Uthini i-Dermatomyositis? Izimpawu, Izimbangela, & Ukwelashwa

I-Dermatomyositis yisifo esibuhlungu esingavamile esithinta kokubili imisipha yakho kanye nokwakho. Ibangele ubuthakathaka bemisipha kanye nokuqhuma okukhethekile kwesikhumba, okwenza imisebenzi yansuku zonke efana nokunyuka kwezitebhisi noma ukuphakamisa izinto kube nzima kakhulu kunokujwayelekile.

Lesi simo sokuzimela komzimba siyenzeka lapho i-immune system yakho ihlasela ngephutha i-muscle ne-skin tissue ezempilo. Nakuba kuzwakala kukhulu, ukuqonda ukuthi kwenzekani emzimbeni wakho kungakusiza ukusebenzisana neqembu lakho lokunakekelwa kwezempilo ukuze uphathe izimpawu ngokuphumelelayo.

Iyini i-dermatomyositis?

I-Dermatomyositis iyingxenye yeqembu lezizifo zezinzwa ebizwa ngokuthi yi-inflammatory myopathies. I-immune system yakho idala ukuvuvukala emithanjeni yemisipha nasemiphini emincane yegazi ekwakho, okubangela ukuxubana okuqhelekile kobunqunu bemisipha nokushintsha kwesikhumba.

Lesi simo singathinta abantu banoma iyiphi iminyaka, nakuba sivame ukubonakala kubantu abadala abaneminyaka engama-40-60 ubudala nabantwana abaneminyaka engama-5-15 ubudala. Uma kwenzeka kubantwana, odokotela bayibiza ngokuthi yi-juvenile dermatomyositis, evame ukuba nesibonakaliso esincane esingafani.

Ngokungafani nezinye izimo zezinzwa, i-dermatomyositis ihlale ihilela ukushintsha kwesikhumba kanye nobuthakathaka bemisipha. Lokhu kwenza kube lula kubadokotela ukuthi bakubone, nakuba ububi bungashintsha kakhulu kusuka kumuntu komunye.

Zithini izimpawu ze-dermatomyositis?

Izimpawu ze-dermatomyositis zithuthuka kancane kancane futhi zithinta kokubili imisipha yakho nesikhumba sakho. Ake ngikukhuze ngalokho ongakubona, ngikhumbula ukuthi wonke umuntu uhlangabezana nalesi simo ngendlela ehlukile.

Izimpawu ezihlobene nemisipha ongazihlangabezana nazo zihlanganisa:

• Ubuthakathaka bemisipha obuqhubekayo, ikakhulukazi emagxeni, ezingalweni eziphezulu, ezinqeni, nasemadolweni
• Ubunzima ekuvukeni esihlalweni, ekuhleni izitebhisi, noma ekuthinteni okuphezulu
• Ubunzima ekugeleni noma ukushintsha kwezwi lakho
• Ubuhlungu bemisipha nokuthambile, nakuba lokhu kungabi khona njalo
• Ukukhathala okubhekwa njengokukhulu kunokukhathala okuvamile

Ukushintsha kwesikhumba kuvame ukuba yinto yokuqala abantu abayibonayo futhi kungabonakala ngaphambi kokuthi ubuthakathaka bemisipha bukhule:

• Isiboshwa esibomvu noma esimnyama esibomvu eduze kwamehlo akho, ngokuvamile sinokuvuvukala
• Izicubu ezibomvu noma ezimnyama ezibomvu phezu kwama-knuckles akho, ama-elbows, noma amadolo (okubizwa ngokuthi yi-Gottron's papules)
• Isiboshwa esiphambili esifubeni sakho, emuva, noma emagxeni angase libi kakhulu uma ukhanye ilanga
• Isikhumba esiqinile, esikhulu ezinzwini zakho nasezandleni
• Ukushintsha eduze kwama-nail beds ngezihloko ezincane zegazi eziqala ukubonakala

Abanye abantu nabo baba nezimpawu ezingavamile ezingathinta ezinye izingxenye zomzimba. Lokhu kungafaka phakathi ukuphefumula okunzima uma isimo sithinta imisipha yephango lakho, ubuhlungu bejoyinti ngaphandle kokuvuvukala okukhulu, noma ukufakwa kwe-calcium phansi kwesikhumba okubhekwa njengezicubu ezincane, eziqine kakhulu.

