Cabanga nje, izindlebe zakho ziphenduka zibe bomvu futhi zibe buhlungu. Noma impumulo yakho, amadolo, namalunga akho kuvuvukale bese kuba buhlungu. Ingabe lolu hlobo lwento luyaphela ngemva kwezinsuku ezimbalwa bese lubuya futhi? Lokhu akuyona nje enye into. Lokhu kungaba uphawu lwesimo esingavamile kodwa esikhathazayo esibizwa ngokuthi i-Relapsing Polychondritis . Ake sixoxe ngalokhu namuhla.
Iyini le Relapsing Polychondritis (RP)?
Kalula nje, i-Relapsing Polychondritis (RP) yisifo esingavamile esibangela ukuvuvukala kwe- cartilage nezinye izicubu emizimbeni yethu. I-cartilage iyizicubu eziqinile kodwa eziguquguqukayo, njengamathambo ezindlebeni zethu, ekhaleni, nasemalungeni.
Manje, kuyini lokhu kuvuvukala ? Cabanga ukuthi lapho into efana negciwane noma amagciwane ingena emzimbeni wethu, amasosha omzimba wethu aqala ukulwa nalo. Bese, indawo lapho lokho kulwa kwenzeka khona iba bomvu, ivuvuke, ishise, futhi ibe buhlungu. Yilokho esikubiza ngokuthi ukuvuvukala. Ku-RP, lolu hlobo lokuvuvukala lwenzeka ezindaweni lapho kukhona khona i-cartilage.
Ubuhlungu balesi sifo buvame ukuvela ngokuzumayo. Nakuba bungathinta kokubili abesilisa nabesifazane, futhi kunoma yimuphi ubudala, buvame kakhulu kubantu abaneminyaka ephakathi kuka-40 no-60.
I-RP ayithinti wonke umuntu ngendlela efanayo.
- Kwabanye: Lesi yisimo esingesihle neze, futhi izimpawu ziyaphela zodwa phakathi nezinsuku ezimbalwa.
- Kwabanye: Lesi simo sivame ukwenzeka futhi sibangela ubuhlungu obukhulu .
Lesi sifo singathinta izitho ezibalulekile njengenhliziyo namaphaphu, futhi ngezinye izikhathi singaba yingozi empilweni. Ngakho-ke, kubaluleke kakhulu ukuqaphela lokhu.
Ziyini izimpawu zalesi sifo?
I-RP ithinta kakhulu uqwanga ezindlebeni zethu, ekhaleni, nasemalungeni. Kodwa ingathinta nezimbambo, umgogodla , kanye ne-trachea.Eqinisweni, lesi sifo singathinta noma iyiphi indawo lapho kukhona khona izicubu ezifana ne-cartilage, isibonelo, amehlo, inhliziyo, isikhumba, izinso, imithambo yegazi , ngisho nohlelo lwezinzwa.
Ake sibone ukuthi yiziphi izimpawu ezivamile.
| Ingxenye yomzimba ethintekile | Izici ezibonakalayo |
|---|---|
| Izindlebe | Ingxenye engaphandle yendlebe (i-earlobe) ngokuzumayo iba bomvu, ivuvuke futhi ibe buhlungu. |
| Impumulo | Ukulimala kwe-cartilage yamakhala, okubangela ukuthi ibhuloho lekhala licwile (impumulo yesihlalo). Ubuhlungu nokuvuvukala kwekhala. |
| Amehlo | Ukubomvu kwamehlo, ubuhlungu, ukuvuvukala, kanye nezinkinga zokubona. |
| Amalunga | Ukuvuvukala nobuhlungu emalungeni njengezandla, iminwe, amahlombe, izindololwane, amadolo, nasemaqakaleni. Lokhu kungenzeka noma ngabe une-arthritis noma cha. |
| Umphimbo kanye nomphimbo womoya | Ubunzima bokuphefumula, ubunzima bokukhuluma, ubunzima bokugwinya, ukukhwehlela, kanye nobuhlungu endaweni yomphimbo/intamo. |
| Izimbambo Nesifuba | Ubuhlungu obukhulu lapho kuhlangana khona izimbambo kanye nethambo lesifuba. |
| Isikhumba | Ukuqubuka kwesikhumba okuhlukahlukene. |
Ngaphezu kwalokho, abantu abanalesi sifo bangase babe nezinye izimo zokuvuvukala, njenge-vasculitis (ukuvuvukala kwemithambo yegazi) noma i-ankylosing spondylitis, noma ezinye izifo ezizimele, njenge-lupus.
Into ebaluleke kakhulu ukuthi, uma unesinye noma ngaphezulu salezi zimpawu, ikakhulukazi uma zifika ziphinde zidlule, bese ziphinde zivele, ungachithi isikhathi uye kudokotela.
Iyini imbangela yalokhu?
Eqinisweni, odokotela abakayazi imbangela eqondile ye-RP. Abanye ososayensi bakholelwa ukuthi i-gene ethile ingandisa ingozi yokuthola lesi sifo, kodwa akusona isifo esizuzwe njengefa.
Lokhu kubhekwa njengesifo sokuzivikela komzimba , noma isifo sokuzivikela komzimba.
Kusho ukuthini? Kalula nje, isimiso somzimba sokuzivikela, okufanele sivikele imizimba yethu ezifweni, siqala ngephutha ukuhlasela izicubu zethu ezinempilo ze-cartilage. Kufana nebutho lethu elihlasela izwe lakithi. Kukhona futhi nombono wokuthi lesi simo singaba sibi kakhulu ukucindezeleka noma izinto ezithile endaweni ezungezile.
