Ngaba umzimba wakho ulwa nemisipha yakho? Masifunde ngqo nge-myositis!

Ngaba ngamanye amaxesha uziva ngathi amalungu akho aphelile, okanye uziva udiniwe kangangokuba awukwazi ukwenza nto? Okanye ngaba izihlunu zakho ziyabuhlungu okanye zidumbile? Usenokungazinaki kangako ezi zinto. Nangona kunjalo, kusenokwenzeka ukuba ezi zingaphezulu kokudinwa nje. Namhlanje siza kuthetha ngemeko apho amajoni omzimba wakho ehlasela izihlunu zakho, nto leyo enzima kancinci, kodwa kubaluleke kakhulu ukuyazi. Yiyo loo nto i-myositis .

Yintoni i-myositis? Masiyiqonde ngokulula!

Ngamafutshane, i-myositis iyenzeka xa inkqubo yakho yomzimba yokuzikhusela - inkqubo yokuzikhusela yomzimba - ihlasela izihlunu zakho ngempazamo . Kufana nokuhlasela ikhaya lakho. Oku kubangela ukudumba okungapheliyo kwimisipha yakho. Ukudumba kubonakala ngokudumba, ukuba bomvu, kunye nentlungu. Njengoko oku kudumba kuqhubeka, izihlunu zakho ziyancipha kancinci kancinci. Oku ngamanye amaxesha kunokukhokelela kwiintlungu eziqatha zemisipha.

I-Myositis sisifo esikwiqela elikhulu lezifo ezibizwa ngokuba yi-myopathy . I-Myopathy ligama eliqhelekileyo laso nasiphi na isifo esichaphazela izihlunu ezidibana namathambo ethu nezisishukumisayo (ezikwabizwa ngokuba zimisipha yamathambo ). Ngoko ke, kwi-myositis, ezi zizihlunu ezichaphazeleka kakhulu.

Zeziphi izihlunu ezichaphazeleka yi-myositis?

Kukho iintlobo ezahlukeneyo ze-myositis, kwaye uhlobo ngalunye lunokuchaphazela amaqela ahlukeneyo emisipha emzimbeni. Kodwa ezona zixhaphakileyo zichaphazela izihlunu esizisebenzisela imisebenzi yemihla ngemihla. Cinga:

• Izihlunu ezingalweni nasemagxeni akho.
• Izihlunu ezisemilenzeni nasezinqeni zakho.
• Izihlunu esiswini sakho nangasemva (oko kukuthi, umzimba wakho).

Ezi zihlala zichaphazeleka kakhulu. Nangona kunjalo, abanye abantu banokuba buthathaka kwimisipha nakwezinye iindawo. Umzekelo:

• Izihlunu ezijikeleze amehlo .
• Izihlunu ezijikeleze umphimbo wethu (ezi zezona zisinceda siginye ukutya).
• I-diaphragm yethu yeyona msipha iphambili esinceda siphefumle.

Oogqirha abakayazi kakuhle into ebangela i-myositis. Akukho nyango lwayo okwangoku . Kodwa ungakhathazeki! Ugqirha wakho uza kukunika unyango oluza kukunceda ukulawula iimpawu zakho. Baza kucebisa nokuzilolonga kunye nokuzolula ukuze kuncedwe ukuqinisa nokolula izihlunu ezichaphazelekayo ngelixa iimpawu zakho zincinci.

Kubalulekile:Ukuba ngequbuliso uziva ubuthathaka, unengxaki yokuhamba okanye ukuhambisa amalungu omzimba, okanye uvela amaqhuqhuva okanye iintlungu ezintsha eluswini , bona ugqirha ngokukhawuleza . Ukuba unengxaki yokuphefumla okanye yokuginya, yiya kwigumbi likaxakeka esibhedlele ngokukhawuleza . Ezi azizompawu zilungileyo zokudlala nazo.

Ngaba kukho iintlobo ze-myositis? Masifunde ngaloo nto!

Ewe, kukho iintlobo ezininzi eziphambili ze-myositis. Ugqirha wakho uza kukuxelela ngqo ukuba loluphi uhlobo lwe-myositis onalo ngokusekwe kwiimpawu zakho kunye nendawo ezikuyo izihlunu ezichaphazelekileyo. Kukho iintlobo ezintathu eziphambili:

• I-Polymyositis
• I-Dermatyositis
• I-myositis yomzimba ebandakanyiweyo

Makhe sijonge nganye kwezi nkcukacha zincinci.

Masifunde ngePolymyositis

Xa sisithi i-polymyositis , igama elithi "poly" lithetha "ezininzi." Oku kuthetha ukuba izihlunu ezininzi ziyachaphazeleka ngaxeshanye. Ngokuqhelekileyo, ichaphazela izihlunu ezikufutshane nombindi womzimba wakho. Cinga ngamagxa kunye namanqe.

