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درباره وبلاگ


این وبلاگ به پاسخدهی سوالات رایج در مورد بیماری های روماتیسمی و شیوه درمان و عوارض آنها و راههای پیشگیری از عوارض و ابتلا به بیماری های شایع جامعه کنونی مانند آرتروز و پوکی استخوان می پردازد

مدیر وبلاگ : دکتر مریم صاحباری
نظرسنجی
وبلاگ پیش رو چقدر در پاسخ دهی به سوالات شما مفید است؟




بیماری واسکولیت شامل دسته  مختلفی از بیماری ها با اسامی متفاوت  و علائم متفاوت هست. اسم این بیماری به معنی التهاب رگ هست. بنابراین هر جا که رگ دارد (تقریبا همه جای بدن) در این بیماری در معرض ابتلا قرار دارد. بسته به اندازه رگ مبتلا بیماری تقسیم بندی می شود و علائم آن قابل پیش بینی هست. مثلا در واسکولیت لکوسیتوکلاستیک عروق مویرگی  پس ترجیحا پوست مبتلا می شود. در کاوازاکی آتورت و در وگنر عروق متوسط مثل عروق ریه و کلیه ملتهب می شوند. این بیماری ها می توانند بسته به نوع از ایجاد دانه های قرمز برجسته روی بدن بخصوص پاها تا التهاب عروق ریه و سرفه و دفع خلط خونی و یا کم شدن کار کلیه ، گاها آسم و الرژی و پولیپ بینی وافزایش ناگهانی فشار خون و یا علائم عصبی 000  تظاهر بیابند. سن شیوع جوانی و میانسالی و بیماری بسیار نادر هست. علت آن معلوم نیست و لی مثل توضیحی که در وبلاگ راجع به روماتیسم دادم در یک فرد مستعد به بیماری از لحاظ ژنتیکی ، عوامل محیطی مثل عفونت های ویروسی و یا باکتری ها ، مصرف داروهای خاص ، و استرس ها باعث شروع بیماری می شود. چون علت دقیق معلوم نیست درمان قطعی ندارد.  بیماری مزمن است و باید طولانی درمان شود. این بیماری های نادر مهم هستند. حتی اگر تظاهر اولیه پوستی باشد باید بصورت دوره ای وضعیت کار ارگان های حیاتی بدن مثل قلب ، کلیه و ریه و چشم ها بررسی شود. اگر علت عفونت و یا دارو و یا بیماری دیگری که همزمان باعث ایجاد واسکولیت شده باشد درمان آن ها و یا قطع دارو مشکل را رفع می کند ولی اگر علتی پیدا نشود باید طولانی و سنگین درمان شود. مصرف کورتون با مقادیر زیاد ( قسمت مربوط به اصول مصرف کورتون را بخوانید). داروهای سرکوبگر ایمنی اساس درمان است . بعد از کنترل بیماری تا یک سال درمان سبک تری ادامه می یابد. گاه لازم است که بیماری تا مدتها با مقدار کم داروها درمان شود. اگر خوب درمان شود و بار اول بیماری قابل کنترل باشد عودها با افزایش دارو کنترل می شود . عود شایع نیست.  به علت مصرف دارو و طبیعت بیماری عفونت شایع و باعث تشدیدبیماری است. پس شرط بهداشت و پرهیز از قرار گیری در محیط های خیلی شلوغ با تهویه بسته و روبوسی در عیادت بیمار ، شستن مکرر دست ها و بهداشت مواد غذایی ضروری است.  در کسانی که تشخیص ثابت شده است علائم مهم عود بیماری را باید بشناسید و مراجعه سریع داشته باشید:

1. در همه انواع:تب و احساس کسالت ( احتمال عفونت که درمان سریع می خواهد تا باعث عود بیماری نشود و یا تب می تواند  علامت عود بیماری باشد)

2. زدن دانه های قرمز و برجسته روی بدن

3. وگنر : سرفه ، خلط خونی ، گزگز و در دست و یا پا ؛ قرمز شدن ادرار، سردرد ضعف و بی حالی و افزایش فشارخون ، درد بینی و غضروف آن و ملتهب شدن غضروف بینی ، سینوزیت شدید مقاوم

4. پان: سرفه ، فشار خون ناگهانی ، تورم پشت پاها ، گزگز و در دست و یا پا ؛ قرمز شدن ادرار، درد شدید قفسه سینه

5. تاکایاسو: درد شدید و پیشرونده دست یا پا ، سردی شدید اندام ؛ افزایش فشار خون ، دردگردن ؛ تاری دید گذرا ، احساس ضعف و بی هوشی گذرا و ناگهانی ، کاهش نبض یک اندام

6. آرتریت تمپورال: سن بالای 50 سال ، ضعف و خستگی ، سردرد شدید که تازه ایجاد شده باشد و یا نوع سردرد قبلی عوض شده باشد و تاری دید گذرا، ایجاد کم خونی شدید

7. چرج استروس: در فردی که سابقه آسم و پولیپ بینی داشته کاهش آسم و ایجاد گزگز ومورمور یک اندام و ضعف آن ، تب و سرفه و نمای خاص عکس ریه ، سینوزیت شدید مقاوم

در کل تشخیص با انجامآازمایشات اختصاصی ، بررسی کل بدن و نمونه برداری از رگ مبتلا انجام می شود. این بیماری ها با درمان اکثرا کنترل می شوند و گاها عوارض قابل کنترلی به جا می گذارند.





