Ingabe umzimba wakho ulwa nemisipha yakho? Funda iqiniso nge-Myositis nge-Nirogi Lanka!

Ingabe ngezinye izikhathi uzizwa ubuthakathaka obungazelelwe ezithweni zakho noma umuzwa wokukhathala okukhulu okwenza kube nzima ukwenza imisebenzi yakho yansuku zonke? Mhlawumbe uke waqaphela ubuhlungu bemisipha noma ukuvuvukala? Kulula ukuzishaya indiva lezi zimpawu njengokukhathala nje, kodwa zingaba izimpawu zokuthize okubaluleke kakhulu. Namuhla e -Nirogi Lanka , sixoxa ngesimo esiyinkimbinkimbi kodwa esibalulekile lapho amasosha omzimba wakho eqala ukuhlasela imisipha yakho. Yisimo esaziwa ngokuthi i-Myositis , futhi ukusiqonda kuyisinyathelo sokuqala sokuphathwa okuphumelelayo.

Kuyini i-Myositis? Masiyiqonde Kalula!

Kalula nje, i-myositis yenzeka lapho isimiso sakho somzimba sokuzivikela —ithimba lokuzivikela lomzimba elalihlose ukukuvikela ezifweni—liqala ngephutha ukuhlasela izicubu zakho zemisipha. Empeleni umzimba wakho uziphendukela wona. Lokhu kubangela ukuvuvukala okungapheli emisipheni yakho. Ukuvuvukala kuhilela ukuvuvukala, ukubomvu, nobuhlungu. Njengoba lokhu kuvuvukala kuqhubeka, imisipha yakho iyabuthaka kancane kancane, ngokuvamile ihambisana nobuhlungu obukhulu bemisipha.

I-Myositis ingaphansi kwesigaba esibanzi sezokwelapha esibizwa ngokuthi i-myopathy . I-Myopathy yigama elijwayelekile lanoma yisiphi isifo esithinta imisipha yamathambo , imisipha enamathele emathanjeni akho ekuvumela ukuthi ushukume. Ku-myositis, le misipha ethile yiyo ethintekile kakhulu.

Yimiphi imisipha ethinteka yi-myositis?

Kunezinhlobo ezahlukene ze-myositis, ngayinye ithinta amaqembu emisipha ahlukahlukene. Kodwa-ke, ivame ukuthinta imisipha oyisebenzisela imisebenzi yansuku zonke, njenge:

• Imisipha esezingalweni nasemahlombe akho.
• Imisipha emilenzeni nasezinqeni zakho.
• Imisipha esiswini sakho nasemhlane (ingaphakathi lakho).

Lezi ngokuvamile yizona ezithinteka kakhulu, kodwa abanye abantu bangase babe nobuthakathaka kwezinye izindawo, njenge:

• Imisipha ezungeze amehlo akho .
• Imisipha yomphimbo , ekusiza ekugwinyeni ukudla.
• I- diaphragm , umsipha oyinhloko obhekene nokuphefumula.

Odokotela basathola imbangela eqondile ye-myositis, futhi okwamanje ayikho ikhambi elihlala njalo . Kodwa-ke, ungapheli amandla! Ithimba lakho lezokwelapha laseNirogi Lanka lizokunikeza ukwelashwa ukuphatha izimpawu zakho. Ngezikhathi lapho izimpawu zizinzile, bazokuqondisa futhi ngokuzivocavoca kanye nemikhuba yokuzelula ukusiza ukuqinisa nokugcina ukuguquguquka kwemisipha yakho ethintekile.

Okubalulekile: Uma uzizwa ubuthakathaka bemisipha ngokuzumayo, unenkinga yokuhamba noma ukuhambisa izitho zakho, noma uthola ukuqubuka kwesikhumba okusha noma ubuhlungu, sicela uxhumane nodokotela ngokushesha . Uma uhlangabezana nobunzima bokuphefumula noma ukugwinya, hamba ngokushesha esibhedlela esiseduze . Lezi zimpawu zidinga ukunakekelwa okuphuthumayo kwezokwelapha.

Ingabe Kunezinhlobo Ezihlukahlukene Ze-Myositis?

Yebo, kunezinhlobo eziningana eziyinhloko ze-myositis. Udokotela wakho uzohlonza isimo sakho ngokusekelwe ezimpawini zakho kanye nendawo yemisipha ethintekile. Izinhlobo ezintathu eziyinhloko yilezi:

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

Ake sibheke ngayinye yalezi ngokuningiliziwe.

Ukuqonda i-Polymyositis

I-Polymyositis , njengoba negama lisho, ihilela ukuvuvukala kwemisipha eminingi. Ngokuvamile ithinta imisipha eseduze nendawo ephakathi yomzimba wakho, njengaleyo esemahlombe nasezinqeni.

