Uma une-rheumatoid arthritis (RA), cishe usuvele uyazi ukuthi kunzima kangakanani ukuphila nobuhlungu. Kodwa ubuwazi ukuthi kunesinye isimo esingavamile, kodwa ngezinye izikhathi esibi kakhulu esingabangelwa yilesi sifo samathambo? Yilokho esikhuluma ngakho namuhla. Sibizwa ngokuthi i-Rheumatoid Vasculitis . Ungakhathazeki, sizokhuluma ngakho ngendlela elula ongayiqonda.
Kuyini i-Rheumatoid Vasculitis?
Kalula nje, i-Rheumatoid Vasculitis ukuvuvukala, noma ukuvuvukala, kwemithambo yegazi yakho. Lokhu kubangelwa yisimo sakho samanje se-rheumatoid arthritis.
Ake sichaze lokhu kafushane:
- I-Vasculitis: Lokhu kubhekisela ekuvuvukeni kwemithambo yegazi yakho. Cabanga ngemithambo yegazi emizimbeni yethu yonke njengenethiwekhi yamapayipi amanzi. Igazi ligeleza ngalezi zipayipi. Ku-vasculitis, izindonga zalezi zipayipi ziyavuvukala, okuvimba ukugeleza kwegazi.
- I-Rheumatoid Arthritis: Uyazi lokhu. Okwenzekayo ukuthi amasosha omzimba wethu ahlasela amalunga ethu ngephutha.
- Isifo Sokuzivikela Emzimbeni: Zombili lezi zifo ezingenhla ziwela kulesi sigaba. Kalula nje, kufana nebutho okufanele livikele izwe lethu lihlasela ngephutha abantu bakithi. Isimiso somzimba sokuzivikela, okufanele sivikele imizimba yethu, siqala ukuhlasela amangqamuzana ethu aphilile.
Ngakho-ke, ku-Rheumatoid Vasculitis, okwenzekayo ukuthi amasosha omzimba, aphazanyiswa yi-rheumatoid arthritis, aqala ukuhlasela hhayi amalunga kuphela, kodwa nemithambo yegazi.
Sivame kangakanani lesi simo?
Empeleni lesi yisimo esingavamile kakhulu . Ngakho-ke ungakhathazeki ngokufunda lokhu. Hhayi eSri Lanka kuphela, kodwa nasemhlabeni wonke, bambalwa kakhulu abantu abanalesi sifo.
Esikhathini esidlule, lesi simo sasivame kakhulu phakathi kweziguli ezine-rheumatoid arthritis. Kodwa manje, ngenxa yokuthi kunezindlela zokwelapha ezithuthukisiwe nezisebenzayo ze-rheumatoid arthritis, ukwanda kwe-rheumatoid vasculitis kwehle kakhulu. Lezo yizindaba ezinhle ngempela.
Lesi simo sivame ukubonakala kubantu abaneminyaka engaphezu kwengu-50 asebehlushwa yi-rheumatoid arthritis isikhathi eside.
Ziyini izimpawu? Sikubona kanjani lokhu?
Izimpawu zalesi simo zingahluka kumuntu nomuntu. Kodwa-ke, kunezinye izimpawu ezivamile kanye nezinye izimpawu ezingathi sína. Ake sibheke lezi ngendlela elula ukuyiqonda.
| Isibonakaliso | Incazelo elula |
|---|---|
| Izimpawu ezivame ukubonwa | |
| Izilonda zesikhumba | Amanxeba amancane angapholi, ikakhulukazi ezinzwaneni noma ezizungeze izinzipho. |
| Amabala/amaqhubu esikhumba | Amabala abomvu, ansomi noma amaqhubu amancane ebusweni besikhumba. |
| Ukushintsha kombala wesikhumba | Ungase ubone ushintsho embala wesikhumba, olufana nokulimala. |
| Ubuhlungu emalungeni | Ubuhlungu ezandleni, eminweni, ezinyaweni nasezinzwaneni. |
| Ukuba ndikindiki emilenzeni | Ukungazweli noma ukuzwa ukuqaqamba, ikakhulukazi ezandleni nasezinyaweni. |
| Ubuthakathaka bemisipha | Ukuzizwa ungenampilo kanye nobuthakathaka bemisipha. |
| Izimpawu ezingase zivele uma isimo sibucayi | |
| Isisu esibuhlungu | Ubuhlungu besisu. |
| Ukukhwehlela kanye nobuhlungu besifuba | Lokhu kungenzeka uma imithambo yegazi emaphashini ithintekile. |
| Ukulahlekelwa yisifiso sokudla kanye nokwehla kwesisindo | Ukulahlekelwa yisifiso sokudla kanye nokwehla kwesisindo ngaphandle kwesizathu. |
| Umkhuhlane nokukhathala okukhulu | Umkhuhlane kanye nokukhathala okuqhubekayo okubangelwa ukuvuvukala emzimbeni. |
Into ebaluleke kakhulu ukutshela udokotela wakho ngokushesha uma une-rheumatoid arthritis futhi ubona noma yiziphi izimpawu ezintsha ezifana nalezi, ikakhulukazi izinguquko zesikhumba.
