Wakambonzwa musoro wakaoma usingapere kwemazuva here? Kana kuti unonzwa muviri wako uchingoerekana wava kupera simba, nezvinhu zvakaita sekukanganwa uye kusanzwa simba? Izvi zvinogona dzimwe nguva kuva zviratidzo zvechirwere chakakomba, kunyangwe tikasazviteerera zvakanyanya. Nhasi, tichataura nezvechirwere chakaoma asi chakakosha chinokanganisa uropi hwedu nemusana.
Chii ichi (CNS Vasculitis)? Ngatinzwisise zviri nyore?
Zvichitaurwa zviri nyore, CNS Vasculitis kuzvimba kwetsinga dzeropa dziri mutsinga dzedu dzepakati (CNS), kureva uropi nemuzongoza . Sezvatinongoita patinokuvara pane imwe nzvimbo mumuviri wedu, tsinga dzeropa dzinoendesa ropa kuuropi nemuzongoza dzinozvimba kubva mukati. Dzimwe nguva vanachiremba vanodana izvi kuti "primary angiitis yetsinga dzepakati ". Rimwe zita ndi "granulomatous angiitis".
Funga nezvazvo, sisitimu yedu yetsinga yakaita senzvimbo yekudzora muviri wedu wese. Zvese zvatinoita tichiziva, kubva pakushandisa minwe yako kusvika pakuverenga chinyorwa chino, kusvika kune zvese zvatinoita tisingazive, sekufema uye kurova kwemoyo , zvinodzorwa pano. Saka chii chinoitika kana paine dambudziko netsinga dzeropa munzvimbo yakakosha kudaro? Ndosaka tichifanira kunetseka nezvechirwere ichi.
Kune mhando huru dzeCNS Vasculitis here?
Ehe, vanachiremba vakaona mhando mbiri huru dzeizvi:
1. Kurwara kweCNS Vasculitis: Izvi zvinoitika zvega, pasina kukanganiswa nechimwe chirwere. Kureva kuti, hapana chimwe chirwere chinogona kuwanikwa sechikonzero.
2. Secondary CNS Vasculitis: Izvi zvinoitika kana paine chimwe chirwere. Zvichitaurwa zviri nyore, zvinokonzerwa nekuzvimba kana chimwe chirwere chiri kune imwe nzvimbo mumuviri. Zvirwere zve autoimmune ( kureva, zvirwere umo dziviriro yemuviri wedu inoshanda kutirwisa) uye hutachiona ndizvo zvinonyanya kukonzera rudzi urwu rwechipiri.
Ndezvipi zviratidzo zvechirwere ichi? Tinozviziva sei?
Zviratidzo zveCNS Vasculitis zvinogona kusiyana kubva pamunhu kuenda kumunhu, asi pane zvimwe zviratidzo zvakajairika:
- Musoro wakanyanya uye unogara kwenguva refu: Ichi ndicho chiratidzo chekutanga chinouya mupfungwa dzevanhu vazhinji. Hazvina kufanana nemusoro wenguva dzose, asi wakanyanya kuoma uye unogona kugara kwemazuva.
- Kukanganwa kana kuvhiringidzika: Unogona kungoerekana wakanganwa zvinhu wobva wavhiringidzika.
- Kusanzwa zvakanaka, kunzwa kusingawanzoitiki, kana kuchinja kwekugunzva: Makumbo ako anogona kunzwa asina simba, uye ungasanzwa chero chinhu paunoabata.
- Kunzwa usina simba mumuviri: Kunzwa seusina simba, usingade kuita chero chinhu.
- Kutadza kuona zvakanaka: Kuona zvisina kunaka, dzimwe nguva kutoona kaviri.
- Zviratidzo zvepfari (Kubatwa nepfari): Kurasikirwa nepfungwa kamwe kamwe uye kubatwa nepfari kunogona kuitika.
- Encephalopathy: Izvi zvinogona kukonzera shanduko muchimiro chepfungwa, maitiro, uye dzimwe nguva kutopera simba.
Kana uine chimwe chezviratidzo izvi kana kupfuura, zvakakosha kutsvaga rubatsiro rwechiremba nekukasika. Nekuti izvi zvinogonawo kuva zviratidzo zvezvimwe zvirwere, zvakakosha kuti uzive kuti dambudziko racho nderei chaizvo.
Ndezvipi zvinetso zvinogona kuitika nekuda kweCNS Vasculitis?
