I-Scleroderma iyisifo esithinta izicubu ezizimele . Akuyona isifo esisodwa, kodwa kunalokho isibonakaliso seqembu lezifo eziyinkimbinkimbi ngokukhula okungavamile kwezicubu ezixhumeneyo ezisekela isikhumba nezitho zangaphakathi.
Izimbangela
Isizathu sokuthi umzimba uhlasele amangqamuzana awo kulesi sifo esizimele singaziwa. Abacwaningi abakholelwa ukuthi i-scleroderma izuzwe njengefa, kodwa, kodwa abantu abavela emindenini abanomlando wayo noma ezinye izifo zesifo se-rheumatic bangase bathambekele ekuthuthukiseni.
Kwezinye izimo, i-scleroderma iye yaxhunyaniswa nokutholakala kwamakhemikhali athile noma ukungcola-ngamanye amazwi, izimo zemvelo.
Ukuvama
I-Scleroderma ithinta abantu abangu-75,000 kuya ku-100,000 e-United States. Ngokusho kwe-American College of Rheumatology, amacala angu-12 kuya kwangu-20 amasha we-scleroderma ngesigidi atholakala e-United States unyaka ngamunye. Cishe ingxenye eyodwa kwezintathu kulaba bantu bane-systemic sclerosis, echaphazela wonke umzimba.
Ubani Owutholayo?
Abesifazane abaneminyaka engama-30 no-50 ubudala balandisa amaphesenti angama-75 ama-scleroderma amacala, kodwa amadoda nabantwana banoma yiliphi iqembu lobudala bangalithuthukisa. Isimo ngokuvamile siqala phakathi kweminyaka engama-25 kuya ku-55.
Izinhlobo ze-Scleroderma
Kunezinhlobo ezimbili ezibanzi ze-scleroderma : zendawo futhi zenziwe jikelele (nazo zibizwa ngokuthi i-systemic sclerosis). Ukutholakala kwendawo kunqunyelwe ukuqina kwesikhumba nokuqinisa, kanti izinhlobo ezijwayelekile zibandakanya imithwalo yegazi nezitho zangaphakathi.
- I-Scleroderma yendawo: I- localized scleroderma iyakuthinta kakhulu isikhumba futhi ihlukaniswe ngokuphindaphindiwe ibe yi-morphea (amaqabunga aqinile, ama-oval esikhumbeni) futhi ayingqayizivele (umugqa ohlukanisiwe wesikhumba esinemibala futhi engavamile ngokuvamile kuthinta izingalo, imilenze noma ebunzini).
- I-Systemic Sclerosis: I- Systemic sclerosis ihlukaniswe nge-scleroderma elinganiselwe (ukuqala kancane kancane, okukhawulelwe ezindaweni ezithile zomzimba, kungathinta izitho zangaphakathi kamuva) futhi kusakaze i-scleroderma (ukuqala ngokuzumayo, ukuqina kufaka indawo enkulu futhi kungathinta izitho zangaphakathi). I-Sine scleroderma, ethi abanye bacabange isigaba sesithathu se-systemic sclerosis, ayithinti isikhumba.
Izimpawu Ezivamile: CREST
Abantu abane-systemic sclerosis bangase babe nezimpawu ezihambisana nephethini yesici, okuthiwa yi-CREST:
- I-calcinosis (i-calcium ibeka emathisini ahlangene)
- Isimo sikaRaynaud (imithwalo encane yegazi eminwe, izinzwane, impumu, nezindlebe zithinta ukuphendula okubandayo noma ukukhathazeka)
- Ukungasebenzi komzimba (imisipha engxenyeni ephansi ye-esophagus ayisebenzi kahle)
- Isikhwama esinyene, esinamandla, esicwebezelayo eminwe noma ngezwanezwane)
- I-Telangiectasias (izindawo ezincane, ezibomvu ezandleni nasebusweni)
Ukuxilongwa
Akukho ukuhlolwa okulodwa okusebenza njengesifo sokuxilongwa okucacile kwe-scleroderma. Ukuhlanganiswa kokuthola okuvela ekuhloleni ngokomzimba, ukuhlolwa kwegazi, nokuhlolwa okungakwazi ukuhlola izinkinga ngezigungu zomzimba kusiza ukuxilonga i-scleroderma . Iningi labantu abane-scleroderma banokuhlolwa okuhle kwama-anti-nuclear antibodies. Kudingeka ukuxilongwa okufanele ukukhomba ukwelashwa okufanele.
Izinketho zokwelapha
Ayikho ikhambi ye-scleroderma. Asikho isidakamizwa esingayeka ukuqina kwesikhumba okuhambisana nesimo, kodwa imithi inqunyelwe ukulawula izimpawu, okungase zifake:
- Isimo sikaRaynaud
- ukushaya kwenhliziyo
- umfutho wegazi ophezulu
- izifo zesifo samaphaphu
- i-pulmonary blood pressure
- i-arthritis
- ubunzima bomzimba
- izinkinga zokugaya ukudla
- izinkinga zezinso
Izwi elivela
Uma usola noma uthola ukuthi une-scleroderma noma uhlelo lwe-systemic sclerosis, ukuthola ukuxilongwa okufanele nokufunda kabanzi ngesimo sakho kungakusiza ukuyiphatha kangcono.
Akusekho ukwelashwa kwesifo, kodwa kukhona amasu aphumelelayo okuphila impilo engcono.
Imithombo:
I-Scleroderma, i-Arthritis Foundation
Scleroderma (Systemic Sclerosis), i-American College of Rheumatology