Ingabe lokhu kuyimbangela yobuhlungu bomzimba wakho kanye noshintsho lwesikhumba? Ake sixoxe nge-Eosinophilia-Myalgia Syndrome (EMS)!

Ngezinye izikhathi kunzima ukuqonda izifo esizitholayo, akunjalo? Ngokungazelelwe, sizwa izinhlungu emzimbeni wethu, kuvela izinto ezincane esikhumbeni sethu, futhi kuzwakala kunzima ukuphefumula. Namuhla sizokhuluma ngesimo esingavamile kodwa esikhathazayo esihambisana nalezi zimpawu ezibonakala zingahlobene. Lokhu kubizwa ngokuthi 'i-Eosinophilia-Myalgia Syndrome' (EMS). Nakuba igama lingase libonakale lide kancane, masiliqonde kalula.

Iyini i-Eosinophilia-Myalgia Syndrome (EMS)?

Kalula nje, i-'Eosinophilia-Myalgia Syndrome' (EMS) yisimo esingavamile esithinta imisipha yakho, isikhumba, namaphaphu . Okwenzekayo kulokhu ukuthi uhlobo lweseli elimhlophe legazi elibizwa ngokuthi 'ama-eosinophils' , elitholakala egazini lethu, liqoqana ngokweqile bese lizibeka ezicutshini zethu. Cabanga ngale ndlela, lawa 'ma-eosinophils' afana nonogada bomzimba wethu. Kodwa lapho la masosha eba maningi kakhulu, aqala ukubangela izinkinga emizimbeni yethu.

Lesi simo singabangela ubuhlungu obukhulu bemisipha (myalgia) , ukuqubuka kwesikhumba noma ezinye izinguquko, kanye nobunzima bokuphefumula . Ngezinye izikhathi lezi zimpawu zingasongela impilo noma zibangele ubuhlungu obukhulu obenza kube nzima ukwenza imisebenzi yansuku zonke.

Lesi simo esibizwa ngokuthi 'EMS' siwuhlobo lwesinye isimo esibizwa ngokuthi 'eosinophilia'. I-'Eosinophilia' imane nje ukwanda kwenani lama-'eosinophils' egazini noma ezicutshini.

Imbangela evame kakhulu ye-EMS ukusetshenziswa kwezithasiselo eziqukethe amakhemikhali abizwa ngokuthi i-L-tryptophan noma i-5-hydroxytryptophan (5-HTP), njengoba kungenzeka ukuthi uke wezwa. Kodwa-ke, kutholakale nokuthi abanye abantu bangaba nalesi simo ngaphandle kokusebenzisa lezi.

Kwenzeka kanjani ukuthi i-Eosinophilia-Myalgia Syndrome ibe ubhubhane?

Le ndaba indala kancane. Ngo-1989, kwavela isifo esisha ngokuzumayo eMelika. Abacwaningi basibiza ngokuthi 'i-Eosinophilia-Myalgia Syndrome'. Ngaleso sikhathi, sasakazeka njengobhubhane. Iningi labantu abagula ngale ndlela yilabo ababesebenzisa izithasiselo eziqukethe 'i-L-tryptophan' yokwenziwa . Lokhu kwabangela ukuthi 'ama-eosinophil' aqoqeke egazini lawo, okwabangela ubuhlungu bemisipha. Kuthiwa kwafa abantu abangaba ngu-37 ngaleso sikhathi.

Ngemva kwalesi sigameko, i-US Food and Drug Administration (FDA) yasusa imikhiqizo eminingana equkethe i-L-tryptophan emakethe. Ngemva kwalokho, inani lamacala e-EMS abikiwe lehla kakhulu.

Kodwa-ke, kamuva lezo zinkampani zezithasiselo zathatha indawo ye-'L-tryptophan' nge -'5-hydroxytryptophan (5-HTP)' yayo efanayo.Ngaqala ukusebenzisa lokho abakushoyo. Lezi 'zithasiselo' zisho izinto ezifana nokuthuthukisa ubuthongo, ukuthuthukisa imizwa, njll. Kungenzeka ukuthi uke wazibona lezi zinto njengemikhiqizo ethuthukisa ukuqina komzimba, yehlisa isisindo, noma ekusiza ulale. Ngakho-ke, kungenzeka ukuthi 'i-EMS' ingase ibe nomphumela ongemuhle walokhu.