Chirwere ichi chinoita kuti mitsipa yeropa izvimbe uye ikure, zvichiita kuti ropa risafambe zvakanaka. Nekufamba kwenguva, kuzvimba uku kunogona kukuvadza uropi nemusana, zvichikonzera matambudziko akakomba, dzimwe nguva anotyisidzira hupenyu. Matambudziko makuru ndeaya:
- Kurohwa
- Kurwiswa kweischemic kwenguva pfupi (kunonziwo "mini-stroke")
- Kubuda kwetsinga dzeropa muuropi (aneurysms)
Matambudziko ese aya anoda rubatsiro rwechiremba rwekukurumidzira. Kana ukaona zviratidzo zvestroke kana kuputika kweaneurysm yeuropi, enda kuchipatara nekukasika kana kufonera 1990 (amburenzi).
Ndezvipi zvikonzero zveCNS Vasculitis?
(CNS Vasculitis) chirwere chinokonzerwa ne autoimmune . Zvichitaurwa zviri nyore, masoja anofanirwa kutidzivirira kubva kuzvirwere anotanga kurwisa masero edu zvisirizvo. Chinoitika pano ndechekuti masoja anodzivirira anorwisa mitsipa yedu yeropa.
- Vanhu vane chirwere cheCNS vasculitis vanochiwana pasina chikonzero chaicho, kureva kuti, "zvisingazivikanwe." Hazvigoneki kutaura kuti chii chaizvo chakakonzera chirwere ichi.
- Kukuvadzwa kwemasero eropa (Secondary CNS Vasculitis) kunowanzoitika pamwe chete nezvimwe zvirwere zvinokonzera kuzvimba mumuviri. Zvimwe zvirwere zve autoimmune uye zvimwe hutachiona zvinogona kukonzera kuzvimba uku. Heano mimwe mienzaniso:
- `Lupus`
- "Granulomatosis ine polyangiitis"
- "Eosinophilic granulomatosis ine polyangiitis (EGPA)"
- `Microscopic polyangiitis`
- `Behçet's syndrome`
- `Sjögren's syndrome`
- Utachiona hwemavhairasi: Epstein-Barr virus, varicella-zoster virus (hutachiona hunokonzera zvirwere zvakaita sechickenpox neherpes)
- Utachiona hwemabhakitiriya: Tibhii, Sirifi
Ndiani ari panjodzi huru yekubatwa nechirwere ichi?
(CNS Vasculitis) Kunyangwe chero munhu achigona kuibata, inowanikwa zvakanyanya muvarume. Kunyangwe ichinyanya kuwanikwa muvanhu vane makore ari pakati pe50, chirwere ichi chinogona kuitika chero pazera ripi zvaro.
Vanachiremba vanoongorora sei CNS Vasculitis?
Chiremba achaongorora chirwere ichi nekukuongorora muviri wako uye kuita mimwe miedzo yakakosha. Achakubvunza nezvezviratidzo zvako, sepawakatanga kuzviona. Udza chiremba wako kana zviratidzo zvako zvichiuya zvikapera (`zvinodzoka`), uye kana zvikawedzera kuipa pane dzimwe nguva dzezuva kana panguva dzezvimwe zviitiko.
Kuongororwa kweCNS Vasculitis dzimwe nguva inzira yekubvisa mamwe mamiriro (differential diagnosis) . Izvi zvinoreva kuti chiremba wako asati aongorora chirwere ichi, achaita bvunzo dzinoverengeka kuti ave nechokwadi chekuti hauna mamwe mamiriro akajairika. Ungangoda kuita zvinotevera:
- MRI (Kufungidzira Magadzirirwo Emagineti)
- `CT scan` (Computer tomography)
- Angiogram (kuongorora kwakakosha kweX-ray kwetsinga dzeropa)
- Kuongororwa kwemuviri (kutora chidimbu chenyama kuti chiongororwe)
Ungangodawo kuona chiremba wemapfupa, chiremba ane hunyanzvi mukurapa zvirwere zvekuzvimba .
Ndezvipi zviratidzo zvinobatsira pakuongorora CNS Vasculitis?
"Mamarkers" zviratidzo zvechirwere. Izvi zvinogona kuwanikwa nachiremba wako muropa rako kana mune zvimwe zvinwiwa zvemuviri kuburikidza nekuongororwa kwerabhoritari. Heano mimwe miedzo iyo chiremba wako angashandisa kutsvaga zviratidzo zveCNS Vasculitis:
- Kuongororwa kweropa kuti uone kana paine anemia.
- Kuongororwa kweESR (chiyero che erythrocyte sedimentation): Chiratidzo chekuzvimba mumuviri.
- Kuongororwa kweC-reactive protein (CRP): Kuongororwa kwezviratidzo zvekuzvimba zvinoburitswa nechiropa.
- Kuboorwa kwemusana: Tora sampuro yemvura yemusana wako wotarisa huwandu hwakawanda hwemasero machena eropa.
Ndezvipi zvinorapwa izvi?
