Vasculitis yog lub npe dav dav rau qee yam kab mob ntawm cov hlab ntsha, nrog rau kev mob thiab kev puas tsuaj ntawm phab ntsa ntawm cov hlab ntsha. Lwm lub npe rau cov kab mob no yog angiitis thiab arteritis. Cov tsos mob ntawm vasculitis zoo ib yam li cov tsos mob ntawm atherosclerosis: cov phab ntsa ntawm capillaries, cov hlab ntsha thiab cov hlab ntsha thicken, uas txo cov lumen ntawm cov ntshav khiav thiab cuam tshuam cov ntshav ncig. Oxygen starvation tshwm sim nyob rau hauv lub nruab nrog cev thiab cov ntaub so ntswg, vim hais tias raws li ib tug tshwm sim ntawm circulatory ntshawv siab, lawv cov khoom noj tsis txaus yuav tsis muab. Qhov no dhau los ua qhov tseem ceeb ntawm kev ua tsis tiav hauv lawv txoj haujlwm.
Type of vasculitis
Muaj ntau qhov kev faib tawm thiab cov ntaub ntawv ntawm vasculitis: cov tsos mob ntawm tus kab mob tau muab faib ua thawj (tshwm sim raws li qhov tshwm sim ywj pheej) thiab theem nrab (feem ntau tshwm sim tawm tsam keeb kwm ntawm lwm yam pathologies). Nyob rau hauv lem, cov kev tshwm sim hais txog cov thawj pab pawg neeg yog muab faib ua peb hom raws li hom vascular o.
mob plabme me capillaries, arterioles, venules:
Hemorrhagic vasculitis (Schönlein-Genoch kab mob, tsis haum purpura lossis capillary toxicosis), uas tshwm sim raws li kev mob ntawm cov hlab ntsha ntawm microvasculature nrog thawj qhov txhab ntawm daim tawv nqaij, pob qij txha, plab hnyuv thiab ob lub raum. Tus kab mob tuaj yeem tshwm sim los ntawm kab mob herpes, ARVI thiab kab mob khaub thuas, nrog rau cov kab mob (mycoplasma, streptococci, mycobacteria staphylococci, cov kab mob ntawm cov kab mob lom zaub mov). Cov kab mob parasitic tuaj yeem ua rau cov tsos mob ntawm vasculitis. Qee tus kws tshaj lij ntseeg tias cov xwm txheej no thiab keeb kwm yog xav tau rau kev txhim kho pathology
Lub tshuab ntawm qhov tshwm sim ntawm vasculitis yog txuam nrog kev tsim ntawm lub cev tiv thaiv kab mob. Tsiv mus rau hauv cov hlab ntsha, lawv txuas rau ntawm phab ntsa ntawm cov hlab ntsha me me thiab ua rau nws puas tsuaj thiab o. Nyob rau hauv cov chav kawm ntawm txoj kev loj hlob ntawm tus kab mob, muaj ib tug nce nyob rau hauv lub permeability ntawm phab ntsa, deposition ntawm fibrins ntawm thrombotic masses, uas ua rau hemorrhagic syndrome thiab microthrombosis..
- Wegener's granulomatosis, tshwm sim nyob rau hauv daim ntawv ntawm ulcerative necrotic rhinitis, infiltration ntawm lub ntsws cov ntaub so ntswg nrog lwj, polymorphic daim tawv nqaij ua pob, polyarthralgia. Nyob rau hauv tus txheej txheem ntawm kev loj hlob ntawm Wegener's granulomatosis, ob peb theem ntawm tus kab mob yog txawv. Thawj theem yog nrog los ntawm ib lub tsev kho mob purulent-necrotic los yog ulcerative-necrotic rhinosinusitis, laryngitis, kev hloov ntawm pob txha thiab pob txha mos moj khaum ntawm lub qhov ntswg septum thiab orbit. Qhov thib ob theem - lub ntsws parenchyma koom nrog hauv chav kawm pathological. Nyob rau theem peb, lojKev hloov pauv tshwm sim nyob rau hauv cov ntaub so ntswg ntawm cov hlab ntsws qis, lub plab zom mov thiab cov hlab plawv, thiab ob lub raum. Qhov thib plaub theem yog qhia los ntawm pulmonary, plawv los yog lub raum insufficiency thiab ua rau tuag nyob rau hauv ib xyoos txij li thaum pib ntawm txoj kev loj hlob ntawm pathology.
