Ukuqina Komzimba Okubangelwa Yizinkalankala (NSF): Izimpawu, Izimbangela, Nokwelashwa

Ukuqina komzimba okubangelwa yizinkalankala (NSF) kuyisimo esingavamile kodwa esibuhlungu esibangela ukuba isikhumba sibe bukhulu futhi siqine, futhi singathinta amalunga angaphakathi. Kuvame ukuba khona kubantu abanesifo esibuhlungu sezinso abaye babhekana nezinto ezisetshenziswa ekwenzeni izithombe zezokwelapha.

Lesi simo saqale kwaziwa ngasekupheleni kweminyaka ka-1990, futhi nakuba sizwakala sisabisa, ukuqonda i-NSF kungakusiza wenze izinqumo ezinolwazi mayelana nokunakekelwa kwakho kwezokwelapha. Izindaba ezinhle ukuthi ngezindlela zokuphepha zamanje, i-NSF iye yaba yinto engavamile kunangaphambili.

Iyini i-Nephrogenic Systemic Fibrosis?

I-NSF yisifo lapho umzimba wakho ukhulisa khona i-collagen eningi kakhulu, iprotheni enikeza isikhumba namalunga akho isakhiwo. Le collagen engeziwe idala amaqatha amakhulu afana nokuhlanza esi khuneni futhi ingabangela ukuba kube khona amabala ehlatini enhliziyweni, emaphaphwini, nakwamanye amalunga abalulekile.

Lesi simo siqala igama ngoba ekuqaleni kwakucatshangelwa ukuthi sithinta kuphela isikhumba (ukuqina komzimba) futhi kwenzeka cishe kuphela kubantu abanezinhlungu zezinso (nephrogenic). Noma kunjalo, odokotela manje bayazi ukuthi ingathinta izinhlelo eziningi zamalunga emzimbeni wakho.

I-NSF ivame ukuqala emavikini kuya ezinyangeni ngemuva kokubhekana nezinto eziqukethe i-gadolinium. Lezi yizinto ezikhethekile ezisetshenziswa ngesikhathi se-MRI scans nezinye izinqubo zokwenza izithombe ukuze zisize odokotela babone amalunga akho ngokucacile.

Ziyini Izimpawu ze-Nephrogenic Systemic Fibrosis?

Izimpawu ze-NSF zivame ukuqala kancane kancane futhi kungaba lula ukuziphambanisa nezinye izimo ekuqaleni. Ukushintsha kwesikhumba kwakho kuvame ukuba yizimpawu zokuqala ezibonakalayo, nakuba lesi simo singathinta umzimba wakho wonke.

Izimpawu ezivame kakhulu ezihlobene nesikhumba zihlanganisa:

• Isikhumba esiqinile, esiqinile, esizizwa siqinile futhi sinjengomgqomo uma silithinta
• Amabala abomvu noma amnyama angase aphakame noma ahlukaniswe
• Isikhumba esiba siqine kakhulu futhi kunzima ukuzisusa
• Ukushisa, ukukhahlela, noma ubuhlungu obukhulu ezindaweni ezihlaselekile
• Ukukhula kwezandla nezinyawo
• Isikhumba esikhula sinemibala emincane noma njengolusu lweorenji

Lezi zinguquko zesikhumba zivame ukubonakala ezandleni nasezinyawo, kodwa zingasakazeka emzimbeni, ebusweni, nakwezinye izindawo. Isikhumba esihlaselekile singenza kube nzima ukugoba izintambo zakho noma ukuhamba ngokujwayelekile.

Ngaphezu kwezimpawu zesikhumba, i-NSF ingabangela ukuphazamiseka okukhulu kwangaphakathi:

• Ubuthakathaka bemisipha nokuqina kwamajozi okuvimba ukuhamba kwakho
• Ukuphefumula kancane uma ilungu lakho lilimaza
• Izinkinga zokubetha kwenhliziyo noma ukwehluleka kwenhliziyo ngenxa yokulimaza kwenhliziyo
• Ubuhlungu lwamathambo namajozi obukhula ngokuhamba kwesikhathi
• Izingcindezi zegazi kwezinye izimo

Ezimweni ezingavamile, i-NSF ingathuthuka ngokushesha futhi ibe yingozi eyingozi. Abanye abantu bahlangabezana nokubi kakhulu kwezimpawu, kanti abanye bathuthukisa izinkinga ezihlasela inhliziyo yabo, amaphaphu, noma imithambo yegazi.

