Wake wahlolwa i-MRI scan? Ngezinye izikhathi udokotela uthi, 'Sidinga ukukunikeza idayi yokuhlukanisa ukuze uthole isithombe esicacile sengaphakathi lomzimba wakho,' akunjalo? Isikhathi esiningi, lokhu kuphephile kakhulu. Kodwa namuhla sikhuluma ngenkinga engavamile kakhulu, ikakhulukazi kumuntu onesifo sezinso. Ungesabi lokhu, ngoba kuyinto engavamile kakhulu ukuthi ungasakuboni. Kodwa kubalulekile ukwazi.
Kalula nje, iyini i-Nephrogenic Systemic Fibrosis (NSF)?
I-Nephrogenic Systemic Fibrosis (NSF) yisimo esingavamile kakhulu. Sivame ukwenzeka kubantu abanesifo sezinso ngemva kokunikezwa uhlobo lwedayi yokuhlukanisa olubizwa ngokuthi i-`gadolinium-based contrast agents (GBCAs). I-Gadolinium iyikhemikhali ekule dayi. Odokotela basebenzisa le dayi yokuhlukanisa ukuze bathole izithombe ezicacile ngesikhathi sokuskena njenge-Magnetic Resonance Imaging (MRI).
Uma unomonakalo wezinso, izinso zakho zinobunzima bokuhlunga la ma-GBCA egazini lakho, yingakho usengozini yokuthola i-NSF.
Lesi sifo singabangela isikhumba sakho ukuba siqine, siqine, sivuvuke, futhi silume . Ngezinye izikhathi, isimo esibizwa ngokuthi 'i-joint contracture' singavela. Lokhu kusho ukuthi imisipha yakho kanye nemisipha ivaleka endaweni eyodwa (igobile noma inwetshwe). I-NSF ingathinta nezitho zangaphakathi njengenhliziyo namaphaphu akho. Lokhu kungenxa yokuthi izicubu nemisipha esifubeni sakho ingaba lukhuni. Okwamanje akukho ikhambi lokuvimba ukuqhubeka kwalesi sifo noma ukuguqula imiphumela yaso.
Kodwa khumbula lokhu: Manje njengoba wonke umuntu eseyazi ngale ngozi, sebeyekile ukunikeza abantu abanesifo sezinso amadayi ayingozi. Yingakho lesi sifo singasazwakali manje.
Sivame kangakanani lesi sifo ngempela?
Lesi yisifo esingavamile kakhulu. Eqinisweni, azikho izimo ezintsha zalesi sifo ezibikiwe iminyaka engaphezu kwe-10. Ngemva kuka-2006, lapho umphakathi wezokwelapha uqaphela ukuxhumana phakathi kwe-GBCA nesifo sezinso, inani lamacala alesi sifo lehla kakhulu. Ngakho-ke, lokhu kukhombisa ukuthi akusekho sidingo sokwesaba lokhu.
Ziyini izimpawu ze-NSF?
Izimpawu zingavela ngosuku olufanayo lapho kunikezwa khona idayi yokungafani noma ezinyangeni ezimbalwa kamuva. Izimpawu zivame ukuvela phakathi namasonto ambalwa.
Ake sibheke izimpawu eziyinhloko.
| Isigaba sezimpawu | Incazelo |
|---|---|
| Izinguquko zesikhumba | Isikhumba sakho siyavuvukala, siqine, futhi sibe sikhulu. Lokhu kuvame ukwenzeka ezingalweni, emilenzeni, nasemzimbeni. Ubuso abuthinteki kakhulu. |
| Ukubukeka kwesikhumba | Amabala amnyama noma amaqhubu esikhumbeni. Ngokuhamba kwesikhathi, isikhumba singase sibe namaqhubu, njengekhasi eliphuzi. |
| Ukuzwa kwesikhumba | Isikhumba esilumayo, esishisayo, noma esibuhlungu. |
| Ubunzima bokuhamba | Njengoba isikhumba sikhula futhi sivuvukala, imisipha namalunga awakwazi ukunyakaza ngendlela evamile. |
| Amathonya angaphakathi | Ubuthakathaka obukhulu bemisipha. Ukuqina kwemisipha kubangela ukuthi isitho singabe sisakwazi ukugoba noma ukuqondisa kahle (Ukulahlekelwa ububanzi bokunyakaza). |
Njengoba i-fibrosis iqhubeka, ingabangela ukwakheka kwezicubu zesilonda emisipheni, emaphashini, emhubheni, emehlweni, nasenhliziyweni. Lokhu kungaphazamisa ukusebenza kwalezi zitho. Kungaholela ekukhubazekeni kwesikhathi eside nokungapheli, futhi kwabanye abantu, kungaba yingozi.
Kungani lesi simo se-NSF senzeka?