Ngeshwa, ngoshintsho emithethweni ephathelene nezithako zokudla e-United States ngo-1994, izithako eziqukethe i-L-tryptophan yokwenziwa kanye ne-5-HTP seziphinde zavela emakethe.

Ubani othinteka kakhulu yilesi simo?

Ngesikhathi sobhubhane lwango-1989, iningi labantu ababenalesi simo se-'EMS' kwakungabantu ababethatha 'izithasiselo' eziqukethe i-'L-tryptophan' noma i-'5-HTP'. Kulaba, iningi labo kuthiwa kwakungabesifazane .

Okwamanje, lesi simo asivamile kakhulu. Kodwa-ke, njengoba kushiwo ngaphambili, abantu abangazange basebenzise imikhiqizo equkethe i-`L-tryptophan` noma i-`5-HTP` bangatholakala benalesi sifo se-`EMS`.

Kuvamile kangakanani lokhu?

Azikho izibalo eziqondile zokuthi lokhu kuvame kangakanani. Kuthiwa ngesikhathi sobhubhane lwango-1989, kwabikwa amacala aphakathi kuka-5,000 no-10,000 e-United States kuphela. Phakathi naleso sikhathi esifanayo, kwabikwa amacala avela emazweni afana neJalimane, iCanada, kanye ne-United Kingdom.

Ziyini izimpawu ze-Eosinophilia-Myalgia Syndrome (EMS)?

Izimpawu ze-EMS zingahluka kumuntu nomuntu, futhi zingahluka ngobukhulu. Lezi zimpawu zivame ukuqala ngokuzumayo. Lezi zimpawu zibangelwa ukuqongelela kwama-eosinophil egazini nasezicutshini, okubangela ukuvuvukala. Zingathinta izingxenye eziningi zomzimba.

Izimpawu ezivame ukubonakala yilezi:

• Ukukhathala .
• Imfiva .
• Ukuvuvukala kwezandla nezinyawo (i-edema) .
• Ukuba ndikindiki ezandleni nasezinyaweni .
• Ubunzima bokukhumbula noma ukugxila .
• Izinguquko esimweni sengqondo noma ekuziphatheni .
• Ukucanuzela noma ukuhlanza .
• Uhudo .

Ngaphezu kwalokho, izimpawu ezithile zingase zivele nasemisipheni, esikhumbeni, enhliziyweni nasemaphashini.

Izimpawu ezihlobene nemisipha namalunga

Esinye sezici eziyinhloko ze-'EMS' imiphumela elandelayo emisipheni nasemalungeni:

• Ubuhlungu (`myalgia` noma `arthralgia`) : Lokhu kuyinto eyinhloko. Umzimba uyabuhlungu, amalunga ayabuhlungu.
• Ubuhlungu bomzimba .
• Ukuqina kwemisipha ngokuzumayo kanye nokuqaqamba .
• Ubuthakathaka .
• Ukungasebenzi kahle kwemisipha noma amalunga .

Ubuhlungu obuzwayo bungasukela kobuncane kuya kobukhulu. Bungase bube bubi nakakhulu emavikini ambalwa.

Izimpawu zesikhumba

Izimpawu zesikhumba zingahlala cishe izinyanga ezintathu kuya kweziyisithupha. Zihlanganisa:

• Ukuqhuma kwesikhumba: Mhlawumbe obomvu futhi unamabala.
• Isikhumba esilumayo .
• Amabala esikhumba anokulahlekelwa izinwele .
• Amabala amakhulu esikhumba : Lokhu kubizwa ngokuthi i-'eosinophilic fasciitis' ngokwezokwelapha.

