Ngaba wakha waba nentloko ebuhlungu engaphelanga kangangeentsuku? Okanye ngaba ngequbuliso uziva ngathi umzimba wakho uyaphela, kunye nezinto ezifana nokulibala kunye nokungaziva? Ezi ngamanye amaxesha zinokuba ziimpawu zesifo esinzima, nokuba asizinikeli ingqalelo kangako. Namhlanje, siza kuthetha ngesifo esinzima kancinci, kodwa esibaluleke kakhulu esichaphazela ingqondo yethu kunye nomqolo.
Yintoni le (i-CNS Vasculitis)? Masiyiqonde ngokulula?
Ngamafutshane, i-CNS Vasculitis kukudumba kwemithambo yegazi kwinkqubo yethu yemithambo -luvo (CNS), oko kukuthi, ingqondo kunye nomqolo . Njengaxa sisenzakele kwindawo ethile emzimbeni wethu, imithambo yegazi ehambisa igazi engqondweni kunye nomqolo idumba ngaphakathi. Oogqirha ngamanye amaxesha babiza oku ngokuthi "yi-angiitis ephambili yenkqubo yemithambo-luvo ephakathi ". Elinye igama elithi "granulomatous angiitis".
Cinga ngako, inkqubo yethu yemithambo- luvo ifana neziko lolawulo lomzimba wethu wonke. Yonke into esiyenzayo ngabom, ukususela ekusebenziseni iminwe yakho ukuya kufunda eli nqaku, ukuya kuyo yonke into esiyenzayo ngabom, njengokuphefumla kunye nokubetha kwentliziyo , ilawulwa apha. Ngoko ke kwenzeka ntoni ukuba kukho ingxaki ngemithambo yegazi kwindawo ebaluleke kangaka? Yiyo loo nto kufuneka sikhathazeke ngesi sifo.
Ngaba kukho iintlobo eziphambili ze-CNS Vasculitis?
Ewe, oogqirha bachonge iintlobo ezimbini eziphambili zale nto:
1. I-Primary CNS Vasculitis: Oku kwenzeka ngokwako, ngaphandle kwempembelelo yesinye isifo. Oko kukuthi, akukho esinye isifo esinokufunyanwa njengesizathu.
2. I-Vasculitis ye-CNS yesibini: Oku kwenzeka ngesifo esithile okanye ngenxa yesinye isifo. Ngamafutshane, kubangelwa yimeko yokudumba okanye esinye isifo kwenye indawo emzimbeni. Izifo ezizikhusela ngokwazo ( oko kukuthi, izifo apho inkqubo yokuzikhusela yomzimba wethu isebenza kuthi) kunye nosulelo zezona zinto zixhaphakileyo zolu hlobo lwesibini.
Zithini iimpawu zesi sifo? Sizibona njani?
Iimpawu ze-CNS Vasculitis zingahluka kumntu nomntu, kodwa kukho ezinye iimpawu eziqhelekileyo:
- Intloko ebuhlungu nehlala ixesha elide: Olu luphawu lokuqala olufika engqondweni yabantu abaninzi. Ayifani nentloko eqhelekileyo, kodwa inamandla ngakumbi kwaye inokuhlala iintsuku ezininzi.
- Ukulibala okanye ukudideka: Usenokulibala izinto ngequbuliso uze uzive udidekile.
- Ukungaziva mnandi, iimvakalelo ezingaqhelekanga, okanye utshintsho ekuchukumiseni: Amalungu akho asenokuziva ngathi aziva mnandi, kwaye usenokungaziva nto xa uwachukumisa.
- Ukuziva ubuthathaka emzimbeni: Ukuziva ungenakunceda, ungafuni kwenza nto.
- Ukuphazamiseka kokubona: Ukubona okufipheleyo, ngamanye amaxesha ukubona kabini.
- Iimpawu zesifo sokuwa (Ukuxhuzula): Ukulahlekelwa yingqondo ngequbuliso kunye nokuxhuzula kunokwenzeka.
- I-Encephalopathy: Oku kunokubangela utshintsho kwimeko yengqondo, kwindlela yokuziphatha, kwaye ngamanye amaxesha kunokubangela ukuquleka.
Ukuba unenye okanye ngaphezulu kwezi mpawu, kubaluleke kakhulu ukufuna ingcebiso kagqirha ngoko nangoko. Ngenxa yokuba ezi zinokuba ziimpawu zezinye izifo, kubalulekile ukufumanisa ukuba yintoni kanye kanye ingxaki.
Ziziphi iingxaki ezinokubakho ze-CNS Vasculitis?
Esi sifo sibangela ukuba imithambo yegazi idumbe ize ibe mikhulu, nto leyo eyenza kube nzima ukuba igazi lihambe kuyo. Ekuhambeni kwexesha, oku kurhawuzelela kunokonakalisa ingqondo kunye nomqolo, nto leyo ekhokelela kwiingxaki ezinkulu, ngamanye amaxesha ezisongela ubomi. Ezona ziphambili zezi:
- Izibetho
- Uhlaselo lwe-ischemic olukhawulezileyo (olukwabizwa ngokuba yi-"mini-strokes")
- Ii-aneurysms zobuchopho (iziqwenga ezinokwaphula imithambo yegazi engqondweni)
Zonke ezi ngxaki zifuna uncedo lwezonyango olungxamisekileyo. Ukuba ufumana iimpawu zestroke okanye ukuqhekeka kwe-brain aneurysm, yiya esibhedlele ngoko nangoko okanye utsalele umnxeba ku-1990 (i-ambulensi).
