Chithandizo za momwe kuchepetsa kuyambitsirana kumayendera limodzi ndi chithandizo chamankhwala.">
Njira zogwirizanirana, kuyesa kwa mkhalapakati ndi zofunikira zawo zoyendetsera bwino, chifukwa chiyani zoyipa zabodza ndizofala, komanso momwe mungakonzekere.

Kuzindikira kwa MCAS | Zambiri za MCAS

Zida - Matenda

Kupeza Wapezeka
Mpukutu
Kuzindikira kwa MCAS kumakhala kovuta pazifukwa zinazake komanso zosinthika: mayesowa amayesa mankhwala osakhalitsa omwe amayenera kugwidwa panthawi yomwe akuchita ndikusamalidwa mosamala.
Yambani Kuwerenga Access Resources
0
mfundo zogwirizana kuti
onse ayenera kukhutitsidwa
0%
tryptase ikukwera pamwamba pa zoyambira
kuphatikiza 2 ng/mL - poyambira
0chaka
0maola
mawindo kuti mutenge tryptase
pambuyo zomwe zimayamba

pafupifupi nthawi odwala amadikira
kuti mupeze matenda olondola

Muyezo

Atatu Zolinga Zogwirizana

Chimango chomwe chimagwiritsidwa ntchito kwambiri chimafuna zinthu zonse zitatu palimodzi. Kukumana m'modzi kapena awiri sikokwanira, ndipo apa ndipamene ma workups ambiri amayimitsidwa.

Choyamba, chizindikiro cha chizindikiro. Zizindikiro ziyenera kukhala zobwerezabwereza komanso za episodic, ndipo ziyenera kukhala ndi ziwalo ziwiri kapena zingapo. Kuphatikizika kodziwika bwino kumaphatikizapo khungu ndi m'mimba, kapena mtima ndi kupuma. Vuto lokhazikika pamakina amodzi, kapena lomwe limakhazikika m'malo mosinthasintha, silikugwirizana.

Chachiwiri, umboni weniweni wa kutulutsidwa kwa mast cell mediator. Izi zikutanthawuza kuyeza kwa labotale - nthawi zambiri kukwera kwa seramu tryptase panthawi yoyerekeza ndi momwe wodwalayo alili wopanda zizindikiro, kapena ma metabolites okwera m'mkodzo. Mlingo wa tryptase womwe umagwiritsidwa ntchito nthawi zambiri ndi kukwera kosachepera 20% pamwamba pazoyambira kuphatikiza 2 ng/mL yowonjezera.

Chachitatu, kuyankha ku chithandizo choloza ma mast cell. Kupititsa patsogolo kwa H1 ndi H2 antihistamines, mast cell stabilizers, kapena othandizira okhudzana nawo amathandizira kuzindikira. Mulingo uwu umanyamula kulemera kwenikweni muzochita, makamaka pamene kuyesa kwa mkhalapakati sikunatsimikizike.

Kuphatikiza pa izi, zinthu zina zomwe zimatha kupanga chithunzi chomwechi siziyenera kuphatikizidwa - kuphatikiza mastocytosis, yomwe imaphatikizapo kuchuluka kwenikweni kwa mast cell ndipo amafufuzidwa mosiyana. Dziwani kuti kusiyanasiyana kwa chimangochi kulipo ndipo akatswiri amasiyana momwe amagwiritsira ntchito muyeso wachiwiri; njira ya dokotala ikhoza kusiyana ndi zomwe zafotokozedwa apa.

Zofunikira zonse zitatu, palimodzi. Wachiwiri - umboni wotsimikizika - ndipamene maulendo ambiri ozindikira matenda amayimitsidwa, ndipo nthawi zambiri pazifukwa zaukadaulo osati chifukwa chakuti wodwalayo alibe vutoli.

