Sarcoidosis esikhumba: Oonobangela, Iimpawu kunye Treatment

Sarcoidosis, kude kube ngoku, njengento isifo esinqabileyo. Kodwa kule mihla, phambi iindlela ezintsha diagnostic, oko kwafunyaniswa ngakumbi rhoqo. Kuba okokuqala esi sifo kuchazwa ngaphezu kwekhulu eyadlulayo. Emva koko njengento uhlobo lwesifo sephepha. Kamva, nangona kunjalo, oku kwebango, wawancamisa ekuhleni ngamayeza esemthethweni.

definition

Sarcoidosis - isifo zenkqubo. Oku kukhokelela ngokoyiswa kweenkqubo organic kunye namalaphu. iimeko ezininzi abhalwe rhoqo imiphunga sarcoidosis nesikhumba. Kungenjalo oku sifo ngokuba sisifo Besnier-Boeck-Schaumann (imbeko koogqirha abayisebenzayo isifundo kwesi sifo). Sarcoidosis yinto umlinganiswa arhabaxa. Libhekisela granulemotozov iqela. Kuphuhliso leengxaki wambumba amaqela leeseli ukudumba, ezo zibizwa ngokuba granulomas.

Sarcoidosis yaba into ingqalelo ngamagqirha, pulmonologists kunye neengcali jikelele. Isifundo oonobangela esi sifo, isifo yayo kwaye unyango elingundaba- phakathi kumagqirha. Sarcoidosis ngoku ifumaneka kuphela ngokusekelwe ngeziphumo zophando fluorography; kodwa izinto ezibonisa yesikhumba.

Ukusasazeka kwesifo

Amaninzi, sarcoidosis eluswini, iimpawu eziza kuxoxwa ngezantsi, banesifo kubantu eliqina. Eyona leengxaki iqhelekileyo kwabasetyhini. sifo kakhulu ezinqabileyo lwenzeka ebantwaneni. Eyona uphawu kwesi sifo - ukuvela granulomas. Bamele maqhuqhuva, ezithi zibekwe nakujoliso olutsha kuphela. Usenokwahluka ubukhulu kunye nokumila. Esi sifo akukho sisifo esosulelayo. Sarcoidosis kaninzi kwenzeka ngaphandle iimpawu kwaye kubonakele kuphela xa nokuxilongwa kwemizimba yesigulana.

Le etymology kwesifo

Iimbangi ngqo kwesi sifo nangoku ayaziwa. Kodwa ke inkoliso amagqirha bakholelwa ukuba uphuhliso le ngezifo kuchaphazela lonke uluhlu yezizathu, phakathi kwabo - ngumzimba, okusingqongileyo kunye ufuzo. Ngokutsho ingcamango ekhoyo, nayo kuchaphazela ifungi ebangela isifo, iintsholongwane, irhorho, umungu kunye izinto eziyityhefu. Ngokusemthethweni, esi sifo non-ezosulelayo. Noko ke, asinakukwazi ecaleni ngokupheleleyo ithuba ngempembelelo arhente ngeentsholongwane kuphuhliso izifo ezifana isikhumba sarcoidosis.

kubangelwa bengaziwa ukuza kuthi ga ngoku. Ngesi sihlandlo, kukho iingcamango ezimbini. Ngokutsho yokuqala, sarcoidosis ilifa. uluvo Fans yesibini bathi imbonakalo sifo uhlobene asabela womntu omzimba utshintsho hormone. Eyona unobangela iimpawu zamafa ingqalelo omzimba, oko kukuthi, indlela yayo ngqo ezi okanye ezinye izinto. Njengomgaqo, kuyimfuneko ukwenzela iziganeko sifo ngenxa yezizathu ezininzi. Kubalulekile ukuqaphela ukuba ngamnye yesithathu kunye isigulane lesithandathu saphawula sarcoidosis kwesikhumba izilonda.

