Kurapa kuti kuderedzwa kwe trigger kunokwana sei pamwe chete nehutungamiri hwekurapa.">
Maitiro ekubvumirana, bvunzo dzemurevereri uye yavo yakasimba yekubata zvinodiwa, nei zvisirizvo zvenhema zvakajairika, uye nzira yekugadzirira.

MCAS Diagnosis | Tsanangudzo yeMCAS

Zvishandiso - Kuongororwa

Kuwana Kuongororwa
Mupumburu
Kuongororwa kweMCAS kwakaoma kune chimwe chikonzero uye chinogadziriswa chikonzero: bvunzo dzinoyera-nguva pfupi makemikari anofanirwa kubatwa panguva yekuita uye kubatwa nekutarisirwa kusingawanzo.
Tanga Kuverenga Access Resources
0
chibvumirano chemaitiro izvo
vose vanofanira kugutsikana
0%
tryptase inokwira pamusoro pekutanga
kuwedzera 2 ng/mL - chikumbaridzo
0gore
0maawa
hwindo rekutora tryptase
mushure mekuita kunotanga

avhareji yenguva varwere vanomirira
kuitira kunyatsoongororwa

Chiyero

Vatatu Consensus Criteria

Chimiro chinoshandiswa zvakanyanya chinoda zvinhu zvitatu zvese pamwechete. Kusangana mumwechete kana vaviri hakuna kukwana, uye apa ndipo panomira kuwanda kwema workups.

Kutanga, chiratidzo chechiratidzo. Zviratidzo zvinofanirwa kudzokororwa uye episodic, uye zvinofanirwa kusanganisira maviri kana anopfuura enhengo masisitimu. Misanganiswa yakajairika inosanganisira ganda rine gastrointestinal, kana moyo nevascular nekufema. Dambudziko rakaganhurirwa kune imwe sisitimu, kana iyo inogara iripo kwete kuchinjika, haikodzeri.

Chechipiri, humbowo hwechinangwa chekusunungurwa kwemast cell mediator. Izvi zvinoreva kuyerwa kwerabhoritari - kazhinji kukwira kweserum tryptase panguva yechiitiko zvichienzaniswa nemurwere pachake-isina chiratidzo chekutanga, kana yakakwirisa muyananisi metabolites muweti. Chikumbaridzo chetryptase mukushandiswa kwakajairwa kukwira kweinenge 20% pamusoro pekutanga pamwe nekuwedzera 2 ng/mL.

Chechitatu, mhinduro kumushonga wakananga mast cells. Kuvandudzwa kweH1 uye H2 antihistamines, mast cell stabilizers, kana maajenti ane hukama anotsigira kuongororwa. Ichi chiyero chinotakura huremu chaihwo mukuita, kunyanya apo kuyedzwa kwemuyananisi kwave kusingaite.

Padivi peizvi, mamwe mamiriro anokwanisa kuburitsa mufananidzo mumwe chete haafanire kuverengerwa - kusanganisira mastocytosis, iyo inosanganisira kuwanda chaiko kwemaseru maseru uye inoferefetwa zvakasiyana. Ziva kuti misiyano yegadziriro iyi iripo uye nyanzvi dzinosiyana pamashandisiro avanoita chirevo chechipiri; maitiro emukiriniki anogona kusiyana nezviri kutsanangurwa pano.

Zvose zvitatu zvinodiwa, pamwe chete. Yechipiri - humbowo hwechinangwa - ndipo panogara nzendo dzakawanda dzekuongorora, uye kazhinji nekuda kwezvikonzero zvehunyanzvi kwete nekuti murwere haana mamiriro acho.

Kuongorora

Miedzo Inobatanidzwa

Serum tryptase ndicho chicherechedzo chakasimbiswa. Zvinoda zviyero zviviri kuti zvidudzirke: imwe inotorwa panguva kana nguva pfupi mushure mekuita, uye imwe inotorwa pakutanga kana zviratidzo zvanyarara. Chinhu chimwechete chakazvimiririra chinonetsa kuita pachiri, nekuti chakakosha ishanduko kubva pahwaro hwekutanga kwete nhamba yakakwana.Muenzaniso wakaoma unofanirwa kukweverwa mukati meawa imwe kusvika mana yekutanga maitiro, uye yekutanga sampu ingangoita maawa makumi maviri nemana mushure mekunge zviratidzo zvagadzikana.

24-awa yekuunganidza weti kuyera murevereri metabolites - kazhinji N-methylhistamine, prostaglandin D2 kana metabolite yayo 11-beta-prostaglandin F2-alpha, uye leukotriene E4. Aya anotora hwindo rakareba kupfuura kudhirowa ropa rimwe chete uye anogona kuona activation ingapotsa snapshot. Vanofanira kutanga panguva yezviratidzo.

Kubata zvinodiwa kwakasimba, uye ndizvo zvinowanzoitika zvikonzero zvinodzoka zvenhema zvisina kunaka. Mazhinji eanoyananisa aya haana kugadzikana patembiricha yekamuri. Samples dzinowanzoda kupiswa nekukasira, kuchengetwa kuchitonhora mukati mekuunganidzwa, uye kugadziriswa nekukurumidza. Prostaglandin samples inonyanya kusimba. Muenzaniso wakasiiwa pakaunda, kana kutumirwa nezvifambiso zvakajairika, unogona kuburitsa mhedzisiro kubva kumurwere ainyatso pindura.

