Uyazazi izifo ezibangela ukuvuvukala kwemithambo yegazi ebuchosheni nasemgogodleni? Ake sixoxe nge-(CNS Vasculitis)!

Wake waba nekhanda elibuhlungu elingapheli izinsuku eziningi? Noma uzizwa sengathi umzimba wakho uyaphela amandla, ngezinto ezifana nokukhohlwa kanye nokungapheleli? Lezi ngezinye izikhathi zingaba izimpawu zesifo esingathi sína, noma singazinaki kakhulu. Namuhla, sizokhuluma ngesifo esiyinkimbinkimbi, kodwa esibaluleke kakhulu esithinta ubuchopho bethu kanye nomgogodla.

Kuyini lokhu (i-CNS Vasculitis)? Ake sikuqonde kalula?

Kalula nje, i-CNS Vasculitis ukuvuvukala kwemithambo yegazi ohlelweni lwethu lwezinzwa oluphakathi (CNS), okungukuthi, ubuchopho kanye nomgogodla . Njengalapho sinokulimala endaweni ethile emzimbeni wethu, imithambo yegazi ehlinzeka ngegazi ebuchosheni kanye nomgogodla ivuvukala ngaphakathi. Odokotela ngezinye izikhathi babiza lokhu ngokuthi "i-angiitis eyinhloko yesimiso sezinzwa esiphakathi ". Elinye igama elithi "granulomatous angiitis".

Cabanga ngakho, uhlelo lwethu lwezinzwa oluphakathi lufana nesikhungo sokulawula umzimba wethu wonke. Konke esikwenzayo ngokuqonda, kusukela ekusebenziseni iminwe yakho ukufunda lesi sihloko, kuya kukho konke esikwenzayo ngokungazi, njengokuphefumula nokushaya kwenhliziyo , kulawulwa lapha. Ngakho-ke kwenzekani uma kunenkinga ngemithambo yegazi endaweni ebaluleke kangaka? Yingakho kudingeka sikhathazeke ngalesi sifo.

Ingabe zikhona izinhlobo eziyinhloko ze-CNS Vasculitis?

Yebo, odokotela bathole izinhlobo ezimbili eziyinhloko zalokhu:

1. I-CNS Primary Vasculitis: Lokhu kwenzeka ngokwakho, ngaphandle kwethonya lanoma yisiphi esinye isifo. Okusho ukuthi, asikho esinye isifo esingatholakala njengembangela.

2. I-Vasculitis Yesibili Ye-CNS: Lokhu kwenzeka ngesinye isimo sezokwelapha noma ngenxa yaso. Kalula nje, kubangelwa yisimo sokuvuvukala noma esinye isifo kwenye indawo emzimbeni. Izifo ezihlasela umzimba ( okungukuthi, izifo lapho uhlelo lokuzivikela lomzimba wethu lusebenza ngokumelene nathi) kanye nokutheleleka yizona zimbangela ezivame kakhulu zalolu hlobo lwesibili.

Ziyini izimpawu zalesi sifo? Sizibona kanjani?

Izimpawu ze-CNS Vasculitis zingahluka kumuntu nomuntu, kodwa kunezinye izimpawu ezivamile:

• Ikhanda elibuhlungu elihlala isikhathi eside: Lesi yisibonakaliso sokuqala esifika engqondweni yabantu abaningi. Akufani nekhanda elibuhlungu elivamile, kodwa linamandla kakhulu futhi lingahlala izinsuku eziningi.
• Ukukhohlwa noma ukudideka: Ungase ukhohlwe izinto ngokuzumayo futhi uzizwe udidekile.
• Ukuba ndikindiki, imizwa engavamile, noma izinguquko ekuthinteni: Izitho zakho zingase zizwe ndikindiki, futhi ungase ungezwa lutho uma uzithinta.
• Ukuzizwa ubuthakathaka emzimbeni: Ukuzizwa ungenamandla, ungafuni ukwenza lutho.
• Ukukhubazeka kokubona: Ukubona okufiphele, ngezinye izikhathi ngisho nokubona okukabili.
• Izimpawu zesifo sokuwa (Ukuquleka): Ukulahlekelwa yingqondo ngokuzumayo kanye nokuquleka kungase kwenzeke.
• I-Encephalopathy: Lokhu kungabangela ushintsho esimweni sengqondo, ekuziphatheni, futhi ngezinye izikhathi ngisho nokuquleka.

Uma unesinye noma ngaphezulu salezi zimpawu, kubaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha. Ngenxa yokuthi lezi zingaba izimpawu zezinye izifo, kubalulekile ukuthola ukuthi inkinga iyini ngempela.

Yiziphi izinkinga ezingaba khona ze-CNS Vasculitis?