Le meko ibizwa ngokuba yi-polymyositis ayiveli ngequbuliso. Iimpawu zibonakala kancinci kancinci, ngokuhamba kwexesha . Ixhaphake kakhulu kubantu abadala. Kukwafunyaniswe ukuba abafazi banamathuba aphindwe kabini okufumana le meko kunamadoda.

Ukuba une-polymyositis, unokuba nobunzima ekwenzeni imisebenzi elula yemihla ngemihla. Umzekelo:

• Ubunzima bokuvuka xa uhleli.
• Ubunzima bokunyuka izinyuko.
• Ubunzima bokuphakamisa izinto ezinzima.
• Kunzima ukufikelela phezulu uchole into ethile.

Yintoni iDermatyositis?

Igama elithi "derma" elithetha i -dermatomyositis ( i-derma ithetha ulusu) lisenokuba likuxelela ukuba lichaphazela ulusu. Ewe, olu hlobo lwe-myositis luchaphazela ulusu lwakho kunye nemisipha yakho .

Kwabanye abantu, kungathatha iinyanga ukuba ivele, kodwa ngamanye amaxesha i-dermatomyositis inokukhula ngequbuliso, okanye ngokukhawuleza. Eyona nto ibalulekileyo kukuqala unyango ngokukhawuleza . Kulapho unethuba elingcono lokuthintela iingxaki ezinzulu.

Nangona ingaqhelekanga kakhulu, i-dermatomyositis inokuba yingozi ebomini , ingakumbi kunyaka wokuqala emva kokuba iimpawu ziqalile. Abantu abanale meko kuthiwa banomngcipheko okhulayo wokufumana iintlobo ezithile zomhlaza.

I-dermatomyositis inokuchaphazela nabani na. Xa ichaphazela abantwana abancinci, ibizwa ngokuba yi-juvenile dermatomyositis .

Kuthekani ukuba ndifumana i-inclusive body myositis?

I-Inclusion body myositis (IBM) sisifo semisipha esiwohlokayo esenzeka kubantu abangaphezu kweminyaka engama-50 ubudala .

I-IBM ichaphazela kakhulu izihlunu ezikwimilenze yakho, ingakumbi iingalo zakho kunye nemilenze engaphantsi kwamadolo . Ingachaphazela nezihlunu zomqala wakho ezikunceda ukuginya. Malunga nama-30% abantu abane-IBM bafumana i-dysphagia , okubangela ubunzima bokuginya.

Ukuba une-inclusion body myositis (IBM), kunokuba nzima ukwenza izinto ezinje:

• Kunzima ukwenza imisebenzi ebuthathaka efana nokuqhobosha ihempe ngeminwe yakho.
• Kunzima ukubamba into encinci.
• Ubunzima bokuhamba okanye ukuma nkqo.
• Ubunzima bokuginya ukutya.

Ziziphi iimpawu eziqhelekileyo zeMyositis?

Nangona iimpawu ze-myositis zingahluka kancinci ngokuxhomekeke kuhlobo, kukho ezinye iimpawu eziqhelekileyo:

• Ubuthathaka bemisipha: Olu luphawu oluphambili. Usenokungakwazi ngequbuliso ukuphakamisa ingalo okanye umlenze, okanye ube nobunzima bokuphakama esihlalweni.
• Intlungu yamalungu okanye yemisipha: Imisipha emzimbeni iyaqaqamba, ngamanye amaxesha kunye namalungu.
• Ukudinwa: Ukuziva udiniwe kangangokuba awukwazi kwenza nto.
• Ukudumba: Izihlunu ezichaphazelekileyo zinokudumba.
• Ubunzima bokuphefumla okanye ukuginya: Olu luphawu olubi kakhulu. Oku kunokwenzeka ukuba izihlunu zomqala okanye i-diaphragm ziyachaphazeleka.
• Ukungahambi kakuhle kwentliziyo (i-Arrhythmia): Ukuba i-myositis ichaphazela izihlunu zentliziyo, isingqisho sentliziyo sinokutshintsha.

Ezi mpawu azihlali ngonaphakade. Zisenokuba zimbi ngamanye amaxesha kodwa zibe ngcono ngamanye amaxesha. Xa iimpawu zinzima, unokuba nobunzima bokwenza imisebenzi yemihla ngemihla, udinwe lula, kwaye uzive ngathi awunalawulo kwimilenze yakho. Ugqirha wakho uza kukuchazela ukuba zeziphi iimpawu onokuzilindela.

Kutheni kukho i-myositis? Zithini izizathu?