Iyini Imbangela Ye-Nephrogenic Systemic Fibrosis?

I-NSF ibangelwa ukudalulwa kwizinto ezihlanganisiwe ze-gadolinium kubantu abanawo amakhondolo angakwazi ukuhlanza kahle lezi zinto egazini labo. Uma i-gadolinium ihlala emzimbeni wakho isikhathi eside kakhulu, ingabangela impendulo engavamile yemizimba eholela ekukhiqizweni okukhulu kwe-collagen.

I-Gadolinium iyigazi elikhulu eliba liphephile uma lihlanganiswe namanye ama-molecule ezinto ezihlanganisiwe. Noma kunjalo, kubantu abanesifo esibi sezinso, le mibopha ingaphulwa, ikhiphe i-gadolinium yamahhala ezihlangeni zakho. Le gadolinium yamahhala ibonakala ivuselela amaseli athile emizimba aqhuba ukuluma nokugcwala.

Izici eziningi zinquma ingozi yakho yokuthuthukisa i-NSF ngemuva kokudalulwa kwe-gadolinium:

• Ubunzima besifo sakho sezinso, ikakhulu uma usebenzisa i-dialysis
• Uhlobo lomkhiqizo we-gadolinium olusetshenzisiwe
• Inani lomkhiqizo we-contrast oluwutholile
• Izikhathi eziningi oye waba khona ekwelashweni le-gadolinium
• Impilo yakho jikelele kanye nomsebenzi we-immune system

Akuwona wonke imikhiqizo ye-gadolinium ehambisana nengozi efanayo. Abanye abaphethe abaphambili, abalungile, banamathuba amaningi okuphuma i-gadolinium yamahhala kunalabo abasha, abakhulu. Kungakho izikhungo zezokwelapha eziningi ziguqukele ezinye izinto eziphephile uma zihlola iziguli ezinamagciwane ezinso.

Nini Okufanele Ubone Udokotela Ngo-Nephrogenic Systemic Fibrosis?

Kufanele uxhumane nodokotela wakho ngokushesha uma uthola noma yiziphi izinguquko zesikhumba ngemuva kokwenza i-MRI noma olunye uhlolo lwezithombe olunezinto ezihambisanayo, ikakhulu uma unezifo zezinso. Ukuqaphela nokuphatha kwangoko kungasiza ukuvimbela isimo ekubeni libi.

Funani usizo lwezokwelapha oluphuthumayo uma uhlangabezana nalokhu:

• Ukuqina noma ukuqina kwesikhumba okusheshayo
• Ukuqina okukhulu kwamalunga okuvimba ukunyakaza kwakho
• Ukuphefumula okunzima noma ubuhlungu esifubeni
• Ubuthakathaka bemisipha obuzumayo
• Ukushisa okukhulu noma ubuhlungu esikhumbeni sakho

Ngisho noma izimpawu zakho zibonakala zingenamandla, kubalulekile ukuthi zihlolwe ngokushesha. I-NSF ingathuthuka ngokushesha kubantu abathile, futhi ukungenelela kwangoko kungasiza ukunciphisa noma ukuvimbela ezinye izinkinga.

Uma unezifo zezinso futhi uhlelwe ukuhlolwa kwezithombe, xoxa ngengozi nezinzuzo nodokotela wakho ngaphambi kwesikhathi. Bangakusiza ukuthola ukuthi ukuhlolwa kuyadingeka ngempela futhi yiziphi izinyathelo zokuphepha ezingase zifanele.

Yiziphi Izici Zengozi Ze-Nephrogenic Systemic Fibrosis?