Nekuda kweizvi, zvakakosha kusimbisa iyo yekubata protocol neanoraira chiremba uye murabhoritari pamberi muunganidzwa kwete mushure memhedzisiro isingatarisirwe. Haisi yega yega marabhoritari inogara ichimhanyisa aya mayedzo, uye haisi yega yega kit yekuunganidza inosvika ine mirairo yakakwana.

Usati Waedza

  • Chii Chinoderedza
    Chigumisiro Chakakodzera
  • Mazhinji manyepo ekuyedzwa kweMCAS ndeye tekinoroji kwete yebhayoloji. Aya ndiwo mapoinzi ekukundikana anofanirwa kuongororwa pachine nguva.
  • Sampling kunze kwekuita - mazinga emurevereri anogona kuve akajairwa pakati pezvikamu
  • Kushaya hwindo rakanyanya - tryptase inowanzo dhonzwa maawa 1-4 mushure mekutanga
  • Hapana kuenzanisa kwekutanga - kukosha kumwe chete hakugone kuratidza kukwira
  • Kubata kunodziya - varevereri vanoverengeka vanosvibisa pane tembiricha yekamuri
  • Kunonoka kugadzirisa - nguva yekufambisa yega inogona kugadzirisa mhedzisiro
Antihistamines haina kuverengerwa - kurukura nezvenguva nachiremba wako - usamire uri wega

Kusajairika kwerabhoritari - haasi ese maLab anogara achimhanyisa aya assays

Dudziro

Medical Disclaimer: Peji rino rinodzidzisa uye harisi zano rekurapa. MCAS inopa zvakasiyana mumurwere wese - gara uchishanda nevarapi vanokwanisa vehutano vanoziva nhoroondo yako usati waita pane chero chaunoverenga pano.

Sei Migumisiro Yauya
Back Normal

Muyedzo wemurevereri wakashata hausi wega kunze kweMCAS - uye kunzwisisa kuti nei ichidzivirira kuodzwa mwoyo kwakanyanya kusingakoshi.

Iwo maedzo anoyera makemikari ane pfupi hafu yeupenyu. Trypase inokwira mukati memaawa mashoma ekuita uye yobva yadonha; urinary metabolites inopfuurira kwenguva refu asi ichiri kuratidza hwindo shoma. Kana muenzaniso ukatorwa pakati pezvikamu, panogona kunge pasina chinhu chakakwirira kuwana - kwete nekuti activation haina kumboitika, asi nekuti haichayereki.

Matambudziko ekubata anotsanangurwa pamusoro apa anowedzera izvi. Pakati pekuunganidza kwakashata uye masampuli akaderedzwa, chikamu chakakura chemhedzisiro yakaipa mumabhuku uye mumaakaundi evarwere kukanganisa kwehunyanzvi pane kusavapo kwechirwere.

Iri peji harigone kukuudza kuti ndeipi mishonga yakachengeteka kwauri. Usamira, kudzivirira, kana kushandura mushonga wakatemerwa pahwaro hwerunyorwa rwese - unza runyoro kune anonyora anoziva nhoroondo yako uye sarudza pamwe chete. Ngozi yekurega kurapwa kunodiwa ndeyechokwadi, uye kune mamwe mamiriro yakakura kupfuura njodzi inodziviswa.

Pane kumwe kugumira: mapaneru akajairwa anoyera nhamba diki yevayananisi, nepo mast masero anoburitsa mazana. Murwere ane activation inotongwa nevayananisi vasina kuvharwa nekuyedzwa kwenguva dzose vanogona kuita zvechokwadi uye kuyedza kazhinji mukati.

Hapana chimwe cheizvi chinoreva kuti kuyedzwa kunofanira kuregwa. Humbowo hwechinangwa hunosimbisa kuongororwa zvakanyanya, hunovhura mukana wekurapwa, uye nyaya dzeinishuwarenzi nepekugara. Zvinoreva kuti mhedzisiro inofanirwa kukurudzira hurukuro nezve nguva uye kubata - uye pamwe kudzokorora kuedza panguva yekupindura - pane kuvhara mubvunzo.

Kugadzirira
an Appointment

Diagnostic kunonoka muMCAS ine chikamu chechimiro - zviratidzo zvinoyambuka mitsara yehunyanzvi, uye nyanzvi yega yega inoona dunhu rimwe redambudziko rehurongwa. Kusvika nemufananidzo wose watounganidzwa ndicho chinhu chimwe chete chinonyanya kukosha chingaitwe nemurwere.

Hunza nhoroondo yechiratidzo yakanyorwa yakarongwa neorgan system pane kutevedzana kwezviitiko. Kunyora ganda, gastrointestinal, yemwoyo, kufema, uye neurological zviratidzo semapoka zvinoita kuti multisystem pateni ionekwe nekukasira, uko nhoroondo yenhoroondo inowanzoivhara.

Hunza dhayari rako rekutanga kana wakachengeta imwe - ona Zvikonzero kuti chii kunyora. Zvikamu zvakanyorwa zvine nguva uye kuomarara zvinopa murapi chimwe chinhu chakasimba chekushanda kubva, uye kubatsira kumisikidza episodic pateni inodiwa yekutanga.

Huyai nemiyedzo yekutanga, kusanganisira isina kunaka. Zvakajairwa allergy mapaneru, zvisingashamisi endoscopies, uye akajeka emwoyo workups ane ruzivo: iwo ari chikamu chemaitiro ekusarudzika, uye anochengetedza kudzokorora kwemiedzo yatoitwa.

Iwe Hausi Ndega

Tsanangudzo yeMCAS iripo kuitira kuti murwere wese awane rutsigiro, nharaunda, uye ruzivo rwekuzvimiririra. Joinha network yedu yepasi rose.

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