Ngaba une-inflammation kwimithambo yakho yegazi? Makhe sithethe nge-vasculitis!

Namhlanje siza kuthetha ngemeko ebizwa ngokuba yiVasculitis. Usenokuba awukaze uve ngeli gama ngaphambili. Kodwa yimeko echaphazela imithambo yegazi emzimbeni wethu kwaye ifuna ingqalelo ethile. Ngoko ke, ungakhathazeki, masithethe nje ngokuba yintoni, kutheni isenzeka, indlela esiyiqonda ngayo, kunye nokunye okunokwenziwa.

Yintoni i-vasculitis? Ngamafutshane...

I-Vasculitis kukudumba kwemithambo yegazi yakho, okanye imithambo yegazi . Ukudumba kuthetha ukudumba nokuba bomvu. Cinga ngayo njengemibhobho ethwala igazi emizimbeni yethu. Kufana nothungelwano lweendlela kwilizwe lethu. Le mithambo yegazi iqala entliziyweni, isasaze igazi emzimbeni wonke, ize ilibuyisele entliziyweni ukuze licocwe.

Kukho iintlobo ezintathu eziphambili zemithambo yegazi emizimbeni yethu, njengoko usenokuba uvile:

• Imithambo yegazi: Le yimithambo yegazi ethwala igazi elicocekileyo (igazi elineoksijini eninzi) ukusuka entliziyweni ukuya kuzo zonke ezinye izitho zomzimba kunye namalungu omzimba.
• Imithambo: Le yimithambo yegazi ebuyisela igazi elisetyenzisiweyo (igazi elinomthamo ophezulu wekhabhoni dayokhsayidi) entliziyweni livela kuzo zonke iindawo zomzimba.
• IiCapillaries: Ezi zimithambo yegazi emincinci kakhulu, emincinci. Zifana nemisonto. Zidibanisa imithambo yegazi kunye nemithambo yegazi, njengeendlela ezincinci phakathi kweendlela ezimbini ezinkulu. Zilapho ioksijini kunye nezondlo zitshintshiselana khona phakathi kweeseli.

Ngoku, ukuba une-vasculitis, imithambo yakho yegazi iyavuvukala ize ibe lukhuni. Kwenzeka ntoni ke ngoko? Igazi liya lingakwazi ukuhamba kakuhle, njengombhobho wamanzi ovalekileyo. Ekuhambeni kwexesha, oku kuvutha kunokonakalisa amalungu akho omzimba (umzekelo, izintso zakho, imiphunga, ulusu). Kungakhokelela nakwiingxaki ezinkulu, ezifana ne -aneurysms . I-aneurysm yinxalenye ebuthathaka yodonga lwemithambo yegazi oluvuvukala njengebhaluni. Oku kuyingozi kakhulu kuba kunokuqhuma.

Kodwa, akukho mfuneko yokoyika. Uninzi lwabantu lunokuyilawula le meko ye-vasculitis ngonyango olufanelekileyo kunye namayeza kwaye baphile ubomi obuqhelekileyo . Nangona kunjalo, ngamanye amaxesha inokuba nzima kwaye ukuba ukuhamba kwegazi kwizitho ezibalulekileyo kuyaphazamiseka, inokuba yingozi ebomini. Yiyo loo nto kubalulekile ukuqaphela oku.

Kubalulekile: Ukuba uneempawu ezifana nomkhuhlane rhoqo, okanye ukuba uziva nantoni na engaqhelekanga, njengokungaziva okanye ukutsha ezandleni okanye ezinyaweni zakho, ungathandabuzi ukubona ugqirha. Ngokukodwa, ukuba unengxaki yokuphefumla, iintlungu zesifuba, okanye iimpawu zokuhlaselwa yintliziyo, yiya kwigumbi likaxakeka lesibhedlele esikufutshane ngoko nangoko, okanye utsalele umnxeba inkonzo ye-ambulensi yongxamiseko efana ne-1990.

I-vasculitis ichaphazela njani umzimba wethu?

Le meko icaphukisayo ebizwa ngokuba yi-vasculitis inokuchaphazela nawuphi na umthambo wegazi emzimbeni wethu. Oku kuthetha ukuba inokuchaphazela nemithambo yegazi edibana nala malungu omzimba alandelayo:

• Ulusu lwakho (izilonda zesikhumba, i-eczema, njl.njl. zinokubakho)
• Imiphunga (ukukhwehlela, ubunzima bokuphefumla bunokwenzeka)
• Intliziyo (inokunyusa umngcipheko wokuhlaselwa sisifo sentliziyo)
• Inkqubo yeemvakalelo (ukuba ndindisholo, ubuthathaka kwimilenze)
• Amehlo (anokubangela ukubona okufipheleyo, amehlo abomvu)
• Izintso (umsebenzi wezintso unokuba buthathaka)
• Ubuchopho (bunokubangela iintloko ezibuhlungu, isifo sohlangothi)
• Kwi -sinus (iimeko ezifana nomkhuhlane oqhelekileyo)
• Isisu namathumbu (izinto ezinje ngeentlungu zesisu, urhudo olunegazi)
• Izandla neenyawo (iintlungu, ukudumba, ukungakhululeki)

Ixhaphake kangakanani le meko? Ngaba iyenzeka kuye wonke umntu?

Hayi, i-vasculitis yimeko engaqhelekanga . Khawucinge nje, nakwilizwe eliphuhlileyo njengeMelika, iingxelo zonyango zithi amatyala amatsha angaphantsi kwama-50 esi sifo akhula kubantu abayisigidi ngonyaka. Oko kuthetha ukuba sisifo esingaqhelekanga kakhulu.

Ixhaphake kancinci kubantu abaneminyaka engaphezu kwama-50 ubudala. Nangona kunjalo, isanqabile nakwelo qela leminyaka. Kwanaphakathi kwabo bantu, bangaphantsi kwama-300 kwisigidi abasandula ukufunyanwa benesifo minyaka le. Ngoko ke, akukho nto yokoyika xa usiva oku, asisosifo esichaphazela wonke umntu.

Ngaba kukho iintlobo ezahlukeneyo ze-vasculitis?

Ewe, kukho iintlobo ezingaphezu kwama-30 ezahlukeneyo ze-vasculitis! Ugqirha wakho uza kukuxelela ukuba loluphi uhlobo lwe-vasculitis onalo. Kuya kuxhomekeka kubungakanani bemithambo yegazi emzimbeni wakho (emikhulu, ephakathi, emincinci) echaphazelekileyo, kunye neziphumo zezinye iimvavanyo. Nazi ezinye imizekelo:

• I-vasculitis enxulumene ne-ANCA (oku kuquka neentlobo ezithile ezibizwa ngokuba yi -granulomatosis ene-polyangiitis (GPA) , i-microscopic polyangiitis (MPA) , kunye ne -eosinophilic granulomatosis ene-polyangiitis (EGPA) )
• I-Polyarteritis nodosa
• I-IgA vasculitis (iHenoch-Schönlein purpura) (oku kuxhaphake kakhulu kubantwana abancinci)
• I-rheumatoid vasculitis (enxulunyaniswa nezifo ezifana ne-arthritis)
• I-vasculitis yenkqubo ye-nervous ephakathi (ichaphazela imithambo yegazi yenkqubo ye-nervous ephakathi, oko kukuthi, ingqondo kunye nomqolo)
• I-giant cell arteritis (oku kuxhaphake kakhulu kubantu abadala, kwaye kuchaphazela imithambo yegazi entloko)
• I-Takayasu arteritis (oku kuxhaphake kakhulu kubasetyhini abaselula kwaye kuchaphazela umthambo wegazi omkhulu ophuma entliziyweni)
• Isifo sikaBehçet(Iza nezilonda emlonyeni nakwizitho zangasese)
• I-Urticarial vasculitis (iza nokurhawuzelela kolusu)
• Isifo seKawasaki ( sikwaluhlobo lwe-vasculitis oluchaphazela kakhulu abantwana abancinci)
• Kukwakho neentlobo ze-vasculitis ezixhaphakileyo ebantwaneni .