Udokotela ukuthola kanjani lokhu?
Akukho ukuhlolwa okuqondile kwe-RP. Udokotela wakho uzokuhlola kuqala bese ebuza ngezimpawu zakho. Bangase benze ukuhlolwa kwegazi ukuhlola ukuvuvukala emzimbeni wakho. Bangase futhi benze ama-X-ray ukuze babheke noma yiziphi izindawo ezithintekile.
Ukuze axilonge lesi sifo ngokuqinisekile, udokotela uzobheka izimpawu ezintathu noma ngaphezulu kwezilandelayo:
| Izinto okufanele uzicabangele ukuze uxilongwe |
|---|
| Ukuvuvukala kwe-cartilage yezindlebe zombili. |
| Ukuvuvukala kwe-cartilage yamakhala. |
| Ukuvuvukala kwe-cartilage yendlela yokuphefumula. |
| I-arthritis emalungeni amahlanu noma ngaphezulu ngesikhathi esisodwa. |
| Izinkinga zokuzwa noma zokulinganisela (isiyezi, ukulahlekelwa ukuzwa). |
| Ukuvuvukala kwamehlo (isb. conjunctivitis, scleritis). |
Kwezinye izimo, udokotela angase anqume ukuthatha ingxenye encane yezicubu endaweni ethintekile ayihlole ngaphansi kwe-microscope ukuqinisekisa ukuxilongwa. Lokhu sikubiza ngokuthi i -biopsy .
Kuye ngokuthi lesi sifo sikuthinta kanjani, ungathunyelwa kuchwepheshe. Isibonelo, udokotela wamathambo, udokotela wenhliziyo, noma uchwepheshe wokulawula ubuhlungu.
Yiziphi izindlela zokwelapha lokhu?
Akukho ukwelashwa kwe-RP okwamanje. Kodwa-ke, udokotela wakho angakusiza ukunciphisa ubuhlungu bakho, ukuphatha izimpawu zakho, nokunciphisa umonakalo ku-cartilage yakho. Izinketho zokwelapha ziyahlukahluka kuye ngokuthi isimo sibucayi kangakanani.
- Ama-Painkiller: Kulabo abanesifo esingesibi kangako, ama-painkiller ajwayelekile (alwa nokuvuvukala) anikezwa ukulawula ubuhlungu.
- Ama-Steroids: Ama-Steroids, njenge-prednisone, anikezwa ukulawula ukuvuvukala.
- Imithi yokuvimbela amasosha omzimba: Uma isifo sibi kakhulu, kungadingeka unikezwe imithi enamandla enciphisa isimiso sakho somzimba sokuzivikela.
- Ukuhlinzwa: Ezimweni ezimbi kakhulu, ukuhlinzwa kungadingeka, njengokulungisa ivalvu yenhliziyo eyonakele noma ukufaka ipayipi lokuphefumula ngenxa yobunzima bokuphefumula.
Kubaluleke kakhulu: Ungasebenzisi noma yimuphi wale mithi ngaphandle kokubonisana nodokotela wakho. Kuye ngohlobo lwesifo sakho, udokotela wakho kuphela onganquma ukwelashwa okufanele kakhulu kanye nomthamo wakho.
Impilo izoqhubeka kanjani nalesi sifo?
Umphumela wesikhathi eside we-RP uyahlukahluka kuye ngomuntu nomuntu. Lesi sifo singaba sibi kakhulu ngokuhamba kwesikhathi. Ukulahlekelwa ukubona nokuzwa, isifo senhliziyo namaphaphu, kanye nezinkinga zokulinganisela kuvamile ezigabeni zakamuva zesifo.
Nakuba kungaba yingozi ezimweni ezimbi kakhulu, ungakhathazeki. Ngokuthuthuka kwesayensi yezokwelapha eminyakeni embalwa edlule, izinga lokusinda kwalaba ziguli likhuphuke kakhulu. Ngokwelashwa okufanele kanye neseluleko, abantu abaningi baphila ngempumelelo nalesi sifo.
Umlayezo Wokuya Nawe Ekhaya
- I-Relapsing Polychondritis (RP) yisifo esingavamile sokuzivikela komzimba esihlasela i-cartilage yomzimba.
- Izimpawu eziyinhloko ubuhlungu obungazelelwe, ukubomvu , kanye nokuvuvukala ezindlebeni, ekhaleni, noma emalungeni.
- Lezi zimpawu zingase ziphele ngemva kwesikhashana bese ziphinde zivele (ziphinde zibuye).
- Akukho ukuhlolwa okuqondile kokuthola lokhu, futhi ukuxilongwa kusekelwe ezimpawini eziningana.
- Nakuba lesi sifo singelapheki ngokuphelele, ngokwelashwa okufanele, izimpawu zingalawulwa futhi impilo evamile ingaholwa.
- Uma unezimpawu ezinjengalezi, kubaluleke kakhulu ukubona udokotela ngokushesha bese ucela iseluleko .
I-Polychondritis Ebuyela Emuva, Isifo Se-Cartilage, Ubuhlungu Bamalunga, Ubuhlungu Bendlebe, Ubuhlungu Bekhala, Ukuzivikela Ngokuzenzakalelayo, Uhlelo Lokuzivikela Emzimbeni
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