Nzira dzakawanda dzehutachiona hwakanyanya hushoma, uye vanhu vazhinji havazivi chinhu pamusoro pavo. Chimwe chezviongorori zvinonzi vasculitis - ndechipi chinorwara, chii zviratidzo, migumisiro uye kurapa kwevatano kazhinji kusingazivikanwi. Nokudaro, kusati kwatanga kurapwa, nyanzvi inoita zvinonongodza zvakadzama nekutenderwa kubatanidzwa kwechirwere chemasikirini, nokuti pathogenesis yemutumbi wezvidziviriro zvemuviri uri pamwoyo wechirwere.
Chii ichi chirwere che "vasculitis", uye zviratidzo zvayo chii?
Iyo inorondedzwa chirwere iboka rose rezvirwere zvinosanganisira nzira yakajairika yehutachiona - kuputika kwemasvingo eerteri, capillaries, vetules, arterioles uye minyuchi. Kutaura zvazviri, vasculitis chirwere chemidziyo yeropa neropa rinouya kuburikidza navo kune zvinyoro zvishoma uye nhengo dzinoshanduka zvakanaka uye dzakagadziriswa.
Chikoro chakareruka chechirwere ichi:
- Kunyanya vasculitis ndechokudzivirira kwemuviri wemidziyo yeropa yakasimuka nekuda kwezvikonzero zvisingazivikanwi.
- Chikamu vasculitis - pathological disorders inowanikwa mukupindura kune dzimwe zvirwere zvinoshandiswa.
Muchirapa, chirwere ichi chiri mubvunzo chinosarudzwa sezvinotevera:
1. Vasculitis yemidziyo miduku:
- Charge-Strauss syndrome kana sosinophilic granulomatosis ne polyangiitis;
- anti-GBM chirwere;
- cryoglobulinemic vasculitis;
- Igener's disease kana granulomatosis ne polyangiitis;
- Immunoglobulin-A-vasculitis kana ruvara rwepepuru Shonlein-Genocha;
- anti-C1q-vasculitis kana hypocomplexary urticaria syndrome;
- microscopic polyangiitis.
2. Vasculitis yemidziyo midziyo:
- nodular periarteritis kana nodular polyarteritis;
- Kawasaki disease .
3. Vasculitis yemidziyo mikuru:
- arteritis Takayasu;
- Horton's disease kana giant cell cell arteritis.
4. Vasculitis yemidziyo yakakura zvakasiyana-siyana:
- Kogan's syndrome;
- Chirwere cheBehcet.
5. Kuparara kwezviviri:
- cutaneous arteritis;
- primary angiitis yepakati yenheyo system;
- isolated aortitis;
- leucocytoclastic cutaneous angiitis nevamwe.
6. Masikirwo eSystemic:
- rheumatoid;
- lupus;
- sarcoidosis nevamwe.
7. Sekondari vasculitis:
- kusangana nemavirusi;
- paraneoplastic;
- inosanganiswa nemishonga nevamwe.
Zviratidzo zvinozivikanwa zvekurwara:
- kukwirira kwepamusoro;
- pallor;
- kuneta;
- kusava nenzara;
- kushaya simba.
Izvo zvipatara zvinoshandiswa pamusana pevasculitis kunobva kune dzakasiyana-siyana, nhengo dzakagadziriswa uye zvirongwa, ukuru hwekuputika nezvimwe zvinhu. Saka, chiremba chete anokwanisa kuongorora chirwere ichi kuburikidza nehuwandu hwehutano hwepanyama, kuongororwa kwe laboratori, zvidzidzo zvekushandisa.
Chii ichi chinonzi allergenic vasculitis?
Sezvo zita racho rinoreva, chimiro chinoratidzirwa chekurwara ndiko kuputika kwemidziyo yeropa pamusoro pemamiriro ekurwisa. Chiratidzo chayo chikuru - maruva echando, anogona kuva neunhu hwakasiyana. Maererano nezvo, allergenic vasculitis inofungidzirwa sechirwere chakasiyana, inoshandiswa muzvidimbu zvakasiyana siyana:
- erythema nodosum - kuonekwa kwezvisimbiso pasi peganda rehuni;
- Arteriolitis Rutera - rashes mumhando yepapules, mavara, "nyeredzi", zvinongororwa pamwe nehutano husina kunaka;
- hemorrhagic vasculitis - kuti zviratidzo zvinotarisana nechirwere ichi hachizivikanwi, kazhinji chinowanikwa zvisina kuitika pane dopplerography (mumidziyo ikoko ine microthrombi);
- hemosiderosis - kuonekwa kwearangi-mavara machena paganda;
- necrotizing vasculitis - kufa kwepisitomu zvishoma nezvishoma pashure pokutanga kwepidermis kupera.
Chii chinonzi "rhumatoid vasculitis" chirwere?
Urwu urwere hwehutano rudzi rwechipiri chechirongwa chekudzivirira kwemadziro edzimba, inovandudzika semugumisiro wekuwedzera kwerheumatoid arthritis.
Zvinonyatsozivikanwa kuti rudzi urwu rwevasculitis runokonzera zvirwere zvemapapu, chirwere chinotyisa, ganda uye nenyuchi kukanganisa, mwoyo kusagadzikana (pericarditis). Zvisinei, zviratidzo zvakajeka zvechirwere zvinowanikwa mune zvisingasviki 1% zvevarwere, naizvozvo inotsanangurwa maitiro ezvokuvhiringidza zvinowanikwa kare mumakore ekupedzisira, izvo zvinoita kuti zvive zvakaoma kurapa zvose rheumatoid arthritis uye vasculitis.