Ingabe uyalunywa futhi uyaklwebha umzimba wonke? Ingabe kungaba yi-Urticarial Vasculitis? Ake sixoxe ngakho!

Wake waphawula ukuthi ngezinye izikhathi umzimba wakho uba namaqhubu abomvu, avuvukele, futhi alumayo ngokuzumayo? Ngezinye izikhathi lokhu kuyaphela ezinsukwini ezimbalwa, kodwa kwabanye abantu, la maqhubu angaqhubeka futhi angaba buhlungu kakhulu. Yilokho okwenzekayo ngegama eliyinkimbinkimbi elithi Urticarial Vasculitis esizokhuluma ngalo namuhla. Ungesabi uma uzwa igama, ake silichaze kalula.

Kuyini i-Urticarial Vasculitis? Kalula nje...

Kunezingxenye ezimbili kuleli gama, akunjalo? (Urticaria) kanye (Vasculitis) . Ake sibone ukuthi lezi zisho ukuthini.

I-Vasculitis ukuvuvukala kwemithambo yegazi emzimbeni wethu. Cabanga ngale mithambo yegazi njengemibhobho emincane egijima emzimbeni wethu. Lawa yimibhobho ethwala igazi emzimbeni wonke. Ngakho-ke lapho le mithambo yegazi ivuvukala, kuba njengepayipi lamanzi elivalekile, elivimba ukugeleza kwegazi.

I-Urticaria yisimo esivame ukusibiza ngokuthi “ama-hives” noma “ama-hives.” Abanye abantu basibiza nangokuthi “ama-hives.” Lawa amaqhubu abomvu, avuvukele, futhi avame ukulunywa avela ebusweni besikhumba. Odokotela ngezinye izikhathi bawabiza ngokuthi izilonda zesikhumba .

Ngakho-ke iyini i-Urticarial Vasculitis ? Okwenzekayo kulokhu ukuthi ukuvuvukala kwemithambo yegazi (i-vasculitis) okukhulunywe ngayo ekuqaleni kubangela ukuqubuka kwesikhumba (i-urticaria). Kodwa lokhu kuqubuka akufani nokuqubuka okuvamile, kuhlala isikhathi eside, mhlawumbe isikhathi esingaphezu kosuku, futhi akugcini nje ngokuluma, kodwa futhi kungaba buhlungu .

Nakuba lesi simo (i-Urticarial Vasculitis) sithinta kakhulu isikhumba, ngezinye izikhathi singathinta imithambo yegazi exhumana nezinye izitho zomzimba wethu. Yilokho:

• Kwamalunga akho
• Enhliziyweni (Enhliziyweni)
• Izinso
• Amehlo
• Amaphaphu

Kodwa ungakhathazeki, abantu abaningi bangakwazi ukubhekana nalesi simo ngemithi. Kodwa-ke, uma unezinhlungu ezingapheli ezinsukwini ezimbalwa, kufanele nakanjani ubone udokotela .

Okubalulekile: Ngezinye izikhathi lesi simo singasongela impilo uma sithinta izitho zangaphakathi. Uma uhlangabezana nezimpawu ezifana nobunzima bokuphefumula, ubuhlungu besifuba (njengokuhlaselwa yinhliziyo), noma ukulahlekelwa umbono ngokuzumayo, iya esibhedlela ngokushesha noma ushayele u-911 .

Sivame kangakanani lesi simo (i-Urticarial Vasculitis)?

Empeleni lesi yisimo esingavamile kakhulu . Kunzima ukusho ukuthi bangaki abantu abasitholayo minyaka yonke. Ngenxa yokuthi abanye abantu banezimpawu ezincane kakhulu, bangase bangazithathi ngokungathi sína, futhi bangase bangatholi ngisho nokuxilongwa okufanele. Ngenxa yokuthi zimbalwa kakhulu izimo ezimbi kakhulu, kunzima ukusho ukuthi lokhu kuvame kangakanani.

Ziyini izimpawu ze-Urticarial Vasculitis?

Kwabaningi, izimpawu ziyafika zidlule “ngeziqephu.” Lokhu kusho ukuthi izimpawu zingase zibe khona isikhashana, bese zinyamalala isikhashana.

Uphawu oluyinhloko noluvame kakhulu yizimbotshana. Lezi zimbotshana zingavela noma kuphi emzimbeni . Lezi zimbotshana zivame ukuba:

• Kubukeka njengeqhubu elivuvukele, eliphakanyisiwe, futhi elizwakala sengathi liyaqoqwa .
• Kuyaluma kakhulu .
• Kubuhlungu .
• Kungaba bomvu noma mhlawumbe kube nombala oshintshile .

