Kwabanye abantu, ngokuvamile abesifazane, ekuhloleni kwe-granulomas encane (ukuqoqwa kwamangqamuzana avuthayo) atholakala ezithombeni ezihlukahlukene. Lesi sifo sabizwa ngokuthi i-sarcoidosis - izimpawu ze-pathology zivame ukuboniswa, ukugula isikhathi eside kugijima kungabonakali futhi kungakwazi ngisho nokunyamalala yedwa, ngaphandle kokwelashwa okhethekile.
Izimpawu nokuphathwa kwe-sarcoidosis
Lesi sifo sibhekisela ezinkingeni zesistimu. Ithinta, njengomthetho, izicubu zamaphaphu, kodwa ngezinye izikhathi kuthinta ezinye izitho - isipere, isibindi, i-lymph nodes, inhliziyo.
I-Sarcoidosis ibonakala ngokubunjwa kwama-granulomas - ama-nodules aminyene amancane, aphethwe yinkqubo yokuvuvukala. Lezi zimpawu zivuswa ukwanda komsebenzi wamaseli amhlophe egazi (lymphocyte).
Ukwelashwa kwe-sarcoidosis ngokuvamile akudingeki, ngoba ngenxa yokwanda komsebenzi wesimiso somzimba sokuzivikela, ama-inflammatory foci axazululwa ngokwawo. Ezimweni ezinjalo, ochwepheshe batusa ukuqapha okujwayelekile. Ezinye izimo ezinezinkinga ezinkulu noma eziyinkimbinkimbi zesifo zikhombisa ukwelashwa kwe-horticone ye-corticosteroid. Ukwelapha kwenziwa ngaphansi kokuqondiswa komuntu ophishekela iziqu kanye nokucwaninga okuqhubekayo kwezitho ezithintekayo yi-granulomas ukuqapha isimo nesimo sabo.
Izimpawu ze-sarcoidosis yamaphaphu
Ngokuvamile, isimiso sokuphefumula sitholakala ku-sarcoidosis. Ezimweni eziningi, ayinayo izibonakaliso ezicacile futhi uhlala engakutholi isiguli.
Izimpawu ezingekho emthethweni ze-sarcoidosis:
- ukuzwa ukhathazeka;
- ukukhathala okuhlala unomphela, ukukhathazeka nokuqina;
- ukulahlekelwa kwesisindo;
- izimo ezinzima ezingavamile;
- ukulahlekelwa kwesifiso;
- ukujuluka okukhulu ebusuku;
- ukuphazamiseka kokulala.
Ngendlela ye-lymphoagglutinous (intrathoracic) ye-pathology, iziguli zikhononda ngokubonakaliswa okwengeziwe:
- ukuphefumula;
- ukukhwehlela owomile ;
- ubuhlungu esifundeni sesifuba, emahlanganiseni;
- i-wheezing;
- ukushisa komzimba okwandisiwe;
- i-percussion;
- ukubonakala kwe-erythema nodosum.
Ifomu le-mediastinal-pulmonary le-sarcoidosis libhekwa yizici ezilandelayo:
- ukuphefumula okukhulu nokukhwehlela okubuhlungu;
- ngezinye izikhathi - i-hemoptysis;
- ubuhlungu obukhulu besifuba;
- I-Morozov-Yunling syndrome, i-Herford.
Izimpawu zeso iso sarcoidosis
Ngezici ezihlukahlukene ezichazwe zalesi sifo, i-sclera, inyembezi yezinyembezi, i-conjunctiva, i-retina, i-orbit, iziphetho zezinzwa ziyathinteka. Njengomthetho, ukubonakaliswa okuyinhloko kwe-sarcoidosis kuleli cala kuyi-irit ne-iridocyclitis.
Izimpawu eziyinhloko zesifo:
- i-photophobia;
- ubuhlungu emehlweni;
- umfutho wegazi ophansi e-eyeball;
- ukuqoqwa kwe-exudate kwi-membranes emangcwabeni, ukulila.
Inkambo ejulile ye-sarcoidosis ingaholela ezinkingeni ezinjalo:
- i-glaucoma yesibili;
- i-cataract;
- ukuphutha okuphelele noma okuyingxenye;
- i-chorioretinitis;
- ukungena kwesibindi se-optic ngezingxenye ze-sarcoid;
- i-edema yediski;
- i-uveitis ;
- keratoconjunctivitis.
Izimpawu zesikhumba sarcoidosis
Lolu hlobo lwesifo lubizwa ngokuthi i-small-node sarcoidosis. Ukubonakaliswa kwalo kungukuthi:
- imfundo esikhumbeni semilenze, ubuso, ngezinye izikhathi isiqu se-hillocks encane;
- ukuhlanganiswa kwezakhi;
- ukuguqulwa kombala wezimpawu ezivela ebomvu obomvu kuya ku-cyanotic, i-brown hue;
- ukutholakala kwezindawo ezimnyama ezinosayizi omncane esikhumbeni;
- ezingavamile - izilonda ze-tubercles.
Izimpawu zenhliziyo sarcoidosis
Loluhlobo lwe-pathology luqala ngokumelene nesizinda se-lung sarcoidosis. Kubonakala izimpawu ezifana ne-ventricular tachycardia kanye ne-extrasystole, ukwanda kobukhulu bama-ventricles.
Kufanele kuqaphele ukuthi i-sarcoidosis ibangela izinkinga ezinjalo kuphela kuma-20-22% wamacala, kodwa uma kutholakala lesi sifo, kubalulekile ukubonisana nomuntu we-cardiologist.