Ziziphi iimpawu umntu one-vasculitis anokuba nazo?

Nazi ezinye zeempawu eziqhelekileyo ze-vasculitis:

• Ubunzima bokuphefumla, ukuqina kwesifuba
• Ukukhwehlela okungapheliyo, mhlawumbi kunye negazi
• Ukungaziva mnandi, ukutsha, kunye nokurhawuzelela kwamalungu omzimba
• Ububomvu, amadyungudyungu, ukutshintsha kombala kwezinye iindawo, kunye nezilonda eluswini
• Umkhuhlane oqhelekileyo, ngaphandle kwesizathu
• Ndiziva ndidiniwe kakhulu, ndiziva ngathi akukho nto isebenzayo
• Ukunciphisa umzimba ngokungalindelekanga
• Ubuthathaka emzimbeni, ingakumbi kwimisipha
• Intlungu yamalungu, ukudumba
• Intlungu yesisu, isicaphucaphu, ukuhlanza
• Iingxaki zezintso (umz. umchamo omnyama, igazi emchameni, imilenze evuvukileyo)
• Ukubetheka okanye iimpawu ezifanayo (ubunzima bokuthetha, ukugoba kwelinye icala lobuso)

Kodwa khumbula, iimpawu ozifumanayo zixhomekeke ngokupheleleyo kuhlobo lwe-vasculitis onayo, kwimithambo yegazi echaphazelekileyo, nakwindlela ebukhali ngayo ukudumba . Asinguye wonke umntu oza kuba neempawu ezifanayo.

Mamela umzimba wakho, themba amathumbu akho. Ukuba ubona naluphi na utshintsho olutsha, iimpawu ezikwenza ungakhululeki okanye ukhathazeke, musa ukucinga nje ukuba, "Oku kuza kuphela," kodwa bonana nogqirha.

Kutheni le nto ibangela i-vasculitis? Yintoni unobangela?

Nantsi apho iba nzima khona. I-Vasculitis sisifo esihlasela umzimba . Ngoku usenokuba uzibuza ukuba yintoni isifo esihlasela umzimba. Ngamafutshane, umzimba wethu unenkqubo yomzimba yokuzikhusela. Kufana nomkhosi kwilizwe lethu. Umsebenzi wale nkqubo kukusikhusela kwiintshaba zangaphandle (ezifana neentsholongwane, iibhaktheriya, iintsholongwane).

Kodwa, kwisifo sokuzikhusela komzimba, inkqubo yethu yokuzikhusela iqala ngempazamo ukuhlasela iiseli zethu ezilungileyo kunye nezicubu. Kufana nomkhosi wethu uhlasela abantu bethu. Kwi-vasculitis, inkqubo yethu yokuzikhusela ihlasela imithambo yegazi yethu. Iingcali zonyango azikazi ukuba kutheni oku kusenzeka, kutheni le nkqubo ingasebenzi kakuhle.

Nangona kunjalo, kufunyenwe ukuba izinto ezithile zinokubangela , okanye zibangele, le meko ye-vasculitis:

• Ezinye izifo (umz. i-hepatitis B okanye i-C virus)
• Ezinye izifo zokuzikhusela komzimba esele zikhona(umz. isifo samathambo esibizwa ngokuba yirheumatoid arthritis, ilupus (SLE))
• Njengesiphumo esingesihle samanye amayeza
• Ezinye iintlobo zomhlaza ( ingakumbi umhlaza onxulumene negazi)
• Abanye abantu bayivelisa ngendlela engaqhelekanga, nto leyo ethetha ukuba akukho nto inokubangela ukuba ifumaneke.

