Uke wazizwa ukhathele isikhathi eside, ukhwehlela futhi ugobhoza impumulo? Mhlawumbe uke waphawula namaqhubu amancane esikhumbeni sakho. Eziningi zalezi zimpawu ezibonakala zingahlobene zingabangelwa yisimo ongase ungacabangi ngaso, esibizwa ngokuthi 'i-Sarcoidosis.' Nakuba igama lingase lizwakale liyesabisa kancane, ake sixoxe kalula nangokucacile ngokuthi liyini ngempela, ukuthi kungani lenzeka, nokuthi yini ongayenza ngakho.
Iyini i-Sarcoidosis?
Kulungile, ake sikuqonde lokhu ngale ndlela. Umzimba wethu unesimiso somzimba sokuzivikela. Kufana nebutho lokuzivikela elingaphakathi emizimbeni yethu. Umsebenzi waleli butho ukusivikela ezitheni ezifana namagciwane , amabhaktheriya , namagciwane avela ngaphandle.
Okwenzekayo ku-sarcoidosis ukuthi amasosha ethu omzimba asebenza kakhulu kunalokho okufanele abe yikho. Okusho ukuthi, ngisho noma kungekho sitha sangempela, amangqamuzana amasosha omzimba (ikakhulukazi amangqamuzana amhlophe egazi ) ayaqoqana futhi akhe amakamu amancane ezindaweni ezahlukene emzimbeni. Lawa makamu amancane yilokho esikubiza ngokuthi amaqhubu noma ama-granuloma ngokwezokwelapha.
Lawa maqhubu (ama-granuloma) angakheka noma kuphi emzimbeni. Kodwa-ke, avame ukubonakala emaphashini nasema -lymph node . Angakheka nasesikhumbeni, emehlweni, enhliziyweni nasebuchosheni.
Into ebalulekile ukuthi, le granuloma ayilona iqoqo lamaseli omdlavuza . Lokhu akuwona umdlavuza. Lokhu kumane kuwukusebenza ngokweqile kwesimiso somzimba sokuzivikela.
Ngezinye izikhathi la maqhuqhuva awabangeli zimpawu. Kodwa ngezinye izikhathi, kuye ngokuthi akheke kuphi kanye nobukhulu bawo, angabangela izimpawu ezahlukahlukene. Esimweni esibi kakhulu, amaqhuqhuva ahlala njalo angakheka ngokuhamba kwesikhathi ezindaweni lapho la maqhuqhuva ayekhona. Lokhu sikubiza ngokuthi i -fibrosis . Njengoba nje isilonda sihlala ngemva kokuba inxeba selipholile. Uma lokhu kwenzeka emaphashini, kungaba nemiphumela yesikhathi eside enkambisweni yokuphefumula.
Ubani othinteka kakhulu yilesi simo?
I-Sarcoidosis yisimo esingathinta noma ubani. Kodwa-ke, kunezici ezithile ezingase zikubangele ukuba ube naso:
- Ubudala:Lesi sifo sivame ukutholakala kubantu abaneminyaka ephakathi kuka-25 no-40.
- Ubulili: Abesifazane banamathuba amancane okuba nayo kunabesilisa.
- Umlando womndeni: Lesi akusona isifo esizuzwa ngokuqondile njengefa. Kodwa-ke, uma othile emndenini wakho oseduze (umama, ubaba, umfowenu noma udadewenu) enalesi sifo, ingozi yakho yokuba naso iphakeme kancane kunomuntu ojwayelekile.
Lokhu kubhekwa njengesifo esingavamile. Ngakho-ke asikho isidingo sokukhathazeka ngokweqile ngaso, kodwa kubalulekile ukuqaphela.
Ziyini izimpawu ze-Sarcoidosis?
Yilapho abantu abaningi bedideka khona. Ngoba izimpawu ze-sarcoidosis ziyahlukahluka kakhulu. Izimpawu ziyahlukahluka kuye ngokuthi amaqhubu (ama-granuloma) akheka kuphi. Abanye abantu bangase bangabi nazo nhlobo izimpawu, futhi bangase batholakale ngengozi ngesikhathi se-X-ray ngenxa yesinye isizathu.
Ake sibone ukuthi yiziphi izimpawu eziyinhloko.
| Ingxenye yomzimba ethintekile | Izimpawu ezingabonakala |
|---|---|
| Izimpawu Ezijwayelekile | |
| Umzimba wonke |
|
| Uma amaphaphu ethintekile (Izimpawu Zamaphaphu) | |
| Uhlelo lokuphefumula |
|
| Uma kuthinta isikhumba (Izimpawu Zesikhumba) | |
| Isikhumba |
|
| Uma amehlo ethintekile (Izimpawu Zamehlo) | |
| Amehlo |
|
| Uma inhliziyo ithintekile (Izimpawu Zenhliziyo) | |
| Inhliziyo |
|
| Uma uhlelo lwezinzwa luthintekile (Izimpawu Zesistimu Yezinzwa) | |
| Ubuchopho kanye nezinzwa |
|
Ingabe i-Sarcoidosis yamaphaphu ihlukaniswe ngezigaba?
