Kodi muli ndi kutupa m'mitsempha yanu yamagazi? Tiyeni tikambirane za vasculitis!

Lero tikambirana za matenda otchedwa Vasculitis. Mwina simunamvepo za dzinali kale. Koma ndi matenda omwe amakhudza mitsempha yamagazi m'thupi lathu ndipo amafunika chisamaliro. Chifukwa chake, musadandaule, tiyeni tingolankhula za chomwe chili, chifukwa chake chimachitika, momwe timachidziwira, ndi zina zomwe zingachitike.

Kodi vasculitis ndi chiyani? Mwachidule...

Matenda a Vasculitis ndi kutupa kwa mitsempha yanu yamagazi, kapena mitsempha yamagazi . Kutupa kumatanthauza kutupa ndi kufiira. Taganizirani ngati mapaipi omwe amanyamula magazi m'thupi lathu lonse. Zili ngati netiweki ya misewu mdziko lathu. Mitsempha iyi yamagazi imayamba pamtima, kufalitsa magazi m'thupi lonse, kenako nkuibwezera kumtima kuti iyeretsedwe.

Pali mitundu itatu ikuluikulu ya mitsempha yamagazi m'thupi lathu, monga momwe mwamvera kale:

• Mitsempha yamagazi: Iyi ndi mitsempha yamagazi yomwe imanyamula magazi oyera (magazi okhala ndi mpweya wambiri) kuchokera mumtima kupita ku ziwalo zina zonse ndi ziwalo.
• Mitsempha: Iyi ndi mitsempha yomwe imabweretsa magazi ogwiritsidwa ntchito kale (magazi okhala ndi mpweya wambiri wa carbon dioxide) kumtima kuchokera mbali zonse za thupi.
• Ma capillaries: Awa ndi mitsempha yamagazi yopyapyala kwambiri. Amaoneka ngati ulusi. Amalumikiza mitsempha yamagazi ndi mitsempha, ngati njira zazing'ono pakati pa misewu iwiri ikuluikulu. Ndi komwe mpweya ndi michere zimasinthidwa pakati pa maselo.

Tsopano, ngati muli ndi vasculitis, mitsempha yanu yamagazi imatupa ndikukhuthala. Nanga chimachitika ndi chiyani? Magazi satha kuyenda bwino, monga momwe payipi yamadzi imatsekekera. Pakapita nthawi, kutupa kumeneku kumatha kuwononga ziwalo zanu (monga impso zanu, mapapo, khungu). Kungayambitsenso mavuto akulu, monga aneurysms . Aneurysm ndi gawo lofooka la khoma la mitsempha yamagazi lomwe limatuluka ngati baluni. Izi ndizowopsa kwambiri chifukwa zimatha kuphulika.

Koma palibe chifukwa chochita mantha. Anthu ambiri amatha kuchepetsa vutoli la vasculitis ndi chithandizo chabwino chamankhwala ndi mankhwala ndikukhala moyo wabwinobwino . Komabe, nthawi zina zimatha kukhala zoopsa ndipo ngati magazi opita ku ziwalo zofunika kwambiri asokonekera, zimatha kukhala pachiwopsezo. Ichi ndichifukwa chake ndikofunikira kudziwa izi.

Chofunika: Ngati mumakhala ndi zizindikiro zofanana ndi malungo nthawi zambiri, kapena ngati mukumva zachilendo, monga dzanzi kapena kutentha m'manja kapena m'mapazi, musazengereze kupita kwa dokotala. Makamaka, ngati mukuvutika kupuma, kupweteka pachifuwa, kapena zizindikiro za matenda a mtima, pitani kuchipatala chapafupi nthawi yomweyo, kapena imbani ambulansi yadzidzidzi monga 1990.

Kodi vasculitis imakhudza bwanji thupi lathu?

Matenda osasangalatsa awa otchedwa vasculitis angakhudze mitsempha iliyonse yamagazi m'thupi lathu. Izi zikutanthauza kuti angakhudzenso mitsempha yamagazi yomwe imalumikizana ndi ziwalo ndi ziwalo zotsatirazi:

• Khungu lanu (zilonda za pakhungu, eczema, ndi zina zotero zingachitike)
• Mapapo (kutsokomola, kupuma movutikira kungachitike)
• Mtima (ungawonjezere chiopsezo cha matenda a mtima)
• Thupi la mitsempha (kusanza, kufooka m'miyendo)
• Maso (angayambitse kusawona bwino, maso ofiira)
• Impso (ntchito ya impso ikhoza kusokonekera)
• Ubongo (ungayambitse mutu, sitiroko)
• Kwa matenda a sinus (monga chimfine chofala)
• M'mimba ndi m'matumbo (zinthu monga kupweteka m'mimba, kutsegula m'mimba kwa magazi)
• Manja ndi mapazi (ululu, kutupa, dzanzi)

Kodi vutoli ndi lofala bwanji? Kodi limachitikira aliyense?