Eyona eziphambili ze sarcoidosis

Njengoko sele kukhankanyiwe, kwindawo yokuqala esi sifo luphawulwa irhashalala. Kuyinto utshintsho ezithile lwezidumbu, leyo zibonakaliswa ukuyilwa maqhuqhuva ebomvu, amabala kunye ukubola. Kule sifo kukho ekuthiwa- erythema nodosum. Le sarcoidosis melkouzelkovy ixhaphakileyo. Lubonakala kukuvela inani elikhulu amabala ezibomvu ukuba bayaguquka ekuhambeni kwexesha zibe amaqhina uzinzo ashinyeneyo. sarcoidosis Krupnouzelkovy esibonakaliswa inkangeleko maqhuqhuva abangatshatanga kunye ngaphantsi nesininzi. kolusu kule meko ichazwe kukho iindawo ezinkulu ngokwaneleyo ungqukuva, luphawulwa imida ezibukhali.

Ezinye iintlobo sifo

Kukho ezinye iintlobo ze izifo. Oogqirha ukwahlukanisa:

1. Kuyenye yeendlela sarcoidosis infiltrative. irhashalala akhiwa umonakalo ashinyeneyo. Bona zibekwe phezu kwentloko okanye ubuso. amaqumrhu Umda ukuba abe umbala omdaka, ngelixa imfiliba. Ubukhulu bepali nganye yi-15 cm.
2. Angiolyupoid Brock Potro. Neoplasms saphawula empumlweni nezidlele. Ngokuqhelekileyo, xa kuqala ukuba amabala abomvu okanye filetovogo umbala. Endaweni yawo, ngoko kukho umonakalo brown.
3. Chilblains lupus Besnier-Tennesona. Yokuhlala - ubuso neendlebe. Amanxeba obomvu-purple kwaye iflethi.
4. Darier-Roussy sarcoid. Kuba le fomu kwesi sifo lalidume iindawo ezinkulu, ezithi zibekwe phantsi kwesikhumba kwaye uzakhela nokungena. Eyendawo - esiswini, emathangeni kunye amakhwapha.
5. Ongama-uhlobo nodular. maqhuqhuva ongama kuvela apha emilenzeni okanye umntla. Namabandla kancinane, ukuba elingenabuhlungu neselula. Sarcoid ukuze coalesce ukwenza umonakalo infiltratnye kumphezulu buhlungu.

Ngokubanzi, sarcoidosis eluswini, unyango apho siza kuxubusha ngayo kweli nqaku, kuba ngamaxesha athile. Ngelo xesha xa maqhuqhuva iyanyamalala, kumaziko ulusu ezahlukeneyo ukusuka ephilile. It has a nombala kunye enamaxolo. Le Okungumahluko lupus Besnier-Tennesona. Kulo mzekelo, kumaziko emva yokuduka izitshanguba musani kwahluka ephilile. Sarcoidosis esikhumba, ifoto yayo thaca kweli nqaku sibonisa okukhulu kobuso yomguli. Emva koko - phezu iimpawu.

Ulusu Sarcoidosis: Iimpawu zesi sifo

Iimpawu ezithile sifo: utshintsho umonakalo, iindawo, alaqhenqetha: kukuqulungana sarcoidosis, maculo-populeznye. Phakathi ezibonisa ezinqabileyo ukuze zikhankanyiwe: isilonda, utshintsho psoriasiform, ichthyosis, alopecia, usulelo nail. Oku kuqatshelwe ukuba uninzi kolusu kunye uneempawu eziphakathi. Nangona kunjalo, kukho kolusu esinganyangekiyo ezikhokelela ebumeni umntu.

Sarcoidosis esikhumba, iifoto kunye iimpawu ezo thaca kule ncwadi, iye ezinye iimpawu ezinika ingcaciso. It sibonisa ukwakheka oxineneyo tubercles eluswini kweqondo, ubuso, kwaye kwezinye iimeko buti. Umbala lamatywina yahluka ukusuka ebomvu bomvu ukuya bamantshontsho and brown. Amaxesha amaninzi kukho nokumanyaniswa lweziqalelo Bangamabala emdaka eluswini elimlinganiselo encinane, kwezinye iimeko, amaqhuma bazimisele.

