Ingabe ngezinye izikhathi uzizwa sengathi imisipha yakho ibuthakathaka futhi ibuhlungu uma ukhuphuka izitebhisi, uphakamisa izinsimbi, noma uphakamisa isandla sakho ukuze uxubhe izinwele zakho? Uma lokhu kungeyona nje indaba yokukhathala, imbangela kungaba yisimo esibizwa ngokuthi i-myositis . Nakuba leli igama elingajwayelekile, kubaluleke kakhulu ukwazi ngalo. Ngakho-ke ake sixoxe ngakho konke ngendlela elula nenobungane namuhla.
Iyini ngempela i-Myositis?
Kalula nje, i-myositis ukuvuvukala kwemisipha yethu. Njengoba nje lapho sithola ukulimala, kuyavuvukala, kubomvu, futhi kube buhlungu, kulokhu, imisipha yethu iyavuvukala ngaphakathi. Ngenxa yalokho, ngokuhamba kwesikhathi, imisipha iqala ukuba buthaka, ivuvuke, futhi ibe buhlungu . Kungaba nzima ukwenza imisebenzi yansuku zonke , njengokukhwela izitebhisi noma ukuphakamisa ingalo yakho.
Ochwepheshe abakaqiniseki ngokuphelele ukuthi yini ebangela lokhu. Kodwa bacabanga ukuthi kungabangelwa ukutheleleka, ukulimala , izimo zokuzivikela komzimba , noma imiphumela emibi yemithi ethile. Nakuba kungekho ikhambi, kunezindlela zokwelapha ezingasiza ukulawula izimpawu futhi zikusize uphile impilo evamile.
Into ebalulekile ukuthi i-myositis ingathatha isikhathi ukuyixilonga, njengoba kunezinye izimo eziningi ezingabangela ubuhlungu bemisipha kanye nobuthakathaka. Ngakho-ke kubalulekile ukuba nesineke futhi ubhekane nokwelashwa.
Yiziphi izinhlobo eziyinhloko ze-myositis?
Kunezinhlobo eziningana eziyinhloko ze-myositis. Uhlobo ngalunye luthinta imisipha ngendlela ehlukile kancane. Ukwazi ukuthi yiluphi uhlobo onalo kungasiza udokotela wakho ukuthi akunikeze ukwelashwa okufanele kakhulu.
| Uhlobo lwe-Myositis | Incazelo elula |
|---|---|
| I-Polymyositis | Lesi yisimo sokuzivikela komzimba. Lokhu kusho ukuthi amasosha omzimba wakho ahlasela ngephutha imisipha yakho. Imisipha eseduze nesikhungo somzimba, njengehlombe, izinqe, amathanga, nentamo, ivame ukuthinteka kakhulu. Kungenza kube nzima ukugwinya, ukukhuluma, ngisho nokuphefumula. |
| I-Dermatyositis | Lokhu kuthinta imisipha kanye nesikhumba. Ngaphezu kobuthakathaka bemisipha, ungase ubone nokuqubuka, amabhamuza, kanye nokushintsha kombala wesikhumba. Ngezinye izikhathi izimpawu zingaba zimbi kakhulu. |
| I-Myositis Yomzimba Ehlanganisiwe Ngokwezikhathi Ezithile (IBM) | Lesi yisifo esenza imisipha ibe buthaka kancane kancane. Sivame ukuqala ezithweni (emilenzeni, ezingalweni, eminweni). Ubuhlungu buvame ukuba buncane, kodwa kungaba nzima ukubamba izinto, futhi ungase uwe njalo. Buthinta kakhulu abantu abangaphezu kweminyaka engu-50 ubudala. |
| I-Necrotizing Myopathy | Okwenzekayo kulokhu ukuthi amaseli emisipha aqala ukufa. Lokhu kubangela ukuba imisipha ibe buthaka. Ngokungafani nezinye izinhlobo, kukhona ukuvuvukala okuncane kulokhu, kodwa imisipha yonakele ngqo. |
| I-Juvenile Myositis | Lesi yisimo se-myositis esithinta izingane ezingaphansi kweminyaka engu-18. Uhlobo oluvame kakhulu yi-juvenile dermatomyositis. Ubuthakathaka bemisipha buhambisana nokuqubuka kwesikhumba. Kodwa-ke, izingane eziningi ziyalulama. |
Ziyini izimbangela ze-myositis?
