Khawuthelekelele ngequbuliso ulahlekelwa kukuva kwenye indlebe... uze emva kweeveki okanye iinyanga ezimbalwa, ulahlekelwe kukuva kwenye indlebe. Kwangaxeshanye, uziva unesiyezi, kwaye isandi esihlala sivakala siphuma ngaphakathi endlebeni yakho... Ukuba kwenzeka into efana nale, nabani na angayoyika kakhulu, akunjalo? Namhlanje siza kuthetha ngemeko ebangela ezi mpawu, engaqhelekanga, kodwa ebaluleke kakhulu ukwazi ngayo. Eso sisifo sendlebe sangaphakathi se-Autoimmune, okanye i-AIED ngamafutshane.
Kalula nje, yintoni i-AIED?
Ukuze siqonde oku, masiqale sithethe kancinci ngenkqubo yokuzikhusela yomzimba wethu. Umzimba wethu unenkqubo yokuzikhusela . Ifana nomkhosi okhusela ilizwe. Umsebenzi ophambili wamajoni (iiseli zokuzikhusela) zalo mkhosi kukufumana, ukubamba, nokutshabalalisa iintshaba ezifana neentsholongwane, iintsholongwane kunye neebhaktheriya ezingena emizimbeni yethu.
Kodwa, ngamanye amaxesha umkhosi wethu uyaphazama kancinci. Baqala ukuhlasela ezinye zeeseli zethu eziphilileyo nezilungileyo, becinga ukuba “ziintshaba.” Oku sikubiza ngokuba yimeko ‘yokuzikhusela komzimba’ .
Ngoko ke, yiloo nto eyenzekayo kwesi sifo sibizwa ngokuba yi-AIED. Inkqubo yethu yokuzikhusela komzimba iphosisa iiseli ezibuthathaka ezikwindlebe yethu yangaphakathi njengeentshaba kwaye izihlasele ize izonakalisa. Le yimeko engaqhelekanga kakhulu. Ngaphantsi kwe-1% yabantu abanengxaki yokuva banale meko. Ixhaphake kakhulu kubafazi abakwiminyaka ephakathi.
Ziziphi iimpawu eziphambili zoku?
Ngenxa yokuba iimpawu ze-AIED zixhaphake kakhulu, ngamanye amaxesha zinokubhidaniswa nezinye iimeko. Kodwa kubalulekile ukuba uzazi ezi mpawu.
| Uphawu | Indalo yayo |
|---|---|
| Ukulahlekelwa kukuva | Olu luphawu oluphambili. Ludla ngokuqala kwenye indlebe luze lusasazeke kwenye indlebe kwiiveki okanye kwiinyanga ezimbalwa. |
| Isiyezi | Ekubeni indlebe engaphakathi ikwanceda ekulawuleni ulungelelwano lomzimba, ukonakala kwayo kunokubangela ukuziva unesiyezi. |
| Ukuva isandi ezindlebeni (Tinnitus) | Isandi esiqhubekayo sokukhala, ukugquma, okanye ukuvungama esiphuma ngaphakathi ezindlebeni. |
| I-Vertigo | Isiyezi esinzima esivakala ngathi wena okanye izinto ezikungqongileyo ziyajikeleza, nokuba umile nje ungashukumi. |
| Ukuziva ugcwele endlebeni. | Ukuziva ubunzima, ngokungathi kukho into egcweleyo ngaphakathi endlebeni. |
Ubudlelwane nezinye izifo zokuzikhusela komzimba
Oku kubaluleke kakhulu. Malunga nama-30% abantu abane-AIED banokuba nenye imeko yokuzikhusela komzimba echaphazela wonke umzimba. Umzekelo:
- Irheumatoid arthritis
- I-Lupus
- I-Scleroderma
- I-Ulcerative Colitis
- Isifo sikaSjogren (isifo samehlo esomileyo)
Oku kuthetha ukuba inkqubo yomzimba yokuzikhusela isenokuhlasela kungekuphela nje indlebe, kodwa nezinye izitho zomzimba.
Uyixilonga njani le sifo?
Inyaniso kukuba, kunokuba nzima kancinci ukufumanisa i-AIED, njengoko iimpawu ezikhankanyiweyo apha ngasentla zinokubonakala nakwezinye iimeko eziqhelekileyo, ezifana nosulelo lwendlebe. Kwiimeko ezininzi, isenokungacingelwa de kube kuqale ukulahleka kokuva kwenye indlebe kwaye kusasazeka kwenye indlebe.
