I-Serositis

-Delile

• Ziyini izimpawu?
• I-Pericarditis
• I-Pleuritis
• I-Peritonitis
• Ukuxhuma ne-systemic lupus erythematosus
• Yini enye eyibangelayo?
• Ezinye izimo zamasosha omzimba
• Ezinye izimo
• Kutholakala kanjani?
• Ilashwa kanjani?
• Okubalulekile

Yini i-serositis?

Izitho zesifuba nesisu sakho zigcwele izingqimba ezincanyana zezicubu ezibizwa ngokuthi ulwelwesi lwe-serous. Zinezendlalelo ezimbili: esisodwa sixhunywe esithweni kanti esinye sixhunywe ngaphakathi kwesikhala somzimba wakho.

Phakathi kwalezi zingqimba ezimbili, kukhona ifilimu elincanyana le-serous fluid evumela izitho zakho ukuba zihambe kahle emzimbeni wakho. Isibonelo, amaphaphu akho angakhula lapho uthatha umoya ojulile ngaphandle kokulimala ngokushayisana.

I-Serositis ivela lapho ulwelwesi lwakho lwe-serous luvuvukala. Lokhu kwenza kube nzima ezithweni zakho ukushelela ngokushelela emzimbeni wakho, kubangele ubuhlungu nezinye izimpawu.

Ziyini izimpawu?

Kunezinhlobo ezintathu ze-serositis, kuya nge-serous membrane ethintekayo.

I-Pericarditis

Inhliziyo yakho izungezwe ulwelwesi lwe-serous olubizwa nge-pericardium. Ukuvuvukala kwale ulwelwesi kubizwa nge-pericarditis. Imvamisa kubangela ubuhlungu besifuba obukhali obuhamba buye ehlombe lakho futhi buguquke njengoba ushintsha izikhundla.

Ngokuya ngesizathu, ezinye izimpawu zingafaka:

• ukuphefumula okuya kuba kubi kakhulu lapho ulala phansi
• umkhuhlane osezingeni eliphansi
• ukukhwehlela
• ukushaya kwenhliziyo
• ukukhathala
• ukuvuvukala emilenzeni noma esiswini sakho

I-Pleuritis

I-Pleuritis, ebizwa nangokuthi i-pleurisy, ukuvuvukala kwe-pleura, ulwelwesi oluzungeze amaphaphu akho. Kukhona ulwelwesi olulodwa lwe-serous oluzungeze iphaphu ngalinye, ngakho-ke kungenzeka ukuba ne-pleuritis kwelinye iphaphu kodwa hhayi elinye.

Izimpawu zePleuritis zifaka:

• ubuhlungu obubukhali esifubeni sakho lapho ukhwehlela noma uphefumula
• ukuphelelwa umoya
• ukuphefumula kanzima
• ukukhwehlela
• umkhuhlane osezingeni eliphansi

I-Peritonitis

Izitho zakho zesisu zizungezwe ulwelwesi lwe-serous olubizwa nge- peritoneum. Ukuvuvukala kwale ulwelwesi kuthiwa yi-peritonitis. Uphawu oluyinhloko lwe-peritonitis ubuhlungu obukhulu besisu.

Ezinye izimpawu ezingaba khona zifaka:

• ukuqunjelwa esiswini
• imfiva
• isicanucanu nokuhlanza
• iphango eliphansi
• uhudo noma ukuqunjelwa
• okukhipha umchamo okulinganiselwe
• ukoma ngokweqile

Ukuxhuma ne-systemic lupus erythematosus

ISystemic lupus erythematosus (SLE) isifo esizimela nomzimba, esibhekisa kunoma yisiphi isimo esibandakanya amasosha akho omzimba ngokuhlasela ngephutha umzimba wakho esikhundleni sokuwuvikela. Uhlobo oluvame kakhulu lwe-lupus, kanye nesimo abantu abaningi ababhekisele kuso lapho bekhuluma nge-lupus.

Endabeni ye-SLE, amasosha akho omzimba ahlasela izicubu ezinempilo emzimbeni wakho. Kwesinye isikhathi, lokhu kufaka izicubu zolwelwesi lwakho lwe-serous, ikakhulukazi i-pericardium yakho ne-pleura. Isibonelo, isifundo se-2017 sabantu abangu-2,390 abane-SLE sathola ukuthi amaphesenti angama-22 ayene-pericarditis kuthi amaphesenti angama-43 ane-pleuritis. Yize kungajwayelekile kangako, i-peritonitis nayo ingaba imbangela yobuhlungu besisu kubantu abane-SLE.