- Microscopic polyangiitis cuam tshuam rau ntawm daim tawv nqaij, lub ntsws thiab lub raum. Nyob rau hauv thawj theem ntawm tus kab mob, subfebrile lub cev kub, tsis muaj zog, thiab malaise tshwm sim. Qee cov neeg mob pom qhov mob ntawm lub ntsws sab sauv thiab qhov muag pom. Cov teebmeem no thim rov qab thiab tuaj yeem kho nrog cov tshuaj tiv thaiv kab mob.
- Cryoglobulinemic vasculitis, cov tsos mob ntawm cov tsos mob yuav tshwm sim txawv ntawm txhua tus neeg mob. Feem ntau cov no yog cov tawv nqaij tshwm sim nyob rau hauv daim ntawv ntawm cov nqaij mos necrosis, rwj, gangrene.
Nrog rau txoj kev loj hlob ntawm tus kab mob no, cryoglobulins yog tsim nyob rau hauv tus neeg mob cov ntshav, uas yog protein compounds uas, thaum interacting nrog antibodies, tig mus rau insoluble complexes. Circulating nyob rau hauv cov hlab ntsha, nws nkag mus rau hauv cov phab ntsa ntawm cov hlab ntsha thiab nws thiaj li ua kom puas. Nws tau raug tsim los hais tias cov kab mob no muaj ntau dua rau cov neeg muaj kab mob siab C. Txawm li cas los xij, vasculitis tuaj yeem txhim kho ntawm nws tus kheej, tsis muaj kab mob.
Charge-Strauss syndrome tshwm sim nws tus kheej hauv daim ntawv ntawm o uas cuam tshuam nrog kev ua pa, tuaj yeem cuam tshuam rau cov hlab ntsha me thiab nruab nrab. Cov tsos mob thiab ua rau cov kab mob vasculitis no cuam tshuam nrog kev tiv thaiv kab mob, thrombosis, nce permeability thiab fragility ntawm cov hlab ntsha. Cov kab mob kis kab mob thiab kab mob tuaj yeem dhau los ua tus provocateurs ntawm no,Kev txhaj tshuaj tiv thaiv thiab kev tsis haum tshuaj, kev ntxhov siab, cev xeeb tub thiab yug menyuam
Kev puas tsuaj ntawm lub nkoj nruab nrab:
- Periarteritis nodosa yog tus cwj pwm los ntawm kev hloov pauv-necrotic hauv me thiab nruab nrab visceral thiab peripheral hlab ntsha. Ntawm no, kev kis kab mob thiab lub cev nyiam ua kom muaj zog coagulation thiab thrombosis ua lub luag haujlwm hauv kev loj hlob ntawm tus kab mob. Nws muaj ib tug benign los yog malignant cim. Nyob rau hauv thawj variant, nws loj hlob maj mam. Kev loj hlob sai yog txuam nrog raum tsis ua haujlwm. Txoj kev loj hlob sai ntawm cov kab mob tsis tshua muaj thiab ua rau tuag.
- Kawasaki kab mob yog ib qho tsis tshua muaj kev tiv thaiv kab mob tsis tshua muaj kab mob ntawm cov hlab ntsha ntawm ntau yam calibers, tshwm sim hauv cov menyuam yaus ntawm thawj xyoo ntawm lub neej. Nws tseem yog qhov nthuav tias daim ntawv ntawm tus kab mob no feem ntau tshwm sim hauv cov neeg sawv cev ntawm haiv neeg Esxias, uas qhia txog caj ces thiab keeb kwm ntawm kev loj hlob ntawm tus kab mob.
