Oko Okufanele Uyazi
Uninzi lwethu lwaqala ukufumana izigonyana njengabantwana abaselula. Siya kugonywa ukukhusela izifo. Nangona kunjalo, abanye abantu bakhathazekile malunga nokukhuselwa kwegciwane kunye nemiphumo emibi. Isitofu sokugonya senziwa ngumjovo, ukuvuthwa, okanye ngezinye izikhathi ukungcola. Ukubonakaliswa kwisitofu sokugonya kubangela ukuba umntu olwa nentsholongwane aveliswe ngumzimba wakho ( ukuphendula komzimba ) oko kukukhusela ekubeni ungagula xa ufumaneke kwi-pathogen okanye i-toxin ethile.
Iintlobo zentsholongwane
Kukho iintlobo ezininzi zokugonya: zibulewe (zingasebenzi), zihlala zihlaselwe (inguqu ebuthakathaka yintsholongwane ephilayo okanye ibhaktheriya), okanye i-subunit. I-subunit, ngokuqhelekileyo iphrotheni okanye ishukela, inokukhishwa kwi-virus okanye ibhaktheriya okanye eyenziwa kwibhubhoratri. Izitofu zokugonywa ziquka i-anthrax, ikholera, i-hepatitis A, i-injection injection, isibetho, i-poliomyelitis, kunye ne-rabies. Izigulane ezithintekayo eziphilayo ziquka isifo sofuba, umfutho we-influenza nasalfray, i-smallpox, i-typhoid ngomlomo, inkukhu yenkukhu, i-shingles kunye ne-yellow fever. Izigulane ezikhunjulwayo zibandakanya imasisi, ama-mumps kunye ner rubella. Iiprotheni ze-prounit vaccin ziquka i-diphtheria, i-hepatitis B, ne-pertussis. Izigulane ze-Sugar subunit ziquka i-meningococcus, i-pneumococcus, i-haemophilus influenza B (isitofu sokugonya ushukela ngeprotug conjugate) kunye nejoyidi ye-typhoid. Isifo sokugonya kwe-anthrax asikho okwangoku kubantu bonke, kwaye isitofu sokugonya isikhombisi asizange sinikezwe ukususela ekuqaleni kwee-1970.
Abantu abaneeRheumatic Disease Baxhalabele
Ngenxa yokuba isitofu sokugonywa senza impendulo yomzimba, abanye abantu abanezifo zesifo se-rheumatic ezithatha izidakamizwa okanye izidakamizwa ze-biologic zixhala malunga nokusebenzisana. Ukongezelela, abanye abantu abanezifo zesifo se-rheumatic, njenge- rheumatoid arthritis kunye ne- lupus , baye bazibuza ukuba izitofu zikhuselekileyo kwaye ziyasebenza kwimeko ethile.
Abanye banenkxalabo yokuba izitofu zingenza imeko yabo ibe nzima. Abanye abantu baye bacebisa ukuba ukugonya kungabangela isifo sabo se-rheumatic. Ngaba kufanelekile? Ziziphi iinyani?
Khuselekile kubantu abane-Arthritis ye-Rheumatoid?
NgokweSibhedlele soPhengululo olukhethekileyo, izigulane ze-rheumatoid arthritis ezithatha izidakamizwa ezingenayo i-immunosuppressant kufuneka ziphephe iigciwane eziphilayo. Isitofu sokuphila singenza ukuba usulele kumntu othabatha imithi ye-immunosuppressant kwaye angaphinda ahlale emzimbeni aze aphinde avele kwizigulane eziphathwe ngama-immunosuppressants. Ama-vaccine abulalayo, iiprotheyini, kunye neentshukela zokugonya ushukela zibhekwa njengekhuselekile, kubantu abanesifo se-rheumatic baphathwa ngamachiza omzimba.
Impumelelo kubantu abane-Arthritis ye-Rheumatoid?