Ungayixilonga njani ngokuchanekileyo i-vasculitis?

Ukuba ugqirha wakho ukrokrela ukuba une-vasculitis, uza kuqala akuhlole ngononophelo. Baza kukubuza ngeempawu zakho - ukuba zikho ixesha elingakanani, ukuba ziqhube njani, zeziphi ezinye iimpawu onazo, njl. Baza kukubuza nokuba kukho umntu kusapho lwakho okhe waba neemeko ezifanayo.

I-Vasculitis idla ngokuchongwa njengenxalenye yokuxilongwa okwahlukileyo, okubandakanya ukuthintela ezinye iimeko . Oku kungenxa yokuba ezi mpawu zinokubonakala nakwezinye izifo. Ngoko ke, ugqirha wakho uya kuyalela iimvavanyo ezininzi ukuze afumane unobangela ochanekileyo weempawu zakho. Kulapho kuphela apho baya kuqinisekisa ukuba une-vasculitis. Ezinye zeemvavanyo onokuba unazo zezi:

• Uvavanyo lwegazi: Olu vavanyo lunokujonga iimpawu zokudumba (umz. i-ESR, i-CRP), iintlobo ezithile zee-antibodies (umz. i-ANCA), kunye nokusebenza kwamalungu omzimba.
• Uvavanyo lomchamo: Jonga ukuba izintso zichaphazelekile na.
• Iibhayopsy: Olu luvavanyo olubaluleke kakhulu ukuqinisekisa i-vasculitis. Kuthathwa iqhekeza elincinci lezicubu ezichaphazelekileyo (umz., ulusu, izintso, imiphunga) lize lihlolwe phantsi kwe-microscope ukuze kubonwe ukuba kukho ukudumba kwimithambo yegazi.
• Uvavanyo lomfanekiso:
• I-X-reyi, i-CT scan, i-MRI scan: Ezi zinokusetyenziswa ukubona imeko yamalungu achaphazelekayo.
• I-Angiogram: Olu luvavanyo olukhethekileyo lwe-X-ray olusebenzisa idayi ukujonga ukucutheka okanye i-aneurysms kwimithambo yegazi.
• Ezinye iimvavanyo ezikhethekileyo ezijonga ukusebenza kwamalungu achaphazelekayo.

Usenokubonana nogqirha wezifo zamalungu, ugqirha ogxile kwizifo zamalungu kunye nezomzimba. Nguye umntu ongcono kakhulu wokunyanga ezi meko.

Ziziphi iindlela zonyango lwe-vasculitis? Ngaba inganyangeka?

Kukho iinjongo ezimbini eziphambili ekunyangeni i-vasculitis:

1. Ukulawula ukudumba kunye nokunciphisa iimpawu.

2. Ukuthintela umonakalo ongakumbi kwimithambo yegazi nakwezinye izitho zomzimba.

Ugqirha wakho uza kugqiba ngonyango oluxhomekeke kuhlobo lwe-vasculitis onayo, ubukhali bayo, kunye nempilo yakho iyonke. Amayeza asetyenziswa kakhulu ngala:

• IiCorticosteroids:Ezi zezona ntlobo ziphambili zamayeza asetyenziselwa ukulawula ukudumba (umz., iPrednisolone). Zisebenza ngokukhawuleza kwaye zinciphisa iimpawu. Nangona kunjalo, ngenxa yokuba iidosi eziphezulu zinokubangela iziphumo ebezingalindelekanga xa zithathwa ixesha elide, ugqirha wakho uya kuyinciphisa kancinci kancinci idosi.
• Ii-immunosuppressants: Ezi zisebenza ngokulawula umsebenzi wenkqubo yomzimba yokuzikhusela engasebenzi kakuhle. Imizekelo ibandakanya amayeza afana neMethotrexate, Azathioprine, kunye neCyclophosphamide.
• Iibhayoloji: Ezi ziindlela ezintsha zonyango, ezijolise ngakumbi. Zisebenza ngokujolisa kwiindawo ezithile zenkqubo yomzimba yokuzikhusela ukunciphisa ukudumba. Umzekelo, iRituximab.
• Ngamanye amaxesha, amayeza oxinzelelo lwegazi afana ne -ACE inhibitors anokunikwa, njengoko eluncedo kwimithambo yegazi.

