Ngaba wakha waziva ngathi uyaphambana, amalungu akho abuhlungu, okanye ulusu lwakho lufumana zonke iintlobo zeempumlo okanye amabala? Sihlala sizilibala ezi zinto, sicinga ukuba ziqhelekile. Kodwa ngamanye amaxesha, emva kwezi mpawu zincinci, kunokubakho imeko embi kakhulu esingazange siyive. Namhlanje, siza kuthetha ngesifo esinye esinjalo, esibizwa ngokuba yiVasculitis . Eli gama lisenokuba litsha kuwe. Kodwa kubaluleke kakhulu ukuqaphela oku.
Yintoni iVasculitis? Masiyiqonde ngokulula.
Ngamafutshane, iVasculitis kukudumba okanye ukudumba kwemithambo yakho yegazi, oko kukuthi, imithambo yegazi . Ngoku usenokuba uzibuza ukuba zeziphi ezi mithambo yegazi. Masichaze oko kancinci.
Cinga ngenkqubo yemithambo yegazi emizimbeni yethu njengothungelwano lweendlela kulo lonke elaseSri Lanka. Ezi ndlela zithwala ioksijini kunye nezondlo kuyo yonke iseli emzimbeni wethu. Kukho iintlobo ezintathu eziphambili zale thungelwano yeendlela:
- Imithambo yegazi: Ezi zifana neendlela ezinkulu. Ezi mithambo yegazi mikhulu zithwala igazi elicocekileyo elivela entliziyweni emzimbeni wonke.
- Imithambo: Le yindlela ebuyisela igazi elisetyenzisiweyo, oko kukuthi, igazi elingcolileyo, entliziyweni.
- IiCapillaries: Ezi ziindlela ezincinci ezidibanisa iindlela ezinkulu nezinye iindlela. Yonke iseli emzimbeni ifumana izondlo egazini ngale mithambo yegazi mincinci.
Ngoku uyaqonda? I-Vasculitis ichaphazela uthungelwano lwemithambo yegazi. Xa esi sifo sisenzeka, iindonga zemithambo yegazi ziyadumba kwaye zibe nkulu. Kanye njengokuba indlela iba mxinwa kwaye kunzima ukuba izithuthi zidlule kuyo, kuba nzima ukuba igazi lihambe kule mithambo inciphileyo.
Xa ukuhamba kwegazi kuphazamiseka ngale ndlela, amalungu anikwa yiloo mithambo yegazi (umzekelo, izintso, imiphunga, ulusu) aqala ukonakala. Ngamanye amaxesha iindonga zemithambo yegazi zinokuba buthathaka kwaye zidumbe njengebhaluni. Oku sikubiza ngokuba yi-aneurysm . Yimeko eyingozi kakhulu.
Abantu abaninzi banokuzilawula ezi mpawu ngamayeza. Nangona kunjalo, ukuba ukuhamba kwegazi kwizitho ezibalulekileyo zomzimba kuyanqanyulwa, oku kungaba yimeko esongela ubomi .
I-vasculitis ichaphazela phi umzimba?
Enyanisweni, inokuchaphazela naliphi na ilungu lomzimba elinemithambo yegazi. Oku kuthetha ukuba inokuchaphazela naliphi na ilungu lomzimba ukusuka entloko ukuya ezinyaweni.
Nazi ezinye zeendawo eziphambili apho iimpembelelo zinokwenzeka khona:
- Ulusu
- Imiphunga
- Intliziyo
- Imiva
- Amehlo
- Izintso
- Ingqondo
- IiSinuses
- Isisu Namathumbu (Isisu)
- Izandla neenyawo
Ziziphi iimpawu eziqhelekileyo ze-vasculitis?
Iimpawu zesi sifo zinokwahluka kakhulu kumntu nomntu. Kuxhomekeke ekubeni imithambo yegazi ichaphazeleka liliphi ilungu lomzimba kwaye ukudumba kukhulu kangakanani. Umzekelo, ukuba umntu unemithambo yegazi eluswini lwakhe, unokuba nerhashalala kunye namabala abomvu eluswini lwakhe. Ukuba omnye umntu unesifo sezintso, unokuba negazi emchameni wakhe.