Yebo, i-Sarcoidosis (i-Pulmonary Sarcoidosis), isimo esithinta amaphaphu, ihlukaniswe ngezigaba ngokusekelwe endleleni amaphaphu abukeka ngayo ku-X-ray yesifuba. Kodwa akusona isigaba esiqhubekela phambili sisuka kwesinye isigaba siye kwesinye njengomdlavuza. Sibhekisela kuphela endaweni yama-granuloma. Umuntu angasuka kwesinye isigaba aye kwesinye, abuyele esigabeni esidala, noma ama-granuloma anganyamalala ngokuphelele.
- Isigaba 0: Akukho zinguquko ezibonakala ku-X-ray. Amaphaphu nama-lymph node ajwayelekile.
- Isigaba 1: Amathumba atholakala kuphela kuma-lymph node esifubeni.
- Isigaba sesi-2: Amaqhubu angabonakala kokubili kumaqhubu e-lymph esifubeni nasemaphashini.
- Isigaba 3: Amathumba asemaphashini kuphela. Awekho kuma-lymph node.
- Isigaba 4: Kuvele izibazi ezihlala njalo emaphashini (i-pulmonary fibrosis). Lesi sigaba kunzima ukusibuyisela emuva.
Kungani i-Sarcoidosis ikhula? Iyini imbangela?
Odokotela abakaqiniseki ukuthi yini ngempela ebangela lokhu, kodwa inkolelo-mbono yamanje eyamukelekayo iwukuthi lapho abantu abanesifo sofuzo bechayeka entweni ethile endaweni ezungezile (njengebhaktheriya, igciwane, noma uthuli), amasosha abo omzimba ayasabela ngokweqile .
Kalula nje, kukholakala ukuthi kubangelwa inhlanganisela yezici zofuzo kanye nezemvelo. Nakuba kuyisifo esihilela amasosha omzimba, asibhekwa njengesifo 'esizimele'.
I-Sarcoidosis itholakala kanjani?
Ukuxilonga i-sarcoidosis kungaba nzima kancane, njengoba izimpawu esixoxe ngazo ngenhla zingabonakala nakwezinye izifo eziningi. Ngakho-ke, udokotela wakho uzokhipha ezinye izimo ngaphambi kokuphetha ngokuthi i-sarcoidosis ingenzeka.
Kusetshenziswa izivivinyo eziningana kulokhu:
- Ukuhlolwa komzimba: Udokotela uzolalela ngokucophelela izimpawu zakho futhi ahlole izinto ezifana nesikhumba sakho, amehlo, kanye nama-lymph node.
- Ukuhlolwa kwezithombe: I -X-ray yesifuba yinto yokuqala ongayenza. Ingahlola isimo samaphaphu akho kanye nama-lymph node. Ngaphezu kwalokho, kungadingeka i-CT scan noma i-MRI scan .
- I-Biopsy: Lena yindlela engcono kakhulu yokuqinisekisa lesi sifo ngo-100%. Kuthathwa ingxenye encane kakhulu yezicubu endaweni okusolwa ukuthi ikhona (isib. isikhumba, i-lymph node) bese ihlolwa ngaphansi kwe-microscope.
- Ukuhlolwa kokusebenza kwamaphaphu: Lokhu kulinganisa ukuthi amaphaphu asebenza kahle kangakanani.
- Ukuhlolwa kwegazi nomchamo:Izinto ezifana nokusebenza kwezitho zomzimba ezifana nesibindi nezinso kanye nezinga le-calcium egazini ziyahlolwa.
- I-EKG (i-Electrocardiogram): Lokhu kuhlolwa kwenziwa ukuze kubonakale ukuthi kukhona yini umphumela enhliziyweni.
- Ukuhlolwa kwe-TB: Njengoba izimpawu zesifo sofuba ngezinye izikhathi zifana nalokhu, kwenziwa ukuhlolwa kwesikhumba okulula ukuqinisekisa ukuthi akunjalo.
Yiziphi izindlela zokwelapha lokhu?
Izindaba ezinhle ukuthi akuwona wonke umuntu one-sarcoidosis odinga ukwelashwa. Cishe izingxenye ezimbili kwezintathu zabantu, lesi simo sizoba ngcono ngokwaso phakathi neminyaka emibili kuya kwemithathu, ngaphandle kokwelashwa.
