Ingabe ngezinye izikhathi uzizwa sengathi izingalo nemilenze yakho kuya ngokuya kuncipha amandla? Noma uzizwa nje uthuthumela, noma uzizwa okuthile okuhlukile, okungenampilo? Uma lesi simo besilokhu sikhula kancane kancane isikhathi esingaphezu kwezinyanga ezimbili, ungasithathi njengento elula. Namuhla sikhuluma ngesimo esingabangela izimpawu ezinjalo, okuyinto engavamile, kodwa okufanele ukwazi ngayo. Leyo yi-CIDP.
Kalula nje, iyini i-CIDP?
Ungesabi igama elide elithi CIDP. Masikwenze kube lula. I-CIDP (Chronic Inflammatory Demyelinating Polyneuropathy) yisimo sesikhathi eside lapho isimiso sokuzivikela somzimba wethu, isimiso somzimba sokuzivikela, sihlasela khona ngephutha imizwa yethu.
Cabanga ngemizwa yethu njengezintambo zikagesi. Njengoba nje izintambo zikagesi zine-insulation ezizungezile, imizwa yethu nayo inesembozo esivikelayo esibizwa ngokuthi i-myelin . Lesi sigxobo se-myelin yisona esivumela izimpawu ezivela ebuchosheni ukuba zihambe ngokushesha nangokunembile ziye emilenzeni. Ku-CIDP, amasosha ethu omzimba ahlasela lesi sigxobo se-myelin. Njengokungathi isigxobo esisentanjeni kagesi sisusiwe, ukudluliselwa kwesignali kuyaphazamiseka. Lokhu kuphumela ezimpawini ezifana nobuthakathaka kanye nokungazweli emilenzeni.
I-CIDP iyisimo esifana ne- Guillain-Barre syndrome (GBS). Kodwa-ke, i-GBS yenzeka ngemva kokugula, njengomkhuhlane noma igciwane lesisu, bese ilulama. Ngokuvamile iphela ngokushesha. Kodwa-ke, i-CIDP ayiveli ngemva kokugula okunjalo, futhi iyisimo sesikhathi eside.
Ziyini izimpawu ze-CIDP?
Lezi zimpawu azifani kuwo wonke umuntu. Kodwa kunezimpawu ezimbalwa eziyinhloko ozozibona. Khumbula, ukuze usole i-CIDP, lezi zimpawu kumele zibe khona okungenani amasonto ayisishiyagalombili .
Uphawu lokuqala noluvame kakhulu ubuthakathaka bemisipha obuqhubeka isikhathi esingaphezu kwezinyanga ezimbili . Lokhu kuvame ukuthinta izinhlangothi zombili zomzimba.
| Uhlobo lwesibonakaliso | Incazelo |
|---|---|
| Izimpawu eziyinhloko |
|
| Ezinye izimpawu ezingaba khona | |
| Izici ezingavamile |
Kungani i-CIDP ikhula? Ingabe iyathelelana?
Imbangela eqondile ye-CIDP ayaziwa okwamanje. Kodwa siyazi ukuthi ibangelwa inkinga ngamasosha omzimba. Ayithelelani nhlobo. Awukwazi ukuyithola komunye umuntu, futhi awukwazi ukuyidlulisela komunye umuntu.
Akukatholakali ukuthi inesixhumanisi sofuzo noma ibangelwa yinoma yikuphi ukutheleleka. Nakuba noma ubani angayithola, ivame kakhulu kubantu abaneminyaka ephakathi kuka-50 no-60 kanye nakwabesilisa .
Udokotela uyixilonga kanjani i-CIDP?
Akukho ukuhlolwa okukodwa okungakutshela ngokuqinisekile ukuthi une-CIDP. Ngakho-ke, udokotela wakho uzoqala akubuze ngezimpawu zakho. Zaqala nini, zizizwa kanjani, nokuthi ziya ziba zimbi yini? Ngemuva kwalokho bazokwenza ukuhlolwa ngokomzimba.
Ngaphezu kwalokho, kungenziwa izivivinyo eziningana ukuqinisekisa lesi simo nokususa ezinye izimo zezokwelapha.
- Ukuhlolwa kwegazi nomchamo: Hlola ezinye izimbangela.
- Ucwaningo Lokuqhutshwa Kwezinzwa kanye ne-EMG:Bheka ukuthi i-myelin sheath yezinzwa yonakele yini nokuthi izimpawu zidluliselwa kanjani.
- Ukubhoboza Kwethambo: Ukuhlola amazinga aphezulu amaprotheni ahlobene ne-CIDP oketshezini lomgogodla.
