Systemic sclerosis: ndi chiyani, zizindikiro ndi chithandizo

Zamkati

• Zizindikiro zazikulu
• Momwe matendawa amapangidwira
• Ndani ali pachiwopsezo chachikulu chotenga
• Momwe mankhwalawa amachitikira

Systemic sclerosis ndi matenda omwe amadzichititsa okha omwe amachititsa kuti collagen ipangidwe kwambiri, ndikupangitsa kuti khungu ndi mawonekedwe ake zisinthe, zomwe zimawuma kwambiri.

Kuphatikiza apo, nthawi zina, matendawa amathanso kukhudza ziwalo zina za thupi, ndikupangitsa kuuma kwa ziwalo zina zofunika, monga mtima, impso ndi mapapo. Pachifukwa ichi ndikofunikira kuyamba mankhwala, omwe, ngakhale samachiza matendawa, amathandizira kuchedwetsa kukula kwake ndikupewa kuwonekera kwa zovuta.

Systemic sclerosis ilibe chifukwa chodziwika, koma imadziwika kuti imakonda kwambiri azimayi azaka zapakati pa 30 ndi 50, ndipo imadziwonetsera m'njira zosiyanasiyana kwa odwala. Kusinthika kwake kulinso kosayembekezereka, kumatha kusintha msanga ndikupangitsa kufa, kapena pang'onopang'ono, kumangoyambitsa mavuto ang'onoang'ono pakhungu.

Zizindikiro zazikulu

Matendawa atangoyamba kumene, khungu ndiye limakhudzidwa kwambiri, kuyambira ndikupezeka kwa khungu lolimba komanso lofiira, makamaka pakamwa, pamphuno ndi zala.

Komabe, pamene zikuipiraipira, systemic sclerosis imatha kukhudza ziwalo zina za thupi komanso ziwalo, ndikupanga zizindikiro monga:

• Ululu wophatikizana;
• Kuvuta kuyenda ndi kusuntha;
• Kumva kupuma movutikira;
• Kutaya tsitsi;
• Kusintha kwamatumbo, ndikutsekula m'mimba kapena kudzimbidwa;
• Zovuta kumeza;
• Kutupa m'mimba mukatha kudya.

Anthu ambiri omwe ali ndi mtundu uwu wa sclerosis amathanso kudwala matenda a Raynaud, momwe mitsempha yamagazi yazala imakhalira, yoteteza magazi molondola ndikupangitsa kutayika kwa utoto m'manja. Mvetsetsani zambiri za zomwe Raynaud's syndrome ndi momwe amachiritsidwira.

Momwe matendawa amapangidwira

Nthawi zambiri, dotolo amatha kukayikira systemic sclerosis atawona kusintha kwa khungu ndi zizindikilo zake, komabe, mayeso ena opatsirana, monga ma X-ray, CT scans komanso ma biopsies apakhungu, ayeneranso kuchitidwa kuti athetse matenda ena ndi kuthandiza kutsimikizira matendawa pamaso pa systemic sclerosis.

Ndani ali pachiwopsezo chachikulu chotenga

Zomwe zimayambitsa kupangika kwa collagen komwe kumayambira systemic sclerosis sikudziwika, komabe, pali zifukwa zina monga:

• Khalani mkazi;
• Pangani chemotherapy;
• Dziwani za fumbi la silika.

Komabe, kukhala ndi chimodzi kapena zingapo mwaziwopsezo sizitanthauza kuti matendawa angayambike, ngakhale pali zovuta zina m'banjamo.

Momwe mankhwalawa amachitikira

Chithandizo sichichiza matendawa, komabe, chimathandiza kuchedwetsa kukula kwake ndikuchotsa zizindikilo, kukonza moyo wamunthuyo.

Pachifukwa ichi, chithandizo chilichonse chimayenera kusinthidwa ndi munthuyo, malingana ndi zizindikilo zomwe zimadza komanso gawo la kukula kwa matendawa. Ena mwa mankhwala omwe amagwiritsidwa ntchito kwambiri ndi awa:

• Corticosteroids, monga Betamethasone kapena Prednisone;
• Odwala matenda opatsirana pogonana, monga Methotrexate kapena Cyclophosphamide;
• Anti-zotupa, monga Ibuprofen kapena Nimesulide.

Anthu ena amathanso kukhala ndi Reflux ndipo, Zikatero, ndibwino kuti mudye chakudya chochepa kangapo patsiku, kuphatikiza pa kugona ndikumakwera mutu ndikumwa mapampu a proton oletsa mankhwala, monga Omeprazole kapena Lansoprazole, mwachitsanzo.

Pakakhala zovuta kuyenda kapena kusuntha, kungakhale kofunikira kuchita magawo a physiotherapy.