ misɛf?
Di bɛst tin we yu kin du na fɔ manej ɛni ɔndalayn mɛdikal kɔndishɔn we kin de mek yu gɛt granuloma. Tɔk to yu dɔktɔ bɔt aw fɔ trit yu patikyula sik.
Ustɛm a fɔ go to dɔktɔ?
Mek shɔ se yu go to dɔktɔ pan dɛn kayn tin ya:
- If yu sɔspɛkt ɔ de wɔri bɔt wan ɔndalayn mɛdikal kɔndishɔn we kin de mek di granuloma de divɛlɔp.
- If yu gɛt kwɛstyɔn ɔ wɔri bɔt granuloma we dɔktɔ dɔn fɛn pan ɛkstrem rayt ɔ CT skan.
- If nyu sayn dɛm de sho, lɛk fiva ɛn i nɔ izi fɔ blo, ɔ if di sayn dɛm we bin dɔn de de wɔs.
Us kwɛstyɔn dɛn a fɔ aks di dɔktɔ?
I fayn fɔ aks yu dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:
- Yu tink se wan ɔndalayn mɛdikal kɔndishɔn kin mek a gɛt granulomas?
- A fɔ gɛt tritmɛnt fɔ granuloma?
- A kin mek granulomas nɔ fɔm?
- Wetin a kin du bɔt di sayn dɛm fɔ granuloma?
Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .
Granulomas na pat pan wi bɔdi in natura l difɛns sistɛm. Bɔrku pipul dɛn kin gɛt dɛn lɛk lumps na di lכng ɔ rawnd wan Fremdkörper (fɔrin tin) na di skin. Bɔrku tɛm, dɛn nɔr kin nid tritmɛnt ɛn kin go fɔ dɛnsɛf.
Bɔt if yu gɛt mɛrɛsin lɛk sarkoidosis ɔ ɔtoimyun sik, yu kin gɛt granulomas. If yu gɛt ɛnitin fɔ wɔri bɔt dis, mek shɔ se yu tɔk to yu dɔktɔ. Ɔda tin dɛn kin de we go ɛp yu fɔ kɔntrol yu sik. Stay wit wɛlbɔdi!
` Granuloma, imuniti, infεkshכn, skin lumps, lכng, simptom dεm, tritmεnt
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