- Ukuhlolwa kwe-MRI: Hlola ukuvuvukala kwezimpande zemizwa.
- I-Neva Biopsy: Ngezinye izikhathi kuthathwa ingxenye encane yenzwa bese ihlolwa.
Into ebaluleke kakhulu ukuxilonga lesi sifo kusenesikhathi bese uqala ukwelashwa . Lokhu kunganciphisa ukulimala kwemizwa. Uma kungelashwa, izimpawu zingaba zimbi kakhulu ngokuhamba kwesikhathi, okuholela esidingweni sesihlalo sabakhubazekile kwabanye abantu.
Yiziphi izindlela zokwelapha i-CIDP?
Abantu abaningi abane-CIDP badinga ukwelashwa. Uma ukwelashwa kuqala ngokushesha, amathuba okululama ayanda. Umgomo oyinhloko wokwelashwa ukuvimbela amasosha omzimba ukuba angalimazi imizwa.
Izindlela zokwelapha eziyinhloko
- Ama-Corticosteroids: Lena imithi yohlobo lwe-steroid enciphisa ukuvuvukala emzimbeni futhi ilawule ukusebenza kwesimiso somzimba sokuzivikela.
- Ukwelashwa Ngezifo Ezithathelwana Ngomzimba: Le mithi iphazamisa izinqubo zesimiso somzimba sokuzivikela futhi iyivimbele ekuhlaseleni i-myelin.
- I-Intravenous Immunoglobulin (IVIG): Lokhu kuhilela ukunikeza umthamo oqoqiwe wama-antibodies athathwe kubantu abaphilile nge-intravenous (IV). Lokhu kusiza ukulawula impendulo yomzimba engavamile yokuzivikela komzimba.
- Ukushintshaniswa Kwe-Plasma (PE): Lokhu kuhilela ukuthatha ingxenye ye-plasma yegazi lakho, ukuyihlunga ukuze kususwe ama-antibodies ayingozi, bese uyibuyisela emzimbeni wakho.
Ukwelashwa okungeziwe
Ngaphezu kokwelashwa okuyinhloko, ungadinga okunye ukwelashwa ukuze wenze impilo yakho yansuku zonke ibe lula.
- Ukwelashwa Komzimba: Lokhu kubaluleke kakhulu ekwakheni kabusha amandla emisipha nokuthuthukisa ikhono lokuhamba.
- Ukwelashwa Komsebenzi: Kunikeza iseluleko sendlela yokwenza imisebenzi yansuku zonke (njengokupheka, ukugqoka) kalula ngalesi simo.
- Ukuzivocavoca nokudla: Ukuzivocavoca okulingene kungasiza ekwakheni amandla nokuthuthukisa ibhalansi. Ukudla okunomsoco nokulinganiselayo kungasiza ekuvimbeleni ukukhuluphala okungadingekile kanye nokucindezeleka kwemisipha. Xhumana nodokotela wakho ngalokhu.
Ukuphila ne-CIDP kanye nenhlalakahle yengqondo
Ukuphila nesimo sesikhathi eside njenge-CIDP kungaba yinselele. Kukhona ithimba lezokwelapha elizokusiza. Lokhu kufaka phakathi udokotela wezinzwa .Kubandakanya abantu abafana nodokotela wezokwelapha ngokomzimba.
Lokhu kugula kungabangela imizwa yokucindezeleka, ukukhathazeka nokudabuka. Kuvamile kakhulu. Uma uzizwa ngale ndlela, khuluma nomndeni wakho nabangani ngakho. Unganqikazi ukufuna usizo kuchwepheshe wezempilo yengqondo uma uludinga. Kungaba usizo olukhulu ohambweni lwakho lokululama.
Kubaluleke kakhulu: Uma unenkinga yokuphefumula, kuyisimo esiphuthumayo. Yiya eMnyangweni Wezimo Eziphuthumayo wesibhedlela esiseduze (i-ETU) ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- I-CIDP yisimo sesikhathi eside esibangelwa ukuthi amasosha omzimba ahlasela imizwa.
- Uphawu oluyinhloko ubuthakathaka bemisipha kanye nokungazweli okukhula kancane kancane ezinyangeni eziningana.
- Lesi akusona isifo esithathelwanayo, futhi imbangela eqondile ayikatholakali.
- Abantu abaningi bangafinyelela imiphumela emihle ngokuxilonga lesi sifo kusenesikhathi futhi bathole ukwelashwa okufanele.
- Uma unezinye zalezi zimpawu, ungazinaki futhi ubone udokotela wakho ngokushesha okukhulu ukuze akunike iseluleko.
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