Sarcoidosis ukhakhayi kungaba yenye mpawu zokuqala zesi sifo. Kule meko kuyimfuneko ukwenza une namanye amalungu kunye neenkqubo, leyo nayo kunokutshiseka. Kokoyiswa entlonzeni, njengoko umthetho, idityaniswe phambi unezilonda eluswini ebunzi. Xa kumbindi Kumaziko ukuhla lexinene sangqa iinwele, leyo isenokuba ekuqaleni ukuyilwa nakujoliso olutsha of alopecia.

krupnouzelkovy Melkouzelkovy kunye sarcoidosis

Sarcoidosis yi melkouzelkovym kunye krupnouzelkovym. Kwimeko yokuqala, le maqhuqhuva rhoqo kubekwe phezu ubuso, iingalo ndawo, intamo, ligoba. ubukhulu zabo ezincinane -. Malunga 0.5 iisentimitha lalingqingqwa kwaye esiluqilima nemibala - nombala ngezitena okanye zifuna ukuba ngqombela, elinombala. Ngamanye amaxesha maqhuqhuva kungawunwenisa wonke umzimba. Ngokucofa - elula. Ekuhambeni inkqubo zophendlo lwezifo kwi yomzimba kumaziko ka nombala. Ehlabathini kwimimandla echaphazelekayo kwasekwa imida ecacileyo ulwehlo.

Ukuba sicinga ngobuwena yesibini, kubekho ukuvela kwiindawo ngamnye. Ngobukhulu baninzi ngaphezu kwimeko yangaphambili :. Fikelela-2 cm umbala musa sahlukile abo ezincinane. Amaninzi kubonakala ebusweni, entanyeni, nasemiphakathweni, ngamanye amaxesha - ngaphandle ngesandla. izilonda amaqhakuva ukuze kuyilwa kwe ezibomvu okanye ezimhlophe. Ekuhambeni kwexesha, kwiindawo badla uyicombulule ashiye ngasemva isikhumba kumphezulu ulwehlo.

amayeza

Ngokuqhelekileyo, amayeza sarcoidosis lalathelwe ukuba izigulane zilandelayo: non-steroidal arhente anti-ukudumba, iihomoni. Inika unyango ezibanzi. Iindlela kakhulu iintlobo ukukhathalelwa kolusu zesifo corticosteroids, methotrexate kunye antimalarials. amafutha hormone wagcoba waya kummandla ochaphazelekayo, njengoko machiza asetyenziswa ngaphakathi. Ukongeza kwezi mali, izigulane zaye elawulwa amayeza umthomalalisi kwaye kwezinye iimeko, anti-depressants.

utshintsho Skin, apho amaxhoba yimbonakalo nefuthe elibi imeko ngokubanzi. Isigulana kulo mzekelo udangele fixated kwi ingxaki. Sarcoidosis isikhumba ingakumbi kunefuthe elibi nezengqondo yesigulana. It is a eqhubekayo: yokuwa ngakumbi kuphakamisa uphuhliso sifo ngokuvuselela imbonakalo izilonda ezintsha. Kwakhona, ngaphandle amalungiselelo ngasentla oxhulumene kunye neenkqubo physiotherapeutic: ultrasound, laser kunye electrophoresis kunye hydrocortisone. Okwangoku, esi sifo ayiqondwa ngokupheleleyo. Ngoko ke, kwezinye iimeko, unyango kunzima. Oogqirha amisele iinkqubo zokusebenza ukuphelisa iimpawu.

Ulusu Sarcoidosis: Unyango amayeza intsomi

Sarcoidosis kunokunyangwa kwaye amayeza womthonyama. Eziphuhlisa ngayo yokuba granuloma ukusombulula le okukwazi efanayo uphela uya komelezwa. Njengeyeza intsomi, esetyenziswa kwesi sifo, ngokufuthi enze propolis tincture. Inokubuyiselwa zingathengwa ekhemesti kwaye yokuyenza ngokwakho. Ukuza kuthi ga ngoku, 100 g propolis kuyimfuneko ukuba inyanzelise kwibhotile yevodka inyanga. Ukusetyenziswa kwezi zilandelayo: amathontsi 25-30 unyityilikiswa emanzini ebilisiweyo okanye ubisi kusela kanye ngemini kusasa, ungatyanga. Course - iintsuku 28.