Kubalulekile ukukhumbula ukuthi i-dermatomyositis ingabonakala ngendlela ehlukile kumuntu ngamunye. Abanye abantu banezinguquko ezivelele zesikhumba ngobunye obuthakathaka bemisipha, kanti abanye baba nesimo esiphambene.

Ziyini izinhlobo ze-dermatomyositis?

Odokotela bahlukanisa i-dermatomyositis ngezinhlobo eziningi ngokususelwa ebudaleni bokuqala kanye nezici ezithile. Ukuqonda le miqondo kungakusiza ukuba uxhumane kangcono neqembu lakho lokunakekelwa kwezempilo ngesimo sakho esithile.

I-dermatomyositis yabantu abadala ngokuvamile ibonakala phakathi kweminyaka engu-40-60 futhi ilandela iphethini evamile yobunye obuthakathaka bemisipha obuhlangene nezinguquko zesikhumba. Le fomu ngezinye izikhathi ivela kanye nezinye izimo ze-autoimmune noma, ezimweni ezingavamile, ingahlotshaniswa nomdlavuza ophakathi.

I-dermatomyositis yabantwana ihlisa abantwana nabasakhulayo, ngokuvamile ivele phakathi kweminyaka eyi-5-15. Nakuba ihlanganyela izici eziningi neye abantu abadala, abantwana bavame ukukhula ngama-calcium deposits ngaphansi kwesikhumba sabo ngokukhulu futhi bangaba nokuhileleka okukhulu kwezitho zegazi.

I-dermatomyositis ebonakala ngokucindezeleka kwemisipha iyifomu elikhethekile lapho uthola khona izinguquko zesikhumba ezibonakalayo ngaphandle kokucindezeleka okukhulu kwemisipha. Lokhu akusho ukuthi imisipha yakho ayithintwa nhlobo, kodwa ukucindezeleka kungaba buthakathaka kangangokuba awukuboni emisebenzini yakho yansuku zonke.

I-dermatomyositis ehlotshaniswa nomdlavuza ivela lapho isimo sivele kanye nezinhlobo ezithile zomdlavuza. Lobu buhlobo buvamile kakhulu kubantu abadala, ikakhulu labo abangaphezu kweminyaka engu-45, futhi udokotela wakho ngokuvamile uzohlola leli thuba ngesikhathi sokubuyekezwa kwakho.

Yini ebangela i-dermatomyositis?

I-dermatomyositis ithuthuka lapho isimiso sakho sokuvikela umzimba sidideka futhi siqala ukuhlasela izicubu zakho ezempilo. Isici esiqinisekile saleli phutha lesistimu yokuvikela umzimba aliqondakali ngokuphelele, kodwa abacwaningi bakholelwa ukuthi cishe kuhilela ukuxubana kwezinto.

Ukwakheka kwakho kwe-genetic cishe kuwumsebenzi ekukwenzeni ube sengozini enkulu yokuthuthukisa i-dermatomyositis. Izinguquko ezithile ze-genetic zibonakala zanda ingozi, nakuba ukuba nalezi zinhlamvu akuqinisekisi ukuthi uzokuthuthukisa leli simo.

Izici zezimo ezingaphandle zingase futhi zinikeze igalelo ekuthuthukiseni i-dermatomyositis. Lezi zici ezingase zibe khona zihlanganisa ukutheleleka yi-viral, ukukhombisa imithi ethile, noma ngisho nokukhombisa ilanga ngokukhulu. Noma kunjalo, kubalulekile ukuqonda ukuthi lezi zinto azibangeli ngokuqondile isifo kodwa zingase ziliqalise kubantu abasenesikhathi eside bekhona ngokufanele.