Kuyesa

Mayeso Kuphatikizidwa

Serum tryptase ndiye chikhomo chokhazikika kwambiri. Pamafunika miyeso iwiri kuti imasuliridwe: Imodzi imatengedwa panthawi kapena pambuyo pa zomwe zachitika, ndipo ina imatengedwa poyambira zizindikiro zikakhala chete. Phindu limodzi lodzipatula ndilovuta kuchitapo kanthu, chifukwa chofunika ndi kusintha kuchokera pa chiyambi cha munthu osati nambala yeniyeni. Zitsanzo za pachimake ziyenera kujambulidwa mkati mwa ola limodzi kapena anayi kuchokera pamene zayamba, ndipo zitsanzo zoyambira pasanathe maola 24 zizindikiro zitakhazikika.

Kusonkhanitsa mkodzo wa maola 24 kuyeza mkhalapakati metabolites - nthawi zambiri N-methylhistamine, prostaglandin D2 kapena metabolite yake 11-beta-prostaglandin F2-alpha, ndi leukotriene E4. Izi zimatenga zenera lalitali kuposa kutulutsa magazi kamodzi ndipo zimatha kuzindikira kuyambitsa komwe chithunzi chitha kuphonya. Ayenera kuyambika pa nthawi ya zizindikiro.

Zofunikira pakuwongolera ndizokhazikika, ndipo ndizomwe zimapangitsa kuti zotsatira zake zibwerere molakwika. Ambiri mwa oyimira pakatiwa ndi osakhazikika kutentha kwa chipinda. Zitsanzo zimafunika kuziziritsidwa nthawi yomweyo, kuziziritsa nthawi yonse yosonkhanitsa, ndikukonzedwa mwachangu. Zitsanzo za Prostaglandin ndizosalimba kwambiri. Chitsanzo chosiyidwa pa kauntala, kapena chotumizidwa ndi zoyendera wamba, chikhoza kutulutsa zotsatira zabwinobwino kuchokera kwa wodwala yemwe anali kuchitapo kanthu.

Pachifukwa ichi, ndikofunikira kutsimikizira ndondomeko yoyendetsera ntchito ndi dokotala wolamula ndi labotale kale kusonkhanitsa m'malo motsatira zotsatira zosayembekezereka. Sikuti ma laboratories aliwonse amayesa izi pafupipafupi, ndipo si zida zonse zotolera zomwe zimafika ndi malangizo okwanira.

Musanayesere

  • Zomwe Zimalepheretsa
    Zotsatira Zovomerezeka
  • Zoyipa zambiri zabodza pakuyesa kwa MCAS ndizaukadaulo osati zachilengedwe. Izi ndi zolephera zomwe muyenera kuzifufuza pasadakhale.
  • Sampling kunja kwa zomwe anachita - Milingo ya mkhalapakati imatha kukhala yabwinobwino pakati pa magawo
  • Kusowa zenera pachimake - tryptase imakokedwa pakatha maola 1-4 itangoyamba
  • Palibe kufananitsa koyambira - mtengo umodzi sungathe kuwonetsa kukwera
  • Kugwira kofunda - amkhalapakati angapo amawononga kutentha kwa chipinda
  • Kuchedwa kukonza - nthawi yoyendetsa yokha imatha kusintha zotsatira zake
Ma antihistamines samawerengedwa - kambiranani za nthawi ndi dokotala wanu - musalekerere mbali imodzi

Kusadziwika kwa labotale - si ma lab onse omwe amayesa izi pafupipafupi

Kutanthauzira

Chodzikanira Zachipatala: Tsambali ndilophunzitsa komanso si malangizo azachipatala. MCAS imapereka mosiyanasiyana kwa wodwala aliyense - nthawi zonse muzigwira ntchito ndi othandizira azaumoyo oyenerera omwe amadziwa mbiri yanu musanachite chilichonse chomwe mwawerenga apa.

Chifukwa Chake Zotsatira Zimabwera
Kubwerera Wamba

Kuyesa kwa mkhalapakati kolakwika sikungoletsa MCAS - ndikumvetsetsa chifukwa chake kumalepheretsa kukhumudwa kosayenera.

