Yini i-sarcoidosis, izimpawu nokuthi kunjani ukwelashwa

-Delile

• Izimpawu zeSarcoidosis
• 1. I-sarcoidosis yamaphaphu
• 2. I-Sarcoidosis yesikhumba
• 3. I-Ocular sarcoidosis
• 4. I-sarcoidosis yenhliziyo
• Ukuxilongwa kwenziwa kanjani
• Indlela yokwelapha

I-Sarcoidosis yisifo sokuvuvukala, sesizathu esingaziwa, esibonakala ngokuvuvukala ezingxenyeni ezahlukahlukene zomzimba, njengephaphu, isibindi, isikhumba namehlo, ngaphezu kokwakheka kwamanzi, okuholela ekukhathaleni ngokweqile, umkhuhlane noma ukunciphisa umzimba, ngoba isibonelo.

Yize imbangela ye-sarcoidosis ingakatholakali kahle, kukholakala ukuthi ingabangelwa yimpendulo yomzimba kumuntu oyedwa noma ngaphezulu ahlaselayo, noma ngenxa yendlela umzimba oziphendulele ngayo, ngakho-ke ithathwa njengesifo esizibikelayo. amasosha omzimba.

I-Sarcoidosis ayinalo ikhambi, kepha kubaluleke kakhulu ukwelashwa ukuze kugwenywe izinkinga ezingaba khona, njengokuhluleka ukuphefumula nezinso, ukungaboni kanye ne-paraplegia, ngokwesibonelo.

Izimpawu zeSarcoidosis

Ngokuya ngendawo lapho kutholakala khona ubufakazi obukhulu bokuvuvukala, i-sarcoidosis ingahlukaniswa ngokwezimpawu ikakhulukazi ku:

1. I-sarcoidosis yamaphaphu

Ukukhubazeka kwamaphaphu kwenzeka kubantu abangaphezu kwama-90% okutholwe ukuthi bane-sarcoidosis, futhi inqubo yokuvuvukala ingabonakala nge-radiography yesifuba. Izimpawu eziyinhloko ezihlobene ne-sarcoidosis ye-pulmonary ukukhwehlela okomile nokuphikelelayo, ngenxa yokuvinjelwa ezindleleni zomoya, ukuphefumula kanzima nobuhlungu besifuba.

Ngaphezu kwalokho, kuya ngesigaba sokuvuvukala, umuntu angaba ne-fibrosis yezicubu zamaphaphu, ezidinga ukufakelwa kabusha, ngaphezu kwe-pulmonary arterial hypertension.

2. I-Sarcoidosis yesikhumba

Lapho kukhona ukuvela kwezilonda zokuvuvukala esikhunjeni, ukutholakala kubantu abangaphezu kwama-30% abatholwe bene-sarcoidosis. Izimpawu eziyinhloko zalolu hlobo lwe-sarcoidosis ukwakheka kwama-keloid, ukuvela kwamabala abomvu esikhunjeni nokushintsha kombala, ngaphezu kokukhula kwamaphilisi ngaphansi kwesikhumba, ikakhulukazi ezindaweni ezisondelene nezibazi.

Ngaphezu kwalokho, izilonda zingavela ezingeni lamashiya ziphinde zithinte umsele we-nasogenian, owaziwa kakhulu ngokuthi amadevu aseChina.

3. I-Ocular sarcoidosis

Endabeni yokubandakanyeka kwamehlo, izimpawu zesici esikhulu ukungaboni kahle, ubuhlungu beso, ububomvu, amehlo omile kanye nokuzwela okukhulu ekukhanyeni. Imvamisa yokubonakaliswa kwemitholampilo ye-sarcoidosis ehlobene namehlo iyahluka ngokuya ngesibalo sabantu, kuvame kakhulu ngesiJapane.

Kubalulekile ukuthi kwelashwe izimpawu zamehlo, ngoba uma kungenjalo kungadala ubumpumputhe.

4. I-sarcoidosis yenhliziyo

Ukubandakanyeka kwenhliziyo ku-sarcoidosis kuvame kakhulu kubantu baseJapan futhi izimpawu zayo eziyinhloko ukwehluleka kwenhliziyo nokushintsha kokushaya kwenhliziyo.

Ukuxilongwa kwenziwa kanjani

Ukuxilongwa kokuqala kwe-sarcoidosis kwenziwa ngudokotela ngokubheka izimpawu nokwenza izivivinyo ukukhombisa ukuthi ngabe kukhona yini ukubandakanyeka komzimba. Ngakho-ke, udokotela angakhombisa ikakhulu ukusebenza kwe-radiography yesifuba, ngoba iphaphu yilona mzimba othinteke kakhulu kulesi sifo.

Ukutholakala kwalesi sifo, noma kunjalo, kunzima, ngoba imbangela ayikatholakali kahle. Ngalesi sizathu, kuvame ukucelwa izivivinyo zaselebhu ezihambisanayo, kanye ne-biopsy ye-granulomatous lesion noma isitho esithintekile nokunye ukuhlolwa kwe-imaging, njenge-computed tomography kanye ne-magnetic resonance imaging.

Indlela yokwelapha

I-Sarcoidosis ayinalo ikhambi, noma kunjalo, ukwelashwa kuhlose ukudambisa izimpawu nokuvikela ukuqhubeka kwesifo. Ngakho-ke, udokotela angancoma ukusetshenziswa kwezidakamizwa ze-corticosteroid, njenge-Betamethasone noma i-Dexamethasone, noma izidakamizwa zokuvikela umzimba, njenge-Azathioprine, ngokwesibonelo.

Endabeni yokukhubazeka kwezitho zomzimba, kubalulekile ukuthi udokotela ahlole ubukhulu bokukhubazeka, nokuthi ngabe ukhona yini umsebenzi, futhi ukufakelwa kwezitho zomzimba kungadingeka ngokuya ngecala.

Kunconywa nokuthi umuntu otholakale ene-sarcoidosis kufanele abhekwe ngudokotela ngezikhathi ezithile, noma engazivezi izimpawu, ukuze kuhlolwe ukuvela kwalesi sifo nokuphendula ekwelashweni.