Hemorrhagic vasculitis hauv cov neeg laus: kev kho mob, tsos mob, ua rau, duab

Cov txheej txheem:

Hemorrhagic vasculitis hauv cov neeg laus: kev kho mob, tsos mob, ua rau, duab
Hemorrhagic vasculitis hauv cov neeg laus: kev kho mob, tsos mob, ua rau, duab

Video: Hemorrhagic vasculitis hauv cov neeg laus: kev kho mob, tsos mob, ua rau, duab

Video: Hemorrhagic vasculitis hauv cov neeg laus: kev kho mob, tsos mob, ua rau, duab
Video: Qhov tseem ceeb ntawm koj mus txhaj koob tshuaj COVID-19 rau zaum ob (Hmong) 2024, Lub rau hli ntuj
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Hemorrhagic vasculitis yog ib yam kab mob uas yog ib feem ntawm cov kab mob tseem ceeb uas feem ntau cuam tshuam rau cov tub ntxhais hluas. Tus kab mob manifests nws tus kheej nyob rau hauv daim ntawv ntawm arthralgia, microthrombosis, palpable purpura thiab malfunctions ntawm lub plab thiab hnyuv. Tus kab mob no tshwm sim nrog kev rov tshwm sim tsis tu ncua, qee zaum, lub raum tsis ua haujlwm yuav tshwm sim. Pathology tau kawm los ntawm cov kws tshawb fawb tau ntev, tab sis tseem tsis muaj cov ntaub ntawv tseeb ntawm etiology, pathogenesis thiab txoj kev kho. Tsis tas li ntawd, tseem tsis muaj kev faib tawm meej, yog li lub ntsiab lus nyuaj rau npog. Cia peb saib yuav ua li cas hemorrhagic vasculitis zoo li cov neeg laus hauv daim duab, qhov kev kho mob twg zoo dua los ua - cov txheej txheem ib txwm siv lossis pej xeem?

Yuav ua li cas ua rau muaj tus kabmob?

Vasculitis yog tshwm sim tawm tsam keeb kwm yav dhau ntawm cov txheej txheem inflammatory hauv cov phab ntsa ntawm cov hlab ntsha. Tom qab ib lub sij hawm luv luv, cov permeability ntawm cov hlab ntsha me nce, nyob rau hauv cov khoob fibrin thiab thrombotic masses tso. Yog li ntawd, microthrombi thiab hemorrhagic syndrome tshwm. Ib tug ntawm cov npe ntawm no pathology yogCapillary toxicosis.

Kev kho mob hemorrhagic vasculitis hauv cov neeg laus
Kev kho mob hemorrhagic vasculitis hauv cov neeg laus

Kev swb ntawm cov pob qij txha me tsis txaus ntshai li cov kab mob uas cuam tshuam rau cov leeg thiab cov hlab ntsha. Qhov tseem ceeb tshaj plaws yog txhawm rau txiav txim siab qhov ua rau hemorrhagic vasculitis hauv cov neeg laus, thiab tom qab ntawd cov kev kho mob yuav raug xaiv kom raug raws li qhov ua tau. Lub ntsiab provoking yam rau txoj kev loj hlob ntawm pathology, kws kho mob txheeb xyuas cov hauv qab no:

  • kab mob tshwm sim los ntawm kab mob: trichomoniasis, av nplaum kab mob;
  • kab mob tshwm sim los ntawm cov kab mob: streptococci, mycoplasma, mycobacterium tuberculosis, staphylococci;
  • zaub mov toxic infections;
  • kis kab mob: khaub thuas, SARS, herpes;
  • tshuaj tsis haum tshuaj, khoom noj;
  • tshuaj tiv thaiv;
  • hypercooling ntawm lub cev.

Qee lub hlwb tseem ntseeg tias muaj kev pheej hmoo ntawm tus kab mob siab rau cov neeg uas muaj kev txaus siab rau qee hom kev tiv thaiv kab mob. Feem ntau, cov menyuam muaj hnub nyoog kawm ntawv tau mob, tab sis tsuas yog kis tus kabmob kis tau rau cov menyuam mos xwb.

Peb tau txiav txim siab tias dab tsi ua rau hemorrhagic vasculitis hauv cov neeg laus, kev kho mob yuav ua tau zoo tom qab kev faib cov kab mob tau qhia meej.

YKev faib tawm ntawm pathology

Muaj ntau hom kev kho mob ntawm tus kab mob:

  • xob laim;
  • dermal;
  • rheumatoid;
  • renal;
  • plab;
  • mixed.

