Ngaba udiniwe kukugula rhoqo ngenxa yomkhuhlane , ukukhwehlela, kunye nomkhuhlane? Ngamanye amaxesha sicinga, “Owu, umzimba wam ubuthathaka.” Kodwa ayisosizathu rhoqo eso. Ngamanye amaxesha, isizathu soku sinokuba bubuthathaka kwinkqubo yethu yokuzikhusela yomzimba, oko kukuthi, inkqubo yomzimba yokuzikhusela. Namhlanje, siza kuthetha ngemeko enjalo, isifo esibizwa ngokuba yi-CVID , esinokuchaphazela kakhulu ubomi bethu bemihla ngemihla.
Yintoni i-CVID?
Ngamafutshane, i-CVID (i-Common Variable Immunodeficiency) sisifo semfuza esinxulumene nenkqubo yomzimba wethu yokuzikhusela. Sikwicandelo lezifo ezibizwa ngokuba yi-'primary immunodeficiency disease (PIDD)'.
Cinga ngayo njengenqaba. Le nqaba inamajoni okuyikhusela kwiintshaba ezibizwa ngokuba ziintsholongwane . La majoni yiloo nto siyibiza ngokuba zii-antibodies kumayeza. Umntu one-CVID uvelisa ezi antibodies kumanqanaba aphantsi kakhulu. Ngoko ke, kwenzeka ntoni xa inani lamajoni kwinqaba yethu lincipha? Iintshaba zasemzini, oko kukuthi, iintsholongwane, zinokungena ngokulula emzimbeni zize zibangele izifo .
Ngenxa yoko, abantu abane-CVID badla ngokuba nosulelo lwendlebe , usulelo lwe-sinus , kunye nosulelo lwemiphunga . Le meko ikwanyusa umngcipheko wezifo ezinzulu ngakumbi, ezifana neengxaki zamathumbu, izifo zegazi kunye nezifo zokuzikhusela komzimba , kunye nomhlaza .
Ngubani osengozini enkulu yokuba ne-CVID?
Xa kuthelekiswa nezinye izifo ezibangela ukungakwazi komzimba ukuzikhusela, i-CVID yimeko eqhelekileyo. Ngokwesiqhelo, ichaphazela umntu omnye kwabangama-25,000.
Nangona inokuchaphazela nabani na, ixhaphake kakhulu kubantu abadala. Nangona i-CVID inokuchaphazela abantwana kunye nabantu abadala abancinci, idla ngokufunyaniswa xa sele bekhulile. Esi sifo sixhaphake kakhulu phakathi kweminyaka engama-20 ukuya kwengama-50 ubudala .
Nangona kunjalo, uphando lubonise ukuba malunga nabantu ababini kwabalishumi abane-CVID bafunyaniswa benesifo sokungakhuseleki kwamajoni omzimba ebuntwaneni.
Yintoni ebangela i-CVID?
Enyanisweni, oogqirha abakayazi kakuhle into ebangela ukuba uninzi lwezigulane ezine-CVID zibe nale meko.
Nangona kunjalo, malunga nomntu omnye kwabalishumi abane-CVID, unobangela ufuzo. Oku kuthetha ukuba le meko inokubangelwa kukuguquka kwezakhi zofuzo kwi-DNA yakho . Ngamafutshane, kusenokwenzeka ukuba uyifumene le meko kumama wakho, utata wakho, okanye elinye ilungu losapho.
I-CVID inokubangelwa ziziphene zemfuza kwinkqubo yomzimba yokuzikhusela. Ezi ziphene zibangela ukuba umzimba uvelise amanqanaba aphantsi kakhulu ee-immunoglobulins, uhlobo lweproteni olulwa neentsholongwane, ngakumbi ii-antibodies ezibizwa ngokuba yi-immunoglobulin G (IgG). Oku kwenza inkqubo yomzimba yokuzikhusela ibe buthathaka. Ngamanye amaxesha, le meko inokuvela kamva ebomini.
Zithini iimpawu zeCVID?
Iimpawu zeCVID zingahluka kumntu nomntu. Abanye abantu baneempawu ezingephi, ngelixa abanye benokuba nezinzima kakhulu. Kuxhomekeke ekubeni amajoni akho omzimba abuthathaka kangakanani na.
Le theyibhile ingezantsi ibonisa ezinye zeempawu eziqhelekileyo zeCVID.
| Uphawu | Inkcazo |
|---|---|
| Usulelo lwenkqubo yokuphefumla | Ukukhohlela rhoqo nokuthatha ixesha elide, ubunzima bokuphefumla, kunye nosulelo lwemiphunga (okunokukhokelela kwiimeko ezifana ne-bronchitis okanye i-pneumonia). |
| Usulelo lweendlebe kunye neesinus | Usulelo lwendlebe oluqhelekileyo kunye nosulelo lwe-sinus. |
| Iingxaki zenkqubo yokugaya ukutya | Urhudo, isicaphucaphu, ukuhlanza, kunye nokunciphisa umzimba ngendlela engachazekiyo. |
| Amalungu kunye ne-spleen | Ukudumba kunye nentlungu kumalungu afana namadolo, iingqiniba, kunye nezandla. Ukwanda kwepleen. |
| Ezinye iimpawu | Iingxaki zokusebenza kwesibindi, iiplatelets ezisezantsi egazini, kunye neempendulo ezingaqhelekanga okanye eziqatha kwiigonyo. |
Ifunyaniswa njani i-CVID?