Chiremba wako angangokurudzira mishonga inodzora kuzvimba. Chinhu chakakosha pakurapa CNS Vasculitis kuderedza kukuvara kwainokonzera kuuropi hwako nemusana. Vanhu vazhinji vachafanira kutora musanganiswa wemishonga inonzi corticosteroids (rudzi rwemishonga inoderedza kuzvimba) uye immunosuppressants (mishonga inodzvinyirira masoja emuviri) .
Pakutanga, uchapihwa mushonga wakanyanya. Gare gare (kazhinji mushure memwedzi mishoma), chiremba wako anogona kuderedza kuwanda kwekubaiwa jekiseni uye mushonga wacho. Vanachiremba vako vari kuedza kukupinza padanho rekuti "relief" apo zviratidzo zvako zvinenge zvishoma kana kuti zvapera zvachose.
Kana uine chirwere che secondary CNS vasculitis, uchada kurapwa kwakasiyana kudzora dambudziko riripo, izvo chiremba wako achakutsanangurira.
Ndinofanira kuona chiremba rini?
Ramba uchicherechedza zviratidzo zvako. Kana ukaona shanduko, nyora pasi. Udza chiremba wako nekukasika, kunyanya kana zviratidzo zvako zvichiita sezviri kuuya kakawanda kana kuti zvakanyanya kupfuura kare. Udzawo chiremba wako kana paine mushonga unoratidza seusisiri kushanda kana kuti usingashande sezvawaimboita kare.
Chiremba wako achakuudza kuti unofanira kuona chiremba wako kangani, kuongororwa ropa, kana kuongororwa zvimwe zvirwere.
Kana uine chimwe chezviratidzo zviri pazasi, enda kuchipatara nekukasika kana kufonera 1990:
- Kana uchifunga kuti une zviratidzo zvestroke kana kuputika kweaneurysm yeuropi .
- Kana uchinetseka kufema.
- Hazvina kuipa kana kuona kwako kukangoerekana kwaipa, kana kuti ukangoerekana warasikirwa nekuona.
Kana ndine chirwere che (Central Nervous System Vasculitis), chii chandinofanira kutarisira?
Hapana mushonga weCNS Vasculitis. Zvisinei, vanhu vazhinji vanogona kuzorora kwenguva refu mushure mekuwana musanganiswa wemishonga inoshanda kwavari. Vamwe vanhu vanogona kugara kwemwedzi kana makore vasina zviratidzo, asi zviratidzo zvinodzoka.
(CNS Vasculitis) kazhinji haina simba guru pakurarama kwako. Asi izvi zvakaoma kutaura zvechokwadi. Nekuti (CNS Vasculitis) inogona kukonzera matambudziko akakomba akadai sestroke uye aneurysm. Kana matambudziko akadaro akaitika, mikana yekufa yakanyanya kupfuura yakajairika.
Kana uchinetseka nezvehutano hwako kana kuti CNS Vasculitis iri kukanganisa sei hupenyu hwako, taura nachiremba wako.
Chero chirwere chipi zvacho chinokanganisa tsinga dzemuviri (CNS) chinogona kutyisa. Kunyanya kana uchiziva kuti immune system yako iri kurwisa uropi hwako nemusana. Asi mashoko akanaka ndeekuti vanhu vazhinji vane CNS Vasculitis vanogona kuwana musanganiswa wemishonga inoidzora. Kana wangowana mushonga wakakodzera, chiremba wako anogona kukubatsira kuderedza kukanganisa kunoita zviratidzo zvako muhupenyu hwako.
Yeuka, hazvina kuipa kubvunza mibvunzo nezveutano hwako. Taura nachiremba wako nezvezvinokunetsa. Iye achapindura mibvunzo yako yese, achakupa chivimbo mune zviri kuitika mumuviri wako, uye achakubatsira kuzvigadzirisa.
Shoko rakakosha kupfuura ose rekuenda naro kumba
(CNS Vasculitis) chirwere chakakomba asi chinorapika. Chinhu chakakosha kutsvaga mazano echiremba nekukurumidza paunoona zviratidzo uye kutora mushonga wakanyorwa. Kana uchirarama nechirwere ichi, zvakakosha kuchengetedza hukama hwakanaka nachiremba wako. Nekutevera mazano avo uye kuvaudza nezvekuchinja kuri kuitika, unogona kurarama nechirwere ichi zvinobudirira. Usambotya, hausi wega. Nekutungamirirwa kwakakodzera kwechiremba, chirwere ichi chinogona kutarisirwa zvakanaka.
CNS Vasculitis, tsinga huru, kuzvimba kwetsinga dzeropa, uropi, musana, zvirwere zve autoimmune, musoro
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