Utyando:

Ukuba imithambo yakho yegazi yonakele kakhulu yi-vasculitis, njengokuba incinci kakhulu okanye ine-aneurysms, unokufuna utyando. Umzekelo, unokufuna i-angioplasty yokwandisa umthambo wegazi onciphileyo okanye utyando lokudlula icandelo elonakeleyo. Ugqirha wakho okanye ugqirha wakho uza kukuchazela ukuba loluphi uhlobo lotyando olufunekayo kunye noko ukulindeleyo.

Ngaba iVasculitis inganyangeka ngokupheleleyo?

Nantsi into ebalulekileyo ekufuneka uyazi: I-Vasculitis ayinyangeki ngokupheleleyo . Yimeko engapheliyo, oko kuthetha ukuba ihlala ixesha elide.

Kodwa ungakhathazeki! Emva kokuba isifo silawulekile ngonyango olufanelekileyo, ungangena kwimeko ebizwa ngokuba yi -remission . Ukuxolelwa lixesha apho isifo singathethi kwaye singabi nazimpawu. Kwabanye abantu, eli xesha lokuxolelwa linokuhlala iinyanga okanye iminyaka. Nangona kunjalo, kungcono ukuhlala phantsi kweliso likagqirha, njengoko iimpawu zinokuphinda zibuye.

Ngaba ikho indlela yokuthintela i-vasculitis?

Ngelishwa, oogqirha abakayazi kakuhle into ebangela i-vasculitis, ngoko ke akukho ndlela iqinisekileyo yokuyithintela . Akunakwenzeka ukuqikelela ukuba ngubani oza kuyifumana kwaye ngubani ongayi kuyifumana.

Yintoni endimele ndiyilindele ukuba ndine-vasculitis?

Ukuba ufunyaniswe une-vasculitis, kufuneka ulungele ukuyilawula nokuhlala nayo ixesha elide, mhlawumbi ubomi bakho bonke.Nokuba awunazo iimpawu eziqatha, kuya kufuneka ubone ugqirha rhoqo ukuze ajonge imeko yemithambo yegazi kunye namalungu omzimba wakho, njengokuvavanywa kwegazi. Buza ugqirha wakho ukuba kufuneka ubonane kangaphi nogqirha kwaye zeziphi iimvavanyo ekufuneka uzenze.

Khumbula ukuba nokuba ungena kwimeko yokuphumla, oko kuthetha ukuba ixesha elithile lingenazo iimpawu, iimpawu ze-vasculitis zinokuphinda zibuye kwixesha elizayo.

Ndingazinyamekela njani kakuhle?

• Soloko uqaphela iimpawu zakho. Ukuba ubona naluphi na utshintsho olutsha, iimpawu ezintsha, okanye iimpawu eziya zisiba mandundu, bhala phantsi ideshibhodi yakho.
• Thetha nogqirha wakho uze ulandele isicwangciso sonyango esifanelekileyo kuwe. Sela amayeza ngexesha elifanelekileyo nangedosi efanelekileyo.
• Musa ukulibazisa ixesha lokubonana nogqirha.
• Ukuba uvakalelwa kukuba unyango alusebenzi, okanye alusebenzi njengoko belunjalo ngaphambili, ungathandabuzi ukubona ugqirha wakho umxelele ngalo .
• Landela indlela yokuphila enempilo. Ukuba uyatshaya, yeka, utye ukutya okunesondlo, kwaye wenze umthambo njengoko ugqirha wakho eyalele.

Ndifanele ndidibane nogqirha nini? Ngawaphi amatyala?