Ngoko ke, ukuba unale mpawu, bonana nogqirha ngokukhawuleza. Kungcono ukubonana nogqirha wendlebe, impumlo, nomqala (ENT Surgeon).
Ugqirha wakho uza kwenza oku kulandelayo ukuze axilonge esi sifo:
1. Baza kukubuza imibuzo: Baza kukubuza iinkcukacha ezininzi, njengembali yakho yempilo, ukuba kukho nabani na kusapho lwakho okhe waba nesi sifo, kunye nendlela iimpawu zakho eziqale ngayo.
2. Yenza uvavanyo lomzimba: Iindlebe, impumlo, nomqala zihlolwe kakuhle.
3. Uvavanyo lokuva: Kuza kwenziwa uvavanyo olukhethekileyo ukuze kubonwe ukuba uva kakuhle kangakanani na.
4. Uvavanyo lweBalance: Oku kunokujonga ukuba indlebe yakho yangaphakathi inxibelelana kakuhle kangakanani nengqondo yakho.
5. Uvavanyo lweGazi (Umsebenzi wegazi):Akukho vavanyo lwegazi olunokuxilonga ngokuqinisekileyo i-AIED, kodwa olu vavanyo lunokukunika umbono wokuba ngaba unesifo sokuzikhusela komzimba.
Kwiimeko ezininzi, nokuba uxilongo alunakuqinisekiswa ngokupheleleyo, ugqirha unokugqiba ekubeni aqalise unyango ngokusekelwe kwiimpawu kunye neziphumo zovavanyo. Oku kungenxa yokuba ukuba unyango lulibaziseka, umonakalo endlebeni usenokungabuyeki. Kwabanye abantu, kuqinisekiswa ukuba yi-AIED xa iimpawu ziphucuka emva kokuba unyango luqalisiwe.
Wenza ntoni ukuze ufumane unyango?
Injongo ephambili yokunyanga i-AIED kukulawula ukungasebenzi kakuhle kwenkqubo yomzimba yokuzikhusela nokuthintela umonakalo ongakumbi kwindlebe engaphakathi.
- IiSteroids: Ugqirha wakho angakunika idosi ephezulu yamayeza okulwa nokuvuvukala afana neesteroids. Ezi zibonakalise ukuba ziyasebenza kwi-AIED. Nangona kunjalo, zinokuba nemiphumo emibi, ngoko ke akufuneki zisetyenziswe ngaphezu kweeveki ezimbalwa.
- Amayeza okunciphisa umzimba: Emva kokuyeka ukusebenzisa ii-steroids, amanye amayeza "athomalalisa" inkqubo yakho yomzimba (umz., i-Azathioprine, i-Methotrexate) anokunikwa ixesha elide.
- Izixhobo Zokuncedisa Ukuva: Ukuba unengxaki yokuva, ungasebenzisa isixhobo sokuncedisa ukuva ukuze uhlawulele loo ngxaki.
- I-Cochlear Implant: Kwimeko yokulahlekelwa kakhulu kukuva, ugqirha wakho unokucebisa i-cochlear implant. Esi sisixhobo esincinci se-elektroniki esifakwa ngotyando phantsi kolusu olusemva kwendlebe. Sivuselela imithambo-luvo engaphakathi kwendlebe ukuba iguqule isandi sibe ziimpawu kwaye izithumele engqondweni.
Njengoko isayensi yezonyango iqhubeka, kunokwenzeka ukuba amayeza asebenzayo ngakumbi aneziphumo ebezingalindelekanga ezimbalwa kunye nonyango lwanamhlanje olufana nonyango lwezakhi zofuzo aya kuvela kwi-AIED kwixesha elizayo.
Umyalezo Wokuya Ekhaya
- I-AIED yimeko engaqhelekanga apho amajoni akho omzimba ahlasela indlebe yakho yangaphakathi.
- Ukuba ufumana iimpawu ezifana nokulahlekelwa kukuva ngequbuliso (ingakumbi ukuba zichaphazela zombini iindlebe), isiyezi, okanye ukukhala ezindlebeni, musa ukuzityeshela.
- Ukuba unale mpawu, bonana nogqirha, ingakumbi ugqirha we-ENT, ngokukhawuleza. Unyango olukhawulezileyo lunokuthintela umonakalo ongunaphakade.
- Ukufumanisa isifo kunokuba nzima, ngoko ke kubalulekile ukufumana ingcebiso kagqirha ukuze ufumane uvavanyo olufanelekileyo kunye nonyango.
- I-AIED ayisosifo esinye, kodwa isenokuba luphawu lwesinye isifo sokuzikhusela komzimba emzimbeni wakho.
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