Kodi muli ndi vuto ndi mitsempha yanu yamagazi? Tiyeni tiphunzire za Polyarteritis Nodosa!

Nthawi zina m'miyoyo yathu timamva za matenda omwe sitinamvepo, eti? Lero tikambirana za matenda omwe amapezeka kawirikawiri, koma ndikofunikira kwambiri kuti tonse tidziwe. Izi zimatchedwa Polyarteritis Nodosa , kapena PAN mwachidule. Mwina simunamvepo dzinali kale. Koma palibe vuto, tikambirana chilichonse m'njira yosavuta yomwe mungamvetse.

Kodi Polyarteritis Nodosa iyi ndi chiyani?

Mwachidule, polyarthritis nodosa (PAN) ndi matenda osowa omwe mitsempha yamagazi m'thupi lathu imatupa, kapena kutupa. Mu zamankhwala, kutupa kwamtunduwu kwa mitsempha yamagazi kumatchedwa vasculitis . Mu vutoli, PAN imakhudza kwambiri mitsempha yamagazi yapakatikati m'thupi lathu.

Taganizirani izi motere: mitsempha yamagazi m'thupi lathu lonse ili ngati mapaipi amadzi. Mapaipi awa amanyamula mpweya ndi michere yomwe ziwalo zathu zimafunikira. Chifukwa chake, mitsempha yamagazi iyi ikatupa, monga momwe paipi yamadzi imatsekekera, magazi samayenda bwino kupita ku ziwalozo. Kenako ntchito ya ziwalozo imatha kusokonekera, ndipo nthawi zina imatha kuima kwathunthu.

Kodi izi zimakhudza bwanji mitsempha yamagazi?

Matenda a PAN awa amatha kuwononga mitsempha yamagazi m'njira zosiyanasiyana:

• Mitsempha yamagazi imatha kufooka ndi kutambasuka, ngati chubu chakale cha rabara. Izi zingayambitse mitsempha yamagazi kutukumuka ngati baluni, zomwe zimayambitsa zomwe timatcha aneurysms .
• Makoma a mitsempha yamagazi amatha kufooka ndikuphulika , zomwe zimapangitsa kuti magazi azituluka m'thupi lozungulira.
• Mitsempha yamagazi imatha kuchepetsedwa kapena kutsekeka kwathunthu . Ngati izi zitachitika, chiwalo chomwe chimalandira magazi kuchokera ku mtsempha wamagaziwo sichidzalandira mpweya ndi michere ndipo chidzawonongeka.

Chofunika kwambiri n’chakuti mitsempha ya magazi ikawonongeka motere, ntchito ya ziwalo zowonongeka ikhoza kuchepetsedwa kapena kutayika kwathunthu.

Ndi ziwalo ziti zomwe zimakhudzidwa kwambiri ndi PAN?

Ziwalo zomwe zimakhudzidwa kwambiri ndi polyarthritis nodosa ndi izi:

• Impso
• Msewu
• Mitsempha (yomwe imayang'anira momwe ziwalo zathu zimamvera komanso momwe zimagwirira ntchito)
• Njira ya m'mimba (monga matumbo)
• Khungu
• Minofu

Kawirikawiri, munthu amene ali ndi PAN amakhala ndi zizindikiro m'malo angapo. Komabe, nthawi zambiri anthu ena amakhala ndi zizindikiro pakhungu lokha (PAN ya pakhungu). Ngakhale zili choncho, madokotala apitirizabe kukuyang'anirani kuti awone ngati ziwalo zina zakhudzidwa.

Nkhani yabwino ndi yakuti polyarthritis nodosa nthawi zambiri siimayambitsa zizindikiro m'mapapo.

Kodi polyarthritis nodosa (PAN) ndi yosowa bwanji?

Izi ndi zoonadiNdi matenda osowa kwambiri. Tangoganizani, mwa anthu miliyoni ku America, anthu osakwana khumi amapezeka ndi matendawa chaka chilichonse. Zinthu zili chimodzimodzi ku England. Ndiye mutha kuganiza momwe izi zilili zachilendo.

Ndi zizindikiro ziti zomwe zingawonekere mu matendawa?

