Molo! Unjani? Ngamanye amaxesha singaba nesinye isifo esinesifo esinye, akunjalo? Ngoko ke, ukuba sele uneRheumatoid Arthritis, namhlanje siza kuthetha ngesinye isifo esinokwenzeka ngaso. Oku kubizwa ngokuba yiRheumatoid Vasculitis. Nangona igama lisenokuvakala lisoyikisa kancinci, masiliqonde ngokulula.
Yintoni iRheumatoid Vasculitis?
Ngamafutshane,
i-rheumatoid vasculitis kukudumba kwemithambo yegazi yakho. Oku kubangelwa yimeko yakho ye-rheumatoid arthritis. Ngoku, i-vasculitis kukudumba kwemithambo yegazi emzimbeni wethu, iityhubhu ezincinci ezithwala igazi. Le mithambo yegazi ithwala igazi emzimbeni wethu wonke, njengemibhobho yamanzi. I-rheumatoid arthritis luhlobo lwe-arthritis oluchaphazela amalungu akho. Okwenzekayo koku kukuba inkqubo yakho yokuzikhusela komzimba ihlasela izicubu ezikumalungu akho. I-rheumatoid vasculitis, i-rheumatoid arthritis, kunye nezinye iintlobo ze-vasculitis zonke
zizifo ezizikhuselayo . Oko kuthetha ukuba inkqubo yokuzikhusela yomzimba, emele ukukhusela imizimba yethu, ngempazamo iqala ukuhlasela imizimba yethu. Khawucinge, kufana nomkhosi, omele ukukhusela ilizwe lethu, osihlaselayo.
Ixhaphake kangakanani le meko?
Enyanisweni, le meko ibizwa ngokuba yi-rheumatoid vasculitis
ayiqhelekanga. Oko kukuthi, nokuba kunabantu abaninzi, bambalwa kakhulu abantu abayihlakulelayo. Umzekelo, kwilizwe elifana neMelika, abantu abangaphantsi kwama-50 kwisigidi ngasinye banayo. Abantu abangaphezu kweminyaka engama-50 ubudala banamathuba amancinci okuba nayo. Kodwa kwanakwelo qela leminyaka, ayiqhelekanga kangako. Ngokutsho kweengcali, ichaphazela abantu abangaphantsi kwama-300 kwisigidi ngasinye kuloo qela leminyaka. Kodwa ngaphambili, le meko ibizwa ngokuba yi-rheumatoid vasculitis yayixhaphake kakhulu. Kodwa ngoku,
ngenxa yokuba unyango olufanelekileyo nolusebenzayo lwe-rheumatoid arthritis luye lwenziwa, inani leengxelo zale meko liye lehla kakhulu.
Zithini iimpawu?
Abantu abane-rheumatoid vasculitis banokubonisa iimpawu ezahlukeneyo. Makhe sijonge ukuba ziyintoni na.
Iimpawu eziqhelekileyo
Nazi ezinye zezona mpawu zixhaphakileyo:
- Izilonda eluswini lwakho, ingakumbi kwiminwe yakho okanye kufutshane nayo. Ezi zinokuba zizilonda ezibuhlungu ezithatha ixesha elide ukuphola.
- Ukurhawuzelela okanye amadyungudyungu eluswini.
- Ukutshintsha kombala wolusu, ukukrweleka.
- Ukuva iintlungu ezandleni, kwiminwe, emilenzeni, nasezinzwaneni.
- Ukungaziva mnandi okanye ukurhawuzelela ezandleni nasezinyaweni.
- Ukuziva ubuthathaka kwimisipha.
Iimpawu ezinokwenzeka kwiimeko ezinzima
Ngamanye amaxesha, ukuba isifo siba sibi kakhulu, ezinye iimpawu zinokuvela, ezinje:
Kutheni i-rheumatoid vasculitis isenzeka?
Njengoko besikhe sathetha ngaso ngaphambili, esi sisifo esibangelwa kukuzikhusela komzimba. Oko kukuthi, inkqubo yakho yokuzikhusela ihlasela imithambo yegazi yakho. Ukuba ubune
-rheumatoid arthritis (RA) enzima ixesha elide (ngesiqhelo iminyaka engaphezu kwe-10), inkqubo yakho yokuzikhusela yomzimba ingaqala ukonakalisa imithambo yegazi yakho, ingakumbi leyo isezandleni nasezinyaweni zakho. Imithambo yegazi echaphazelekayo iyadumba ize ityebe. Oku kwenza kube nzima ukuba igazi lihambe kuyo. Ekuhambeni kwexesha, oku kuvutha kunokonakalisa imithambo yegazi ngokwayo, kunye nolusu oluyijikelezileyo.