Qhov xwm txheej ntawm pathology tuaj yeem muab faib ua ntau hom:

  • mob - kav ntev txog ob lub hlis;
  • protracted - stretchesmus txog 6 lub hlis;
  • mob - lub sijhawm ntev, nrog rau kev rov ua dua tshiab, tshem tawm thiab exacerbations.

Muaj ntau ntau qib ntawm hemorrhagic vasculitis, kev kho mob rau cov neeg laus yuav ua tau zoo tom qab lawv cov ntsiab lus tseeb:

  1. Easy. Hauv qhov no, tus neeg mob tus mob tsis ua rau muaj kev txhawj xeeb loj, pob khaus ntawm lub cev tsis tshua muaj, nrog cov foci me me, nrog rau qhov mob me me hauv pob qij txha.
  2. Average. Cov xwm txheej ntawm tus neeg mob hnyav zuj zus ntxiv, daim tawv nqaij tau npog nrog cov pob liab liab, cov pob qij txha yog qhov sib tw, qhov mob hauv peritoneum tshwm sim ib ntus.
  3. Hav. Tsis muaj zog thoob plaws hauv lub cev, angioedema, pob khaus npog feem ntau ntawm lub cev, cov kab mob tshwm sim hauv qee qhov chaw, tej zaum yuav muaj cov ntshav hauv plab thiab cov hnyuv, lub raum tsis ua haujlwm.

hemorrhagic vasculitis zoo li cas?

Hemorrhagic vasculitis pib tsim, kev kho mob ntawm cov neeg laus raug xaiv ib tus zuj zus, nrog cov pob liab liab li niaj zaus ntawm daim tawv nqaij. Cov no yog me me thiab symmetrically nyob bruises ntawm me me uas tsis ploj yog tias koj nias rau lawv.

hemorrhagic vasculitis cov tsos mob thiab kev kho mob
hemorrhagic vasculitis cov tsos mob thiab kev kho mob

Ntxiv rau, nws yuav tsum tau sau tseg:

  • pob tuaj yeem tshwm nyob ze ntawm pob qij txha lossis ntawm pob tw;
  • pob khaus tshwm sim los ntawm kev txhim kho hemorrhagic vasculitis (kev kho mob hauv cov neeg laus yuav tsum muaj txoj hauv kev tshwj xeeb) tsis tshua muaj tshwm sim ntawm daim tawv nqaij ntawm lub ntsej muag, pob tw thiab xib teg;
  • qhov sib zog ntawm pob pob tuaj yeem sib txawv - los ntawm ib qho foci mus raupawg nrog lawv cov kev sib koom ua ke tom ntej;
  • thaum lub sijhawm tuag ntawm tus kabmob, pigmentation tseem nyob ntawm daim tawv nqaij, tev tawm yog pom nyob rau hauv nws qhov chaw.

Kev kho mob tshwm sim

Qhov kev kho mob tshwm sim ntawm cov tsos mob ntawm hemorrhagic vasculitis nyob ntawm seb qhov mob hnyav ntawm tus kab mob thiab qhov chaw ntawm cov txheej txheem inflammatory. Kev kho mob ntawm tus kheej. Pathology pib loj hlob zuj zus thiab yog nrog los ntawm qhov siab ntawm lub cev mus rau febrile tooj. Muaj tsawg zaus, qhov kub yuav tsis yog.

hemorrhagic vasculitis nyob rau hauv cov neeg laus ua thiab kho
hemorrhagic vasculitis nyob rau hauv cov neeg laus ua thiab kho

Tsis tas li ntawd, tus kab mob no tshwm sim los ntawm pob khaus ntawm daim tawv nqaij ntawm qhov sib txawv. Hauv rheumatology, cov tsos mob ntawm hemorrhagic vasculitis yuav txawv (kev kho mob yuav tham me ntsis tom qab).

