A etiology na sarcoidosis da kuma abin da cututtuka suna rikita batun tare da ciwo Lefgrena

Lefgrena ciwo - a tsakaitã hilar nodes bronchopulmonary lymphatic tsarin a garesu. Cuta tare da fata bayyananen (erythema nodosum), zazzabi, da kuma arthralgia. Wadannan cututtuka su ne halayyar sarcoidosis.

Lokacin da cutar rinjayar daban-daban gabobin - huhu, saifa, Lymph nodes. Lefgrena ciwo sarcoidosis ba daukar kwayar cutar da ba cuta mai yaduwa. Ba za a rikita batun tare da oncologic cuta matakai da kuma tarin fuka.

asibiti hoto

Sarcoidosis ya kasance quite lokaci mai tsawo a rare cuta, amma a yau lamarin ya canja, Pathology shimfidawa a wani m kudi a duniya. Bisa kididdigar da, fiye da kowa ya sha wahala da ciwo Lefgrena mata daga 20 zuwa shekaru 40, amma da cutar iya zo wa wani mutum.

Yana iya faruwa ba tare da bayyanar cututtuka, mai murtukẽwa ko a wani m form. Asymptomatic asibitin yawanci gano kwatsam a kan m fluorography jarrabawa. Mafi na kowa ne a hankali a hankali ne ci gaban da cutar da kuma ga wadannan alamun:

• dyspnea a kan aikinsa.
• mai maras ban sha'awa ciwo a kirji.
• zafi tsakanin kafada ruwan wukake .
• bushe tari.
• low-sa zazzabi .
• gajiya da rashin ƙarfi.
• wuce kima sweating.
• asarar ci.
• hadin gwiwa zafi a cikin ƙananan baya.

M for sarcoidosis kira ciwo Lefgrena, shi yana tare da kiwon da yawan zafin jiki zuwa 38-39 ° C, hadin gwiwa zafi, fata raunuka a cikin nau'i na erythema, ciwon kirji da kuma shortness na numfashi. Yana ba nadiri a m lokacin cikakken maida ba tare da yin amfani da mutum magani da sauran shisshigi.

A etiology da cutar

Har zuwa karshen magani da aka sani Sanadin wannan cuta, shi ne wata ila cewa tsokane shi da wadannan dalilai na iya ci gaba:

• kamuwa da cuta, Mycobacterium da tarin fuka, hepatitis C;
• m waje dalilai, inhaling karfe turɓãya,
• shan taba, wanda shi ne ba da tushen, amma ƙwarai dagula mana da cutar.
• gadar hali.

Rigakafin sarcoidosis

Marasa lafiya ciwo Lefgrena muhimmanci ga dakatar shan taba, don bugun sama dawo. Dole lokaci, don su bincika gabobin daga cikin kirji a 2 shekaru. Shan la'akari da cewa da etiology da cutar ba a sani har zuwa karshen, da ka'idodinta m mataki da za a ci gaba. Masana sun bayar da shawarar don kauce wa lamba tare da karfe turɓãya da foci na kamuwa da cuta.

Lefgrena ciwo sarcoidosis gano wadannan extrapulmonary sarrafawa tsari - kayar da subcutaneous nama, fata da kuma na gefe Lymph nodes. Akwai wani karuwa mahaifa, subclavian, axillary da inguinal nodes. A wasu lokuta, da shafa Lymph nodes na ciki.

Kashi da kuma tsakiya m tsarin shafa da yawa kasa akai-akai, amma shi ne mafi wuyar da cutar faruwa. Sarcoidosis na zuciya na faruwa a 20-30% na lokuta ne asymptomatic. Gefen hagu na zuciya an rage a cikin girma, da dama ventricle ƙaruwa.

Farkon jarrabawa da magani ba chances su dõgara a kan wani m sakamako. A cikin wani akwati, akwai canje-canje a cikin huhu nama, wadda daga ƙarshe ta kaiwa zuwa tawaya.

Lefgrena ciwo m sarcoidosis embodiment

Sau da yawa gauraye da sarcoidosis, da tarin fuka saboda kama daga cututtuka. Wannan na bukatar cikakken jarrabawa, saboda haddasawa da kuma daban-daban far. A wani hali ba za a iya tsunduma a kai-magani, musamman dauki kwayoyi nufi ga marasa lafiya da tarin fuka, yana iya kai ga mutuwa.

Lefgrena ciwo (a classic misali) - wannan shi ne lokacin da haƙuri da janar yanayin ne m kima. Akwai canje-canje a cikin fata. Iya bayyana:

• papules da plaques.
• Chilblains lupus.
• keloid scars.
• infiltrates.
• erythema nodosum.
• SKD da CKD sarcoid Beck.
• mahara m nodes a cikin subcutaneous nama.

bincikowa da

Evaluation na marasa lafiya Lefgrena ciwo ne yin X-ray. Kamar yadda tsaftacewa Hanyar yin amfani lissafta tomography. Gudanar biochemical da jini count.

Matsalar magani ne ga kashe da kumburi tsari. A mafi inganci hanyar amfani ne na corticosteroids na tsawon watanni shida. Idan rinjayar da muhimmanci gabobin ake bukata glucocorticosteroid hormone far.

Hanzari m hanya da aka bi da tare da gajeren darussa daga igiyar jini gwamnati na anti-kumburi kwayoyi. A lokuta inda far ne m, aka gudanar plasmapheresis (jini tsarkakewa). A tsanani mataki cutar huhu bukatar Gabar transplants. Course da cutar da kuma magani sakamako sun fi mayar da m, amma ba dole ba da fara aiwatar.