Wake wazizwa ubuhlungu obungavamile, obungaqondakali esiswini sakho noma emhlane ongezansi? Singase sicabange ukuthi ukuhlaselwa yinhliziyo noma ukulimala okuncane emhlane. Kodwa-ke, namuhla sizokhuluma ngesimo esingaba nezimpawu ezifanayo, okuyinto engavamile, kodwa kubaluleke kakhulu kithi sonke ukuba siqaphele. Lokhu kubizwa ngokuthi i-retroperitoneal fibrosis. Ngezinye izikhathi kubizwa nangokuthi isifo sika-Ormond.
Kuyini i-Retroperitoneal Fibrosis? Kalula nje...
Kalula nje, i-retroperitoneal fibrosis
ukwakheka kwezicubu ezifana nezibazi (i-fibrosis) ezizungeze izitho esikhaleni esibizwa ngokuthi i-retroperitoneum, isikhala esingemuva kwesisu sethu. Kufana nesibazi esakheka esikhumbeni sethu, kodwa kwenzeka ngaphakathi emizimbeni yethu. Ngenxa yokuthi kuyisimo esiqhubekayo, izimpawu ezifana nobuhlungu nokuncipha kokukhishwa komchamo zingaba zimbi kakhulu ngokuhamba kwesikhathi.
Kulungile, pho iyini le retroperitoneum?
Izitho eziningi ngaphakathi kwesisu sethu (njengesibindi, isisu, amathumbu) zizungezwe ulwelwesi oluvikelayo olubizwa ngokuthi i-peritoneum.
Isikhala esingemuva kwale peritoneum, esibheke emgogodleni, sibizwa ngokuthi i-retroperitoneum. Le ndawo yilapho:
- Izinso
- Izingxenye zesistimu yomchamo
- Imithambo yegazi emikhulu ethwala igazi eliya nelibuya emilenzeni (isibonelo, i-vena cava engaphansi)
- Izitho ezibalulekile njengezindlala ze-adrenal zitholakala lapho.
Lokhu kuyithinta kanjani imizimba yethu?
Njengoba kushiwo, i-fibrosis, noma izicubu zesilonda, ziyakhula kancane kancane, zithinte izitho nezinye izakhiwo ku-retroperitoneum.
Ngokuvamile, lokhu kuthinta kakhulu ama-ureter, amapayipi athwala umchamo esuka ezinso zethu aye kwesinye. Cabanga ukuthi kwenzekani lapho leso zicubu esijiyile sakheka sizungeze la mapayipi futhi siqina? Kufana nokucindezela ipayipi lamanzi, okuvimbela ukugeleza komchamo. Uma lesi simo siba sibi kakhulu,
izinkinga ezisongela ukuphila njengokwehluleka kwezinso zingavela.
Ubani onamathuba amaningi okuthuthukisa i-retroperitoneal fibrosis?
Lesi simo
sivame kakhulu kwabesilisa abaneminyaka ephakathi kuka-40 no-60. Lokhu kusho ukuthi amadoda aseminyakeni ephakathi asengozini enkulu kancane. Ngaphezu kwalokho, kunezinye izici eziningana eziyingozi:
- Kulabo abasebenza ngezinto ezifana ne-asbestos (ngenxa yokuchayeka kuzo).
- Kwababhemayo kanyeKulabo abasebenzisa imikhiqizo kagwayi .
Yini ebangela lokhu? Izimbangela zesifo sika-Ormond
Esikhathini esiningi,
kunzima ukuthola imbangela ethile yalokhu. Kwezokwelapha, sikubiza ngokuthi
idiopathic . Lokho kusho ukuthi "yimbangela engaziwa." Kodwa-ke, kunezinye izimo lapho kwenzeka khona njengenkinga yesinye isimo. Ezinye zezimbangela zifaka:
- Eminye imithi (sizoxoxa ngalokhu kamuva).
- Izinhlobo zomdlavuza , ikakhulukazi i-Hodgkin lymphoma kanye ne-non-Hodgkin lymphoma.
- Izimo zokutheleleka .
- Ukwelashwa ngemisebe ezintweni ezinjengomdlavuza.
- Ukulimala kwezicubu kuleyo ndawo, kungaba ngenxa yokuhlinzwa noma enye ingozi.
Yiziphi izinhlobo zemithi ezingadala lokhu?
Kutholakale ukuthi lesi simo singavela uma imithi ethile isetshenziswa isikhathi eside. Nazi izibonelo ezimbalwa:
- Ama-Beta- blocker ayiqembu lemithi esetshenziswa ukwelapha izifo zenhliziyo . Izibonelo zifaka phakathi i-propranolol, i-metoprolol, kanye ne-atenolol.
- Ama-dopamine antagonists yizidakamizwa ezisetshenziselwa ukwelapha izifo zengqondo kanye nesicanucanu. Izibonelo: i-methyldopa, i-pergolide.
- Amaphilisi e-Hydralazine okwelapha umfutho wegazi ophakeme.
- Imithi efana ne-ergotamine, esetshenziselwa ukwelapha ikhanda elibuhlungu.
