Ingabe nawe unalezi zimpawu nge-rheumatoid arthritis? Ake sixoxe nge-rheumatoid vasculitis!

Sawubona! Unjani? Ngezinye izikhathi singaba nesinye isifo esinesifo esisodwa, akunjalo? Ngakho-ke, uma usuvele une-Rheumatoid Arthritis, namuhla sizokhuluma ngesinye isimo esingase senzeke ngaso. Lokhu kubizwa ngokuthi i-Rheumatoid Vasculitis. Nakuba igama lingase lizwakale liyesabeka kancane, masiliqonde kalula.

Kuyini i-Rheumatoid Vasculitis?

Kalula nje, i-rheumatoid vasculitis ukuvuvukala kwemithambo yegazi yakho. Lokhu kubangelwa yisimo sakho se-rheumatoid arthritis. Manje, i-vasculitis ukuvuvukala kwemithambo yegazi emzimbeni wethu, amapayipi amancane athwala igazi. Le mithambo yegazi ithwala igazi emzimbeni wethu wonke, njengamapayipi amanzi. I-rheumatoid arthritis uhlobo lwe-arthritis oluthinta amalunga akho. Okwenzekayo kulokhu ukuthi amasosha akho omzimba ahlasela izicubu ezisemalungeni akho. I-rheumatoid vasculitis, i-rheumatoid arthritis, nezinye izinhlobo ze-vasculitis zonke ziyizifo ezizimele . Lokho kusho ukuthi amasosha omzimba, okufanele avikele imizimba yethu, aqala ngephutha ukuhlasela imizimba yethu. Cabanga, kufana nebutho, okufanele livikele izwe lethu, lisihlasela.

Sivame kangakanani lesi simo?

Eqinisweni, lesi simo esibizwa ngokuthi i-rheumatoid vasculitis asivamile kakhulu. Okusho ukuthi, ngisho nakubantu abaningi, bambalwa kakhulu abantu abasitholayo. Isibonelo, ezweni elifana neMelika, abantu abangaphansi kuka-50 kwabayisigidi abanaso. Abantu abangaphezu kweminyaka engu-50 banamathuba amancane okuba naso. Kodwa ngisho nakulelo qembu leminyaka, asivamile kangako. Ngokusho kochwepheshe, sithinta abantu abangaphansi kuka-300 kwabayisigidi kulelo qembu leminyaka. Kodwa esikhathini esidlule, lesi simo esibizwa ngokuthi i-rheumatoid vasculitis sasivame kakhulu. Kodwa manje, ngenxa yokuthi sekuye kwasungulwa ukwelashwa okuhle nokusebenzayo kwe-rheumatoid arthritis, inani lemibiko yalesi simo lehle kakhulu.

Ziyini izimpawu?

Abantu abane-rheumatoid vasculitis bangabonisa izimpawu ezahlukahlukene. Ake sibheke ukuthi ziyini.

Izimpawu ezivame ukubonakala

Lezi ezinye zezimpawu ezivame kakhulu:

• Izilonda esikhumbeni sakho, ikakhulukazi ezandleni zakho noma eduze kwazo. Lezi kungaba izilonda ezibuhlungu ezithatha isikhathi eside ukuphola.
• Ukuqubuka kwesikhumba noma amabhamuza.
• Ukushintsha kombala wesikhumba, ukudumba.
• Ukuzwa ubuhlungu ezandleni, eminweni, emilenzeni nasezinzwaneni.
• Ukungezwani noma ukuzwa ukuqaqamba ezandleni nasezinyaweni.
• Ukuzizwa ubuthakathaka emisipheni.

Izimpawu ezingase zivele ezimweni ezinzima kakhulu

Ngezinye izikhathi, uma lesi sifo siba sibi kakhulu, kungase kuvele nezinye izimpawu, njenge:

• Ubuhlungu besisu.
• Ukukhwehlela.
• Ukudla akunambitheki .
• Ukwehlisa isisindo .
• Ubuhlungu besifuba .
• Imfiva.
• Ukuzizwa ukhathele kakhulu njalo ( Ukukhathala ).

Kungani kwenzeka i-rheumatoid vasculitis?