Popeza PAN imakhudza ziwalo zosiyanasiyana za thupi, zizindikiro zimatha kusiyana kwambiri. Zizindikiro zina zodziwika bwino ndi izi:

• Kumva kudwala nthawi zambiri: Kungomva kuti chinachake sichili bwino.
• Kutopa: Sikuti kungotopa kokha, komanso kumva ngati mphamvu zonse zatha. Ngakhale mutadzuka m'mawa, mumamva ngati mulibe mphamvu.
• Thukuta la usiku: Kutuluka thukuta kwambiri ukugona.
• Malungo: Malungo omwe amabwera popanda chifukwa.
• Kutaya chilakolako cha chakudya ndi kuchepetsa thupi: Simukufuna kudya, choncho mumataya thupi.
• Kupweteka kwa minofu ndi/kapena mafupa: Nthawi zina, malungo amatha kutsagana ndi kupweteka kwa mafupa, komwe kumatha kumveka ngati chotupa m'thupi. Kungakhale koopsa kwambiri moti simungathe kuyenda bwino.
• Mutu: Izi sizichitika kwa aliyense, koma zingachitikenso kwa anthu ena.
• Zilonda za pakhungu: Nthawi zina zimatha kuoneka ngati ziphuphu zolimba komanso zopweteka pakhungu, kapena zimatha kuonekanso ngati zilonda.
• Kupweteka m'mimba: Kupweteka kwambiri m'mimba mwadzidzidzi kungachitike, nthawi zina kumabwera ndi nseru.
• Magazi mu ndowe kapena mkodzo: Ichi ndi chizindikiro chachikulu ndipo muyenera kuwona dokotala nthawi yomweyo.
• Kupuma movutikira.
• Kupweteka pachifuwa.
• Kuthamanga kwa magazi.
• Ma testicles opweteka: Amuna amatha kukumana ndi chizindikiro ichi.
• Kusanza ndi kusanza.
• Kusanza kapena kutaya mphamvu m'manja kapena m'miyendo: Izi zitha kuchitika ngati mitsempha yakhudzidwa.

Ngati muli ndi chimodzi mwa zizindikiro izi kapena zingapo, ndi bwino kusachita mantha ndikupempha upangiri kwa dokotala.

Kodi n’chiyani chimayambitsa polyarthritis nodosa (PAN)?

Kunena zoona, akatswiri azachipatala sakudziwabe chomwe chimayambitsa polyarthritis nodosa. Akuganiza kuti mwina ikugwirizana ndi majini (ndiko kuti, chinthu chomwe chimachitika m'mabanja) kapena matenda osiyanasiyana amagazi.

Komabe, kafukufuku wasonyeza kuti chitetezo cha mthupi lanuZimagwira ntchito yaikulu pa izi. Chitetezo chathu cha mthupi chili ngati gulu lankhondo lomwe limateteza thupi lathu ku matenda. Koma nthawi zina, gulu lankhondoli molakwika limayamba kuukira maselo ake. Mofananamo, mu PAN, chitetezo cha mthupi chimawononga mitsempha yake yamagazi ndi minofu yake, zomwe zimapangitsa kutupa.

Chinanso n’chakuti zapezeka kuti matenda a chiwindi cha mtundu wa B (ndipo nthawi zina matenda a chiwindi cha mtundu wa C) akhoza kukhala chifukwa cha vutoli. Ndi chinthu chabwino kuti kuyambira pomwe katemera wa chiwindi cha mtundu wa B adayambitsidwa, chiwerengero cha malipoti a matenda a PAN chachepa kwambiri.

Ndani ali pachiwopsezo chachikulu chotenga matendawa? (Zinthu Zoopsa)

Pali zinthu zingapo zomwe zimayambitsa chiopsezo cha polyarthritis nodosa:

• Amuna ndi omwe ali pachiwopsezo chachikulu chotenga matendawa kuposa akazi.
• Anthu azaka zapakati pa 45 ndi 65 nawonso ali pachiwopsezo chachikulu.
• Kwa anthu omwe ali ndi matenda a Hepatitis B.