Ayi, matenda a mitsempha yamagazi ndi matenda osowa kwambiri . Tangoganizirani, ngakhale m'dziko lotukuka ngati America, malipoti azachipatala amati anthu osakwana 50 amadwala matendawa chaka chilichonse mwa anthu 1 miliyoni. Izi zikutanthauza kuti ndi matenda osowa kwambiri.

Ndikofala pang'ono mwa anthu azaka zopitirira 50. Komabe, sizichitika kawirikawiri ngakhale m'gulu limenelo. Ngakhale pakati pa anthu amenewo, anthu osakwana 300 mwa miliyoni amadwala matendawa chaka chilichonse. Choncho, palibe choopa mukamva izi, si matenda omwe amakhudza aliyense.

Kodi pali mitundu yosiyanasiyana ya vasculitis?

Inde, pali mitundu yoposa 30 ya vasculitis! Dokotala wanu adzakuuzani mtundu weniweni wa vasculitis yomwe muli nayo. Zimatengera kukula kwa mitsempha yamagazi m'thupi lanu (yaikulu, yapakatikati, yaying'ono) yomwe yakhudzidwa, komanso zotsatira za mayeso ena. Nazi zitsanzo zina:

• Matenda a vasculitis okhudzana ndi ANCA (izi zikuphatikizaponso mitundu ina yotchedwa granulomatosis yokhala ndi polyangiitis (GPA) , microscopic polyangiitis (MPA) , ndi eosinophilic granulomatosis yokhala ndi polyangiitis (EGPA) )
• Polyarteritis nodosa
• IgA vasculitis (Henoch-Schönlein purpura) (izi zimachitika kwambiri mwa ana aang'ono)
• Matenda a mitsempha ya m'magazi (omwe amagwirizana ndi matenda monga nyamakazi)
• Matenda a mitsempha yapakati (amakhudza mitsempha yamagazi ya dongosolo lapakati la mitsempha, kutanthauza ubongo ndi msana)
• Matenda a giant cell arteritis (izi zimafala kwambiri pakati pa okalamba, ndipo zimakhudza mitsempha yamagazi m'mutu)
• Matenda a Takayasu arteritis (izi zimachitika kwambiri mwa atsikana ndipo zimakhudza mtsempha waukulu wamagazi wochokera mumtima)
• Matenda a Behçet(Amabwera ndi zilonda mkamwa ndi m'mimba)
• Matenda a urticaria (amabwera ndi ziphuphu pakhungu)
• Matenda a Kawasaki ( komanso mtundu wa vasculitis womwe umakhudza kwambiri ana aang'ono)
• Palinso mitundu ya vasculitis yomwe imapezeka kwambiri mwa ana .

Kodi ndi zizindikiro ziti zomwe munthu amene ali ndi vasculitis angakumane nazo?

Izi ndi zina mwa zizindikiro zodziwika bwino za vasculitis:

• Kuvuta kupuma, kulimba pachifuwa
• Chifuwa chosalekeza, mwina ndi magazi
• Kumva dzanzi, kutentha, ndi kumva kuwawa m'miyendo
• Kufiira, kutupa, kusintha kwa mtundu m'malo ena, ndi zilonda pakhungu
• Malungo obwerezabwereza, popanda chifukwa
• Kumva kutopa kwambiri, kumva ngati palibe chomwe chikugwira ntchito
• Kuchepetsa thupi mosayembekezereka
• Kufooka m'thupi, makamaka m'minofu
• Kupweteka kwa mafupa, kutupa
• Kupweteka m'mimba, nseru, kusanza
• Mavuto a impso (monga mkodzo wakuda, magazi mu mkodzo, miyendo yotupa)
• Kukwapula kapena zizindikiro zina zofanana (kuvutika kulankhula, kugwada mbali imodzi ya nkhope)

Koma kumbukirani, zizindikiro zomwe mumakumana nazo zimadalira mtundu wa vasculitis yomwe muli nayo, mitsempha yamagazi yomwe yakhudzidwa, komanso kuopsa kwa kutupa . Si aliyense amene adzakumana ndi zizindikiro zomwezo.

Mvetserani thupi lanu, khulupirirani m'mimba mwanu. Ngati muwona kusintha kulikonse kwatsopano, zizindikiro zomwe zimakupangitsani kukhala osasangalala kapena kuda nkhawa, musaganize kuti, "Izi zichoka," koma pitani kwa dokotala.

