Zicabange ukuthi ubulokhu uzizwa ungaphilile isikhathi eside. Uya kudokotela. Udokotela uyakuxilonga, enze izivivinyo eziningi njengokuhlolwa kwegazi kanye nokuskena, bese ekugcineni ethi, "Asikwazi ukusho ngokuqinisekile ukuthi yini ebangela isimo sakho." Ubungazizwa kanjani-ke? Kuvamile ukuzizwa wesaba kancane, ukhathazekile, futhi unemibuzo eminingi efana nokuthi, "Yini engalungile ngami?" Kwezokwelapha, kunegama elikhethekile elisetshenziselwa izimo ezinjengalezi lapho kungatholakali khona imbangela eqondile. Lelo yi -Idiopathic . Abantu abaningi bayakhathazeka lapho bezwa leli gama, kodwa namuhla sizoliqonda kahle.
Ngakho-ke, iyini ngempela i-Idiopathic?
Kalula nje, igama elithi idiopathic lisho ukuthi "isizathu esingaziwa." Uma udokotela esebenzisa leli gama ngesimo sakho, kusho ukuthi ayikho imbangela yezokwelapha eyaziwayo yesimo sakho.
Cabanga ngale ndlela. Uma udokotela ehlola isiguli, wenza njengomseshi. Baqoqa lonke ulwazi, okuhlanganisa izimpawu, imiphumela yokuhlolwa, kanye nomlando womndeni, bese besusa izimbangela ezingaba khona ngasinye ngasinye. Isibonelo, uma umuntu ekhwehlela njalo, udokotela uzozama ukuthola ukuthi ngabe kungenxa yesifuba somoya, ukutheleleka, noma okunye. Uma sebehlole konke futhi bengatholi imbangela eyaziwayo, khona-ke lesi simo sibizwa ngokuthi "idiopathic."
Into ebalulekile ukuthi udokotela angasho ukuthi “uyi-idiopathic” ngoba engenalo ulwazi. Kusho ukuthi, ngokolwazi lwezokwelapha lwamanje emhlabeni, imbangela ethile yaleso sifo ayikatholakali.
Ezinye izifo zinegama elithi "idiopathic" emagameni azo. Lokhu kungenxa yokuthi isici esiyinhloko salezo zifo ukuthi imbangela ayaziwa. Isibonelo, ungathatha isifo esibizwa ngokuthi i-Juvenile Idiopathic Arthritis .
Ingabe kufanele ukhathazeke uma udokotela ethi 'Idiopathic'?
Lutho neze. Kuvamile ukuzizwa wesaba uma uzwa leli gama. Ungase ucabange, "Ngingakuphatha kanjani lokhu uma ngingayazi imbangela?" Kodwa akulona iqiniso lelo.
Ukungazi imbangela akusho ukuthi awukwazi ukwelashwa. Ezimweni eziningi, odokotela bangakwazi ukulawula izimpawu, noma ngabe abakwazi ukwelapha imbangela eyisisekelo.
Ake sithi une -Chronic Idiopathic Urticaria (ama-hives angaziwa). Lokhu kusho ukuthi umzimba wakho uyaqhubeka nokuba nama-hives, kodwa awukwazi ukuthola imbangela (njengokudla noma imithi). Lapha, udokotela akazami ukuthola imbangela yama-hives. Kunalokho, ukunika imithi engalawula ama-hives nokulunywa. Ngaleyo ndlela, ungenza imisebenzi yakho evamile.
Into engcono kakhulu ongayenza ukukhuluma ngokukhululekile ngalokhu nodokotela wakho.
- "Dokotela, noma uthi asikho isizathu salokhu, yiziphi ezinye izinto ezingathinta lokhu?"
- "Ngiziphi izindlela zokwelapha enginazo?"
- "Ngingaphila kanjani impilo evamile ngalesi sifo?"
Ungesabi ukubuza imibuzo efana nale. Udokotela wakho uzokuchazela konke. Ngezinye izikhathi kungase kube namathuba okuhlanganyela ezivivinyweni ezintsha zezokwelapha.
Yiziphi izifo eziwela esigabeni se-idiopathic?
Kunezinhlobo eziningana zezifo ezingaziwa imbangela yazo. Ake sizihlukanise zibe izigaba ezimbili.
1. Izifo ezingaziwa nhlobo imbangela yazo (Purely Idiopathic)
Lezi zifo zinegama elithi "idiopathic" emagameni azo, futhi imbangela yazo eqondile ayikatholakali.