Zithini izizathu ze-CNS Vasculitis?
(CNS Vasculitis) sisifo esibangelwa kukuzikhusela komzimba . Ngamafutshane, inkqubo yokuzikhusela yomzimba wethu, amajoni afanele ukusikhusela kwizifo, ngempazamo aqala ukuhlasela iiseli zethu. Okwenzekayo apha kukuba inkqubo yokuzikhusela ihlasela imithambo yegazi yethu.
- Abantu abane -vasculitis ye-CNS yokuqala bayayihlakulela ngaphandle kwesizathu esithile, oko kukuthi, "ngokungaqondaniyo." Akunakwenzeka ukutsho ngqo ukuba yintoni ebangele loo nto.
- I-Vasculitis ye-CNS yesibini idla ngokuvela kunye nezinye izifo ezibangela ukudumba emzimbeni. Ezinye izifo zokuzikhusela komzimba kunye nezinye izifo zinokubangela oku. Nazi imizekelo embalwa:
- `Lupus`
- ``I-Granulomatosis ene-polyangiitis''
- ``I-Eosinophilic granulomatosis ene-polyangiitis (EGPA)''
- `I-Microscopic polyangiitis`
- `Isifo sikaBehçet`
- `Isifo sikaSjögren`
- Usulelo lwentsholongwane: Intsholongwane ka-Epstein-Barr, intsholongwane ye-varicella-zoster (intsholongwane ebangela izifo ezifana ne-chickenpox kunye ne-herpes)
- Usulelo lweebhaktheriya: Isifo sephepha, iSyphilis
Ngubani osengozini enkulu yokuhlaselwa sesi sifo?
(I-CNS Vasculitis) Nangona nabani na enokuba nayo, ixhaphake kakhulu kumadoda. Nangona ixhaphake kakhulu kubantu abaneminyaka emalunga nama-50 ubudala, esi sifo sinokuvela nakweyiphi na iminyaka.
Oogqirha bayixilonga njani i-CNS Vasculitis?
Ugqirha uza kuyixilonga le meko ngokukuxilonga ngokwasemzimbeni aze enze uvavanyo oluthile olukhethekileyo. Uza kukubuza ngeempawu zakho, njengokuba wawuzibona nini okokuqala. Xelela ugqirha wakho ukuba iimpawu zakho ziyaphinda ziphele (`ziphinde zibuye`), kwaye ukuba ziya zisiba mandundu ngamaxesha athile osuku okanye ngexesha lemisebenzi ethile.
Ukuchonga i-CNS Vasculitis ngamanye amaxesha kungaba yinkqubo yokukhupha ezinye iimeko (ukuxilongwa okuhlukeneyo) . Oku kuthetha ukuba ngaphambi kokuba ayichonge ngokuqinisekileyo le meko, ugqirha wakho uya kwenza iimvavanyo ezininzi ukuqinisekisa ukuba awunazo ezinye iimeko eziqhelekileyo. Kusenokufuneka wenze oku kulandelayo:
- I-MRI (Umfanekiso weMagnetic Resonance)
- `I-CT scan` (i-computed tomography)
- I-Angiogram (uvavanyo olukhethekileyo lwe-X-ray lwemithambo yegazi)
- Iibhayopsy (ukuthatha isiqwenga sethishu ukuze sihlolwe)
Kusenokufuneka ubonane nogqirha wezifo zamathambo, ugqirha ochwephesha ekunyangeni izifo ezibangelwa kukudumba .
Ziziphi iimpawu ezinceda ekuxilongeni i-CNS Vasculitis?
"Iimpawu" ziimpawu zesifo. Ezi zinokufunyanwa ngugqirha wakho egazini lakho okanye kolunye ulwelo lomzimba ngovavanyo lwelebhu. Nazi ezinye iimvavanyo ugqirha wakho anokuzisebenzisa ukujonga iimpawu ze-CNS Vasculitis:
- Uvavanyo lwegazi ukuze kuhlolwe ukuba akukho anemia.
- Uvavanyo lwe-ESR (isantya se-erythrocyte sedimentation): Uphawu lokuvuvukala emzimbeni.
- Uvavanyo lwe-C-reactive protein (CRP): Uvavanyo lwee-markers zokuvuvukala ezikhutshwa sisibindi.
- Ukubhoboza iLumbar: Thatha isampuli yolwelo lomqolo wakho wobuchopho uze ujonge ukuba kukho iiseli ezimhlophe zegazi eziphezulu na.
Zithini iindlela zonyango zoku?