N’chifukwa chiyani mitsempha yamagazi imeneyi imachitika? Kodi chifukwa chake n’chiyani?

Apa ndi pamene zinthu zimavuta pang'ono. Vasculitis ndi matenda odziteteza okha . Tsopano mwina mukudabwa kuti matenda odziteteza okha ndi chiyani. Mwachidule, thupi lathu lili ndi chitetezo chamthupi. Zili ngati asilikali m'dziko lathu. Ntchito ya dongosololi ndikutiteteza ku adani akunja (monga majeremusi, mabakiteriya, mavairasi).

Koma, mu matenda a autoimmune, chitetezo chathu molakwika chimayamba kuukira maselo ndi minofu yathu yabwino. Zili ngati gulu lathu lankhondo likuukira anthu athu. Mu vasculitis, chitetezo chathu chamthupi chikuukira mitsempha yathu yamagazi. Akatswiri azachipatala sakudziwabe chifukwa chake izi zimachitika, chifukwa chake dongosololi limakhala lopanda pake.

Komabe, zapezeka kuti zinthu zina zingayambitse , kapena kuyambitsa, vuto la vasculitis:

• Matenda ena (monga kachilombo ka hepatitis B kapena C)
• Matenda ena omwe analipo kale a autoimmune(monga nyamakazi ya m'mafupa, lupus (SLE))
• Zotsatirapo za mankhwala ena
• Mitundu ina ya khansa ( makamaka khansa yokhudzana ndi magazi)
• Anthu ena amachiyambitsa mwanjira yosadziwika bwino, zomwe zikutanthauza kuti palibe chomwe chimayambitsa matendawa.

Kodi mumazindikira bwanji matenda a vasculitis molondola?

Ngati dokotala wanu akuganiza kuti muli ndi vasculitis, choyamba adzakuyang'anirani mosamala. Adzakufunsani za zizindikiro zanu - nthawi yomwe zakhalapo, momwe zapitira patsogolo, zizindikiro zina zomwe muli nazo, ndi zina zotero. Adzakufunsaninso ngati pali aliyense m'banja mwanu amene wakhala ndi matenda ofanana ndi anu.

Vasculitis nthawi zambiri imapezeka ngati gawo la matenda osiyanasiyana, zomwe zimaphatikizapo kuchotsa matenda ena . Izi zili choncho chifukwa zizindikirozi zimatha kuwonekanso m'matenda ena. Chifukwa chake, dokotala wanu adzayitanitsa mayeso angapo kuti apeze chomwe chimayambitsa zizindikiro zanu. Pokhapokha akatsimikizira kuti muli ndi vasculitis. Mayeso ena omwe mungakhale nawo ndi awa:

• Mayeso a magazi: Izi zitha kuyang'ana zizindikiro za kutupa (monga ESR, CRP), mitundu ina ya ma antibodies (monga ANCA), ndi ntchito ya ziwalo.
• Kuyezetsa mkodzo: Yang'anani ngati impso zakhudzidwa.
• Kuyeza magazi m'mitsempha: Iyi nthawi zambiri ndiyo njira yofunika kwambiri yotsimikizira kuti mitsempha yamagazi yayamba kufalikira. Kachidutswa kakang'ono ka minofu yokhudzidwa (monga khungu, impso, mapapo) kamatengedwa ndikuyang'aniridwa pogwiritsa ntchito maikulosikopu kuti awone ngati pali kutupa m'mitsempha yamagazi.
• Mayeso ojambula zithunzi:
• X-ray, CT scan, MRI scan: Izi zingagwiritsidwe ntchito kuona momwe ziwalo zomwe zakhudzidwa zilili.
• Angiogram: Iyi ndi njira yapadera yoyezera X-ray yomwe imagwiritsa ntchito utoto kuti ione ngati pali kuchepa kapena kuchepa kwa mitsempha yamagazi.
• Mayeso ena apadera omwe amayesa momwe ziwalo zomwe zakhudzidwa zimagwirira ntchito.

Mwina mudzaonana ndi dokotala wa nyamakazi , dokotala yemwe ndi katswiri wa matenda a mafupa ndi matenda odziteteza ku matenda a autoimmune. Iye ndiye munthu wabwino kwambiri wochiza matenda amenewa.

Kodi mankhwala a vasculitis ndi ati? Kodi angachiritsidwe?