Ubungozi bakho bokuthuthukisa i-NSF kuncike ikakhulukazi empilweni yezinso zakho kanye nokukhombisa kwakho imikhiqizo ye-gadolinium ehambisanayo. Ukuqonda lezi zici zengozi kungakusiza wena neqembu lakho lokunakekelwa kwezempilo ukwenza izinqumo ezicacile mayelana nezithombe zezokwelapha.

Izimbangi eziqine kakhulu zifaka:

• I-Chronic kidney disease yesigaba 4 noma 5 (ukusebenza okunciphisiwe kakhulu kwesibindi)
• Ukuba ku-dialysis noma usanda kuqala i-dialysis
• Ukulimala okukhulu kwesibindi okudinga i-dialysis
• Ukuba uthole ukuhlinzwa kwesibindi okusebenza kakubi
• Ukubhekana kakhulu ne-gadolinium contrast agents
• Ukuthola ama-gadolinium contrast aphezulu

Izinkulungwane zakho ngokuvamile zihlanza i-gadolinium egazini lakho ngaphakathi kwamahora ambalwa ekubhekaneni. Uma zingasebenzi kahle, i-gadolinium ingase ihlale ohlelweni lwakho amasonto noma izinyanga, ikhulise amathuba okuthi ibe yingxaki.

Ezinye izinto ezingase zikhulise ingozi yakho zifaka:

• Ukuba nezimo zokuvuvukala njenge-rheumatoid arthritis
• Ukuhlinzwa okukhulu kwamuva noma ukugula okukhulu
• Ukuthatha imithi ethile ethonya isimiso sakho sokuvikela umzimba
• Ukuba omdala, njengoba ukusebenza kwesibindi kunciphisa ngokwemvelo ngokweminyaka
• Ukuba nesifo sikashukela, esingenza kube kubi kakhulu isifo sesibindi

Kubalulekile ukuqaphela ukuthi i-NSF ayivamile kakhulu kubantu abanesibindi esisebenza kahle. Iningi lamacala livela kubantu abanesifo esibi sesibindi, kungakho imiyalelo yamanje igxile ekuvikeleni laba bantu abasengozini.

Ziyini Izingozi Ezingaba khona ze-Nephrogenic Systemic Fibrosis?

I-NSF ingabangela ubunzima obukhulu obuthonya ikhwalithi yokuphila kanye nempilo yonke. Nakuba izinguquko zesikhumba zivame ukuba yingxaki ebonakala kakhulu, imiphumela yangaphakathi ingaba yingozi kakhulu futhi ibe yingozi ekuphileni.

Ubunzima obavamile buhilela ukuhamba kwakho nokusebenza kwansuku zonke:

• Ukuqina kwamajozi okukhulu okuvimba ukuhamba okuvamile
• Ubuthakathaka bemisipha nokulahleka kwemisipha
• Ubunzima bokuhamba noma ukusebenzisa izandla zakho
• Ubuhlungu obuhlala njalo obuphazamisa ukulala nemisebenzi
• Ukuxhomeka esihlalweni sabakhubazekile ezigabeni ezinzima

Lezi zingxaki zomzimba zingathinta kakhulu ukuzimela kwakho kanye nokuthula kwakho kwengqondo. Abantu abaningi abane-NSF badinga usizo emisebenzini yansuku zonke efana nokuqoba, ukugeza, noma ukulungisa ukudla.

Ubunzima obukhulu bangaphakathi bungafaka phakathi:

• Izinkinga zenhliziyo ezivela ekulimala kwemisipha yenhliziyo noma ama-valve
• I-Lung fibrosis eholela ebunzimeni bokuthanda
• Ama-blood clots ezandleni, ezinyaweni, noma emaphashini
• Ukulimala kwesibindi ezimweni ezingavamile
• Ukulimala kwamathanga namalunga

Ezimweni ezinzima kakhulu, i-NSF ingabulala. Ukufa kuvame ukubangelwa ukwehluleka kwenhliziyo, ama-blood clots, noma ukwehluleka kokuphefumula ngenxa yokulimala kwamaphaphu. Noma kunjalo, leli phuzu alivamile, ikakhulukazi ngezindlela zokuvimbela zamanje kanye nokuqonda okuthuthukisiwe kwesimo.

