Hypersensitivity (Thupi lawo siligwirizana) Vasculitis

Zamkati

• Zimayambitsa hypersensitivity vasculitis reaction
• Pozindikira zizindikiro za hypersensitivity vasculitis
• Kodi amapezeka bwanji?
• Kodi njira zanga zamankhwala ndi ziti?
• Zovuta
• Chiwonetsero

Kodi hypersensitivity vasculitis ndi chiyani?

Vasculitis ndikutupa kwamitsempha yamagazi. Ikhoza kuwononga mitsempha yamagazi polimbitsa, mabala, ndi kufooketsa makoma azombo. Pali mitundu yambiri ya vasculitis. Zina zimakhala zovuta ndipo zimakhala kwakanthawi kochepa, pomwe zina zimakhala zosakhalitsa. Hypersensitivity vasculitis imadziwikanso kuti leukocytoclastic vasculitis. Nthawi zambiri zimakhala zovuta kwambiri zomwe zimayambitsa kutupa mitsempha yaying'ono. Amadziwika ndi kutupa komanso kufiira kwa khungu komwe kumachitika mukakumana ndi chinthu chokhazikika. Pafupifupi hypersensitivity vasculitis imayamba kukhala yayikulu kapena yochitikanso.

Vutoli limakhudza kuwonekera kwa mawanga ofiira pakhungu, makamaka, palpable purpura. Mapuloteni amatha kukhala ndi mawanga omwe nthawi zambiri amakhala ofiira koma amatha kuda ndi utoto wofiirira. Komabe, mitundu ina yambiri ya zotupa imatha kuchitika.

Zinthu zomwe zingayambitse kutupa kwa khunguzi ndi monga:

• mankhwala
• matenda
• khansa
• chinthu chilichonse chomwe chingakhale chovuta kwa inu

Matenda ambiri a hypersensitivity vasculitis amayamba chifukwa chogwiritsa ntchito mankhwala osokoneza bongo. Ikhozanso kupezeka pambali pa matenda ena kapena mavairasi. Nthawi zina, chifukwa chenicheni sichingadziwike.

Zimayambitsa hypersensitivity vasculitis reaction

Hypersensitivity vasculitis nthawi zambiri imayamba chifukwa cha mankhwala. Mankhwala omwe amapezeka ndi hypersensitivity vasculitis ndi awa:

• maantibayotiki ena monga penicillin ndi sulfa mankhwala
• mankhwala a kuthamanga kwa magazi
• phenytoin (Dilantin, mankhwala ochepetsa ululu)
• allopurinol (yogwiritsira ntchito gout)

Matenda a bakiteriya kapena ma virus atha kubweretsanso mtundu uwu wa vasculitis. Izi zimaphatikizapo kachilombo ka HIV, hepatitis B, ndi hepatitis C. Anthu omwe ali ndi vuto la autoimmune monga lupus, nyamakazi, matenda a Sjogren's, ndi matenda otupa matumbo amathanso kukhala ndi vutoli. Zitha kukhudzanso anthu omwe ali ndi khansa.

Pozindikira zizindikiro za hypersensitivity vasculitis

Mawu oti "vasculitis" amatanthauza kutupa kwa mitsempha yamagazi ndi kuwonongeka. Kutupa ndi kuwonongeka kumeneku kumayambitsa palpable purpura, chizindikiro chachikulu cha vasculitis.

Mawanga awa amatha kuwoneka ofiira kapena ofiira. Mutha kuwapeza pamapazi anu, matako, ndi torso. Muthanso kukhala ndi zotupa kapena ming'oma pakhungu lanu. Ming'oma ndi zotumphukira zomwe zimapezeka pakhungu chifukwa chakuthana.

Zizindikiro zochepa zomwe mungakhale nazo ndi izi:

• kupweteka pamodzi
• ma lymph nodes owonjezera (ma gland omwe amathandizira kuchotsa mabakiteriya m'magazi)
• kutupa kwa impso (nthawi zambiri)
• malungo ochepa

Pamene kulumikizana kwa mankhwala ndiko chifukwa, zizindikilo zimawonekera pakadutsa masiku asanu ndi awiri kapena khumi kuwonekera. Anthu ena amatha kukhala ndi zizindikilo masiku awiri asanamwe mankhwala.

Kodi amapezeka bwanji?

