Hemorrhagic vasculitis a cikin yara

Hanyoyin cutar jini na yara sune cutar da ke shawo kan gashin fata, kazalika da tasoshin jini na sashin kwayar cutar, kwakwalwa da kodan. Yana da ɓangare na rashin lafiyar rigakafi na immunocomplex na yanayin jini. Sakamakon ci gaba da cutar zai iya faruwa a kowane zamani, amma, a matsayinka na mulkin, yara da yawa (har zuwa shekaru uku) suna fama da wannan cuta sosai.

Mafi sau da yawa, ana bincikar vascularitis a cikin yara masu shekaru 4 zuwa 12.

Akwai nau'i-nau'i daban-daban na vascularitis na jini, daban-daban a cikin bayyanar da yanayi. Ta haka ne, rarrabuwa tsakanin kashi biyu zuwa kashi biyu: rabuwa (Hippel-Landau, cututtuka Ehlers-Danlo, Ciwon daji na Kazabaha-Merrita, Louis-Bar, da dai sauransu) da kuma samo (maganin cututtuka da cututtuka na asali, abubuwan guba, da sauransu).

Vasculitis hemorrhagic: haddasawa

Ana cutar da cutar ta hanyar lalacewa da ganuwar murya da kuma karuwa a cikin iyakokin tasoshin a matsayin cikakke, da kuma kunna tsarin hada-hada da karuwar yawan adadin abubuwan da aka samar.

Mafi sau da yawa, ci gaba da cutar ya fara wani lokaci bayan cutar cututtuka (ARVI, tonsillitis, Sikakken zazzabi, da sauransu). Wani lokaci magungunan vascularitis sun riga sun riga sun riga sun riga sun yi haƙuri (ko wasu nau'i na rashin lafiyar jiki), sanyaya, maganin alurar rigakafi, cuta.

Bayyanar cututtuka na vascularitis a cikin yara

A cikin yawancin lokuta, bayyanar farko ta cutar ita ce bayyanar ƙananan fata na launin launi. Rashin rashes: raguwa da ƙwayoyin hannu, buttocks, yanki a kusa da gidajen. Yawanci ya bayyana rashes akan fuska, dabino da ƙafafunsa, akwati. Bayan raguwa ya wuce, zane-zane mai launin fata ya kasance a wurinsa, wanda zai fara farawa tare da sake dawowa da cutar.

Alamar ta gaba mafi yawan gaske shine haɗin haɗin gwiwa. Ana kiyaye shi daga makon farko na rashin lafiya. Yanayin da tsawon lokacin ciwo zai iya zama daban, yawancin manyan kwakwalwa, musamman ma idon da gwiwa, suna shafar. A wannan yanayin, haɗin yana faduwa, amma babu wani lalacewar aiki da rashin ciwo mai kwakwalwa na haɗin gwiwa.

Na uku mafi yawan bayyanar alama shine zafi na ciki. Za a iya bayyana tare da ko kayar da fata da ɗakunan. Harkokin ciwo zai iya sake maimaitawa a cikin rana, ba tare da bayyana wuri ba. Sau da yawa, tashin hankali, zubar da jini, da kuma zazzabi ana kiyaye su. A lokuta da yawa, hawan jini ko na jini yana yiwuwa.

Wasu lokuta tare da ciwon jini na jini, ƙwayar kofi ko sauran kwayoyin (ruhu, zuciya, kwakwalwa) suna shafar. Girman raunuka zai iya zama daban-daban - daga ƙananan, zuwa matsakaici da kuma lokuta masu tsanani.

Hemorrhagic vasculitis a cikin yara: magani

Hanyoyin da hanyoyin hanyoyin farfadowa sun bambanta dangane da lokaci da nau'i na cututtuka (shari'ar farko, sake dawowa da cutar ko lokacin hasara), a kan bayyanar cututtuka da tsanani, da kuma tsawon lokacin da yanayin yanayin cutar. Amma har yanzu ana iya yiwuwar sasantawa mafi mahimmanci, tsarin kulawa na al'ada.

Ga dukkan nau'o'in cutar, ana amfani dasu marasa amfani. Sanya warantil (persanthin, dipyridamole) sau 4 a rana a cikin nau'in mita 5-8 na kilogram na nauyin jiki, trental (agapurine, pentoxifylline) sau 3 a rana don nauyin jiki 5-10 mg / kg. A lokuta masu tsanani, ana iya amfani da kwayoyi iri guda lokaci daya. Tsawon lokacin magani zai iya zama daban - daga watanni 2 zuwa 12, dangane da mummunan cutar. A yayin da yanayin na yau da kullum ya sanya tarurruka akai-akai (a kowane lokaci ko kowane watanni shida).

Ana amfani da kwayoyi masu amfani da kwayoyin su a cikin kwayoyin mutum, masu aiki da fibrinolysis, enterosorbents, glucocorticosteroids, gyare-gyare na membrane, cytostatics, antihistamines. Ana amfani da magungunan transfusion da plasmapheresis. Za'a iya yin amfani da kwayoyi da hanyoyi na magani ne kawai ta likita, kulawa kan kai ko gyarawa mara izini na tsarin kulawa ba tare da yin shawarwari tare da kwararrun likitoci da kulawa na kiwon lafiya ba wanda ya karɓa.

Rigakafin hemorrhagic vasculitis

Matsayi mafi mahimmanci ga rigakafin cutar shine rigakafin rigakafin, rigakafin ƙwaƙwalwar ƙwayar cuta, ƙyama daga allergens. Marasa lafiya ba sa yin samfurori tare da antigens kwayan (jarrabawar Burne, tuberculin, da dai sauransu). Don hana hemorrhagic vascularitis a cikin yara yana da muhimmanci hypoallergenic, rage abinci, cikakken abinci da abinci da salon lafiya.