Ingabe umzimba wakho ulwa nemisipha yakho? Ake sifunde ngqo nge-myositis!

Ingabe ngezinye izikhathi uzizwa sengathi izitho zakho zomzimba azinangqondo, noma uzizwa ukhathele kangangokuthi awukwazi ukwenza lutho? Noma ingabe imisipha yakho iyabuhlungu noma ivuvukele? Ungase ungazinaki kakhulu lezi zinto. Kodwa-ke, kungenzeka ukuthi lokhu kungaphezu kokukhathala nje. Namuhla sizokhuluma ngesimo lapho amasosha omzimba wakho ehlasela khona imisipha yakho, okuyinto eyinkimbinkimbi kancane, kodwa ebaluleke kakhulu ukuyazi. Leyo yi -myositis .

Kuyini i-myositis? Masiyiqonde kalula!

Kalula nje, i-myositis yilapho isimiso sakho somzimba sokuzivikela - uhlelo lokuzivikela lomzimba - sihlasela ngephutha imisipha yakho . Kufana nokuhlasela ikhaya lakho. Lokhu kubangela ukuvuvukala okungapheli emisipheni yakho. Ukuvuvukala kubonakala ngokuvuvukala, ukubomvu, nobuhlungu. Njengoba lokhu kuvuvukala kuqhubeka, imisipha yakho iyawohloka kancane kancane. Lokhu ngezinye izikhathi kungaholela ebuhlungwini obukhulu bemisipha.

I-Myositis yisifo esiyingxenye yeqembu elikhulu lezifo ezibizwa ngokuthi i-myopathy . I-Myopathy yigama elijwayelekile lanoma yisiphi isifo esithinta imisipha exhuma emathanjeni ethu futhi isishukumise (ebizwa nangokuthi imisipha yamathambo ). Ngakho-ke, ku-myositis, le yimisipha ethinteka kakhulu.

Yimiphi imisipha ethinteka yi-myositis?

Kunezinhlobo ezahlukene ze-myositis, futhi uhlobo ngalunye lungathinta amaqembu emisipha ahlukene emzimbeni. Kodwa ezivame kakhulu zithinta imisipha esiyisebenzisela imisebenzi yansuku zonke. Cabanga ngalokhu:

• Imisipha esezingalweni nasemahlombe akho.
• Imisipha emilenzeni nasezinqeni zakho.
• Imisipha esiswini sakho kanye nasemhlane (okungukuthi, umzimba wakho).

Lezi zivame ukuba yizona ezithinteka kakhulu. Kodwa-ke, abanye abantu bangase babe nobuthakathaka bemisipha kwezinye izindawo. Isibonelo:

• Imisipha ezungeze amehlo .
• Imisipha ezungeze umphimbo wethu (yilezi ezisisiza ukugwinya ukudla).
• I-diaphragm yethu iyimisipha eyinhloko esisiza ukuphefumula.

Odokotela abakakazi kahle ukuthi yini ebangela i-myositis. Akukho ukwelashwa kwayo okwamanje . Kodwa ungakhathazeki! Udokotela wakho uzokunikeza ukwelashwa okuzokusiza ukulawula izimpawu zakho. Bazophinde batuse ukuzivocavoca kanye nokulula ukuze kusizwe ekuqiniseni nasekululekeni imisipha ethintekile ngenkathi izimpawu zakho zincane.

Okubalulekile:Uma uzizwa uphelelwa amandla ngokuzumayo, unenkinga yokuhamba noma ukuhambisa izitho zakho, noma uhlatshwa yizinhlungu noma ubuhlungu esikhumbeni , bona udokotela ngokushesha . Uma unenkinga yokuphefumula noma yokugwinya, hamba uye egumbini lezimo eziphuthumayo esibhedlela ngokushesha . Lezi akuzona izimpawu ezinhle zokudlala ngazo.

Ingabe zikhona izinhlobo ze-myositis? Ake sifunde ngalokho futhi!

Yebo, kunezinhlobo eziningana eziyinhloko ze-myositis. Udokotela wakho uzokutshela ngqo ukuthi hlobo luni lwe-myositis onalo ngokusekelwe ezimpawini zakho kanye nendawo yemisipha ethintekile. Kunezinhlobo ezintathu eziyinhloko:

• I-Polymyositis
• I-Dermatyositis
• I-myositis yomzimba ehlanganisiwe

Ake sibheke ngayinye yalezi ngemininingwane ethe xaxa.

Ake sifunde nge-Polymyositis

Uma sithi i-polymyositis , igama elithi "poly" lisho "eziningi." Lokhu kusho ukuthi imisipha eminingana iyathinteka ngesikhathi esisodwa. Ngokuvamile, kuthinta imisipha eseduze nesikhungo somzimba wakho. Cabanga ngamahlombe nezinqe.

