Hypersensitivity (Allergic) iVasculitis

Umxholo

• Izinto ezibangela ukusabela kwe-hypersensitivity vasculitis
• Ukuqaphela iimpawu ze-hypersensitivity vasculitis
• Kufunyaniswa njani?
• Zeziphi iindlela zonyango endinokukhetha kuzo?
• Iingxaki
• Imbonakalo

Yintoni i-hypersensitivity vasculitis?

I-Vasculitis kukudumba kwemithambo yegazi. Ingonakalisa imithambo yegazi ngokujija, ukwenza amabala, kunye nokwenza buthathaka iindonga zenqanawa. Zininzi iintlobo ezahlukeneyo ze-vasculitis. Ezinye zinzima kwaye zihlala ixesha elifutshane, ngelixa ezinye zinokunganyangeki. I-Hypersensitivity vasculitis ikwabizwa ngokuba yi-leukocytoclastic vasculitis. Ngokuqhelekileyo imeko ebangela ukudumba kwemithambo yegazi encinci. Iphawulwe kukudumba kunye nokuba bomvu kwesikhumba okwenzeka xa udibana nento esebenzayo. Malunga ne-hypersensitivity vasculitis iya iba yinto enganyangekiyo okanye ephindaphindekayo.

Imeko ibandakanya ukubonakala kwamabala abomvu eluswini, ubukhulu becala, i-palpable palpable. Iipurura ezinokubambeka ziphakanyisiwe iindawo zihlala zibomvu kodwa zinokuba mnyama kumbala omfusa. Nangona kunjalo, zininzi ezinye iintlobo zemirhubhe ezinokwenzeka.

Iimeko ezinokubangela ukuvuvukala kolusu kubandakanya:

• amayeza
• usulelo
• umhlaza
• nayiphi na into onokuba nayo xa uhlangabezana nayo

Uninzi lwe-hypersensitivity vasculitis lubangelwa kukusabela gwenxa kweziyobisi. Inokwenzeka kwakhona ecaleni kosulelo oluthile okanye intsholongwane. Kwezinye iimeko, esona sizathu asinakuchongwa.

Izinto ezibangela ukusabela kwe-hypersensitivity vasculitis

I-Hypersensitivity vasculitis ihlala ibangelwa kukusabela kwichiza. Iziyobisi eziqhelekileyo ezinxulunyaniswa ne-hypersensitivity vasculitis zibandakanya:

• amayeza okubulala iintsholongwane afana nepenicillin kunye nesulfa
• amanye amayeza oxinzelelo lwegazi
• i-phenytoin (iDilantin, iyeza lokuthomalalisa isifo)
• i-allopurinol (isetyenziselwa i-gout)

Usulelo lwebacteria olungapheliyo okanye intsholongwane nazo zinokubangela olu hlobo lwe-vasculitis. Oku kubandakanya i-HIV, i-hepatitis B, kunye ne-hepatitis C. Abantu abaneengxaki zokuzimela komzimba ezifana ne-lupus, i-rheumatoid arthritis, i-Sjogren's syndrome, kunye nesifo sesisu sokuvuvukala nabo banako ukufumana le meko. Inokuchaphazela nabantu abanomhlaza.

Ukuqaphela iimpawu ze-hypersensitivity vasculitis

Igama elithi "vasculitis" linxulumene nokuvuvukala kwemithambo yegazi kunye nokonakala. Oku kudumba kunye nomonakalo kubangela i-purpura ethandekayo, olona phawu luphambili lwe-vasculitis.

La mabala anokuvela emfusa okanye abomvu. Ngokuqinisekileyo uya kubafumana kwimilenze yakho, ezinqeni, nasemzimbeni. Unokuphucula i-blisters okanye i-hives kwesikhumba sakho. Imihlathi isenokuba ngamaqhuma arhawuzelayo avela kulusu ngenxa yokusabela kwamagingxi-gingxi.

Iimpawu eziqhelekileyo eziqhelekileyo kunye neempawu onokuzifumana zibandakanya:

• intlungu edibeneyo
• i-lymph nodes (i-glands ezinceda ukususa iibhaktheriya kwigazi)
• ukudumba kwezintso (kwiimeko ezinqabileyo)
• umkhuhlane omncinci

Xa ukuhlangana kweziyobisi kungunobangela, iimpawu zihlala zivela kwiintsuku ezisixhenxe ukuya kwezili-10 zokuvezwa. Abanye abantu banokufumana iimpawu kwangoko kwiintsuku ezimbini emva kokuthatha amayeza athile.

Kufunyaniswa njani?

Indlela yesiko yokufumanisa isifo se-hypersensitivity vasculitis kukumisela ukuba udibana ubuncinci ezintathu kwezintlanu zilandelayo ezichazwe yiAmerican College yeRheumatology:

• Umdala kuneminyaka eli-16 ubudala.
• Unerhashalala eluswini olunepipura.
• Unerhashalala yesikhumba esine-maculopapular (iqulethe zombini indawo ethe tyaba kwaye iphakanyisiwe).
• Usebenzise iyeza ngaphambi kokuphuhlisa irhashalala.
• I-biopsy yesikhumba sakho ibonakalise ukuba uneeseli ezimhlophe zegazi ezijikeleze imithambo yakho yegazi.

Nangona kunjalo, ayizizo zonke iingcali ezivumayo ukuba ezi kuphela kweekhrayitheriya eziyimfuneko zokuqwalaselwa xa kufunyaniswa le meko. Isiqingatha samalungu exesha anjengezintso, ithumbu lesisu, imiphunga, intliziyo kunye nenkqubo yovalo nazo zinokubandakanyeka.

Ngokuqhelekileyo, ukunceda ekufumaneni isifo, ugqirha wakho uya:

• vavanya iimpawu zakho kwaye ubuze malunga neziyobisi, amayeza, kunye nembali yosulelo
• uphonononge imbali yakho yezonyango kwaye wenze uvavanyo lomzimba
• thabatha isampuli yesicubu, okanye i-biopsy, yokukhawuleza kwakho
• thumela isampuli kwilebhu apho iya kuhlalutywa khona ngobungqina bokudumba okungqonge imithambo yegazi
• Uku-odola uvavanyo lwegazi olwahlukeneyo, njengokubala okupheleleyo kwegazi, uvavanyo lwezintso kunye nokusebenza kwesibindi, kunye nereyithi ye-erythrocyte sedimentation (ESR) yokulinganisa inqanaba lokudumba komzimba wonke

Ukuchongwa kunye nonyango kuya kuxhomekeka kwisizathu se-vasculitis yakho nokuba usulelo okanye ukudumba kwamanye amalungu akhoyo.

Zeziphi iindlela zonyango endinokukhetha kuzo?

Akukho lunyango lwe-hypersensitivity vasculitis uqobo. Injongo ephambili yonyango iya kuba kukukhulula iimpawu zakho. Kwiimeko ezinobulali, akufuneki unyango oluthile.

Thetha nogqirha wakho malunga namayeza owathathayo. Olu lwazi lunokunceda ekuchongeni unobangela we-vasculitis yakho. Ukuba ingxaki yakho ibuyiselwe kumayeza owathathayo ngoku, ugqirha uya kukucebisa ukuba uyeke ukuwuthatha. Nangona kunjalo, akufuneki uyeke ukuthatha nawaphi na amayeza ngaphandle kwengcebiso kagqirha wakho. Iimpawu zakho kufuneka zihambe phakathi kweeveki ezimbalwa zokumisa amayeza awonayo.

Unokumiselwa amayeza anxamnye nokuvuvukala, ngakumbi ukuba uneentlungu ezidibeneyo. Ngokwesiqhelo, iziyobisi ezichasayo ezingasebenziyo ezinjenge-naproxen okanye ibuprofen ziyasetyenziswa. Ukuba amayeza amayeza okuthomalalisa ubulali asilele ukukhulula iimpawu, ugqirha wakho unokumisela i-corticosteroids. Iicorticosteroids ziziyobisi ezicinezela amajoni akho omzimba kunye nokunciphisa ukudumba. ICorticosteroids ineziphumo ebezingalindelekanga ezininzi, ngakumbi xa zithathwa ixesha elide. Oku kubandakanya ukuzuza ubunzima, ukutshintsha kweemvakalelo ngesiquphe, kunye namabala.

Ukuba unetyala elinzima elibandakanya ukudumba okubonakalayo okanye ukubandakanyeka kwamanye amalungu ngaphandle kolusu, kuya kufuneka ulaliswe esibhedlele ukuze ufumane unyango olunzulu.

Iingxaki

Kuxhomekeke kubukrakra be-vasculitis yakho, unokuba nesikrelemnqa njengesiphumo sokudumba. Oku kubangelwa yimithambo yegazi eyonakeleyo.

Ngaphantsi kwesiqhelo, ukudumba kwezintso kunye namanye amalungu kunokwenzeka kubantu abane-hypersensitivity vasculitis. Uninzi lwabantu aluziqapheli iimpawu zokudumba komzimba. Uvavanyo lwegazi kunye nomchamo lunokunceda ekuchongeni ukuba ngawaphi amalungu anokuthi abandakanyeke kunye nobukhali bokudumba.

Imbonakalo

Kuyenzeka ukuba i-hypersensitivity vasculitis ibuye ukuba ubhencekile kwichiza elikhubekisayo, usulelo, okanye into. Ukuthintela ii-allergen zakho ezaziwayo kuya kunceda ukunciphisa amathuba akho okuba ne-hypersensitivity vasculitis kwakhona.