Ukuqhubeka kwe-NSF kuyahluka kakhulu phakathi kwabantu. Abanye abantu bahlangabezana nokuwohloka okuhamba kancane, okuqhubekayo izinyanga noma iminyaka, kanti abanye bangase babe nokuwohloka okusheshayo phakathi namasonto okuqala kokubonakala kwezimpawu.

I-Nephrogenic Systemic Fibrosis Ihlonishwa Kanjani?

Ukuhlola i-NSF kudinga ukuhlolwa ngokucophelela kwezimpawu zakho, umlando wezokwelapha, futhi ngokuvamile i-skin biopsy ukuqinisekisa ukuxilongwa. Udokotela wakho uzobheka iphethini ebonakalayo yokuguquka kwesikhumba nezinsimbi kanye nomlando wokubonakaliswa kwe-gadolinium esimweni sesifo sikidini.

Umhlinzeki wakho wezempilo uzoqala ngokubuza imibuzo eningiliziwe mayelana nezimpawu zakho nomlando wakho wezokwelapha. Bazofuna ukwazi nganoma yiziphi izifundo zakamuva zokufanekisa, umsebenzi wakho wokukidini, nokuthi izimpawu zakho ziqale nini. Lolu lwazi lusiza ukuqalisa ukuthi i-NSF ingumxilongo onokwenzeka.

Ukuhlolwa komzimba kugxila esikhuneni nasemalungwini akho:

• Ukubheka izindawo zesikhumba esiqinile, esihlwempuzekile
• Ukuhlola amazinga okunyakaza kwakho kanye nokuguquguquka kwamajozi
• Ukubheka ukukhula noma ukushintsha kombala
• Ukulinganisa amandla emisipha yakho kanye nokuhamba
• Ukuhlola inhliziyo yakho nemiphunga ukuze ubone izimpawu zokuthi kuhilelekile ngaphakathi

Ngokuvamile kuyadingeka ukuhlolwa kwesikhumba ukuze kuqinisekiswe ukuxilongwa. Lokhu kuhilela ukuthatha isampula encane yesikhumba esithintekile ukuze ihlolwe ngaphansi komkhiqizo. Ukuhlolwa kuzobonisa iphethini eqondile yokwanda kwe-collagen kanye nezinguquko zokuvuvukala eziqondisa i-NSF.

Izivivinyo ezengeziwe zingafaka umsebenzi wegazi ukuze uhlole umsebenzi wezinkalankala zakho kanye nezifundo zokwakha izithombe ukuze uhlole inhliziyo yakho nemiphunga. Noma kunjalo, odokotela bayaqaphela kakhulu ngokusebenzisa i-gadolinium-based contrast kumacala angathandwa i-NSF, ngokuvamile bakhetha ezinye izindlela zokwakha izithombe uma kungenzeka.

Ngeshwa, ayikho i-blood test noma isifundo sokwenza izithombe esingaxilonga ngokuqinisekile i-NSF. Ukuxilongwa kuncike ekuhlanganiseni izingxenye eziningi zobunono, kungakho kubalulekile ukusebenza nabaphakeli bezempilo abanolwazi.

Iyini Ukwelashwa kwe-Nephrogenic Systemic Fibrosis?

Okwamanje, ayikho impilo ye-NSF, kepha izindlela eziningi zokwelapha zingasiza ekulawuleni izimpawu futhi zinciphisa ukuqhubeka kwesifo. Isinyathelo esibaluleke kakhulu ukulungisa umsebenzi wezinkalankala zakho uma kungenzeka, njengoba lokhu kungasiza umzimba wakho ukuba ususe i-gadolinium esele.

Uma ungekho ku-dialysis, ukuqala ukwelashwa kwe-dialysis kungasiza ekuqedeni i-gadolinium esistimu yakho. Kwabanye abantu, lokhu kungaletha intuthuko ezimpawu ze-NSF zabo, yize impendulo ihlukahluka kakhulu phakathi kwabantu.