Ubani osengozini enkulu yalesi simo?
Nakuba noma ubani one-rheumatoid arthritis engaba nalokhu, abanye abantu basengozini enkulu kancane. Ake sibheke ukuthi bangobani.
| Isici sengozi | Lokho kusho ukuthi... |
|---|---|
| Ukuba ne-RA enzima | Kulabo abanesimo samathambo esingalawulwa kahle futhi esisesigabeni esibi kakhulu. |
| Ukuba ne-RA isikhathi eside | Ngokuvamile kubantu asebenesifo samathambo iminyaka engaphezu kweyi-10. |
| Ukuba ne-RA emajoyintini amaningi (i-Polyarthritis) | Uma isifo samathambo sithinte amalunga amaningi emzimbeni. |
| Ukuba khona kwama-Rheumatoid Nodules | Amaqhubu amancane, angenabuhlungu akhiwa ngaphansi kwesikhumba eduze kwamalunga. |
| Ukuba ne-Felty Syndrome | Lena enye inkinga engavamile ye-RA, ehilela ukwanda kwe-spleen kanye nokwehla kwenani lamaseli amhlophe egazi. |
| Ukubhema | Lesi yisici esibaluleke kakhulu sengozi. Abantu ababhemayo basengozini enkulu kakhulu yokuthola lesi simo. |
Izinkinga ezingase zenzeke uma zingelashwa
Lokhu akuvamile kakhulu futhi kwenzeka kuphela uma ukwelashwa kungenziwanga kahle.
- I-Necrosis: Ukufa kwezicubu endaweni ethintekile yesikhumba ngenxa yokulahlekelwa igazi.
- Ukuhlaselwa yinhliziyo: Uma imithambo yegazi ehambisa igazi enhliziyweni ithintekile.
- Ukushaya kwenhliziyo: Kuthinta imithambo yegazi ehambisa igazi ebuchosheni.
Kunokuba wesabe lezi zinto, kubaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha nje lapho kuvela izimpawu. Lokhu kungasiza ekuvimbeleni izimo ezinjalo ezibucayi.
Ukuthola kanjani lokhu, Dokotela?
Udokotela wakho uzoqala akuhlole ngokucophelela bese ebuza ngezimpawu zakho. Kubalulekile ukuthi azi ukuthi usunesikhathi esingakanani une-rheumatoid arthritis nokuthi yimiphi imithi oyiphuzayo.
Ngemuva kwalokho, kungenziwa izivivinyo eziningana ukuqinisekisa lesi sifo:
- Ukuhlolwa kwegazi: Thola ngezinga lokuvuvukala komzimba kanye nokusebenza kwesimiso somzimba sokuzivikela.
- I-Biopsy: Lena yindlela engcono kakhulu yokuqinisekisa lesi sifo. Kuthathwa isampula encane yesikhumba noma ezinye izicubu ezithintekile bese kuhlolwa ngaphansi kwesibonakhulu ukuze kubonakale ukuthi kukhona yini ukuvuvukala emithanjeni yegazi.
- I-Angiogram: Lolu uhlobo lwe-X-ray. Kufakwa idayi ekhethekile emithanjeni yegazi ukuze kubhekwe ukuthi imithambo yegazi ivinjiwe noma yonakele.
- Ezinye izikena: izikena ze-CT, izikena ze-MRI, njll. zingenziwa uma kudingeka.