I-Serositis ingenye yezinto ezibalulekile odokotela abazibhekayo lapho bexilonga umuntu one-SLE.

Yini enye eyibangelayo?

Ezinye izimo zamasosha omzimba

Amasosha omzimba wakho anezingxenye ezimbili, ezaziwa ngokuthi amasosha omzimba wakho owatholile namasosha omzimba azalwa nawo.

Amasosha omzimba wakho owatholile akhula njengoba uvezwa amagciwane kanye namagciwane eminyakeni edlule. Kwenza izivikeli mzimba ezithile kumenzeli ngamunye othelelanayo odaluliwe. La ma-antibody ayasebenza uma uphinde wahlangana ne-ejenti.

Amasosha omzimba wakho asebenzisa amaseli wakho amhlophe egazi ukuhlasela amagciwane namagciwane. Iphendula ngokushesha ekuthelelweni, kepha ayikhiqizi amaseli azokhumbula uma uvezwa ukutheleleka okufanayo ngokuzayo.

Izimo zokuzivikela ngokuzenzakalela zibandakanya amasosha omzimba wakho owatholile ngokuhlasela ngephutha umzimba wakho. Izibonelo zezimo ezizimele ezingadala i-serositis zifaka:

• i-juvenile idiopathic arthritis
• isifo samathambo
• ukuvuvukala kwamathumbu

Izimo zokuvuvukala okuzenzakalelayo, ngakolunye uhlangothi, zibandakanya amasosha omzimba wakho wokuzalwa ahlasela umzimba wakho ngephutha.

Ezinye izimo zokuzivikela ezingabandakanya i-serositis zifaka:

• umkhuhlane womndeni waseMedithera
• Isifo sika-Still

Ezinye izimo

Ngokungeziwe ezimeni ezizimele nokuvuvukala komzimba, ezinye izimo eziningana zingadala i-serositis, kungaba kolunye ulwelwesi lwakho noma kuzo zonke izicubu zakho ze-serous.

Ezinye izibonelo zifaka:

• ukwehluleka kwezinso
• Ingculaza
• isifo sofuba
• umdlavuza
• isifo senhliziyo
• izifo ezibangelwa amagciwane, amagciwane noma ukhunta
• ukuhlukumezeka noma ukulimala esifubeni
• imithi ethile
• izifo ezithile ezizuzwe njengefa, njengesifo se-sickle cell

Kutholakala kanjani?

Udokotela wakho angenza ukuhlolwa ngokomzimba futhi ahlele ukuhlolwa kwegazi kanye / noma ukuskena ukusiza ngokuxilongwa. Ukuhlolwa kwegazi kusiza ukubheka izimpawu zokutheleleka noma izimpawu zomzimba omzimba. Izikrini ezinjenge-X-ray yesifuba, i-CT scan, i-ultrasound, noma i-electrocardiogram (i-ECG noma i-EKG) ingasiza ekuboneni umthombo wezimpawu.

Uma kukhona uketshezi oluthe xaxa phakathi kolwelwesi lwakho lwe-serous, udokotela wakho angakususa okunye ngenaliti futhi akuhlaziye ukusiza ukuthola ukuthi yini engase ikubange. Lokhu kungenziwa kalula nge-peritonitis ne-pleuritis.

Kwi-pericarditis, udokotela wakho uvame ukusebenzisa i-ultrasound ukusiza ukuhola inaliti futhi aqiniseke ukuthi ayibhobozi inhliziyo yakho.

Ilashwa kanjani?

Ukwelapha i-serositis kuya ngesizathu esiyimbangela, kanye nolwelwesi lwe-serous oluthintekayo. Ukuqala, udokotela wakho angahle asikisele ukuthatha imishanguzo yokulwa nokuvuvukala, njenge-ibuprofen (Advil, Motrin), ukunciphisa ukuvuvukala.

Lapho imbangela eyisisekelo isitholakele, ezinye izindlela zokwelashwa ezingaba khona zifaka:

• ama-antibiotic
• imishanguzo yokuzivikela emzimbeni
• imishanguzo yokulwa namagciwane
• ama-corticosteroids

Okubalulekile

I-Serositis isho ukuvuvukala kolwelwesi lwakho olulodwa noma ngaphezulu lwe-serous. Izinto eziningi zingayibangela, kusuka ekungenweni ngamagciwane kuya ezimweni ezizimele. Uma ucabanga ukuthi ungahle ube ne-serositis, kubalulekile ukulandela udokotela wakho ukuthola ukuthi kubangelwa yini.