Pali zolinga ziwiri zazikulu pochiza vasculitis:

1. Kulamulira kutupa ndi kuchepetsa zizindikiro.

2. Kupewa kuwonongeka kwina kwa mitsempha yamagazi ndi ziwalo zina.

Dokotala wanu adzasankha chithandizo kutengera mtundu wa vasculitis yomwe muli nayo, kuopsa kwake, komanso thanzi lanu lonse. Mankhwala omwe amagwiritsidwa ntchito kwambiri ndi awa:

• Mankhwala a Corticosteroids:Izi ndi mitundu ikuluikulu ya mankhwala omwe amagwiritsidwa ntchito poletsa kutupa (monga Prednisolone). Amagwira ntchito mwachangu ndipo amachepetsa zizindikiro. Komabe, chifukwa chakuti mlingo waukulu ungayambitse zotsatirapo zoyipa ukamwedwa kwa nthawi yayitali, dokotala wanu adzachepetsa pang'onopang'ono mlingo.
• Mankhwala oletsa chitetezo chamthupi: Izi zimagwira ntchito polamulira ntchito ya chitetezo chamthupi chomwe chikulephera kugwira ntchito bwino. Zitsanzo zake ndi mankhwala monga Methotrexate, Azathioprine, ndi Cyclophosphamide.
• Biologics: Izi ndi njira zatsopano komanso zolunjika kwambiri. Zimagwira ntchito poyang'ana mbali zina za chitetezo cha mthupi kuti zichepetse kutupa. Mwachitsanzo, Rituximab.
• Nthawi zina, mankhwala oletsa kuthamanga kwa magazi monga ACE inhibitors angalembedwe, chifukwa ndi abwino kwa mitsempha yamagazi.

Opaleshoni:

Ngati mitsempha yanu ya magazi yawonongeka kwambiri ndi vasculitis, monga ngati ndi yopapatiza kwambiri kapena ili ndi aneurysms, mungafunike opaleshoni. Mwachitsanzo, mungafunike angioplasty kuti mukulitse mitsempha yamagazi yopapatiza kapena opaleshoni yodutsa kuti mudutse gawo lowonongeka. Dokotala wanu kapena dokotala wanu adzakufotokozerani mtundu wa opaleshoni yomwe mukufuna komanso zomwe mungayembekezere.

Kodi Vasculitis imatha kuchiritsidwa kwathunthu?

Chofunika kudziwa ndi ichi: Matenda a Vasculitis nthawi zambiri sachira kwathunthu . Ndi matenda osatha, zomwe zikutanthauza kuti amatenga nthawi yayitali.

Koma musadandaule! Matendawa akatha kuchiritsidwa bwino, mutha kulowa mu mkhalidwe wotchedwa kukhululuka . Kukhululuka ndi nthawi yomwe matendawa amakhala chete komanso opanda zizindikiro. Kwa anthu ena, nthawi imeneyi imatha kukhala miyezi kapena zaka. Komabe, ndi bwino kukhalabe pansi pa utsogoleri wa dokotala, chifukwa zizindikiro zimatha kubwereranso.

Kodi pali njira yopewera vasculitis?

Mwatsoka, madokotala sakudziwabe chomwe chimayambitsa vasculitis, kotero palibe njira yotsimikizika yopewera . N'zosathekanso kuneneratu yemwe adzadwala ndi amene sadzadwala.

Kodi ndiyenera kuyembekezera chiyani ngati ndili ndi vasculitis?

Ngati mwapezeka ndi matenda a vasculitis, muyenera kukhala okonzeka kuthana ndi vutoli kwa nthawi yayitali, mwina ngakhale moyo wanu wonse.Ngakhale mutakhala kuti mulibe zizindikiro zoopsa, muyenerabe kupita kwa dokotala nthawi zonse kuti muwone momwe mitsempha yanu yamagazi ndi ziwalo zanu zilili, monga kuyezetsa magazi. Funsani dokotala wanu kuti muyenera kupita kwa dokotala kangati komanso mayeso omwe muyenera kupita nawo.

Kumbukirani kuti ngakhale mutachira, kutanthauza kuti pakapita nthawi popanda zizindikiro, zizindikiro za vasculitis zitha kubwereranso mtsogolo.

Kodi ndingadzisamalire bwanji bwino?

