Hemorrhagic vasculitis muvana

Vana vane hemorrhagic vasculitis chirwere chinosanganisa kunyanya maganda edzimba, pamwe nemidziyo yeropa yegumbo rekudya, mafundo uye itsvo. Icho chiri cheboka re immunocomplex allergenic vasopathies yehutachiona hwehutachiona. Kutanga kwekukura kwechirwere kunogona kuitika chero nguva ipi zvayo, asi, sekutonga, vana vaduku chaizvo (kusvika kune makore matatu) vanotambura nechirwere ichi zvikuru kazhinji.

Kazhinji kacho, vasculitis inowanikwa mune vana vane makore 4 kusvika ku12.

Kune marudzi akawanda ehumorrhagic vasculitis, zvakasiyana mukuratidzwa kwavo uye zvakasikwa. Nokudaro, vasopathy inogoverwa kuva zvikamu zviviri: nhaka (Hippel-Landau chirwere, Ehlers-Danlo syndrome, Kazabaha-Merrita syndrome, Louis-Bar, nezvimwewo) uye vakawana (zviratidzo zvevasculitis nemakumbo ezvisikwa zvakasiyana-siyana, zvinosvibisa, vasviviti uye vanopesana vasopathies, nezvimwewo).

Vasculitis hemorrhagic: zvinokonzera

Chirwere chacho chinokonzerwa nekuparara kumadziro e-capillary uye kuwedzerwa kwezvigadziriswa zvemidziyo zvachose, pamwe nekushandiswa kwekodzero yepamusoro uye kuwedzerwa kwehuwandu hwemakemikari anogadzirwa.

Kazhinji kazhinji, kukura kwechirwere kunotanga nguva imwe mushure mechirwere chinotapukira (ARVI, tonsillitis, scarlet fever, nezvimwewo). Dzimwe nguva kukura kwevasculitis kunotangira kusagadzikana kwezvinodhaka (kana mamwe marudzi ehutano hwemagetsi), hypothermia, vaccination, trauma.

Zviratidzo zvevasculitis muvana

Muchikamu chikuru chezviitiko, chiratidzo chekutanga chechirwere ndechekuonekwa kwechinhu chiduku cheganda chekatsvuku. Foci ye rashes: mapepa emakumbo, mapako, nzvimbo yakakomberedzwa. Zvinowanzoonekwa zvikanda pameso, zvigadziko nemakumbo, trunk. Mushure mokunge kupera kwemafuro kuchipfuura, nzvimbo dzemavara dzakasvibirira dzinoramba dziri munzvimbo yayo, iyo inotanga kubvisa nekudzokazve kwechirwere ichi.

Chimwe chiratidzo chinonyanyozivikanwa ndeye kukuvadza pamwe chete. Inonzwika kubva vhiki yekutanga yekurwara. Chimiro uye nguva yekutambudzika zvinogona kunge zvakasiyana kwazvo, kunyanya majoka makuru, kunyanya chidzitiro nemabvi, zvinobatwa. Muchiitiko ichi, majoka akabatana, asi hapana maitiro akashandurwa uye kusagadzikana kwezvirwere zvemuviri wehutano.

Chiratidzo chechitatu chinowanzosangana nemarwadzo emimba. Inogona kuratidza kana kukunda ganda uye manhengo. Kurwiswa kunorwadza kunogona kudzokorora zvakare zuva rose, pasina kunyatsoziva nzvimbo. Kazhinji, kushungurudza, kusuruvara, uye fever zvinowanikwa zvakare. Muzviitiko zvisingawanzoiti, gastric kana kubuda mumimba zvinokwanisika.

Dzimwe nguva ane hemorrhagic vasculitis, renal kana dzimwe nhengo (mapapu, mwoyo, midziyo yemakumbo) inoshandiswa. Kuoma kwezvipembenene zvinogona kuva zvakasiyana-siyana - kubva pane zviduku, kusvika pakuenzanisa uye kunyange nematambudziko akaoma.

Hemorrhagic vasculitis muvana: kurapwa

Nzira uye nzira dzechirapa dzinosiyana zvichienderana nechikamu nechimiro chechirwere (chekutanga, kukodzokorora kwechirwere kana nguva yekuregererwa), pane zvipatara zviratidzo uye kusimba, uye panguva uye mararamiro ehutachiona. Asi ichiri kukwanisika kubvisa mumwe mukuru, kunyanya kuronga kurapa.

Kune marudzi ose ehosha, antigregregants anoshandiswa. Shandisa kurantil (persanthin, dipyridamole) kanhi pazuva pazuva 5-8 mg kilogram yehutatu hwehuviri, trental (agapurine, pentoxifylline) katatu pazuva pazuva 5-10 mg / kg. Muzviitiko zvakakomba, mapoka maviri emishonga anogona kugadzirirwa panguva imwe chete. Nguva yenguva yekurapa inogona kuva yakasiyana-kubva pamwedzi 2 kusvikira kune gumi, zvichienderana nekuoma kwechirwere. Kana chimiro chisingaperi chingaisa mapurogiramu akadzokorora nenguva (pamwedzi kana pamwedzi mitanhatu).

Anti-coagulants inoshandiswa mumutengo wega wega, activator ye fibrinolysis, enterosorbents, glucocorticosteroids, membrane stabilizers, cytostatics, antihistamines. Kuchinja kwetachiona uye plasmapheresis zvinoshandiswa zvakare. Kusarudzwa kwezvinodhaka nemaitiro ekurapa kunofanira kuitwa chete nechiremba, kuzvidzora kana kusagadziriswa kusagamuchirwa kwehurongwa hwekurapa pasina kubvunzurudza neyanyanzvi uye kutarisa kwechiremba hazvigamuchirwi.

Kudzivirira kwehemorrhagic vasculitis

Basa rinokosha zvikuru mukudzivirira kwechirwere ndiko kudzivirira, kudzivirira kwehuwandu hwehutachiona hwehutachiona hunopararira, kusarudzwa kubva kune zvinokonzera. Varwere havaiti samples nemabhakitiriya antigens (Burne test, tuberculin, nezvimwewo). Kuchengetedza chirwere chinopisa simba mumwana kunokosha hypoallergenic, kurega kudya, kudya kwakakwana kwakakwana uye mararamiro akanaka.