Kab mob ntawm cov hlab ntsha loj thiab cov hlab ntsha:
- Giant cell temporal arteritis (tseem hu ua temporal arteritis lossis Horton's disease), cuam tshuam rau cov hlab ntsha loj thiab nruab nrab hauv nruab nrab thiab cov hlab ntsha extracranial. Cov yam uas ua rau tus kab mob no yog kab mob kis kab mob (hepatitis, SARS, herpes) ua ke nrog cov caj ces predisposition.
- Takayasu tus kab mob yog ib qho mob ntawm lub aorta thiab cov hlab ntsha loj. Kev kho mob ntawm daim ntawv no ntawm tus kab mob: tsis muaj zog, mob nyob rau hauv cov ceg, loog loog thiab pallor ntawm integument, tsis muaj mem tes. Muaj peev xwm sib txawv hauv kev nyeem lub plawv dhiantawm sab laug thiab sab tes xis.
Cov tsos mob tseem ceeb ntawm vasculitis tuaj yeem nyob hauv ob qho tib si ntawm daim tawv nqaij thiab hauv nruab nrog cev. Lawv tuaj yeem tshwm sim rau ntau yam laj thawj thiab muaj qhov sib txawv ntawm qhov hnyav. Muaj ntau hom kab mob no: muaj vasculitis ntawm lub hlwb, qhov muag, lub ntsws, qis extremities.
Secondary vasculitis
Secondary vasculitis tshwm sim tawm tsam keeb kwm ntawm kev kis kab mob thiab oncological neoplasms. Daim ntawv ntawm tus kab mob no yuav tsum tau kho los ntawm tus kws kho mob tshwj xeeb los yog tus kws kho mob oncologist, raws li, kom txog rau thaum lub exacerbation yog relieved. Yog tias kev kho mob los ntawm tus kws kho mob tshwj xeeb tsis tau zoo txaus, koj yuav tsum hu rau tus kws kho mob rheumatologist kom kuaj ntxiv.
Vasculitis: tus kab mob no yog dab tsi?
Cov kws kho mob feem ntau koom nrog qhov ua rau muaj tus kab mob uas tsis muaj zog tiv thaiv kab mob tshwm sim los ntawm cov tsos mob ntawm tus kab mob. Cov txheej txheem inflammatory uas tshwm sim hauv cov kab mob ntawm cov kab mob no cuam tshuam rau txheej ntawm cov phab ntsa vascular.
Tus kab mob no puas tsuaj: nws cuam tshuam qhov patency ntawm cov hlab ntsha thiab cov hlab ntsha, thiab tseem ua rau lawv cov kab mob microcirculatory. Raws li qhov tshwm sim ntawm qhov tsis muaj oxygen thiab cov as-ham, feem ntau nws xaus nrog lub cev ischemia, necrosis lossis infarction.
Txoj kev sib txawv ntawm cov txheej txheem pathological no tuaj yeem pom lawv tus kheej hauv cov neeg muaj hnub nyoog sib txawv. Yog li, piv txwv li, cov tsos mob ntawm hemorrhagic vasculitis (feem ntau tshwm sim los ntawm cov kab mob sib kis) tshwm sim hauv cov menyuam yaus hnub nyoog 4 txog 14 xyoos. kos npeperiarteritis nodosa tshwm sim feem ntau hauv cov txiv neej cov pej xeem ntawm 30 txog 50 xyoo. Horton tus kab mob muaj ntau dua rau cov neeg laus. Kab mob Kawasaki tshwm sim hauv cov menyuam yaus hnub nyoog qis dua 5 xyoos, thiab muaj ntau dua rau cov neeg ntawm haiv neeg daj. Takayasu tus kab mob feem ntau cuam tshuam rau cov neeg muaj hnub nyoog qis dua 40.