Kwezinye izimo, ikakhulu kubantu abadala, i-dermatomyositis ingathuthuka njengengxenye yokuphendula okubanzi komzimba okuqalisiwe ukuba khona komdlavuza kwenye indawo emzimbeni. Impendulo yesistimu yokuvikela umzimba kumaseli omdlavuza ngezinye izikhathi ingase ihlangane nemisipha nezicubu zesikhumba.

Okubalulekile ukuqonda ukuthi i-dermatomyositis ayithwali, futhi awenzanga lutho ukuyibangela. Ayisiwumphumela wokuzikhandla ngokweqile, ukudla okungalungile, noma izinqumo zokuphila.

Nini kufanele ubona udokotela nge-dermatomyositis?

Kufanele ufuna ukunakekelwa kwezokwelapha uma uqaphela ukuxubana kokuthandazeleka kwemisipha okuqhubekayo kanye nezinguquko zesikhumba eziqondene, ikakhulukazi isikhumba esiqondene esisemehlweni akho noma phezu kwama-knuckles akho. Ukuxilongwa kwasekuqaleni nokuphathwa kungenza umehluko omkhulu ekulawuleni lesi simo.

Xhumana nodokotela wakho ngokushesha uma ubhekene nobunzima bokuginya, njengoba lokhu kungathinta ikhono lakho lokudla ngokuphepha futhi kungadinga ukunakekelwa okusheshayo. Ngokufanayo, uma uthuthukisa ukuphefumula okunzima noma ubuhlungu obusengifubeni, le mihlola ingabonisa ukuhileleka kwamaphaphu futhi idinge ukulingwa okusheshayo.

Ungalindi uma uqaphela ukwanda okusheshayo kokuthandazeleka kwemisipha, ikakhulukazi uma kuchaphazela ikhono lakho lokwenza imisebenzi yansuku zonke njengokugqoka, ukuhamba, noma ukukhuphuka izitebhisi. Ukungenelela okusheshayo kungasiza ukuvimbela ukonakala okwengeziwe kwemisipha.

Uma usuvele uxilongwe nge-dermatomyositis, qaphela izimpawu zokuthi isimo sakho singase sibe sibi naphezu kokwelashwa. Lokhu kufaka phakathi isikhumba esisha, ukwanda kokuthandazeleka kwemisipha, noma ukuthuthukiswa kwezinye izimpawu ezifana nokukhokha okuqhubekayo noma ukushisa.

Ziyini izimbangela zengozi ze-dermatomyositis?

Izici eziningi zingandisa amathuba akho okukhula kwe-dermatomyositis, yize ukuba nalezi zimbangela zengozi akusho ukuthi uzokuthuthukisa ngokuqinisekile lesi simo. Ukuziqonda kungakusiza uhlale ulungile ezimpawu zokuqala.

Iminyaka idlala indima ebalulekile, ngezikhathi ezimbili eziphezulu lapho i-dermatomyositis ibonakala khona kakhulu. Okokuqala kungesikhathi sobuntwana, ngokuvamile phakathi kweminyaka eyi-5-15, kanti eyesibili isekubeni kwabantu abadala, ngokuvamile phakathi kweminyaka eyi-40-60.

Ukuba owesifazane kukwandisa ingozi yakho, njengoba abesifazane banethuba elingaphezulu kabili lokukhula i-dermatomyositis uma kuqhathaniswa namadoda. Le nkinga yokwahluka kwesondo isikisela ukuthi izici ze-hormonal zingase zidlale indima, nakuba indlela eqondile ingacaci.

Ukuba nezinye izimo ze-autoimmune emlandweni wakho womndeni kungase kukwandisa ingozi yakho kancane. Izimo ezinjenge-rheumatoid arthritis, i-lupus, noma i-scleroderma kubantu abaseduze zikhomba ukuthi kukhona ubukhulu be-genetic ezifweni ze-autoimmune ngokujwayelekile.