Nangona kunjalo, kukho iimpawu eziqhelekileyo ezingezizo ezesi sifo. Ukuba ufumana ezinye zezi mpawu kunye, ngokuqinisekileyo kuya kufuneka ubone ugqirha.
| Uphawu | Kalula nje... |
|---|---|
| Iimpawu ngokubanzi | Umkhuhlane, ukudinwa, ukwehla kwesisindo, iintlungu zomzimba. |
| Iimpawu ezinxulumene nolusu | Amabala abomvu okanye amfusa eluswini, i-eczema, kwaye mhlawumbi nezilonda. |
| Iimpawu ezinxulumene nemithambo-luvo | Ukungaziva mnandi, ukurhawuzelela, ubuthathaka kwimilenze. |
| Iimpawu ezinxulumene nenkqubo yokuphefumla | Ubunzima bokuphefumla, ukukhohlela (mhlawumbi ngenxa yegazi). |
| Iimpawu ezinxulumene nezintso | Ukuba mnyama komchamo, igazi kumchamo. |
| Ezinye iimpawu | Iimeko ezifana neentlungu zamalungu, isisu esibuhlungu, kunye nesifo sohlangothi. |
Kutheni le nto i-Vasculitis isenzeka?
Lo ngumbuzo onzima kancinci. I-Vasculitis sisifo esibangelwa kukuzikhusela komzimba . Kuthetha ukuthini oku?
Umzimba wethu unenkqubo yokuzikhusela ekrelekrele kakhulu. Siyibiza ngokuba yinkqubo yokuzikhusela. Umsebenzi wayo kukusikhusela kwizifo ngokulwa neentsholongwane (iintsholongwane, iibhaktheriya) ezingena emzimbeni. Nangona kunjalo, kwisifo sokuzikhusela komzimba, le nkqubo yokuzikhusela iba nempazamo kwaye iqale ukuhlasela iiseli zethu eziphilileyo endaweni yokuhlasela umntu wangaphandle.
Kwi-vasculitis, inkqubo yakho yomzimba yokuzikhusela ihlasela imithambo yegazi yakho . Izazinzulu azikayazi ukuba kutheni oku kusenzeka.
Nangona kunjalo, kufunyenwe ukuba kukho izinto ezithile ezinokubangela le meko.
- Iintsholongwane: Le meko inokwenzeka emva kosulelo oluthile lwentsholongwane okanye iintsholongwane.
- Ezinye izifo ezibangelwa kukuzikhusela komzimba: Ukuba sele unesinye isifo esibangelwa kukuzimela komzimba, esifana nesifo samathambo esibizwa ngokuba yi-rheumatoid arthritis, usemngciphekweni omkhulu wokufumana i-vasculitis.
- Amayeza athile: Amaxesha amaninzi, oku kunokwenzeka njengempendulo kumayeza athile.
- Ezinye iintlobo zomhlaza: Le meko inokubangelwa zizinto ezifana nomhlaza wegazi.
Ngaba kukho iintlobo zesi sifo?
Ewe, zingaphezulu kwama-30 iintlobo zezi. Zihlulwe ngokuyintloko ngokobukhulu bemithambo yegazi echaphazelekileyo (emikhulu, ephakathi, emincinci) kunye nendawo ekuyo. Ukuba besingathetha ngazo zonke ezi ntlobo, mna nawe besiya kulahleka. Ngoko ke masazi amagama eentlobo ezimbalwa eziphambili ezixutyushwayo.
- I-vasculitis enxulumene ne-ANCA: Le ineentlobo ezahlukeneyo.
- I-Giant cell arteritis: Olu luhlobo oludla ngokuchaphazela abantu abangaphezu kweminyaka engama-50 ubudala kwaye luchaphazela imithambo emikhulu entloko nasentanyeni.
- I-arteritis yeTakayasu: Olu luhlobo oluchaphazela imithambo emikhulu.
- I-Polyarteritis nodosa
- Isifo sikaKawasaki: Olu luhlobo oluhlala lusenzeka kubantwana abancinci.
- I-IgA vasculitis (iHenoch-Schönlein purpura): Oku kuqhelekile nakwabantwana.
Akunyanzelekanga ukuba ukhumbule la magama. Eyona nto ibalulekileyo kukuba ugqirha achaze ukuba loluphi uhlobo onalo, kuba unyango luya kuxhomekeka kuloo hlobo.
Ugqirha uxilonga njani esi sifo?