Ugqirha wakho usenokucebisa unyango olulawula ukudumba. Eyona nto ibalulekileyo xa unyanga i-CNS Vasculitis kukunciphisa umonakalo ewubangelayo engqondweni yakho nakwithambo lomqolo. Abantu abaninzi kuya kufuneka bathathe indibaniselwano yamayeza abizwa ngokuba yi-corticosteroids (uhlobo lwamayeza anciphisa ukudumba) kunye ne -immunosuppressants (amayeza acinezela inkqubo yomzimba yokuzikhusela) .
Ekuqaleni, uza kunikwa idosi ephezulu yeyeza. Kamva (ngesiqhelo emva kweenyanga ezimbalwa), ugqirha wakho unokunciphisa ukuphindaphindwa kwenaliti kunye nedosi. Oogqirha bakho bazama ukukufaka kwinqanaba "lokuxolelwa" apho iimpawu zakho zingabi nkulu okanye ziphele ngokupheleleyo.
Ukuba une-vasculitis yesibini ye-CNS, kuya kufuneka unyango olwahlukileyo ukulawula imeko engundoqo, nto leyo ugqirha wakho aza kukuchazela yona.
Ndifanele ndimbone nini ugqirha?
Gcina umkhondo weempawu zakho. Ukuba ubona naluphi na utshintsho, lubhale phantsi. Xelela ugqirha wakho ngoko nangoko, ingakumbi ukuba iimpawu zakho zibonakala ziqala rhoqo okanye zinzima kakhulu kunangaphambili. Xelela ugqirha wakho ukuba naluphi na unyango lubonakala lungasebenzi okanye alusebenzi kakuhle njengangaphambili.
Ugqirha wakho uza kukuxelela ukuba kufuneka uye kangaphi kugqirha wakho, wenze uvavanyo lwegazi, okanye wenze olunye uvavanyo.
Ukuba unezinye zeempawu ezingezantsi, yiya esibhedlele ngoko nangoko okanye utsalele umnxeba ku-1990:
- Ukuba ucinga ukuba uneempawu zestroke okanye i-brain aneurysm ephukileyo .
- Ukuba unengxaki yokuphefumla.
- Kulungile ukuba umbono wakho uba mandundu ngequbuliso, okanye ukuba ulahlekelwa ngumbono ngequbuliso.
Ukuba ndine (i-Central Nervous System Vasculitis), ndimele ndilindele ntoni?
Akukho nyango lwe-CNS Vasculitis. Nangona kunjalo, abantu abaninzi banokubuyela umva ixesha elide emva kokufumana indibaniselwano yamayeza asebenzayo kubo. Abanye abantu banokuhlala iinyanga okanye iminyaka bengenazo iimpawu, kodwa iimpawu ziphinde zibuye.
(i-CNS Vasculitis) ayisoloko inefuthe elikhulu kwixesha ophila ngalo. Kodwa oku kunzima ukukutsho ngokuqinisekileyo. Kuba (i-CNS Vasculitis) inokubangela iingxaki ezinkulu ezifana nestroke kunye ne-aneurysm. Ukuba ezi ngxaki zenzeka, amathuba okufa aphezulu kunesiqhelo.
Ukuba unenkxalabo malunga nempilo yakho okanye indlela i-CNS Vasculitis echaphazela ngayo ubomi bakho, thetha nogqirha wakho.
Nasiphi na isifo esichaphazela inkqubo yakho yemithambo-luvo (CNS) sinokoyikisa. Ingakumbi xa usazi ukuba inkqubo yakho yokuzikhusela komzimba ihlasela ingqondo yakho kunye nomqolo. Kodwa iindaba ezimnandi zezokuba uninzi lwabantu abane-CNS Vasculitis banokufumana indibaniselwano yamayeza ayilawulayo. Wakuba ufumene unyango olufanelekileyo kuwe, ugqirha wakho unokukunceda unciphise impembelelo yeempawu zakho ebomini bakho.
Khumbula, akuyonto imbi ukubuza imibuzo malunga nempilo yakho. Thetha nogqirha wakho ngazo zonke izinto ezikuxhalabisayo. Uza kuphendula yonke imibuzo yakho, akunike ukuzithemba kwinto eyenzekayo emzimbeni wakho, aze akuncede uyilawule.
Umyalezo obalulekileyo onokuwuthatha ekhaya
(i-CNS Vasculitis) sisifo esibi kodwa esinokunyangeka. Eyona nto ibalulekileyo kukufuna iingcebiso zonyango ngokukhawuleza nje ukuba uqaphela iimpawu uze uthathe unyango olumiselweyo. Xa uphila nesi sifo, kubaluleke kakhulu ukugcina ubudlelwane obuhle nogqirha wakho. Ngokulandela iingcebiso zabo nokubaxelela ngazo naziphi na utshintsho oluvelayo, unokuphila ngempumelelo nesi sifo. Ungaze woyike, awuwedwa. Ngolwalathiso olufanelekileyo lwezonyango, esi sifo sinokulawulwa kakuhle.
I- CNS Vasculitis, inkqubo yemithambo-luvo ephakathi, ukudumba kwemithambo yegazi, ubuchopho, umqolo, izifo zokuzikhusela komzimba, intloko ebuhlungu
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