I-Polymyositis ayivamile ukuvela ngokuzumayo; izimpawu zibonakala kancane kancane ngokuhamba kwesikhathi . Ivame ukutholakala kubantu abadala, futhi ucwaningo lubonisa ukuthi ingase ivele kabili kaningi kwabesifazane kunakwabesilisa.

Uma une-polymyositis, ungase uthole imisebenzi elula yansuku zonke iyinselele, njenge:

• Ukulwela ukusukuma uhleli phansi.
• Ukuthola ubunzima bokukhuphuka izitebhisi.
• Ukuthola kunzima ukuphakamisa izinto ezisindayo.
• Ubunzima bokufinyelela izinto ezingaphezu kwekhanda lakho.

Kuyini i-Dermatyositis?

I-Dermatyositis ihlanganisa isiqalo esithi “derma,” esibonisa ukuxhumana kwayo nesikhumba. Kulolu hlobo lwe-myositis, uhlangabezana nobuthakathaka bemisipha kanye nezimpawu ezihlobene nesikhumba .

Nakuba lesi simo singakhula izinyanga eziningi kwabanye, kwezinye izimo, i-dermatomyositis ingathuthuka ngokushesha okukhulu. Isici esibaluleke kakhulu ukuqala ukwelashwa kusenesikhathi ukuze kuncishiswe ingozi yezinkinga ezinkulu.

Ezimweni ezingavamile kakhulu, i-dermatomyositis ingaba yingozi empilweni, ikakhulukazi phakathi nonyaka wokuqala wokuqala. Ngaphezu kwalokho, kukhona ubudlelwano obaziwayo phakathi kwalesi simo kanye nengozi ekhulayo kancane yezinhlobo ezithile zomdlavuza.

I-dermatomyositis ingathinta noma ubani. Uma kwenzeka ezinganeni, ibizwa ngokuthi i-juvenile dermatomyositis .

Kuthiwani nge-Inclusion Body Myositis (IBM)?

I-inclusion body myositis (IBM) iyisifo esiqhubekayo, esiwohlokayo semisipha. Sivame ukubonwa kubantu abangaphezu kweminyaka engu-50 .

Ku-IBM, ubuthakathaka buthinta kakhulu izitho zakho zomzimba, ikakhulukazi imisipha esezandleni zakho nasemilenzeni engezansi . Ngaphezu kwalokho, kungathinta imisipha yomphimbo, okusiza ekugwinyeni. Cishe ama-30% alabo abane-IBM bahlangabezana ne-dysphagia , noma ubunzima bokugwinya.

Uma une-inclusive body myositis, ungase uthole okulandelayo kunzima:

• Ukwenza imisebenzi yemisipha emihle, njengokubopha izinkinobho zehembe.
• Ukubamba noma ukubamba izinto ezincane.
• Ukulondoloza ibhalansi ngenkathi uhamba noma umile.
• Ubunzima bokugwinya ukudla.

Yiziphi izimpawu ezivamile ze-myositis?

Nakuba izimpawu zingahluka kuye ngohlobo oluthile lwe-myositis, kunezibonakaliso eziningana ezivamile okufanele uziqaphele:

• Ubuthakathaka bemisipha:Lolu uphawu oluvame kakhulu. Ungase ukuthole kunzima ukuphakamisa izingalo zakho, ukusukuma esihlalweni, noma ukukhuphuka izitebhisi.
• Ubuhlungu bamalunga noma bemisipha: Ungase uzwe ubuhlungu noma ubuhlungu emisipheni yakho, ngezinye izikhathi obuhambisana nobuhlungu bamalunga.
• Ukukhathala: Ukuzizwa ukhathele kakhulu okwenza ngisho nemisebenzi elula yansuku zonke izwakale ikhathaza.
• Ukuvuvukala: Izindawo lapho imisipha ethintekile ikhona zingase zibonakale zivuvukele.
• Ubunzima bokuphefumula noma ukugwinya: Lolu uphawu olubi kakhulu. Lungenzeka uma imisipha yomphimbo wakho noma i-diaphragm ithinteka.
• Ukungalingani kwesigqi senhliziyo (i-Arrhythmia): Uma i-myositis ithinta imisipha yenhliziyo, ingabangela izinguquko ekushayeni kwenhliziyo yakho.

Lezi zimpawu azihlali zifana njalo. Ungase ube nezikhathi lapho izimpawu ziqala khona, kulandelwe izikhathi zokuthuthuka. Ngesikhathi sokuqubuka, ungase uthole imisebenzi yansuku zonke iyinselele, uzizwe ukhathele kalula, noma uhlushwa ukulawula imisipha. Udokotela wakho eNirogi Lanka uzochaza ukuthi yiziphi izimpawu ezithile okufanele uziqaphele.

Kungani kwenzeka i-myositis? Ziyini izimbangela?