Ngokuvamile, uma kuvela ukuqhuma, kuyaphela ngosuku olulodwa noma ezimbili. Kodwa-ke, kulesi simo (i-Urticarial Vasculitis), ukuqhuma kungase kuhlale endaweni efanayo isikhathi esingaphezu kwamahora angu-24, ngezinye izikhathi izinsuku eziningana . Futhi, ngemva kokuphela kokuqhuma, indawo ingase ibonakale iphukile noma ishintshe umbala .

Nakuba kungavamile, izimpawu ezinzima zingavela futhi:

• Ukukhathala
• Ubuhlungu bamalunga : Kufana nobuhlungu bomzimba uma unomkhuhlane.
• Ubuhlungu besisu
• Ama-lymph node avuvukele (i-Lymphedema) : Ezindaweni ezifana nentamo namakhwapha.
• Iso elibomvu
• Imfiva
• Ukuphelelwa umoya
• Ubuhlungu bezinso: Ubuhlungu endaweni yembobo nhlangothi zombili.

Ngezinye izikhathi, phakathi nokuqhubeka kwezimpawu, isimo esibizwa ngokuthi i-angioedema singavela. Lokhu ukuvuvukala kwezicubu ezingaphansi kwesikhumba. Cabanga ukuthi izindawo ezifana nezindebe kanye namehlo azungezile zivuvukala kakhulu ngokuzumayo.

Yiziphi izimbangela ze-Urticarial Vasculitis?

Uma sikhuluma iqiniso, ngisho nochwepheshe abakwazi ukusho ukuthi yini ngempela ebangela lokhu .

(I-Vasculitis) yisifo esibangelwa ukuzivikela komzimba . Lokhu kungase kubonakale kunzima ukukuqonda, akunjalo? Kalula nje, umzimba wethu unesimiso somzimba sokuzivikela. Kufana nebutho ezweni lakithi, elisivikela ezifweni. Kodwa-ke, kulesi (isifo se-Autoimmune), okwenzekayo ukuthi uhlelo lwethu lokuzivikela luhlasela ngephutha amangqamuzana nezicubu zomzimba wethu. Kufana nebutho lethu elihlasela abantu bakithi.

I-Urticarial Vasculitis ngezinye izikhathi ingenzeka ngemva kokuvuvukala emzimbeni okubangelwa esinye isimo sezokwelapha. Lokhu kubizwa ngokuthi "izisusa." Okusho ukuthi, isimo sezokwelapha esidala "amathuba" okuqala kwe-Urticarial Vasculitis. Abanye abantu bangayithuthukisa ngaphandle kwesizathu noma imbangela. Lokhu kubizwa ngokuthi (idiopathic) .

Ezinye zezimbangela ezingabangela i-Urticarial Vasculitis yilezi:

• Ukutheleleka okuhlukahlukene : Isibonelo, izimo ezifana namagciwane e-Hepatitis B noma i-Hepatitis C, i-Mononucleosis (eyaziwa nangokuthi "i-Kissing Disease"), futhi ngezinye izikhathi ngemva kokutheleleka yi-COVID-19, isifo se-Lyme.
• Ezinye izifo zokuzivikela komzimba: Isibonelo, (i-Rheumatoid arthritis), (i-Lupus) (ebizwa nangokuthi i-SLE), (i-Sjögren's syndrome), (i-Hypothyroidism) (i-thyroid gland engasebenzi kahle).
• Njengomphumela omubi weminye imithi .
• Ezinye izinhlobo zomdlavuza .

Ubani osengozini enkulu yokuthola i-Urticarial Vasculitis?

Lesi simo singakhula kunoma yimuphi ubudala. Kodwa-ke, sivame kakhulu kubantu abadala abaneminyaka engaphezu kwengu-30. Abesifazane nabo banamathuba aphindwe kabili okuba naso kunabesilisa .

I-Urticarial Vasculitis itholakala kanjani?

Udokotela uzohlonza lesi simo. Uzohlola isikhumba sakho bese ebuza ngezimpawu zakho.

I-Urticarial Vasculitis ivame ukutholakala ngokusebenzisa "ukuxilongwa okuhlukile." Lokhu kusho ukuthi kwenziwa izivivinyo eziningana ukuze kutholakale ukuthi izimpawu zakho zibangelwa yilesi simo noma esinye isimo. Ezinye zezivivinyo ongase ube nazo yilezi:

• Ukuhlolwa kwesikhumba semivimbo: Kulokhu, kuthathwa ingxenye encane kakhulu yesikhumba endaweni ethintekile bese ihlolwa ngaphansi kwe-microscope ukuze kubonakale ukuthi kukhona yini ukuvuvukala emithanjeni yegazi.
• Ukuhlolwa kwegazi : Lokhu kungabheka ukuvuvukala, ukusebenza kwesimiso somzimba sokuzivikela, kanye nezinye izimo ezihlobene.
• Ukuhlolwa okuhlola ukusebenza kwezitho zakho ezithintekile : Isibonelo, ukuhlolwa komchamo ukuze kubonakale ukuthi izinso zakho zithintekile yini, noma i-X-ray yesifuba ukuze kubonakale ukuthi amaphaphu akho athintekile yini.