Lesi simo esibizwa ngokuthi i-polymyositis asiveli ngokuzumayo. Izimpawu zivela kancane kancane, ngokuhamba kwesikhathi . Sivame kakhulu kubantu abadala. Kutholakale nokuthi abesifazane banamathuba aphindwe kabili okuthola lesi simo kunabesilisa.

Uma une-polymyositis, ungase ube nobunzima bokwenza ngisho nemisebenzi elula yansuku zonke. Isibonelo:

• Ubunzima bokuvuka lapho uhleli.
• Ubunzima bokukhuphuka izitebhisi.
• Ubunzima bokuphakamisa izinto ezisindayo.
• Kunzima ukufinyelela phezulu bese ucosha okuthile.

Kuyini i-Dermatyositis?

Ingxenye ethi "derma" yegama elithi dermatomyositis ( i-derma isho isikhumba) kungenzeka ukuthi ikutshele ukuthi ithinta isikhumba. Yebo, lolu hlobo lwe-myositis luthinta isikhumba sakho kanye nemisipha yakho .

Kwabanye abantu, kungathatha izinyanga ukuthi kuvele, kodwa ngezinye izikhathi i-dermatomyositis ingavela ngokuzumayo, noma ngisho ngokushesha. Into ebaluleke kakhulu ukuqala ukwelashwa ngokushesha okukhulu . Yilapho-ke unethuba elingcono lokuvimbela izinkinga ezinkulu.

Nakuba kungavamile kakhulu, i-dermatomyositis ingaba yingozi empilweni , ikakhulukazi phakathi nonyaka wokuqala ngemva kokuqala kwezimpawu. Abantu abanalesi simo kuthiwa banengozi eyengeziwe kancane yokuthuthukisa izinhlobo ezithile zomdlavuza.

I-dermatomyositis ingathinta noma ubani. Uma ithinta izingane ezincane, ibizwa ngokuthi i-juvenile dermatomyositis .

Kuthiwani uma ngiba ne-inclusive body myositis?

I-inclusion body myositis (IBM) yisifo semisipha esiwohlokayo esenzeka kubantu abaneminyaka engaphezu kwengu-50 .

I-IBM ithinta kakhulu imisipha emilenzeni yakho, ikakhulukazi izingalo nemilenze yakho engaphansi kwamadolo . Ingathinta nemisipha emphinjeni wakho ekusiza ukugwinya. Cishe abantu abangu-30% abane-IBM bahlangabezana ne-dysphagia , okuwubunzima bokugwinya.

Uma une-inclusion body myositis (IBM), kungaba nzima ukwenza izinto ezinjengalezi:

• Kunzima ukwenza imisebenzi ebucayi njengokunamathisela izinkinobho zehembe ngeminwe yakho.
• Kunzima ukubamba into encane.
• Ubunzima bokuhamba noma ukuma uqonde.
• Ubunzima bokugwinya ukudla.

Yiziphi izimpawu ezivamile ze-myositis?

Nakuba izimpawu ze-myositis zingahluka kancane kuye ngohlobo, kunezinye izimpawu ezivamile:

• Ubuthakathaka bemisipha: Lolu uphawu oluyinhloko. Ungase ungakwazi ukuphakamisa ingalo noma umlenze ngokuzumayo, noma ube nobunzima bokuvuka esihlalweni.
• Ubuhlungu bamalunga noma bemisipha: Imisipha emzimbeni iyaqaqamba, ngezinye izikhathi kanye namalunga.
• Ukukhathala: Ukuzizwa ukhathele kangangokuthi awukwazi ukwenza lutho.
• Ukuvuvukala: Imisipha ethintekile ingase ivuvuke.
• Ubunzima bokuphefumula noma ukugwinya: Lokhu kuyisibonakaliso esibi kakhulu. Lokhu kungenzeka uma imisipha yomphimbo noma i-diaphragm ithinteka.
• Ukungalingani kwenhliziyo (i-Arrhythmia): Uma i-myositis ithinta imisipha yenhliziyo, isigqi senhliziyo singashintsha.

Lezi zimpawu azihlali phakade. Zingase zibe zimbi kakhulu ngezinye izikhathi futhi zibe ngcono ngezinye izikhathi. Uma izimpawu zinzima, ungase ube nobunzima bokwenza imisebenzi yansuku zonke, ukhathale kalula, futhi uzizwe sengathi awukwazi ukulawula izitho zakho zomzimba. Udokotela wakho uzochaza ukuthi yiziphi izimpawu ongazilindela.