  1. Skin Syndrome. Daim ntawv no manifests nws tus kheej acutely thiab yog nrog kub kub, diffuse me ntsis nrog hemorrhagic ntsiab yog pom nyob rau ntawm daim tawv nqaij. Feem ntau, cov pob liab liab tshwm ntawm ob txhais ceg, pob tw, ncej puab, feem ntau hauv cov pob qij txha. Muaj tsawg zaus, nws tuaj yeem ua rau thaj tsam ntawm ceg thiab pob tw. Nyob rau hauv daim ntawv loj, pob liab tuaj yeem tsim mus rau hauv necrosis, me me rwj tshwm. Nyob rau hauv daim ntawv ntev thiab ntev ntawm pathology, tev tawm tshwm rau ntawm daim tawv nqaij.
  2. Articular Syndrome. Hom no tau pom nyob rau hauv 70% ntawm cov neeg mob hemorrhagic vasculitis, cov tsos mob thiab kev kho mob hauv cov neeg mob yuav txawv. Tab sis feem ntau hom no yog nrog los ntawm qhov mob hauv cov pob qij txha nrog kev txhim kho ntawm cov txheej txheem inflammatory. Feem ntau ntawm cov kab mob yog cov pob qij txha loj. Ntxiv rau qhov mobmuaj o nrog kev mob ntawm lub musculoskeletal system. Cov tsos mob no tuaj yeem tshwm sim thaum ntxov ntawm tus kab mob lossis thaum muaj kev loj hlob. Yog tias pib kho raws sijhawm, cov pob qij txha yuav tsis atrophy.
  3. Abdominal syndrome. Nws feem ntau tshwm sim hauv cov menyuam yaus uas muaj hemorrhagic vasculitis. Kev kho mob (niam txiv lub tswv yim lees paub qhov no) muab cov txiaj ntsig zoo yog tias nws yog raws sijhawm. Lub syndrome yog nrog los ntawm qhov mob nyob rau hauv lub peritoneum ntawm sib txawv siv, uas muaj nyob rau hauv txhua seem ntawm lub plab thiab cov hnyuv. Ntxiv nrog rau qhov mob, muaj: xeev siab, ntuav, cem quav, raws plab thiab flatulence. Nyob rau hauv daim ntawv hnyav, tsis muaj kev kho mob raws sij hawm, plab hnyuv thiab plab hnyuv los ntshav yuav tshwm sim.
  4. Nyob rau hauv Renal Syndrome. Nws tshwm sim hauv tsuas yog 25% ntawm cov neeg mob. Nrog rau cov tsos mob ntawm mob glomerulonephritis nrog hematuria lossis nephrotic syndrome. Cov tsos mob no ua rau lub raum tsis ua haujlwm thiab tuaj yeem tsim kev phom sij rau tib neeg.

Ntxiv rau cov tsos mob tseem ceeb, tus kab mob ua rau muaj kev qaug cawv, tsis qab los noj mov, tso zis tso zis.

Hauv cov neeg laus, kev kho mob hemorrhagic vasculitis yuav tsum tau raws sijhawm, vim tias nws tuaj yeem cuam tshuam rau lwm yam kabmob, ua rau cov tsos mob zoo li no:

hemorrhagic pneumonia, uas tshwm sim nws tus kheej li hnoos nrog cov hnoos qeev ntshav;

hemorrhagic vasculitis yees duab hauv kev kho neeg laus
hemorrhagic vasculitis yees duab hauv kev kho neeg laus
  • hemorrhagic myocarditis nrog kev puas tsuaj rau cov hlab ntsha thiab lub plawv;
  • hemorrhagic meningitis cuam tshuam rau cov hlab ntsha ntawm lub hlwb, nrog rau mob taub hau, chim siab, convulsions,los ntshav hauv lub hlwb, ua rau mob stroke thiab tsis taus.

Cov tsos mob ntawm tus kab mob no tau tshaj tawm thiab yuav tsum tau mus ntsib kws kho mob sai thiab xaiv kev kho tus kheej nyob ntawm qhov tshwm sim thiab tus mob.

Txoj kev kuaj mob

Peb tau saib qhov ua rau hemorrhagic vasculitis hauv cov neeg laus. Kev kwv yees, kev kho mob ntawm tus kab mob no yuav txawv ntawm cov neeg mob sib txawv, nws tseem ceeb heev kom sab laj nrog kws kho mob uas yuav muab tshuaj ntsuam xyuas.

Cov kev kuaj mob tseem ceeb yog:

  • coagulogram;
  • nrhiav cov kab mob tiv thaiv kab mob;
  • kev txiav txim siab ntawm immunoglobulins, cryoglobulins thiab cov khoom sib xyaw ua ke;
  • tshuaj ntsuam biochemical;
  • ua tiav cov ntshav suav nrog leukocyte suav.
hemorrhagic vasculitis nyob rau hauv cov neeg laus ua rau prognosis kho
hemorrhagic vasculitis nyob rau hauv cov neeg laus ua rau prognosis kho

Kev kho mob hemorrhagic vasculitis

Kev kho mob vasculitis yuav tsum yog txoj hauv kev, suav nrog cov txheej txheem kho mob thiab tshuaj. Cov tshuaj ib txwm muaj tuaj yeem ntxiv rau hauv cov txheej txheem tseem ceeb. Muaj tsawg zaus, yuav tsum tau phais.

