Ngaba ngamanye amaxesha uziva ngathi iingalo nemilenze yakho ziyaphelelwa ngamandla kancinci kancinci? Okanye uziva nje ukurhawuzelela, okanye uziva into eyahlukileyo, engenabomi? Ukuba le meko ibisanda kancinci kangangeenyanga ezingaphezu kwezimbini, musa ukuyithatha njengento elula nje . Namhlanje sithetha ngemeko enokubangela iimpawu ezinjalo, engaqhelekanga, kodwa kufanelekile ukuyazi. Yiyo leyo i-CIDP.
Kalula nje, yintoni i-CIDP?
Musa ukoyika igama elide elithi CIDP. Masiyigcine ilula. I-CIDP (Chronic Inflammatory Demyelinating Polyneuropathy) yimeko yexesha elide apho inkqubo yokuzikhusela yomzimba wethu, inkqubo yokuzikhusela yomzimba, ihlasela ngempazamo imithambo-luvo yethu.
Cinga ngemithambo-luvo yethu njengeentambo zombane. Kanye njengokuba iingcingo zombane zine-insulation ezijikelezileyo, imithambo-luvo yethu ikwanayo nesiciko esikhuselayo esibizwa ngokuba yi-myelin . Esi siciko se-myelin yiso esivumela imiqondiso evela ebuchotsheni ukuba ihambe ngokukhawuleza nangokuchanekileyo iye emalungwini. Kwi-CIDP, inkqubo yethu yokuzikhusela komzimba ihlasela esi siciko se-myelin. Njengokuba isiciko esikwintambo yombane sisusiwe, ukuhanjiswa kwesignali kuyaphazamiseka. Oku kubangela iimpawu ezifana nobuthathaka kunye nokungaziva mnandi emalungwini.
I-CIDP yimeko efana ne -Guillain-Barre syndrome (GBS). Nangona kunjalo, i-GBS yenzeka emva kokugula, njengomkhuhlane okanye intsholongwane yesisu, ize iphile. Ihlala iphela ngokukhawuleza. Nangona kunjalo, i-CIDP ayiveli emva kokugula okunjalo, kwaye yimeko yexesha elide.
Zithini iimpawu ze-CIDP?
Ezi mpawu azifani kuye wonke umntu. Kodwa kukho ezimbalwa eziphambili oza kuzibona. Khumbula, ukuze ucinge ukuba i-CIDP inokuba nayo, ezi mpawu kufuneka zibe khona ubuncinane iiveki ezi-8 .
Uphawu lokuqala noluqhelekileyo kubuthathaka bemisipha obuqhubeka ixesha elingaphezu kweenyanga ezimbini . Oku kudla ngokuchaphazela amacala omabini omzimba.
| Uhlobo lwempawu | Inkcazo |
|---|---|
| Iimpawu eziphambili |
|
| Ezinye iimpawu ezinokwenzeka | |
| Iimpawu ezingaqhelekanga |
Kutheni i-CIDP isasazeka? Ngaba iyasulela?
Isizathu esichanekileyo se-CIDP asikaziwa okwangoku. Kodwa siyazi ukuba sibangelwa yingxaki kwinkqubo yomzimba yokuzikhusela. Asisuleli konke konke. Awunakuyifumana komnye umntu, kwaye awunakuyisasaza komnye umntu.
Akukafunyaniswa ukuba inekhonkco lemfuza okanye ibangelwa lusulelo. Nangona nabani na enokuba nalo, luxhaphake kakhulu kubantu abaphakathi kweminyaka engama-50 ukuya kwengama-60 nakumadoda .
Ugqirha uyixilonga njani i-CIDP?
Akukho vavanyo lunye olunokukuxelela ngokuqinisekileyo ukuba une-CIDP. Ngoko ke, ugqirha wakho uza kuqala akubuze ngeempawu zakho. Ziqale nini, zivakalelwa njani, kwaye ingaba ziya zisiba mandundu na? Emva koko uza kwenza uvavanyo lomzimba.
Ukongeza, kunokwenziwa iimvavanyo ezininzi ukuqinisekisa le meko nokuthintela ezinye iimeko zonyango.
- Uvavanyo lwegazi nomchamo: Jonga ezinye izizathu.
- Uphononongo lokuHanjiswa kweMithambo kunye ne-EMG:Jonga ukuba i-myelin sheath yemithambo-luvo yonakele na kwaye imiqondiso idluliselwa njani.
- Ukubhaxabula eLumbar: Ukujonga amanqanaba aphezulu eeproteni ezinxulumene ne-CIDP kulwelo lomqolo.
