Ukuba une-rheumatoid arthritis (RA), mhlawumbi sele uyazi ukuba kunzima kangakanani ukuphila nentlungu. Kodwa ubusazi na ukuba kukho enye imeko engaqhelekanga, kodwa ngamanye amaxesha enzulu enokubangelwa yile arthritis? Yiloo nto sithetha ngayo namhlanje. Ibizwa ngokuba yiRheumatoid Vasculitis . Ungakhathazeki, siza kuthetha ngayo ngendlela elula onokuyiqonda.
Yintoni iRheumatoid Vasculitis?
Ngamafutshane, iRheumatoid Vasculitis kukudumba, okanye ukudumba, kwemithambo yegazi yakho. Oku kubangelwa yimeko yakho yangoku ye-rheumatoid arthritis.
Makhe sihlalutye oku kancinci:
- I-Vasculitis: Oku kubhekisa ekuvuvukeni kwemithambo yegazi yakho. Cinga ngemithambo yegazi emizimbeni yethu yonke njengothungelwano lwemibhobho yamanzi. Igazi lihamba ngale mibhobho. Kwi-vasculitis, iindonga zale mibhobho ziyavuvukala, nto leyo ethintela ukuhamba kwegazi.
- I-Rheumatoid Arthritis: Uyazi le. Okwenzekayo kukuba inkqubo yomzimba wethu yokuzikhusela ihlasela amalungu ethu ngempazamo.
- Isifo Sokuzikhusela Emzimbeni: Zombini ezi zifo zingasentla ziwela kolu didi. Ngamafutshane, kufana nomkhosi omele ukukhusela ilizwe lethu uhlasela abantu bethu ngempazamo. Inkqubo yomzimba yokuzikhusela, emele ukukhusela imizimba yethu, iqala ukuhlasela iiseli zethu eziphilileyo.
Ngoko ke, kwi-Rheumatoid Vasculitis, okwenzekayo kukuba inkqubo yomzimba yokuzikhusela, ephazanyiswa yi-rheumatoid arthritis, iqala ukuhlasela kungekuphela nje amalungu, kodwa nemithambo yegazi.
Ixhaphake kangakanani le meko?
Esi sisifo esingaqhelekanga ngokwenene. Ngoko ke ungoyiki xa ufunda oku. Hayi eSri Lanka kuphela, kodwa nasemhlabeni wonke, bambalwa kakhulu abantu abanaso esi sifo.
Ngaphambili, le meko yayixhaphakile kubantu abane-rheumatoid arthritis. Kodwa ngoku, ngenxa yokuba kukho unyango oluphucukileyo nolusebenzayo lwe-rheumatoid arthritis, ukwanda kwe-rheumatoid vasculitis kuye kwehla kakhulu. Ezo ziindaba ezimnandi ngokwenene.
Le meko ixhaphake kakhulu kubantu abaneminyaka engaphezu kwama-50 ubudala abaye bahlushwa yi-rheumatoid arthritis ixesha elide.
Zithini iimpawu? Siyibona njani le nto?
Iimpawu zale meko zingahluka kumntu nomntu. Nangona kunjalo, kukho ezinye iimpawu eziqhelekileyo kunye nezinye ezinzulu ngakumbi. Masizijonge ngendlela elula ukuyiqonda.
| Uphawu | Ingcaciso elula |
|---|---|
| Iimpawu ezibonwa rhoqo | |
| Izilonda zesikhumba | Amanxeba amancinci angapholiyo, ingakumbi kwiminwe okanye ezijikeleze iinzipho. |
| Amabala/amaqhuma esikhumba | Amabala abomvu, amfusa okanye amaqhuma amancinci kumphezulu wesikhumba. |
| Ukutshintsha kombala wolusu | Usenokubona utshintsho kumbala wolusu, olufana nokudumba. |
| Intlungu emalungeni | Intlungu ezandleni, kwiminwe, ezinyaweni nasezinzwaneni. |
| Ukungabi nangqondo kwamalungu | Ukungaziva mnandi okanye ukurhawuzelelwa, ingakumbi ezandleni nasezinyaweni. |
| Ubuthathaka bemisipha | Ukuziva ungenabomi kunye nobuthathaka bemisipha. |
| Iimpawu ezinokwenzeka ukuba imeko imbi kakhulu | |
| Isisu esibuhlungu | Intlungu zesisu. |
| Ukukhwehlela kunye nentlungu yesifuba | Oku kunokwenzeka ukuba imithambo yegazi emiphungeni iyachaphazeleka. |
| Ukulahlekelwa ngumdla wokutya kunye nokunciphisa umzimba | Ukulahlekelwa ngumdla wokutya kunye nokunciphisa umzimba ngaphandle kwesizathu. |
| Umkhuhlane kunye nokudinwa kakhulu | Umkhuhlane kunye nokudinwa okungapheliyo okubangelwa kukudumba emzimbeni. |
Eyona nto ibalulekileyo kukuxelela ugqirha wakho ngoko nangoko ukuba une-rheumatoid arthritis kwaye uqaphele naziphi na iimpawu ezintsha ezifana nezi, ingakumbi utshintsho lolusu.