Enyanisweni, noogqirha abakakwazi ukutsho ngokuqinisekileyo ukuba yintoni kanye kanye ebangela i-myositis . Ngamanye amaxesha ingenzeka nje ngaphandle kwesizathu. Kodwa ngamanye amaxesha inokubangelwa zezinye iimeko zempilo.

Njengoko besitshilo ngaphambili, i-myositis sisifo esibangelwa kukuzimela komzimba.Oku kuthetha ukuba endaweni yokukukhusela, inkqubo yomzimba wakho yokuzikhusela ihlasela amalungu omzimba wakho. Akukacaci ukuba kutheni le nkqubo yokuzikhusela isiya isiba mandundu ngolu hlobo. Nangona kunjalo, abanye abantu abanezinye izifo zokuzikhusela komzimba banamathuba amaninzi okufumana i-myositis. Umzekelo:

• I-Lupus
• Irheumatoid arthritis
• I-Scleroderma

Abantu abanezi zifo basengozini enkulu yokufumana i-myositis.

Kwakhona, abanye abantu baye baba ne-myositis emva kosulelo oluninzi lwentsholongwane . Imizekelo:

• Umkhuhlane oqhelekileyo
• Umkhuhlane (umkhuhlane)
• I-HIV

Ezi zinokubangela ukuba i-myositis ibe mandundu.

Ungazi njani ngokuqinisekileyo ukuba une-myositis? (Ukuxilongwa)

Ukuze wazi ngokuqinisekileyo ukuba une-myositis, ugqirha uza kukuxilonga aze, ukuba kuyimfuneko, enze iimvavanyo ezininzi. Okokuqala, ugqirha uza kumamela ngononophelo iimpawu zakho aze ajonge indlela oziva ngayo xa usenza iintshukumo ezithile. Emva koko, banokwenza iimvavanyo ezininzi, ezifana nezi:

• Uvavanyo lwegazi: Olu vavanyo lunokukhangela ii-enzyme ezithile ezikhutshwa egazini xa izihlunu zonakele, kunye nee-antibodies ezithile ezibonwa kwizifo ezizikhuselayo emzimbeni.
• Iskeni ye-MRI (Magnetic Resonance Imaging): Oku kungabona ngokucacileyo ukuba kukho ukudumba kwimisipha yakho kwaye apho kukhoyo.
• Uvavanyo lwe-EMG (i-Electromyography): Olu vavanyo luvavanya ukusebenza kombane kwezihlunu zakho. Oku kunceda ekuqinisekiseni ukuba ubuthathaka bezihlunu bubangelwa yingxaki yezihlunu ngokwazo okanye yingxaki yemithambo-luvo.
• Uvavanyo lwezihlunu: Oku kuquka ukuthatha iqhekeza elincinci lezihlunu ezichaphazelekayo uze ulihlolisise nge-microscope. Oku kunokukhangela utshintsho olubonakala kwi-myositis.

Kuphela emva kokwenza zonke ezi mvavanyo apho ugqirha anokuthi agqibe ngokuchanekileyo ukuba une-myositis, kwaye ukuba kunjalo, loluphi uhlobo lwayo.

Ziziphi iindlela zonyango lwe-myositis?

Njengoko besitshilo ngaphambili, okwangoku akukho nyango lwe-myositis. Kodwa ungakhathazeki. Ugqirha wakho uza kubonelela ngonyango lokulawula iimpawu zakho nokunciphisa impembelelo kubomi bakho bemihla ngemihla. Injongo ephambili kagqirha wakho kukulawula iimpawu zakho nokubuyisela i-myositis yakho esimeni esihle . Ukukhululwa lixesha apho ukudumba kwimisipha yakho kuye kwaphela kwaye phantse ungabi nazimpawu.

Nazi ezinye zeendlela eziqhelekileyo zonyango lwe-myositis:

• IiCorticosteroids:La ngamayeza afana nePrednisolone. Asebenza ngokunciphisa umsebenzi wenkqubo yomzimba yokuzikhusela nokulawula ukudumba.
• Amayeza okunciphisa umzimba: Amayeza afana neMethotrexate kunye neAzathioprine akweli candelo. La mayeza anceda ekunciphiseni ukusebenza ngokugqithisileyo kwenkqubo yomzimba yokuzikhusela.
• I-Intravenous Immunoglobulin (IVIG): Olu lunyango olunikwa umthambo. Lusisombululo esiqulethe ii-antibodies ezivela kubanikeli abaphilileyo. Oku kunceda ukutshintsha imisebenzi yenkqubo yomzimba yokuzikhusela ehlasela ngempazamo.

Ukongeza kula mayeza, ugqirha wakho okanye ingcali yezonyango iya kukufundisa ukolula kunye nokuzilolonga okuthile . Oku kuya kunceda ukugcina izihlunu zakho ezichaphazelekileyo ziguquguquka kwaye zomelele. Oku kuya kunceda ukunciphisa iintlungu, ukuqina, kunye nokuthintela ukuvela kweempawu kwixesha elizayo.

