Vasculitis yog kab mob uas tshwm sim thaum koj lub cev ua yuam kev nws tus kheej cov hlab ntsha phab ntsa, ua rau mob. Ntau dua li tus kab mob nws tus kheej, nws feem ntau yog cov tsos mob ntawm lwm yam mob, xws li cov kab mob loj heev ntawm tes, ua rau mob vasculitis tsis txaus, polyarteritis nodosa, lossis kab mob Kawasaki. Txawm li cas los xij, txheej txheem kuaj mob zoo ib yam rau cov kab mob no, yog li saib xyuas cov tsos mob thiab tom qab ntawv teem sijhawm mus ntsib koj tus kws kho mob.
Cov kauj ruam
Ntu 1 ntawm 3: Saib Xyuas Cov tsos mob
Kauj Ruam 1. Ua tib zoo saib ua npaws
Qhov xwm txheej no feem ntau ua rau kub cev, uas yog thev naus laus zis ib yam dab tsi saum toj no lub cev kub ntawm 98.6 ° F (37.0 ° C). Yog tias koj sov thiab hloov pauv ntawm hws thiab ua kom txias, koj yuav tsum ntsuas koj qhov ntsuas kub nrog tus pas ntsuas kub.
Hu rau koj tus kws kho mob lossis mus ntsib kws kho mob sai yog tias koj qhov kub siab tshaj 103 ° F (39 ° C)
Kauj Ruam 2. Pom mob taub hau thiab lwm yam mob
Qhov mob no tuaj yeem ua rau mob nyob rau ntau qhov chaw thoob plaws koj lub cev, suav nrog feem ntau hauv plab thiab ib qho pob qij txha. Koj kuj tseem yuav hnov mob taub hau los ntawm tus mob no. Tshwj xeeb, koj yuav hnov mob sib koom, tab sis nws nyob ntawm hom vasculitis uas koj muaj.
Koj tsuas yog xav tias muaj kev ua tiav thoob plaws koj lub cev, lossis koj yuav hnov mob tshwj xeeb hauv cov leeg tshwj xeeb
Kauj Ruam 3. Saib kom tsis qab los noj mov thiab poob phaus
Koj yuav tsis zoo li noj ntau npaum li koj muaj tus mob no, uas tuaj yeem ua rau poob phaus. Txheeb ntsuas koj tus kheej kom pom tias qhov hnyav tau tawm los, lossis sau tseg yog tias koj cov khaub ncaws dheev pib hnov xoob yam tsis muaj koj sim ua kom qis.
Cov tsos mob no tuaj yeem qhia tus lej ntawm tus mob, tab sis koj yuav tsum mus ntsib kws kho mob yog tias koj pom tias koj poob phaus yam tsis xav tau
Kauj Ruam 4. Saib xyuas kev qaug zog thiab qaug zog ntau hnub lossis ntau lub hlis
Tau kawg, txhua tus tau tsaug zog me ntsis los yog hnav tam sim no thiab tom qab ntawd. Txawm li cas los xij, yog tias koj muaj kev qaug zog ntau ntxiv uas nyob ib puag ncig rau lub asthiv, ua rau koj tsis xis nyob, koj yuav tsum tham nrog koj tus kws kho mob.
Piv txwv li, tej zaum koj xav zoo li koj nyuam qhuav tau rub koj txhais taw ncig ib lub lim tiam, zoo li koj tsis muaj lub zog txhua lub sijhawm
Kauj Ruam 5. Txheeb xyuas cov ntshav ntshav, cov qog, thiab qhov txhab ntawm koj cov tawv nqaij
Nrog rau qhov xwm txheej no, koj tuaj yeem tsim qhov txawv xim liab-xim liab hu ua "purpura," uas yog cov ntshav me me uas tsim los ntawm cov hlab ntshav tawg hauv qab daim tawv nqaij. Koj kuj tseem tuaj yeem pom cov qog hauv koj cov tawv nqaij lossis mob txhab rau hauv koj lub qhov ncauj. Txawm hais tias tsis yog txhua tus neeg uas muaj vasculitis tsim tawm pob, nws tuaj yeem yog qhov qhia pom ntawm tus mob.
- Purpura tuaj yeem yog qhov me me, cov paj liab liab los yog thaj ua rau thaj loj. Thaum "cov hlab ntsha tawg" yuav hnov suab tsis txaus ntseeg, qhov chaw lawv tus kheej feem ntau tsis muaj teeb meem.
- Qhov ncauj qhov ncauj yog qhov mob me me uas feem ntau tshwm rau ntawm koj cov pos hniav lossis sab plhu.
- Cov ntshav ntshav kuj tseem tuaj yeem pom hauv koj cov zis.
