What is sarcoidosis

Content

  • Sarcoidosis causes and progression of the disease
  • Diagnosis of sarcoidosis
  • Treatment and prevention of sarcoidosis



    Sarcoidosis causes and progression of the disease

    Sarcoidosis is a chronic
    inflammatory disease that affects mainly the lungs.
    In Russia, sarcoidosis ill about five people out of 100 thousand.
    Most sarcoidosis ill adults aged 30-40 years. Children
    and the elderly rarely fall ill.

    What is sarcoidosis
    currently
    while the cause of sarcoidosis is unknown. Sarcoidosis is an inflammation, with
    lymphocytes which are very active. these lymphocytes
    produce substances that cause the formation of granulomas (accumulation
    inflammatory cells) in various organs. The possibility of infection
    sarcoidosis, the patient has not been proved, but there was a family history
    diseases that can be attributed to either heredity or
    the influence of environmental factors.

    Sometimes
    in patients with sarcoidosis are the first symptoms: fever, weight loss,
    lack of appetite, fatigue. Some have a difficulty
    breathing, particularly during physical exercise. Sometimes there is a dry
    cough, muscle weakness and lethargy. In 90% of cases of sarcoidosis
    It affects the lungs. However, in most cases of sarcoidosis
    It can be detected only in X-rays, because it affects the intrapulmonary
    lymph nodes and it does not cause the patients any external manifestations.
    The most commonly found in lesions of the lungs following symptoms
    shortness of breath, dry cough, chest pain, hemoptysis sometimes.

    at
    prolonged and severe disease inflammatory changes in the lungs
    may contribute to the formation of pulmonary fibrosis and lower respiratory
    function. Also in sarcoidosis often have inflammatory changes
    the skin, eyes, joints and lymph nodes. Without
    treatment of eye disease can lead to blindness. In sarcoidosis may
    also damage the heart, brain, liver, kidneys and other internal
    authorities.



    Diagnosis of sarcoidosis

    The diagnosis of "sarcoidosis" sets
    the therapist and patient after the inspection rasprosy. For the correct diagnosis
    also need to conduct a full survey. The doctor is required to
    prescribe a blood test from a vein, and chest X-ray. It may also
    need to conduct tests to rule out TB Mantoux,
    which is very similar in sarcoidosis manifestations. In sarcoidosis reaction
    on the Mantoux test is negative. Also, it may be necessary research
    lung function study on a special device to determine
    respiratory capacity of the lungs.

    Also required for diagnosis
    holding a bronchoalveolar lavage. To this is introduced into the lungs
    special flexible bronchoscope tube. It is used for taking
    fluid from the lungs. The liquid is then examined for the presence of cells,
    reflecting inflammatory process in lungs. To confirm the diagnosis
    and may need lung biopsy. This procedure is carried out under the
    local anesthesia, brief and painless. Because lung doctor
    take a small piece of tissue using a special needle for
    analysis under a microscope. If you have severe lung injury,
    involved the heart, eyes and central nervous system, is the most
    likely to require long-term treatment. If sarcoidosis
    only affected lymph nodes in the lungs, it indicates
    a favorable course of the disease.



    Treatment and prevention of sarcoidosis

    most
    patients sarcoidosis disappears without treatment. However, the treatment of sarcoidosis
    should take place under the constant supervision of a doctor, as a doctor
    can assess the severity of internal organ involvement and appoint
    correct, complete, and timely treatment.

    The most
    serious complications of sarcoidosis are the development of respiratory
    failure and blindness, which can lead to inflammation of the eye.
    These complications can be prevented by destination
    corticosteroids. In the course of treatment will be regularly
    carried out an X-ray of the chest. Use of corticosteroids as
    Typically, and inevitably involving the eyes, heart, brain and serious
    cases of cutaneous manifestations. When inactive during sarcoidosis should
    once a year to visit a doctor and do chest X-ray for control
    for the course of the disease.

    To prevent
    exacerbation of sarcoidosis should try to keep a healthy lifestyle.
    The most important thing in the defeat of the lungs do not smoke, as it can
    lead to breathing difficulties and complications of the disease. It should also be
    avoid contact with drugs and chemicals that are harmful to the liver,
    toxic volatile substances, dust, fumes, gases, which can
    damage the lungs. In sarcoidosis there is an increase in calcium
    in the blood which may lead to the formation of kidney stones, and urinary
    bubble. Therefore, the use should be avoided rich foods
    calcium (milk, cheese). For the same reason, do not sunbathe.

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