Ib qho kab mob uas muaj kab mob uas muaj feem xyuam rau ntau lub tshuab thiab kabmob yog hu ua sarcoidosis. Mus txog rau tam sim no, nws tsis tau ua kom paub tias yog vim li cas nws tshwm sim, tab sis nws muaj ib qhov kev tshawb xav tias pathology yog kis tau ntawm noob caj noob ces, nyob ntawm lub cev tsis sib luag. Sarcoidosis ntawm daim tawv nqaij yog daim ntawv tsawg kawg nkaus ntawm tus kab mob, tshwm sim hauv tsawg dua 50% ntawm tag nrho cov mob, feem ntau yog cov poj niam.
Cov tsos mob ntawm tus kab mob hu ua sarcoidosis
Muaj 4 hom ntawm cov kab mob uas tau piav:
- Beka lub siab;
- angiolyupoid Broca-Porye;
- refreshed lupus Bienie-Tenneson;
- subcutaneous sarcoid Darje-Russi.
Nyeg, qhov kev nyuaj siab ntawm Beck tau muab faib ua 3 pawg:
- me me-scalloped;
- coarse-grained;
- diffuse-infiltrative.
Cov cim qhia ntawm lub me me ntawm sarcoma Beck - ua pob, nws lub cheeb tsis tshaj 5 hli. Cov ntsiab lus yog hemispherical, tuab, cyanotic los yog xim av xim.
Cov tawv nqaij cov nqaij muaj coarse-grained sarcoidosis yog cov xeeb ntxwv ntawm cov pob zeb ntawm cov xim daj ntawm cov xim av-cyanotic. Qhov loj ntawm cov formations nce 2 cm.
Diffusive-infiltrative pathology yog tsawg, nrog los ntawm cov tsos ntawm loj (mus txog rau lub ntev ntawm lub xibtes) ntom foci nrog fuzzy ciam.
Angiolyupoid Broca-Porye yog hu ua sarcoidosis ntawm daim tawv nqaij ntawm lub ntsej muag, vim tias nws cov tsos mob - loj plaques txog 2 cm inch ntawm sab qaum ntawm lub qhov ntswg, hauv pliaj. Cov ntsiab lus muaj ib qho chaw mos, muaj xim xaj.
Nrog reflex lupus rau ntawm daim tawv nqaij tshwm tiaj tiaj me ntsis ntawm liab ntshav-liab Hawj. Lub ciam teb ntawm cov pob liab khov yog cov meej thiab cim tau zoo.
Rau cov khoom siv mis subcutaneous, palpable nodes ntawm ntau qhov ntau thiab tsawg. Lawv feem ntau tsis ua rau tsis xis los yog mob. Subcutaneous neoplasms tej zaum kuj tshuam, tsim cov kab mob loj heev. Tus kabmob loj ntawm cov pob txha ua liab dawb.
Kev kuaj ntawm daim tawv nqaij sarcoidosis
Raws li txoj cai, rau qhov kev sib piv ntawm ib qho kev sib txawv, nws yuav tsum tau ua:
- kev tshuaj ntsuam xyuas;
- ntsuam xyuas keeb kwm;
- kev ntsuam xyuas ntshav biochemical ;
- ib qho kev txhawj xeeb;
- kev kuaj mob ntawm lub ntsws, cov qog , cov hauv nruab nrog cev (ultrasound, x-ray).
Kev kho mob rau cov hlab ntsws
Txoj kev tseem ceeb tshaj plaws los kho tus kab pathology no yog siv cov tshuaj siv corticosteroid ntev, uas yog siv - Prednisolone. Ntxiv rau, cytostatics (Cyclophosphamide, Prospidin) thiab cov tshuaj antimalarial (Resokhin, Delagil) yog cov tshuaj.