Mitsempha yaying'ono yamagazi yomwe imafalikira thupi lonse ili ngati mapaipi omwe amanyamula madzi. Izi ndi zomwe zimanyamula magazi kupita ku ziwalo zonse za thupi lathu. Ndiye, chimachitika ndi chiyani ngati china chake chawononga mitsempha yamagazi iyi? Lero tikambirana za vuto lomwe lingakhale lalikulu, ndipo ndi vuto lotchedwa Fibrinoid Necrosis . Musachite mantha, tiyeni timvetse izi mosavuta.
Kodi fibrinoid necrosis ndi chiyani?
Mwachidule, fibrinoid necrosis ndi kuwonongeka kwa makoma amkati mwa mitsempha yamagazi yaying'ono m'matupi athu, makamaka mitsempha yaying'ono . Taganizirani izi ngati kuphulika kwa payipi yamadzi. Mitsempha yamagazi ikawonongeka motere, imatha kusweka, kuvulala , kutuluka magazi, komanso ngakhale kuvulala mkati mwa thupi.
Mawu oti "necrosis" amatanthauza kufa kwa maselo . Amatanthauza kufa kwa maselo chifukwa cha ngozi, kuvulala, kapena kutayika kwa magazi. Kufa kwa fibrinoid ndi chinthu chofanana, kutanthauza kuti maselo omwe ali m'makoma a mitsempha yamagazi amafa.
Kodi vutoli limayamba bwanji?
Izi zingawoneke ngati zovuta pang'ono, koma ganizirani motere. Tili ndi chitetezo chamthupi m'thupi lathu. Zili ngati chitetezo chamthupi m'thupi lathu. Ndi dongosololi lomwe limatiteteza ku matenda . Koma nthawi zina chitetezo chamthupichi chimakhala chogwira ntchito mopitirira muyeso kapena chosokonezeka.
Mu fibrinoid necrosis, chitetezo cha mthupi chimagwira ntchito mopitirira muyeso ndipo chimatulutsa zinthu zina. Zinthuzi zimamatira ku makoma amkati mwa mitsempha yathu yamagazi. Kenako pamakhala kutupa , komwe kumatanthauza kutupa ndi kufiira. Kutupa kumeneku kumapangitsa maselo omwe ali m'makoma a mitsempha yamagazi kufa. Mwanjira ina, zimakhala ngati chitetezo chathu chikuukira maselo athu.
Kodi n’chiyani chimayambitsa matenda a fibrinoid necrosis?
Vuto lililonse lomwe lingawononge mitsempha yamagazi lingayambitse izi. Pali zinthu zingapo zomwe zimayambitsa izi:
- Kuthamanga kwa magazi kwambiri: Izi zimatchedwa (Malignant Hypertension) kapena (Hypertensive Crisis) . Kawirikawiri, kuthamanga kwa magazi kwa munthu wathanzi kuyenera kukhala kochepera 130/80 mmHg. Komabe, mu mkhalidwe uwu wotchedwa (Malignant Hypertension), kuthamanga kwa magazi kumakwera kufika pa 180/120 mmHg kapena kupitirira apo. Izi zikachitika, athuKutupa kwa Fibrinoid kungachitike pamene mitsempha yamagazi yomwe imapereka magazi ku ziwalo zofunika monga mtima , ubongo, ndi impso yawonongeka. Izi ndi zadzidzidzi kwambiri ndipo zimafuna chithandizo chamankhwala mwachangu.
- Matenda a Autoimmune : Monga tanenera kale, awa ndi matenda omwe chitetezo chathu chamthupi chimaukira thupi lathu. Mwachitsanzo:
- (Nyamakazi Yachifuwa )
- (Lupus) (Matenda a Lupus - amakhudza ziwalo zambiri monga khungu, mafupa, impso)
- (Malungo a Nyamakazi - vuto lomwe lingachitike munthu atadwala matenda a pakhosi ndipo limakhudza mtima)
- Matenda a Preeclampsia: Matendawa ndi omwe amayi ena amakumana nawo ali ndi pakati. Amaonekera ndi kuthamanga kwa magazi ndi zizindikiro zina.