Kev kho mob muaj cov txheej txheem kev noj qab haus huv. Koj tuaj yeem ua raws li kev noj zaub mov hypoallergenic, txwv kev ua lub cev, tab sis xav tau kev kho lub cev.

Los ntawm cov txheej txheem kho vajtse, plasmapheresis tuaj yeem raug sau. Cov txheej txheem no tso cai rau koj los ntxuav cov ntshav ntawm co toxins, microbes thiab lwm yam teeb meem. Tab sis yog tsis muaj tshuaj, tus kab mob no kho tsis tau.

hemorrhagic vasculitis cutaneous daim ntawv kho nyob rau hauv cov neeg laus
hemorrhagic vasculitis cutaneous daim ntawv kho nyob rau hauv cov neeg laus

Raws li noj tshuaj, rau hemorrhagic vasculitis, lawv sau ntawv:

  • tsis yog-steroidal tshuaj tiv thaiv kab mob uas pab txo qhov mob thiab txo lub cev kub;
  • cov tshuaj tiv thaiv kab mob membrane, lawv pab kho cov kab mob;
  • cytostatics rov qab tiv thaiv kab mob;
  • antacids los pab txo qis kev pheej hmoo ntawm plab hnyuv;
  • antispasmodics pab txo qhov mob.

Ntxiv rau, nrog hemorrhagic vasculitis ntawm daim ntawv txiav, kev kho mob hauv cov neeg laus yuav tsum tau siv lwm pab pawg tshuaj, kev xaiv uas nyob ntawm qhov sib txawv thiab muaj cov kab mob ntev.

Kev phais tsis tshua siv rau hauv kev kho mob hemorrhagic vasculitis, feem ntau yog nyob rau hauv cov hnyuv thiab ob lub raum raug cuam tshuam loj heev. Hauv qhov no, qhov cuam tshuam ntawm txoj hnyuv raug tshem tawm ntawm tus neeg mob lossis hloov lub raum.

Kev kho cov kab mob hemorrhagic vasculitis yog nqa tawm hauv zos, cov tshuaj pleev yog siv rau qhov no:

  • acemic;
  • dibunol;
  • venoruton;
  • Solkoseril.
kev kho mob ntawm cutaneous hemorrhagic vasculitis
kev kho mob ntawm cutaneous hemorrhagic vasculitis

Cov khoom no pab rov qab elasticity thiab ceev ntawm phab ntsa ntawm cov hlab ntsha. Rau ulcerative erosive manifestations, lwm yam tshuaj pleev yog pom zoo: Vishnevsky, Mikulich los yog Iruksol.

Dhau li ntawm kev kho mob ib txwm muaj, tshuaj tsoos tshuaj kuj tseem siv tau.

Hemorrhagic vasculitis: khohmoob kev kho mob

Effective Grandma's Recipes:

  • Noj peb tablespoons ivy teb thiab elderflower, ntxiv ib thiab ib nrab tablespoons ntawm mint thiab tib tus nqi ntawm yarrow. Sib tov txhua yam kom huv si thiab noj 60 grams ntawm sau, ncuav 0.5 liv ntawm kub, txias me ntsis dej thiab tawm mus brew rau 12 teev. Noj ib decoction ntawm ½ khob 5 zaug ib hnub twg. Tsis tas li ntawd, qhov decoction no tuaj yeem siv los ua cov tshuaj pleev xim rau ntawm qhov chaw puas ntawm daim tawv nqaij, siv daim ntaub ntub dej hauv decoction rau 20 feeb.
  • Sib tov ua ke roob arnica, calendula thiab Japanese sophora. Noj 10 grams ntawm cov sau thiab ncuav ib khob ntawm boiling dej, tawm rau peb teev, thiab ces lim thiab haus 1 tablespoon txhua 8 teev.
  • Koj tuaj yeem npaj cov cawv cawv, rau qhov no koj yuav tsum tau zom peb lub txiv qaub loj, ntxiv 5 tablespoons cloves, ob khob suab thaj thiab 0.5 ml ntawm cawv. Tsau tau ob lub lis piam ces noj 1 tablespoon ua ntej noj mov.
  • Koj tuaj yeem npaj koj tus kheej cov tshuaj pleev rau kev kho mob hemorrhagic vasculitis. Nws yog npaj raws li nram no: grind 200 grams ntawm birch buds rau hauv hmoov thiab sib tov nrog kilograms ntawm nutria rog. Tom qab qhov sib tov raug xa mus rau qhov cub rau peb teev, rov ua qhov no thoob plaws lub lim tiam, thiab tom qab ntawd lim thiab lubricate cov chaw cuam tshuam.