Uma sikhuluma iqiniso, ngisho nochwepheshe bezokwelapha abakwazi ukuthola imbangela eyodwa eqinisekile ye-myositis . Ngezinye izikhathi kungavela ngaphandle kwesizathu esicacile, kanti ngezinye izikhathi, kungabangelwa yizimo zempilo eziyisisekelo.

Njengoba sesishilo, i-myositis iyisifo sokuzivikela komzimba . Lokhu kusho ukuthi isimiso sakho somzimba, esenzelwe ukukuvikela, sihlasela ngephutha izicubu zomzimba wakho. Nakuba kungaqondakali ngokugcwele ukuthi kungani isimiso somzimba womuntu senza ngale ndlela, abantu abanezimo zokuzivikela komzimba ezikhona basengozini enkulu yokuthola i-myositis. Izibonelo zifaka:

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

Labo abanalezi zimo basengozini enkulu yokuthola i-myositis.

Ngaphezu kwalokho, abanye abantu bahlakulela i-myositis ngemva kokutheleleka ngegciwane , njenge:

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

Lezi zifo ngezinye izikhathi zingasebenza njengezimbangela zalesi simo.

I-myositis itholakala kanjani?

Ukuze anqume ngokunembile ukuthi une-myositis, udokotela kuzodingeka enze ukuhlolwa ngokomzimba futhi acele ukuhlolwa okuqondile kokuxilonga. Ekuqaleni, udokotela wakho uzolalela ngokucophelela izimpawu zakho futhi ahlole ukuthi uzizwa kanjani ngokunyakaza okuthile. Bangase bahlele ukuhlolwa okulandelayo:

• Ukuhlolwa kwegazi: Lokhu kusiza ekutholeni ama-enzyme athile akhishwa egazini lapho kwenzeka umonakalo emisipheni. Bangahlola nama-antibodies athile ahlobene nezifo zokuzivikela komzimba.
• Ukuskena kwe-MRI (Magnetic Resonance Imaging): Lokhu kunikeza izithombe ezicacile ukuze kutholakale ukuthi kukhona yini ukuvuvukala kwemisipha nokuthi kukuphi ngqo.
• Ukuhlolwa kwe-EMG (i-Electromyography):Lokhu kuhlola ukusebenza kukagesi kwemisipha yakho, okusiza ekunqumeni ukuthi ubuthakathaka bemisipha bubangelwa inkinga yemisipha noma inkinga ehlobene nemizwa.
• Ukuhlolwa kwemisipha: Phakathi nale nqubo, isampula encane yemisipha ethintekile iyasuswa bese ihlolwa ngaphansi kwe-microscope ukuthola izimpawu ezicacile ze-myositis.

Udokotela wakho uzobuyekeza zonke lezi ziphumo ukuqinisekisa ukuthi une-myositis futhi anqume uhlobo oluthile.

Yiziphi izindlela zokwelapha i-myositis?

Njengoba kuphawuliwe, okwamanje akukho ukwelashwa okuphelele kwe-myositis . Kodwa-ke, sicela ungadikibali. Ithimba lakho lezokunakekelwa kwempilo lizokunikeza ukwelashwa ukuphatha izimpawu zakho nokunciphisa umthelela empilweni yakho yansuku zonke. Umgomo wethu oyinhloko eNirogi Lanka ukulawula izimpawu zakho nokuletha isimo esimweni esingcono - isikhathi lapho ukuvuvukala kwemisipha kuncipha kakhulu futhi izimpawu zincane noma azikho.

Izindlela zokwelapha ezivamile ze-myositis zifaka:

• Ama-Corticosteroids: Imithi efana ne-Prednisolone ivame ukusetshenziselwa ukucindezela isimiso somzimba sokuzivikela esisebenza ngokweqile nokulawula ukuvuvukala.
• Ama-immunosuppressants: Imithi efana ne-Methotrexate noma i-Azathioprine inganikezwa ukuze ilawule kakhulu amasosha omzimba wakho.
• I-Intravenous Immunoglobulin (IVIG): Lokhu ukwelashwa okunikezwa ngemithambo yegazi, kusetshenziswa ama-antibodies avela kubanikeli abanempilo ukusiza ukulungisa ukungasebenzi kahle kwesistimu yomzimba.

Ngaphezu kwemithi, udokotela wakho noma uchwepheshe wezokwelapha uzokufundisa ukwelula nokuzivocavoca okuthile . Lokhu kubalulekile ekugcineni imisipha yakho ethintekile iguquguquka futhi iqinile, inciphise ubuhlungu, futhi ikusize uphathe ukuqubuka kwemisipha esikhathini esizayo ngempumelelo.

Ingabe ikhona indlela yokuvimbela i-Myositis?

