Kune vamwe vanhu, kakawanda kazhinji vakadzi, pakutsvaga granulomas maduku (kuunganidza kwemasero ekuvhiringidza) kunowanikwa mune nhengo dzakasiyana-siyana. Ichi chirwere chinonzi sarcoidosis - zviratidzo zvehutachiona hazviwanzobudisirwi, chirwere chenguva refu chinomhanya chisingazivikanwi uye chinogona kutopera pachako, pasina chirongwa chakakosha.
Zviratidzo uye kurapa sarcoidosis
Ichi chirwere chinoreva zvirwere zve systemic. Inobata, sekutonga, mapundu emapapu, asi dzimwe nguva inobata dzimwe nhengo - chirwere, chiropa, lymph nodes, moyo.
Sarcoidosis inoratidzwa nekuumbwa kwegranulomas - dense nodules yemadhenari maduku, ayo akasungirirwa kune foci yezvokuvhiringidza. Izvi zvisimbiso zvinotsamwiswa nekuwedzera mumabasa emasero machena (lymphocytes).
Kurapa kwe sarcoidosis hakuwanzodiwi, nokuti nekuda kwekuwedzera kwebasa rekudzivirirwa kwezvirwere zvezvirwere, mafirmatory foci anogadziriswa oga. Mumamiriro ezvinhu akadaro, nyanzvi dzinokurudzira kungoongorora nguva dzose. Mamwe mamiriro ezvinhu ane chirwere chakaoma kana chakaoma chechirwere chinoratidza corticosteroid hormone therapy. Kurapa kunoitwa pasi pekutarisa kwechipiri uye chidzidzo chinoramba chichiitwa nhengo dzinobatwa negranulomas kuti dziongorore mamiriro avo nemabasa.
Zviratidzo zveSarcoidosis yemapapu
Kazhinji kacho, chirwere chekufema chinowanikwa sarcoidosis. Muzviitiko zvakawanda, haina zviratidzo zvakajeka uye rinoramba risingabvumirwi nemurwere.
Zviratidzo zvisingaiti zve sarcoidosis:
- kunzwa kunetseka;
- kurwara kusingaperi, malaise uye kusimba;
- kurasikirwa nokurema;
- rare feverish conditions;
- kurasikirwa nechido;
- kuwedzera kutuka usiku;
- kurara kunetseka.
Nechirwere chema-lymphoagglutinous (intrathoracic) chechirwere, varwere vanonyunyuta nezvekuwedzera kwezviratidzo:
- kupfupika kwemhepo;
- akadzikama ;
- kurwadziwa munharaunda yebhokisi, mumakumbo;
- wheezing;
- kuwedzera kwekushisa kwemuviri;
- percussion;
- chimiro che erythema nodosum.
Iyo miviri yepakati-yemapurmonary sarcoidosis inoratidzirwa nezvinhu zvinotevera:
- kupera kwekufema kwakanyanya nekukanganiswa kunorwadza;
- dzimwe nguva - hemoptysis;
- chironda chakaipa kwazvo;
- Morozov-Yunling syndrome, Herford.
Zviratidzo zveziso sarcoidosis
Nezvakatsanangurwa zvakasiyana-siyana zvechirwere, sora, kubvarura gland, conjunctiva, retina, orbit, kuguma kwehutano kunoshandiswa. Sezvo mutemo, hukuru hunoratidza sarcoidosis munyaya iyi irit uye iridocyclitis.
Zviratidzo zvikuru zvechirwere ichi:
- photophobia;
- kurwadziwa pameso;
- kuderera kweupfu kweropa muziso reziso;
- kuunganidzirwa kwepudate pane mucous membrane, kuchema.
Nzira yakasimba ye sarcoidosis inogona kutungamirira kumatambudziko akadaro:
- secondary glaucoma;
- cataract;
- kukanganisa kwakakwana kana kusarura;
- chorioretinitis;
- kupinda mukati memagetsi e-optic nesaridhi;
- edema ye disc;
- uveitis ;
- keratoconjunctivitis.
Zviratidzo zveganda sarcoidosis
Iro rudzi rwechirwere runonzi small-node sarcoidosis. Kuratidzwa kwaro ndeku:
- dzidzo paganda remakumbo, chiso, dzimwe nguva turu yehullocks yakaoma;
- kuungana kwezvinhu;
- kuchinja kwemuvara wezvisimbiso kubva kune-pink-red to the cyanotic, brown hue;
- kuvapo kwemavara matsvuku ediki duku paganda;
- kazhinji - kuonda kwevanhu vane tubercles.
Zviratidzo zvemoyo sarcoidosis
Urwu hutachiona hwehutachiona hunopesana nechepamusoro pemapapu sarcoidosis. Iyo inoratidzwa nezviratidzo zvakadaro se ventricular tachycardia uye extrasystole, kuwedzera kwehukuru hwemhepo.
Zvakakosha kuziva kuti sarcoidosis inokonzera matambudziko akadaro chete mu20-22% ematambudziko, asi kana uchitarisa chirwere ichi, zvakakosha kutarisana ne cardiologist.