- (Subacute Bacterial Endocarditis): Ichi ndi matenda a bakiteriya omwe amapezeka mkati mwa mtima.
- Vasculitis: Mwachidule, ndi kutupa kwa mitsempha yamagazi, zomwe zikutanthauza kutupa. Zitsanzo za izi ndi izi:
- (Polyarteritis Nodosa)
- (IgA Vasculitis) (yomwe kale inkadziwika kuti Henoch-Schönlein purpura)
Tsopano mwina mukumvetsa kuti vutoli silimayamba chifukwa cha chifukwa chimodzi chokha, koma likhoza kugwirizanitsidwa ndi matenda osiyanasiyana.
Kodi zizindikiro za vutoli ndi ziti?
Popeza fibrinoid necrosis imawononga mitsempha yamagazi, chizindikiro chachikulu ndi kutuluka magazi . Izi zitha kuchitika m'njira zosiyanasiyana:
- Mkamwa wotuluka magazi.
- Magazi mu ndowe (zakuda kapena zofiira zakuda).
- Magazi mu mkodzo - timatcha izi (Hematuria) .
- Kutupa m'malo osiyanasiyana pathupi (ngati kuti wavulala popanda kumenyedwa kulikonse).
- Kutuluka magazi mkati mwa thupi (izi sizikuwoneka kuchokera kunja, koma zitha kumveka kuchokera ku zizindikiro zina).
- Kutuluka magazi m'mphuno.
Ngati muli ndi magazi otuluka magazi chonchi, musanyalanyaze . Ndikofunikira kwambiri kufunafuna upangiri wa dokotala.
Kodi ndi mavuto ati omwe angayambitse Fibrinoid Necrosis?
Mavuto omwe amabwera chifukwa cha vutoli nthawi zambiri amadalira matenda omwe adayambitsa vutoli. Mwachitsanzo, taganizirani izi:
- Imene tinakambirana (Malignant Hypertension) , kutanthauza kuti, ngati fibrinoid necrosis ichitika m'mitsempha yamagazi ya impso chifukwa cha kuthamanga kwa magazi, ingayambitse kulephera kwa impso .
- Ngati vutoli lichitika chifukwa cha matenda monga lupus , zilonda za pakhungu ndi matenda a mtima zimatha kuchitika.
Izi zikutanthauza kuti mavutowa samangopezeka ndi fibrinoid necrosis yokha, komanso ndi matenda omwe amayambitsa matendawa.
Kodi matendawa amapezeka bwanji? (Kuzindikira)
Maselo akamwalira, amatulutsa chinthu chotchedwa fibrin . Chinthu chotchedwa fibrin ichi ndicho umboni waukulu wozindikiritsa matendawa.
Akatswiri a matenda , omwe ndi akatswiri pozindikira matenda, amatenga chitsanzo cha minofu yowonongeka ndikuyang'ana pansi pa maikulosikopu. Kenako amatha kuwona ngati chinthu ichi (Fibrin) chaikidwa.
Kutenga chitsanzo cha minofu kumatchedwa biopsy . Momwe biopsy iyi imachitikira imasiyana malinga ndi komwe matendawa ali:
- Kufufuza za khungu: Khungu lochepa likhoza kukanda pamwamba pa khungu, kapena chidutswa chaching'ono chingatengedwe ndi chida chapadera (chida choboola). Nthawi zina kudula pang'ono kungapangidwe kuti mutenge chitsanzo kuchokera mkati.
- Kufufuza mkati mwa thupi: Kuti atenge chitsanzo cha minofu kuchokera ku chiwalo chomwe chili mkati mwa thupi, madokotala amagwiritsa ntchito singano kapena chida chotchedwa endoscope . Endoscope ndi chubu chopyapyala chokhala ndi kamera ndi zida zazing'ono kumapeto kwake. Izi zitha kuperekedwa mkati mwa thupi kuti atenge chitsanzo cha minofu.
Kodi chithandizo ndi chiyani? (Chithandizo)
Kunena zoona, palibe njira yeniyeni yochizira matenda a fibrinoid necrosis. Komabe, madokotala amatha kuwongolera kutuluka kwa magazi . Zimatengera malo ndi mtundu wa kutuluka magazi.