Zithini izinto ezibangela umngcipheko? Ngubani onokuba nayo le ngxaki?
Nangona nabani na one-rheumatoid arthritis enokuba ne-rheumatoid vasculitis, abanye abantu basengozini enkulu kancinci. Makhe sijonge ukuba bangoobani:
- Abantu abane -rheumatoid arthritis enzima (i-Severe RA) .
- Abantu abane-arthritis kwiindawo ezininzi zomzimba (i-Polyarthritis).
- Abantu abanesifo samathambo esibizwa ngokuba yi-rheumatoid arthritis ixesha elide, oko kuthetha ukuba baneminyaka eli-10 nangaphezulu .
- Abantu abane-syndrome ebizwa ngokuba yi-Felty syndrome. Le yingxaki ye-rheumatoid arthritis. Ibonakala ngokuba ne -spleen ekhulisiweyo kunye nokubala okuphantsi kweeseli ezimhlophe zegazi.
- Abantu abanee-rheumatoid nodules . La ngamaqhuma aqala phantsi kolusu kufutshane namalungu kwi-rheumatoid arthritis.
- Abantu abatshayayo okanye abasebenzisa ezinye iimveliso zecuba . Oku kuyingozi enkulu kwizifo ezininzi.
Zeziphi iingxaki ezinokubangela oku?
Le meko, i-rheumatoid vasculitis
, inokukhokelela kwiingxaki ezinkulu ukuba azichongwanga kwaye zinyangwe ngokufanelekileyo. Ezi azixhaphakanga kakhulu, kodwa kubalulekile ukuba uzazi.
- Ukufa kwezicubu zesikhumba ezijikeleze imithambo yegazi echaphazelekayo (i-necrosis).
- Ukuhlaselwa yintliziyo.
- Izibetho.
Uyixilonga njani le nto?
Ugqirha uza kuxilonga i-rheumatoid vasculitis ngokwenza uvavanyo lomzimba aze enze uvavanyo oluthile. Uza kukubuza ngeempawu zakho, njengokuba wawuqala nini ukuzibona. Kuya kufuneka uxelele ugqirha wakho ukuba unexesha elingakanani une-rheumatoid arthritis kunye nento oyenzayo ukuyinyanga. Ugqirha wakho unokwenza uvavanyo oluthile ukuze axilonge imeko, olufana nolu:
- Uvavanyo lwegazi.
- Ii-X-reyi.
- Iiskeni ze-CT (iiskeni ze-Computed Tomography)
- Uvavanyo lwe-MRI (Magnetic Resonance Imaging).
- Ii-Angiograms - Oku kujonga imeko yemithambo yegazi.
- I-Electromyography (EMG) - Le yindlela elinganisa ngayo umsebenzi wezihlunu kunye nemithambo-luvo.
- Iibhayopsy - Ngamanye amaxesha kuthathwa isampulu encinci yezicubu ezichaphazelekileyo ize ivavanywe.
Kunokwenzeka ukuba kuya kufuneka ubone
ingcali yezifo zamathambo, ugqirha ochwephesha ekunyangeni izifo ezibangelwa kukudumba.
Iphathwa njani?
Ugqirha wakho uza kucebisa unyango lokulawula iimpawu zakho. Uza kukunceda ufumane unyango oluya kuthintela ukonakala kwemithambo yegazi yakho kunye nezitho zangaphakathi.
Kwiimeko ezininzi, ukulawula iimpawu zakho ze-rheumatoid arthritis kuya kunceda ekunyangeni i-rheumatoid vasculitis yakho. Thetha nogqirha wakho malunga namayeza owasebenzisayo okwangoku kwi-rheumatoid arthritis yakho kunye nokuba ufuna ukuwatshintsha na. Ukuba ufuna unyango oluthile lwe-rheumatoid vasculitis yakho, ugqirha wakho unokucebisa amayeza anjengala:
- IiCorticosteroids - La ngamayeza anamandla anciphisa ukudumba.
