Wake wazizwa sengathi uyahlanya, amalunga akho abuhlungu, noma isikhumba sakho sithola zonke izinhlobo zokuqubuka noma amabala? Sivame ukukhohlwa ngalezi zinto, sicabanga ukuthi zivamile. Kodwa ngezinye izikhathi, ngemuva kwalezi zimpawu ezincane, kungase kube nesimo esibi kakhulu esingakaze sizwe ngaso. Namuhla, sizokhuluma ngesifo esisodwa esinjalo, okuyi -Vasculitis . Leli gama lingase libe lisha kuwe. Kodwa kubaluleke kakhulu ukuqaphela lokhu.
Kuyini i-Vasculitis? Ake sikuqonde kalula.
Kalula nje, i-Vasculitis ukuvuvukala noma ukuvuvukala kwemithambo yegazi yakho, okungukuthi, imithambo yegazi . Manje ungase uzibuze ukuthi iyini le mithambo yegazi. Ake sikuchaze lokho kancane.
Cabanga ngohlelo lwemithambo yegazi emzimbeni wethu njengenethiwekhi yemigwaqo kulo lonke elaseSri Lanka. Le migwaqo ithwala umoya-mpilo nezakhamzimba kuwo wonke amaseli emzimbeni wethu. Kunezinhlobo ezintathu eziyinhloko zalolu xhumano lwemigwaqo:
- Imithambo yegazi: Lezi zifana nemigwaqo emikhulu. Le mithambo yegazi emikhulu ithwala igazi elihlanzekile lisuka enhliziyweni kuwo wonke umzimba.
- Imithambo: Lezi yizindlela ezibuyisela igazi elisetshenzisiwe, okungukuthi, igazi elingcolile, enhliziyweni.
- Ama-Capillaries: Lezi yizindlela ezincane ezixhumanisa imigwaqo emikhulu neminye imigwaqo. Wonke amaseli emzimbeni athola izakhamzimba egazini ngale mithambo yegazi emincane.
Manje uyaqonda? I-Vasculitis ithinta inethiwekhi yemithambo yegazi. Uma lesi sifo sivela, izindonga zemithambo yegazi ziyavuvukala futhi zibe zijiyile. Njengoba nje umgwaqo uba mncane futhi kube nzima ngezimoto ukudlula kuwo, kuba nzima ngegazi ukugeleza ngale mithambo emincane.
Uma ukugeleza kwegazi kuphazamiseka ngale ndlela, izitho eziphakelwa yileyo mithambo yegazi (isibonelo, izinso, amaphaphu, isikhumba) ziqala ukonakala. Ngezinye izikhathi izindonga zemithambo yegazi zingaba buthaka futhi zikhukhumale njengebhaluni. Lokhu sikubiza ngokuthi i-aneurysm . Kuyisimo esiyingozi kakhulu.
Abantu abaningi bangazilawula lezi zimpawu ngemithi. Kodwa-ke, uma ukugeleza kwegazi ezithweni ezibalulekile kunqamuka, lokhu kungaba yisimo esisongela ukuphila .
I-vasculitis ithinta kuphi umzimba?
Eqinisweni, kungathinta noma iyiphi ingxenye yomzimba enemithambo yegazi. Lokhu kusho ukuthi kungathinta noma yisiphi isitho kusukela ekhanda kuya ezinyaweni.
Nazi ezinye zezindawo eziyinhloko lapho imiphumela ingase ivele khona:
- Isikhumba
- Amaphaphu
- Inhliziyo
- Imizwa
- Amehlo
- Izinso
- Ubuchopho
- Ama-sinuses
- Isisu Namathumbu (Isisu)
- Izandla nezinyawo
Yiziphi izimpawu ezivamile ze-vasculitis?
Izimpawu zalesi sifo zingahluka kakhulu kumuntu nomuntu. Kuya ngokuthi imithambo yegazi ithinteke yiphi isitho nokuthi ukuvuvukala kukhulu kangakanani. Isibonelo, uma umuntu enemithambo yegazi esikhumbeni sakhe, angase abe nokuqubuka namabala abomvu esikhumbeni sakhe. Uma omunye umuntu enesifo sezinso, angase abe negazi emchameni wakhe.