Ukuthola isisu esitsha kuyithemba elikhulu lokuthuthukisa izimpawu ze-NSF. Abantu abaningi abamukela ukuhlinzwa okuphumelelayo kwesisu babona ukuthambisa kancane kwesikhumba sabo nokuthuthuka kokunyakaza ngokuhamba kwesikhathi. Kodwa-ke, ukuhlinzwa akutholakali kuwo wonke umuntu, futhi ukuthuthuka kungathatha izinyanga noma iminyaka ukuze kwenzeke.

Izindlela zokwelapha ezisekelayo zigxile ekuphatheni izimpawu nokugcina ikhwalithi yakho yokuphila:

• Ukwelashwa komzimba ukuze kugcinwe ukunyakaza kwamajozi nokuvimbela ukungapheli
• Imithi yokunciphisa ubuhlungu ukuze kuphathwe ukungakhululeki
• Izinto ezithambisayo kanye nezindlela zokwelapha zesikhumba sokukhathalela isikhumba
• Ukwelashwa komsebenzi ukuze kusize ngemisebenzi yansuku zonke
• Izinto zokusiza ezifana nebrace noma izinto zokusiza ekuhambeni uma kudingeka

Abanye odokotela baye bazama imithi ehlukahlukene yokwelapha i-NSF, kufaka phakathi imithi yokucindezela amasosha omzimba, kodwa imiphumela ihlukahlukene. Lezi zindlela zokwelapha zisaphathwa njengezokuvivinya futhi zingaba nezingozi zazo.

I-Phototherapy (ukwelashwa ngokukhanya okungabonakali) ibonise ithemba ekuhlolweni okuncane, kodwa ucwaningo olwengeziwe luyadingeka ukuze kuqinisekiswe ukusebenza kwayo nokulondeka kwayo. Ezinye izindlela zokwelapha ezivivinywayo ezifundwayo zihlanganisa ama-antibiotic athile kanye nemithi yokulwa nokuvuvukala.

Ukuqondisa i-NSF kubalulekile ukusebenzisana neqembu labanikezeli bezempilo abaqonda lesimo. Lokhu kungafaka odokotela bezinkumba, ochwepheshe besikhumba, ochwepheshe bezifo zamajozi, kanye nochwepheshe bokuvuselela.

Indlela Yokuthatha Ukwelashwa Ekhaya Ngesikhathi Se-Nephrogenic Systemic Fibrosis?

Ukuphatha i-NSF ekhaya kuhilela ukugxila ekunakekelweni kwesikhumba, ukugcina ukunyakaza, nokuvimbela izinkinga. Nakuba uzodinga ukunakekelwa okuqhubekayo kwezokwelapha, kunezinto eziningi ongazenza ukuze usize ukuphatha izimpawu zakho nokugcina ikhwalithi yakho yokuphila.

Ukukhathalela kwesikhumba kubaluleke kakhulu kubantu abane-NSF. Gcina isikhumba sakho sinomswakama ngama-lotion noma ama-cream abuthakathaka, angenamoya. Faka umswakama ngesikhathi isikhumba sakho sisathandeka ngemva kokugeza ukuze usize ukugcina umswakama. Gwema amasobha noma imikhiqizo eqinile engase icasule isikhumba sakho esibuhlungu.

Ukusebenza ngaphakathi kwemingcele yakho kubalulekile ekugcineni ukuhamba kwamajozi:

• Landela izincomo zokuzivocavoca zochwepheshe wakho wezokwelapha.
• Yenza imisebenzi yokwelula kancane nsuku zonke.
• Sebenzisa ukwelashwa okushisayo ngaphambi kokwelula ukuze usize ukuphumula izicubu eziqine.
• Thatha iziketi ezifudumele ukuze uphephe amandla emisipha nokuqina kwamajozi.
• Gwema izikhathi ezide zokungasebenzi.

Ukuphathwa kobuhlungu ekhaya kungafaka phakathi abaphuli bobuhlungu abangenamthetho njengoba kunconywe udokotela wakho, kanye nezindlela ezingelona iyeza njengokwelashwa okushisayo noma okubandayo, ukumomotheka okuthambile, kanye nezinqubo zokuphumula.