Abanye abaphawuli be-genetic, ikakhulukazi ukuguqulwa okuqondile ku-jini ezihlobene nokusebenza kwe-immune, kubonakala kakhulu kubantu abane-dermatomyositis. Noma kunjalo, ukuhlolwa kwe-genetic kwale miphawuli akuqondisiwe njalo njengoba ukuba nayo akuqinisekisi ukuthi uzokhula lesimo.

Kubantu abadala, ikakhulukazi labo abangaphezu kweminyaka engama-45, ukuba nezinye izinhlobo zomdlavuza kungase kukhulise ingozi yokukhula i-dermatomyositis. Lo xhumano usebenza ngezindlela zombili - ngezinye izikhathi i-dermatomyositis ivela kuqala, iholele ekubeni utholakale umdlavuza ophethwe.

Ziyini izinhlanganisela ezingase zenzeke ze-dermatomyositis?

Nakuba i-dermatomyositis ikakhulukazi ithinta imisipha nokwelula, ngezinye izikhathi ingase ihilele ezinye izingxenye zomzimba wakho. Ukuqonda lezi zinhlanganisela ezingase zenzeke kukusiza ukwazi ukuthi yiziphi izimpawu okufanele uzilinde, nokuthi nini kufanele ufunesekhe ukunakekelwa okwengeziwe kwezokwelapha.

Izinkinga ze-lung zingase zikhule kubantu abane-dermatomyositis, futhi lezi zidinga ukulandelelwa ngokucophelela. Ungase ube nokuhlupheka ekuphemeni, ukukhokha okuqhubekayo okwomile, noma ukukhathala okubonakala kungaphezu kwamandla omzimba wakho. Lezi zimpawu zingase zibonise ukuvuvukala emaphaphwini akho noma ukwenzakala kwe-lung tissue.

Ubunzima bokuginya bungase buvele lapho imisipha yomlomo wakho ne-esophagus ithonya. Lokhu kungase kuqale njengokukhahlela okungahleliwe noma ukuzwa sengathi ukudla kunamathele, kodwa kungase kuqhubekele ezinkingeni ezinkulu ngokudla futhi kukhulise ingozi yakho yokukhula i-pneumonia ngokungahleliwe ukuphefumula ukudla noma izinto eziphuzwayo.

Ukuhileleka kwenhliziyo akunamkhawulo kodwa kungaba yingozi uma kwenzeka. Imisipha yenhliziyo yakho ingase ibe buhlungu, okuholela ekubetheni kwenhliziyo okungajwayelekile, ebuhlungwini besifuba, noma ekuthimbeni komoya ngesikhathi semisebenzi eyayingakukhathazi ngaphambili.

Ukuqongelelana kwe-calcium phansi kwesikhumba sakho, okuthiwa yi-calcinosis, kuvela kakhulu kubantwana abane-dermatomyositis kodwa kungase kwenzeke nakubantu abadala. Lokhu kuzwakala njengezicucu ezinzima phansi kwesikhumba futhi ngezinye izikhathi kungaphula ubuso, okuholela ezilondini ezibuhlungu.

Kubantu abadala, ikakhulu labo abangaphezu kweminyaka engu-45, kunengozi enkulu yokuthuthukisa izifo ezithile zomdlavuza ngaphambi, ngesikhathi, noma ngemuva kokuxilongwa kwe-dermatomyositis. Izifo zomdlavuza ezivame ukuxhumene zihlanganisa izifo zomdlavuza we-ovarian, lwaphuphu, amabele, kanye ne-gastrointestinal.

Kubalulekile ukukhumbula ukuthi abantu abaningi abane-dermatomyositis abathuthuki lezi zinkinga, ikakhulukazi ngokwelashwa okulungile nokulandelela. Iqembu lakho lokunakekelwa kwezempilo lizobheka izimpawu zokuqala futhi lilungise uhlelo lwakho lokwelashwa ngokufanele.

Kungenzeka kanjani ukuvimbela i-dermatomyositis?

Ngeshwa, asikho isindlela esaziwayo sokuvimbela i-dermatomyositis njengoba kuyisimo sokuziphatha komzimba esinezimbangela ezingacacile. Kodwa-ke, kunezinyathelo ongazithatha ukuze uzivimbele ezintweni ezingase zibe nzima isimo noma zibangele ukukhanya.