Lesi sifo sibangela ukuba imithambo yegazi ivuvuke futhi ibe mikhulu, okwenza kube nzima ukuthi igazi ligeleze kuyo. Ngokuhamba kwesikhathi, lokhu kuvuvukala kungalimaza ubuchopho kanye nomgogodla, okuholela ezinkingeni ezinkulu, ngezinye izikhathi ezisongela ukuphila. Eziyinhloko yilezi:

• Ukushaya kwenhliziyo
• Ukuhlaselwa kwe-ischemic okwesikhashana (okubizwa nangokuthi "ama-mini-stroke")
• Ama-aneurysms obuchopho (ukuvuvukala okungaphula imithambo yegazi ebuchosheni)

Zonke lezi zinkinga zidinga usizo oluphuthumayo lwezokwelapha. Uma uzwa izimpawu zokushaya kwenhliziyo noma ukuqhekeka kwe-aneurysm yobuchopho, iya esibhedlela ngokushesha noma ushayele ucingo ku-1990 (i-ambulensi).

Yiziphi izimbangela ze-CNS Vasculitis?

(i-CNS Vasculitis) yisifo esihlasela amasosha omzimba. Kalula nje, uhlelo lokuzivikela lomzimba wethu, amasosha okufanele asivikele ezifweni, aqala ngephutha ukuhlasela amangqamuzana ethu. Okwenzekayo lapha ukuthi uhlelo lokuzivikela luhlasela imithambo yegazi yethu.

• Abantu abane -vasculitis ye-CNS eyinhloko bayihlakulela ngaphandle kwesizathu esithile, okungukuthi, "ngokungaqondile." Akunakwenzeka ukusho ukuthi yini ngempela eyibangele.
• I-CNS yesibili i-Vasculitis ivame ukwenzeka kanye nezinye izifo ezibangela ukuvuvukala emzimbeni. Ezinye izifo zokuzivikela komzimba kanye nezinye izifo zingayibangela. Nazi izibonelo ezimbalwa:
• `I-Lupus`
• "I-Granulomatosis ene-polyangiitis"
• "I-granulomatosis ye-Eosinophilic ene-polyangiitis (EGPA)"
• I-Microscopic polyangiitis
• `Isifo sikaBehçet`
• `Isifo sikaSjögren`
• Ukutheleleka ngegciwane: Igciwane le-Epstein-Barr, igciwane le-varicella-zoster (igciwane elibangela izifo ezifana ne-chickenpox kanye ne-herpes)
• Ukutheleleka ngamagciwane: Isifo sofuba, i-Syphilis

Ubani osengozini enkulu yokuthola lesi sifo?

(I-CNS Vasculitis) Nakuba noma ubani engaba nayo, ivame kakhulu kwabesilisa. Nakuba ivame kakhulu kubantu abaneminyaka engaba ngu-50 ubudala, lesi sifo singavela kunoma yimuphi ubudala.

Odokotela bayixilonga kanjani i-CNS Vasculitis?

Udokotela uzokuhlola lesi simo ngokukuhlola ngokomzimba nangokukwenza izivivinyo ezikhethekile. Uzokubuza ngezimpawu zakho, njengalapho uziqaphela khona okokuqala. Tshela udokotela wakho uma izimpawu zakho ziyabuya futhi ziphele (`ziphinde zibuye`), nokuthi ziya ziba zimbi yini ngezikhathi ezithile zosuku noma ngesikhathi semisebenzi ethile.

Ukuxilonga i-CNS Vasculitis ngezinye izikhathi kungaba inqubo yokukhipha ezinye izimo (ukuxilongwa okuhlukile) . Lokhu kusho ukuthi ngaphambi kokuxilonga lesi simo ngokuphelele, udokotela wakho uzokwenza izivivinyo eziningana ukuqinisekisa ukuthi awunazo ezinye izimo ezivame kakhulu. Kungadingeka wenze okulandelayo:

• I-MRI (Umfanekiso Wokuqabulana Kwamagnetic)
• `I-CT scan` (i-computed tomography)
• I-Angiogram (ukuhlolwa okukhethekile kwe-X-ray kwemithambo yegazi)
• Ukuhlolwa kwezicubu (ukuthatha ingcezu yezicubu ukuze ihlolwe)

Kungase kudingeke futhi ukuthi ubonane nodokotela wamathambo, udokotela ochwepheshe ekwelapheni izifo zokuvuvukala .

Yiziphi izimpawu ezisiza ekuxilongeni i-CNS Vasculitis?

"Ama-markers" ayizimpawu zesifo. Lokhu kungatholakala udokotela wakho egazini lakho noma kolunye uketshezi lomzimba ngokuhlolwa kwelebhu. Nazi ezinye izivivinyo udokotela wakho angazisebenzisa ukuze abheke izimpawu ze-CNS Vasculitis:

• Ukuhlolwa kwegazi ukuhlola i-anemia.
• Ukuhlolwa kwe-ESR (izinga lokusatshalaliswa kwe-erythrocyte): Uphawu lokuvuvukala emzimbeni.
• Ukuhlolwa kwe-C-reactive protein (CRP): Ukuhlolwa kwezimpawu zokuvuvukala ezikhishwa yisibindi.
• Ukubhoboza i-Lumbar: Thatha isampula yoketshezi lomgogodla wakho wobuchopho bese uhlola inani eliphezulu lamaseli amhlophe egazi.

Yiziphi izindlela zokwelapha lokhu?