Ukuvikela isikhumba sakho ekwenzakaleni kubalulekile ngoba isikhumba esithintekayo yi-NSF singase siphulukise kabi:

• Gqoka izingubo zokuvikela uma ungaphandle.
• Sebenzisa i-sunscreen njalo.
• Gwema izimo zezulu ezishisayo kakhulu noma ezibandayo kakhulu.
• Gcina isikhumba sakho sihlanzekile futhi siwomile.
• Hlola nsuku zonke noma kukhona amanxeba amasha noma izinguquko zesikhumba.

Ukugcina ukudla okuhle nokuhlala unomswakama kungasekele impilo yakho yonke futhi kungenzeka ukuthi kusize inqubo yakho yokwelapha. Uma use-dialysis, landela imingcele yakho yokudla ngokucophelela.

Cabanga ngokujoyina amaqembu wokusekela noma ukuxhumana nabanye abane-NSF. Ukwabelana ngamava nezindlela zokubhekana nezimo kungaba usizo kakhulu ekuphatheni izici zomzwelo zokuphila naleli simo.

Kufanele Uzilungiselele Kanjani Ukuya Kudoctor?

Ukulungiselela izivivinyo zakho zezokwelapha kungasiza ukuqinisekisa ukuthi uthola izinzuzo eziningi ngesikhathi sakho nabaphakeli bezempilo. Ukuba nolwazi oluhleliwe nemibuzo ecacile okulungile kuzosiza udokotela wakho ukunikeza ukunakekelwa okuhle kakhulu kwe-NSF yakho.

Ngaphambi kokubhekana nodokotela wakho, qokelela ulwazi olubalulekile lwezokwelapha:

• Uhlu oluphelele lwazo zonke izidakamizwa kanye nezinye izinto ozithathayo
• Amarekhodi okuhlolwa kwemifanekiso oyike waba nawo, ikakhulukazi lawo asebenzisa i-contrast
• Amadokhumenti okuhlolwa kwemisebenzi yezinso zakho ngokuhamba kwesikhathi
• Izithombe zokushintsha kwesikhumba sakho uma kungenzeka
• Isikhathi lapho izimpawu zavelela khona kanye nendlela eziye zathuthuka ngayo

Gcina idayari yezimpawu phakathi kokubhekana nodokotela. Qaphela noma yikuphi ukushintsha esikhumbeni sakho, amazinga obuhlungu, ukuhamba, noma ezinye izimpawu. Ulwazi olufana nalolu lusiza udokotela wakho ukulandelela ukuqhubeka kwesimo sakho nokulungisa ukwelashwa ngokufanele.

Lungisa uhlu lwemibuzo okufanele uyibuze iqembu lakho lokunakekelwa kwezempilo:

• Ziyini izinketho zokwelapha ezitholakalayo esimweni sami esithile?
• Ingabe kunoma iyiphi imithi emisha noma ukuhlolwa okungokwelapha okufanele ngikubheke?
• Ngingazilawula kanjani izimpawu zami ekhaya?
• Ziyiphi izimpawu ezixwayisayo okufanele zingenze ngifune ukunakekelwa okusheshayo?
• Kufanele ngibe nemihlangano yokulandelela kangaki?
• Ingabe kunoma yimiphi imisebenzi okufanele ngiyigweme?

Cabanga ukuthatha ilungu lomndeni noma umngani emihlanganweni ebalulekile. Bangakusiza ukuba ukhumbule ulwazi oluxoxiwe futhi banikeze ukwesekwa ngokomzwelo ngesikhathi sokubhekana nodokotela okungaba nzima.

Unganqikazi ukucela incazelo uma ungakuqondi okuchazwe udokotela wakho. I-NSF iyisimo esiyinkimbinkimbi, futhi kubalulekile ukuthi uzizwe ukhululekile ngolwazi nezincomo ozitholayo.

Kungavinjelwa Kanjani I-Nephrogenic Systemic Fibrosis?