Cishe kuzodingeka ubone udokotela wamathambo, udokotela ogxile ezifweni zokuvuvukala kwamalunga, imisipha, kanye nezicubu ezixhumeneyo. Uma unezimpawu ezifana nobunzima bokuphefumula, ungathunyelwa nakudokotela wamaphaphu , udokotela ogxile ohlelweni lokuphefumula.

Yiziphi izindlela zokwelapha lokhu?

Udokotela wakho uzoncoma ukwelashwa ngokusekelwe ezimpawini zakho. Umgomo oyinhloko ukunciphisa ukuvuvukala nokulawula ubuhlungu nokuvuvukala . Izinhlobo zemithi ongase uyidinge yilezi:

• Ama-NSAID atholakala ngaphandle kwemithi kadokotela (imithi elwa nokuvuvukala engeyona eye-steroidal) : Isibonelo, i-ibuprofen, i-aspirin, noma i-naproxen. Lawa angathengwa ekhemisi.
• (Ama-Corticosteroids) : Lezi uhlobo lomuthi olunamandla kakhulu olunciphisa ukuvuvukala.
• Ama-antihistamine : Lawa asiza ekunciphiseni ukulunywa nokuvuvukala.
• (Izithibi ze-ACE) : Lezi zisetshenziswa nakwezinye izimo.
• (Imithi yokucindezela amasosha omzimba): Lezi yizidakamizwa ezilawula ukusebenza ngokweqile kwesimiso somzimba sokuzivikela esishiwo ngaphambili.

Udokotela wakho uzokhuluma nawe futhi akusize uthole ukwelashwa okungcono kakhulu kuwe. Abantu abaningi abane-Urticarial Vasculitis banezinye izimo zempilo. Ngakho-ke kufanele utshele udokotela wakho nganoma yiziphi ezinye izimo zezokwelapha onazo kanye nanoma yimiphi imithi oyiphuzayo njengamanje.

Qiniseka ukuthi ubuza ngemiphumela emibi yemithi udokotela wakho ayinikezayo . Ngaleyo ndlela, uzokwazi ukuthi yini ongayilindela nokuthi yiziphi izinkinga okufanele uziqaphele.

Ingabe i-Urticarial Vasculitis ingelapheka ngokuphelele?

Akukho ukwelashwa kwalesi sifo. Kodwa-ke, abanye abantu bangangena esimweni esibizwa ngokuthi "ukuxolelwa," okusho ukuthi bangaba nezimpawu isikhathi eside - mhlawumbe izinyanga noma iminyaka.

Uma nginalesi simo, yini okufanele ngiyilindele?

Ungalindela ukuba nalesi simo isikhathi eside, mhlawumbe impilo yakho yonke . Kwabaningi, sithinta isikhumba kuphela. Kodwa-ke, uma sithinta izitho zangaphakathi, umonakalo ungasongela impilo.

Ngisho noma "usekukhululweni", kuhlale kukhona ithuba lokuba nesinye isiqephu sezimpawu.

Kuye ngezinye izimo zakho zempilo, udokotela wakho uzokutshela ukuthi yini ongayilindela. Kubalulekile ukubona udokotela wakho njalo futhi umazise nganoma yiziphi izinguquko ezimpawu zakho . Kungase kudingeke futhi ukuthi uhlolwe njalo ukuze ubone ukuthi isimo sesisakazekile noma sishintshile.

Ingabe i-Urticarial Vasculitis ingavinjelwa?

Lokhu akunakuvinjelwa . Ngoba ngisho nochwepheshe abakakwazi ukuthola imbangela eqondile, abakwazi ukusho ukuthi kuzokwenzeka nini noma ubani.

Ngizinakekela kanjani?

• Hlala unake izimpawu zakho . Uma ubona noma yiziphi izinguquko, zibhale phansi.
• Njengoba usujwayela ukuphila ne-Urticarial Vasculitis, uzokwazi ukubona izimpawu ngokushesha nje lapho ziqala ukubonakala .
• Landela uhlelo lokwelashwa oluvunyelwene ngalo nodokotela wakho ngqo .
• Uma unomuzwa wokuthi ukwelashwa akusebenzanga, noma uma unomuzwa wokuthi akuveza imiphumela eminingi njengakuqala, ungangabazi ukubona udokotela .