Kauj Ruam 6. Mus ntsib kws kho mob sai lossis chav kho mob ceev kom ua pa luv
Koj lub ntsws yuav raug cuam tshuam, ua rau koj zoo li koj tsis tuaj yeem ua pa tob tob. Koj kuj tseem yuav tsim hnoos. Koj tseem tuaj yeem pom cov tsos mob zoo li mob ntsws thaum kws kho mob siv x-ray, txawm tias nws yuav tsis yog mob ntsws.
- Yog tias koj muaj teeb meem ua pa hnyav, yuav tsum mus rau chav kho mob ceev.
- Tej zaum koj tseem hnoos ntshav. Yog koj ua, hu rau koj tus kws kho mob. Yog tias ntshav tsis tso tseg, mus ntsib chav kho mob ceev.
Kauj Ruam 7. Pom tingling thiab loog thoob koj lub cev
Yog tias koj lub paj hlwb raug cuam tshuam, koj yuav hnov tingling zoo li koj txhais ceg tau sawv los ntawm kev tsaug zog, lossis lwm yam kev xav txawv txav. Koj kuj tseem yuav muaj qee qhov loog lossis cuam tshuam tsis muaj peev xwm tswj hwm koj lub zog, uas tuaj yeem ua rau me ntsis txaus ntshai. Kev loog tsuas yog txhais tau tias koj lub paj hlwb raug cuam tshuam los ntawm cov kab mob hauv qab.
Tsis tas li ntawd, koj yuav hnov mob qhov mob ntawm koj txhais ceg
Ntu 2 ntawm 3: Mus ntsib Tus Kws Kho Mob
Kauj Ruam 1. Teem caij yog tias koj tab tom muaj cov tsos mob
Vasculitis nyuaj rau kuaj mob, vim tias cov tsos mob tshwm sim rau lwm yam kab mob ib yam. Txawm li cas los xij, yog tias koj tab tom ntsib kev ua ke ntawm cov tsos mob no, koj tseem yuav tsum mus ntsib koj tus kws kho mob kom kuaj mob, txawm tias kev kuaj pom tias nws tsis yog vasculitis.
Nqa cov npe ntawm koj cov tsos mob nrog koj. Nco tseg thaum koj ntsib lawv thiab ntau npaum li cas. Txoj kev ntawd, koj muaj cov npe nyob ntawm tes thaum koj tus kws kho mob nug txog cov tsos mob, thiab koj yuav tsis hnov qab dab tsi
Kauj Ruam 2. Cia siab tias yuav kuaj lub cev
Koj tus kws kho mob yuav pib los ntawm kev kuaj lub cev, suav nrog kuaj ntshav siab. Qhov kev ntsuas no tseem ceeb hauv kev kuaj mob vasculitis, vim tias ntshav siab tuaj yeem qhia tau tias koj muaj hom mob no uas cuam tshuam rau koj ob lub raum.
Kauj Ruam 3. Npaj kom muab cov zis tso zis
Ob qho kev kuaj zis thiab kuaj ntshav creatinine yog qhov tseem ceeb hauv kev kuaj mob vasculitis. Koj yuav tsum tau pee hauv lub khob rau qhov kev xeem no thiab tom qab ntawd muab tus qauv coj mus rau kws kho mob. Nws pab kom tsis txhob mus rau chav dej ua ntej koj mus rau koj tus kws kho mob lub chaw haujlwm, yog li koj muaj cov zis txaus rau cov qauv.
Tus kws kho mob yuav tshuaj xyuas cov qib ntshav tsis txaus thiab/lossis cov protein hauv koj cov zis
Kauj Ruam 4. Cia siab tias yuav muab ntshav thaum nyob ntawm kws kho mob lub chaw haujlwm
Tus kws kho mob tseem yuav xav kuaj ntshav, yog li koj yuav tsum tau kuaj ntshav thaum koj nyob ntawd. Tus kws kho mob yuav suav tag nrho thiab saib cov tsos mob ntawm koj cov ntshav.
Feem ntau, tus kws kho mob yuav tshuaj xyuas yog tias koj muaj cov qe ntshav liab txaus, nrog rau saib qee yam tshuaj tiv thaiv kab mob uas qhia ntau hom vasculitis. Koj tus kws kho mob kuj tseem tuaj yeem ua kab lis kev cai ntshav, tshuaj xyuas lub raum ua haujlwm, tshuaj xyuas kev siv tshuaj, thiab saib cov xwm txheej zoo li kab mob Lyme thiab kab mob siab
Ntu 3 ntawm 3: Siv Kev Xeem Duab thiab Lwm Yam Kev Ntsuas
Kauj Ruam 1. Cia siab tias muaj ib lossis ntau daim ntawv sau keeb kwm keeb kwm
Qhov feem ntau thiab txoj hauv kev los txheeb xyuas qhov xwm txheej no nrog qhov tseeb yog los ntawm kev kuaj nqaij. Kev kuaj lub cev yog thaum kws kho mob kuaj cov nqaij me me los ntawm koj cov tawv nqaij lossis lwm yam kabmob, thiab tom qab ntawd lawv kuaj cov tawv nqaij piv txwv hauv chav kuaj. Lawv yuav thov yam tshwj xeeb ntawm kev kuaj lub cev raws li hom vasculitis uas lawv xav tias koj muaj.