Ukuvikela ilanga kubalulekile kakhulu kubantu abane-dermatomyositis, njengoba ukukhanya kwe-UV kungenza izimpawu zesikhumba zibe zimbi futhi kungenzeka kube yimbangela yokukhanya kwesifo. Sebenzisa i-sunscreen ebanzi-spectrum okungenani engu-SPF 30, gqoka izingubo zokuvikela, futhi funa isithunzi ngesikhathi sehora lelanga elikhulu.

Ukuqeda izimbangela ezaziwayo, uma kungenzeka, kungasiza ukunciphisa ingozi yokukhanya uma usuvele unesimo. Abanye abantu baphawula ukuthi imithi ethile, ukutheleleka, noma amazinga aphezulu engcindezi kubonakala sengathi kwenza izimpawu zabo zibe zimbi.

Ukugcina impilo enhle ngokujwayelekile ngokunakekelwa kwemithi njalo, ukuhlala unolwazi ngezigqoko, nokuphatha ezinye izimo zempilo kungasiza umzimba wakho ukuba ubhekane kangcono nezinselele ze-autoimmune.

Uma unomlando womndeni wezifo ze-autoimmune, ukuqaphela izimpawu zokuqala nokufuna ukunakekelwa kwemithi ngokushesha ngezimpawu ezithintayo kungadala ukutholakala nokuphathwa kwangaphambi kwesikhathi, okuholela ngokuvamile emiphumeleni emihle.

I-dermatomyositis ihlonishwa kanjani?

Ukuhlola i-dermatomyositis kuhilela ukuxubana kokuhlolwa komzimba, ukuhlolwa kwegazi, kanye nezinqubo ezengeziwe ngezinye izikhathi. Udokotela wakho uzobheka ukuxubana okuqondene nobuthakathaka bemisipha kanye nezinguquko zesikhumba eziqondene naleli simo.

Ukuhlolwa kwegazi kudlala indima ebalulekile ekuxilongeni nasekulandeleni. Udokotela wakho uzohlola izakhi ze-enzyme zemisipha eziphakeme njenge-creatine kinase, eziphuma egazini lakho uma amafibr e-muscle elimazeke. Bazophinde bahlole ama-antibodies athile avame ukuba khona kubantu abane-dermatomyositis.

I-electromyogram (EMG) ingase yenziwe ukuze ilinganise umsebenzi wamagetsi emisipha yakho. Lo viwo ungabonisa izindlela zokulimala kwemisipha okuvamile kwezifo zemisipha ezivuthayo njenge-dermatomyositis.

Ngezinye izikhathi i-biopsy yemisipha iyadingeka, lapho isibonelo esincane se-tissue yemisipha sisuswa futhi sihlolwe ngaphansi komkhiqizo. Lokhu kungabonisa izindlela zokuvutha eziqondene nokukusiza ukuba ukhulule ezinye izimo zemisipha.

Udokotela wakho angase futhi akukhuthaze izifundo zokwenza izithombe njenge-MRI scans ukuze abheke ukuvuvukala kwemisipha futhi ahlole ubukhulu bokuhileleka. I-X-rays yesifuba noma i-CT scans zingase ziyalwe ukuze uhlole izinkinga zephunga.

Uma ungumuntu omdala, ikakhulukazi oneminyaka engaphezu kuka-45, udokotela wakho cishe uzohlola i-cancer ehambisanayo ngokusebenzisa ukuhlolwa okuhlukahlukene. Lokhu kuhlolwa kuyiyingxenye ebalulekile yenqubo yokuxilonga nokunakekelwa okuqhubekayo.

Iyini impilo ye-dermatomyositis?

Ukwelapha i-dermatomyositis kugxile ekunciphiseni ukuvuvukala, ukulondoloza amandla ezinzwa, nokuphatha izimpawu zesikhumba. Uhlelo lwakho lokwelapha luzokwenziwa ngokwezimpawu zakho nezidingo zakho, futhi lungashintsha ngokuhamba kwesikhathi.