Kuphatikiza apo, chinthu chofunikira kwambiri ndikuchiza matenda omwe amayambitsa fibrinoid necrosis .
Mwachitsanzo, ngati kuthamanga kwa magazi ndiko chifukwa chake, mankhwala amaperekedwa kuti athetse vutoli. Ngati ndi vuto ndi chitetezo cha mthupi, pali mankhwala oletsa kuvulalako ndikuletsa kuwonongeka kwina kwa mitsempha yamagazi.
Chifukwa chake, cholinga chachikulu cha chithandizo ndi kuchiza chomwe chimayambitsa vutoli .
Kodi mungadziteteze bwanji ku fibrinoid necrosis? (Kupewa)
M'malo moyesetsa kudziteteza kwathunthu ku izi, chinthu chabwino kwambiri chomwe mungachite ndikuchepetsa chiopsezo chokhala ndi matenda omwe amayambitsa izi.
- Pitani kwa dokotala nthawi zonse kuti akakuwoneni. Mwanjira imeneyi, ngati pali vuto la thanzi, lingathe kuzindikirika ndikuchiritsidwa lisanafike poipa kwambiri.
- Ngati muli kale ndi vuto lomwe lingayambitse izi (monga kuthamanga kwa magazi, matenda a shuga, matenda odziteteza ku matenda a autoimmune), tsatirani malangizo a dokotala wanu molondola . Imwani mankhwala anu panthawi yake ndikukhala ndi moyo wanu monga momwe mwalangizidwira.
Kodi tsogolo la munthu amene ali ndi vutoli ndi lotani? (Zomwe zidzachitike mtsogolo)
Izi zimadalira kwambiri kuopsa kwa vuto lomwe linayambitsa matenda a fibrinoid necrosis. Matenda ena amatha kukhala a moyo wonse, kuchepetsa moyo, komanso kungayambitse imfa isanakwane.
Mwachitsanzo, ngati vuto lomwe latchulidwa pamwambapa (Malignant Hypertension) silinachiritsidwe mwachangu, nthawi ya moyo wa wodwalayo ikhoza kuchepetsedwa ndi zaka ziwiri. Ichi ndichifukwa chake ndikofunikira kufunafuna upangiri wa dokotala zizindikiro zikayamba kuonekera.
Kodi muyenera kupita kwa dokotala liti?
Ngati mwapeza kuti muli ndi mitsempha yamagazi yowonongeka, kapena ngati muli ndi zizindikiro zomwe tatchula kale (makamaka kutuluka magazi kosadziwika bwino), ndikofunikira kuonana ndi dokotala kuti akuthandizeni bwino.
Mwa kutsatira ndondomeko ya chithandizo yomwe dokotala wanu wakupatsani ndendende, mutha kuwongolera vuto lanu ndikupewa kuwonongeka kwina.
Fibrinoid necrosis ndi matenda omwe amawononga mitsempha yamagazi. Matenda omwe amayambitsa matendawa amatha kukhala oopsa, kotero kuyang'aniridwa mosamala ndi dokotala ndikofunikira. Mukapita kwa dokotala nthawi zonse, mutha kusamalira bwino thanzi lanu ndikupewa mavuto omwe amabwera chifukwa cha matenda omwe amayambitsa matendawa.
Uthenga Wopita Nawo Kunyumba
- Kutupa kwa Fibrinoid ndi kuwonongeka kwa mitsempha yamagazi yaying'ono.
- Zomwe zimayambitsa izi ndi matenda monga kuthamanga kwa magazi komanso matenda odziteteza ku matenda a autoimmune.
- Chizindikiro chachikulu ndi mitundu yosiyanasiyana ya magazi.
- Kuyezetsa magazi kungafunike kuti adziwe ngati matendawa aliko.
- Chithandizo chimayang'ana makamaka chomwe chimayambitsa vutoli.
- Ndikofunikira kwambiri kufunafuna upangiri wa dokotala ngati muli ndi zizindikiro kapena zinthu zomwe zingakuopsezeni, chifukwa zingakhale zoopsa ngati simukuzisamala.
Ndikukhulupirira kuti izi zikuthandizani. Khalani ndi thanzi labwino!











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