Cishe kuzodingeka ubonane nodokotela wamathambo.
Yiziphi izindlela zokwelapha?
Kunemigomo emibili eyinhloko yokwelapha. Eyokuqala ukulawula izimpawu, kanti enye ukuvimbela ukulimala kwemithambo yegazi kanye nezitho zangaphakathi.
1. Ukulawulwa okuhle kwesifo samathambo esibangelwa yi-rheumatoid arthritis:Ezimweni eziningi, lapho ukwelashwa kwakho kwe-RA kuqina futhi lesi sifo silawulwa kahle, isimo se-Rheumatoid Vasculitis naso sizolawulwa. Ngakho-ke, kungadingeka ukhulume nodokotela wakho mayelana nemithi yakho yamanje futhi wenze noma yiziphi izinguquko ezidingekayo.
2. Imithi ethile: Ngaphezu kwemithi enikezwa i-RA, kungadingeka ukuthi unikezwe imithi ethile ehambisana nalesi simo.
- Ama-Corticosteroids: Lezi yimithi enamandla yokulwa nokuvuvukala. Imithi efana ne-Prednisolone inciphisa ngokushesha ukuvuvukala emithanjeni yegazi.
- Ama-immunosuppressants noma ama-Biologics: Lawa asebenza ngokulawula isimiso somzimba sokuzivikela esisebenza ngokweqile.
Ukuyeka ukubhema: Uma ubhema, ukuyeka ukubhema ngokuphelele kubalulekile empumelelweni yokwelashwa kwakho. Ukuyeka ukubhema kungasiza kakhulu ekulawuleni isimo sakho. Khuluma nodokotela wakho ngezindlela zokukusiza ukwenza lokhu.
Ungaphila kanjani nalesi simo?
Lesi yisimo sesikhathi eside. Lokhu kusho ukuthi noma ungenazo izimpawu, kuzodingeka ukuthi ube ngaphansi kokunakekelwa udokotela.
- Hamba uyohlolwa njalo ngokwezokwelapha: Yiya emitholampilo ngesikhathi njengoba udokotela wakho ekuyalele. Yenza izinto ezifana nokuhlolwa kwegazi.
- Qaphela izimpawu: Naka noma yiziphi izinguquko ezintsha emzimbeni wakho, noma uma uzizwa sengathi izimpawu zakho ziya ziba zimbi kakhulu.
- Landela uhlelo lokwelashwa njengoba nje udokotela wakho ekuyalele. Uma unomuzwa wokuthi umuthi awusebenzi, khuluma nodokotela wakho ngakho.
Ngemva kweminyaka eminingi yokulwa nesifo samathambo esibizwa ngokuthi i-rheumatoid arthritis, kungaba yinto edidayo ukwazi ukuthi unesinye isimo. Kodwa khumbula, udokotela wakho ukhona ukuzokusiza. Ngokukhuluma naye ngokukhululekile, ungenza noma yiziphi izinguquko ezidingekayo ohlelweni lwakho lokwelashwa nge-RA.
Lalela umzimba wakho. Ungesabi ukutshela udokotela wakho nganoma yiziphi izimpawu ezintsha noma ezishintshayo oziqaphelayo. Indlela engcono kakhulu yokugwema izinkinga ukuhlala ngaphansi kokuqashwa okufanele kwezokwelapha.
Umlayezo Wokuya Nawe Ekhaya
- I-rheumatoid vasculitis iyinkinga engavamile ye-rheumatoid arthritis (RA), ebangela ukuvuvukala kwemithambo yegazi.
- Izimpawu zesikhumba zivame ukubonakala. Isibonelo, amanxeba angapholi ezinzwaneni zeminwe, amabala esikhumba, kanye nokungazweli.
- Indlela engcono kakhulu yokuvimbela nokwelapha lesi simo ukugcina isimo sakho samathambo esilawulwa kahle kakhulu.
- Uma ubhema, kubaluleke kakhulu ukuyeka ngokushesha. Kuzosiza kakhulu ekulawuleni lesi sifo.
- Uma une-RA futhi kuvela noma yiziphi izimpawu ezishiwo kulesi sihloko, sicela ubone udokotela wakho ngokushesha.
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