Nakuba i-myositis iyigama elivamile lokuvuvukala kwemisipha, ingaba nezimbangela eziningana.
Izimo Zokuvuvukala Nezokuzivikela Ezizenzakalelayo
Ezinye izifo zibangela ukuvuvukala emzimbeni wonke. Lokhu kungathinta nemisipha. Ngokuvamile, lezi yizimo zokuzivikela komzimba. Lokhu kusho ukuthi amasosha omzimba ahlasela izicubu zawo ezinempilo.
- I-Dermatyositis
- I-Polymyositis
- I-Lupus
- Izifo ezifana ne-rheumatoid arthritis ziyizibonelo zalokhu.
Izifo
Ukutheleleka ngegciwane uhlobo oluvame kakhulu lokutheleleka olungabangela i-myositis. Lungabangelwa umkhuhlane ovamile, umkhuhlane, noma ngisho namagciwane afana ne-HIV. Lawa magciwane ahlasela imisipha ngokuqondile noma akhiphe izinto ezilimaza imicu yemisipha.
Izidakamizwa ezithile
Eminye imithi nemithi ingalimaza imisipha okwesikhashana. Ezinye izibonelo zalokhu yilezi:
- Utshwala
- I-Cocaine
- Eminye imithi ye-statin ehlisa i-cholesterol
Lezi zinkinga zingavela ngokushesha ngemva kokuqala umuthi, noma ngemva kwezinyanga noma iminyaka yokuwuthatha.
Ukulimala Nokuzivocavoca Okujulile
Cabanga ukuthi awuzange uzivocavoce isikhathi eside bese ngokuzumayo uzivocavoca kanzima. Ngemva kwalokho, imisipha yakho iyabuhlungu izinsuku ezimbalwa, akunjalo? Lokhu kungabhekwa njengohlobo oluncane lwe-myositis. Kodwa kuzophola ngokuphelele ngokuphumula.
I-Rhabdomyolysis
Lesi yisimo esiphuthumayo sezokwelapha . Lokhu kwenzeka lapho imisipha iphuka ngokushesha ngenxa yokulimala okukhulu noma ukuvivinya umzimba ngokweqile. Kanye nobuhlungu bemisipha kanye nobuthakathaka, umchamo ungaba nsundu noma ube bomvu. Uma ubona noma yiziphi zalezi zimpawu, kubalulekile ukuya eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha.
Ziyini izimpawu ze-myositis?
Uphawu oluyinhloko ubuthakathaka bemisipha . Ungase uzizwe kahle kakhulu, noma kungatholakala kuphela ngokuhlolwa. Abanye abantu bangase babe nobuhlungu bemisipha, kanti abanye bangase bangabi nabo.
Ubuthakathaka obubangelwa yi-myositis bungenza kube nzima ukuhamba noma ukuvuka esihlalweni. Ezinye izimpawu zifaka:
- Ubomvu obufana namabala obuvela esikhumbeni, ikakhulukazi ezinkopheni, ebusweni, entanyeni, noma ngemuva kwezandla.
- Ukukhathala.
- Ukuqina kwesikhumba ezandleni.
- Ubunzima bokugwinya ukudla.
- Ubunzima bokuphefumula.
- Ukwehlisa isisindo.
- Ukujuluka ebusuku.
Umuntu one-myositis ebangelwa yigciwane angase aqale abonise izimpawu ezifana nomkhuhlane, umkhuhlane, ukukhwehlela kanye nomphimbo obuhlungu.