Njira yachikhalidwe yodziwira hypersensitivity vasculitis ndikuwona ngati mungakumane ndi atatu mwa asanu otsatirawa omwe a American College of Rheumatology:

• Ndiwe wamkulu kuposa zaka 16.
• Mumakhala ndi zotupa pakhungu ndi palpable purpura.
• Mumakhala ndi zotupa pakhungu zomwe zimakhala zamagulu ambiri (zimakhala ndi mawanga athyathyathya komanso okwezedwa).
• Mudagwiritsa ntchito mankhwala musanachite khungu.
• Kuphulika kwa khungu lanu kunasonyeza kuti muli ndi maselo oyera a magazi ozungulira mitsempha yanu.

Komabe, si akatswiri onse omwe amavomereza kuti izi ndi njira zokhazo zofunika kuziganizira mukazindikira vutoli. Theka la ziwalo monga impso, mundawo m'mimba, mapapo, mtima, ndi mantha amathandizanso.

Nthawi zambiri, kuti akuthandizeni kuzindikira, dokotala wanu:

• onaninso zomwe zili ndi matenda anu ndikufunsani zamankhwala, mankhwala, komanso mbiri yakupezeka
• onaninso mbiri yanu yazachipatala ndikuwunika
• tengani minofu, kapena biopsy, ya kuthamanga kwanu
• tumizani zitsanzozo ku labu komwe zikafufuzidwe ngati umboni wa kutupa komwe kumazungulira mitsempha yamagazi
• kuyitanitsa mayeso osiyanasiyana amwazi, monga kuwerengera magazi kwathunthu, kuyesa kwa impso ndi chiwindi, komanso kuchuluka kwa erythrocyte sedimentation rate (ESR) kuti athe kuyeza kutentha kwa thupi lonse

Kuzindikira ndi chithandizo kumadalira chifukwa cha vasculitis komanso ngati matenda kapena kutupa kwa ziwalo zina kulipo.

Kodi njira zanga zamankhwala ndi ziti?

Palibe mankhwala a hypersensitivity vasculitis palokha. Cholinga chachikulu cha mankhwalawa ndikuti muchepetse matenda anu. Pazovuta, palibe chithandizo chofunikira chomwe chimafunikira.

Lankhulani ndi dokotala wanu za mankhwala omwe mukumwa. Izi zitha kuthandizira kudziwa zomwe zingayambitse vasculitis. Ngati vuto lanu lachokera ku mankhwala omwe mukumwa pakadali pano, adokotala angakulimbikitseni kuti musamwe. Komabe, simuyenera kusiya kumwa mankhwala popanda chilolezo cha dokotala. Zizindikiro zanu ziyenera kutha pakadutsa milungu ingapo mutasiya mankhwala omwe akukhumudwitsani.

Mutha kupatsidwa mankhwala oletsa kutupa, makamaka ngati muli ndi ululu wophatikizana. Nthawi zambiri, mankhwala osagwiritsa ntchito anti-inflammatory monga naproxen kapena ibuprofen amagwiritsidwa ntchito. Ngati mankhwala ochepetsa mphamvu yotupa amalephera kuthetsa zizindikilo, dokotala wanu amathanso kukupatsani corticosteroids. Corticosteroids ndi mankhwala omwe amaletsa chitetezo chanu chamthupi ndikuchepetsa kutupa. Corticosteroids ali ndi zovuta zingapo, makamaka akatengedwa kwa nthawi yayitali. Izi zimaphatikizapo kunenepa, kusinthasintha kwadzidzidzi, ndi ziphuphu.

Ngati muli ndi vuto lalikulu lomwe limakhudzana ndi kutupa kwakukulu kapena kutenga mbali kwa ziwalo zina kupatula khungu, mungafunike kupita kuchipatala kuti mulandire chithandizo chambiri.

Zovuta

Kutengera kukula kwa vasculitis yanu, mutha kukhala ndi zipsera chifukwa cha kutupa. Izi zimachitika chifukwa cha mitsempha yamagazi yowonongeka.

Nthawi zambiri, kutupa kwa impso ndi ziwalo zina kumatha kupezeka mwa anthu omwe ali ndi hypersensitivity vasculitis. Anthu ambiri sazindikira zizindikiro zakutupa kwa ziwalo. Mayeso amwazi ndi mkodzo atha kuthandiza kudziwa ziwalo zomwe zingatengeke komanso kukula kwa kutupa.

Chiwonetsero

N'zotheka kuti hypersensitivity vasculitis ibwererenso ngati mutapezeka ndi mankhwala osokoneza bongo, matenda, kapena chinthu. Kupewa ma allergen anu odziwika kudzakuthandizani kuchepetsa mwayi wanu wokhala ndi hypersensitivity vasculitis kachiwiri.