Nws tsis yog qhov nyuaj los kho hemorrhagic vasculitis nrog cov tshuaj pej xeem. Lwm txoj kev kho mob yuav siv tau yog tias koj ntxuav cov hnyuv. Txhawm rau ua qhov no, koj tuaj yeem siv cov tshuaj no: noj 40 grams ntawm kev sau, uas muaj elecampane, tansy, immortelle thiabwormwood ncuav ib liter ntawm dej kub. Tawm rau ob teev, thiab tom qab ntawd lim. Nws yog ib qho tsim nyog yuav tau haus ib decoction ntawm lub plab khoob, thaum ntxiv dej hauv qhov sib piv ntawm 1: 1. Noj ob zaug ib hnub.

Cov ntshav yuav tsum tau ntxuav. Txhawm rau ua qhov no, koj yuav tsum tau npaj ib qho infusion ntawm tuab-leaved bergenia. Cov nplooj qhuav yog nchuav nrog dej boiled, infused ib hmos thiab, strained, noj ½ khob ntawm lub plab khoob.

Kev nyuaj siab

Nws tsim nyog nco ntsoov tias yog tias koj tsis tau ntsuas tam sim ntawd thiab tsis kho hemorrhagic vasculitis, ces cov teeb meem tuaj yeem hnyav dua li qhov koj xav:

  • plab hnyuv;
  • pancreatitis;
  • perforation ntawm ulcers nyob rau hauv txoj hnyuv thiab plab;
  • peritonitis;
  • posthemorrhagic anemia;
  • thromboses thiab plawv nres;
  • neuritis thiab cerebral disorders.

Teeb meem tshwm sim hauv cov neeg mob uas tsis nrhiav kev pab raws sijhawm.

txoj kev tiv thaiv

Tom qab tus neeg mob tau txais kev kho mob, nws raug nquahu kom ua raws li qee cov lus pom zoo - kev tiv thaiv kev tiv thaiv, tsuas yog qhov no yuav tsis rov tshwm sim dua. Cov kws kho mob pom zoo rau lawv cov neeg mob:

  • lo rau kev noj zaub mov hypoallergenic, nws yog txwv tsis pub noj cov qhob noom xim kasfes, citrus txiv hmab txiv ntoo, qe thiab txiv ntoo;
  • tsis kam txhaj tshuaj tiv thaiv thiab ntau yam kev sim nrog cov kab mob antigens;
  • exclude tag nrho physiotherapy;
  • noj tshuaj tua kab mob tsuas yog nyob rau hauv cov xwm txheej hnyav tshaj;
  • kho mob raws sijhawm;
  • tsis tu ncua yuav tshuaj xyuas kab mobinvasions;
  • zam hypothermia thiab overheating;
  • mus ntsib kws kho mob tsis tu ncua;
  • txwv koj tus kheej hauv kev ua lub cev, tab sis kev kho lub cev yog txais tos;
  • zam kev sib cuag nrog tshuaj.

Kev ntsuas tsis ua haujlwm hauv hemorrhagic vasculitis

Cov theem pib ntawm tus kab mob hauv qee tus neeg mob tuaj yeem dhau los ntawm lawv tus kheej, tab sis lwm qhov, yog tias tsis ua raws li kev ntsuas tsim nyog, tus kab mob tuaj yeem ua rau tuag taus. Daim ntawv xob laim nrawm tuaj yeem ua rau tus neeg mob tuag, thiab tag nrho vim tias lub hauv nruab nrab lub paj hlwb raug cuam tshuam thiab hemorrhage tshwm sim hauv lub hlwb.

Yog tias kuaj pom tus kab mob nyob rau lub sijhawm thiab kev kho mob pib, ib nrab ntawm cov neeg mob tau txais kev rov zoo sai, thiab ib nrab thib ob yuav rov qab los, tab sis tsuas yog lawv ntsib qhov ua rau muaj qhov tshwm sim ntawm tus kab mob dua..

Pom zoo: