Ingabe isikhumba sakho siyaqina futhi siyaqina? Ake sifunde nge-Scleroderma!

Ingabe ngezinye izikhathi uzizwa sengathi isikhumba sakho sikhulu futhi siqinile kunokujwayelekile? Noma ingabe unezinhlungu zamalunga noma ukuqina kwasekuseni? Lezi yizinto esingase singazinaki kakhulu. Kodwa-ke, zingaba futhi izimpawu zesimo esingavamile esibizwa ngokuthi i-Scleroderma . Ake sixoxe ngalokhu ngemininingwane ethe xaxa namuhla, akunjalo?

Kuyini i-Scleroderma?

Kalula nje, i-Scleroderma yisimo esingavamile lapho izicubu zomzimba wakho ziba zinkulu futhi zibe nzima kunokujwayelekile. Ngokuvamile, kuthinta isikhumba. Kodwa ngezinye izikhathi, lesi simo singathinta noma yiziphi ezinye izicubu emzimbeni.

Empeleni lokhu kuyisifo sokuzivikela komzimba . Manje ungase uzibuze ukuthi iyini 'isifo sokuzivikela komzimba'. Umzimba wethu unesimiso esifana nebutho esisivikela ezifweni, esibizwa ngokuthi isimiso sokuzivikela komzimba. Kodwa kulesi simo, leso simiso siyaphambuka, futhi esikhundleni sokulwa namagciwane angaphandle, siqala ukuhlasela amangqamuzana ethu amahle. Kunjengokungathi asikwazi ukutshela ukuthi obani abethu nokuthi obani abayisitha. Ngisho nodokotela abakakwazi ukuthola ukuthi kungani lokhu kwenzeka.

Uma une-scleroderma, amasosha omzimba wakho atshela amangqamuzana omzimba wakho ukuthi enze iphrotheni eningi kakhulu ebizwa ngokuthi i-collagen . Imizimba yethu empeleni iyayidinga i-collagen. Yiyona eyenza izicubu ezixhumeneyo eziqinile nezinempilo ezisekela izitho zethu. Kodwa uma zakheka kakhulu, isikhumba nezinye izicubu ziba zikhulu futhi zibe ne-fiber kakhulu kunokujwayelekile.

I-Scleroderma yisifo esingamahlalakhona . Lokhu kusho ukuthi kungase kudingeke uphile nalezi zimpawu isikhathi eside, mhlawumbe impilo yakho yonke. Futhi, uma kuthinta izicubu zezitho zakho zangaphakathi, kungabangela izinkinga ezisongela ukuphila. Uma uzizwa sengathi unesifo senhliziyo, unenkinga yokuphefumula, noma unenkinga yokugwinya, shayela u-911 (noma inombolo yakho yezimo eziphuthumayo yendawo) ngokushesha, noma uye egumbini lezimo eziphuthumayo esibhedlela.

Uma unesihlungu noma ukuqina kwamalunga akho, ikakhulukazi eduze kweminwe nezinzwane zakho, kufanele nakanjani ubone udokotela.

Yiziphi izinhlobo eziyinhloko ze-Scleroderma?

Odokotela bahlukanisa i-scleroderma ngezinhlobo ezimbili eziyinhloko:

1. I-Localized Scleroderma: 'Localized' isho ukuvalelwa endaweni eyodwa. Lolu hlobo luthinta ingxenye eyodwa yomzimba kuphela (ngokuvamile isikhumba). Lubangela amabala noma imicu yesikhumba esijiyile nesifana ne-wax. Ingxenye engcono kakhulu ukuthi i-localized scleroderma ngezinye izikhathi ingaxazululeka yodwa . Futhi ayivamisile ukusabalala kwezinye izingxenye zomzimba.

2.I-Systemic Sclerosis: Lolu hlobo lungathinta ezinye izitho ngaphandle kwesikhumba. Lungathinta uhlelo lwakho lokuphefumula (isitho esikusiza ukuphefumula nokuhogela) kanye nohlelo lwakho lokugaya ukudla (isitho esiguqula ukudla esikudlayo kube amandla). Uma i-scleroderma ithinta ikhono lakho lokuphefumula noma lokumunca izakhamzimba, kungenzeka ukuthi ube nezinkinga ezinkulu. Kungaba yingozi ngisho nangokwengeziwe. I-Systemic Sclerosis inezinhlobo ezintathu - i-diffuse, i-limited, kanye ne-sine sclerosis.

I-Diffuse Sclerosis

'Ukusabalala' kusho 'ukwanda'. Kulesi simo, i-diffuse sclerosis yenzeka ngokuzumayo ezindaweni ezinkulu zomzimba. Isibonelo:

• Isifuba
• Isisu
• Amathanga
• Izingalo
• Imilenze
• Ubuso

Futhi, kungathinta izitho eziningana ngesikhathi esisodwa. Lokho kusho ukuthi:

• Uhlelo lokugaya ukudla (Uhlelo lokugaya ukudla - indlela ye-GI)
• Izinso
• Inhliziyo
• Amaphaphu

I-Limited Sclerosis (i-CREST syndrome)

Odokotela bavame ukubiza i-Limited Scleroderma ngokuthi i-CREST syndrome . Uhlamvu ngalunye ku-CREST lumelela uphawu olubangelwa yiyo:

• C - I-Calcinosis: Ukugcwala kwe-calcium esikhumbeni. Kungabonakala njengamaqhubu amancane amhlophe esikhumbeni.
• I-R - I-Raynaud's syndrome: Ukushintsha kombala kanye nokungazweli kweminwe nezinzwane. Zingase zibe mhlophe, zibe luhlaza okwesibhakabhaka, noma zibe bomvu uma zibekwe emakhazeni.
• E - Ukungasebenzi kahle komlomo wesibeletho: Ubunzima bokugwinya kanye nokubuyela kwe-acid esiswini.
• S - Sclerodactyly: Ukuqina kwesikhumba eminweni, okwenza kube nzima ukugoba nokuqondisa iminwe.
• Ama-T - Ama-Telangiectasias: Amabala amancane, abomvu noma anombala oshintshile esikhumbeni. Lawa angase abukeke njengezintambo zesicabucabu.

I-Sine Sclerosis

Uma kwenzeka i-Sine Sclerosis, izimpawu ze-Limited Sclerosis okukhulunywe ngayo ekuqaleni ziyavela, kodwa isikhumba asithinteki . Okusho ukuthi, ungase ube nezinye zezimpawu ezishiwo ku-CREST syndrome, kodwa akukho ukujiya okubonakalayo kwesikhumba.

Ivame kangakanani i-Scleroderma?

I-Scleroderma yisifo esingavamile kakhulu.Ochwepheshe balinganisela ukuthi cishe abantu abangu-250 esigidini e-United States banezinhlobo ezintathu ze-scleroderma. Kulaba, cishe abantu abayi-100,000 bane-systemic sclerosis.

Ziyini izimpawu ze-Scleroderma?

Abanye abantu abane-scleroderma bangase bangabi nazimpawu ezigabeni zokuqala. Kodwa-ke, kwabaningi, uphawu oluyinhloko ukubonakala kwamabala aqinile, afana ne-wax noma imicu esikhumbeni. Ngaphezu kwalokho, kunezinye izimpawu eziningana ezivamile:

• Ubuhlungu bamalunga
• Ukuqina , ikakhulukazi lapho uvuka ekuseni
• Ukukhathala (ukuzizwa ukhathele kakhulu ngaso sonke isikhathi)
• Ukwehlisa isisindo okungachazeki

Ezinye izimpawu ozibonayo (nokuthi zikuthinta kuphi) zincike ohlotsheni lwe-scleroderma onayo.

Izimpawu ze-Localized Scleroderma

Abantu abane-scleroderma esendaweni bavame ukuzwa ukuqina kwesikhumba kuphela . Lokhu kuqina kungaba sendaweni eyodwa noma kungenzeka kube ngamabala. Kungathinta izindawo ezilandelayo zesikhumba:

• Isifuba
• Isisu (indawo ezungeze isisu)
• Izingalo nemilenze (Izingalo nemilenze yakho)
• Izandla neminwe
• Izinyawo nezinzwane

Kodwa-ke, i-scleroderma yendawo, ethinta izitho zangaphakathi, ayivamile kakhulu .

Izimpawu ze-Systemic Sclerosis

I-systemic sclerosis ingadala izimpawu ezahlukahlukene. Lokhu kubangela nokuthi isikhumba siqine, kodwa ngokuvamile ezindaweni ezinkulu nasemabala. Ikakhulukazi ebusweni nasezandleni. Isikhumba esiqinile singaqala eminweni nasezinzwaneni bese sisakazeka emzimbeni wonke. Uma une -Raynaud's syndrome , iminwe nezinzwane esithweni esithintekile zingashintsha umbala uma zibhekene nokubanda (ngokuvamile okumhlophe, okubomvu, noma umbala onsomi-oluhlaza okwesibhakabhaka).

I-systemic sclerosis ingabangela nezimpawu kwezinye izitho zakho zomzimba nezicubu. Isibonelo:

• Imisipha: Ukuba ndikindiki nokuvuvukala, ikakhulukazi ezandleni nasezinyaweni (ekugcineni kwezitho zakho).
• Amalunga: Ukuqina, ukuvuvukala, kanye nokulahlekelwa ukunyakaza.
• Amaphaphu: Ukukhwehlela nobunzima bokuphefumula (ukuphelelwa umoya).
• Umgudu wokugaya ukudla: I-Dysphagia, isilungulela, ukuqunjelwa, ukuqunjelwa, kanye nesifo sohudo.
• Inhliziyo:Ukushaya kwenhliziyo okungajwayelekile (i-arrhythmia), ukunqwabelana koketshezi oluzungeze inhliziyo (i-pericardial effusion), kanye nokuqina kwemisipha yenhliziyo (i-fibrosis).
• Izinso: Ukwehluleka kwezinso (lokhu kungaba yingozi empilweni).
• Izitho zangasese: Ukungasebenzi kahle kwe-Erectile (ED) kwabesilisa kanye nokoma kwesitho sangasese sangasese kwabesifazane.

Yini ebangela i-Scleroderma?

Eqinisweni, odokotela abakayazi imbangela eqondile ye-scleroderma.

Ezinye izifundo zithole ukuthi ingangena emindenini ngezinga elithile (okusho ukuthi ingadluliselwa kusuka kubazali iye ezinganeni), kodwa ayivamile kangangokuthi abukho ubufakazi obanele bokufakazela ngokuqinisekile ukuthi iyisifo sofuzo .

Izici Zengozi Ye-Scleroderma

Noma ubani angaba ne-scleroderma, kodwa amanye amaqembu asengozini enkulu:

• Abesifazane banamathuba aphindwe kane okuthola lesi sifo kunabesilisa.
• Ngokuvamile kwenzeka kubantu abaneminyaka ephakathi kuka-30 no-50. I-Scleroderma ayivamile kubantu abangaphansi kweminyaka engu-30.
• Abantu abamnyama banamathuba amaningi okuthola i-scleroderma. Bavame futhi ukuba nalesi sifo kusenesikhathi, banamathuba amaningi okuthola izimpawu ezithinta amaphaphu, futhi babe nezimpawu zesikhumba ezinzima kakhulu.

Yiziphi izinkinga ezingaba khona ze-Scleroderma?

Abantu abane-scleroderma basengozini enkulu yokuthola ezinye izimo ezimbili: i-Raynaud's syndrome kanye ne-Sjögren's syndrome .

I-Raynaud's syndrome ithinta imithambo yegazi emincane eminweni nasezinzwaneni zakho (izinombolo zakho). Abantu abanalesi simo babhekana neziqephu zezimpawu (ngezinye izikhathi ezibizwa ngokuthi 'ukuhlaselwa'). Yilapho imithambo yegazi eminweni yakho ifinyela ngokuzumayo kakhulu. Lokhu kungabangela isikhumba eminweni ethintekile ukuba siphenduke sibe mhlophe, noma sikhanye kunombala wesikhumba sakho wemvelo. Ngezinye izikhathi, singabonakala siluhlaza okwesibhakabhaka.

I-Sjögren's syndrome ibangela ukuthi ezinye zezindlala zomzimba wakho zikhiqize umswakama omncane - ngokuvamile izindlala zamathe emlonyeni wakho kanye nezindlala zezinyembezi emehlweni akho. Abanye abantu abane-Sjögren's syndrome nabo bazwa ubuhlungu bemisipha namalunga.

Ezinye izinhlobo ze-scleroderma zingabangela izinkinga ezinkulu . Ezinye zazo zifaka:

• Ukwehluleka kwezinso
• Umfutho wegazi ophezulu wamaphaphu (umfutho wegazi ophezulu emithanjeni ethwala igazi lisuka enhliziyweni liya emaphashini)
• I-pulmonary fibrosis (izibazi zezicubu zamaphaphu)
• Isifo senhliziyo (izinkinga ezithinta inhliziyo yakho kanye nemithambo yegazi)
• Ukwehluleka kwenhliziyo okubangelwa ukuminyana, isimo senhliziyo
• Ukuntuleka kwamasosha omzimba
• Izifo zesisu (izimo ezithinta indlela umzimba ocubungula ngayo ukudla futhi umunce ngayo izakhamzimba)
• Umdlavuza

Ezinye zalezi zinkinga zingabulala . Uma ubona noma yiziphi izimpawu ezintsha noma ezishintshayo, bona udokotela ngokushesha okukhulu. Uma ucabanga ukuthi unezimpawu zokuhlaselwa yinhliziyo, njengobunzima bokuphefumula noma ukugwinya, shayela u-911 (noma inombolo yakho yezimo eziphuthumayo yendawo) ngokushesha, noma uye egumbini lezimo eziphuthumayo esibhedlela.

Itholakala kanjani i-Scleroderma?

Udokotela uxilonga i-scleroderma ngokuhlolwa ngokomzimba kanye nezinye izivivinyo eziningana.

Kungase kudingeke futhi ukuthi ubonane nodokotela wamathambo , udokotela ogxile ekwelapheni izifo zesimiso somzimba sokuzivikela. Uzokuhlola futhi akubuze ngezimpawu zakho. Kufanele utshele udokotela wakho ukuthi izimpawu zakho ziyini, ukuthi zaqala nini, nokuthi kukhona yini okubonakala kuzenza zibe zimbi kakhulu.

Kuzodingeka futhi ukuthi kwenziwe izivivinyo eziningana ukuqinisekisa ukuthi awunazo ezinye izimo ezibangela izimpawu ezifanayo.

Yiziphi izivivinyo ezisetshenziswa odokotela ukuxilonga i-Scleroderma?

Ukuxilonga i-scleroderma kuvame ukuba yingxenye yenqubo ebizwa ngokuthi 'ukuxilongwa okuhlukile.' Lokhu kusho ukuthi udokotela wakho cishe uzokhipha ezinye izimo futhi enze izivivinyo eziningana ukuze athole ukuthi yini ebangela izimpawu zakho ngaphambi kokuxilonga ukuthi une-scleroderma. Nazi ezinye zezivivinyo ongase ube nazo:

• Ukuhlolwa kwegazi ukuze kubonakale ukuthi amasosha omzimba wakho asebenza kanjani.
• Ukuhlolwa kokusebenza kwamaphaphu ukuze kubonakale ukuthi amaphaphu akho noma uhlelo lokuphefumula luthintekile yini.
• I -biopsy inqubo lapho kuthathwa khona isampula encane yesikhumba esithintekile noma esinye izicubu bese ihlolwa elabhorethri.
• Uma unezimpawu zokugaya ukudla (GI), i-endoscopy iwukuhlolwa okubheka phansi emphinjeni noma esiswini sakho ngekhamera encane exhunywe epayipini elide nelincane.

Ngaphezu kwalokho, kuzodingeka wenze izivivinyo eziningana zezithombe ukuze uthathe izithombe zangaphakathi lomzimba wakho. Lokhu kufaka phakathi:

• I-Electrocardiogram (ECG)
• I-Echocardiogram (I-Echocardiogram - I-Echo)
• I -X-ray yesifuba
• Ukuskena kwe-CT (i-Computed Tomography - i-CT scan)

Iphathwa kanjani i-Scleroderma?

Akukho ukwelashwa kwe-scleroderma , kodwa udokotela wakho angakusiza ukuthola inhlanganisela yezindlela zokwelapha ezingasiza ekulawuleni izimpawu zakho futhi zinciphise umthelela wazo empilweni yakho yansuku zonke.

Uhlobo lokwelashwa oludingayo luncike ekutheni izimpawu zakho zikuphi nokuthi zimbi kangakanani. Nazi ezinye izindlela zokwelapha ezivamile ze-scleroderma:

• Ukwelashwa kwesikhumba: Kuzodingeka usebenzise okhilimu nama-moisturizer ukuze uvimbele isikhumba sakho ukuba some.
• Ama-immunosuppressants: Le mithi ivimba amasosha omzimba wakho ekulimazeni amangqamuzana nezicubu ezinempilo.
• Imithi yokulawula izimpawu ezithile: Isibonelo, kungadingeka ukuthi uthathe imithi yokulawula umfutho wegazi lakho, wenze ukuphefumula kube lula, uphathe ukwehluleka kwezinso, noma unciphise izimpawu zokugaya ukudla.
• Ukwelashwa ngokomzimba: Udokotela wezokwelapha ngokomzimba angakusiza ukuthi uthuthukise ukunyakaza kwakho ngokomzimba.
• Ukwelashwa nge-Phototherapy: Lokhu kuhilela ukusebenzisa ukukhanya okukhanyayo, okugxile ku-ultraviolet (UV) ukwelapha izimo zesikhumba. Lokhu kungasiza ekwelapheni isikhumba esijiyile.
• Ukufakelwa kwamaseli egazi: Abanye abantu abanezimpawu ezinzima bangadinga ukufakelwa amaseli egazi egazi. Lokhu kuhilela ukufaka amaseli egazi anempilo esikhundleni samaseli egazi alimele.

Uma ngine-Scleroderma, yini okufanele ngiyilindele?

Kufanele ulindele ukuphatha i-scleroderma kanye nezimpawu zayo impilo yakho yonke . Nakuba kungekho ikhambi elihlala njalo, abantu abaningi bathola ukwelashwa kanye nezinguquko zendlela yokuphila ezinganciphisa umthelela wezimpawu zabo empilweni yabo yansuku zonke.

Ukuphila nesifo sesikhathi eside kungaba yinto ekhungathekisayo ngezinye izikhathi. Buza udokotela wakho ngamaqembu okusekelana noma amathuba emfundo azokusiza ukuphatha ukucindezeleka kwakho kanye nempilo yakho yengqondo.

Ingabe i-Scleroderma ingavinjelwa?

Ngenxa yokuthi imbangela eqondile ayaziwa, ayikho indlela yokuvimbela i-scleroderma .

Ngizinakekela kanjani? (Ukuzinakekela)

Ngaphezu kokwelashwa kwakho okuvamile, ungase ukwazi ukulawula ezinye izimpawu ngokwenza izinguquko ezithile endleleni yakho yokuphila yansuku zonke. Ezinye zalezi zimpawu zifaka:

• Ukulandela uhlelo lokudla okunempilo kanye nokuzivocavoca olukufanele.
• Gwema ukwenza umsebenzi onzima womzimba uma ungazizwa kahle.
• Vikela isikhumba sakho ngokugqoka ngendlela efanele indawo okuyo kanye nokufaka isithako selanga esisezingeni elihle uma uphuma ngaphandle.
• Vakashela udokotela wamazinyo (umhlinzeki wokunakekelwa kwamazinyo) ukuze uhlanze amazinyo njalo futhi uhlolwe.

Kufanele ngimbone nini udokotela wami?

I-Scleroderma ingadala izimpawu ezahlukahlukene, ngakho-ke ngezinye izikhathi kungaba nzima ukuzibona ekuqaleni. Uma unezinhlungu ezintsha noma ezinye izimpawu, ikakhulukazi uma ziba zimbi kakhulu, bona udokotela. Ngisho noma izimpawu zakho zibangelwa okunye, udokotela wakho angakwazi ukubona imbangela futhi ancome ukwelashwa ukuze azilawule.

Uma ukwelashwa kwakho kwe-scleroderma kubonakala kungasebenzi kahle, noma uma izimpawu zakho zishintsha noma ziba zimbi kakhulu - ikakhulukazi uma zithinta ikhono lakho lokuphefumula noma lokugwinya - khuluma nodokotela wakho.

Kufanele ngiye nini e-Emergency Treatment Unit (ETU) ?

Uma unezimpawu zokuhlaselwa yinhliziyo , njengobuhlungu besifuba, ubunzima bokuphefumula, noma uma uzizwa sengathi awukwazi ukugwinya, shayela u-911 (noma inombolo yakho yezimo eziphuthumayo yendawo) ngokushesha, noma uye emnyangweni wezimo eziphuthumayo esibhedlela.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Ungakhohlwa ukubuza le mibuzo uma ubona udokotela:

• Ingabe ngine-Scleroderma noma esinye isifo?
• Uhlobo luni lwe-Scleroderma enginalo?
• Hlobo luni lokwelashwa engiludingayo?
• Yiziphi izinkinga okufanele ngiziqaphele ngokukhethekile?

Ingakanani iminyaka yokuphila komuntu one-Scleroderma?

Iningi labantu abane-scleroderma alibi nezinkinga ezisongela ukuphila .

Kodwa-ke, uma une-systemic sclerosis, ethinta izitho zangaphakathi, usengozini enkulu yezinkinga ezinkulu. Udokotela wakho uzokutshela ukuthi yini ongayilindela nokuthi ngabe usengozini enkulu yezinkinga ezibulalayo.

Ingabe i-Scleroderma iyisifo esibi kakhulu?

Njenganoma yisiphi isifo esingamahlalakhona, i-scleroderma iyisimo esibucayi nesingathi sína.Lokhu kungenxa yokuthi cishe kuzodingeka ubhekane nezimpawu impilo yakho yonke. Kodwa-ke, lokho akusho ukuthi i-Scleroderma izobusa impilo yakho. Okuhlangenwe nakho kwawo wonke umuntu kuhlukile. Khuluma nodokotela wakho mayelana nokwesaba kwakho, ukungabaza, kanye nokukhathazeka.

I-Scleroderma ingaba yisimo esicasulayo kakhulu ukuphila naso. Ngenxa yokuthi odokotela abaqiniseki ukuthi siyibangelani futhi akukho ukwelashwa okulingana nakho konke, kungathatha isikhathi ukuthola ukwelashwa okuzolawula kahle izimpawu zakho. Udokotela wakho uzokusiza kuzo zonke izinyathelo.

Themba umuzwa wakho wamathumbu, futhi uthembele kulokho okuzwakala 'kungafanele'. Ngisho noshintsho oluncane ezimpawini kungaba uphawu lwenkinga edinga ukuhlolwa ngudokotela wakho. Ungesabi ukubuza imibuzo nokwabelana ngemicabango yakho ngezimpawu noma ukwelashwa kwakho.

Ukuphila nesifo esingamahlalakhona kungaba yinto ekhathazayo kakhulu. Zinike isikhathi sokuzihlonipha nokuziqaphela ngomsebenzi onzima owenzayo ekuphatheni izimpawu zakho.

Izinto ezibalulekile okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, sesikhulume kakhulu nge-Scleroderma manje. Ekuphetheni, nansi ezinye zezinto ezibaluleke kakhulu okudingeka uzikhumbule:

• I-Scleroderma yisifo esingavamile, esihlasela amasosha omzimba lapho umzimba ukhiqiza khona i-collagen eningi kakhulu, okubangela isikhumba kanye nezitho zangaphakathi ngezinye izikhathi ukuba ziqine.
• Kunezinhlobo ezimbili eziyinhloko zalokhu: okutholakala endaweni ethile kanye nokutholakala emzimbeni. Uhlobo olutholakala emzimbeni luyingozi kakhulu ngoba lungathinta nezitho zangaphakathi.
• Izimpawu ziyahlukahluka. Eziyinhloko zihlanganisa ukuqina kwesikhumba, ubuhlungu bamalunga, ukukhathala, kanye nesifo sikaRaynaud.
• Nakuba kungekho ikhambi elihlala njalo, kunezindlela zokwelapha ezisebenzayo zokulawula izimpawu. Khuluma nodokotela wakho bese usungula uhlelo lokwelapha olukusebenzelayo.
• Ukuxilongwa kusenesikhathi kanye nokwelashwa kubaluleke kakhulu, ngakho-ke uma unezinye zalezi zimpawu, qiniseka ukuthi ufuna iseluleko sezokwelapha.
• Njengoba lesi kuyisimo sesikhathi eside, kubalulekile ukuhlala uqinile engqondweni. Uma kudingeka, funa usizo emaqenjini okusekela.

Ungakhathazeki, awuwedwa. Ngolwazi olufanele kanye neseluleko sezokwelapha, ungaphila ngempumelelo nalesi simo.

I- Scleroderma, i-Scleroderma, Ukuqina kwesikhumba, Izifo zokuzivikela komzimba, i-Collagen, i-Raynaud's syndrome, i-Systemic sclerosis, Izifo zesikhumba