Kungani kwenzeka i-myositis? Ziyini izimbangela?

Eqinisweni, ngisho nodokotela abakakwazi ukusho ngokuqinisekile ukuthi yini ngempela ebangela i-myositis . Ngezinye izikhathi kungenzeka nje ngaphandle kwesizathu. Kodwa ngezinye izikhathi kungabangelwa ezinye izimo zempilo.

Njengoba sishilo ngaphambili, i-myositis iyisifo esibangelwa ukuzivikela komzimba.Lokhu kusho ukuthi esikhundleni sokukuvikela, amasosha omzimba wakho ahlasela izingxenye zomzimba wakho. Akukacaci okwamanje ukuthi kungani la masosha omzimba ehlanyiswa kanje. Kodwa-ke, abanye abantu abanezinye izifo ezizimele banamathuba amaningi okuthuthukisa i-myositis. Isibonelo:

• I-Lupus
• Isifo samathambo esibizwa ngokuthi i-rheumatoid arthritis
• I-Scleroderma

Abantu abanalezi zifo basengozini enkulu yokuthola i-myositis.

Futhi, abanye abantu baye baba ne-myositis ngemva kokutheleleka okuningana ngegciwane . Izibonelo:

• Umkhuhlane ovamile
• Umkhuhlane (umkhuhlane)
• I-HIV

Lokhu kungabangela futhi i-myositis ibe yimbi kakhulu.

Wazi kanjani ngokuqinisekile ukuthi une-myositis? (Ukuxilongwa)

Ukuze wazi ngokuqinisekile ukuthi une-myositis, udokotela uzokuxilonga futhi, uma kudingeka, enze izivivinyo eziningana. Okokuqala, udokotela uzolalela ngokucophelela izimpawu zakho futhi abheke ukuthi uzizwa kanjani uma wenza ukunyakaza okuthile. Ngemuva kwalokho, bangenza izivivinyo eziningana, njengokuthi:

• Ukuhlolwa kwegazi: Lokhu kungabheka ama-enzyme athile akhishwa egazini lapho imisipha yonakele, kanye nama-antibodies athile abonakala ezifweni zokuzivikela komzimba.
• Iskena se-MRI (Magnetic Resonance Imaging): Lokhu kungabona ngokucacile ukuthi kukhona ukuvuvukala emisipheni yakho nokuthi kukuphi.
• Ukuhlolwa kwe-EMG (i-Electromyography): Lokhu kuhlola ukusebenza kukagesi kwemisipha yakho. Lokhu kusiza ekunqumeni ukuthi ubuthakathaka bemisipha bubangelwa yini inkinga ngemisipha ngokwayo noma inkinga ngemizwa.
• Ukuhlolwa kwemisipha: Lokhu kuhilela ukuthatha ingxenye encane yomsipha othintekile bese uyihlola ngaphansi kwesibonakhulu. Lokhu kungabheka izinguquko ezihambisana ne-myositis.

Kungemva kokwenza zonke lezi zivivinyo kuphela lapho udokotela anganquma khona ukuthi une-myositis, futhi uma kunjalo, uhlobo luni.

Yiziphi izindlela zokwelapha i-myositis?

Njengoba sishilo ngaphambili, okwamanje alikho ikhambi le-myositis. Kodwa ungakhathazeki. Udokotela wakho uzokunikeza ukwelashwa ukulawula izimpawu zakho nokunciphisa umthelela empilweni yakho yansuku zonke. Umgomo oyinhloko kadokotela wakho ukulawula izimpawu zakho nokuletha i-myositis yakho ekuphumuleni . Ukuphumula yisikhathi lapho ukuvuvukala emisipheni yakho sekuphelile kakhulu futhi cishe ungenazo izimpawu.

Nazi ezinye zezindlela ezivamile zokwelapha i-myositis:

• Ama-Corticosteroids:Lena imithi efana ne-Prednisolone. Isebenza ngokunciphisa umsebenzi wesimiso somzimba sokuzivikela kanye nokulawula ukuvuvukala.
• Ama-Immunosuppressants: Imithi efana ne-Methotrexate ne-Azathioprine ingeyalesi sigaba. Lokhu futhi kusiza ekunciphiseni ukusebenza ngokweqile kwesimiso somzimba sokuzivikela.
• I-Intravenous Immunoglobulin (IVIG): Lokhu ukwelashwa okunikezwa emthanjeni. Kuyisisombululo esiqukethe ama-antibodies avela kubanikeli abanempilo. Lokhu kusiza ukushintsha izenzo zesimiso somzimba sokuzivikela esihlasela ngephutha.