| Igama lesifo | Incazelo elula |
|---|---|
| I-Urticaria Engapheli Ye-Idiopathic | Ukuluma nokuklwebha isikhathi eside ngaphandle kwesizathu. Ngezinye izikhathi kuyaphela bese kuvela futhi. |
| I-Idiopathic Pulmonary Fibrosis | Izicubu emaphashini ziyaqina futhi zibe nezibazi, okubangela ubunzima bokuphefumula kancane kancane. |
| I-Scoliosis Engavamile | Ukugoba komgogodla ohlangothini olulodwa. Lolu uhlobo oluvame kakhulu lwe-scoliosis. |
| Isifo Samathambo Esingavamile Sabantwana | Uhlobo oluvame kakhulu lwe-arthritis ezinganeni nakubantu abadala abangaphansi kweminyaka eyi-16. Lubangela ukuvuvukala, ubuhlungu, nokuqina kwamalunga. |
| Umfutho wegazi ophezulu we-Idiopathic Intracranial | Ukwanda okungachazeki koketshezi oluzungeze ubuchopho (uketshezi lomgogodla - i-CSF) ngaphakathi kogebhezi. Lokhu kungabangela ikhanda elibuhlungu kakhulu kanye nokushintsha kombono. |
2. Izifo Ezivame Ukungaqondakali
Nakuba abanye abantu beba nalezi zifo ngesizathu esithile, iningi labo liba nalezi zifo ngaphandle kwesizathu esicacile.
| Igama lesifo | Incazelo elula |
|---|---|
| Isifo sikaParkinson | Isifo esithinta ubuchopho. Nakuba inani elincane linezimbangela zofuzo, cishe abantu abangu-90% bayasithola ngaphandle kwesizathu esibonakalayo. |
| I-Pericarditis | Ukuvuvukala kwe-pericardium, ulwelwesi oluncane oluzungeze inhliziyo. Nakuba kunezimbangela ezifana nokutheleleka kanye nokulimala kwesifuba, ezimweni eziningi akukho sizathu esingatholakala. |
| Umfutho Wegazi Ophakeme Wemithambo Yephaphu (i-PAH) | Ukwanda kwengcindezi emithanjeni yegazi ethwala igazi emaphashini. Ngezinye izikhathi kuba khona imbangela, kodwa isimo esivame kakhulu yi-idiopathic. |
| Ingcindezi Ejwayelekile ye-Hydrocephalus (NPH) | Ukunqwabelana koketshezi ebuchosheni. Nakuba kungabangelwa yizimo ezifana nezimila zobuchopho, cishe ezimweni ezingama-50% azikho imbangela. |
Ingabe 'i-Idiopathic' kanye 'ne-Occult' ziyizinto ezimbili ezihlukene?
Yebo, yilapho abantu abaningi bedideka khona. Kwezokwelapha, la magama amabili anezincazelo ezihluke ngokuphelele.
- Idiopathic isho imbangela engaziwa .
- Imilingo isho ukuthi kufihliwe .
Kalula nje, i-Idiopathic isho ukuthi asazi ukuthi iyini imbangela. I-Occult isho ukuthi kukhona imbangela, kodwa asikwazi ukuyibona futhi kunzima ukuyithola.
Ake sibheke izibonelo:
1. Umdlavuza Oyinhloko We-Occult: Cabanga ngomuntu onamaseli omdlavuza esibindini sakhe, kodwa akakwazi ukuthola ukuthi waqala kuphi ngempela. Indawo eyinhloko yomdlavuza ifihliwe (i-occult). Kukhona imbangela, kodwa ifihliwe.
2. Ukuhlolwa Kwegazi Lendle: Lokhu ukuhlolwa okubheka inani elincane legazi esitulweni elincane kakhulu ukuthi lingabonwa ngamehlo enyama. Yilapho igazi "lifihliwe" khona (i-occult).
Ngakho-ke, ungadidanisi la magama amabili. Idiopathic isho ukuthi imbangela ayaziwa, hhayi ukuthi kukhona imbangela efihliwe.
Njengabantu, sonke sithanda ukuthola izimpendulo zombuzo othi "Kungani?" kuyo yonke into. Ikakhulukazi uma kukhulunywa ngempilo yethu, imibuzo efana nokuthi "Kungani lokhu kwenzeke kimi?" kanye nokuthi "Kwenzeke kanjani lokhu?" ihlupha izingqondo zethu. Ngakho-ke, lapho sithola ukuthi sinesifo esingavamile, akumangalisi ukuthi sizizwa sikhathazekile ngokungabi nempendulo yalowo mbuzo othi "kungani?".
Kodwa ungalilahli ithemba. Odokotela nososayensi bahlala becwaninga ngalezi zifo ezingaziwayo. Nsuku zonke, kutholakala izinto ezintsha futhi kuthuthukiswa izindlela zokwelapha ezintsha. Okungaziwa namuhla kungase kuphendulwe kusasa. Ngakho-ke, sebenzisana nodokotela wakho ukuze uphathe izimpawu zakho ngangokunokwenzeka futhi uhlale uphilile.
Umlayezo Wokuya Nawe Ekhaya
- Idiopathic isho ukuthi imbangela yesifo sakho ayikatholakali. Lokhu akusho ukuthi akukho ukwelashwa kwakho.
- Kuvamile ukuzizwa wesaba futhi ukhathazekile ngokungazi imbangela. Khuluma nodokotela wakho ngalokhu ngokukhululekile .
- Ezimweni eziningi, yize imbangela ingelashwa, kunezindlela zokwelapha ezingalawula izimpawu futhi zenze impilo yakho ibe lula.
- Isayensi yezokwelapha ithuthuka usuku nosuku. Isifo esingaziwa imbangela yaso namuhla singase sibe nempendulo kusasa. Ngakho hlala unethemba .
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