Ngubani osengozini enkulu yokuba nale meko?
Nangona nabani na one-rheumatoid arthritis enokuba nale ngxaki, abanye abantu basengozini enkulu kancinci. Makhe sijonge ukuba bangoobani.
| Into enobungozi | Oko ikukuthi... |
|---|---|
| Ukuba ne-RA enzima | Kwabo bane-arthritis engalawuleki kakuhle kwaye ikwinqanaba elibi kakhulu. |
| Ukuba ne-RA ixesha elide | Ngokwesiqhelo kubantu abaye baba ne-arthritis iminyaka engaphezu kwe-10. |
| Ukuba ne-RA kumalungu amaninzi (i-Polyarthritis) | Ukuba isifo samathambo sichaphazele amalungu amaninzi emzimbeni. |
| Ubukho beeNqanawa zeRheumatoid | Amaqhuma amancinci, angenabuhlungu aphuma phantsi kolusu kufutshane namalungu. |
| Ukuba ne-Felty Syndrome | Le yenye ingxaki engaqhelekanga ye-RA, ebandakanya ukwanda kwepleen kunye nokwehla kwenani leeseli ezimhlophe zegazi. |
| Ukutshaya | Le yingxaki ebaluleke kakhulu. Abantu abatshayayo basengozini enkulu yokuhlaselwa yile meko. |
Iingxaki ezinokwenzeka ukuba azinyangwanga
Ezi zizinto ezingaqhelekanga kakhulu kwaye zenzeka kuphela xa unyango lungenziwanga kakuhle.
- I-Necrosis: Ukufa kwezicubu kwindawo echaphazelekayo yesikhumba ngenxa yokulahlekelwa yigazi.
- Ukuhlaselwa yintliziyo: Ukuba imithambo yegazi ehambisa igazi entliziyweni iyachaphazeleka.
- Istroke: Ichaphazela imithambo yegazi ehambisa igazi engqondweni.
Endaweni yokoyika ezi zinto, kubaluleke ngakumbi ukufuna ingcebiso kagqirha ngokukhawuleza xa iimpawu zibonakala. Oku kunokunceda ukuthintela ezi meko zinzima kangaka.
Uyifumana njani le nto, Gqirha?
Ugqirha wakho uza kuqala akuhlole ngononophelo aze akubuze ngeempawu zakho. Kubalulekile ukuba azi ukuba unexesha elingakanani une-rheumatoid arthritis kunye namayeza owasebenzisayo.
Emva koko, kunokwenziwa iimvavanyo ezininzi ukuqinisekisa isifo:
- Uvavanyo lwegazi: Fumanisa malunga nenqanaba lokuvuvukala emzimbeni kunye nokusebenza kwenkqubo yomzimba yokuzikhusela.
- I-Biopsy: Le yeyona ndlela ilungileyo yokuqinisekisa isifo. Isampuli encinci yesikhumba okanye ezinye izicwili ezichaphazelekayo ithathwa ize ihlolwe phantsi kwemakroskopu ukuze kubonwe ukuba kukho ukudumba kwimithambo yegazi.
- I-Angiogram: Olu luhlobo lwe-X-ray. Idayi ekhethekileyo ifakwa kwimithambo yegazi ukujonga ukuvaleka okanye umonakalo kwimithambo yegazi.
