Telangiectasia (Mitsempha ya Kangaude)

Zamkati

• Kuzindikira zizindikiro za telangiectasia
• Kodi zimayambitsa chiyani za telangiectasia?
• Ndani ali pachiwopsezo chotenga telangiectasia?
• Kodi madokotala amapeza bwanji telangiectasia?
• Chithandizo cha telangiectasia
• Kodi malingaliro a telangiectasia ndi otani?

Kumvetsetsa telangiectasia

Telangiectasia ndi vuto lomwe ma venule otakata (timitsempha tating'onoting'ono ta magazi) timayambitsa mizere yofiira ngati ulusi pakhungu. Mitunduyi, kapena telangiectases, imapanga pang'onopang'ono ndipo nthawi zambiri mumagulu. Nthawi zina amadziwika kuti "mitsempha ya kangaude" chifukwa cha mawonekedwe awo abwino komanso owoneka ngati intaneti.

Ma Telangiectases amapezeka m'malo omwe amawoneka mosavuta (monga milomo, mphuno, maso, zala, ndi masaya). Amatha kubweretsa mavuto, ndipo anthu ena amawapeza osakopa. Anthu ambiri amasankha kuti achotsedwe. Kuchotsa kumachitika chifukwa chowononga chotengera ndikuchikakamiza kuti chigwe kapena chilonda. Izi zimachepetsa mawonekedwe ofiira kapena mawonekedwe pakhungu.

Ngakhale ma telangiectases nthawi zambiri amakhala osawopsa, amatha kukhala chizindikiro cha matenda akulu. Mwachitsanzo, cholowa cha hemorrhagic telangiectasia (HHT) ndichikhalidwe chosowa kwambiri chomwe chimayambitsa telangiectases zomwe zitha kupha moyo. M'malo mopanga pakhungu, ma telangiectases oyambitsidwa ndi HHT amawoneka m'ziwalo zofunika, monga chiwindi. Amatha kuphulika, ndikupha magazi ambiri (kukha magazi).

Kuzindikira zizindikiro za telangiectasia

Ma Telangiectases sangakhale ovuta. Siziwopseza moyo, koma anthu ena sangakonde momwe amawonekera. Amakula pang'onopang'ono, koma amatha kukulitsidwa ndi zinthu zaumoyo komanso zokongola zomwe zimayambitsa khungu, monga sopo okhwima ndi siponji.

Zizindikiro zake ndi izi:

• ululu (wokhudzana ndi kukakamizidwa kwa venules)
• kuyabwa
• zizindikiro zofiira ngati ulusi pakhungu

Zizindikiro za HHT ndi izi:

• Kutuluka magazi pafupipafupi
• magazi ofiira kapena akuda akuda
• kupuma movutikira
• kugwidwa
• zikwapu zazing'ono
• doko-vinyo banga lobadwa nalo

Kodi zimayambitsa chiyani za telangiectasia?

Zomwe zimayambitsa telangiectasia sizikudziwika. Ochita kafukufuku amakhulupirira kuti zifukwa zingapo zimathandizira kukulitsa ma telangiectases. Izi zimatha kukhala zachilengedwe, zachilengedwe, kapena kuphatikiza zonse ziwiri. Amakhulupirira kuti milandu yambiri ya telangiectasia imayamba chifukwa chokhala padzuwa nthawi yayitali kapena kutentha kwambiri. Izi ndichifukwa choti nthawi zambiri zimawoneka pathupi pomwe khungu limakumana ndi dzuwa komanso mpweya.

Zina mwazomwe zingayambitse ndi izi:

• uchidakwa: zimakhudza kuyenda kwa magazi m'mitsuko ndipo zimatha kuyambitsa matenda a chiwindi
• mimba: Nthawi zambiri imagwiritsa ntchito kupanikizika kwakukulu pamatumba
• kukalamba: Mitsempha yamagazi yokalamba imatha kuyamba kufooka
• rosacea: imakulitsa ma venule kumaso, ndikupanga mawonekedwe owoneka bwino m'masaya ndi mphuno
• Kugwiritsa ntchito corticosteroid mwachizolowezi: kumachepetsa ndikuchepetsa khungu
• scleroderma: imawumitsa khungu
• dermatomyositis: imayaka khungu komanso minofu yamkati
• systemic lupus erythematosus: imatha kukulitsa chidwi cha khungu padzuwa komanso kutentha kwambiri

Zomwe zimayambitsa telangiectasia yotengera magazi obadwa nayo ndi majini. Anthu omwe ali ndi HHT amatengera matendawa kwa kholo limodzi. Mitundu isanu ikukayikiridwa kuti imayambitsa HHT, ndipo atatu amadziwika. Anthu omwe ali ndi HHT amalandila jini imodzi yabwinobwino ndi jini imodzi yosinthidwa kapena majini awiri osinthika (zimangotengera jini imodzi yosinthika kuti ipangitse HHT).

