Izimpawu Zezikhumba Ekusizeni
I-Dermatomyositis yisifo esibangela ukuvuvukala (i- myopathy ) esithinta kakhulu isikhumba nemisipha kodwa ingathinta ezinye izinhlelo zomzimba zomzimba. Ukucwaninga kusikisela ukuthi yisifo esizimele , lapho umzimba uhlasela khona amangqamuzana awo aphilile.
I-Dermatomyositis ingenzeka kubantu banobuphi ubudala. Kubantu abadala, ukuphakama kokuqala kuneminyaka engaba ngu-50 ubudala. Eyaziwa ngokuthi i-dermatomyositis yezingane ezisencane, ukukhula kwesikhathi sokuqala kuyineminyaka engu-5-10 ubudala.
Lithinta abesifazane kabili kaningi njengamadoda futhi kwenzeka kubantu bazo zonke izinhlanga.
Izimpawu zeDermatomyositis
I-Dermatomyositis iveza izimpawu esikhumbeni nasemisipha njenge:
- I-reddish-purple to rash rash ebomvu ngokusabalalisa okulinganiselwe eduze kwamehlo (i-heliotrope rash)
- Amabhande amnyama amnyama (ama-papolisi aseGottron) noma ama-blotches (amapulethi) aphakanyiswe phezu kwamakhiwe, amunwe noma amanxeba, izinkalo, amaqaqa noma amadolo
- Ezinganeni, izinsipho ezinombala eziphuzi noma ezinemibala (calcinosis) zingase zivele phezu kwesibonakaliso esifanayo ezivelele
- Abanye abantu bane-scaly scalp noma i-dispersion hair loss
- Izimpawu ze-muscle zifaka ukukhathala noma ubuthakathaka lapho ukhuphuka izitebhisi, zivela endaweni yokuhlala, noma ziphakamisa izingalo.
Nakuba kungavamile, abantu abane-dermatomyositis bangase babe nezimpawu zesistimu ezifana ne- arthritis , ukuphefumula, noma ubunzima bokugwinya noma ukukhuluma. Abantu abadala abaneminyaka engaphezu kwengu-60 ubudala ne-dermatomyositis kubonakala sengathi banengozi enkulu yokuba nomdlavuza.
Ukubona i-Dermatomyositis
Abantu abanesifo se-dermatomyositis ngokuvamile banesifo sesikhumba njengezimpawu zabo zokuqala. Ukukhwabanisa kanye nama-papules, kanye ne-calcinosis nodules ezinganeni, kuzophakamisa ukuxilongwa. Ngezinye izikhathi izilonda zesikhumba zingase ziphuthelwe yizo ze-lupus erythematosus, i-psoriasis, noma i-lichen planus.
Izingane ezine-dermatomyositis zingase zibe nzima ukuzihlola kuze kube yilapho izibonakaliso zesikhumba ezibonakalayo zibonakala.
Ngaphandle kwezibonakaliso zesikhumba, ukuhlolwa kwegazi kungenziwa ukuze kutholakale ama-enzyme emisipha kanye namamaki okuvuvukala. Abanye abantu abane-dermatomyositis bane-positive antitinuclear antibody (ANA) yokuhlolwa kwegazi. I-imagery resonance magnetic ( MRI ), i-electromyography (EMG), kanye ne-biopsy ye-muscle ingakwazi ukuhlola isifo samascle nomonakalo.
Ukwelapha i-Dermatomyositis
Ukwelashwa kwe-dermatomyositis kugxile ekulawuleni izifo zesisu kanye nezimpawu zesikhumba. Ngokuvamile, i-corticosteroid efana ne-prednisone ihlinzekwa ukunciphisa ukuvuvukala kwemisipha. Uma imiphumela emibi ye-steroid iba yingozi, imithi ye-immunosuppressant noma i-cytotoxic, njenge-methotrexate (i-Rheumatrex) noma i-azathioprin (Imuran), ingasetshenziswa. I-Methotrexate ingasiza ekunciphiseni izimpawu zesikhumba. Abantu abanesifo se-dermatomyositis banama-photosensitive futhi kufanele bavikele isikhumba sabo ekushiseni kwelanga.
Uma kunesifo samathambo esikhona, ukwelashwa ngokomzimba nangokwenyama kungasiza ekuthuthukiseni umsebenzi we-muscle nokuvimbela izinkinga ezifana nezivumelwano. Abanye abantu bangase badinga ukwelashwa ngezibonakaliso zesistimu noma izinkinga.
I-Outlook
Iningi labantu abane-dermatomyositis lizodinga ukwelashwa isikhathi eside.
I-calcinosis ingase iphoqele ukwelashwa kwesifo ezinganeni nasebancane. Abanye abantu bangase bahlakulele umdlavuza noma ukwehluleka kwesitho, okuholela ekufinyeleleni isikhathi esifushane sokuphila. Kodwa-ke, abantu abaningi basabela kahle ekwelapheni futhi banokuphumula kwezinye noma zonke izimpawu zabo.
Imithombo:
I-Callen, i-JP (2002). Dermatomyositis. eMedicine. http://www.emedicine.com/med/topic2608.htm.
I-Myositis Association. Kuyini i-Myositis?