Udokotela wakho cishe uzoncoma ukwelashwa okulawula ukuvuvukala. Into ebaluleke kakhulu lapho welapha i-CNS Vasculitis ukunciphisa umonakalo ewubangela ebuchosheni bakho nasemgogodleni. Abantu abaningi kuzodingeka bathathe inhlanganisela yemithi ebizwa ngokuthi ama-corticosteroids (uhlobo lomuthi onciphisa ukuvuvukala) kanye nama-immunosuppressants (imithi ecindezela amasosha omzimba) .

Ekuqaleni, uzonikezwa umthamo omkhulu womuthi. Kamuva (ngokuvamile ngemva kwezinyanga ezimbalwa), udokotela wakho angase anciphise imvamisa yokujova kanye nomthamo. Odokotela bakho bazama ukukufaka esigabeni "sokukhuluphala" lapho izimpawu zakho zincane noma ziphele ngokuphelele.

Uma une-vasculitis yesibili ye-CNS, uzodinga ukwelashwa okuhlukile ukulawula isimo esiyisisekelo, okuzochazwa udokotela wakho.

Kufanele ngimbone nini udokotela?

Landelela izimpawu zakho. Uma ubona noma yiziphi izinguquko, zibhale phansi. Tshela udokotela wakho ngokushesha, ikakhulukazi uma izimpawu zakho zibonakala ziqala kaningi noma zinzima kakhulu kunangaphambili. Tshela nodokotela wakho uma kukhona ukwelashwa okubonakala kungasebenzi noma kungasebenzi kahle njengakuqala.

Udokotela wakho uzokutshela ukuthi udinga ukubona udokotela wakho kangaki, uhlolwe igazi, noma wenze ezinye izivivinyo.

Uma unezinye zezimpawu ezingezansi, iya esibhedlela ngokushesha noma ushayele ku-1990:

• Uma ucabanga ukuthi unezimpawu zokuhlaselwa yisifo sohlangothi noma ukuqhekeka kwe-aneurysm yobuchopho .
• Uma unenkinga yokuphefumula.
• Kulungile uma umbono wakho uba mubi ngokuzumayo, noma uma ulahlekelwa umbono wakho ngokuzumayo.

Uma ngine-(Central Nervous System Vasculitis), yini okufanele ngiyilindele?

Akukho ukwelashwa kwe-CNS Vasculitis. Kodwa-ke, abantu abaningi bangangena ezikhathini ezinde zokululama ngemva kokuthola inhlanganisela yemithi ebasebenzelayo. Abanye abantu bangahlala izinyanga noma iminyaka bengenazo izimpawu, kodwa izimpawu zibuye zibuye.

(i-CNS Vasculitis) ngokuvamile ayinawo umthelela omkhulu esikhathini okulindeleke ukuba uphile ngaso. Kodwa lokhu kunzima ukukusho ngokuqinisekile. Ngoba (i-CNS Vasculitis) ingabangela izinkinga ezinkulu ezifana nesifo sohlangothi kanye ne-aneurysm. Uma izinkinga ezinjalo zenzeka, amathuba okufa aphezulu kunokuvamile.

Uma ukhathazekile ngempilo yakho noma ukuthi i-CNS Vasculitis ithinta kanjani impilo yakho, khuluma nodokotela wakho.

Noma yisiphi isifo esithinta uhlelo lwakho lwezinzwa oluphakathi (i-CNS) singaba sesabekayo. Ikakhulukazi uma wazi ukuthi uhlelo lwakho lokuzivikela luhlasela ubuchopho bakho kanye nomgogodla. Kodwa izindaba ezinhle ukuthi abantu abaningi abane-CNS Vasculitis bangathola inhlanganisela yemithi elawulayo. Uma usuthole ukwelashwa okufanele, udokotela wakho angakusiza ukunciphisa umthelela wezimpawu zakho empilweni yakho.

Khumbula, akulona neze into embi ukubuza imibuzo ngempilo yakho. Khuluma nodokotela wakho ngazo zonke izinto ezikukhathazayo. Uzophendula yonke imibuzo yakho, akunike ukuzethemba ngokwenzekayo emzimbeni wakho, futhi akusize ukuthi ukulawule.

Umyalezo obaluleke kakhulu okufanele uwuthathe uye nawo ekhaya

(i-CNS Vasculitis) yisifo esibi kodwa esingelapheka. Into ebaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha nje lapho ubona izimpawu bese uthatha ukwelashwa okunqunyiwe. Uma uphila nalesi sifo, kubaluleke kakhulu ukugcina ubuhlobo obuhle nodokotela wakho. Ngokulandela iseluleko sabo nokubatshela nganoma yiziphi izinguquko ozizwayo, ungaphila ngempumelelo nalesi sifo. Ungesabi, awuwedwa. Ngesiqondiso esifanele sezokwelapha, lesi simo singaphathwa kahle.

I- CNS Vasculitis, uhlelo lwezinzwa oluphakathi, ukuvuvukala kwemithambo yegazi, ubuchopho, umgogodla, izifo zokuzivikela komzimba, ikhanda elibuhlungu