Kodwa-ke, kunezimpawu ezivamile ezingaqondile kulesi sifo. Uma uhlangabezana nezinye zalezi zimpawu ndawonye, kufanele nakanjani ubone udokotela.
| Isibonakaliso | Kalula nje... |
|---|---|
| Izici ezijwayelekile | Umkhuhlane, ukukhathala, ukwehla kwesisindo, izinhlungu zomzimba. |
| Izimpawu ezihlobene nesikhumba | Amabala abomvu noma ansomi esikhumbeni, i-eczema, kanye nezilonda okungenzeka. |
| Izimpawu ezihlobene nemizwa | Ukuba ndikindiki, ukuqaqamba, ubuthakathaka ezithweni. |
| Izimpawu ezihlobene nohlelo lokuphefumula | Ubunzima bokuphefumula, ukukhwehlela (mhlawumbe ngenxa yegazi). |
| Izimpawu ezihlobene nezinso | Ukufiphala komchamo, igazi emchameni. |
| Ezinye izici | Izimo ezinjengobuhlungu bamalunga, ubuhlungu besisu, kanye nesifo sohlangothi. |
Kungani lokhu kwenzeka nge-Vasculitis?
Lo mbuzo uyinkimbinkimbi kancane. I-Vasculitis yisifo esibangelwa ukuzivikela komzimba . Kusho ukuthini lokhu?
Umzimba wethu unesimiso sokuzivikela esihlakaniphe kakhulu. Sisibiza ngokuthi isimiso sokuzivikela. Umsebenzi waso ukusivikela ezifweni ngokulwa namagciwane (amagciwane, amabhaktheriya) angena emzimbeni. Kodwa-ke, esifweni esibangelwa ukuzivikela komzimba, lesi simiso sokuzivikela siba nephutha futhi siqale ukuhlasela amangqamuzana ethu aphilile esikhundleni sokuhlasela umhlaseli wangaphandle.
Ku-vasculitis, amasosha omzimba wakho ahlasela imithambo yegazi yakho . Ososayensi abakakazi kahle ukuthi kungani lokhu kwenzeka.
Kodwa-ke, kutholakale ukuthi izinto ezithile zingase zibangele lesi simo.
- Ukutheleleka: Lesi simo singavela ngemva kokutheleleka okuthile okubangelwa amagciwane noma amagciwane.
- Ezinye izifo ezibangelwa ukuzivikela komzimba: Uma usuvele unesinye isifo esibangelwa ukuzivikela komzimba, njenge-rheumatoid arthritis, usengozini enkulu yokuthola i-vasculitis.
- Imithi ethile: Akuvamile, lokhu kungenzeka futhi njengokusabela kwemithi ethile.
- Ezinye izinhlobo zomdlavuza: Lesi simo singabangelwa nezinto ezifana nomdlavuza wegazi.
Zikhona yini izinhlobo zalesi sifo?
Yebo, kunezinhlobo ezingaphezu kuka-30 zalokhu. Zihlukaniswa kakhulu ngokobukhulu bemithambo yegazi ethintekile (emikhulu, ephakathi nendawo, emincane) kanye nendawo ezikuyo. Uma besingakhuluma ngazo zonke lezi zinhlobo, mina nawe besingalahleka. Ngakho-ke ake sazi amagama ezinhlobo ezimbalwa eziyinhloko okuxoxwa ngazo.
- I-vasculitis ehlobene ne-ANCA: Lokhu kunezinhlobo eziningana.
- I-Giant cell arteritis: Lolu uhlobo oluvame ukuhlasela abantu abangaphezu kweminyaka engu-50 futhi luthinta imithambo emikhulu ekhanda nasentanyeni.
- I-Takayasu arteritis: Lolu uhlobo oluthinta imithambo emikhulu.
- I-Polyarteritis nodosa
- Isifo se-Kawasaki: Lolu uhlobo oluvame ukwenzeka ezinganeni ezincane.
- I-IgA vasculitis (iHenoch-Schönlein purpura): Lokhu kuvamile nakwabantwana.
Akudingeki ukhumbule la magama. Into ebaluleke kakhulu ukuthi udokotela athole ukuthi hlobo luni lwesifo onaso, ngoba ukwelashwa kuzoncika kulolo hlobo.
Udokotela usithola kanjani lesi sifo?
