I-Hypersensitivity (Allergic) Vasculitis

-Delile

• Izimbangela zokuphendula kwe-hypersensitivity vasculitis
• Ukuqaphela izimpawu ze-hypersensitivity vasculitis
• Kutholakala kanjani?
• Yiziphi izinketho zami zokwelashwa?
• Izinkinga
• Umbono

Kuyini i-hypersensitivity vasculitis?

I-Vasculitis ukuvuvukala kwemithambo yegazi. Kungalimaza imithambo yegazi ngokuqina, ukusikeka, nokwenza buthakathaka izindonga zomkhumbi. Kunezinhlobo eziningi ze-vasculitis. Ezinye zinzima futhi zihlala isikhathi esifushane, kanti ezinye zingalapheki. I-Hypersensitivity vasculitis yaziwa nangokuthi i-leukocytoclastic vasculitis. Ngokuvamile isimo esibi esibangela ukuvuvukala kwemithambo yegazi encane. Kubonakala ngokuvuvukala nokubomvu kwesikhumba okwenzeka lapho uhlangana nento esebenzayo. Mayelana ne-hypersensitivity vasculitis iya iba yimihlalaphansi noma yenzeke kabusha.

Isimo sibandakanya ukuvela kwamabala abomvu esikhunjeni, imvamisa, i-purpura ethintekayo. I-purpura etholakalayo iyindawo ephakanyisiwe evame ukubomvu kepha ingahle ibe mnyama kumbala onsomi. Kodwa-ke, ezinye izinhlobo eziningi zemihelo nazo zingenzeka.

Izimo ezingadala ukuvuvukala kwesikhumba zifaka:

• imithi
• izifo
• umdlavuza
• noma iyiphi into ongahle ube nokusabela okweqile kuyo

Iningi le-hypersensitivity vasculitis libangelwa ukusabela kwezidakamizwa. Kungenzeka futhi eceleni kwezifo ezithile noma amagciwane. Kwezinye izimo, imbangela ngqo ayikwazi ukukhonjwa.

Izimbangela zokuphendula kwe-hypersensitivity vasculitis

I-Hypersensitivity vasculitis ivame ukubangelwa ukusabela kumuthi. Izidakamizwa ezijwayelekile ezixhunyaniswe ne-hypersensitivity vasculitis zifaka:

• imishanguzo ethile efana ne-penicillin kanye nemithi ye-sulfa
• eminye imithi yengcindezi yegazi
• i-phenytoin (i-Dilantin, umuthi wokuqeda isisu)
• i-allopurinol (esetshenziselwa i-gout)

Ukutheleleka okungapheli kwamagciwane noma amagciwane nakho kungadala lolu hlobo lwe-vasculitis. Lokhu kufaka phakathi i-HIV, i-hepatitis B, ne-hepatitis C. Abantu abanezifo ezizimele zomzimba ezifana ne-lupus, i-rheumatoid arthritis, i-Sjogren's syndrome, kanye nesifo samathumbu esivuthayo nabo bangathola lesi simo. Kungathinta nabantu abanomdlavuza.

Ukuqaphela izimpawu ze-hypersensitivity vasculitis

Igama elithi "vasculitis" liphathelene nokuvuvukala komthambo wegazi nokonakala. Lokhu kuvuvukala nokonakala kubangela i-purpura ethintekayo, uphawu oluyinhloko lwe-vasculitis.

Lezi zindawo zingabonakala zinsomi noma zibomvu. Ngokuqinisekile uzozithola emilenzeni yakho, ezinqeni, nasemzimbeni. Ungase futhi uthuthukise amabhamuza noma isifuba esikhunjeni sakho. Isifuba singamaqhubu alumayo avela esikhunjeni ngenxa yokungezwani komzimba.

Izimpawu nezimpawu ezijwayelekile ongazithola zifaka:

• ubuhlungu obuhlangene
• ama-lymph node akhulisiwe (izindlala ezisiza ukususa amabhaktheriya egazini)
• ukuvuvukala kwezinso (ezimweni ezingavamile)
• umkhuhlane omncane

Lapho ukuxhumana kwezidakamizwa kuyimbangela, izimpawu zivela phakathi kwezinsuku eziyisikhombisa kuya kweziyi-10 zokuchayeka. Abanye abantu bangathola izimpawu ezinsukwini ezimbili ngemuva kokuthatha imithi ethile.

Kutholakala kanjani?