“Sonke siyazi ukuthi uma into ethile izwakala ingajwayelekile emizimbeni yethu. Ngisho noma sizama ukuyichaza ngokuthi ‘into ehlukile nje,’ kuhlale kuwumqondo omuhle ukutshela udokotela wakho nganoma yini engavamile,” kusho omunye uchwepheshe. Ngakho-ke uma unezinye zalezi zimpawu, qiniseka ukuthi ukhuluma nodokotela ngazo.
Kwenziwa kanjani ukuxilongwa?
Ngemva kokulalela izimpawu zakho, uma udokotela wakho esola i-myositis, angenza izivivinyo eziningana ukuqinisekisa ukuthi unesifo.
- Ukuhlolwa kwegazi: Lokhu kuhlolwa kubheka amazinga aphezulu ama-enzyme (njenge-creatine kinase) akhishwa egazini lapho imisipha yonakele. Kubheka nama-antibodies athile ukuthola isimo sokuzivikela komzimba.
- I-MRI scan: Lokhu kungathatha izithombe ezicacile zemisipha. Kungabheka izindawo zokuvuvukala kanye nezinguquko emisipheni.
- Ukuhlolwa kwe-EMG (i-Electromyography): Lokhu kuhilela ukufaka ama-electrode amancane afana nenaliti emisipheni kanye nokukala ukuthi imisipha isabela kanjani ezimpawini zemizwa. Lokhu kusiza ekuboneni imisipha ebuthakathaka noma eyonakele.
- Ukuhlolwa kwemisipha: Lena yindlela enembile kakhulu yokuxilonga lesi sifo. Kwenziwa ukusikwa okuncane emisipheni ebuthakathaka bese kuthathwa ingcezu encane kakhulu yezicubu ukuze ihlolwe.
Iphathwa kanjani?
Ukwelashwa okungcono kakhulu kuncike embangela ye-myositis.
- Uma kungenxa yesimo sokuvuvukala: Ama-immunosuppressants anganikezwa, njenge-prednisone ne-azathioprine.
- Uma kubangelwa ukutheleleka: Uma kubangelwa igciwane, akukho ukwelashwa okukhethekile okudingekayo. Uma kubangelwa ukutheleleka ngamagciwane, kunikezwa ama-antibiotic ukuze kuvinjelwe ukutheleleka ukuthi kungasabalali.
- Uma kubangelwa umuthi: Ukwelashwa kuwukumisa umuthi. Isibonelo, uma i-myositis ibangelwa umuthi we-statin, ukuvuvukala kwemisipha kuzophela zingakapheli amasonto ambalwa ngemva kokuyeka umuthi.
Nakuba kungekho ikhambi, izimpawu zingalawulwa. Kubalulekile ukuthatha imithi kadokotela wakho ngesikhathi futhi ube khona emihlanganweni yakho ehleliwe. Ngaphezu kwalokho, ukubona udokotela wezokwelapha umzimba kanye nokufunda izivivinyo zokugcina imisipha yakho iguquguquka futhi iqinile kungaba usizo kakhulu.
Umlayezo Wokuya Nawe Ekhaya
- I-Myositis ukuvuvukala kwemisipha. Izimpawu eziyinhloko ubuthakathaka bemisipha, ubuhlungu, kanye nokuvuvukala.
- Kungaba nezizathu eziningana zalokhu, futhi indlela yokwelapha izoncika esibangweni.
- Uma unenkinga yemisipha noma ubuhlungu obungachazeki, ungakushayi indiva lokho. Qiniseka ukuthi ubonana nodokotela.
- Izimpawu zingalawulwa kahle futhi impilo evamile ingaholwa ngemithi, i-physiotherapy, kanye nokushintsha indlela yokuphila.
- Akudingeki ukuthi udlule kulolu hambo wedwa. Ukufuna ukwesekwa ngumndeni, abangani, futhi, uma kudingeka, amaqembu okusekelana kuzokunika amandla amakhulu engqondo.
I-Myositis, ubuhlungu bemisipha, ubuthakathaka bemisipha, i-autoimmune, i-dermatomyositis, i-polymyositis, i-myositis
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