Scleroderma: yintoni, iimpawu kunye nonyango

Umxholo

• Iimpawu zeScleroderma
• Iingxaki ezinokwenzeka
• Uxilongo lwenziwa njani
• Unyango lwe-scleroderma

IScleroderma sisifo esinganyangekiyo sokuzimela geqe apho kukho imveliso egqithisileyo ye-collagen, ekhokelela ekubeni lukhuni kwesikhumba kwaye ichaphazele amalungu, izihlunu, imithambo yegazi kunye namanye amalungu angaphakathi, anje ngemiphunga nentliziyo.

Esi sifo sichaphazela ikakhulu abantu basetyhini abangaphezu kwama-30, kodwa sinokubakho nakumadoda nasebantwaneni, kwaye sahlulwe saziindidi ezimbini, ezenziwa kwindawo ethile kunye ne-systemic scleroderma. IScleroderma ayinyangeki kwaye unyango lwayo lwenziwa ukunciphisa iimpawu kunye nokunciphisa ukuqhubela phambili kwesi sifo.

Iimpawu zeScleroderma

Iimpawu zescleroderma ziguquka ngokuhamba kwexesha kwaye, ngokokuma kweempawu, iscleroderma sinokuhlelwa sibe:

• Inkqubo, apho iimpawu zibonakaliswa eluswini nakwizitho zangaphakathi, zithathwa njengeyona ndlela iyiyo yesifo sokuqaqamba kwamalungu omzimba;
• Indawo, Apho kuthintelwe khona ulusu.

Ngokubanzi, ezona mpawu ziphambili zinxulumene ne-scleroderma zezi:

• Ukuqina nokuqina kolusu;
• Ukudumba okungapheliyo kweminwe kunye nezandla;
• Ukwenza mnyama iminwe kwiindawo ezibandayo okanye ngexesha leziqendu zoxinzelelo olugqithisileyo, ekwabizwa ngokuba yinto kaRaynaud;
• Ukurhawuzelela rhoqo kummandla ochaphazelekayo;
• Ukulahleka kweenwele;
• Amabala amnyama kakhulu kwaye akhanyayo kakhulu kulusu;
• Inkangeleko yamabala abomvu ebusweni.

Ukubonakaliswa kokuqala kwesi sifo kuqala ezandleni kwaye emva kweenyanga okanye iminyaka kudlula ebusweni, kushiya ulusu lukhuni, ngaphandle kokuqina kwaye ngaphandle kwemibimbi, ekwenza kube nzima ukuvula umlomo ngokupheleleyo. Ukongeza, kwimeko ye-systemic scleroderma, umntu usenokuba nokunyusa uxinzelelo lwegazi, ukugaya ukutya okungalunganga, ukuphefumla kancinci, ukunciphisa umzimba ngaphandle kwesizathu, utshintsho kwisibindi nentliziyo.

Iingxaki ezinokwenzeka

Iingxaki zescleroderma zinxulumene nokuqala konyango kwaye zihlala zivela kubantu abanesimo sesifo. Ke, xa unyango lungenziwanga ngokwesikhokelo sikagqirha, umntu uphuhlisa iingxaki ezithile ezinje ngobunzima bokuhambisa iminwe, ukugwinya okanye ukuphefumla, i-anemia, isifo samathambo, iingxaki zentliziyo kunye nokusilela kwezintso, umzekelo.

Uxilongo lwenziwa njani

Ukuxilongwa kwescleroderma kunzima, njengoko iimpawu ziguquka kancinci kwaye zinokudideka nezinye iingxaki zolusu. Ukuqinisekiswa kwesi sifo kufuneka kwenziwe ngugqirha wesikhumba okanye isifo samathambo, kuthathelwa ingqalelo imiqondiso kunye neempawu ezibonakaliswa ngumntu, kunye nesiphumo sokucinga kunye novavanyo lwaselebhu.

Ke, kunokuboniswa ngugqirha ukuba enze i-tomography okanye isifuba se-X-ray kunye ne-biopsy yolusu, ukongeza ekwenzeni uvavanyo lwe-ANA, olo luvavanyo lwaselebhu olujolise ekuchongeni ubukho be-antibodies ezijikeleza egazini.

Unyango lwe-scleroderma

Iscleroderma asinyangeki, ke ngoko, unyango lujolise ekuthinteleni ukuqhubela phambili kwesi sifo, ukunciphisa iimpawu kunye nokunyusa umgangatho wobomi bomntu. Unyango oluboniswe ngugqirha wamathambo okanye ugqirha wesikhumba lunokwahluka ngohlobo lwe-scleroderma kunye neempawu ezivezwe ngumntu, kwaye ukusetyenziswa kwamayeza athile kunokubonakaliswa kwimeko leyo, enokusetyenziselwa ngqo kulusu okanye ukufunxwa, ii-immunosuppressants okanye ii-corticosteroids.

Kwimeko yabantu abathi thaca into kaRaynaud njengenye yeempawu zescleroderma, kukwacetyiswa ukuba kugcinwe ukufiphala komzimba.

Ukongeza, njengoko i-scleroderma inokunxulumana nokuqina ngokudibeneyo, iiseshoni ze-physiotherapy zinokuboniswa zonyusa ukuguquguquka ngokudibeneyo, ukunciphisa iintlungu, ukuthintela isivumelwano kunye nokugcina amalungu kunye nokusebenza kwamalungu.