Ukufumanisa i-vasculitis kunokuba nzima kancinci kuba iimpawu zayo ziyafana nezezinye izifo ezininzi. Ke ngoko, ugqirha akayi kuyibiza ngoko nangoko le vasculitis.
Xa usiya kugqirha, uya kuqala akuphulaphule iimpawu zakho aze afunde ngazo. Emva koko uya kuhlola umzimba wakho. Ukongeza, uya kuyalela iimvavanyo ezininzi ukuqinisekisa ukuba unesifo.
- Uvavanyo lwegazi: Olu vavanyo lunceda ukujonga ukudumba emzimbeni (uvavanyo olufana ne-ESR, i-CRP), kunye nee-antibodies ezithile ezifana ne-ANCA.
- Uvavanyo lomchamo: Olu vavanyo lunokunceda ekuqinisekiseni ukuba izintso zichaphazelekile na.
- I-Biopsy: Le yeyona ndlela ilungileyo yokuqinisekisa isifo. Oku kuquka ukuthatha iqhekeza elincinci kakhulu lesicubu kwisitho esichaphazelekayo (umz. ulusu, izintso) size silihlole phantsi kwe-microscope.
- I-Angiogram: Olu luvavanyo olukhethekileyo olufana ne-X-ray olujonga ngaphakathi kwemithambo yegazi yakho. Lunokujonga ukuba imithambo yegazi yakho inciphile okanye idumbile.
Emva kwezi mvavanyo, uza kuthunyelwa kugqirha ogxile kwizifo ezivuthayo ezifana nale, ingcali yezifo zamathambo .
Ziziphi iindlela zonyango lwe-vasculitis?
Kukho iinjongo ezimbini eziphambili ekunyangeni i-vasculitis.
1. Ukulawula ukudumba.
2. Ukuyeka ukungasebenzi kakuhle kwenkqubo yomzimba yokuzikhusela.
Amayeza asetyenziswa kakhulu koku.
- IiCorticosteroids: La ngamayeza anamandla alawula ukudumba ngokukhawuleza. I-Prednisolone lelona yeza lisetyenziswa kakhulu kolu didi.
- Ii-immunosuppressants: La mayeza alawula ukusebenza kwenkqubo yomzimba yokuzikhusela, ehlasela umzimba ngempazamo.
Le ndlela yonyango iya kugqitywa ngugqirha wakho ngokusekelwe kuhlobo kunye nobunzima bemeko yakho. Ngamanye amaxesha, ukuba kukho umonakalo omkhulu kwimithambo yegazi, kunokufuneka utyando ukuze ilungiswe.
Eyona nto ibalulekileyo kukuthatha amayeza achazwe ngugqirha, ngedosi echanekileyo nangexesha elifanelekileyo. Ukuwayeka phakathi kunokubangela ingozi enkulu.
Ndingalufuna nini uncedo lwezonyango?
Le yeyona nxalenye ibalulekileyo kweli nqaku. Mamela umzimba wakho ngononophelo. Ukuba uziva naluphi na utshintsho okanye izinto ezingaqhelekanga, musa ukuzityeshela.
| Iimeko ezifuna ingqalelo ekhawulezileyo | |
|---|---|
| Bona ugqirha wakho... |
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| Yiya kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele ngoko nangoko... |
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Umyalezo Wokuya Ekhaya
- I-Vasculitis kukudumba kwemithambo yegazi. Sisifo esibangelwa kukuzikhusela komzimba.
- Iimpawu zesi sifo zahlukile kakhulu. Zinokwahluka ukusuka kwiimpawu eziqhelekileyo ezifana nomkhuhlane kunye nokungakhululeki ukuya kwiimpawu ezinzulu ezifana nokurhawuzelelwa lusu kunye nobunzima bokuphefumla.
- Esi sifo asinakunyangwa ngokupheleleyo. Nangona kunjalo, ngonyango olufanelekileyo, iimpawu zinokulawulwa kwaye ubomi obuqhelekileyo bunokukhokelwa.
- Ungaze ungazihoyi naziphi na iimpawu ezintsha okanye eziya ziba mandundu emzimbeni wakho. Yazisa ugqirha wakho ngoko nangoko.
- Ukuba ufumana ubunzima bokuphefumla, iimpawu zokuhlaselwa yintliziyo, okanye ukulahleka kombono ngequbuliso, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane ngaphandle kokuthandabuza.
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