نوع مطلب : درمان، عوارض، پاسخ سوالات رایج ، تعاریف، 
برچسب ها :
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دوشنبه 2 دی 1392
شنبه 5 مرداد 1398 04:59 ق.ظ
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شنبه 5 مرداد 1398 03:48 ق.ظ
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پنجشنبه 3 مرداد 1398 09:04 ب.ظ
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پنجشنبه 3 مرداد 1398 07:40 ب.ظ
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چهارشنبه 2 مرداد 1398 07:05 ق.ظ
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چهارشنبه 2 مرداد 1398 07:05 ق.ظ
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دوشنبه 31 تیر 1398 01:40 ب.ظ
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دوشنبه 31 تیر 1398 06:32 ق.ظ
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دوشنبه 31 تیر 1398 03:04 ق.ظ
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یکشنبه 30 تیر 1398 11:40 ب.ظ
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یکشنبه 30 تیر 1398 09:44 ب.ظ
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سه شنبه 3 اردیبهشت 1398 02:03 ب.ظ
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چهارشنبه 28 فروردین 1398 01:42 ق.ظ
https://t.me/joinchat/AAAAAFLZjwElil8fET0auAدوستان لینك كانال
چهارشنبه 28 فروردین 1398 01:25 ق.ظ
https://t.me/joinchat/AAAAAFLZjwElil8fET0auA دوستان لینك كانال
چهارشنبه 28 فروردین 1398 01:18 ق.ظ
دوستان كانالی إیجاد كردم برای بیماران وگنر برای تبادل نظرات و تجربیات كوچك و شاید مفید .
چهارشنبه 26 اردیبهشت 1397 09:38 ب.ظ
سلام امیدوارم حال همگی خوب باشه کانال برای بچه های وگنر میزنم فقط برای اینکه از تجربیات هم استفاده کنیم منم خودم درگیر این بیماری هستم هرکس تمایل داشت به این ای دی پی ام بده تلگرام RM137000
یکشنبه 23 اردیبهشت 1397 02:11 ب.ظ
سلام می شه منم عضو کانال بشم
سه شنبه 11 اردیبهشت 1397 02:24 ق.ظ
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جمعه 10 فروردین 1397 07:20 ب.ظ
منم وگنر دارم.یه نفر یه کانال بزنه از تجربیاتمون استفاده کنیم
جمعه 17 آذر 1396 09:38 ب.ظ
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پنجشنبه 23 شهریور 1396 01:15 ق.ظ
باسلام خدمت دوستان پدر من حدود دوساله واسکولیت چرچ استراوس داره خیلی بیماریه سختیه اولش از آسم وسرفه شدید شروع شد حدوددوسال سرفه میکرد وهردکتری یه نسخه میپیچیدتا اینکه دسو پاش بیحس شد بردیم بیمارستان رسول اکرم توستارخان خانم دکترفاطمه شیرانی تشخیص دادن ودرمان شوع شد الان بیماریش خاموشه با واکر وعصا راه میره روز بروز هم بهتر میشه گرچه دائما تحت کنترل دکتره..نکات مهم این وتجربه بنده اینه که اولا داروهارو حتماسروقت بخوریدمراقب تغییرات آب وهوایی باشید که سرمانخورید چون خیلی سخت درمان میشه بجای گوشت قرمز از گوشت سفیدمثل مرغ وماهی وبلدرچین استفاده کنید میوه وسبزیجات هم موثره...ودرآخر این که هیچکس از آینده خبر نداره سعی کنید بیماری رو قبول کنید وغصه آینده رونخورید امروز شاد باشید.
سه شنبه 17 مرداد 1396 09:01 ق.ظ
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جمعه 13 مرداد 1396 09:49 ب.ظ
سلام دوستان ی ساله که بیماری وگنر رو برای من تشخیص دادن الانم دارم دارو مصرف میکنم.اماخیلی اذیتم بیشتر موقعها خستم لرزه دارم بی حالم خیلی ا دکترم که میپرسم میگه هیچیت نیس ولی دارو باید مصرف کنی حالا میخواستم بپرسم ا کسی که وگنر داره این عوارض بیماریه یا داروهاس...متشکرم خواهش میکنم جواب بدین داروهامم اندوکسان هرماه یکی وکورتوت ۱۰میلی روزی هست
دوشنبه 9 مرداد 1396 08:02 ق.ظ
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یکشنبه 25 تیر 1396 10:21 ب.ظ
من دكتر مهدی وجدانیان رو معرفی میكنم كارش خیلی خوبه تو مركز روماتیسم كار میكنه
پنجشنبه 22 تیر 1396 12:31 ق.ظ
خواهر منم تازه تشخیص دادن واسکولیت داره چیکار باید کرد
 
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