Ukwelashwa Kwezifo zikaBehçet

-Delile

• Amakhambi asetshenziselwa ukuqeda izimpawu
• Izindlela zokuvimbela izinkinga ezintsha
• Izimpawu zokuthuthuka
• Izimpawu zokuwohloka

Ukwelashwa kwesifo sikaBehçet kuyehluka kuye ngezinga lokuqina kwezimpawu futhi, ngakho-ke, icala ngalinye kufanele lihlolwe ngudokotela ngamunye.

Ngakho-ke, lapho izimpawu zimnene, imishanguzo ijwayele ukusetshenziselwa ukukhulula uhlobo ngalunye lwezimpawu futhi ithuthukise ukungakhululeki okubangelwe, kepha, uma izimpawu zinkulu kakhulu, udokotela angancoma imishanguzo yokuvikela ukuvela kwezinkinga ezintsha.

Qonda ukuthi yiziphi izimpawu ezivame kakhulu ngesikhathi sokuhlaselwa kwalesi sifo esingavamile.

Amakhambi asetshenziselwa ukuqeda izimpawu

Ngesikhathi sezinkinga zesifo, bangasebenzisa imishanguzo ukuqeda izimpawu eziyinhloko, njenge:

• Amanxeba esikhunjeni nezitho zangasese: ama-corticosteroids ngesimo sokhilimu noma wamafutha asetshenziselwa ukuqeda ukuvuvukala nokwenza lula ukuphulukiswa;
• Izilonda zomlomo: kunconywa ukuhlanza okukhethekile ngezinto ezilwa nokuvuvukala okuqeda izinhlungu;
• Umbono ofiphele namehlo abomvu: Amaconsi wamehlo anama-corticosteroids anconywa ukunciphisa ukubomvu nobuhlungu.

Uma izimpawu zingathuthuki ngokusetshenziswa kwale mithi, udokotela angakweluleka ngokusetshenziswa kweColchicine, umuthi oyisimo samaphilisi anciphisa ukuvuvukala emzimbeni wonke, futhi angasiza nokwelapha ubuhlungu obuhlangene.

Izindlela zokuvimbela izinkinga ezintsha

Ezimweni ezibucayi kakhulu zalesi sifo, lapho izimpawu zishuba kakhulu futhi zidala ukungakhululeki okukhulu, udokotela angakhetha ukusebenzisa imishanguzo enolaka esiza ukuvimbela izinkinga ezintsha. Okusetshenziswa kakhulu yile:

• Ama-Corticosteroids, njengePrednisone: inciphisa kakhulu inqubo yokuvuvukala emzimbeni wonke, isiza ukulawula izimpawu. Imvamisa zibekwa ngama-immunosuppressants ukwenza ngcono umphumela;
• Izidakamizwa zokuzivikela, njenge-Azathioprine noma i-Ciclosporin: yehlisa ukuphendula kwamasosha omzimba, asivimbele ekubangeleni ukuvuvukala okuvamile kwalesi sifo. Kodwa-ke, njengoba behlisa amasosha omzimba, amathuba okuba nezifo eziphindaphindayo ayanda;
• Amakhambi aguqula impendulo yamasosha omzimba: lawula amandla amasosha omzimba ukulawula ukuvuvukala ngakho-ke abe nomsebenzi ofanayo kuma-immunosuppressants.

Le mithi kufanele isetshenziswe kuphela ngaphansi kweseluleko sezokwelapha, njengoba inemiphumela emibi kakhulu efana nokuphathwa ikhanda njalo, izinkinga zesikhumba kanye nokutheleleka okuvela njalo.

Izimpawu zokuthuthuka

Izimpawu zokuquleka zivame ukuthuthuka cishe ezinsukwini ezi-3 kuye kwezingu-5 ngemuva kokuthatha umuthi. Lapho izimpawu zinyamalala, imithi esetshenzisiwe kufanele imiswe, ukugwema imiphumela ende yokusetshenziswa, futhi kufanele isetshenziswe kuphela kwesinye isimo esibucayi. Imithi yokuvikela ukuhlaselwa kufanele iphuzwe ngokwencomo kadokotela.

Izimpawu zokuwohloka

Lolu hlobo lwezibonakaliso luvame kakhulu uma ukwelashwa kungenziwanga kahle futhi kuvame ukufaka ubuhlungu obukhulayo nokubonakala kwezimpawu ezintsha. Ngakho-ke, uma uthola ukwelashwa, kunconywa ukuthi uye kudokotela uma izimpawu zingathuthuki ngemuva kwezinsuku ezi-5.