Indlela engcono kakhulu yokuvimbela i-NSF ukugwema ukubandakanyeka okungadingeki kwezinto ezihlanganisa i-gadolinium, ikakhulukazi uma une-sickness yezinso. Imihlahlandlela yezokwelapha yamanje iye yanciphisa kakhulu ingozi ye-NSF ngokuhlola okucophelelayo kanye nemikhuba ephephile.

Uma unenkinga wokwephunga, qiniseka ukuthi bonke abahlinzeki bakho bezempilo bayazi ngesimo sakho. Lokhu kufaka odokotela bakho abakhulu, ochwepheshe, nanoma iyiphi indawo lapho ungase ube nemiphumela yokuhlola izithombe. Khumbula njalo ngezinkinga zakho zezinkinga uma uhlela i-MRI noma ezinye izinqubo ezithuthukiswe ngokuphambene.

Abanikeli bezempilo manje balandela imiyalo eqinile yokusetshenziswa kwe-gadolinium:

• Hlola umsebenzi wezinkinga ngaphambi kokunikeza i-gadolinium contrast
• Sebenzisa umthamo omncane kunazo zonke wokusebenza komthombo wokuphambene
• Ukukhetha amafomu e-gadolinium aphephile, aqinile uma kungenzeka
• Gwema ukukhishwa kwe-gadolinium okuphindaphindayo kubantu abanesongo elikhulu
• Ukucabangela izindlela ezihlukile zokuhlola izithombe ezingadingi ukuphambana

Uma udinga i-MRI futhi unenkinga yokwephunga, xoxa ngezinye izinketho nodokotela wakho. Ngezinye izikhathi i-MRI engahambisani nokuphambana inganikeza ulwazi olufanele, noma ezinye izindlela zokuhlola izithombe ezifana ne-ultrasound noma i-CT ngaphandle kokuphambana zingase zifanele.

Uma ukukhishwa kwe-gadolinium kuyadingeka ngokuphelele kumuntu onenkinga yokwephunga, ezinye izikhungo zezokwelapha zinikeza izikhathi ezengeziwe zokususwa kokuhlola ukuze zisize ekususeni ukuphambana ngokushesha. Noma kunjalo, le ndlela ayikaze ibonakale ukuvimbela i-NSF ngokuphelele.

Ukugcina impilo enhle kakhulu yezinkinga kunganciphisa nezingozi zakho. Lokhu kufaka ukuphatha izimo ezifana nesifo sikashukela kanye nokucindezeleka kwegazi okungalimaza umsebenzi wezinkinga, ukuhlala uqinisile, nokugwema imithi engalimaza izinkinga zakho uma kungenzeka.

Ukuqaliswa kwalezi zinyathelo zokuvikela kunciphise kakhulu inani lamacala amasha e-NSF eminyakeni yamuva. Ngenkathi lesi simo sasivame kakhulu ekuqaleni kwawo-2000, ukukhuluphala kolwazi nemiyalo yokuphepha kuye kwakwenza kube yingxenye encane kakhulu namuhla.

Iyini i-Key Takeaway Mayelana ne-Nephrogenic Systemic Fibrosis?

I-NSF yisimo esinzima kodwa esingavamile esithinta ikakhulu abantu abanesifo esinzima sokugula kwesibindi abaye babonakaliswa izinto ezithile zokuhlola ezisetshenziswa ekuboneni kwezokwelapha. Nakuba akukho ukwelashwa okukhona njengamanje, ukuqonda i-NSF kungakusiza ukwenza izinqumo ezinolwazi mayelana nokunakekelwa kwakho kwezokwelapha nokuphatha lesi simo uma sithuthuka.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi i-NSF inqatshelwa kakhulu ngokuhlola okucophelelayo nezinqubo zezokwelapha eziphephile. Iziqondiso zamanje zunciphisile kakhulu ingozi kubantu abanesifo sesibindi, futhi abahlinzeki bezempilo bayazi kakhulu lesi simo kunakuqala.