Sarcoidosis kudla kunyangwa imifuno. Umzekelo, le ukusetyenziswa njongo tincture iigumbagumba pink. 15-20 amathontsi iyeza ukunyibilika emanzini abilayo. Thatha kusasa phambi kwesidlo sakusasa kunye adle. Iindlela kufuneka asele iikhosi ezimbini, nganye kuzo ziintsuku-25. Umda phakathi kwabo ziiveki 2. Kwakhona iziphumo ezilungileyo iti esintu, ezibandakanya marshmallow ingcambu, iziqu oregano kunye lobulumko, iintyatyambo marigold, amagqabi intaka yedwa kunye ngeplantain. izithako segesi kufuneka ezixutywe alinganayo. Emva koko 1 tbsp. l. Galela abilayo umxube wamanzi (1.5 iikomityi). Sokufaka ngeyure enye ngendlela efakwe. Thatha 2 tbsp. l. kane ngemini. Ikhosi ye unyango - iintsuku 28. Break - ngeveki. Ngoko ke kufuneka ukuba uphinde amaxesha 4.

decoction ngempumelelo kakhulu izithole seediliya. Kuyimfuneko ukuba imbiza ibile amasetyana ngokwamaqela 300 g neelitha 1.5 zamanzi. Ukuphekela imizuzu eli-15-20, epholileyo uhlobo. Sela ubusi yeti, 100-200 g ngosuku. Iti anazo iimpawu umthomalalisi ngamagqabi zomgamtriya, nto leyo nayo asetyenziswe kwesi sifo. Kusasa kufuneka agcwalise 50 g amagqabi nakhandiweyo, uthululele thermos ilitha, nesiqingatha yamanzi. Evening usele 100 g ye nokuhlanganiswa ezinobusi.

Kubalulekile ukuphawula ukuba decoctions ingqalelo esetyenziswa ukunyanga sarcoidosis ngaphakathi nje kuphela, kodwa ngohlobo lotions (ngaphandle yeti zomgamtriya). yetswele mafutha kwakhona kucetyiswa kwi lokuqala sifo. ukuba iphekwe ngolu hlobo lulandelayo: riki ya ugalelwe ioli zikajongilanga ibhekiselwe nolusu. Phakathi kwezinye izinto, ungenza ukwenza ibhafu kunye silumko, chamomile, calendula kunye ulandelelwano.

izincomo

Kukho iqela lezindululo, ukuthobela leyo eya kuba negalelo khona ibuyambo ekhawulezileyo ngakumbi. Ngenxa yoko, amanyathelo othintelo nxamnye ukwenzeka sifo akakho. Nangona kunjalo, kukho ezinye iingcebiso eziya kunceda ekunciphiseni ubungozi sarcoidosis. Ezi ziquka: ukugcina ubomi obusempilweni (inicotine ukurhoxiswa), unyango lwezifo ezibangela buthathaka sifo, ukuthotyelwa ukutya non-engqongqo kunye ukutya uhlobo oluthile lokutya. Ukutya kufuneka ityiwe amaxesha 5-6 ngosuku iinxalenye ezincinane. Enye into ebalulekileyo eziphilayo kuloo ndawo, kwakunye nemfuneko bangenele uviwo lonyango ngokupheleleyo ekliniki.

Ukuba ngaphandle yomxhesho iimveliso zobisi, ukunciphisa ukusetyenziswa iilekese kunye netyuwa. Kodwa ke inani iziqhamo kunye nemifuno, phezu koko, ukwandisa. Kufuneka ukhethe iziqhamo kunye nomxholo ephezulu ivithamin C Ukuze ngaphandle ulusu ukunxibelelana izinto zibe nerusi esinokubangela ukuluma kunye uyaliwa. Ukuba isigulana ukuba ukunika unyango olwaneleyo systemic, isifo uya ukwehla ngokukhawuleza. Iminyaka Life asizichaphazeli esi sifo.

biopsy

indlela kakhulu olululo yinto biopsy ukuba mana ngaphambili sarcoidosis. Isetyenziswa uxilongo lokuqala lwesifo ngokusebenzisa iinkqubo kancinane wesibeleko esigqibeleleyo. Xa sarcoidosis banokuchaphazeleka ngamalungu ezahlukeneyo neenkqubo zomzimba. Ngaxeshanye nesi sifo solusu zingachaphazela iindawo nkovu, isibindi, udakada, intliziyo kunye nenkqubo luvo. Ukuba isigulane ifumaneka isikhumba sarcoidosis, kufuneka bangenele uviwo olupheleleyo. Ngenxa yokuba kukho badla nqa kunye nezinye izigqeba kunye nokugula.