Ama-corticosteroids, afana ne-prednisone, ngokuvamile iyona ndlela yokuqala yokwelapha i-dermatomyositis. Lezi zidakamizwa ezinamandla zokulwa nokuvuvukala zinganciphisa ngokushesha ukuvuvukala kwezinzwa futhi zithuthukise amandla. Udokotela wakho ngokuvamile uzoqala ngenani elikhulu bese elunciphisa kancane njengoba izimpawu zakho ziqhubeka zithuthuka.

Imithi yokucindezela amasosha omzimba ivame ukwengezwa ukusiza ukulawula isifo ngenkathi ivumela udokotela wakho ukuba anciphise amanani e-steroids. Izindlela ezivamile zihlanganisa i-methotrexate, i-azathioprine, noma i-mycophenolate mofetil. Le miyekezo isebenza kancane kunama-steroids kodwa inikeza ukulawulwa kwesifo isikhathi eside.

Ezimweni ezinzima noma lapho ezinye izindlela zokwelapha zingasebenzi, udokotela wakho angase akukhuthaze ukwelashwa kwe-immunoglobulin ye-intravenous (IVIG). Lokhu kwelashwa kuhilela ukwamukela ama-antibodies avela kubanikazi abaphilile, angasiza ukuthula uhlelo lwakho lokuphepha olusebenza kakhulu.

Imithi emisha ye-biologic, efana ne-rituximab, ingacatshangelwa ezimweni ezinzima ukwelapha. Lezi zindlela zokwelapha ezithile zisebenza ezindaweni ezithile ze-immune system futhi zingasebenza kakhulu kwabanye abantu.

Ukuphathwa komzimba kudlala indima ebalulekile ekugcineni nasekuthuthukiseni amandla ezinzwa nokuqina. Umphini wakho womzimba uzoqamba imizamo efanele izinga lakho lamanje lokusebenza kwezinzwa futhi usize ukuvimbela ukubopha kwezinzwa.

Ngezimpawu zesikhumba, udokotela wakho angase abele imithi yokugcoba noma akukhuthaze izindlela ezithile zokunakekela isikhumba. Imithi ye-antimalarial efana ne-hydroxychloroquine ngezinye izikhathi ingasiza ngezimpawu zesikhumba.

Ungayiphatha kanjani i-dermatomyositis ekhaya?

Ukuphatha i-dermatomyositis ekhaya kuhilela ukunakekela imisipha yakho kanye nokwelula, ngesikhathi uxhasa impilo yakho jikelele. Lezi zindlela zingagcwalisa ukwelashwa kwakho kwezokwelapha futhi zikusize uzizwe ulawula isimo sakho kangcono.

Ukuzivocavoca okuthambile, okuvamile kubalulekile ekuvikeleni amandla emisipha kanye nokuqina, kodwa kubalulekile ukuthola ibhalansi efanele. Sebenza nodokotela wakho wezokwelapha ukuthuthukisa uhlelo lokuzivocavoca oluqeqesha imisipha yakho ngaphandle kokubangela ukukhathala okukhulu noma ukuvuvukala.

Ukuvikela isikhumba sakho ekukhanyeni kwelanga kubalulekile, njengoba imisebe ye-UV ingenza izimpawu zesikhumba zibe zimbi futhi ikhuthaze ukubhebhetheka kwezifo. Sebenzisa i-sunscreen ebanzi yonke imihla, gqoka izingubo ezivikela, futhi cabanga ngamafilimu wewindi avikela i-UV yemoto yakho nekhaya.

Ukudla ukudla okunomsoco, okulinganiselwe kungasiza ekuqinisiseni i-immune system yakho futhi kunikeze amandla umzimba wakho awadingayo ukuze uphulukiswe. Uma uthatha ama-corticosteroids, gxila ekudleni okunama-calcium amaningi ne-vitamin D ukuze uvikele impilo yamathambo akho.

