Chirwere chetachiona chinokanganisa zvirongwa zvakasiyana-siyana uye nhengo dzinonzi sarcoidosis. Kusvikira ikozvino, hazvina kukwanisika kuwana chikonzero nei zvichiitika, kunyange zvazvo pane dzidziso yokuti hutachiona hunoparadzirwa hutachiona, hunoenderana nehutachiona hwemusununguko. Sarcoidosis yeganda ndiyo inenge isingawanzozivikanwa yechirwere ichi, inowanikwa mune zvisingasviki 50% zvezviitiko zvose, kazhinji mumadzimai.
Zviratidzo zveganda sarcoidosis
Kune marudzi mana ezvirwere zvinorondedzerwa:
- Bek's sarcoid;
- angiolyupoid Broca-Porye;
- anozorodza lupus Bienie-Tenneson;
- subcutaneous sarcoid Darje-Russia.
Uyewo, sarcoid yaBekk yakakamurwa kuva mapoka matatu:
- duku-scalloped;
- akazara-gwa;
- diffuse-infiltrative.
Zviratidzo zvediki-node sarcoma Beck - mashizha, ayo akaenzana haana kupfuura 5 mm. Zvinhu zvikaita hemispherical, dense, cyanotic kana maronda muvara.
Zvironda zveganda nemaruva-grained sarcoidosis zvinoratidzwa nekuvapo kwepandeti yepastiki ye-brown-cyanotic hue. Ukuru hwemaitiro akadaro anosvika 2 cm.
Kusiyanisa-kupindira kwezvirwere hakushamisi, kunofambidzana nekuonekwa kweguru (kusvika pakureba kwemichindwe) yakawanda futi ine miganhu yakazara.
Angiolyupoid Broca-Porye inozivikanwa sarcoidosis yeganda rechitsipa, nokuti pakati pezviratidzo zvayo - mazamu makuru kusvika 2 cm muupamhi pamapapiro emativi emhino, pamhino. Izvo zvinhu zvine chando chepamusoro, ruvara rwebluish.
Ne reflex lupus pane ganda rinenge rakazara mavara epepuru-tsvuku hue. Mitsara yemashes iri yakajeka uye yakajeka.
Kune subcutaneous sarcoids, nodpable nodes yemasikisi akasiyana-siyana inhu. Vanowanzorega kupa zvinorwadza kana kunzwa kurwadziwa. Subcutaneous neoplasms dzimwe nguva inosangana, kuumba zvakanyanya infiltrates. Iyo epidermis yepamusoro pamusoro pe nodes inova yakajeka pink.
Kuongororwa kweganda sarcoidosis
Sezvo mutemo, nokuda kwekugadziriswa kwekusiyanisa kuongororwa, zvinodiwa:
- visual inspection;
- histological examination;
- kazhinji, biochemical blood test ;
- an immunogram;
- kuongorora mapapu, lymph nodes , nhengo dzomukati (ultrasound, x-ray).
Mushonga we sarcoidosis weganda
Nzira huru yekurapa inorondedzerwa chirwere ndeyekushandiswa kwenguva refu kwenguva refu yekushandiswa kwe corticosteroid hormone, kunyanya - Prednisolone. Mukuwedzera, cytostatics (Cyclophosphamide, Prospidin) nemishonga yemagetsi (Rezokhin, Delagil) inorayirwa.