- Ii-immunosuppressants okanye ii-biologics - Ezi zilawula ukusebenza kwenkqubo yomzimba yokuzikhusela.
- Izithinteli ze-ACE - Ezi luhlobo lwamayeza anikwa ukulawula uxinzelelo lwegazi kunye nokunceda imithambo yegazi.
Ukuyeka ukutshaya (nokusebenzisa ezinye iimveliso zecuba) kunokunciphisa ubunzima be-rheumatoid vasculitis. Kunokunceda nokuthintela ukuba imeko ingakhuli kwasekuqaleni. Thetha nogqirha wakho ngeendlela zokuyeka ukutshaya. Unokukunceda ukuba wenze njalo ngokukhuselekileyo nangendlela efanelekileyo.
Ngaba oku kungathintelwa?
Enyanisweni, i-rheumatoid vasculitis ayinakuthintelwa. Oku kungenxa yokuba imeko eyibangela kwasekuqaleni, i-rheumatoid arthritis (RA), ayinakuthintelwa. Akukho ndlela yokwazi ukuba ngubani oza kuyibangela okanye nini. Nangona kunjalo, ukuba une-rheumatoid arthritis,
ukuyilawula kakuhle kunokunciphisa umngcipheko wokuba ne-vasculitis. Ukuba uyatshaya, ukuyeka ukutshaya kunokunciphisa nomngcipheko wokuba ne-rheumatoid vasculitis.
Yintoni omele uyilindele xa uphila nale meko?
Unemeko ebizwa ngokuba yi-rheumatoid vasculitis.
Ufanele ulindele ukuba ube nolawulo oluhlala ixesha elide, mhlawumbi ubomi bakho bonke. Nokuba awunazo iimpawu eziqatha, kufuneka ubonane nogqirha wakho rhoqo ukuze ujonge utshintsho kwimithambo yegazi yakho. Buza ugqirha wakho ukuba kufuneka ubonane kangaphi nogqirha wakho kwaye zeziphi iimvavanyo ekufuneka uzenze. Uzinyamekela njani?
Landelela iimpawu zakho. Qaphela naluphi na utshintsho olubonayo. Landela isicwangciso sonyango enisilungisileyo wena nogqirha wakho. Musa ukulibazisa ukubona ugqirha wakho ukuba uvakalelwa kukuba unyango alusebenzi (okanye alusebenzi njengangaphambili).
Ndifanele ndimbone nini ugqirha?
Ukuba ubonakalisa iimpawu ezintsha, okanye ukuba iimpawu zakho zibonakala zisiba mandundu, bonana nogqirha wakho ngoko nangoko. Ugqirha wakho uza kukuxelela ukuba kufuneka uhlolwe rhoqo kangaphi, uvavanyo, okanye uhlolo olongezelelweyo. Yeyiphi imibuzo omele uyibuze ugqirha wakho?
Kunganceda ukubuza ugqirha wakho imibuzo efana nale:- Yeyiphi imithambo yegazi emzimbeni wam echaphazelekileyo?
- Zeziphi iimvavanyo ekufuneka ndizenze?
- Luhlobo luni lonyango endiludingayo?
- Ngaba unyango lwam lwe-rheumatoid arthritis luza kufuneka lutshintshwe?
Okokugqibela, kukho imiyalezo ebalulekileyo omawuyithathe ekhaya.
Kunokuba nzima ukwazi ukuba, ukongeza kwiintlungu ezisemalungeni akho, ngoku une-inflammation kwimithambo yegazi yakho, imeko obusoloko uyilawula kangangeminyaka. Kuyaqondakala. Kodwa ungakhathazeki. Ugqirha wakho uza kukunceda uphuhlise isicwangciso sonyango lwe-rheumatoid arthritis yakho, kuquka nawaphi na amayeza amatsha owadingayo. Uza kukuxelela nokuba yintoni omawuyilumkele nendlela yokuphepha iingxaki. Mamela umzimba wakho kwaye uthembele kwiimvakalelo zakho. Eyona ndlela ilungileyo yokuphepha iingxaki kukubona ugqirha wakho ngexesha. Ungaze woyike ukuthetha nogqirha wakho ngazo naziphi na iimpawu ezintsha okanye ezitshintshayo onokuba unazo. Khumbula, awuwedwa.
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