Kodi mavuto omwe angakhalepo chifukwa cha PAN ndi ati?

Ngati matendawa sanachiritsidwe bwino, mavuto ena akuluakulu angachitike. Izi zikuphatikizapo:

• Matenda a mitsempha yamagazi otchedwa aneurysms , omwe ndi kutupa ndi kufooka kwa mitsempha yamagazi, amatha kuchitika m'mitsempha yamagazi yomwe imapita ku chiwindi ndi impso. Izi zitha kukhala zoopsa ngati zitaphulika.
• Magazi oundana amatha kupangika mkati mwa mitsempha yamagazi (izi sizofala kwambiri).
• Kuwonongeka kwa minofu kumachitika chifukwa cha kusowa kwa mpweya ndi michere.
• Gangrene ndi vuto lomwe minofu imafa.
• Kulephera kwa mtima (izi sizichitika kawirikawiri).
• Kulephera kwa impso (izi sizichitika kawirikawiri).

Ndicho chifukwa chake ndikofunikira kufunafuna upangiri wa dokotala zizindikiro zikangoyamba kuonekera.

Kodi polyarthritis nodosa (PAN) imapezedwa bwanji?

Dokotala amagwiritsa ntchito zinthu zingapo kuti adziwe matenda a polyarthritis nodosa:

• Mbiri yanu yachipatala: Zinthu monga matenda omwe mudadwalapo kale, kaya wina aliyense m'banja mwanu adadwalapo matenda ofanana.
• Kuwunika thupi: Dokotala adzakuyang'anizani kuti aone ziwalo zomwe zakhudzidwa komanso ngati muli ndi matenda ena omwe ali ndi zizindikiro zofanana.
• Kuyezetsa magazi.
• Mayeso apadera ojambula zithunzi.

Kodi mayeso oyezetsa matenda ndi ati?

Dokotala akhoza kuyitanitsa mayeso monga awa:

• Kuyezetsa magazi ndi mkodzo: Izi zingapereke chithunzithunzi cha ngati pali kutupa m'thupi kapena ngati ziwalo zina zakhudzidwa.
• X-ray.
• CT Angiogram (Computed Tomography - CT angiogram): Izi zingathandize kuwunika bwino momwe mitsempha yamagazi ilili.
• Kujambula MRA (Magnetic Resonance Angiogram - Kujambula MRA): Iyi ndi njira ina yowunikira mitsempha yamagazi.
• Kufufuza kwa magazi: Ngati mayeso ena akusonyeza kuti pali vuto lililonse, chidutswa chaching'ono cha minofu yokhudzidwayo chimatengedwa ndikuyang'aniridwa ndi maikulosikopu. Ichi ndi chomwe chidzatsimikizira kupezeka kwa vasculitis.

Kodi polyarthritis nodosa (PAN) imachiritsidwa bwanji?

Chithandizo chachikulu cha polyarthritis nodosa ndi mankhwala oletsa chitetezo chamthupi, omwe amachepetsa ntchito ya chitetezo chamthupi chanu .

Cholinga chachikulu cha chithandizo ndi kuchepetsa kutupa m'mitsempha yamagazi. Kutupa kumeneku kukatha ndipo matendawa akatha, madokotala amati muli mu "kuchira," kutanthauza kuti matendawa achiritsidwa. Pamene vuto lanu likukula, mlingo wa mankhwala ukhoza kuchepetsedwa pang'onopang'ono kenako nkutha.

Mitundu ya mankhwala ogwiritsidwa ntchito

Ngati PAN yakhudza ziwalo zanu zazikulu (monga impso, mtima, ndi mitsempha), mungafunike kugwiritsa ntchito mitundu yoposa imodzi ya mankhwala. Mankhwala ofala angaphatikizepo:

• Mankhwala a corticosteroid , monga prednisone kapena prednisolone, angaperekedwe. Mankhwalawa amachepetsa kutupa msanga.
• Nthawi yomweyo, mankhwala ena oletsa chitetezo chamthupi, monga cyclophosphamide, angaperekedwe.