Nrog rau cov vasculitis theem nrab, kev kho mob ntawm cov tsos mob (ua rau - muaj lwm cov txheej txheem inflammatory hauv lub cev) tuaj yeem nyuaj. Tshwj xeeb tshaj yog feem ntau qhov tshwm sim tshwm sim hauv cov txiv neej hnub nyoog nruab nrab.
Kev kho mob tshwm sim ntawm cov kab mob vasculitis feem ntau tshwm sim hauv ntau hom kub taub hau, ua npaws, tsis muaj zog, tsis qab los noj mov thiab poob sai sai. Rau cov kev tshwm sim no yog ntxiv cov tsos mob ntawm kev swb ntawm qee lub tshuab.
Vasculitis: ua rau, tsos mob
Qhov tseeb ntawm tus kab mob no tsis tau tsim. Ntawm cov kws kho mob, muaj kev xav tias tus kab mob no yog caj ces nyob rau hauv cov xwm thiab tau txais los ntawm ntau tiam neeg. Ntawm no, qhov tshwm sim ntawm cov kab mob autoimmune nyob rau hauv lub cev thiab kab mob nrog cov kab mob pathogenic ua lub luag haujlwm tsis zoo.
Nws ntseeg tau tias cov tsos mob tseem ceeb ntawm vasculitis tuaj yeem tshwm sim vim kev tsis haum ntawm lub cev, tom qab txhaj tshuaj tiv thaiv, tom qab raug mob hnyav, hypothermia thiab lom nrog tshuaj lom neeg thiab tshuaj lom neeg.
Tib lub sijhawm, cov tsos mob ntawm tus kab mob thaum muaj ntau yam kabmob thiab lub cev ntawm lub cev raug cuam tshuam tuaj yeem muaj ntau yam tshwm sim:
- Thaum lub ntsws raug cuam tshuam, nws tshwmUa tsis taus pa, hnoos haum, txhaws ntswg thiab ntu ntawm hemoptysis.
- Yog lub raum puas lawm ces yeej yuav o thiab ntshav siab.
- daim tawv nqaij daim tawv nqaij yuav tshwm sim raws li pob khaus, rwj, gangrene. Cov ntiv tes xiav lossis dawb yog cov tsos mob ntawm vasculitis.
- Thaum cov mucous daim nyias nyias raug cuam tshuam, qhov mob thiab pob khaus tshwm.
- Thaum lub cev musculoskeletal raug cuam tshuam, cov leeg mob hnyav thiab mob pob qij txha thiab o tshwm sim.
- Qhov muag puas yog nrog liab thiab mob ntawm qhov muag, tsis pom kev.
- Cov txheej txheem pathological hauv ENT kab mob yog nrog los ntawm kev tawm thiab los ntshav los ntawm lub qhov ntswg thiab pob ntseg, hnov qab, deformity ntawm lub nraub qaum ntawm lub qhov ntswg, tsis hnov lus thiab hnov tsw.
- Cov txheej txheem uas cuam tshuam rau lub paj hlwb yog nrog los ntawm convulsions, tshee hnyo, kiv taub hau, qaug dab peg, impaired motor function.
- Thaum lub plab zom mov raug cuam tshuam, mob plab, raws plab, ntshav hauv cov quav yuav tshwm sim.
- Nrog cov kab mob ntawm cov hlab plawv, cov tsos mob tshwm sim los ntawm qhov mob tom qab sternum, cuam tshuam hauv kev ua haujlwm ntawm lub plawv, nce ntshav siab, tsis muaj mem tes hauv caj npab lossis txhais ceg.
Lwm cov tsos mob
Yog tias koj tshuaj xyuas vasculitis, koj tuaj yeem txheeb xyuas cov tsos mob uas zoo ib yam ntawm txhua hom thiab hom kab mob. Cov neeg mob muaj qhov nce hauv lub cev kub, poob phaus, poob ntawm qhov tseem ceeb.
Nyob rau hauv lub chaw soj ntsuam kev soj ntsuam ntawm tus neeg mob, feem ntauESR nrawm, nce hauv C-reactive protein, fibrinogen, thiab nce ntawm cov leukocytes raug kuaj pom. Kev kuaj ntshav thiab zis feem ntau qhia tau tias lub raum puas.
Qee zaum nws nyuaj heev kom nkag siab tias nws yog vasculitis. Kev kuaj mob tuaj yeem siv sijhawm ntev, txij li lub tsev kho mob ntawm tus kab mob no maj mam thiab feem ntau tshem tawm.
Kev kuaj kab mob
Qhov tshwm sim ntawm kev tsis suav nrog kev puas tsuaj rau lub cev tseem ceeb thiab ua tsis tiav hauv lawv txoj haujlwm yog nyob ntawm lub sijhawm los txiav txim siab qhov tshwm sim ntawm pathological, tsim kev kuaj mob thiab kev kho mob. Kev ntsuam xyuas tseem ceeb yog kws kho mob rheumatologist, txawm li cas los xij, yog tias tsim nyog, kev sab laj ntawm lwm tus kws kho mob tshwj xeeb (ophthalmologist, neurologist, otolaryngologist, thiab lwm yam) tuaj yeem raug xaiv.
Kev kuaj mob vasculitis (cov tsos mob, cov tsos mob, ua rau muaj tus kab mob tshwm sim tau ua tib zoo kawm hauv daim ntawv tshuaj ntsuam xyuas lub cev) tsuas yog thaum kawm kev sim kuaj. Thaum txiav txim siab tus kab mob, tus neeg mob lub hnub nyoog raug coj mus rau hauv tus account, kev soj ntsuam thiab kuaj cov txiaj ntsig tau muab piv, thiab lwm yam kab mob raug cais tawm.
Thaum noj cov ntshav los ntawm tus neeg mob, cov cim qhia tsis tshwj xeeb ntawm kev mob nruab nrab feem ntau pom: acceleration ntawm ESR, nce C-reactive protein, fibrinogen, nce cov leukocytes, platelets thiab eosinophils. Hauv kev tshuaj ntsuam biochemical ntawm cov ntshav, qhov nce hauv immunoglobulin A thiab CRP tau sau tseg. Urinalysis qhia pom cov tsos mob ntawm hematuria, proteinuria, cylindruria.
Cov txiaj ntsig yuav qhia tau tias muaj cov txheej txheem pathologicalcoagulograms. Qhov tsis muaj cov ntaub ntawv ntawm cov ntshav txhaws hauv qhov tshwm sim ntawm cov tsos mob tshwm sim qhia meej tias muaj tus kab mob.
Thaum kuaj pom tus kab mob no, kev kuaj xyuas tus neeg mob tau ua tiav. Nco ntsoov xaiv electrocardiography (ECG), echocardiography, ultrasound, radiography, thiab lwm yam kev kuaj mob. Txhawm rau kom paub meej qhov kev kuaj mob, kev kuaj ntshav biopsy ntawm cov ntaub so ntswg cuam tshuam thiab lawv cov kev tshawb fawb morphological tom ntej yog tsim nyog.
Nyob rau hauv cov mob hnyav, kev kuaj tawv nqaij yuav ua tau. Raws li kev soj ntsuam histological nyob rau hauv lub xub ntiag ntawm vasculitis, deposits ntawm A thiab CEC yog feem ntau pom nyob rau hauv lub endothelium thiab nyob rau hauv lub vascular phab ntsa ntawm cov hlab ntsha, hlab ntsha thiab capillaries lawv tus kheej, tso cov ntshav hais tawm sab nraum lub vascular system thiab cov tsos ntawm cov hlab ntsha. microthrombosis.