- Uvavanyo lwe-MRI: Jonga ukudumba kweengcambu zemithambo-luvo.
- I-Never Biopsy: Ngamanye amaxesha kuthathwa iqhekeza elincinci lomthambo lize lihlolwe.
Eyona nto ibalulekileyo kukufumanisa isifo kwangethuba uze uqale unyango . Oku kunokunciphisa umonakalo wemithambo-luvo. Ukuba azinyangwa, iimpawu zinokuba mandundu ngokuhamba kwexesha, nto leyo ekhokelela ekubeni abanye abantu bafune isitulo esinamavili.
Ziziphi iindlela zonyango ze-CIDP?
Abantu abaninzi abane-CIDP bafuna unyango. Okukhona unyango luqala ngokukhawuleza, kokukhona amathuba okuchacha ngokupheleleyo eba ngcono. Injongo ephambili yonyango kukuthintela inkqubo yomzimba yokuzikhusela ekonakaliseni imithambo-luvo.
Iindlela eziphambili zonyango
- IiCorticosteroids: La ngamayeza ohlobo lwe-steroid anciphisa ukudumba emzimbeni kwaye alawule ukusebenza kwenkqubo yomzimba yokuzikhusela.
- Unyango lwe-Immunotherapy: La mayeza aphazamisana neenkqubo zenkqubo yomzimba yokuzikhusela kwaye ayithintele ekuhlaseleni i-myelin.
- I-Intravenous Immunoglobulin (IVIG): Oku kuquka ukunika idosi eqokelelweyo yee-antibodies ezithathwe kubantu abaphilileyo nge-intravenous (IV). Oku kunceda ukulawula impendulo engaqhelekanga yomzimba kwi-immune system.
- Utshintshiselwano lwePlasma (PE): Oku kuquka ukuthatha inxalenye yeplasma yegazi lakho, uyihluze ukuze kususwe ii-antibodies eziyingozi, uze uyibuyisele emzimbeni wakho.
Unyango oluncedisayo
Ukongeza kunyango oluphambili, unokufuna olunye unyango ukuze wenze ubomi bakho bemihla ngemihla bube lula.
- Unyango Lomzimba: Oku kubaluleke kakhulu ekwakheni kwakhona amandla emisipha nokuphucula amandla okuhamba.
- Unyango Lomsebenzi: Lunika iingcebiso malunga nendlela yokwenza imisebenzi yemihla ngemihla (efana nokupheka, ukunxiba) ngokulula xa unengxaki.
- Ukuzilolonga nokutya: Ukuzilolonga okuphakathi kunokunceda ukwakha amandla nokuphucula ulungelelwano. Ukutya okunesondlo nokufanelekileyo kunokunceda ukuthintela ukutyeba okungeyomfuneko kunye noxinzelelo lwemisipha. Nxibelelana nogqirha wakho ngale nto.
Ukuphila ne-CIDP kunye nempilo-ntle yengqondo
Ukuphila nesigulo esifana ne-CIDP ixesha elide kunokuba nzima. Kukho iqela lezonyango elinokukunceda. Oku kuquka ugqirha wezifo zengqondo .Kubandakanya abantu abafana nogqirha wengqondo.
Esi sifo sinokubangela iimvakalelo zokudakumba, ixhala, kunye nosizi. Siqhelekile kakhulu. Ukuba uvakalelwa ngolu hlobo, thetha nosapho lwakho kunye nabahlobo bakho ngalo mba. Ungathandabuzi ukufuna uncedo kwingcali yezempilo yengqondo ukuba uyalufuna. Lunokuba luncedo olukhulu kuhambo lwakho lokuchacha.
Kubaluleke kakhulu: Ukuba unengxaki yokuphefumla, yingxamiseko leyo. Yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) elikufutshane nawe ngoko nangoko.
Umyalezo Wokuya Ekhaya
- I-CIDP yimeko ehlala ixesha elide ebangelwa yinkqubo yomzimba yokuzikhusela ehlasela imithambo-luvo.
- Uphawu oluphambili kubuthathaka bemisipha kunye nokuba ndindisholo okwanda kancinci kancinci kwiinyanga ezimbalwa.
- Esi asisosifo esosulelayo, kwaye unobangela ochanekileyo awukafunyanwa.
- Abantu abaninzi banokufikelela kwiziphumo ezilungileyo ngokuxilonga isifo kwangethuba baze bafumane unyango olufanelekileyo.
- Ukuba unayo nayiphi na kwezi mpawu, musa ukuzityeshela kwaye bonana nogqirha wakho ngokukhawuleza ukuze akunike icebiso.
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