Ndani ali pachiwopsezo chotenga telangiectasia?

Telangiectasia ndimatenda akhungu wamba, ngakhale pakati pa anthu athanzi. Komabe, anthu ena ali pachiwopsezo chotenga telangiectases kuposa ena. Izi zikuphatikiza omwe:

• gwirani panja
• khalani kapena kuimirira tsiku lonse
• kumwa mowa mopitirira muyeso
• ali ndi pakati
• okalamba kapena okalamba (ma telangiectases amatha kukhala ngati zaka za khungu)
• ali ndi rosacea, scleroderma, dermatomyositis, kapena systemic lupus erythematosus (SLE)
• gwiritsani ntchito corticosteroids

Kodi madokotala amapeza bwanji telangiectasia?

Madokotala amatha kudalira zizindikilo zamatendawa. Telangiectasia imawonekera mosavuta kuchokera kumizere yofiira ngati ulusi kapena mawonekedwe omwe amapanga pakhungu. Nthawi zina, madokotala angafune kuwonetsetsa kuti palibe vuto lililonse. Matenda omwe amabwera ndi telangiectasia ndi awa:

• HHT (yotchedwanso matenda a Osler-Weber-Rendu): matenda obadwa nawo amitsempha yamagazi pakhungu ndi ziwalo zamkati zomwe zimatha kuyambitsa magazi ochulukirapo.
• Matenda a Sturge-Weber: Matenda achilendo omwe amachititsa kuti mabala a vinyo azinyalala komanso mavuto amanjenje
• kangaude angiomas: kusonkhana kwachilendo kwa mitsempha yamagazi pafupi ndi khungu
• xeroderma pigmentosum: vuto lomwe khungu ndi maso zimakhudzidwa kwambiri ndi kuwala kwa ultraviolet

HHT ikhoza kuyambitsa mapangidwe amitsempha yamagazi yachilendo yotchedwa arteriovenous malformations (AVMs). Izi zitha kuchitika m'malo angapo amthupi. Ma AVM awa amalola kulumikizana kwachindunji pakati pamitsempha ndi mitsempha popanda kulowererapo ma capillaries. Izi zitha kubweretsa kukha mwazi (kutuluka magazi kwambiri). Kutuluka magazi kumeneku kumatha kupha ngati kumachitika muubongo, chiwindi, kapena m'mapapu.

Kuti adziwe HHT, madokotala amatha kupanga MRI kapena CT scan kuti ayang'ane magazi kapena zovuta zina m'thupi.

Chithandizo cha telangiectasia

Chithandizo chimayang'ana pakukonzanso mawonekedwe akhungu. Njira zosiyanasiyana ndi monga:

• laser therapy: laser imayang'ana chotengera chokulitsidwa ndikusindikiza (izi nthawi zambiri zimapweteka pang'ono ndipo zimapuma kwakanthawi)
• opaleshoni: zotengera zokulitsidwa zimatha kuchotsedwa (izi zitha kukhala zopweteka kwambiri ndipo zitha kupangitsa kuti achire kwa nthawi yayitali)
• sclerotherapy: imayang'ana pakuwononga mkatikati mwa mtsempha wamagazi poyiyika ndi mankhwala omwe amachititsa magazi kuundana omwe amagwa, kukulitsa, kapena mabala a venule (nthawi zambiri sipamakhalanso kuchira, ngakhale pangakhale zoletsa zakanthawi zolimbitsa thupi )

Chithandizo cha HHT chingaphatikizepo:

• kuphatikiza kuti mutseke kapena kutseka chotengera chamagazi
• mankhwala a laser kuti asiye magazi
• opaleshoni

Kodi malingaliro a telangiectasia ndi otani?

Chithandizo chitha kusintha mawonekedwe akhungu. Omwe ali ndi chithandizo akhoza kuyembekezera kukhala ndi moyo wabwinobwino atachira. Kutengera magawo amthupi omwe ma AVM amapezeka, anthu omwe ali ndi HHT amathanso kukhala ndi moyo wathanzi.