Niyad jimicsi nidaamyo badani aad bay u yartahay, dadka intooda badani waxba kama oga. Mid ka mid ah ciladahaani waa vasculitis - cudur noocee ah, waa maxay calaamadaha, cawaaqibka iyo fursadaha daaweynta ee bukaanka inta badan lama yaqaan. Sidaa darteed, kahor intaan la bilaabin daaweynta, takhasusaha wuxuu qabanayaa wadatashi faahfaahsan oo ku saabsan ka qaybgalka qasabka ah ee difaaca jirka, sababtoo ah jiritaanka nidaamka difaaca jidhku waa wadnaha cudurka.
Waa maxay cudurkan "vasculitisitis", iyo maxay yihiin astaamihiisu?
Cudurka qeexay waa koox guud oo cudurro isku dhaf ah oo isku dhafan habka wadajirka ah ee loo yaqaan 'pathology' - oogista derbiyada halbowlayaasha, xididada, gawaarida, arterioles iyo xididdada. Xaqiiqda, bogsashadu waa cudur ku dhaca xididdada dhiigga iyo dhiigga iyaga oo u maraya unugyo jilicsan iyo xubno isbeddel ah oo isbeddel ah oo isbedel ah.
Sifeynta sahlan ee cudurkan:
- Dhiig-karka uur-qaadida (primariumculitisitis) waa infakshanka oogada oogada ee xididdada dhiigga ee keenay sababo aan la garaneynin.
- Dhibaato dhexdhexaad ah - cudurada wadnaha ee muuqda ee ka muuqda cudurro kale oo nidaamsan.
Daawada, cudurkan su'aasha waxaa loo kala saaraa sida soo socota:
1. Vasculitis ee maraakiibta yaryar:
- Cudurka Sharge-Strauss ama eosinophilic granulomatosis leh polyangiitis;
- cudurka anti-GBM;
- cagajuglaha cryoglobulinemic;
- Cudurka Wegener ama granulomatosis leh polyangiitis;
- Immunoglobulin-A-vaskulitis ama guduud Shonlein-Genocha;
- anti-C1q-vasculitis ama hypocomplex syndaria syndrome;
- polyangiitik microscopic.
2. Vasculitis ee maraakiib dhexdhexaad ah:
- Periarteritis nodular ama polyotheritis nodular;
- Cudurka Kawasaki .
3. Vasculitis ee maraakiibta waaweyn:
- arteritis Takayasu;
- Cudurka Horton ama xididada unugyada weyn ee weyn.
4. Vasculitis oo ah weelasha kala duwan:
- Cudurka cudurrada Kogan;
- Cudurka Behcet.
5. Vasculitis ee xubnaha:
- arooriskani;
- faafida asaasiga ah ee habka dhexe ee neerfaha;
- aortit-ka la go'doomiyey;
- leucocytoclastic finan-ka-wareer-ka iyo qaar kale.
6. Naas-nuujinta nidaamsan:
- rheumatoid;
- lupus;
- sarcoidosis iyo kuwo kale.
7. Dareeraha dhexdhexaadka ah:
- la xiriira fayraska;
- paraneoplastic;
- la xidhiidha daawooyinka iyo kuwa kale.
Calaamadaha caadiga ah ee pathology:
- heerkulka sare;
- miisaan;
- daal;
- la'aanta cunto xumo;
- daciifnimo.
Sawirka khaaska ah ee bukaan-socodka vasculitis waxay ku xiran tahay noocyada kala duwan, xubnaha iyo nidaamyada waxyeellada leh, xoojinta caabuqa iyo waxyaabo kale. Sidaa darteed, dhakhtarka oo kaliya ayaa ku ogaan kara cudurka iyada oo ku saleysan dhowr nooc oo tijaabooyin jireed, baaritaano sheybaar, daraasadaha qalabka.
Waa maxay cambaarta bukaan-socodka xasaasiyadda?
Sida magacu sheegayo, qaabka la soo bandhigay ee loo yaqaan 'pathology' waa xakameynta xididdada dhiigga ee ka soo horjeeda diidmo xasaasiyadeed. Astaamaha ugu weyn - finan maqaarka ah, oo leh dabeecad kale. Sida waafaqsan, xajiinta xummadda xasaasiyadda waxaa loo tixgeliyaa cudur gooni ah, waxaa loo kala saaraa dhowr nooc:
- erythema nodosum - muuqaalka kore ee seerka hoostiisa maqaarka;
- Arteriolitis Cudurrada ayaa leh qaabab papules, dhibco, "xiddigaha", waxay ku tilmaamayaan caafimaad darro;
- Xanuunka dhiig baxa - in calaamadaha ay la socdaan cudurkaan wali aan la aqoon, waxaa sida caadiga ah laga helaa shilalka dopperiography (maraakiibta waxaa ku jira microthrombi);
- hemosiderosis - muuqaalka kore ee maqaarka cagaarka-brown-ka maqaarka;
- dheecaanka muruqyada - murugada si tartiib-tartiib ah ee unugyada ka dib bilawga finanka finanka.
Waa maxay cudurkan "rheumatoid vaskulitis"?
Noocaan noocan ah waa nooc ka mid ah hurgunka nidaamka labaad ee darbiyada halbawlaha ah, kaas oo ka dhalan kara horumarka rheumatoid arthritis.
Waxaa la ogyahay in nooca vasculitis uu mas'uul ka yahay cudurrada sambabada, nidaamka dareemayaasha, maqaarka iyo dhaawaca ciddida, wadnaha oo aan shaqeynin (pericarditis). Hase yeeshee, calaamadaha cad ee cudurka ayaa lagu arkay wax ka yar 1% bukaanada, sidaa daraadeed qaabka loo sharraxay ee geedi-socodka bararka ayaa lagu ogaadaa marxaladaha dambe, taas oo adkaynaysa daaweynta rheumatoid arthritis iyo vaskulitis labadaba.