Txoj kev kho mob
Vasculitis, nyob rau hauv tag nrho nws cov tshwm sim, yog kho raws li cov txheej txheem ntawm kev kho mob. Ib qho tshwj xeeb ntawm no yog kev siv tshuaj tiv thaiv kab mob. Cov tshuaj ntawm qhov kev taw qhia no tsis tso cai rau lub cev tiv thaiv kab mob tua nws cov hlwb noj qab haus huv. Tsis tas li ntawd, cov tshuaj tiv thaiv kab mob tuaj yeem raug sau tseg. Feem ntau, ob qho kev qhia ntawm cov kev kho mob no ua ke nrog cov tshuaj glucocorticosteroid thiab cytostatics.
Cov theem tseem ceeb ntawm kev kho mob ntawm ntau hom vasculitis yog: kev tawm tsam ntawm kev tiv thaiv kab mob tsis txaus ntawm lub cev, kev siv tshuaj tiv thaiv kab mob, kho cov teeb meem hauv lub cev thiab kho ntxiv.
tshuajKev kho rau cov kab mob no suav nrog kev tiv thaiv kab mob thiab kev tiv thaiv kab mob nrog cov tshuaj corticosteroid hormonal. Cov neeg sawv cev nrov tshaj plaws ntawm no yog prednisolone lossis dexamethasone. Lawv muab tshem tawm sai sai ntawm edema ntawm cov ntaub so ntswg vascular thiab txo qhov kev pheej hmoo ntawm ischemic syndromes.
Cov ntawv kho mob ntawm cov teebmeem cytostatic tau sau tseg hauv kev kuaj mob thiab kho cov tsos mob ntawm vasculitis nrog kev puas tsuaj rau lub hauv paus paj hlwb, kev loj hlob ntawm tus kab mob, malignant lub raum kub siab thiab tsis muaj txiaj ntsig ntawm kev kho hormonal. Cov no suav nrog cov tshuaj xws li "Cyclophosphan". Nyob rau hauv cov ntaub ntawv loj ntawm tus kab mob, kev siv tshuaj kho mob siab raws li Cyclophosphan thiab prednisolone yog siv. Nyob rau tib lub sijhawm, cov tshuaj tuaj yeem raug sau tseg uas txhawb nqa vasodilation thiab tiv thaiv cov ntshav txhaws - Trental, Curantil.
Cov kev kho mob uas muaj cov tshuaj tiv thaiv coagulants thiab cov tshuaj antiplatelet raug tshuaj rau qhov tshwm sim ntawm hypercoagulation thiab DIC. Nyob rau hauv cov ntaub ntawv ntawm kev ua txhaum ntawm peripheral microcirculation, nicotinic acid thiab nws cov derivatives raug tshuaj. Tsis tas li ntawd, hauv kev kho cov tsos mob thiab cov kab mob vasculitis (uas yog tshwm sim los ntawm kev tiv thaiv kab mob), angioprotectors, vasodilators, calcium channel blockers yog siv.
Txoj hauv kev zoo hauv kev kho cov kab mob vasculitis yog ntu ntawm hemocorrection, uas tso cai rau tshem tawm cov kab mob thiab kev tiv thaiv kab mob los ntawm cov ntshav. Nrog cov kev kawm nyuaj ntawm xws li pathologies, pom zooKev koom tes ntawm tus kws kho mob rheumatologist, nephrologist, pulmonologist, otolaryngologist, neurologist, kws phais mob, kws kho qhov muag thiab lwm tus kws kho mob tshwj xeeb.
Plasmapheresis, heme-oxygenation thiab ultraviolet ntshav irradiation yog cov niaj hnub kho cov kab mob ntawm hom no.
Txoj kev tsis sib xws
Raws li kev kho mob rau cov tsos mob thiab ua rau vasculitis nrog pej xeem cov tshuaj, lwm yam tshuaj qhia siv ntau yam tshuaj ntsuab thiab infusions. Nov yog qee cov zaub mov txawv:
- Ib qho sib xyaw ntawm elderberry inflorescences, yarrow, Japanese sophora berries thiab qhuav nettles sib tov sib npaug. Noj 8 tablespoons thiab ncuav ib liter ntawm boiling dej, tawm rau ib teev, lim thiab haus 1 khob peb zaug ib hnub twg.
