Cabanga ngokuzumayo ulahlekelwa ukuzwa endlebeni eyodwa... bese kuthi ngemva kwamasonto noma izinyanga ezimbalwa, ulahlekelwe ukuzwa nakwenye indlebe. Ngesikhathi esifanayo, uzizwa unesizungu, futhi umsindo oqhubekayo wokukhala uvela ngaphakathi endlebeni yakho... Uma kwenzeka into efana nale, noma ubani ubeyokwesaba kakhulu, akunjalo? Namuhla sizokhuluma ngesimo esibangela lezi zimpawu, okuyinto engavamile kancane, kodwa okubaluleke kakhulu ukwazi ngayo. Leso yi-Autoimmune Inner Ear Disease, noma i-AIED ngamafuphi.
Kalula nje, iyini i-AIED?
Ukuze siqonde lokhu, ake siqale sixoxe kancane ngohlelo lokuzivikela lomzimba wethu. Umzimba wethu unesimiso sokuzivikela . Kufana nebutho elivikela izwe. Umsebenzi oyinhloko wamasosha (amangqamuzana omzimba) aleli butho ukuthola, ukubamba, nokubhubhisa izitha ezifana namagciwane, amagciwane, namagciwane angena emizimbeni yethu.
Kodwa, ngezinye izikhathi ibutho lethu liyaphambuka kancane. Liqala ukuhlasela amanye amangqamuzana ethu aphilile, amahle, licabanga ukuthi “ayizitha.” Yilokhu esikubiza ngokuthi isimo ‘sokuzivikela komzimba’ .
Ngakho-ke, yilokho okwenzekayo kulesi sifo esibizwa ngokuthi i-AIED. Amasosha ethu omzimba aphatha kabi amangqamuzana abuthakathaka asendlebeni yethu yangaphakathi abe yizitha futhi awahlasele futhi awalimaze. Lesi yisimo esingavamile kakhulu. Abantu abangaphansi kuka-1% abanokulahlekelwa ukuzwa banalesi simo. Sivame kakhulu kwabesifazane abaseminyakeni ephakathi.
Yiziphi izimpawu eziyinhloko zalokhu?
Ngenxa yokuthi izimpawu ze-AIED zivame kakhulu, ngezinye izikhathi zingadidaniswa nezinye izimo. Kodwa kubalulekile ukuqaphela lezi zimpawu.
| Isibonakaliso | Imvelo yayo |
|---|---|
| Ukulahlekelwa ukuzwa | Lolu uphawu oluyinhloko. Ngokuvamile luqala endlebeni eyodwa bese lusakazekela kwenye indlebe zingakapheli amasonto noma izinyanga ezimbalwa. |
| Isiyezi | Njengoba indlebe yangaphakathi isiza nasekulawuleni ibhalansi yomzimba, ukulimala kwayo kungabangela umuzwa wesiyezi. |
| Ukuzwa ukukhala ezindlebeni (i-Tinnitus) | Umsindo oqhubekayo wokukhala, ukubhonga, noma ukububula ovela ngaphakathi ezindlebeni. |
| I-Vertigo | Isiyezi esinzima esizwakala sengathi wena noma izinto ezikuzungezile ziyajikeleza, noma ngabe umile nje. |
| Umuzwa wokugcwala endlebeni. | Umuzwa wokusinda, njengokungathi kukhona okugcwele ngaphakathi endlebeni. |
Ubudlelwano nezinye izifo zokuzivikela komzimba
Lokhu nakho kubaluleke kakhulu. Cishe abantu abangu-30% abane-AIED bangase babe nesinye isimo sokuzivikela komzimba esithinta wonke umzimba. Isibonelo:
- Isifo Samathambo Esibangelwa Yi-Rheumatoid
- I-Lupus
- I-Scleroderma
- I-Ulcerative Colitis
- Isifo samehlo esomile (i-Sjogren's Syndrome)
Lokhu kusho ukuthi amasosha omzimba angase ahlasele hhayi indlebe kuphela, kodwa nezinye izitho zomzimba.
Uthola kanjani lesi sifo?
Uma ngikhuluma iqiniso, kungaba nzima kancane ukuthola i-AIED, njengoba izimpawu ezishiwo ngenhla zingabonakala nakwezinye izimo ezivame kakhulu, njengokutheleleka kwendlebe. Ezimweni eziningi, kungase kungasoli kuze kube yilapho ukulahlekelwa ukuzwa kuqala endlebeni eyodwa bese kusakazekela kwenye.