- Ezinye izidakamizwa zokunciphisa ubuhlungu, ikakhulukazi izidakamizwa zokunciphisa ubuhlungu kanye nezidakamizwa ezingezona izidakamizwa ezilwa nokuvuvukala .
Okubalulekile: Uma usebenzisa lolu hlobo lomuthi, ungesabi. Akuwona wonke umuntu ozobhekana nalesi simo. Kodwa kubalulekile ukuqaphela lokhu futhi ukhulume nodokotela wakho ngakho.
Ziyini izimpawu zalokhu?
Izimpawu zingahluka kumuntu nomuntu. Kuya ngokuthi i-fibrosis ikuphi nokuthi inzima kangakanani.
Ezigabeni zokuqala, ungase uzwe ubuhlungu esiswini sakho, emhlane ongezansi, noma emaceleni. Lobuhlungu bungacaci, okusho ukuthi kunzima ukubuthola "lapha nalaphaya," futhi kungaba ubuhlungu obujwayelekile. Ezinye izimpawu zifaka:
- Kunzima ukunyakazisa imilenze yakho nokuhambahamba.
- I-Hydrocele: Lesi yisimo lapho amasende amadoda evuvukala khona.
- Ukuvuvukala kwemilenze, ubuhlungu emilenzeni, noma ukushintsha kombala wesikhumba emilenzeni.
- Ukwehla kokukhishwa komchamo.
Yiziphi izinkinga ezingaba khona ngenxa yesifo sika-Ormond?
Uma i-retroperitoneal fibrosis iqhubeka, okusho ukuthi izicubu zesilonda ziyanda futhi ziqala ukucindezela izitho zomzimba, kungavela izinkinga
ezahlukahlukene . Ezinye zazo yilezi:
- I-anemia: Lokhu kusho ukwehla kwenani lamaseli abomvu egazi emzimbeni, noma nje "ukuntuleka kwegazi".
- I-Anuria: Lesi yisimo lapho umchamo ungaphumi nhlobo. Lesi yisimo esiphuthumayo.
- Umzimba ohlunguzelayo.
- I-Jaundice: Ukuphuzi kwamehlo nesikhumba.
- Isicanucanu nokuhlanza.
- Izinkinga ze-neurologic.
- Ukufa kwezicubu zamathumbu (i-necrosis).
- Ukwehlisa isisindo.
I-fibrosis ye-retroperitoneal ihlolwa kanjani?
Uma unalezi zimpawu, bona udokotela futhi uzokuxilonga. Lokhu kungafaka:
- Ukuhlolwa komzimba: Udokotela uzothinta isisu sakho ukuze ahlole noma yikuphi ukukhubazeka, njengezigaxa.
- Ukuhlolwa kwegazi: Lokhu kungabona izimpawu zokuqala zesifo sezinso kanye nezinkinga ezifana ne-anemia.
- I-ultrasound yezinso (izinso): Uma izimpawu zibonisa inkinga yezinso, lokhu kuhlolwa kungahlola i-fibrosis nezinye izinkinga.
- I-CT scan: Lokhu kungalinganisa ubukhulu be-fibrosis. Kungasiza futhi ekuvimbeleni ezinye izimo, njengezinhlayiya ze-lymph ezivuvukele embotsheni noma kwezinye izimila.
Ingabe kuyadingeka ukwenza i-biopsy?
Ezimweni eziningi, i-retroperitoneal fibrosis ingatholakala ngokuhlolwa kwegazi kanye nokuhlolwa kwezithombe okukhulunywe ngakho ngenhla (i-ultrasound, i-CT scan). Kodwa-ke, kwezinye izimo ezikhethekile
, i-biopsy ingadingeka. Lokhu kusho ukuthatha ucezu lwezicubu bese uluhlola ngaphansi kwe-microscope. Amacala anjalo afaka:
- Uma kukhona izinsolo zomdlavuza noma ukutheleleka.
- Uma ukwelashwa kokuqala kungaphumeleli.
Hlobo luni lokwelashwa engiludingayo?
Izinketho zokwelapha ezingcono kakhulu kuwe zizoncika endaweni kanye nobukhulu be-fibrosis. Ezigabeni zokuqala zesifo sika-Ormond, ukwelashwa kwakho kungafaka:
- Ama-Corticosteroids:Le mithi inciphisa ngokushesha ukuvuvukala emzimbeni futhi imise ukukhula kwe-fibrosis.
- Ama-immunomodulators: Le mithi isebenza ngokushintsha indlela amasosha omzimba asebenza ngayo. Lokhu kunganciphisa ingozi yokuphindaphinda kwe-fibrosis esikhathini esizayo. Kodwa-ke, njengoba ama-immunomodulators engathatha izinyanga eziningana ukusebenza, anganikezwa kanye nama-corticosteroids.
- Ukuphathwa kwemithi: Ngezinye izikhathi, uma i-fibrosis ibangelwa umuthi owuthathayo, udokotela wakho angase ashintshe umuthi noma anciphise umthamo.