Njengoba sesike sakhuluma ngakho ngaphambili, lesi yisifo esibangelwa ukuzivikela komzimba. Okusho ukuthi, amasosha omzimba wakho ahlasela imithambo yegazi yakho. Uma usune -rheumatoid arthritis (RA) enzima isikhathi eside (ngokuvamile iminyaka engaphezu kweyi-10), amasosha omzimba wakho angase aqale ukulimaza imithambo yegazi yakho, ikakhulukazi leyo esezandleni nasezinyaweni zakho. Imithambo yegazi ethintekile bese ivuvukala futhi iqine. Lokhu kwenza kube nzima ukuthi igazi ligeleze kuyo. Ngokuhamba kwesikhathi, lokhu kuvuvukala kungalimaza imithambo yegazi ngokwayo, kanye nesikhumba esizungezile.

Yiziphi izinto ezibangela ingozi? Ubani okungenzeka kakhulu ukuthi abe nayo?

Nakuba noma ubani one-rheumatoid arthritis engaba ne-rheumatoid vasculitis, abanye abantu basengozini enkulu kancane. Ake sibheke ukuthi bangobani:

• Abantu abane -arthritis enzima kakhulu (i-Severe RA) .
• Abantu abane-arthritis emalungeni amaningi emzimbeni (i-Polyarthritis).
• Abantu asebene-rheumatoid arthritis isikhathi eside, okusho ukuthi iminyaka eyi-10 noma ngaphezulu .
• Abantu abanesifo esibizwa ngokuthi i-Felty syndrome. Lokhu kuyinkinga ye-rheumatoid arthritis. Ibonakala ngokuba nobende obandayo kanye nenani eliphansi lamaseli amhlophe egazi.
• Abantu abanezinhlayiya ze -rheumatoid. Lawa ngamaqhubu akheka ngaphansi kwesikhumba eduze kwamalunga e-rheumatoid arthritis.
• Abantu ababhemayo noma abasebenzisa eminye imikhiqizo kagwayi . Lokhu kuyisici esiyingozi sezifo eziningi.

Yiziphi izinkinga ezingabangelwa yilokhu?

Lesi simo, i-rheumatoid vasculitis , singaholela ezinkingeni ezinkulu uma singahlolwanga futhi selashwe kahle. Lezi azivamile, kodwa kubalulekile ukuziqaphela.

• Ukufa kwezicubu zesikhumba ezizungeze imithambo yegazi ethintekile (i-necrosis).
• Ukuhlaselwa yinhliziyo.
• Ukushaya kwenhliziyo.

Ukuthola kanjani lokhu?

Udokotela uzohlonza i-rheumatoid vasculitis ngokwenza ukuhlolwa ngokomzimba nokwenza ezinye izivivinyo. Uzokubuza ngezimpawu zakho, njengalapho uziqaphela khona okokuqala. Kuzodingeka futhi utshele udokotela wakho ukuthi usunesikhathi esingakanani une-rheumatoid arthritis nokuthi wenzani ukuze uyelaphe. Udokotela wakho angenza ezinye izivivinyo ukuze ahlole lesi simo, njenge:

• Ukuhlolwa kwegazi.
• Ama-X-ray.
• Ukuskena kwe-CT (ukuskena kwe-Computed Tomography)
• Ukuhlolwa kwe-MRI (Magnetic Resonance Imaging).
• Ama-Angiogram - Lokhu kuhlola isimo semithambo yegazi.
• I-Electromyography (EMG) - Lokhu kulinganisa umsebenzi wemisipha kanye nemizwa.
• Ukuhlolwa kwezicubu zomzimba - Ngezinye izikhathi kuthathwa isampula encane yezicubu ezithintekile bese ihlolwa.

Cishe kuzodingeka ubonane nodokotela wamathambo, udokotela ochwepheshe ekwelapheni izifo zokuvuvukala.

Iphathwa kanjani?

Udokotela wakho uzoncoma ukwelashwa ukulawula izimpawu zakho. Uzokusiza ukuthola ukwelashwa okuzovimbela ukulimala kwemithambo yegazi yakho kanye nezitho zangaphakathi. Ezimweni eziningi, ukulawula izimpawu zakho ze-rheumatoid arthritis kuzosiza futhi ekwelapheni i-rheumatoid vasculitis yakho. Khuluma nodokotela wakho ngemithi oyiphuzayo njengamanje ye-rheumatoid arthritis yakho nokuthi ngabe udinga ukuyishintsha yini. Uma udinga ukwelashwa okukhethekile kwe-rheumatoid vasculitis yakho, udokotela wakho angase ancome imithi efana nalokhu:

• Ama-Corticosteroids - Lena imithi enamandla enciphisa ukuvuvukala.
• Ama-immunosuppressants noma ama-biologics - Lawa alawula ukusebenza kwesimiso somzimba sokuzivikela.
• Ama-ACE inhibitors - Lawa uhlobo lomuthi olunikezwa ukulawula umfutho wegazi nokusiza imithambo yegazi.

