Zicabange uhleli nje bese imisipha yakho yangemuva iqina njengedwala, ingakwazi ukunyakaza. Noma ukuthi ngisho nomsindo omncane noma umuntu okukushayayo kubangela ukuthi umzimba wakho uqhumuke futhi imisipha yakho iqhumuke ngenxa yobuhlungu obukhulu. Lokhu kungase kungabi nje ubuhlungu bomhlane noma ukucindezeleka kwemisipha okuvamile. Namuhla sikhuluma ngesimo esingavamile kakhulu abantu abaningi abangakaze bezwe ngaso, kodwa kubaluleke kakhulu ukwazi ngaso. Lokhu kubizwa ngokuthi i-Stiff Person Syndrome , noma i-SPS ngamafuphi.
Kalula nje, iyini i-Stiff Person Syndrome (SPS)?
I-Stiff Person Syndrome yisimo esingavamile kakhulu sezinzwa. Sithinta ubuchopho bethu kanye nomgogodla. Kalula nje, yisifo sokuzivikela komzimba . Lokhu kusho ukuthi isimiso somzimba sokuzivikela, okufanele sivikele imizimba yethu ezifweni, siqala ngephutha ukuhlasela amangqamuzana ethu aphilile. Lesi sifo singavamile kangangokuthi ngisho nasezweni elifana ne-United States, kuneziguli ezingaphansi kuka-5,000 ezitholakale zinalesi sifo.
Umuntu onalesi sifo uqala ngokuzwa umuzwa wokuqina emisipheni yengxenye ephakathi yomzimba, okungukuthi, indawo yesiqu . Ngokuhamba kwesikhathi, lokhu kuqina kungasakazekela ezingalweni nasemilenzeni. Ngaphezu kwalokhu kuqina, kungase kube nokuqaqamba kwemisipha okubuhlungu kakhulu. Ngenxa yalokhu kuqina, ukuma komzimba kungashintsha ngokuhamba kwesikhathi, kugobe kancane bese kubheka kugobile .
Lokhu kuqaqamba kwemisipha kungavela ngokuzenzakalelayo noma kuqalwe yinto ethile. Isibonelo, umsindo omkhulu ongazelelwe, ukushayiswa othile, noma ukucindezeleka okukhulu kungabangela lokhu kuqaqamba.
Yiziphi izimpawu eziyinhloko zalesi sifo?
Nakuba imiphumela yalesi sifo ihluka kancane kumuntu nomuntu, kunezimpawu ezithile ezivamile ezingabonakala. Ake sizibheke etafuleni.
| Isibonakaliso | Kwenzekani kuyo? |
|---|---|
| Ukuqina kwemisipha okukhulu | Iqala esiqwini bese isakazekela emilenzeni. Nakuba lokhu kuqina kuqala futhi kuphele, kuba njalo ngokuhamba kwesikhathi. |
| Ukuqina Kwemisipha Okubuhlungu | Lokhu kuzamazama kungahlala amahora amaningi futhi ngezinye izikhathi kuba kubi kakhulu kangangokuthi kungadala ngisho nokuqhekeka . |
| Ubunzima Bokuhamba Nokuwa | Ukuqina kwemisipha kwenza kube nzima ukuhamba noma ukunyakaza. Ungase ulahlekelwe yibhalansi yakho ngenkathi umi noma uhamba bese uwe. Lokhu kuwa kuchazwa ngokuthi "njengogodo oluwela phezu" ngoba umzimba uqinile ngokuphelele futhi awukwazi ukulawula ukuwa. |
| Imiphumela Yengqondo | Kuvamile ukuthi lesi sifo sibangele ukukhathazeka nokucindezeleka. Ungase wesabe ukuphuma endlini ngoba wesaba ukuba nesithuthwane. |
Ngenxa yokuthi lezi zimpawu zivela ngokuzumayo, iziguli ziyesaba ukuya ezindaweni zomphakathi nokushayela. Ngakho-ke, zizama ukuzihlukanisa kancane kancane nomphakathi.
Kungani kwenzeka into efana nale?
Odokotela abakayitholi imbangela eqondile yalokhu, kodwa inkolelo-mbono eyinhloko ukuthi kuyinkinga ngesimiso sethu somzimba sokuzivikela .
Kukhona i-neurotransmitter ebizwa nge-GABA esiza ukulawula ukunyakaza kwemisipha yethu. Cabanga ngayo 'njengeswishi' ethumela isignali emisipheni yethu ukuze 'iphumule'. I-enzyme ebizwa ngokuthi 'i-glutamic acid decarboxylase (GAD)' ibalulekile ekwenzeni le GABA. Ezigulini eziningi ze-SPS, umzimba ukhiqiza ama-antibodies ahlasela le enzyme ye-GAD. Lapho la ma-antibodies ehamba futhi ebhubhisa i-enzyme ye-GAD, i-GABA ayikhiqizwa kahle. Khona-ke imisipha ayitholi umyalezo 'wokuphumula' kahle, futhi ihlala icindezeleka futhi inyakaze.
