Ngaba ngamanye amaxesha ukhe uve iintlungu ezingaqhelekanga esiswini sakho esisezantsi eziya zisanda kancinci imihla ngemihla, kunye neentlungu zomqolo? Mhlawumbi unciphile umchamo , umlenze omnye uvuvukile, kwaye umbala wolusu lwakho utshintshile? Nangona ezi zisenokubonakala ziqhelekile, ngamanye amaxesha zinokuba ziimpawu zemeko engaqhelekanga kodwa ebalulekileyo. Namhlanje sithetha ngenye yeemeko ezinjalo - i-Retroperitoneal Fibrosis . Nangona igama lisenokuvakala liyinkimbinkimbi, masiligcine lilula.
Yintoni iRetroperitoneal Fibrosis?
Ngamafutshane, oku kukukhula kwezicubu ezine-fibrous ngasemva (igama elithi retro lithetha 'ngasemva') i-membrane ekhuselayo (i-peritoneum) ejikeleze amalungu anjengeemathumbu kwisisu sethu. Ngokukodwa, esi zicubu sikhula sijikeleze umthambo wegazi oyintloko esiswini sethu (i-aorta yesisu) kunye neminye imithambo ephuma kuso.
Khawucinge ngento eyenzekayo xa le tissue ingafunekiyo ikhula. Ezo tissue zinokuvala i-ureters, iityhubhu ezithwala umchamo ukusuka kwizintso zethu ukuya kwisinyi sethu. Oku kunokuthintela ukuhamba komchamo. Kunokuchaphazela nezinye izitho esiswini. Le meko ikwabizwa ngokuba sisifo sika-Ormond.
Izicubu ezikhula ngolu hlobo zinokuba ngumhlaza okanye zingabi ngumhlaza. Esi sisifo esixhaphakileyo. Sixhaphake kakhulu kumadoda akwiminyaka ephakathi. Kodwa naphakathi kwawo, asixhaphakanga kakhulu.
Yintoni ebangela le meko?
Oogqirha abakayazi imbangela echanekileyo, kodwa ezinye iingcali zikholelwa ukuba inxulumene nento ethile kwinkqubo yethu yokuzikhusela . Oko kukuthi, inkqubo yethu yokuzikhusela yomzimba isebenza ngokuchasene nathi.
Ukongeza, kuye kwachongwa nezinye izinto ezininzi ezinokubangela le meko.
| Unobangela | Inkcazo |
|---|---|
| Ukutshaya icuba | Ukutshaya kuthathwa njengeyona nto iphambili ebangela oku. |
| Ukulimala emzimbeni (Ukwenzakala) | Ukulimala okukhulu esiswini okanye kwindawo engqongileyo. |
| Utyando | Inokwenzeka emva kotyando oluthile lwesisu. |
| Iikhemikhali ezithile | Ukuchanabeka kwizinto ezifana ne-asbestos. |
| Iintsholongwane | Ezinye izifo ezibangelwa yibhaktiriya okanye ifungus. |
| Iithumba/Iintsholongwane | Njengesiphumo esingesihle kwezinye izifo zomhlaza. |
| Unyango ngemisebe | Unyango lwemitha yomhlaza. |
| Amanye amayeza | Amanye amayeza amadala asetyenziselwa iintloko ezibuhlungu. |
| Ukusetyenziswa kweziyobisi | Ukusetyenziswa kweziyobisi ezingekho mthethweni ezifana necocaine. |
Akukho bungqina bucacileyo bokuba esi sifo sidluliselwa kwizizukulwana ngezizukulwana . Uninzi lwexesha, senzeka ngokungacwangciswanga.
Zithini iimpawu zesi sifo?
Iimpawu zingahluka kumntu nomntu. Kwakhona, iimpawu ziyahluka ngokuxhomekeke ekubeni izicubu ezingafunekiyo endizikhankanyileyo zisasazeke kangakanani kwaye zakheke phi.
Kwiintsuku zokuqala, ungaziva intlungu ebukhali nengacacanga esiswini sakho esisezantsi. Le ntlungu inokwanda imihla ngemihla. Kwangaxeshanye, ukuhanjiswa kwegazi emilenzeni yakho kunokuncipha.Njengoko incipha, ungabona utshintsho kumbala weenyawo zakho okanye ukudumba komlenze omnye .
Eyona nto ibalulekileyo kukuziqwalasela ezi mpawu ngokukhawuleza nje ukuba uzibone. Ukuba unentlungu esezantsi kwesisu okanye emqolo, ingakumbi ukuba umchamo owukhuphayo wehlile kakhulu, bona ugqirha wakho ngoko nangoko.
| Ezinye iimpawu ezinxulumene ne-Retroperitoneal Fibrosis | |
|---|---|
| – Isicaphucaphu nokuhlanza | - Ifiva |
| – Iintlungu kumasende (kumadoda) | – Unxano olungaphezulu kunesiqhelo |
| - Ukuziva ungenabomi emzimbeni | - Umqolo obuhlungu |
| - Ukuhla ukusinda | – Ubunzima bokuchama (ukungakwazi, ukopha, ukuchama rhoqo ebusuku) |
Ugqirha uyifumana njani le nto?