Ngaba ikho indlela yokuthintela i-myositis?

Ngelishwa, okwangoku akukho ndlela eyaziwayo yokuthintela i-myositis. Ngenxa yokuba unobangela ochanekileyo awukaziwa okwangoku, akunakwenzeka ukuqikelela ukuba ngubani oza kuyibangela okanye ukuba iimpawu ziya kuqala nini.

Yintoni enokulindelwa ngumntu one-myositis?

Nangona kungekho unyango lwe-myositis, unyango lunokubangela ukuba isifo siphinde siphele . Oku kuthetha ukuba kukho amaxesha apho iimpawu ziphela khona kwaye ungaphila ubomi obuqhelekileyo. Nangona kunjalo, kubantu abaninzi, i-myositis inokuba yimeko yobomi bonke. Oku kuthetha ukuba iimpawu zinokuvela zize ziphele.

Abantu abane-myositis nabo basengozini enkulu yokuba nesifo esibizwa ngokuba yi-rhabdomyolysis , apho iiseli zemisipha ziwohloka ngokukhawuleza kwaye umxholo wazo uvuza egazini. Oku kunokuba yingozi kwizintso.

Kunqabile kakhulu, ezinye iintlobo ze-myositis, ingakumbi i-dermatomyositis, zinokuba yingozi ebomini. Malunga ne-5% yabantu abane-dermatomyositis bafa kungekapheli nonyaka emva kokufunyaniswa ukuba banayo. Yiyo loo nto sithi, ukuba ubonakalisa iimpawu ezintsha, ungazityesheli kwaye ubone ugqirha ngoko nangoko.

Ndifanele ndimbone nini ugqirha?

Ukuba unobuthathaka obutsha bemisipha, iintlungu, okanye ezinye iimpawu ezingaphucukiyo kwiintsuku ezimbalwa , bona ugqirha ngoko nangoko . Kwakhona, ukuba sele une-myositis, xelela ugqirha wakho ukuba iimpawu zakho ziba mandundu okanye zibonakala zisasazeka kwiindawo ezintsha.

Ukuba ufumana naziphi na kwezi mpawu zilandelayo, kuya kufuneka uye kwisebe likaxakeka esibhedlele ngoko nangoko:

• Ukuba ngequbuliso awukwazi ukushukumisa inxalenye yomzimba onokuyishukumisa ngokuqhelekileyo.
• Ukuba unengxaki yokuphefumla.
• Ukuba unengxaki yokuginya ukutya nokusela.

Ezi azizompawu zintle ekufuneka zithathwe lula kwaphela.

Imibuzo ebalulekileyo yokubuza ugqirha

Xa usiya kugqirha wakho, kubaluleke kakhulu ukubuza imibuzo efana nale:

• Ngaba ndine-myositis okanye kukho enye imeko?
• Luhlobo luni lwe-myositis endinalo?
• Luhlobo luni lovavanyo oluza kufuneka ndilwenze?
• Luhlobo luni lonyango endiya kulufuna?
• Le meko ichaphazela njani ubomi bam bemihla ngemihla?
• Zeziphi izinto ekufuneka ndizilumkele?

Ukongeza kule mibuzo, buza kwaye ucacise nantoni na onayo.

Okokugqibela, yintoni ekufuneka uyikhumbule (Umyalezo Wokuya Ekhaya)

I-Myositis kukudumba kwemisipha okuhlala ixesha elide okubangelwa yinkqubo yakho yokuzikhusela yomzimba ihlasela izihlunu zakho. Oku kunokubangela ukuba iimpawu zivele ngamanye amaxesha, okanye kusenokufuneka uphile nale meko ubomi bakho bonke.

Kodwa khumbula, nangona kungekho nyango lupheleleyo lwe-myositis, iimpawu zakho zinokulawulwa kakuhle ngonyango olufanelekileyo kunye nokuzilolonga ngomzimba.

Thetha nogqirha wakho uze ufunde ngakumbi ngohlobo lwe-myositis onayo kunye notshintsho olunokwenzeka kwimisipha yakho nasemzimbeni wakho. Funa ingcebiso kagqirha ngokukhawuleza ukuba ubonakalisa iimpawu ezintsha okanye ukuba iimpawu zakho ziya zisiba mandundu. Awuwedwa, kwaye kukho oogqirha kunye nabantu obathandayo abanokukunceda kolu hambo.

"I-Myositis, ubuthathaka bemisipha, iintlungu zemisipha, isifo sokuzikhusela komzimba, ukudumba kwemisipha, unyango