Ukuxilonga i-vasculitis kungaba nzima kancane ngoba izimpawu zayo zifana nezezinye izifo eziningi. Ngakho-ke, udokotela ngeke akubize ngokushesha ngokuthi i-vasculitis.
Uma uya kudokotela, uzoqala alalele izimpawu zakho futhi afunde ngazo. Ngemuva kwalokho uzohlola umzimba wakho. Ngaphezu kwalokho, uzoyala ukuhlolwa okuningana ukuqinisekisa ukuxilongwa.
- Ukuhlolwa kwegazi: Lokhu kusiza ukuhlola ukuvuvukala emzimbeni (ukuhlolwa okufana ne-ESR, i-CRP), kanye nama-antibodies athile afana ne-ANCA.
- Ukuhlolwa komchamo: Lokhu kunganquma ukuthi izinso zithintekile yini.
- I-Biopsy: Lena yindlela engcono kakhulu yokuqinisekisa lesi sifo. Lokhu kuhilela ukuthatha ingxenye encane kakhulu yezicubu esithweni esithintekile (isib. isikhumba, izinso) bese uyihlola ngaphansi kwesibonakhulu.
- I-Angiogram: Lokhu ukuhlolwa okufana ne-X-ray okukhethekile okubheka ingaphakathi lemithambo yegazi yakho. Kungahlola ukuthi imithambo yegazi yakho inciphile noma ivulekile.
Ngemva kwalezi zivivinyo, cishe uzothunyelwa kudokotela ochwepheshe bezifo zokuvuvukala ezifana nalesi, udokotela wamathambo .
Yiziphi izindlela zokwelapha i-vasculitis?
Kunemigomo emibili eyinhloko yokwelapha i-vasculitis.
1. Ukulawula ukuvuvukala.
2. Ukuvimba ukungasebenzi kahle kwesimiso somzimba sokuzivikela.
Imithi isetshenziswa kakhulu kulokhu.
- Ama-Corticosteroids: Lena imithi enamandla elawula ukuvuvukala ngokushesha. I-Prednisolone iyisidakamizwa esisetshenziswa kakhulu kuleli klasi.
- Ama-Immunosuppressants: Le mithi ilawula ukusebenza kwesimiso somzimba sokuzivikela, esihlasela umzimba ngephutha.
Le ndlela yokwelapha izonqunywa udokotela wakho ngokusekelwe ohlotsheni kanye nobunzima besimo sakho. Ngezinye izikhathi, uma kukhona umonakalo omkhulu emithanjeni yegazi, kungase kudingeke ukuhlinzwa ukuze kulungiswe.
Into ebaluleke kakhulu ukuphuza umuthi onikezwe udokotela, ngesilinganiso esifanele nangesikhathi esifanele. Ukuwuyeka phakathi nendawo kungabangela umonakalo omkhulu.
Kufanele ngifune nini iseluleko sezokwelapha?
Lena yingxenye ebaluleke kakhulu yalesi sihloko. Lalela umzimba wakho ngokucophelela. Uma uzwa noma yiziphi izinguquko noma ukungajwayelekile, ungakuzibi.
| Izimo ezidinga ukunakekelwa okusheshayo | |
|---|---|
| Bona udokotela wakho... |
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| Yiya e-Emergency Treatment Unit (ETU) yesibhedlela ngokushesha... |
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Umlayezo Wokuya Nawe Ekhaya
- I-Vasculitis ukuvuvukala kwemithambo yegazi. Kuyisifo esibangelwa ukuzivikela komzimba.
- Izimpawu zalesi sifo ziyahlukahluka kakhulu. Zingasukela ezimpawini ezivamile njengomkhuhlane kanye nokungaphatheki kahle kuya ezimpawini ezingathi sína njengokuqubuka kwesikhumba kanye nobunzima bokuphefumula.
- Lesi sifo asikwazi ukwelapheka ngokuphelele. Kodwa-ke, ngokwelashwa okufanele, izimpawu zingalawulwa futhi impilo evamile ingaphila.
- Ungalokothi ungazinaki izimpawu ezintsha noma eziya ziba zimbi emzimbeni wakho. Yazisa udokotela wakho ngokushesha.
- Uma ubhekene nobunzima bokuphefumula, izimpawu zokuhlaselwa yinhliziyo, noma ukulahlekelwa umbono ngokuzumayo, hamba uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngaphandle kokungabaza.
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