Ukuphatha ukukhathala kuvame ukuba inselele enkulu nge-dermatomyositis. Hlela imisebenzi yakho ngezikhathi lapho uvamise ukuba namandla amaningi, qhekeza imisebenzi emikhulu ibe yingxenye encane, futhi ungangabazi ukucela usizo uma uyadinga.

Amathuluzi okulawula ukucindezeleka njengokucamngca, i-yoga ethambile, noma ukuzivocavoca kokuphefumula okujulile kungasiza ekuthambiseni ukubhebhetheka kwezifo. Abantu abaningi bathola ukuthi amazinga aphezulu ocindzekeleko angenza izimpawu zabo zibe zimbi.

Gcina ulandelela izimpawu zakho, kufaka phakathi lokho okwenza zibe ngcono noma zimbi. Lolu lwazi lungaba lubalulekile eqenjini lakho lokunakekelwa kwezempilo ekulungiseni uhlelo lwakho lokwelapha.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho nodokotela?

Ukulungiselela i-aphoyintimenti yakho nodokotela kungakusiza ukwenza okuningi ngesikhathi sakho ndawonye futhi kuqinisekise ukuthi uthola ulwazi nokukhathalela okudingayo. Ukulungiselela okuhle kusiza nodokotela wakho ukuqonda kangcono isimo sakho futhi alungise ukwelashwa kwakho ngokufanele.

Gcina idayari yezimpawu kuze kube sekubeni uya ekuhlengeni kwakho, ubhale izinguquko emandleni emisipha, izimpawu ezintsha zesikhumba, amazinga okukhathala, nanoma yiziphi izingozi ezivela emithi. Faka izibonelo ezithile zendlela izimpawu ezithinta ngayo imisebenzi yakho yansuku zonke.

Letha uhlu oluphelele lwazo zonke izidakamizwa ozithathayo, kufaka phakathi imithi yokwelapha, imithi yokuthengwa ngaphandle kokubhalwa komtholampilo, kanye nezinye izithasiselo. Faka imithamo kanye nokuphindaphinda kwazo zonke, njengoba ezinye izidakamizwa zingase zihlangane nemithi yokwelapha i-dermatomyositis.

Lungisa uhlu lwemibuzo ofuna ukuyibuza udokotela wakho. Cabanga ukubuza ngomsebenzi wakho wamanje wesifo, noma yikuphi ukulungiswa okudingekayo kwemithi, ukuthi nini kufanele uhlele ukuhlolwa okulandelayo, kanye nokuthi yiziphi izimpawu okufanele zikukhuthaze ukuba uqhakambise ihhovisi.

Uma lokhu kuyi-ndwendwelo yakho yokuqala ngenxa yokukhathazeka kwe-dermatomyositis, buthana nanoma yiluphi umlando wezokwelapha womndeni olufanele, ikakhulukazi noma yiziphi izifo zokuziphatha noma izingculaza kubantu abaseduze. Futhi, cabanga nganoma yiziphi izinguquko zakamuva ekuphileni kwakho ezingase zibe yiyona, njengoba imithi emisha, ukutheleleka, noma ukukhanya okungavamile kwelanga.

Cabanga ukuthi ulethe umngane othembekile noma ilungu lomndeni ekuhlengeni kwakho. Bangakusiza ukuba ukhumbule ulwazi olubalulekile futhi banikeze ukwesekwa ngokomzwelo, ikakhulukazi lapho uxoxa ngezinqumo eziyinkimbinkimbi zokwelashwa.

Iyini into ebalulekile mayelana ne-dermatomyositis?

I-Dermatomyositis iyimo elilawulekayo, ngisho noma lingase lizwakale liqalekile uma uqala ukuxilongwa. Ngokwelashwa okufanele nokunakekelwa, abantu abaningi abanelimi lesimo bangagcina ukhwalithi oluhle lokuphila futhi baqhubeke behlanganyela emisebenzini abayithandayo.