Mayesowa amayesa mankhwala okhala ndi moyo waufupi. Trypase ifika pachimake mkati mwa maola angapo achitapo kanthu kenako ndikugwa; ma metabolites a mkodzo amakhalabe nthawi yayitali koma amawonetsabe zenera lochepa. Ngati chitsanzocho chatengedwa pakati pa zigawo, sipangakhale kanthu kokwezeka kuti tipeze - osati chifukwa kutsegula sikunachitike, koma chifukwa sikungathekenso kuyezedwa.

Mavuto ogwirira ntchito omwe afotokozedwa pamwambapa amawonjezera izi. Pakati pa kusonkhanitsa molakwika ndi zitsanzo zowonongeka, gawo lalikulu la zotsatira zoipa m'mabuku ndi m'maakaunti a odwala ndizolephera luso m'malo mopanda matenda enieni.

Tsambali silingakuuzeni mankhwala omwe ali otetezeka kwa inu. Osasiya, kupewa, kapena kusintha mankhwala omwe mwapatsidwa chifukwa cha mndandanda wamba - bweretsani mndandandawo kwa dokotala yemwe akudziwa mbiri yanu ndikusankha limodzi. Chiwopsezo chosiya kulandira chithandizo ndi chenicheni, ndipo pazochitika zina chimakhala chachikulu kuposa chiwopsezo chopewedwa.

Palinso malire ena: mapanelo okhazikika amayesa oyimira ochepa, pomwe ma cell cell amamasula mazana. Wodwala yemwe kutsegulira kwake kumayendetsedwa ndi oyimira pakati omwe sanayesedwe mwachizolowezi amatha kuchitapo kanthu ndikuyesa nthawi zonse.

Palibe mwa izi zikutanthauza kuti kuyesa kuyenera kudumpha. Umboni wotsimikizika umalimbitsa kuzindikiridwa, umatsegula mwayi wolandira chithandizo, komanso nkhani za inshuwaransi ndi malo ogona. Zikutanthauza kuti zotsatira zabwinobwino ziyenera kuyambitsa kukambirana za nthawi ndi kagwiridwe kake - ndipo mwina kuyesanso kubwereza poyankha - m'malo motseka funso.

Kukonzekera
ndi Kusankhidwa

Kuchedwa kwa matenda mu MCAS kumakhala kokhazikika - zizindikiro zimadutsa mizere yapadera, ndipo katswiri aliyense amawona gawo limodzi lavuto ladongosolo. Kufika ndi chithunzi chonse chomwe chasonkhanitsidwa kale ndi chinthu chimodzi chofunikira kwambiri chomwe wodwala angachite.

Bweretsani mbiri yazizindikiro yolembedwa yokonzedwa ndi organ system m'malo motsatira nthawi. Kulemba zizindikiro za khungu, m'mimba, zamtima, kupuma, ndi zamitsempha monga magulu zimapangitsa kuti machitidwe ambiri awoneke nthawi yomweyo, kumene nkhani yofotokozera imakonda kubisa.

Bweretsani zolemba zanu zoyambira ngati mwasunga imodzi - onani Zoyambitsa za zomwe mungalembe. Nkhani zolembedwa zokhala ndi nthawi komanso kuuma mtima zimapatsa dokotala china chake choti agwiritse ntchito, ndikuthandizira kukhazikitsa mawonekedwe a zochitika zomwe muyeso woyamba umafunikira.

Bweretsani zotulukapo zoyezetsa kale, kuphatikizirapo zomwe mulibe. Mapanelo odziwika bwino, ma endoscopies osadabwitsa, komanso zolimbitsa thupi zomveka bwino za mtima ndizodziwitsa: ndi gawo la njira yopatula, ndipo amapewa kubwereza mayeso omwe achitika kale.

Inu simuli Yekha

Tsatanetsatane wa MCAS ilipo kuti wodwala aliyense athe kupeza chithandizo, anthu ammudzi, komanso chidziwitso chodziyimira yekha. Lowani nawo pa intaneti yathu yapadziko lonse lapansi.

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