- Kev kuaj nqaij tawv nqaij yog txheej txheem kho mob yooj yim. Tus kws kho mob yuav muab tshuaj loog hauv zos rau koj thiab siv ob peb lub xaws thaum ua tiav.
- Lwm qhov kev txiav xyoob ntoo, xws li lub raum, lub paj hlwb, thiab cov hlab ntshav sab hauv, tseem ua tiav nyob rau hauv tshuaj loog hauv zos, tab sis lawv yuav xav tau tsev kho mob luv.
- Qhov kev kuaj mob nyuab tshaj plaws yog lub ntsws thiab lub hlwb, uas yuav luag yuav tsum tau koom nrog hauv tsev kho mob yog tias koj xav tau ua tiav. Koj tus kws kho mob tsuas yog yuav kuaj lub cev ntawm cov kabmob no yog tias lawv xav tias koj muaj hom vasculitis uas lees paub nws. Lawv kuj tseem tuaj yeem siv cov ntawv txiav txiav txiav tawm lwm yam kab mob.
Kauj Ruam 2. Npaj rau x-rays, MRIs, CT scan, PET scans, thiab/lossis ultrasound
Cov cuab yeej siv duab no, uas saib ntawm qhov sib txawv ntawm koj lub cev, tuaj yeem pab koj tus kws kho mob nqaim koj qhov mob. Feem ntau, lawv yuav siv cov kev ntsuas sib txawv no los txiav txim seb yam twg ntawm koj lub cev nruab nrog cev cuam tshuam.
- Cov kev kuaj pom ib txwm muaj rau tus mob no suav nrog ultrasound hauv plab, xoo hluav taws xob hauv siab, thiab MRI lossis lub cev tag nrho.
- Feem ntau, cov kev xeem no yog sab nraud, txhais tau tias lawv tsis xav tau tshuaj loog lossis phais.
Kauj Ruam 3. Sib tham seb puas tsim nyog siv echocardiogram (ECG)
Qhov kev xeem no qhia tus kws kho mob kom txav koj lub siab. Lawv siv nws los xyuas kom tseeb tias koj lub siab yog qhov loj thiab zoo li cas nws yuav tsum yog thiab kom ntseeg tau tias nws siv tau zoo.
- Cov kws kho mob ua echocardiograms hauv ntau txoj kev, nyob ntawm qhov thev naus laus zis lawv siv, xws li Doppler lossis ultrasound.
- Feem ntau, cov txheej txheem no tsis muaj kev cuam tshuam, txawm hais tias koj yuav xav tau lub tshuab raj transesophageal echocardiogram. Hauv qhov xwm txheej ntawd, lub raj hloov pauv tau yuav nqes koj lub caj pas kom cov kws kho mob tuaj yeem tau txais cov duab ncaj qha ntawm koj lub siab.
Kauj Ruam 4. Xav txog xoo hluav taws xob hauv cov hlab ntshav, tseem hu ua angiography
Nrog angiography, kws kho mob lossis kws tshaj lij yuav xub tso lub raj tso rau hauv cov hlab ntshav ntawm koj txhais ceg. Thaum nws nyob hauv, lawv yuav txhaj koj cov hlab ntsha nrog cov xim uas yuav nqa mus thoob plaws koj cov hlab ntshav, uas lawv yuav xoo hluav taws xob.
Cov txheej txheem no muab tus kws kho mob ua tiav daim duab ntawm koj cov hlab ntshav. Feem ntau, lawv tab tom nrhiav rau aneurysms, qhov twg ib feem me me ntawm koj cov hlab ntshav hnab tawm me ntsis. Lub xub ntiag ntawm aneurysms tuaj yeem qhia Polyarteritis Nodosa, ib hom kab mob vasculitis
Kauj Ruam 5. Npaj rau kev tshawb fawb txog paj hlwb
Ntxiv nrog rau lwm qhov kev sim, koj tus kws kho mob tuaj yeem ua cov kev tshawb fawb txog hlab ntsha yog tias muaj mob neuropathy. Cov no ntsuas qhov kev siv hluav taws xob nrawm dhau los ntawm lub qab haus huv. Cov kev tshawb fawb no feem ntau ua tiav los ntawm cov neeg mob sab nrauv.
Lub tswv yim
- Kev nce ntshav siab kuj tuaj yeem tshwm sim nrog vasculitis.
- Giant cell arteritis feem ntau pom nrog lub nkoj loj vasculitis, Kab mob Kawasaki feem ntau pom nrog cov hlab ntsha nruab nrab vasculitis, thiab kev ua tsis zoo feem ntau pom nrog cov hlab ntsha me me.