Izimpawu zenhliziyo namaphaphu

Izimpawu ezithinta amaphaphu zingaba zincane njengokukhwehlela, noma zingaba zimbi kakhulu. Uma unezinye zalezi zimpawu ezilandelayo, kufanele uye ekamelweni eliphuthumayo ngokushesha :

• Ubunzima bokuphefumula .
• Ukuphelelwa umoya .
• Ubuhlungu besifuba .
• Ukushaya kwenhliziyo okungajwayelekile (i-arrhythmia) .
• Ukuvuvukala kwemisipha yenhliziyo (`myocarditis`) .

Okubalulekile: Uma ubhekene nobunzima bokuphefumula, ubuhlungu besifuba, noma ukushaya kwenhliziyo okungajwayelekile, ungadlali. Funa iseluleko sezokwelapha ngokushesha.

Yini ebangela i-Eosinophilia-Myalgia Syndrome (EMS)?

Lapho i-EMS itholakala okokuqala ngo-1989, kwakucatshangwa ukuthi ibangelwa isithasiselo sezempilo esiqukethe i-L-tryptophan yokwenziwa . I-L-tryptophan iyi-amino acid etholakala ngokwemvelo ekudleni okuthile, njenge-turkey. Kodwa-ke, uma ikhiqizwa ngokwenziwa, kuye kwabonakala ukuthi ibangela ubuhlungu bemisipha kanye namazinga aphezulu e-eosinophil.

Nakuba imikhiqizo equkethe i-L-tryptophan yokwenziwa isesemakethe namuhla, i-EMS ingabangelwa nayisinye isithako sokwenziwa esifana ne-L-tryptophan, esibizwa nge -5-HTP .

Kodwa-ke, kuneziguli ezithile ze-EMS ezingazange zisebenzise noma yini equkethe i-L-tryptophan noma i-5-HTP. Lokhu kusho ukuthi kungase kube nezinye izimbangela ezingaziwa zalesi simo. Ucwaningo lusaqhubeka.

Itholakala kanjani i-Eosinophilia-Myalgia Syndrome (EMS)?

Udokotela uzokuhlola i-EMS ngokukuhlola nokwenza izivivinyo ezidingekayo. Izinto eziyinhloko udokotela azozibheka phakathi nalokhu kuhlolwa yilezi:

• Isampula yegazi lakho izohlolwa ukuthi inama-eosinophil aphezulu yini.
• Ngibheka ukuthi uzwa ubuhlungu bemisipha yini.

Kungenziwa ezinye izivivinyo eziningana zegazi ukuze kutholakale lesi simo. Lokhu kwenzelwa ukuqeda ezinye izimo ezinezimpawu ezifanayo. Udokotela uzobuza nangomlando wakho wezokwelapha kanye nanoma yiziphi izithasiselo ozithathayo . Ikakhulukazi, qiniseka ukuthi ziqukethe i-'L-tryptophan' noma i-'5-HTP'.

Iphathwa kanjani i-Eosinophilia-Myalgia Syndrome (EMS)?

Akukho ukwelashwa okukhethekile, okukodwa kwe-EMS. Udokotela wakho uzokwakha uhlelo lokwelashwa oluqondene nawe ukuze akusize uphathe izimpawu zakho. Lokhu kungafaka imithi elandelayo:

• Iziphumuli zemisipha .
• Iziqeda-zinhlungu (`iziqeda-zinhlungu`) .
• Imithi esusa uketshezi oluningi emzimbeni (i-diuretics) - uma kukhona ukuvuvukala.
• Ama-Corticosteroids - Lawa uhlobo lomuthi olunikezwa ukunciphisa ukuvuvukala.

Into ebaluleke kakhulu ukufunda ilebula yanoma yisiphi isithasiselo osithathayo ngokucophelela. Futhi ukhulume nodokotela wakho mayelana nezithako. Uma ziqukethe i-`L-tryptophan` noma i-`5-HTP`, kufanele uyeke ukuzithatha ngokushesha.

Kuye ngobukhulu bobuhlungu bemisipha yakho, udokotela wakho angakutshela ukuthi unciphise umsebenzi womzimba ukuze uvimbele ukubhebhethekisa ubuhlungu. Kodwa-ke, abanye abantu bathole ukuthi ukuzivocavoca okulula njalo ngesikhathi sokwelashwa kungasiza ekunciphiseni ubuhlungu.