Xa usiya kugqirha, uza kuqala akubuze ngembali yakho yezonyango aze akuhlole ngokwasemzimbeni. Emva koko uza kwenza uvavanyo oluninzi ukuze abone ukuba ingaba imbangela yeempawu zakho yiRetroperitoneal Fibrosis okanye yenye imeko.
Ezi zilandelayo ziimvavanyo ezinokusetyenziswa koku:
- Uvavanyo lwegazi : Fumanisa malunga nosulelo emzimbeni kunye nokusebenza kwezintso.
- Uvavanyo lomchamo : Jonga igazi okanye ezinye izinto ezingaqhelekanga kumchamo.
- I-Ultrasound yezintso: Jonga imeko yezintso kunye nee-ureters.
- I-CT scan yesisu:Oku kukuvumela ukuba ubone ngokucacileyo indawo, ubungakanani, kunye nempembelelo yezicubu ezongezelelweyo kwizitho ezingqongileyo.
- I-MRI scan yesisu: Uvavanyo olufana ne-CT scan, kodwa olunemifanekiso eneenkcukacha ezithe vetshe.
- Uvavanyo lwe-X-ray: Kusenokuba yimfuneko kwezinye iimeko.
- I-Biopsy: Oku kuquka ukuthatha iqhekeza elincinci kakhulu lesicwili esikhulayo size silihlole phantsi kwemakroskopu ukuze kubonwe ukuba sinomhlaza okanye akunjalo.
Inyangwa njani? Ngaba inganyangeka?
Ewe, lukhona unyango lwesi sifo. Indlela yonyango ixhomekeke kwisizathu sesifo, ubukhali besifo, kunye nomonakalo osele wenziwe.
Kukho iindlela ezininzi eziphambili zonyango:
- Amayeza okulwa nokuvuvukala: Kunikwa amayeza amaninzi afana ne-corticosteroids ukulawula ukudumba nokukhula kwezicubu emzimbeni.
- Ukunyanga unobangela oyintloko: Ukuba imeko ibangelwa lusulelo okanye umhlaza, unobangela oyintloko uyanyangwa.
- Utyando: Ukususwa kwesihluma ngotyando. Oku kubaluleke kakhulu ukuba i-urethra ivaliwe.
- Ukususa umchamo kwizintso: Ukuba ii-ureters zivalekile ngokupheleleyo, kufakwa umbhobho omncinci (i-stent) ngesikhumba ukuze kususwe umchamo oqokelelana kwizintso.
- Amayeza okuthintela amajoni omzimba: Ukuba oku kubangelwa yinkqubo yomzimba yokuzikhusela esebenza kakhulu, kunikwa amayeza okulawula.
Iindaba ezimnandi zezokuba uninzi lwabantu lusabela kakuhle kunyango. Kwiiveki ezimbini emva kokuqala unyango, iimpawu zokuchacha kwezintso ziqala ukubonakala. Le meko ayifane iqhubekele ekubeni yingxaki epheleleyo yezintso.
Kodwa khumbula, nokuba sele kudlule unyango kwaye kuphelile, kubalulekile ukubona ugqirha rhoqo ukuze kulandelelwe unyango. Oku kungenxa yokuba kwabanye abantu, esi sifo sinokuphinda sibuye kwanasemva kweminyaka emininzi sinyangiwe.
Abantu abane-Retroperitoneal Fibrosis engengomhlaza (engenobungozi) banethuba elingcono lokuchacha nokusinda kunabo bane-cancer (embi).
Ngaba ikho indlela yokuthintela oku?
Ekubeni esi sisifo esingaqhelekanga, zimbalwa izinto ezinokwenziwa ukusithintela. Kodwa kukho into enye ebalulekileyo. Uphando lufumanise ukuba ukusetyenziswa ixesha elide kwesi sithako `methysergide`, esisetyenziselwa ukunyanga iintloko ezibuhlungu, kunokubangela esi sifo. Ngoko ke, ungaze usebenzise esi sithako ixesha elide ngaphandle kwengcebiso kagqirha.
Eyona nto ibalulekileyo kukufuna iingcebiso zonyango ngokukhawuleza nje ukuba iimpawu zibonakale. Okukhona isifo sifunyanwa ngokukhawuleza, kokukhona amathuba okuthintela iingxaki kunye nonyango oluphumelelayo ayanda.
Umyalezo Wokuya Ekhaya
- I-Retroperitoneal Fibrosis yimeko engaqhelekanga apho izicubu ezingafunekiyo ze-fibrous zikhula emva kwamalungu esisu.
- Iimpawu eziphambili zingabandakanya iintlungu ezingachazwanga zomqolo kunye nesisu esisezantsi, ukuncipha komchamo, kunye nokudumba kwemilenze.
- Ukuba unayo nayiphi na kwezi mpawu, musa ukuzityeshela kwaye ubone ugqirha wakho ngoko nangoko. Ukuxilongwa kwangoko kubaluleke kakhulu.
- Unyango lunokunyanga esi sifo rhoqo, kodwa ukulandela rhoqo kubalulekile kuba esi sifo sinokuphinda sibuye.
- Kuphephe ukusebenzisa naliphi na iyeza ixesha elide ngaphandle kwengcebiso kagqirha.
I-Retroperitoneal Fibrosis, Isifo sika-Ormond, Intlungu yomqolo, Intlungu yesisu, Izifo zomchamo, Izifo zezintso, Impilo yamadoda
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