Ukuthi uzoqala ukwelashwa noma cha kuncike ebunzimeni bezimpawu zakho nokuthi izimila zitholakala kuphi. Isibonelo, uma amehlo, inhliziyo, noma isimiso sezinzwa sithinteka, ukwelashwa kuzoqala ngokushesha ukuze kumiswe ukulimala kwezitho zomzimba.
Imigomo eyinhloko yokwelashwa yile:
1. Ukulawula izimpawu.
2. Ukunciphisa ukuvuvukala emzimbeni.
3. Ukuvimbela umonakalo ohlala njalo (i-fibrosis) ezithweni zomzimba.
Izinhlobo eziyinhloko zemithi enikezwa lokhu yilezi:
- Ama-Corticosteroids: Lolu uhlobo lomuthi olusetshenziswa kakhulu (isib. i-Prednisone). Lokhu kusebenza ngokucindezela amasosha omzimba nokunciphisa ngokushesha ukuvuvukala emzimbeni. Kuza ngesimo samaphilisi, ama-inhaler, noma okhilimu abafakwa esikhumbeni.
- Ama-immunosuppressants: Ngaphezu kwama-corticosteroids noma ukunciphisa umthamo wawo, kunikezwa eminye imithi elawula amasosha omzimba (isib. i-Methotrexate).
- Ama-antibody e-Anti-TNF-alpha: Lawa uhlobo lomuthi wokufaka ngemithambo yegazi ohlose ikhemikhali ethile ohlelweni lokuzivikela komzimba.
- Ama-NSAID (ama-painkiller): Lawa anganikezwa ukulawula izimpawu zesikhashana njengobuhlungu bamalunga.
Okubalulekile: Ukusetshenziswa isikhathi eside kwemithi efana ne-corticosteroids kungabangela imiphumela emibi njengokukhuluphala, isifo sikashukela, kanye nomfutho wegazi ophakeme. Ngakho-ke, udokotela wakho uzohlala ebheka ukuthi izinzuzo zokwelashwa zidlula yini izingozi. Ungalokothi uqale noma uyeke ukuthatha le mithi ngaphandle kweseluleko sikadokotela wakho.
Izinto okufanele uzazi uma uphila ne-sarcoidosis
Umuntu ophila ne-sarcoidosis angenza izinto eziningi ukuze aphathe isimo sakhe.
- Landela imiyalelo kadokotela wakho: thatha imithi yakho njengoba uyalelwe, yiya emitholampilo ngezinsuku ezihleliwe, bese wazisa udokotela wakho uma kukhona ushintsho ezimpawini zakho.
- Indlela yokuphila enempilo:Kubalulekile ukudla ukudla okunempilo, ukugwema ngokuphelele ukubhema (ikakhulukazi uma kuthinte amaphaphu), futhi uvivinye umzimba ngokulinganisela njengoba uqondiswe udokotela wakho.
- Ukudla: Ucwaningo oluthile lusikisela ukuthi ukunciphisa ukudla okunoshukela, okunesitashi nokudla imifino eminingi, izithelo, nokudla okucebile ngama-omega-3 (isb., izinhlanzi ezincane) kungasiza ekunciphiseni ukuvuvukala. Kodwa-ke, qiniseka ukuthi ukhuluma nodokotela wakho ngaphambi kokwenza noma yiziphi izinguquko ezinkulu ekudleni.
Iningi labantu lingaphila impilo evamile nejabulisayo nge-sarcoidosis. Akuvamile ukunciphisa isikhathi sokuphila (1%-5%). Into ebaluleke kakhulu ukungesabi lesi sifo, kodwa ukusiqonda kahle nokusebenzisana nodokotela wakho ukuze uthuthukise uhlelo lokuphatha olusebenza kahle kuwe.
Umlayezo Wokuya Nawe Ekhaya
- I-Sarcoidosis yisimo lapho amasosha omzimba esabela ngokweqile futhi abangele ukwakheka kwamaqhubu avuvukele (ama-granuloma) ezingxenyeni ezahlukene zomzimba.
- Lokhu akusona isifo esithathelwanayo noma umdlavuza.
- Izimpawu ziyahlukahluka kakhulu, kuye ngokuthi amaqhubu akheka kuphi. Amaphaphu avame ukuthinteka.
- Kwabaningi, lokhu kuzolunga ngokwako ngokuhamba kwesikhathi ngaphandle kokwelashwa. Abanye abantu badinga ukwelashwa ukulawula izimpawu nokuvimbela ukulimala kwezitho zomzimba.
- Uma unokungabaza ngalokhu, noma uma unezimpawu ezingachazeki, qiniseka ukuthi ubona udokotela ukuze akunike iseluleko.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho