Yini i-leukocytoclastic vasculitis, izimbangela, izimpawu nokwelashwa

-Delile

• Izimbangela ze-leukocytoclastic vasculitis
• Izimpawu eziyinhloko
• Yelashwa kanjani

I-leukocytoclastic vasculitis, eyaziwa nangokuthi i-hypersensitivity vasculitis noma i-vasculitis encane yomkhumbi, ihambelana nokuvuvukala kwemithambo yegazi engenzeka ngenxa yokuvuvukala, izifo noma izifo ezizimele, okuholela ekubukekeni kwamabala abomvu ikakhulukazi emilenzeni, emathangeni nasesifundeni sesisu.

Ukuxilongwa kwalolu hlobo lwe-vasculitis kwenziwa kucatshangelwa izimpawu ezilethwa ngumuntu nomphumela wokuhlolwa kwelabhorethri okungacelwa ngudokotela. Ezimweni eziningi, izimpawu ze-leukocytoclastic vasculitis ziyanyamalala ngemuva kwezinyanga ezimbalwa, kepha kungadingeka ukusebenzisa eminye imithi efana nama-antihistamine noma ama-corticosteroids ngokuya ngobukhulu be-vasculitis.

Izimbangela ze-leukocytoclastic vasculitis

Lolu hlobo lwe-vasculitis lungaba nezimbangela eziningana futhi imvamisa luhlobene nezinto ezithuthukisa izinguquko kumasosha omzimba. Lokhu kungenxa yokuthi kukholelwa ukuthi izimpawu ze-leukocytoclastic vasculitis zenzeka ngenxa yokwakhiwa kwezakhiwo zomzimba emithanjeni yegazi emincane, okuholele ekuvukeleni.

Ngakho-ke, izimbangela ezinkulu ezihlobene nokuthuthuka kwalolu hlobo lwe-vasculitis yilezi:

• Ukungezwani komzimba neminye imithi njengama-antibiotic, izidakamizwa ezingezona ukuvuvukala, i-beta-blockers, i-warfarin ne-metformin;
• Ukungezwani komzimba nokudla okuthile noma izithasiselo zokudla;
• Ukutheleleka ngama-bacterium, ama-virus noma ama-parasites, okuyizinto ezithathelwanayo ezihlobene kakhulu okuyi- IStreptococcus pyogenes, Isifo sofuba iMycobacterium, I-Staphylococcus aureus, I-Chlamydia trachomatis, I-Neisseria gonorrhoeae, amagciwane e-hepatitis B no-C ne-HIV;
• Izifo ezizimele njenge-arthritis ye-rheumatoid, i-systemic lupus erythematosus ne-Sjogren's syndrome;
• Izifo zamathumbu ezivuthayo njengesifo sikaCrohn nesifo sezilonda emathunjini, isibonelo;
• Izinguquko ezimbi njengezimila, i-lymphoma, i-leukemia kanye ne-myelodysplastic syndrome.

Ukuxilongwa kwe-leukocytoclastic vasculitis kwenziwa ngudokotela ojwayelekile, i-angiologist, i-rheumatologist noma i-dermatologist ngokuhlola kokuqala kwezimpawu nezimpawu ezethulwe ngumuntu. Ngaphezu kwalokho, uyacelwa futhi ngudokotela ukuthi enze izivivinyo zaselabhoratri ezisiza ekwenzeni ukuxilongwa okwehlukile, okufana nokubalwa kwegazi, i-VSH, izivivinyo ezihlola ukuhlolwa kwesibindi nezinso nomchamo.

Ukuqinisekisa ukuxilongwa, udokotela uncoma ukwenza i-biopsy ye-lesion, ukuze kwenziwe ukuhlolwa okuncane kakhulu kwezicubu, kwenziwa ikakhulu emahoreni okuqala angama-24 kuye kwangama-48 okuvela kwezimpawu zokuqala nezimpawu. Qonda ukuthi kufanele kwenziwe kanjani i-biopsy.

Izimpawu eziyinhloko

Izimpawu ze-leukocytoclastic vasculitis zihlobene nokubekwa kwezakhi zomzimba emithanjeni yegazi, okuyizakhiwo ezakhiwe ngama-antibodies, akhiqizwa ngenxa yenqubo yokuvuvukala, kanye nokusabalalisa ama-antigen. Ngemuva kokwakhiwa kwezakhiwo zokuzivikela ezifweni kanye nokufakwa emzimbeni ezitsheni, kucushiwe izici ezihlobene nomsebenzi wamasosha omzimba, okuholela ekubonakaleni kwezimpawu, okuyizona eziyinhloko:

• Ukuvela kwamabala abomvu esikhunjeni;
• Ukuzwa okuvuthayo nobuhlungu ezilondeni;
• Ukulunywa okukhulu;
• Ukubukeka kwamaqhuqhuva;
• Ukuvela kwezilonda ezinemikhono.

Lezi zimpawu zivame kakhulu emilenzeni, emathangeni, ezinqeni nasesiswini esingezansi. Ngaphezu kwalokho, ezimweni ezinzima kakhulu, izimpawu zesistimu ezinjengomkhuhlane, ukwehla kwesisindo ngaphandle kwesizathu esisobala, ubuhlungu bemisipha, igazi emchameni noma endleni nokwenyuka kwevolumu yesisu, ngokwesibonelo, kungaqashelwa. Kubalulekile kulezi zimo ukubonisana nodokotela ukuze kutholakale ukuxilongwa kanye nesidingo sokuqala ukwelashwa.

Bheka ezinye izimpawu nezimpawu ze-vasculitis.

Yelashwa kanjani

Ezimweni eziningi ze-leukocytoclastic vasculitis, izimpawu zivame ukunyamalala ngaphandle kwesidingo sokwelashwa, kepha kubalulekile ukuthi imbangela ikhonjwe ngoba kungenzeka ukuthi kuboniswe amasu okuvikela isiqephu esisha se-vasculitis, njengokumiswa komuthi noma ukuncipha kokudla kokunye ukudla, uma i-vasculitis ihlobene nokungezwani komzimba nezidakamizwa noma ukudla, isibonelo.

Kwezinye izimo, lapho izimpawu zinganyamalali ngokuhamba kwesikhathi noma lapho kuvela izimpawu zesistimu, udokotela angakhombisa ukusetshenziswa kwemithi ethile ukuze kuvinjelwe ukuqhubeka kwe-vasculitis futhi kukhuthazwe ukuthuthuka komuntu, lapho ukusetshenziswa kwama-antihistamine noma i-corticosteroids, ngaphezu kokuphumula nokuphakamisa imilenze.