- Ezinye iiskeni: ii-CT scans, ii-MRI scans, njl. zingenziwa njengoko kufuneka.
Mhlawumbi kuya kufuneka ubone ingcali yezifo zamathambo.
Zithini iindlela zonyango?
Kukho iinjongo ezimbini eziphambili zonyango. Enye kukulawula iimpawu, enye kukuthintela ukonakala kwemithambo yegazi kunye namalungu angaphakathi.
1. Ulawulo olufanelekileyo lwesifo samathambo esibizwa ngokuba yi-rheumatoid arthritis:Kwiimeko ezininzi, xa unyango lwakho lwe-RA luqina kwaye isifo silawulwa kakuhle, imeko ye-Rheumatoid Vasculitis nayo iya kulawulwa. Ke ngoko, unokufuna ukuthetha nogqirha wakho malunga namayeza akho angoku kwaye wenze naluphi na utshintsho olufunekayo.
2. Amayeza athile: Ukongeza kumayeza anikwa i-RA, unokufuna ukunikwa amayeza ahambelana nale meko.
- IiCorticosteroids: Ezi ziziyobisi ezinamandla zokulwa nokuvuvukala. Amayeza afana nePrednisolone anciphisa ngokukhawuleza ukudumba kwimithambo yegazi.
- Ii-immunosuppressants okanye ii-Biologics: Ezi zisebenza ngokulawula inkqubo yomzimba yokuzikhusela esebenza kakhulu.
Ukuyeka ukutshaya: Ukuba ungumntu otshayayo, ukuyeka ukutshaya ngokupheleleyo kubalulekile ukuze unyango lwakho luphumelele. Ukuyeka ukutshaya kunokunceda kakhulu ekulawuleni imeko yakho. Thetha nogqirha wakho ngeendlela zokukunceda wenze oku.
Ndingaphila njani nale meko?
Le yimeko ehlala ixesha elide. Oku kuthetha ukuba nokuba awunazo iimpawu, kuya kufuneka ube phantsi konyango lukagqirha.
- Yiya rhoqo kwiiklinikhi zonyango: Yiya kwiikliniki ngexesha njengoko ugqirha wakho ekuyalele. Yenza izinto ezifana novavanyo lwegazi.
- Lumka ngeempawu: Nika ingqalelo kuzo naziphi na iinguqu ezintsha emzimbeni wakho, okanye ukuba uziva ukuba iimpawu zakho ziya zisiba mandundu.
- Landela isicwangciso sonyango kanye njengoko ugqirha wakho ekuyalele. Ukuba uvakalelwa kukuba iyeza alisebenzi, thetha nogqirha wakho ngalo mba.
Emva kweminyaka ulwa nesifo samathambo esibizwa ngokuba yi-rheumatoid arthritis, kunokuba yinto ephazamisayo ukwazi ukuba unesinye isifo. Kodwa khumbula, ugqirha wakho ukhona ukukunceda. Ngokuthetha naye ngokukhululekileyo, ungenza naluphi na utshintsho olufunekayo kwisicwangciso sakho sonyango lwe-RA.
Mamela umzimba wakho. Musa ukoyika ukuxelela ugqirha wakho ngazo naziphi na iimpawu ezintsha okanye ezitshintshayo oziqaphelayo. Eyona ndlela ilungileyo yokuphepha iingxaki kukuhlala phantsi kweliso elifanelekileyo lezonyango.
Umyalezo Wokuya Ekhaya
- I-rheumatoid vasculitis yingxaki engaqhelekanga ye-rheumatoid arthritis (RA), ebangela ukudumba kwemithambo yegazi.
- Iimpawu zolusu zihlala zibonakala. Umzekelo, amanxeba angapholiyo kwiminwe, amabala olusu, kunye nokungaziva mnandi.
- Eyona ndlela ilungileyo yokuthintela nokunyanga le meko kukugcina imeko yakho ye-rheumatoid arthritis iphantsi kolawulo oluhle kakhulu.
- Ukuba uyatshaya, kubaluleke kakhulu ukuyeka ngoko nangoko. Kuya kunceda kakhulu ekulawuleni esi sifo.
- Ukuba une-RA kwaye kukho naziphi na iimpawu ezichazwe kweli nqaku ezibonakala, nceda ubone ugqirha wakho ngokukhawuleza.
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