Ukugonywa kusebenza kakhulu xa abantu abane-rheumatoid arthritis benza kakuhle (oko kukuthi, kungekhona kwintlambo ) kwaye kungekhona kunyango olubanzi. Ngokomzekelo, izigulane ze-rheumatoid arthritis eziphathwe nge-dose ephezulu i- prednisone okanye i-immunosuppressants azivelisi izikhuhlane ezinamandla: zinokushiywa zingakhuselekanga nangemva kokugonywa. Unyango, kungekhona isifo ngokwalo, lunokuphazamisa ukhuselo olunikezelwa yicontsho. Izigulane ezinyangwa nge-do-do-prednisone ephantsi-nto zingakwazi ukuvelisa ukhuseleko olufanelekileyo, nangona kunjalo.
Ngaba Iimpawu Zesizathu okanye Izifo ZamaRheumatic?
Abantu abaninzi bakholelwa ukuba baphuhlise i-rheumatoid arthritis emva kokufumana igciwane lokugoma okanye olunye uhlobo lokugonywa, mhlawumbi ngenxa yokuba abantu babonakala befana neemeko ebomini babo. Okuthakazelisayo kukuba, ndenze oko ngokwam: Ndifumene ukuba ndine-arthritis ye-rheumatoid eneminyaka eyi-19, kwaye njengoko ndandicinga ingcinga yam ngesizathu, nda khumbula ukufumana igciwane lokugonya i-ngulube. Ndidibanise iziganeko ezibini, kodwa ngokwenene, ixesha lenze kube nzima.
Olunye uphando olwenziwa nguSibilia et al, olupapashwe ngo-2002, luqwalasela ngenyameko ukutyalwa kwe-rheumatoid arthritis yi-vaccine ye-hepatitis B.
Nangona kwakukho ukucatshungulwa kokunikezelwa kweemvelo okubangelwa ukugonya kwe-hepatitis B, abaphengululi bagqiba umngcipheko ngamnye kumxhelo kufuneka baqikelele ukuba ngaba kufanelekile ukufumana ukugonya kwe-hepatitis B. Uvumelwaniso lwezenzululwazi, nangona kunjalo, ukuba izitofu azibanga i-rheumatoid arthritis okanye ezinye izifo ze-rheumatic.
NgokweSibhedlele soPhengululo olukhethekileyo, ngokubhekiselele kokunyuka kwesifo se-rheumatic, akukho zifundo ezininzi. Ubuninzi obunxulumene nokugonya umkhuhlane kwizigulane ze-lupus, kwaye kwagqitywa ukuba akukho kuqhuma kwe-lupus ngenxa yokugonywa. Nangona kukho iingxelo ezimbalwa eziphathelele kwisifo se-rheumatoid arthritis, isiphetho sinye: i-rheumatoid arthritis ayenzi ngakumbi ngokugonywa.
Ngaphantsi
Kukho ama-3 athatha i-aways malunga nale ngcaciso ebalulekileyo malunga nokugonya kubantu abane-arthritis ye-rhumatoid:
- Iigonywa ngokuqhelekileyo zibhekwa zikhuselekile kwaye zisebenza kubantu abanesifo se-rheumatoid okanye ezinye izifo ze-rheumatic.
- Ukukhuselwa ekugonyeni kunokuba kungaphantsi kokugqithiseleyo kwizigulane eziphathwe ngeziyobisi ezingenasistim.
- Izigulane eziphathwe ngamachiza okungaxilwanga mayeza akufanele zinikezelwe isitofu sokuphila.
> Imithombo:
> Izitofu kunye nezifo zeRheumatic. UMichael D. Lockshin, MD. Isibhedlele soPhengululo olukhethekileyo. 1/10/11
> Ukugonywa kunye neRheumatoid Arthritis. Sibilia J. et al. Iziganeko zeeRheumatic Diseases. Julayi 2002.
> Izigulane eziqhelekileyo phakathi kwabantu abadala abakwazi ukunyusa ingozi yokuphuhlisa i-Rheumatoid Arthritis: Iziphumo ezivela kwisiSwedish Study EIRA. Bengtsson C. et al. Iziganeko zeeRheumatic Diseases. Julayi 2010.