Vasculitis xasaasiyadeed

Xasaasiyadda vasculitis waa falcelin xad dhaaf ah oo ku socota daroogada, infekshin, ama walax shisheeye. Waxay u horseeddaa caabuq iyo dhaawac soo gaadha xididdada dhiigga, gaar ahaan maqaarka. Ereyga si aad ah looma isticmaalo hadda maxaa yeelay magacyo cayiman ayaa loo arkaa inay ka saxsan yihiin.

Xasaasiyadda xasaasiyadda, ama xididdada yar yar ee loo yaqaan 'vasculitis', waxaa sababa:

• Dareen-celinta xasaasiyadda ee daroogada ama walax kale oo ajnabi ah
• Dareen-celinta fal-gal

Waxay badanaa ku dhacdaa dadka ka weyn da'da 16.

Badanaa, sababta dhibaatada lama heli karo xitaa iyadoo si taxaddar leh loo darso taariikhda caafimaadka.

Vasculitis xasaasiyadeed waxay u egtahay nidaam, necrotizing vasculitis, oo saameyn ku yeelan kara xididdada dhiigga ee jirka oo dhan oo aan ku koobnayn maqaarka oo keliya. Carruurta, waxay umuuqan kartaa Henoch-Schonlein purpura.

Calaamadaha waxaa ka mid noqon kara:

• Furuuruc cusub oo leh dhibco jilicsan, midab guduudan ama midab casaan leh ah oo ku baahsan aagag waaweyn
• Nabarrada maqaarku badanaa waxay ku yaalliin lugaha, badhida, ama jirridda
• Nabarada maqaarka ku yaal
• Hiv (urtikaria), waxaa laga yaabaa inay sii dheeraato 24 saacadood
• Nabaro ku fur unugyada dhintay (boogaha necrotic)

Bixiyaha daryeelka caafimaadku wuxuu ku salayn doonaa ogaanshaha astaamaha. Bixiyuhu wuxuu dib u eegi doonaa wixii daawooyin ah ama dawooyin ah ee aad qaadatay iyo infekshannada ugu dambeeyay. Waxaa lagu weydiin doonaa qufac, qandho, ama xabad xanuun.

Baadhitaan jireed oo dhameystiran ayaa la sameyn doonaa.

Baadhitaanada dhiigga iyo kaadida ayaa loo samayn karaa si loo raadiyo cilladaha nidaamka sida lupus erythematosus, dermatomyositis, ama cagaarshowga C. Tijaabooyinka dhiigga waxaa ka mid noqon kara:

• Tirinta dhiigga oo dhammaystiran oo kaladuwan
• Qiyaasta qanjidhada 'Erythrocyte'
• Guddi kiimiko leh enzymes beerka iyo creatinine
• Ka hortaga Antinuclear antibody (ANA)
• Cudurka rheumatoid
• Cudurrada difaaca jirka ee 'Antineutrophil cytoplasmic' (ANCA)
• Heerarka dhammaystirka
• Cryoglobulins
• Cagaarshowga nooca B iyo C
• Baaritaanka HIV
• Kaadida

Cad ka-qaadista maqaarku waxay muujisaa caabuq ku dhaca xididdada dhiigga ee yaryar.

Ujeedada daaweynta waa in la yareeyo bararka.

Bixiyahaagu wuxuu kuu qori karaa asbiriin, daawooyinka nonsteroidal anti-bararka (NSAIDs), ama corticosteroids si loo yareeyo caabuqa marinnada dhiigga. (HA siin asbiriin carruurta marka laga reebo sida uu kula taliyo bixiyahaaga).

Bixiyahaaga ayaa kuu sheegi doona inaad joojiso qaadashada daawooyinka sababi kara xaaladan.

Vasculitis-ka xasaasiyad-darrada badanaa waxay iska tagtaa waqti ka dib. Xaaladda ayaa laga yaabaa inay dadka qaarkood dib ugu soo noqoto.

Dadka qaba vaskulitiska socda waa in laga hubiyaa nidaamka vasculitis-ka nidaamka.

Dhibaatooyinka waxaa ka mid noqon kara:

• Dhaawac soo gaadha xididdada dhiigga ama maqaarka oo leh nabarro
• Xididdada dhiigga ee bararsan ee saameeya xubnaha gudaha

Wac daryeel bixiyahaaga haddii aad leedahay astaamo u nugul xasaasiyadda vasculitis.

HA QAADIN daawooyinka sababay xasaasiyad xasaasiyadeed hore.

Maraakiibta yaryar ee loo yaqaan 'vasculitis'; Vasculitis xasaasiyadeed; Leukocytoclastic vaskulitis

• Vasculitis oo ku taal calaacasha
• Vasculitis
• Vasculitis - cudurka urtikarial ee gacanta

Habif TP. Ciladaha xasaasiyadda iyo vaskulitis. Gudaha: Habif TP, ed. Cilmiga maqaarka. 6aad ed. Philadelphia, PA: Elsevier; 2016: cutubka 18.

Jennette JC, Falk RJ, Bacon PA, iyo al. 2012 dib loo eegay International Chapel Hill shirkii wadatashiga ee magacaabista vasculitides. Arthritis Rheum. 2013; 65 (1): 1-11. PMID: 23045170 www.ncbi.nlm.nih.gov/pubmed/23045170.

Patterson JW. Qaabka falcelinta vasculopathic. Gudaha: Patterson JW, ed. Cudurka Maqaarka ee Weedon. 4aad. Philadelphia, PA: Elsevier Churchill Livingstone; 2016: cutubka 8.

Dhagax JH. Vasculitides-ka nidaamka. Gudaha: Goldman L, Schafer AI, eds. Daawada Goldman-Cecil. 25aad. Philadelphia, PA: Elsevier Saunders; 2016: cutubka 270.

Sunderkötter CH, Zelger B, Chen KR, iyo al. Magacaabista 'vasculitis': maqaar-ku-darista maqaarka ee 2012 Revised International Chapel Hill Consensus Conference Nomenclature of Vasculitides. Arthritis Rheumatol. 2018; 70 (2): 171-184. PMID: 29136340 www.ncbi.nlm.nih.gov/pubmed/29136340.