Uma i-fibrosis isiqhubekele phambili, kungase kudingeke ezinye izindlela zokwelapha:
- Ukuhlinzwa: Kungase kudingeke ukuhlinzwa ukuze kususwe izicubu ze-fibrotic futhi kulungiswe noma yimuphi umonakalo ezicutshini ezizungezile.
- Ama-stents: Njengoba kushiwo ngaphambili, uma i-ureter ivaliwe, idivayisi encane efana ne-tube (i-stent) ingafakwa ngaphakathi kwayo ukuze ihlale ivulekile.
Sikuvimbela kanjani ukuthuthukiswa kwe-retroperitoneal fibrosis?
Njengoba lesi simo sivame ukuba yi-idiopathic,
kunzima ukusivimbela ngokuphelele. Kodwa-ke, njengoba eminye imithi iyaziwa ukuthi iyimbangela, udokotela wakho cishe uzokuqapha izimpawu ze-fibrosis, ikakhulukazi uma uzithatha isikhathi eside.
Ingabe amathuba okuthi lokhu kwenzeke futhi angancishiswa ngemva kokwelashwa?
Uma kudingeka uhlinzwe, ngezinye izikhathi ungqimba lwezicubu ezinamafutha lugoqwa eduze kwe-ureter ngesikhathi sokuhlinzwa. Lokhu kuthiwa kwenza kube nzima ukuthi i-fibrosis iphinde ivele.
Ngizozizwa ngingcono ngokushesha kangakanani?
Uma uthatha imithi efana ne-corticosteroids, noma ngemva kokuphathwa kwemithi
, ungase uqale ukuzizwa ungcono emavikini ambalwa. Kodwa-ke, uma udinga ama-immunomodulators, ama-stents, noma ukuhlinzwa, kuzothatha isikhathi eside ukululama.
Iyini imbono yabantu abane-retroperitoneal fibrosis?
Iningi labantu liyalulama ngokugcwele. Ithuba elihle kakhulu lokwelashwa okuphumelelayo yilapho
lesi sifo sitholakala kusenesikhathi. Kodwa-ke, kubalulekile ukukhumbula ukuthi i-fibrosis ingaphinde ivele ezinyangeni noma eminyakeni ngemva kokwelashwa.
Kunjani ukuphila nesifo sika-Ormond?
Kulabo abanezimo ezincane,
kuzodingeka uqhubeke nokubhekwa ngudokotela. Lokhu kusho ukuthi kuzodingeka ubone udokotela wakho njalo ukuze uhlole izimpawu zokuthi isifo siyabuya.
Kwenzekani ngemva kokuhlinzwa ukuze kulungiswe ukuvaleka komchamo?
I-Hydronephrosis ingenzeka lapho, ezinsukwini ezimbalwa ngemva kokuhlinzwa, odokotela bekhipha umchamo oqongeleleke ezinso zakho ngokuzumayo.Qaphela inkinga ebizwa ngokuthi "ukugcinwa komchamo." Uma umchamo ovaleleke emzimbeni uphuma ngokuzumayo, okulandelayo kungenzeka:
- Ukungalingani kwama-electrolyte emzimbeni.
- Ukuphelelwa amanzi emzimbeni.
- Ukushaqeka kwe-Hypovolemic (isimo esibangelwa ukwehla komthamo wegazi).
I-Retroperitoneal fibrosis, noma isifo sika-Ormond, yisimo lapho izicubu ezifana nezibazi zakheka khona ngemuva kwesisu. Abantu abaphuza imithi ethile basengozini enkulu yokuthola lesi simo. Uma utholakale unalesi simo, khuluma nodokotela wakho nganoma yimiphi imibuzo noma ukukhathazeka ongase ube nakho. Bakhona ukukusiza.
Izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)
Kulungile, manje sesiyaqonda kangcono ukuthi iyini i-Retroperitoneal Fibrosis.
Nakuba kuyisimo esingavamile, kubaluleke kakhulu ukuqaphela.- Khumbula, lesi izicubu ezijiyile ezakha izitho zomzimba okucatshangwa ukuthi zingaphakathi kwesisu, zibheke emgogodleni.
- Ngokuvamile kuthinta ama-ureter futhi kungalimaza izinso.
- Imbangela ayicaci ngaso sonke isikhathi, kodwa izinto ezifana nemithi ethile, umdlavuza, kanye nezifo nazo zingaba yizimbangela.
- Kubalulekile ukufuna iseluleko sezokwelapha uma unezimpawu ezifana nobuhlungu besisu/umhlane obungacacile kanye nokuncipha kokuchama.
- Kunezindlela zokwelapha ezinhle uma zitholakala kusenesikhathi. Ngakho-ke ungazinaki izimpawu.
- Uma unemibuzo ngalokhu, ungesabi ukubuza udokotela wakho.
Sithemba ukuthi lolu lwazi luzokusiza. Hlala uphilile!
I-Retroperitoneal Fibrosis, isifo sika-Ormond, isifo sezinso, ubuhlungu besisu, izinkinga zomchamo, i-fibrosis, ukuhlinzwa
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