Ukuxilongwa kwangaphambi kwesikhathi nokwelashwa kubalulekile ukuze kuzuzwe imiphumela emihle. Ukuhlanganiswa kokuthambisa kwemisipha kanye nezinguquko zesikhumba ezibonakalayo kwenza i-dermatomyositis ibonakale ngokulinganayo, okusho ukuthi ungathola ukunakekelwa okufanele ngokushesha lapho izimpawu zivele.

Uhlelo lwakho lokwelashwa luzohlala luthuthuka njengoba odokotela bakho befundisisa ukuthi umzimba wakho uyaphendula kanjani imithi ehlukene futhi njengoba kukhona ukwelashwa okusha. Lokhu kuyinto evamile futhi akusho ukuthi isimo sakho siyasibi.

Khumbula ukuthi ungumuntu obalulekile eqenjini lakho lokunakekelwa kwezempilo. Ukubona kwakho ngezimpawu, imiphumela yemithi, nokuthi yini esiza noma ebiyisela isimo sakho kunikeza ulwazi oluyigugu oluqondisa ukwelashwa kwakho.

Nakuba i-dermatomyositis idinga ukunakekelwa kwezokwelapha okuqhubekayo, abantu abaningi bathola ukuthi ngokuhamba kwesikhathi, bathuthukisa amasu aphezulu okuphatha izimpawu zabo futhi bangabuyela emisebenzini yabo eminingi evamile.

Imibuzo evame ukubuzwa mayelana ne-dermatomyositis

Ingabe i-dermatomyositis iyadluliseka?

Cha, i-dermatomyositis ayidluliseki. Yisimo sokuhlupheka komzimba lapho uhlelo lwakho lokuphepha lomzimba luhlasela ngephutha izicubu ezinempilo. Awukwazi ukuyithola komunye umuntu, futhi awukwazi ukuyithumela kubalandeli bakho noma abangane ngokuxhumana.

Ingabe i-dermatomyositis ingelashwa?

Okwamanje, ayikho indlela yokwelapha i-dermatomyositis, kodwa yisimo esiphatheka kakhulu. Abantu abaningi bafinyelela ekuphumuleni, okusho ukuthi izimpawu zabo ziyaba mancane noma ziyaphela ngokuphelele ngokwelashwa okufanele. Umgomo wokwelashwa ukulawula ukuvuvukala, kulondolozwe umsebenzi wemisipha, nokukusiza ugcine ikhwalithi enhle yokuphila.

Ingabe ngizodinga ukuthatha imithi impilo yonke?

Lokhu kuyahluka kakhulu kumuntu nomuntu. Abanye abantu ekugcineni banganciphisa noma bayeke imithi yabo uma befinyelela ekuphumuleni okuqhubekayo, kanti abanye badinga ukwelashwa okuqhubekayo ukuze bagcine izimpawu zabo zilawulwa. Udokotela wakho uzohlala usebenza nawe ukuthola ukwelashwa okuphumelelayo okuncane okugcina isimo sakho siqine.

Ngingazivocavoca nge-dermatomyositis?

Yebo, ukuzivocavoca okulungile kuzuzisa ngempela abantu abane-dermatomyositis. Noma kunjalo, kubalulekile ukusebenzisana neqembu lakho lokunakekelwa kwezempilo, ikakhulukazi udokotela wezokwelapha owaziyo ngezifo zamathambo ezivuvukayo, ukuze wenze uhlelo lokuzivocavoca olukhulu. Ikhona ukufumana ibhalansi efanele phakathi kokugcina amandla ezinzwa kanye nokungagqwali amandla avuvukayo.

Ingabe i-dermatomyositis ihlala ihilela i-kansa?

Cha, i-dermatomyositis ayihlali ihilela i-kansa. Nakuba kunokwanda komngcipheko wezinye izinhlobo ze-kansa, ikakhulu kubantu abadala abangaphezu kweminyaka engu-45, abantu abaningi abane-dermatomyositis abazange bathuthukise i-kansa. Udokotela wakho uzohlola i-kansa ehambisana nayo njengengxenye yokunakekelwa kwakho, kodwa lokhu kuyindlela yokuqapha, hhayi ukubonisa ukuthi i-kansa ayikwazi ukugwenywa.