Ngakho-ke, uma unalezi zimpawu, bona udokotela ngokushesha. Kungcono ukubonana nodokotela wezindlebe, impumulo, nomphimbo (ENT Surgeon).
Udokotela wakho uzokwenza okulandelayo ukuze axilonge lesi sifo:
1. Bazokubuza imibuzo: Bazokubuza imininingwane eminingi, njengomlando wempilo yakho, ukuthi ukhona yini emndenini wakho oke waba nalesi sifo, nokuthi izimpawu zakho zaqala kanjani.
2. Uhlola umzimba: Izindlebe, ikhala, nomphimbo kuhlolwa kahle.
3. Ukuhlolwa Kokuzwa: Kuzokwenziwa ukuhlolwa okukhethekile ukuze kubonakale ukuthi ungezwa kahle kangakanani.
4. Ukuhlolwa Kwebhalansi: Lokhu kungahlola ukuthi indlebe yakho yangaphakathi ixhumana kahle kangakanani nobuchopho bakho.
5. Ukuhlolwa Kwegazi (Umsebenzi Wegazi):Akukho ukuhlolwa kwegazi okungaxilonga i-AIED ngokuphelele, kodwa lokhu kuhlolwa kungakunikeza umbono wokuthi ngabe ubhekene nokusabela kokuzivikela komzimba.
Ezimweni eziningi, noma ngabe ukuxilongwa kungeke kuqinisekiswe ngokuphelele, udokotela angase anqume ukuqala ukwelashwa ngokusekelwe ezimpawu nemiphumela yokuhlolwa. Lokhu kungenxa yokuthi uma ukwelashwa kubambezeleka, umonakalo endlebeni ungase ungalungiseki. Kwabanye abantu, kuqinisekiswa ukuthi kuyi-AIED lapho izimpawu ziba ngcono ngemva kokuqala ukwelashwa.
Wenzani ukuze welashwe?
Umgomo oyinhloko wokwelapha i-AIED ukulawula ukungasebenzi kahle kwesimiso somzimba sokuzivikela kanye nokuvimbela umonakalo owengeziwe endlebeni yangaphakathi.
- Ama-Steroids: Udokotela wakho angase akunike umthamo omkhulu wemithi yokulwa nokuvuvukala njenge-steroids. Lokhu kuboniswe ukuthi kusebenza kahle ku-AIED. Kodwa-ke, kungaba nemiphumela emibi, ngakho akufanele kusetshenziswe isikhathi esingaphezu kwamasonto ambalwa.
- Imithi yokucindezela amasosha omzimba: Ngemva kokuyeka ama-steroid, eminye imithi "ezolisa" amasosha omzimba wakho (isib. i-Azathioprine, i-Methotrexate) inganikezwa isikhathi eside.
- Izinsiza Zokuzwa: Uma unenkinga yokuzwa, ungasebenzisa usizo lokuzwa ukuze ulungise inkinga.
- Ukufakelwa Kwe-Cochlear: Uma ulahlekelwe kakhulu ukuzwa, udokotela wakho angase akuncome ukufakelwa kwe-cochlear. Lena idivayisi encane kagesi efakwa ngokuhlinzwa ngaphansi kwesikhumba ngemuva kwendlebe. Ivuselela imizwa engaphakathi kwendlebe ukuguqula umsindo ube yizimpawu bese izithumela ebuchosheni.
Njengoba isayensi yezokwelapha ithuthuka, kungenzeka ukuthi imithi ephumelela kakhulu enemiphumela emibi embalwa kanye nokwelashwa kwesimanje njengokwelashwa ngezakhi zofuzo izovela nge-AIED esikhathini esizayo.
Umlayezo Wokuya Nawe Ekhaya
- I-AIED yisimo esingavamile lapho amasosha omzimba wakho ehlasela khona indlebe yakho yangaphakathi.
- Uma uzwa izimpawu ezifana nokulahlekelwa ukuzwa ngokuzumayo (ikakhulukazi uma kuthinta zombili izindlebe), isiyezi, noma ukukhala ezindlebeni, ungazinaki.
- Uma unalezi zimpawu, bonana nodokotela, ikakhulukazi udokotela we-ENT, ngokushesha okukhulu. Ukwelashwa okusheshayo kungavimbela umonakalo ongapheli.
- Ukuxilonga lesi sifo kungaba nzima, ngakho-ke kubalulekile ukufuna iseluleko sezokwelapha ukuze kuhlolwe futhi kutholakale ukwelashwa okufanele.
- I-AIED akuyona isifo esisodwa, kodwa ingaba uphawu lwesinye isifo sokuzivikela komzimba emzimbeni wakho.
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