Abantu abane-SPS banamathuba amaningi okuba nezinye izifo ezizimele.
- I-Vitiligo - amabala amhlophe esikhumbeni
- Isifo Sikashukela Sohlobo 1
- I-anemia eyingozi - I-anemia ebangelwa ukuntuleka kwe-vitamin B12
- I-Thyroiditis (ukutheleleka kwendlala yegilo)
Futhi, abantu abanezinhlobo ezithile zomdlavuza basengozini yokuthola i-SPS (isib. umdlavuza wamaphaphu, wezinso, webele, we-thyroid, nowe-colon).
Udokotela usithola kanjani lesi sifo ngokunembile?
Izimpawu ze-SPS zivame ukuvela phakathi kweminyaka engama-30 nengama-60. Abesifazane banamathuba aphindwe kabili okuthola lesi sifo kunabesilisa.
Ngenxa yokuthi izimpawu zalesi sifo zifana nezezinye izifo ezivamile, i-SPS ivame ukuphambaniswa nesinye isifo.
- I-Multiple Sclerosis
- Isifo sikaParkinson
- I-Fibromyalgia
- Ukuwohloka kwemisipha
- Ukukhathazeka
Ngenxa yalokhu, kungathatha isikhathi ukuthola ukuxilongwa okunembile. Udokotela wakho uzoqala akuhlole, akubuze ngomlando wakho wezokwelapha, bese eyala ukuhlolwa okuningana ukuze anqume ezinye izimo.
1. Ukuhlolwa kwegazi kwama-antibodies e-GAD: Lokhu ukuhlolwa okubaluleke kakhulu. Amazinga aphezulu ala ma-antibodies e-GAD angatholakala egazini leziguli ezingama-60% - 80% ze-SPS.
2. I-Electromyography (EMG): Lokhu kulinganisa umsebenzi kagesi wemisipha yakho uma ikhululekile nalapho iqinile. Imisipha yeziguli ze-SPS ihlala isebenza ngisho noma ikhululekile.
Yiziphi izindlela zokwelapha lokhu?
Into yokuqala okufanele uyisho ukuthi alikho ikhambi lalesi sifo okwamanje . Kodwa-ke, kunezindlela eziningi zokwelapha ezisebenzayo ezingasiza ukulawula izimpawu futhi zikusize uqhubeke nemisebenzi yakho yansuku zonke. Uhlelo lokwelashwa luhlelwe ngokwesiguli ngasinye, ngokusekelwe ezimpawini zaso.
Udokotela wakho uzozama imithi ehlukene ukulawula ubuhlungu kanye nokuqina kwemisipha. Akuwona wonke umzimba osabela ngendlela efanayo emithini, ngakho-ke kungathatha isikhathi ukuthola inhlanganisela efanele yemithi.
- Ngokuqina kwemisipha: Ama-Benzodiazepine (isib. i-diazepam, i-clonazepam) kanye ne-baclofen avame ukusetshenziswa.
- Ubuhlungu: Ama-painkiller kanye neminye imithi yokulwa nokuquleka kungasiza ekulawuleni ubuhlungu.
- Ukwelashwa nge-Intravenous Immunoglobulin (IVIG): Lokhu kuhilela ukunikeza ama-antibodies athathwe kubantu abaphilile nge-intravenous. Lokhu kuye kwabonakala futhi kuyindlela yokwelapha ephumelelayo yokulawula izimpawu ze-SPS.
Ngaphezu kwemithi, ukwelashwa ngokomzimba, ukuvivinya umzimba, ukubhucunga, kanye nokushaya nge-acupunctureIzinto ezinjengalezi zingasiza ekunciphiseni ubuhlungu futhi zigcine imisipha isebenza.
Umlayezo Wokuya Nawe Ekhaya
- I-Stiff Person Syndrome (SPS) akuyona nje ubuhlungu bemisipha, kodwa iyisifo sezinzwa esingavamile kakhulu esibangelwa ukuzivikela komzimba.
- Izimpawu eziyinhloko ukuqina kwemisipha okukhulu kanye nobuhlungu obuqala endaweni yesiqu.
- Njengoba lokhu kuvame ukudidaniswa nezinye izifo, usizo lukadokotela onolwazi lubalulekile ukuze kutholakale ukuxilongwa okunembile.
- Nakuba lesi sifo singelapheki ngokuphelele, kunezindlela zokwelapha ezisebenzayo ezingakusiza ukulawula izimpawu zakho futhi uphile impilo evamile.
- Uma wena noma othile omaziyo enalezi zimpawu, ungazinaki, uthi, "Kumane nje kuwukucindezeleka kwemisipha." Bona udokotela wakho ngokushesha bese ucela iseluleko sezokwelapha.
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