Ngaphezu kwale mithi, udokotela wakho noma uchwepheshe wezokwelapha uzokufundisa ukwelula nokuzivocavoca okuthile . Lokhu kuzosiza ukugcina imisipha yakho ethintekile iguquguquka futhi iqinile. Lokhu kuzosiza ekunciphiseni ubuhlungu, ukuqina, futhi kuvimbele ukuqubuka kwezimpawu esikhathini esizayo.

Ingabe ikhona indlela yokuvimbela i-myositis?

Ngeshwa, okwamanje ayikho indlela eyaziwayo yokuvimbela i-myositis. Ngenxa yokuthi imbangela eqondile ayikakaziwa okwamanje, akunakwenzeka ukubikezela ukuthi ubani ozoyithola noma ukuthi izimpawu zizoqala nini.

Yini umuntu one-myositis angayilindela?

Nakuba kungekho ukwelashwa kwe-myositis, ukwelashwa kuvame ukuletha ukuphulukiswa kwesifo . Lokhu kusho ukuthi kunezikhathi lapho izimpawu seziphelile futhi ungaphila impilo evamile. Kodwa-ke, kubantu abaningi, i-myositis ingaba yisimo sokuphila konke. Lokhu kusho ukuthi izimpawu zingase zivele futhi ziphele.

Abantu abane-myositis nabo basengozini encane yokuba nesimo esibizwa ngokuthi i-rhabdomyolysis , okuyilapho amangqamuzana emisipha ewohloka ngokushesha futhi okuqukethwe kwawo kuvuza egazini. Lokhu kungaba yingozi ezinso.

Akuvamile kakhulu ukuthi ezinye izinhlobo ze-myositis, ikakhulukazi i-dermatomyositis, zingaba yingozi empilweni. Cishe abantu abangu-5% abane-dermatomyositis bafa kungakapheli nonyaka bexilongiwe. Yingakho sithi, uma uba nezimpawu ezintsha, ungazinaki bese ubona udokotela ngokushesha.

Kufanele ngimbone nini udokotela?

Uma unobuthakathaka obusha bemisipha, ubuhlungu, noma ezinye izimpawu ezingathuthuki ezinsukwini ezimbalwa , bona udokotela ngokushesha . Futhi, uma usuvele une-myositis, tshela udokotela wakho uma izimpawu zakho ziba zimbi kakhulu noma zibonakala zisakazekela ezindaweni ezintsha.

Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, kufanele uye esibhedlela ngokushesha:

• Uma ngokuzumayo ungakwazi ukuhambisa ingxenye yomzimba ongayihambisa ngokujwayelekile.
• Uma unenkinga yokuphefumula.
• Uma unenkinga yokugwinya ukudla nokuphuza.

Lezi akuzona izici ezinhle okufanele uzithathe kalula.

Imibuzo ebalulekile okufanele uyibuze udokotela

Uma uya kudokotela wakho, kubaluleke kakhulu ukubuza imibuzo efana nale:

• Ingabe ngine-myositis noma esinye isimo?
• Nginaluphi uhlobo lwe-myositis?
• Hlobo luni lokuhlolwa okuzodingeka ngenze?
• Ngizodinga hlobo luni lokwelashwa?
• Lesi simo sithinta kanjani impilo yami yansuku zonke?
• Yiziphi izinto okufanele ngiziqaphele?

Ngaphezu kwale mibuzo, buza futhi ucacise noma yini onayo.

Okokugcina, okufanele ukukhumbule (Umyalezo Wokuya Ekhaya)

I-Myositis ukuvuvukala kwemisipha isikhathi eside okubangelwa amasosha omzimba wakho ahlasela imisipha yakho. Lokhu kungabangela izimpawu ukuba zivele ngezikhathi ezithile, noma kungase kudingeke uphile nalesi simo impilo yakho yonke.

Kodwa khumbula, nakuba kungekho ukwelashwa okuphelele kwe-myositis, izimpawu zakho zingalawulwa kahle ngokwelashwa okufanele kanye nokuzivocavoca umzimba.

Khuluma nodokotela wakho futhi ufunde kabanzi ngohlobo lwe-myositis onalo kanye nezinguquko ezingase zenzeke emisipheni nasemzimbeni wakho. Funa iseluleko sezokwelapha ngokushesha uma uba nezimpawu ezintsha noma uma izimpawu zakho ziba zimbi kakhulu. Awuwedwa, futhi kukhona odokotela nabathandekayo abazokusiza kulolu hambo.

'I-Myositis, ubuthakathaka bemisipha, ubuhlungu bemisipha, isifo sokuzivikela komzimba, ukuvuvukala kwemisipha, ukwelashwa