Ukuyeka ukubhema (nokusebenzisa eminye imikhiqizo kagwayi) kunganciphisa ubukhali be-rheumatoid vasculitis. Kungasiza ngisho nokuvimbela lesi simo ukuthi singabi khona kwasekuqaleni. Khuluma nodokotela wakho ngezindlela zokuyeka ukubhema. Angakusiza ukuthi wenze kanjalo ngokuphepha nangokuphumelelayo.

Ingabe lokhu kungavinjelwa?

Eqinisweni, i-rheumatoid vasculitis ayinakuvinjelwa. Lokhu kungenxa yokuthi isimo esibangela lokhu kwasekuqaleni, i-rheumatoid arthritis (RA), asinakuvinjelwa. Ayikho indlela yokusho ngqo ukuthi ubani ozoyihlakulela noma nini. Kodwa-ke, uma une-rheumatoid arthritis, ukuyiphatha kahle kunganciphisa ingozi yakho yokuthola i-vasculitis. Uma ubhema, ukuyeka ukubhema kunganciphisa nengozi yakho yokuthola i-rheumatoid vasculitis.

Yini okufanele uyilindele uma uphila nalesi simo?

Unalesi simo esibizwa ngokuthi i-rheumatoid vasculitis.Kufanele ulindele ukuphathwa isikhathi eside, mhlawumbe impilo yakho yonke. Ngisho noma ungenazo izimpawu ezibucayi, kufanele ubonane nodokotela wakho njalo ukuze aqaphe izinguquko emithanjeni yakho yegazi. Buza udokotela wakho ukuthi kufanele ubonane kangaki nodokotela wakho nokuthi yiziphi izivivinyo okufanele uzenze.

Uzinakekela kanjani?

Landelela izimpawu zakho. Qaphela noma yiziphi izinguquko oziqaphelayo. Landela uhlelo lokwelashwa wena nodokotela wakho enilwenzile. Ungalibali ukubona udokotela wakho uma unomuzwa wokuthi ukwelashwa akusebenzanga (noma akuphumelelanga njengakuqala).

Kufanele ngimbone nini udokotela?

Uma uba nezimpawu ezintsha, noma uma izimpawu zakho zibonakala ziba zimbi kakhulu, bona udokotela wakho ngokushesha. Udokotela wakho uzokutshela ukuthi udinga kangaki ukuhlolwa okuvamile, ukuhlolwa, noma ukuhlolwa okwengeziwe.

Yimiphi imibuzo okufanele uyibuze udokotela wakho?

Kungaba usizo ukubuza udokotela wakho imibuzo efana nale:

• Yimiphi imithambo yegazi emzimbeni wami ethintekile?
• Yiziphi izivivinyo okudingeka ngizenze?
• Hlobo luni lokwelashwa engiludingayo?
• Ingabe ukwelashwa kwami ​​kwe-rheumatoid arthritis kuzodingeka kushintshwe?

Okokugcina, kunemiyalezo ebalulekile okufanele uyithathe uye nayo ekhaya.

Kungaba nzima ukwazi ukuthi, ngaphezu kobuhlungu emalungeni akho, manje usunokuvuvukala emithanjeni yakho yegazi, okuyisimo obulokhu usiphatha iminyaka eminingi. Kuyaqondakala. Kodwa ungakhathazeki. Udokotela wakho uzokusiza ukuthi wakhe uhlelo lokwelapha isifo sakho samathambo, okuhlanganisa nanoma yimiphi imithi emisha oyidingayo. Uzokutshela nokuthi yini okufanele uyiqaphele nokuthi ungazigwema kanjani izinkinga. Lalela umzimba wakho futhi uthembele emizweni yakho. Indlela engcono kakhulu yokugwema izinkinga ukubona udokotela wakho ngesikhathi. Ungesabi ukukhuluma nodokotela wakho nganoma yiziphi izimpawu ezintsha noma ezishintshayo ongase ube nazo. Khumbula, awuwedwa.