Ukuba uhlala ufumana usulelo lwendlebe, i-sinus, okanye imiphunga, okanye ukuba unempendulo engaqhelekanga kwiigonyo ezicetyiswayo, qiniseka ukuba wazise ugqirha wakho.
Xa uxelela ugqirha wakho ngezi mpawu, usenokurhanela ukuba une-CVID. Ukuqinisekisa ukuba uxilongiwe, uza kubuza ngembali yakho yezonyango kunye nembali yezonyango yosapho lwakho. Emva koko, baza kuyalela uvavanyo lwegazi. Olu vavanyo lwegazi lunokujonga ukuba amajoni omzimba wakho aphantsi kangakanani na kwaye asebenza kakuhle kangakanani na amajoni omzimba wakho.
Ngamanye amaxesha, ugqirha wakho unokukunika isitofu sokugonya esinye isifo aze akuvavanye ukuze abone ukuba amanqanaba omzimba wakho ayanda ngokwesiqhelo na xa esabela.
Ngaba ikho indlela yonyango lwe-CVID?
Akukho nyango lwe-CVID okwangoku. Kodwa ungakhathazeki. Ungayilawula kakuhle le meko, uzikhusele kwiintsholongwane, kwaye uphile ubomi obuqhelekileyo nobusempilweni.
Unyango oluphambili lunyango lokubuyisela i-immunoglobulin (IgG) . Oku kuquka ukunika isigulana ii-antibodies ze-IgG, ezifunyenwe kubanikeli begazi abasempilweni. Oku kwandisa amanqanaba e-antibodies emzimbeni wakho kwaye komeleza inkqubo yomzimba yokuzikhusela.
Olu nyango lunokufumaneka ngeendlela ezimbini:
1. Indlela ye-IV: Njengesisombululo se-saline esifakwa emthanjeni (IV) kanye ngenyanga.
2. Indlela engaphantsi kwesikhumba: Njengesitofu phantsi kwesikhumba kanye ngeveki okanye rhoqo emva kweeveki ezimbini.
Eyona nto ibalulekileyo kukuba olu nyango kufuneka luthathwe ubomi bonke.
Uninzi lwabantu alufumani miphumo mibi ibalulekileyo kolu nyango. Nangona kunjalo, abanye banokuba neentloko ezibuhlungu okanye ii-allergy reactions. Thetha nogqirha wakho ukuze ubone ukuba loluphi unyango olulungele wena.
Ukongeza, ukuba unentsholongwane, ugqirha wakho uya kukunika amayeza okubulala iintsholongwane okanye amayeza okunyanga.
Ezinye iingxaki ezinokubakho ngenxa ye-CVID
Ngenxa yokuba inkqubo yomzimba yokuzikhusela ayisebenzi kakuhle, abantu abane-CVID basengozini enkulu yokufumana ezinye izifo ezinzulu.
- Izifo ezichaphazela umzimba ngokwawo: Kulapho inkqubo yomzimba yokuzikhusela ihlasela iiseli zayo eziphilileyo ngempazamo. Ezi zinokubangela iimeko ezifana ne-'autoimmune hemolytic anemia' (ukutshatyalaliswa kweeseli ezibomvu zegazi ezisempilweni), 'i-rheumatoid arthritis' (i-arthritis), kunye ne-'thrombocytopenia' (iiplatelets zegazi ezisezantsi).
- Umhlaza: I-CVID inyusa umngcipheko wokufumana iintlobo ezithile zomhlaza, ezifana ne-lymphoma okanye umhlaza wesisu.
- I-Bronchiectasis: Usulelo oluhlala lukho emiphungeni lunokonakalisa indlela yomoya emiphungeni kwaye lubangele ukuba ihlale ivulekile. Oku kunokukhokelela ekukhwehleleni okungapheliyo kunye ne-mucus kwaye kwenze kube nzima ukususa i-mucus.
- Iigranulomas: Ezi ziingceba ezincinci ezenziwe kukuqokelelana kweeseli ezimhlophe zegazi. Zihlala zibonakala emiphungeni, eluswini, okanye kwezinye izitho zomzimba.
Umyalezo Wokuya Ekhaya
- I-CVID yimeko yemfuza ebangela ukuba amajoni omzimba angasebenzi kakuhle ngenxa yamanqanaba aphantsi ee-antibodies eziveliswa ngumzimba.
- Usulelo oluqhelekileyo lwendlebe, i-sinus, kunye nemiphunga zezona mpawu ziphambili.
- Ukuba wena okanye umntu omaziyo unezi mpawu, bonana nogqirha ngokukhawuleza ukuze akunike icebiso.
- Nangona i-CVID ingenakunyangwa ngokupheleleyo, inokulawulwa kakuhle ngonyango lwe-antibody lobomi bonke (unyango lwe-IgG).
- Ukuba une-CVID, kubaluleke kakhulu ukugcina imikhwa emihle yococeko, njengokuhlamba izandla zakho rhoqo, ukuze uzikhusele kwiintsholongwane.
I-CVID, i-Common Variable Immunodeficiency, i-immune system, ukugula rhoqo, usulelo, ii-antibodies, unyango lwe-IgG
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