- Chop thiab sib tov sib npaug ntawm calendula florets, elderberries, mint nplooj, poplar buds, yarrow thiab horsetail. Brew nyob rau hauv ib nrab ib liter ntawm boiling dej, hais rau ib teev thiab haus ib nrab ib khob ob zaug ib hnub twg.
- Cov neeg uas paub ua ntej yam kab mob - vasculitis, pom zoo brewing tshuaj ntsuab ntawm tansy, wormwood, immortelle, elecampane thiab hais nyob rau hauv ib tug thermos. Npaj sib tov siv 3 tbsp. diav ob zaug ib hnub ua ntej noj mov.
- Tsis yog qhov phem txo qis kev ua xua tshwm sim ntawm vasculitis bergenia: 40 grams ntawm qhuav thiab tws tshuaj ntsuab ncuav 0.3 liv ntawm boiling dej thiab insisting ib hmos. Ntxiv zib mu thiab haus ib yam li tshuaj yej.
- Licorice tincture, uas muaj cov tshuaj corticosteroids ntuj, tau noj 5 zaug hauv ib hnub, 1 diav.
- Nrog vasculitis feem ntauIb decoction ntawm ib tug sib tov ntawm plantain, buckwheat, qus sawv, blackcurrant, St. John's wort thiab knotweed yog pom zoo.
- Cov kua txiv hmab txiv ntoo tshiab tshiab kuj tseem siv tau los kho cov tsos mob vasculitis thiab tiv thaiv kab mob.
Thaum tshwm sim nyob rau hauv daim ntawv ntawm subcutaneous hemorrhages, nws raug nquahu kom ua compresses los ntawm ntoo thuv resin. Ua li no, ib khob ntawm cov khoom yog rhuab nyob rau hauv ib da dej, 3 tablespoons beeswax thiab 40 grams ntawm tej zaub roj yog tov. Lub resulting muaj pes tsawg leeg yog stirred kom txog thaum ib homogeneous loj, txias thiab thov nyob rau hauv daim ntawv ntawm compresses rau hmo ntuj.
Tshuaj yej ntsuab muaj txiaj ntsig zoo rau lub xeev ntawm cov hlab ntsha. Tsis tu ncua haus cawv tinctures ntawm eleutherococcus, ginseng los yog lure tshuaj ntsuab kuj pom zoo rau vasculitis.
Kev kuaj mob vasculitis
mob vasculitis me me daws nws tus kheej. Ntau pathologies xav tau kev kho mob raws li kev saib xyuas tas li. Nrog rau kev loj hlob sai ntawm tus kab mob, tus neeg mob yuav tuag nyob rau hauv ob peb hnub tom qab pib ntawm tus kab mob, thiab qhov no feem ntau yog txuam nrog kev puas tsuaj rau cov hlab ntsha ntawm lub hauv nruab nrab lub paj hlwb thiab intracerebral hemorrhages.
tiv thaiv kab mob
Tiv thaiv cov tsos mob ntawm vasculitis los ntawm lawv kev tiv thaiv thiab tshem tawm cov tsos mob tseem ceeb. Ua li no, nws raug nquahu kom ua kom tawv thiab ntxiv dag zog rau lub cev hauv txhua txoj hauv kev. Kev noj qab haus huv-kev txhim kho gymnastics, ua luam dej, taug kev tsis tu ncua hauv huab cua ntshiab, ua kom lub cev muaj zog, noj qab haus huv,Kev kho mob raws sij hawm ntawm txhua yam kab mob, kev tsis lees paub tus cwj pwm phem, ua raws li kev ua haujlwm ntawm kev ua haujlwm thiab kev so zoo - cov no yog cov txheej txheem tseem ceeb ntawm kev tiv thaiv kab mob.