Anthu omwe ali ndi mitundu ina ya khansa amapatsidwa mlingo waukulu wa cyclophosphamide. Komabe, anthu omwe ali ndi vasculitis amapatsidwa mlingo wocheperako nthawi 10 mpaka 100 kuposa mlingo womwe umaperekedwa wa khansa. Kwa anthu omwe ali ndi polyarthritis nodosa, mankhwalawa amagwira ntchito pochepetsa chitetezo cha mthupi ndikuletsa kutupa.

Cyclophosphamide nthawi zambiri imagwiritsidwa ntchito mpaka matendawa atasiya, zomwe zimatenga pafupifupi miyezi itatu kapena isanu ndi umodzi. Pambuyo pake, mutha kusinthidwa ndi mankhwala ena oletsa chitetezo chamthupi, monga methotrexate kapena azathioprine, kuti matendawa asabwererenso (kukonza).

Kutalika kwa nthawi yomwe muyenera kumwa mankhwala oletsa chitetezo chamthupi awa kumasiyana malinga ndi munthu aliyense. Anthu ambiri amafunika kumwa mankhwalawa kwa chaka chimodzi kapena ziwiri, kenako dokotala wanu amachepetsa pang'onopang'ono mlingo ndikusankha kusiya.

Komabe, nthawi zambiri, ngati vuto lanu la PAN silinakhudze dongosolo lanu la mitsempha, mtima, impso, kapena matumbo, pali anthu omwe angapindule ndi mankhwala a corticosteroid okha.

Chiritsani matenda a chiwindi mwa anthu omwe ali ndi matenda a vasculitis monga PAN omwe amabwera chifukwa cha matenda a chiwindi B.Mankhwala oletsa mavairasi angaperekedwenso.

Tiyeni tidziwenso zotsatirapo zoyipa za mankhwala.

Mankhwala oletsa chitetezo chamthupi awa angayambitse zotsatira zina zoyipa. Mwachitsanzo, kusintha kwa malingaliro, chiopsezo chowonjezeka cha matenda, ndi kutupa. Chifukwa chake, ndikofunikira kwambiri kuyang'anitsitsa zotsatira zoyipazi. Kenako zimatha kupewedwa kapena kuchepetsedwa. Nthawi zina, ngakhale mutalola koyamba kumwa mankhwalawo, zotsatira zoyipa zimatha kuchitika pakapita nthawi. Ichi ndichifukwa chake ndikofunikira kupitiliza kuyang'aniridwa ndi dokotala. Nthawi zina, muyenera kuda nkhawa ndi zotsatirapo zake kwa nthawi yayitali ngakhale mutasiya kumwa mankhwalawo.

Mukamwa mankhwala oletsa chitetezo chamthupi chanu, mphamvu yanu yolimbana ndi matenda imachepa pang'ono. Chifukwa chake, kupeza katemera woti akutetezeni ku matenda monga chimfine kapena chibayo kungakhale kothandiza kwambiri.

Kodi mungayembekezere chiyani mukakhala ndi PAN status?

Kwa anthu ena, polyarthritis nodosa imayamba pang'onopang'ono. Kwa ena, imatha kukhala yoopsa kwambiri mwachangu komanso yoika moyo pachiswe mkati mwa miyezi ingapo. Makamaka, anthu omwe ali ndi zizindikiro za m'mimba, mtima, impso, ndi/kapena mitsempha yapakati angakhale ndi chiyembekezo choipa kuposa omwe alibe.

Komabe, ngakhale kuti polyarthritis nodosa ikhoza kukhala matenda oopsa mwadzidzidzi, anthu ambiri omwe ali ndi PAN amachira bwino kwambiri . Momwe mungachiritsire bwino zimadalira kuopsa kwa vuto lanu. Komabe, ngakhale polyarthritis nodosa yanu ili yoopsa bwanji, mukalandira chithandizo mwachangu komanso kuyang'aniridwa ndi dokotala mosamala, mutha kuchira.