Ingabe i-Eosinophilia-Myalgia Syndrome (EMS) ingavinjelwa?

Ngenxa yokuthi akuzona zonke izimbangela ze-EMS eziqondakala ngokugcwele, ayikho indlela eyodwa yokuyivimbela. Kodwa-ke, unganciphisa ingozi yakho ngokugwema izithasiselo eziqukethe i-L-tryptophan noma i-5-HTP.

Uma ngine-Eosinophilia-Myalgia Syndrome (EMS), yini okufanele ngiyilindele?

I-Eosinophilia-Myalgia Syndrome (EMS) yisimo esingamahlalakhona , okusho ukuthi asinakwelapheka futhi sihlala isikhathi eside. Izimpawu zakho zingafika zidlule impilo yakho yonke. Nakuba izimpawu zazisongela impilo ngesikhathi sobhubhane lwango-1989, ngokwelashwa okutholakalayo namuhla, ungakwazi ukulawula izimpawu zakho futhi uvimbele izinkinga ezinkulu. Abacwaningi basacwaninga ukuthi lesi simo sizothinta yini impilo yakho yonke.

Kwabanye abantu, ngaphezu kokuthatha imithi, ukwenza umsebenzi womzimba olula nsuku zonke kungasiza ekunciphiseni ubuhlungu nokungakhululeki. Udokotela wakho uzokhuluma nawe ngezinguquko zendlela yokuphila okudingeka uzenze ngesikhathi sokwelashwa kwakho.

Kufanele ngimbone nini udokotela?

Uma ubuhlungu obukhulu bemisipha bukhulu kangangokuthi awukwazi ukwenza imisebenzi yakho yansuku zonke, noma ngisho nokwenza imisebenzi evamile, kufanele nakanjani ubone udokotela.

Futhi, uma unezinye zezimpawu ezilandelayo ezinzima ezithinta inhliziyo noma amaphaphu, iya ekamelweni eliphuthumayo ngokushesha:

• Ubunzima bokuphefumula .
• Ubuhlungu besifuba .
• Ukuphazamiseka kwesigqi senhliziyo .

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Uma uya kudokotela, ungabuza imibuzo efana nale:

• Ingabe ngine-Eosinophilia-Myalgia Syndrome (EMS) noma esinye isimo esifanayo?
• Ingabe lesi simo se-'EMS' sibangelwa yizithasiselo engizithathayo?
• Iyini imiphumela emibi yalezi zindlela zokwelapha?
• Kufanele ngisebenze kangakanani ngokomzimba?
• Ingabe kudingeka ngenze izinguquko endleleni yami yokuphila?

Okokugcina, khumbula lokhu (Umyalezo Wokuya Ekhaya)

I-Eosinophilia-Myalgia Syndrome (EMS) yisimo esingamahlalakhona esingathinta izingxenye eziningi zomzimba wakho. Indlela engcono kakhulu yokunciphisa ingozi yakho ukugwema ukuthatha izithasiselo eziqukethe i-L-tryptophan yokwenziwa noma i-5-HTP. I-L-tryptophan, etholakala ngokwemvelo ekudleni okufana ne-turkey nenhlanzi ekheniwe, iphephile ukuyidla, kodwa izithako zokwenziwa zingaba yingozi emzimbeni wakho.

Nakuba ukwelashwa kuhloselwe kakhulu ukulawula izimpawu zakho, kungadingeka futhi wengeze izinto endleleni yakho yokuphila, njengokuzivocavoca okulula kwansuku zonke, ukuze uzizwe ungcono. Khumbula njalo, uma uhlangabezana nanoma yiziphi izimpawu ezingavamile, ikakhulukazi ngemva kokuqala isithasiselo esisha, funa iseluleko sezokwelapha ngokushesha.

I- eosinophilia-myalgia syndrome, i-EMS, ubuhlungu bemisipha, izifo zesikhumba, i-L-tryptophan, i-5-HTP, izithasiselo zokudla, izithasiselo, ama-eosinophils, ama-eosinophils, iSri Lanka Health