izilonda ethile nonspecific

izilonda Cutaneous zahlulwe zibe ezithile kunye nonspecific. Qwalasela uhlobo lokuqala. Kucebisa erythema nodosum lwenzeka ngaphandle ibangela deformations, kodwa luphawulwa ngemfesane ukuze Ngokucofa. Isenokuba ikhatshwe samathambo, nomkhuhlane. Ngexesha exacerbation izifo kwakhona lwenzeka lidiniwe irhashalala, okuhlala malunga 3-6 iiveki. Kuphuhliso Ekuqaleni sifo kuvela obudaywe efudumeleyo iindawo ezibuhlungu eziphelweni asezantsi. imfundo mazwe, ubukhulu ovela cm-1 ukuya kwisi-5, ingatshintshwa izihlandlo eziliqela umbala wabo obomvu nemfusa eqaqambileyo ube tyheli noluhlaza. Nkulumo kuvame ulandelwe. Nodes becala aphilise ngaphandle loloyiko. Iimpawu Non-ngqo iquka calcification kunye limfodemu.

Sarcoidosis esikhumba, iimpawu ezo zazikho izilonda ezithile idla uhlobo maculopapular. Kukho iipokotho ngokubomvu brown okanye ozuba umbala, ubungakanani ifikelela ngaphantsi kwe-1 cm. Ukhuthaza ebusweni, entanyeni, imilebe, iindlebe, imilenze kunye umva eliphezulu. granulomas kamabonwakude musa ukungqinela iimpawu zosulelo. amanxeba Old, nto leyo ke, ngenxa yaso nasiphi na isizathu, kuxhomekeke umonakalo, ibe angena yi granulomas sarcoid.

survey

Xa nesifo ekuthiwa sarcoidosis ngokuqhelekileyo kuquka inkqubo sifo solusu biopsy kunye nohlalutyo igazi jikelele kunye nokuchongwa le leukocyte olungumgubo zegazi count. Kule ukugula, kwezinye iimeko, a leukopenia, trombotsitopepiya, ianemia, i ixhaphakileyo - eosinophilia, kunciphise isikhumba reactivity, hypergammaglobulinemia. Ukongeza, izigulane bavavanywa umxholo ikhalsiyam kule mihla umchamo negazi serum. Isiqingatha izigulane waba hypercalciuria, 13% - hypercalcemia. Uhlaziyo serum ACF. In ngaphezu kwesiqingatha kuwo kwaphakanyiswa kwizigulane. Ngaphandle, kunye nobume negazi. Kufuneka kwakhona ingqalelo ukwanda ESR kunye namaqumrhu anti-nuclear.

Xa sarcoidosis enze esifubeni X-reyi kwaye Itomography ngekhompyutha, njengoko ngokufuthi esi sifo lukhatshwa ukoyiswa kwazo. Kuba ukuxilongwa nangaphezulu biopsy ulusu lwenziwa, emva koko izinto ababandakanya dermis kunye namanqatha ongama sibhekiswe iimviwo histological.

itye

Kuba ukululama kufuneka ithobele izidlo ethile, equka iimveliso eziqulathe omega-3 asidi okunamafutha. Yenza imveliso emzimbeni, ezo ezijoliswe ekunciphiseni komtshiso oko. Ngaphandle fish oil begusha neflakisi iimbewu, kufuneka utye iziqhamo, imifuno kunye neenqoba. Kulo mzekelo, kufuneka aphelise ezo ukutya kwandisa ingozi komtshiso oko. Umzekelo, neviniga kunye nezinye uhlobo zokwenziwa asidi. Kuyimfuneko ukuba zinciphise ukusetyenziswa iswekile, iimveliso umgubo, okroqiweyo, okunencasa, sauce okuneziqholo condiments, iziselo ezibandayo, iimveliso zobisi.

Kule nqaku siye saqwalasela isifo esingaqhelekanga-sarcoidosis yesikhumba, iifoto kunye neempawu ezibonisa ngokucacileyo ukubonakaliswa kliniki kwesi sifo. Unyango luqhutyelwa kakhulu ngamachiza e-hormonal. Ukubhengezwa phambi kwefomu elibi kakhulu kudla ngokufanelekileyo. Unyango luvame ukumiselwa kwisithuba sengqesho.