Amacala amaningi e-NSF abikwe ngemuva kokuchayeka kuma-gadolinium-based contrast agents (GBCAs). Akukacaci kahle ukuthi i-gadolinium yamakhemikhali iyibangela kanjani i-NSF. Kodwa-ke, kukhona ukuxhumana okucacile phakathi kwesifo sezinso nama-GBCA. Futhi, ingozi ibonakala iphakeme uma unikezwa imithamo ephezulu ye-gadolinium noma uma usebenzisa ama-GBCA athile (amadala).
Lesi simo sivame kakhulu kubantu abanesifo sezinso esingamahlalakhona (CKD) noma labo abasebenzisa i-dialysis.
Kodwa ngiyaphinda ngithi, ningesabi. Akukaze kube khona icala elisha lalokhu cishe eminyakeni eyi-15. Isizathu ukuthi odokotela manje sebeyazi kahle le ngozi. Yingakho benganikeli ama-GBCA amadala futhi ayingozi kubantu abanesifo sezinso. Manje basebenzisa ama-ejenti okungafani aphephile kakhulu futhi amasha.
Yiziphi izindlela zokwelapha i-NSF?
Okwamanje akukho ukwelashwa okuqondile okuvunyelwe i-NSF. Ngenxa yokuthi lesi sifo asivamile, ucwaningo ngokwelashwa lulinganiselwe. Kodwa-ke, kunezindlela eziningana zokwelapha ezinikeze abanye abantu impumuzo ethile:
- I-Dialysis: I-Dialysis isiza ukususa i-gadolinium emzimbeni wakho ngemva kwe-MRI. Lokhu kungaba usizo kubantu abanesifo sezinso. Kodwa-ke, akukho siqinisekiso sokuthi lokhu kuzovimba i-NSF ukuthi ikhule.
- Ukwelashwa Komzimba: Ukwelashwa ngokomzimba kungasiza ekugcineni ukuhamba nokuguquguquka kwamalunga akho.
- Ukufakelwa Izinso: Lokhu kungaba inketho kwabanye abaguli be-NSF.
Into ebaluleke kakhulu ukugwema ukuchayeka ku-gadolinium uma unesifo sezinso. Kodwa ngezinye izikhathi i-gadolinium ingadingeka ukuze uthole izithombe ezinhle kakhulu ezivela ku-MRI. Ezimweni ezinjalo, udokotela wakho uzolinganisa izinzuzo ze-MRI nezingozi ezincane kakhulu ze-gadolinium .
Kufanele ngimbone nini udokotela?
Ngezinyathelo zokuphepha zamanje, amathuba akho okuthola i-NSF cishe awekho. Kodwa-ke, uma unesifo sezinso futhi uhlelelwe ukwenza i-MRI, kungcono ukukhuluma nodokotela wakho ngakho.
Nazi izikhathi lapho kufanele ubonane nodokotela wakho.
| Isimo | Okufanele ngikwenze |
|---|---|
Uma unesifo sezinso futhi uba nezimpawu ezilandelayo ngemuva kokuthola idayi yokuhlukanisa ye-MRI:
| Bona udokotela wakho ngokushesha. Chaza izimpawu zakho ngokucacile. |
| Uma unesifo sezinso futhi udokotela wakho eyalela i-MRI enedayi yokuhlukanisa. | Khuluma nodokotela wakho ngengozi ye-NSF. Buza, "Ingabe ikhona ingozi ngalo mehluko ngoba nginezinkinga zezinso?" Mtshele umlando wakho wezempilo ogcwele. |
Nakuba ama-GBCA amasha engenabo ubuthi futhi ebonakala ephephile, kuhlale kungumqondo omuhle ukwabelana ngomlando wakho wezempilo nodokotela wakho futhi nixoxe nganoma yiziphi izingozi.
Umlayezo Wokuya Nawe Ekhaya
- I-Nephrogenic Systemic Fibrosis (NSF) manje iyisifo esingavamile kakhulu esabangelwa lapho abantu abanesifo sezinso benikwa amadayi amadala okungafani kwe-MRI.
- Lokhu kungabangela ukuqina nokuqina kwesikhumba, futhi kuthinte amalunga nezitho zangaphakathi.
- Ngenxa yokuthi odokotela sebeyazi kangcono le ngozi futhi basebenzisa amadayi amasha futhi aphephile, awekho amacala amasha e-NSF abikwe eminyakeni engaphezu kwe-10.
- Njengoba kungekho ukwelashwa okuqondile kwalokhu, ukuvimbela kuyinto ebaluleke kakhulu.
- Uma unesifo sezinso futhi udinga ukwenza i-MRI enedayi yokuhlukanisa, khuluma nodokotela wakho njalo ngezingozi ezingaba khona.
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