I-systemic sclerosis: kuyini, izimpawu nokwelashwa

-Delile

• Izimpawu eziyinhloko
• Ukuxilongwa kwenziwa kanjani
• Ubani osengozini enkulu yokuba
• Yelashwa kanjani

I-Systemic sclerosis yisifo sokuzilimaza esibangela ukukhiqizwa ngokweqile kwe-collagen, okwenza ushintsho ekubunjweni nasekubukeni kwesikhumba, esiba lukhuni ngokwengeziwe.

Ngaphezu kwalokho, kwezinye izimo, lesi sifo singathinta nezinye izingxenye zomzimba, sidale ukuqina kwezinye izitho ezibalulekile, njengenhliziyo, izinso namaphaphu. Ngalesi sizathu kubaluleke kakhulu ukuqala ukwelashwa, okuthi noma kungasiphilisi lesi sifo, kusize ukubambezela ukukhula kwaso futhi kuvimbele ukuvela kwezinkinga.

ISystemic sclerosis ayinasizathu esaziwayo, kodwa kuyaziwa ukuthi ijwayelekile kakhulu kwabesifazane abaphakathi kweminyaka engama-30 nengama-50 ubudala, futhi izibonakalisa ngezindlela ezahlukene ezigulini. Ukuvela kwayo nakho akulindelekile, kungashintsha ngokushesha kuholele ekufeni, noma kancane, kubangele izinkinga zesikhumba ezincane kuphela.

Izimpawu eziyinhloko

Esigabeni sokuqala kwalesi sifo, isikhumba yisitho esithinteke kakhulu, siqala ngokuba khona kwesikhumba esiqinile nesibomvu kakhulukazi, ikakhulukazi emlonyeni, emakhaleni naseminwe.

Kodwa-ke, njengoba kuya ngokuya kuba kubi kakhulu, i-systemic sclerosis ingathinta ezinye izingxenye zomzimba kanye nezitho zomzimba, okwenza izimpawu ezifana ne:

• Ubuhlungu obuhlangene;
• Kunzima ukuhamba nokunyakaza;
• Ukuzwa ukuphefumula okuqhubekayo;
• Ukulahleka kwezinwele;
• Izinguquko ekuhambeni kwamathumbu, ngesifo sohudo noma ukuqunjelwa;
• Kunzima ukugwinya;
• Isisu esivuvukile ngemuva kokudla.

Abantu abaningi abanalolu hlobo lwe-sclerosis bangabuye bahlakulele i-Raynaud's syndrome, lapho imithambo yegazi eminwe icinana khona, ivimbela ukudlula kwegazi okuyilo futhi idale ukulahleka kombala ezandleni nasezinkingeni. Qonda kabanzi mayelana nokuthi yini i-Raynaud's syndrome nokuthi ilashwa kanjani.

Ukuxilongwa kwenziwa kanjani

Imvamisa, udokotela angasola i-systemic sclerosis ngemuva kokubona ushintsho esikhunjeni nasezimpawu, noma kunjalo, okunye ukuhlolwa kokuxilongwa, okufana ne-X-ray, i-CT scans kanye ne-biopsies yesikhumba, kufanele futhi kwenziwe ukuze kukhishwe ezinye izifo futhi ukusiza ukuqinisekisa lesi sifo ubukhona be-systemic sclerosis.

Ubani osengozini enkulu yokuba

Isizathu esiholela ekukhiqizweni ngokweqile kwe-collagen okungumsuka we-systemic sclerosis asaziwa, noma kunjalo, kunezici ezithile zobungozi ezifana nokuthi:

• Yiba ngowesifazane;
• Yenza i-chemotherapy;
• Vulelwa othulini lwesilica.

Kodwa-ke, ukuba neyodwa noma ngaphezulu kwalezi zinto ezinobungozi akusho ukuthi lesi sifo sizokhula, noma ngabe kukhona amanye amacala emndenini.

Yelashwa kanjani

Ukwelashwa akuselaphi lesi sifo, kepha kuyasiza ukubambezela ukukhula kwaso futhi kudambise izimpawu, kuthuthukise izinga lomuntu lokuphila.

Ngalesi sizathu, ukwelashwa ngakunye kufanele kuguqulwe kumuntu, ngokuya ngezimpawu eziphakamayo kanye nesigaba sokukhula kwalesi sifo. Amanye amakhambi asetshenziswa kakhulu afaka:

• Ama-Corticosteroids, njengeBetamethasone noma iPrednisone;
• Ama-immunosuppressants, njengeMethotrexate noma i-Cyclophosphamide;
• Ama-anti-inflammatories, njenge-Ibuprofen noma i-Nimesulide.

Abanye abantu bangahle babe ne-reflux futhi, ezimweni ezinjalo, kunconywa ukuthi badle ukudla okuncane izikhathi eziningana ngosuku, ngaphezu kokulala nebhodi eliphakeme futhi bathathe amaphampu we-proton pump evimbela imithi, njenge-Omeprazole noma i-Lansoprazole, ngokwesibonelo.

Lapho kunenkinga yokuhamba noma yokuhamba, kungadingeka futhi ukwenza izikhathi ze-physiotherapy.