Pambuyo pochira, polyarthritis nodosa imatha kubwereranso kapena kubwereranso . Mwayi woti izi zichitike umasiyana kuyambira 10% mpaka 40%. Zizindikiro za kubwereranso zitha kukhala zofanana ndi zomwe zinalipo pamene matendawa adapezeka koyamba, kapena zitha kukhala zosiyana. Chithandizo cha kubwereranso ndi chimodzimodzi ndi cha munthu amene wangoyamba kumene matendawa. Anthu ambiri omwe ali ndi polyarthritis nodosa amatha kuchira.

Chiyembekezo cha momwe PAN ilili

Ngati mwalandira chithandizo cha polyarthritis nodosa, muli ndi mwayi wopitilira 80% wopulumuka kwa zaka zisanu. Komabe, ngati simulandira chithandizo, mwayi wanu wopulumuka kwa zaka zisanu umatsika kufika pa 15% . Izi zikusonyeza kufunika kwa chithandizo, eti?

Kodi polyarthritis nodosa (PAN) ingapewedwe?

Zinthu zina zomwe zimayambitsa matenda a polyarthritis nodosa, monga ukalamba, sizingasinthidwe. Komabe, pali katemera yemwe angateteze ku matenda a chiwindi a mtundu wa B, omwe angayambitse matenda a PAN mwa anthu ena. Chifukwa chake, kulandira katemera kungakuthandizeni kutetezedwa ku matendawa pamlingo winawake.

Kodi ndiyenera kudzisamalira bwanji? (Kudzisamalira)

Pali zinthu zingapo zomwe mungachite kuti mupewe kubwereranso kwambiri kwa matendawa:

• Uzani dokotala wanu mwamsanga mukangoona zizindikiro zatsopano. Ngakhale zitakhala zazing'ono, uzani dokotala wanu .
• Onani dokotala wanu pa nthawi yake (nthawi yokumana ndi dokotala). Onetsetsani kuti mwapita kukayezetsa matenda anu pa masiku omwe dokotala wanu wanena.
• Yesetsani kuti muyang'anire mayeso a labu monga magazi.

Mukachita zinthu izi molondola, mutha kuyang'anira vuto lanu ndikuyamba chithandizo mwachangu ngati pakufunika kutero.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati mukuganiza kuti muli ndi zizindikiro zina za PAN, pitani kwa dokotala kuti akupatseni upangiri. Komabe, ngati mukuvutika kupuma pachifuwa komanso mukuvutika kupuma, pitani kuchipatala mwamsanga. Musazengereze.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Ndi bwino kufunsa dokotala mafunso monga awa:

• Ndi mankhwala ati omwe ndi abwino kwa ine?
• Kodi pali gulu lothandizira lomwe lingandithandize?
• Kodi mungathe kuzindikira chomwe chingayambitse matendawa?
• Kodi ndiyenera kumwa mankhwalawo kwa nthawi yayitali bwanji?

Kuthana ndi zizindikiro za polyarthritis nodosa ndi zotsatirapo zake za mankhwala nthawi zina zimakhala zovuta. Ngati mukufuna kulankhula ndi munthu amene akumvetsa vuto lanu, musaope kupempha thandizo kwa mlangizi. Ndipo musazengereze kufunsa dokotala wanu za chilichonse chomwe simukumvetsa.

Pomaliza, uthenga wopita nawo kunyumba

Matenda a nyamakazi otchedwa Polyarthritis nodosa (PAN) ndi matenda osowa koma omwe angakhale oopsa. Komabe, musachite mantha. Chofunika kwambiri ndikudziwa za matendawa, funsani upangiri kwa dokotala zizindikiro zikangoyamba, ndikupeza chithandizo choyenera.

Kumbukirani, atapezeka ndi matendawa msanga komanso kulandira chithandizo choyenera, anthu ambiri omwe ali ndi PAN atha kuwongolera vuto lawo ndikukhala moyo wabwinobwino. Simuli nokha, ndipo pali madokotala ndi akatswiri azaumoyo omwe angakuthandizeni.

Tikukhulupirira kuti mwapeza izi kukhala zothandiza! Khalani ndi thanzi labwino!

Matenda a nyamakazi, PAN, vasculitis, kutupa kwa mitsempha yamagazi, chitetezo chamthupi, chiwindi cha mtundu wa B, corticosteroids