Kufanele ngimbone nini udokotela?

Bona udokotela wakho uma uthola izimpawu ezintsha ze-Urticarial Vasculitis, noma uma izimpawu zakho zibonakala zishintsha . Tshela nodokotela wakho uma iziqephu zakho zikhula noma ziba zimbi kakhulu.

Udokotela uzokutshela ukuthi kufanele uze kangaki ukuzohlolwa noma emtholampilo.

Uma kwenzeka isimo esiphuthumayo:

Uma unezinye zezimpawu ezilandelayo, iya esibhedlela ngokushesha noma ushayele ucingo ku-1990 :

• Uma ungakwazi ukuphefumula.
• Uma uzizwa sengathi uhlaselwa yinhliziyo (ubuhlungu obukhulu besifuba, ukuqina).
• Uma umbono wakho uba mubi ngokuzumayo noma ulahlekelwa yiwo .

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Uma ubona udokotela, ungabuza imibuzo efana nale:

• "Dokotela, ingabe ngithole lokhu (i-Urticarial Vasculitis) nganoma yisiphi isizathu esithile?"
• "Ingabe lokhu kuthinta isikhumba sami kuphela, noma kungathinta nezitho zami zangaphakathi?"
• "Hlobo luni lokuhlolwa okuzodingeka ngenze?"
• "Uhlobo luni lomuthi olungcono kakhulu lokulawula lezi zimpawu?"
• "Ingabe kukhona imiphumela emibi evela kulowo muthi?"
• "Kuzodingeka ngiphinde ngibone udokotela noma ngihlolwe ngokushesha kangakanani?"

Uyini umehluko phakathi kwe-(Urticaria) kanye ne-(Urticaria Vasculitis)?

Lokhu kubonakala kudida kancane, akunjalo?

I-Urticaria yilokho odokotela abakubiza ngokuthi “ama-hives.” Kusho amaqhubu abomvu, avuvukile, alumayo esikhumbeni.

Uma kuvela amaqhubu anjengalawa njengophawu lwesinye isimo sezokwelapha, odokotela bafaka igama elithi "urticarial" kulesi simo.

Yingakho i-Urticaria Vasculitis iqanjwe kanjalo. Kusho ukuthi ukuqubuka kwesikhumba (i-Urticaria) kubangelwa yisimo esibizwa ngokuthi i-Vasculitis (ukuvuvukala kwemithambo yegazi).

Kalula nje, (i-Urticaria) uphawu (amaqhubu). (i-Urticaria Vasculitis) yisifo (ukuvuvukala kwemithambo yegazi) esibangela leso sibonakaliso.

Ingabe kukhona ukuxhumana phakathi kwe-Urticarial Vasculitis nokukhulelwa?

Njengoba ochwepheshe bengakwazi ukukhomba imbangela eqondile ye-Urticarial Vasculitis, kunzima ukusho ukuthi yiziphi izimo noma izinguquko emzimbeni ezingase zibangele noma zingase zingabangeli.

Ezinye izifo ezibangelwa ukuzivikela komzimba zingabangelwa ngesikhathi sokukhulelwa. Uma ubona noma yiziphi izinguquko ezintsha esikhumbeni sakho ngesikhathi ukhulelwe – ikakhulukazi ukuqhuma noma ukuqubuka ongakaze ube nakho ngaphambili – qiniseka ukuthi utshela udokotela wakho.

Okokugcina, izinto okufanele uzikhumbule

I-Urticaria Vasculitis yisimo esingavamile esibangela ukuvuvukala kwemithambo yegazi. Ngokuvamile sithinta isikhumba futhi sibangele ukuqubuka okubuhlungu, okubuhlungu nokulumayo. Kodwa-ke, ngezinye izikhathi kungathinta ezinye izingxenye zomzimba. Uma unalezi zimpawu, bona udokotela ukuze uxoxe ngezindlela ezingcono kakhulu zokuphatha izimpawu zakho.

Ukuphila nesifo esingamahlalakhona kungaba nzima . Kuvamile ukuzizwa ukhathele, ukhathele, futhi ukhungathekile. Leyo mizwa ingokoqobo. Uma uzizwa ukhungathekile, khuluma nodokotela wakho noma umeluleki wezempilo yengqondo bese uthola ngamaqembu okusekela noma ezinye izinsiza ezingakusiza. Awuwedwa.

I- Urticaria vasculitis, i-vasculitis, i-urticaria, ama-hives, ukuzivikela komzimba, ukuqubuka kwesikhumba, ukuvuvukala