Indlela yendabuko yokuxilonga i-hypersensitivity vasculitis inquma ukuthi uhlangabezana yini nokungenani abathathu kwabalandelayo ababekwe yi-American College of Rheumatology:

• Uneminyaka engaphezu kwengu-16 ubudala.
• Unokuqubuka kwesikhumba nge-purpura ethintekayo.
• Unokuqubuka kwesikhumba okuyi-maculopapular (kuqukethe zombili izindawo eziyizicaba neziphakanyisiwe).
• Usebenzise umuthi ngaphambi kokuthuthukisa ukuqubuka kwesikhumba.
• Ukuqhuma kwesikhumba sakho kukhombisa ukuthi unamaseli amhlophe egazi azungeze imithambo yakho yegazi.

Kodwa-ke, akubona bonke ochwepheshe abavumayo ukuthi lezi yizona kuphela izindlela ezidingekayo zokucatshangelwa lapho kutholakala lesi simo. Ingxenye yesikhathi sezitho ezifana nezinso, umgudu wamathumbu, amaphaphu, inhliziyo, nohlelo lwezinzwa nakho kungabandakanyeka.

Imvamisa, ukusiza ekuxilongweni kwakho, udokotela wakho uzo:

• hlola izimpawu zakho bese ubuza ngomlando wezidakamizwa, imithi, kanye nokutheleleka
• buyekeza umlando wakho wezokwelapha bese wenza ukuhlolwa komzimba
• thatha isampula lesicubu, noma i-biopsy, yokuqubuka kwakho
• thumela isampula ebhodini lapho izohlaziywa khona ukuthola ubufakazi bokuvuvukala okuzungeze imithambo yegazi
• oda ukuhlolwa okuhlukahlukene kwegazi, okufana nokubalwa kwegazi okuphelele, ukuhlolwa kwezinso nokusebenza kwesibindi, kanye nesilinganiso se-erythrocyte sedimentation (ESR) ukukala izinga lokuvuvukala komzimba wonke

Ukuxilongwa nokwelashwa kuzoya ngesizathu se-vasculitis yakho nokuthi ngabe ukutheleleka noma ukuvuvukala kwezinye izitho kukhona.

Yiziphi izinketho zami zokwelashwa?

Alikho ikhambi le-hypersensitivity vasculitis uqobo. Inhloso enkulu yokwelashwa kuzoba ukukhulula izimpawu zakho. Ezimweni ezimnene, akudingeki ukwelashwa okuthile.

Khuluma nodokotela wakho ngemithi oyiphuzayo. Lolu lwazi lungasiza ekunqumeni imbangela engaba khona ye-vasculitis yakho. Uma inkinga yakho itholakala emuva emithini oyiphuzayo njengamanje, udokotela mhlawumbe uzokweluleka ukuthi uyeke ukuyidla. Kodwa-ke, akufanele uyeke ukuthatha noma yimiphi imithi ngaphandle kwesincomo sikadokotela wakho. Izimpawu zakho kufanele zihambe kungakapheli amasonto ambalwa wokumisa umuthi owonayo.

Ungahle unikezwe imithi elwa nokuvuvukala, ikakhulukazi uma unezinhlungu ezihlangene. Imvamisa, kusetshenziswa izidakamizwa ezingezona ukuvuvukala ezifana ne-naproxen noma ibuprofen. Uma imishanguzo emincane yokulwa nokuvuvukala yehluleka ukuqeda izimpawu, udokotela wakho angaphinde anikeze i-corticosteroids. ICorticosteroids yizidakamizwa ezicindezela amasosha akho omzimba futhi zinciphise ukuvuvukala. AmaCorticosteroids anemiphumela engemihle, ikakhulukazi uma ethathwe isikhathi eside. Lokhu kufaka ukuzuza kwesisindo, ukuguquguquka kwemizwa okungazelelwe, nezinduna.

Uma unecala elibi kakhulu elibandakanya ukuvuvukala okukhulu noma ukubandakanyeka kwezinye izitho ngaphandle kwesikhumba, kungadingeka ukuthi ulaliswe esibhedlela ukuze uthole ukwelashwa okunamandla.

Izinkinga

Ngokuya ngobukhulu be-vasculitis yakho, ungahle ube nesilonda ngenxa yokuvuvukala. Lokhu kudalwa yimithambo yegazi eyonakele unomphela.

Ngaphansi kokujwayelekile, ukuvuvukala kwezinso nezinye izitho kungenzeka kubantu abane-hypersensitivity vasculitis. Iningi labantu aliziboni izimpawu zokuvuvukala komzimba. Ukuhlolwa kwegazi nomchamo kungasiza ekunqumeni ukuthi yiziphi izitho ezingabandakanyeka nobukhulu bokuvuvukala.

Umbono

Kungenzeka ukuthi i-hypersensitivity vasculitis ibuye uma ubhekene nomuthi owonayo, ukutheleleka, noma into. Ukugwema ama-allergen akho owaziwayo kuzosiza ukunciphisa amathuba akho okuba ne-hypersensitivity vasculitis futhi.