• Nthawi zonse muzisamala ndi zizindikiro zanu. Ngati muwona kusintha kulikonse kwatsopano, zizindikiro zatsopano, kapena zizindikiro zomwe zikuipiraipira, lembani buku lanu.
• Lankhulani ndi dokotala wanu ndipo tsatirani ndondomeko ya chithandizo yomwe ili yoyenera kwa inu. Imwani mankhwalawo panthawi yoyenera komanso mu mlingo woyenera.
• Musamalumphe nthawi yokumana ndi dokotala.
• Ngati mukuona kuti chithandizo sichikugwira ntchito, kapena sichikugwira ntchito bwino monga kale, musazengereze kuonana ndi dokotala wanu ndikumuuza za vutoli .
• Tsatirani moyo wathanzi. Ngati mukusuta fodya, siyani, idyani zakudya zopatsa thanzi, ndipo chita masewera olimbitsa thupi monga momwe dokotala wanu walangizira.

Ndiyenera kupita kwa dokotala liti? Muzochitika ziti?

• Ngati muyamba zizindikiro zatsopano , kapena ngati zizindikiro zanu zikuipiraipira, pitani kwa dokotala nthawi yomweyo.
• Dokotala wanu adzakuuzani kangati komwe muyenera kubwera kudzakumana ndi dokotala wotsatira, kuyezetsa magazi, kapena kuyezetsa kwina. Musadumphe nthawi imeneyo.

Zochitika zadzidzidzi:

Ngati muli ndi zizindikiro zotsatirazi, izi zitha kukhala zadzidzidzi. Choncho pitani kuchipatala chapafupi nthawi yomweyo, kapena imbani ambulansi yadzidzidzi monga 1990:

• Ngati mukuvutika kupuma , ngati chifuwa chanu chikuoneka cholimba.
• Ngati mukumva ngati muli ndi vuto la mtima (ululu waukulu pakati pa chifuwa chanu, ululu ukufalikira ku dzanja lanu lamanzere, khosi, nsagwada, thukuta, nseru).
• Ngati maso anu ayamba kuipiraipira mwadzidzidzi, kapena ngati mwadzidzidzi mwataya maso anu .
• Ngati mukukumana ndi zizindikiro za sitiroko (monga kugwa mbali imodzi ya nkhope, dzanzi m'dzanja, kuvutika kulankhula).

Kodi ndi mafunso otani ofunika omwe ndiyenera kufunsa dokotala wanga?

Mukapita kwa dokotala wanu, musazengereze kufunsa mafunso ngati awa. Izi zikuthandizani kumvetsetsa bwino za matenda anu:

• "Ndili ndi matenda a vasculitis amtundu wanji, dokotala?"
• "Ndi mitsempha/ziwalo ziti zamagazi m'thupi langa zomwe zimakhudzidwa kwambiri ndi izi?"
• "Ndi mayeso ena ati omwe ndiyenera kuchita?"
• "Kodi ndiyenera kupitiriza kumwa mankhwala? Mankhwala amtundu wanji?"
• "Kodi zotsatirapo zake za mankhwalawa ndi ziti?"
• "Kodi ndikufunika opaleshoni?"
• "Ndi kusintha kotani komwe ndiyenera kusintha pa zakudya zanga ndi moyo wanga?"
• "Kodi zizindikiro zoyamba zomwe ndingaone ngati matendawa abwereranso ndi ziti?"

Pomaliza, zinthu zomwe muyenera kukumbukira (Uthenga Wopita Nawo Kunyumba)

Chabwino, vasculitis ndi kutupa, kapena kutupa, kwa mitsempha yanu yamagazi. Ndi vuto lovuta, koma musadandaule. Ngakhale mutakhala ndi zizindikiro zochepa chabe, ndikofunikira kutsatira malangizo a dokotala wanu ndikupita kukayezetsa nthawi zonse . Pamenepo ndi pomwe mungathe kuyang'anira mitsempha yanu yamagazi kuti muwone ngati vasculitis ikuwononga ziwalo zanu zofunika, komanso momwe mungapewere kuti zisachitike.

Matenda a Vasculitis sakhudza aliyense mofanana, kotero nthawi zina amatha kumveka ngati osokoneza pang'ono komanso ovuta kumvetsetsa. Koma khulupirirani matumbo anu ndi zizindikiro za thupi lanu. Musanyalanyaze kapena kunyalanyaza zizindikiro zatsopano kapena zosintha . Ngati muli ndi mafunso, nkhawa, kapena mantha, lankhulani ndi dokotala wanu. Iye angakuthandizeni kumvetsetsa zomwe zikuchitika m'thupi lanu, chithandizo chomwe mukufuna, komanso momwe mungakhalire ndi vutoli. Simuli nokha, ndipo pali madokotala omwe angakuthandizeni paulendowu.

Vasculitis , kutupa kwa mitsempha yamagazi, matenda a autoimmune, zizindikiro za vasculitis, chithandizo cha vasculitis, kutupa kwa mitsempha yamagazi, rheumatology