Scleroderma: ndi chiyani, zizindikiro ndi chithandizo

Zamkati

• Zizindikiro za scleroderma
• Zovuta zotheka
• Momwe matendawa amapangidwira
• Chithandizo cha scleroderma

Scleroderma ndi matenda osachiritsika omwe amapangidwa ndi collagen wopitilira muyeso, womwe umayambitsa kuwuma kwa khungu ndikukhudza mafupa, minofu, mitsempha yamagazi ndi ziwalo zina zamkati, monga mapapu ndi mtima.

Matendawa amakhudza kwambiri azimayi opitilira 30, koma amathanso kupezeka mwa abambo ndi ana, ndipo amagawika m'magulu awiri, am'deralo komanso systemic scleroderma, kutengera kukula kwake. Scleroderma ilibe mankhwala ndipo mankhwala ake amathandizidwa kuti athetse zizindikiro ndikuchepetsa kukula kwa matendawa.

Zizindikiro za scleroderma

Zizindikiro za scleroderma zimasintha pakapita nthawi ndipo, kutengera komwe kuli zizindikilozo, scleroderma itha kugawidwa kukhala:

• Zokhudza, momwe zizindikilozo zimawonekera pakhungu ndi ziwalo zamkati, pokhala mtundu wowopsa kwambiri wa scleroderma;
• Kumidzi, kumene zizindikiro zimangokhala pakhungu.

Kawirikawiri, zizindikiro zazikulu zokhudzana ndi scleroderma ndi izi:

• Kukhwima ndi kuuma kwa khungu;
• Kutupa kosalekeza kwa zala ndi manja;
• Kudetsa zala m'malo ozizira kapena munthawi yamavuto opitilira muyeso, omwe amadziwikanso kuti Raynaud's phenomenon;
• Kuyabwa kosalekeza kudera lomwe lakhudzidwa;
• Kutaya tsitsi;
• Mdima wakuda kwambiri komanso wowala kwambiri pakhungu;
• Kuwonekera kwa mawanga ofiira pankhope.

Mawonetseredwe oyamba a matendawa amayamba m'manja ndipo patadutsa miyezi kapena zaka kumaso, kusiya khungu louma, lopindika komanso lopanda makwinya, zomwe zimapangitsa kuti zikhale zovuta kutsegula pakamwa kwathunthu. Kuphatikiza apo, pokhudzana ndi systemic scleroderma, munthuyo amathanso kukhala ndi kuthamanga kwa magazi, kusagaya bwino chakudya, kupuma movutikira, kuwonda popanda chifukwa, kusintha kwa chiwindi ndi mtima.

Zovuta zotheka

Matenda a scleroderma amakhudzana ndi kuyamba kwa chithandizo chamankhwala ndipo amapezeka pafupipafupi mwa anthu omwe ali ndi matenda amtunduwu. Chifukwa chake, mankhwalawa akapanda kuchitidwa molingana ndi malangizo a dokotala, munthuyo amakhala ndi zovuta zina monga zovuta kusuntha zala, kumeza kapena kupuma, kuchepa kwa magazi, nyamakazi, mavuto amtima komanso kulephera kwa impso.

Momwe matendawa amapangidwira

Matenda a scleroderma ndi ovuta, chifukwa zizindikirazo zimasintha pang'onopang'ono ndipo zimatha kusokonezeka ndi mavuto ena akhungu. Chitsimikizo cha matendawa chiyenera kupangidwa ndi dermatologist kapena rheumatologist, poganizira zizindikilo zomwe zimaperekedwa ndi munthuyo, komanso zotsatira zoyesa kuyerekezera komanso labotale.

Chifukwa chake, atha kuwonetsedwa ndi adotolo kuti apange tomography kapena chifuwa X-ray ndi khungu, kuphatikiza pakuchita mayeso a ANA, omwe ndi mayeso a labotale omwe cholinga chake ndi kuzindikira kupezeka kwa ma anti-antibacter omwe akuyenda m'magazi.

Chithandizo cha scleroderma

Scleroderma ilibe mankhwala, chifukwa chake, chithandizo chimayesetsa kupewa kupitirira kwa matendawa, kuchepetsa zizindikilo ndikulimbikitsa moyo wamunthu. Chithandizo chomwe a rheumatologist kapena dermatologist amasiyana chimatengera mtundu wa scleroderma ndi zizindikilo zomwe munthuyo wapereka, ndipo kugwiritsa ntchito mankhwala ena kumatha kuwonetsedwa malinga ndi mlandu, womwe ungagwiritsidwe ntchito pakhungu kapena kumeza, monga immunosuppressants kapena corticosteroids.

Pankhani ya anthu omwe akuwonetsa chodabwitsa cha Raynaud ngati chimodzi mwazizindikiro za scleroderma, zimalimbikitsidwanso kuti zizikhala zotentha m'thupi.

Kuphatikiza apo, popeza scleroderma imatha kukhala yolumikizana ndi kuuma kolumikizana, magawo a physiotherapy amathanso kuwonetsedwa kuti amachulukitsa kusinthasintha kwa mgwirizano, kuchepetsa kupweteka, kupewa mgwirizano ndi kukhalabe ndi ziwalo zogwira ntchito ndi matalikidwe.