• Ukuba ubonakalisa iimpawu ezintsha , okanye ukuba iimpawu zakho ziya zisiba mandundu, bonana nogqirha ngoko nangoko.
• Ugqirha wakho uza kukuxelela ukuba kufuneka uye kangaphi na ukuze ufumane amadinga okulandela, uvavanyo lwegazi, okanye uvavanyo olongezelelweyo. Musa ukulibazisa elo dinga.

Iimeko ezingxamisekileyo:

Ukuba unezinye zeempawu ezilandelayo, ezi zinokuba ziimeko ezingxamisekileyo. Ngoko ke yiya esibhedlele esikufutshane ngoko nangoko, okanye utsalele umnxeba inkonzo ye-ambulensi engxamisekileyo efana ne-1990:

• Ukuba unengxaki yokuphefumla , ukuba isifuba sakho sivakala siqinile.
• Ukuba uziva ngathi unesifo sentliziyo (intlungu eqatha embindini wesifuba sakho, intlungu ephuma engalweni yakho yasekhohlo, entanyeni, emhlathini, ekubileni, nasecaphucaphu).
• Ukuba umbono wakho uba mbi ngequbuliso, okanye ukuba ulahlekelwa ngumbono ngequbuliso .
• Ukuba ufumana iimpawu zestroke (umz., ukugoba kwelinye icala lobuso, ukungaziva mnandi engalweni, ubunzima bokuthetha).

Zeziphi imibuzo ebalulekileyo ekufuneka ndiyibuze ugqirha wam?

Xa ubona ugqirha wakho, ungathandabuzi ukubuza imibuzo efana nale. Oku kuya kukunceda ukuba uyiqonde ngcono imeko yakho:

• "Ndinaluphi uhlobo lwe-vasculitis, gqirha?"
• "Zeziphi imithambo yegazi/amalungu omzimba wam achaphazeleka kakhulu koku?"
• "Zeziphi ezinye iimvavanyo endiza kuzidinga?"
• "Ngaba kuya kufuneka ndiqhubeke ndisela amayeza? Luhlobo luni lwamayeza?"
• "Zithini iziphumo ebezingalindelekanga zale mithi?"
• "Ngaba ndiza kufuna utyando?"
• "Zeziphi iinguqu endifanele ndizenze kwindlela enditya ngayo nendlela endiphila ngayo?"
• "Zeziphi iimpawu zokuqala endinokuzibona ukuba isifo siyaphinda sibi?"

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngoko ke i-vasculitis kukudumba, okanye ukudumba, kwemithambo yakho yegazi. Yimeko enzima, kodwa ungakhathazeki. Nokuba uneempawu ezincinci, kubalulekile ukulandela imiyalelo kagqirha wakho kwaye ufumane uhlolo rhoqo . Kulapho unokujonga khona imithambo yakho yegazi ukuze ubone utshintsho, ubone ukuba i-vasculitis ibangela umonakalo kwizitho zakho ezibalulekileyo, kunye nendlela yokuyithintela ukuba ingenzeki.

I-Vasculitis ayichaphazeli wonke umntu ngokufanayo, ngoko ke ngamanye amaxesha inokuvakala ngathi iyabhidisa kwaye kunzima ukuyiqonda. Kodwa themba amathumbu akho kunye neempawu zomzimba wakho. Ungaze ungayihoyi okanye ungayihoyi iimpawu ezintsha okanye ezitshintshayo . Ukuba unemibuzo, iinkxalabo, okanye uloyiko, thetha nogqirha wakho. Unokukunceda uqonde kakuhle okwenzekayo emzimbeni wakho, unyango olufunayo, kunye nendlela onokuphila ngayo nale meko. Awuwedwa, kwaye kukho oogqirha abanokukunceda kolu hambo.

I- Vasculitis, ukudumba kwemithambo yegazi, izifo zokuzikhusela komzimba, iimpawu ze-vasculitis, unyango lwe-vasculitis, ukudumba kwemithambo yegazi, i-rheumatology