Ngeshwa, ayikho indlela eyaziwayo yokuvimbela i-myositis okwamanje. Ngenxa yokuthi izimbangela eziqondile azikacaci, okwamanje akunakwenzeka ukubikezela ukuthi ubani ongase abe nalesi simo noma ukuthi izimpawu zingase ziqale nini.

Yini umuntu one-Myositis angayilindela?

Nakuba kungekho ukwelashwa okuhlala njalo kwe-myositis, ukwelashwa kungaholela ezikhathini zokululama , lapho ungase ungabi nazimpawu eziningi noma ungabi nazo nhlobo futhi ujabulele inqubo evamile yansuku zonke. Kodwa-ke, kwabaningi, i-myositis iwuhambo lokuphila konke olubonakala ngokuqubuka kanye nezikhathi zokuthuthuka.

Abantu abane-myositis bangaba nengozi enkulu yokuthola i-rhabdomyolysis, isimo lapho amangqamuzana emisipha ewohloka ngokushesha futhi akhiphe okuqukethwe kwawo egazini, okungaba yingozi ezinso zakho.

Akuvamile kakhulu, izinhlobo ezithile ze-myositis—ikakhulukazi i-dermatomyositis—zingasongela ukuphila. Imibiko ikhombisa ukuthi cishe ama-5% eziguli ezine-dermatomyositis zingase zibhekane nezinkinga ezinkulu ngonyaka wokuqala wokuxilongwa. Yingakho sikunxusa: uma ubona noma yiziphi izimpawu ezintsha noma eziya ziba zimbi, ungangabazi ukuxhumana nodokotela wakho ngokushesha.

Kufanele ubonane nini nodokotela?

Uma uzwa ubuthakathaka obusha bemisipha, ubuhlungu, noma ezinye izimpawu eziqhubeka izinsuku ezingaphezu kwezimbalwa, funa usizo lwezokwelapha ngokushesha . Uma usuvele utholakale une-myositis, yazisa udokotela wakho uma ubona izimpawu zakho ziba zimbi noma zisakazekela ezindaweni ezintsha.

Funa ukunakekelwa okuphuthumayo ngokushesha (shayela u-911 noma uye ekamelweni eliphuthumayo eliseduze) uma uhlangabezana nalokhu okulandelayo:

• Ukungakwazi ukunyakazisa isitho noma iqembu lemisipha ngokuzumayo obungakusebenzisa ngaphambilini.
• Ubunzima bokuphefumula.
• Ubunzima bokugwinya ukudla noma isiphuzo.

Lezi yizibonakaliso eziyisixwayiso ezingathi sína ezidinga ukungenelela kwezokwelapha okuphuthumayo.

Imibuzo ebalulekile okufanele uyibuze udokotela wakho

Uma uvakashela udokotela wakho, cabanga ngokubuza le mibuzo ebalulekile:

• Ingabe ngine-myositis, noma ingabe esinye isimo?
• Ngiluphi uhlobo oluthile lwe-myositis enginalo?
• Yiziphi izivivinyo zokuxilonga engizozidinga?
• Yiziphi izindlela zami zokwelapha?
• Lesi simo sizoyithinta kanjani impilo yami yansuku zonke?
• Yiziphi izimpawu eziyisixwayiso okufanele ngiziqaphele?

Ngaphandle kwalokhu, sicela ukhululeke ukubuza noma yimiphi eminye imibuzo ongase ube nayo ukuqinisekisa ukuthi uyiqonda ngokugcwele impilo yakho.

Umyalezo Wokugcina Wokuya Nasekhaya

I-Myositis yisimo sokuvuvukala esingamahlalakhona lapho amasosha omzimba wakho ehlasela khona izicubu zakho zemisipha ngephutha. Ngenxa yalokhu, ungase ubhekane nokuqhuma kwemisipha, futhi kungase kudingeke ukuthi ulawule lesi simo impilo yakho yonke.

Nokho, sicela ukhumbule: yize kungekho ukwelashwa okuhlala njalo, ukwelashwa okufanele kanye nokwelashwa ngokomzimba kungakusiza ukuthi uphathe kahle izimpawu zakho futhi ugcine impilo yakho isezingeni elihle.

Sebenza eduze nethimba lakho lezokunakekelwa kwempilo ukuze uqonde uhlobo oluthile lwe-myositis yakho kanye nezinguquko umzimba wakho ongase ubhekane nazo. Uma ubona izimpawu ezintsha noma izinguquko zesimo sakho esikhona, funa isiqondiso sezokwelapha ngokushesha. Awuwedwa kulolu hambo; ithimba lakho lezokunakekelwa kwempilo kanye nabathandekayo eNirogi Lanka balapha ukuzokusekela.

* I-Myositis, Ubuthakathaka Bemisipha, Ubuhlungu Bemisipha, Isifo Sokuzivikela Emzimbeni, Ukuvuvukala Kwemisipha, Ukwelashwa