Uma unesifo sesibindi, qiniseka ukuthi ukhombisa abahlinzeki bakho bezempilo ngaphambi kwanoma yiziphi izifundo zokuhlola. Ungavumeli ukwesaba i-NSF kukuvimbele ukuthola ukunakekelwa kwezokwelapha okudingekayo, kodwa qiniseka ukuthi iqembu lakho lezokwelapha liyazi ngokusebenza kwesibindi sakho ukuze likwazi ukwenza izinqumo eziphephile kakhulu zesimo sakho.

Kwabanesifo se-NSF, gxila ekusebenzeni nabahlinzeki bezempilo abanolwazi nokugcina ikhwalithi yokuphila engcono kakhulu ngokwelashwa okufanele nokunakekela kwakho. Nakuba lesi simo sibhekene nezinselele ezinkulu, abantu abaningi abane-NSF bathola izindlela zokuzilungisa nokuqhubeka bephila impilo enenjongo.

Hlala unolwazi mayelana nokuthuthuka okusha ocwaningweni lwe-NSF nokwelashwa. Njengoba ukuqonda kwethu lesi simo kuqhubeka kukhula, izinketho ezintsha zokwelapha zingatholakala ezingasiza ekuthuthukiseni imiphumela yabantu abathintekayo yi-NSF.

Imibuzo Evame Ukubuzwa Mayelana Ne-Nephrogenic Systemic Fibrosis

Ingabe i-nephrogenic systemic fibrosis iyadluliseka?

Cha, i-NSF ayidluliseki nhlobo. Awukwazi ukuyithola komunye umuntu noma uyidlulisele kwabanye abantu. I-NSF ithuthuka njengomphumela wezinto zokuhlola ze-gadolinium kubantu abanesifo sesibindi, hhayi kusuka kunoma iyiphi into yokutheleleka njengebhaktheriya noma amavirus.

Ingabe i-NSF ingathinta izingane?

I-NSF lingase libonakale kubantwana, kodwa kuyinto engavamile kakhulu. Iziguli eziningi ezibikiwe zazingabantwana abanegciwane elikhulu lempumputhe abamukele i-gadolinium contrast for medical imaging. Izinyathelo zokuphepha ezisetshenziswayo kubantu abadala zisebenza nakubantwana abaneengxaki zezinkalakatha.

Kuthatha isikhathi esingakanani ngemuva kokubekwa kwe-gadolinium i-NSF iqala ukubonakala?

Izimpawu ze-NSF zivame ukuvela ezinsukwini ezimbalwa kuya ezinyangeni ngemuva kokubekwa kwe-gadolinium, ngezimo eziningi ezivela ezinyangeni ezingu-2-3. Kodwa-ke, abanye abantu baye baba nezimpawu ngemuva kwamasonto noma ngisho nangonyaka ngemuva kokubekwa kwe-contrast. Isikhathi singahlukahluka kuye ngokusebenza kwezinkalakatha zakho nezinye izinto zomuntu.

Ingabe izimpawu ze-NSF zingathuthuka zodwa ngaphandle kokwelashwa?

Nakuba abanye abantu bengase babone ukuzinza kwezimpawu zabo, i-NSF ayithuthuki kakhulu ngaphandle kokungenelela. Ithuba elihle kakhulu lokuthuthuka livela ekubuyiseleni ukusebenza kwezinkalakatha ngokufakelwa kwezinkalakatha okuphumelelayo, yize kunjalo, ukuphulukana kungaba kancane kancane futhi kungaphelele.

Ingabe zonke izinto ezihlanganisiwe ze-MRI zingangobungozi obufanayo bokubangela i-NSF?

Cha, izinto ezahlukene ze-gadolinium-based contrast agents zinezilinganiso ezahlukene zobungozi. Izinto ezilinear, ezingaqinile, zinezinkinga ezinkulu kune-macrocyclic agents, eziqine kakhulu futhi azikwazi ukukhulula i-gadolinium yamahhala. Ama-medical centers amaningi manje asebenzisa izindlela eziphephile, ikakhulukazi kubantu abanegciwane lempumputhe.