Wegener a granulomatosis - Zoyambitsa, zizindikiro, chithandizo.

granulomatosis Wegener a - ndi matenda autoimmune yodziwika ndi kutukusira kwa mitsempha ang'ono ndi mitsempha. Nthawi zambiri mtsempha wamagazi chofuna kupereka magazi sinuses, m'mapapo ndi impso zimakhala koma palinso akalumikidzidwa tsankho kukachitika kuti zimakhudza wina wa mabacteria amenewa. Ndi granulomatosis yaikulu pafupifupi nthawi zonse anadabwa ndi mapapo komanso impso ziwiri. Zikatero, ngati anakhudzidwa ndi kuwala kapena okha impso, ndi nthenda yotchedwa granulomatosis Wegener a chosakwanira.

granulomatosis Wegener ndi ambiri mwa anthu wamng'ono kapena usinkhu wapakati, pafupifupi popanda kukumana ana. Koma, koma, matenda amatha bwanji misinkhu yonse. ziwerengero Gender kugonjetsa matenda amasiyana mwa olemba osiyana.

Zimayambitsa matenda

Zimayambitsa matenda, monga granulomatosis Wegener a, lero si bwino. Akatswiri ambiri amakhulupirira kuti chifukwa cha matenda akhoza kukhala wothandizira tizilombo, chifukwa granulomatosis Wegener nthawi zambiri pambuyo katemera, SARS, mankhwala mankhwala kapena kukhudzana. Koma, mwatsoka, nthumwi tating'onoting'ono akadali osati allocated, kotero nthendayi amati ndi autoimmune.

Odwala ena kusokoneza poradenitis ndi granulomatosis Wegener a. Iwo ayenera kumvetsa kuti kufanana kwa zizindikiro ndi awiri matenda chosiyana chifukwa poradenitis ukapezeka chifukwa tizilombo toyambitsa matenda bakiteriya (mauka), pamene granulomatosis Wegener ndi matenda autoimmune.

Zizindikiro ndi mawonekedwe matenda

granulomatosis Wegener akhoza kuyamba mwadzidzidzi, koma mwina zinayambira pang'onopang'ono. The chizindikiro choyamba cha matenda tinganene kuti subfebrile kutentha, ndiye amachepetsa njala. Kenako kutentha wayamba kutuluka, ndipo patsogolo matenda.

Zizindikiro wamba matenda monga:

- kulemera imfa;

- kutopa;

- kulera kutentha;

- ululu malo;

- ululu kutupa nkusani.

Komanso, matenda zingakhudze mbali zosiyanasiyana za thupi, kupereka zizindikiro chosiyana. Mwachitsanzo, ndi kugonjetsedwa kwa kunja kupuma chimfine mphuno ndi zosasangalatsa purulent magulu wamagazi, necrotic amphuno mucosa, komanso m'kamwa zofewa ndi tonsils.

A mtundu zowombetsa mkota wa matenda amapereka miyezi ingapo, vuto lalikulu kwa khungu, makamaka amaoneka magazi, nodular, zinthu necrotic, ndi magulu ena a anthu odwala, ndipo pericarditis, myocarditis kapena matenda.

matenda a matenda

Makamaka amaganiziridwa Wegener a granulomatosis odwala ndidzadutsa urinalysis pamaso pa maselo mapuloteni ndi magazi ofiira mu mkodzo. Komanso X-ray zithunzi anapangidwa sinuses ndi chifuwa, kuwona kusintha pathological. Komanso, kusanthula magazi amatengedwa ndi, makamaka, anatsimikiza ndi ESR ndi C-zotakasika mapuloteni. Palinso zovuta kwambiri, komanso aluso kusanthula kudziwa antineyrofilnyh chitetezo cytoplasmic.

mankhwala a matenda

granulomatosis Wegener, popanda mankhwalawa wodwalayo mwina amatha kufa mkati miyezi iwiri atatu. mankhwala onse makamaka umalimbana ndi yimitsira a chitetezo cha m'thupi, komanso m'dera zochita yotupa. The mankhwala wotchuka kwambiri ndi corticosteroids ndi cyclophosphamide. Mankhwalawa ayenera kumwedwa mpaka chikhululukiro cha matenda, ndipo kuti maliseche matenda Hodgkin zingakhale zidzawonjezedwa kwa iwo ndi methotrexate, amene ayenera kutenga zaka zingapo.