Kodi mwadzidzidzi mwataya kumva kwanu ndipo mukumva chizungulire? Kodi izi zingakhale AIED (Matenda a M'makutu Odziteteza Kuthupi)?

Tangoganizani mwadzidzidzi kutaya kumva m'khutu limodzi... kenako, patatha milungu ingapo kapena miyezi ingapo, kutayanso kumva m'khutu lina. Nthawi yomweyo, mukumva chizungulire, ndipo phokoso losalekeza limatuluka mkati mwa khutu lanu... Ngati chinthu chonga ichi chichitika, wina aliyense angaope kwambiri, sichoncho? Lero tikambirana za vuto lomwe limayambitsa zizindikirozi, lomwe ndi losowa pang'ono, koma lofunika kwambiri kudziwa. Ndilo Matenda a M'khutu Amkati mwa Khutu, kapena AIED mwachidule.

Mwachidule, kodi AIED ndi chiyani?

Kuti timvetse izi, choyamba tiyeni tikambirane pang'ono za chitetezo cha thupi lathu. Thupi lathu lili ndi chitetezo chamthupi . Lili ngati gulu lankhondo lomwe limateteza dziko. Ntchito yaikulu ya asilikali (maselo a chitetezo chamthupi) a gululi ndikupeza, kugwira, ndikuwononga adani monga majeremusi, mavairasi, ndi mabakiteriya omwe amalowa m'thupi lathu.

Koma nthawi zina gulu lathu lankhondo limalakwitsa pang'ono. Amayamba kuukira maselo athu athanzi komanso abwino, akuganiza kuti ndi "adani." Ichi ndi chomwe timachitcha kuti 'autoimmune' condition.

Kotero, ndicho chimene chimachitika mu matenda otchedwa AIED. Chitetezo chathu cha mthupi chimasokoneza maselo ofooka omwe ali mkati mwa khutu lathu ngati adani ndipo chimawaukira ndikuwawononga. Imeneyi ndi vuto losowa kwambiri. Anthu ochepera 1% omwe ali ndi vuto la kumva ali ndi vutoli. Limapezeka makamaka kwa akazi azaka zapakati.

Kodi zizindikiro zazikulu za izi ndi ziti?

Popeza zizindikiro za AIED n'zofala kwambiri, nthawi zina zimatha kusokonezedwa ndi matenda ena. Koma ndikofunikira kudziwa zizindikirozi.

Kugwirizana ndi matenda ena a autoimmune

Izi ndizofunikira kwambiri. Pafupifupi 30% ya anthu omwe ali ndi AIED akhoza kukhala ndi vuto lina la autoimmune lomwe limakhudza thupi lonse. Mwachitsanzo:

• Matenda a Nyamakazi
• Lupus
• Scleroderma
• Ulcerative Colitis
• Matenda a maso ouma (Sjogren's Syndrome)

Izi zikutanthauza kuti chitetezo cha mthupi chikhoza kuukira osati khutu lokha, komanso ziwalo zina m'thupi.

Kodi mumazindikira bwanji matendawa?

Kunena zoona, zingakhale zovuta kuzindikira matenda a AIED, chifukwa zizindikiro zomwe zatchulidwa pamwambapa zitha kuwonekanso m'matenda ena ofala kwambiri, monga matenda a m'makutu. Nthawi zambiri, sizingaganiziridwe mpaka kutayika kwa kumva kumayamba m'khutu limodzi ndikufalikira ku khutu lina.

Choncho, ngati muli ndi zizindikiro izi, pitani kwa dokotala nthawi yomweyo. Ndi bwino kupita kwa dokotala wa makutu, mphuno, ndi pakhosi (ENT Surgeon).

Dokotala wanu adzachita izi kuti adziwe matendawa:

1. Adzakufunsani mafunso: Adzakufunsani zambiri, monga mbiri ya thanzi lanu, ngati pali aliyense m'banja mwanu amene adadwalapo matendawa, komanso momwe zizindikiro zanu zinayambira.

2. Amayang'ana thupi: Makutu, mphuno, ndi pakhosi zimafufuzidwa bwino.

3. Kuyesa Kumva: Kuyesa kwapadera kudzachitika kuti muwone momwe mungamvere bwino.

4. Kuyesa Kusamala: Izi zingathandize kuona momwe khutu lanu lamkati limalumikizirana ndi ubongo wanu.

5. Kuyezetsa Magazi (Kugwira Ntchito ya Magazi):Palibe mayeso a magazi omwe angakuthandizeni kuzindikira AIED, koma mayesowa angakupatseni lingaliro la ngati mukukumana ndi vuto la autoimmune reaction.

Nthawi zambiri, ngakhale kuti matendawa sangatsimikizidwe mokwanira, dokotala angasankhe kuyamba kulandira chithandizo kutengera zizindikiro ndi zotsatira za mayeso. Izi zili choncho chifukwa ngati chithandizo chachedwa, kuwonongeka kwa khutu sikungabwezeretsedwe. Kwa anthu ena, zimatsimikiziridwa kuti ndi AIED zizindikiro zikayamba bwino pambuyo poti chithandizo chayamba.

Kodi mumatani kuti mupeze chithandizo?

Cholinga chachikulu chochiza AIED ndikuwongolera kulephera kwa chitetezo cha mthupi ndikuletsa kuwonongeka kwina kwa khutu lamkati.

• Ma Steroids: Dokotala wanu angakupatseni kaye mlingo waukulu wa mankhwala oletsa kutupa monga ma steroids. Izi zawonetsedwa kuti zimagwira ntchito pa AIED. Komabe, zimatha kukhala ndi zotsatirapo zoyipa, kotero siziyenera kugwiritsidwa ntchito kwa milungu yoposa ingapo.
• Mankhwala oletsa chitetezo chamthupi: Mukasiya kugwiritsa ntchito mankhwala ochepetsa mphamvu ya thupi, mankhwala ena omwe "amatonthoza" chitetezo chamthupi chanu (monga Azathioprine, Methotrexate) angaperekedwe kwa nthawi yayitali.
• Zipangizo Zothandizira Kumva: Ngati muli ndi vuto la kumva, mungagwiritse ntchito chipangizo chothandizira kumva kuti muchepetse vutolo.
• Chomera cha Cochlear: Ngati mwataya kumva kwambiri, dokotala wanu angakulangizeni kuti mugwiritse ntchito chomera cha cochlear. Ichi ndi chipangizo chaching'ono chamagetsi chomwe chimayikidwa pansi pa khungu kumbuyo kwa khutu. Chimalimbikitsa mitsempha yamkati mwa khutu kuti isinthe mawu kukhala zizindikiro ndikutumiza ku ubongo.

Pamene sayansi ya zamankhwala ikupita patsogolo, n'zotheka kuti mankhwala othandiza kwambiri omwe ali ndi zotsatirapo zochepa komanso njira zamakono monga chithandizo cha majini adzapezeka pa AIED mtsogolomu.