Autoimmune chiwindi. chithunzi matenda

Autoimmune chiwindi mu nthawi zambiri akufotokozera mwadzidzidzi, ndi mawonetseredwe ake matenda n'komwe ndi zizindikiro za matenda pachimake. Pa siteji koyamba za matenda amalembedwa kufooka munthu akumvera. Mdima mkodzo, matenda a chikasu ndiyo kwambiri - izi ndi zizindikiro zimene zigwirizana pamodzi autoimmune chiwindi. Zizindikiro kuonekera yowala zokwanira ngakhale pa siteji koyamba. Kwa miyezi ingapo, pamafunika kuika wathunthu zambiri matenda chithunzi.

Nthawi zina, autoimmune chiwindi amakhala ndi nthenda yotaya pang'onopang'ono. Komabe, mu nkhani iyi, chimakhala chogwidwa ndi ululu ndi chisoni mu hypochondrium bwino, munthu akuona kusapeza, matenda a chikasu ndiyo zikuoneka pang'ono. chiwerengero cha odwala matenda a chiwindi autoimmune iyamba kukhala malungo, komanso mawonetseredwe extrahepatic.

Mwatsatanetsatane matenda chithunzi amakhala ndi kufooka kwambiri, pruritus, nseru, lymphadenopathy. Matenda amadziwikanso yodziwika ndi matenda a chikasu ndiyo (osati nthawi zonse, koma ukuwonjezeka pa exacerbations), kumaonjezera kukula kwa ndulu ndi chiwindi. Gawo limodzi la akazi autoimmune chiwindi limodzi ndi amenorrhea (pakalibe kusamba) ndi hirsutism (zikule tsitsi amuna). Mu amuna, kudwala akhoza kugwirizana ndi gynecomastia (chitukuko cha zopangitsa mammary mu akazi). Pakati pa zochita zikuluzikulu khungu tisaiwale ziphuphu zakumaso, capillaries ndi lupus palmarnuyu erythema ndi matenda ena.

Autoimmune chiwindi ndi aakulu mwapang'onopang'ono chotupa chikhalidwe ndi kukhalapo kwa chiwindi-kugwirizana, autoantibodies seramu. ndondomeko amatenga malo ndi mwachilungamo yaikulu kutupa, hypergammaglobulinemia.

Autoimmune chiwindi. chithandizo

Pathogenetic mankhwala a matenda ndi glucocorticosteroid mankhwala. mankhwala Immunosuppressive akhoza kuchepetsa ntchito njira pathological kunachitika chiwindi, potero utithandize ntchito ya T-suppressors, amachepetsa mphamvu ya zochita zimene zimachititsa chiwonongeko cha hepatocytes.

Kawirikawiri mankhwala ntchito mankhwala monga "Methylprednisolone" kapena "prednisolone". Koyamba tsiku mlingo - mamiligalamu sikisite - mu sabata loyamba, makumi - chachiwiri, sate - wachitatu-kota. Kenako, mlingo yafupika mamiligalamu makumi awiri, omwe ndi ntchito yokonza mlingo. mankhwala wothandiza ikuchitika malinga ngati normalization wa matenda, zasayansi ndi magawo histological.

Kuchepetsa kuchuluka kwa mankhwala analandira anachita pang'onopang'ono. Izi amaganizira mphamvu ya njira yachipatala ndi mlingo wa zolembera seramu.

Autoimmune chiwindi tiyenera tikonze mwa theka la chaka. Komabe, nthawi zambiri, mankhwala kumatenga nthawi yaitali, nthawi zina kwa moyo. Mu nkhani ya kulephera kwa monotherapy anapereka lophimba kukonzekera dera "delagil", "Azathioprine", "Ciclosporin".

Ngati immunosuppressive mankhwala sanapange zotsatira kuyembekezera kwa zaka zinayi, pamaso pa recurrences angapo, zotsatira zoyipa kwa mankhwala akhoza anaukitsa funso ndi kumuika chiwindi.