I-Sarcoidosis yamaphaphu kanye ne-intrathoracic lymph nodes yisifo esivuthayo se-systemic. Kulesi simo, odokotela basengakwazi ukugcina isinqumo sokuthi kwenzeke kanjani. Lesi sifo sibonakala ngokubunjwa kwamaqoqo amangqamuzana anesifo - ama-granulomas (ama-nodes). Indawo eyinhloko yokuhlushwa ibhekwa njengamaphaphu. Naphezu kwalesi sifo ngokuvamile kudlula kwezinye izingxenye zomzimba. Ezimweni eziningi, abantu abangaphansi kweminyaka engama-40 ubudala. Ngaphambilini, lesi sifo sabizwa ngokuthi isifo seBe-Be-Schaumann - ngokuhlonipha ochwepheshe abayifunde.
Ukuhlukaniswa kwe-sarcoidosis yamapayipi nama-lymph nodes
Izithombe ze-X-ray zisetshenziselwa ukucacisa isigaba sesifo. Kunezigaba ezintathu zalesi sifo:
- Ifomu lokuqala lymphoid. Kukhona ukunyuka kwamazwe ngama-lymph nodes. Lezi zingaba i-bronchopulmonary, i-tracheobronchial, i-paratracheal noma i-bifurcation.
- I-Mediastinal-pulmonary. Iqhubeka ngokusabalalisa kanye nokungena kwamathambo ngaphakathi kwezitho zokuphefumula. Ukulimala kwe-lymph nodes ye-intrathoracic.
- Ifomu lepulmonary. Kubonakala yi-fibrosis. Ngakho i-lymphonoduses ayanda. Phakathi nokuthuthukiswa kwesifo, ama-conglomerate akhiwa. Ngokumelene nesimo esilandelayo esithuthuka emphysema kanye ne-pneumosclerosis.
Izimpawu ze-sarcoidosis yamapayipi nama-lymph nodes we-intrathoracic
Lesi sifo sihambisana nalezi zimpawu:
- i-malaise;
- ubuthakathaka jikelele;
- ukukhathala okusheshayo;
- ukudla okumbi;
- ukulahlekelwa kwesisindo somzimba;
- umkhuhlane;
- ukuphazamiseka kokulala;
- ukujuluka ngokweqile.
Ezimweni zokuqala zentuthuko, lesi sifo singaba nenkambo engavamile. Kwezinye izimo, kukhona izinhlungu zesifuba, ukunganaki kwamalunga, ubuthakathaka nomkhuhlane. Ngosizo lwe-percussion (ukushaya) kutholakala ukuthi ukwanda kwezimpande zamapulmoni.
Khona-ke lesi sifo sikhula sibe ifomu, uma kukhona ukukhwehlela, ukuphefumula nokuphefumula okukhulu esifubeni. Lapho kuhlolwa, ama-rattles azwakala. Izimpawu ezingaphezulu kwegazi zibonakala: ukulimala esikhumbeni, izitho zombono, izilonda zomakhelwane ezizungezile, izigulane ezithandwayo namathambo. Ifomu le-pulmonary liboniswa ukuphefumula okukhulu, ukukhwehlela okumanzi kanye nezinhlungu zesifuba esingapheli. Izimpawu ezivamile zimbi kakhulu, njengoba ukwehluleka kwenhliziyo, izinhlobo ezimbi ze-emphysema kanye ne- pneumosclerosis zengezwa kubo.
Izimbangela ze-sarcoidosis yamapayipi nama-lymph nodes
Ochwepheshe abakwazanga ukusungula noma yiziphi izimbangela zokuqala kwesifo. Naphezu kwalokhu, kwaziwa ngokuqondile ukuthi umuntu akakwazi ukutheleleka kumuntu. Kulandela ukuthi lesi sifo asihambisani naso. Abanye ochwepheshe basikisela ukuthi i-sarcoidosis ivela ngenxa yokuvezwa kwamagciwane, impova, izinsimbi kanye nesibungwini emzimbeni womuntu. Ngesikhathi esifanayo, iningi liqinisekile ukuthi lesi sifo siwumphumela wezici eziningana ngesikhathi esisodwa. Ama-genetic theories nawo aqinisekisiwe, asekelwa izimo eziningi zemfundo ngaphakathi komndeni ofanayo.
Ukwelashwa kwe-sarcoidosis yamapayipi kanye nama-lymph nodes we-intrathoracic
Ukwelashwa kunqunywe uma kutholakala isimo esibucayi saleso sifo, nezilonda ze-intrathoracic nodes noma izicubu zamaphaphu. Uchwepheshe ubeka inkambo yokuthatha izidakamizwa nezidakamizwa eziphikisayo, ezingahlala ezinyangeni ezingu-8 - kuxhomeke esiteji. Ama-antioxidants kanye nama-immunosuppressants anikezwa ngokungeziwe.
Ekuqaleni kokwelashwa, isiguli sibhalisiwe. Uma kunesimo esinzima ezikhungweni zezokwelapha, kuzodingeka ukuthi kuvele kuze kube yiminyaka emihlanu. Lokhu kwenziwa, uma kunesidingo, ukucacisa ukuthuthukiswa okuqhubekayo kwesifo.