Ukufumana ukuchongwa ngokuchanekileyo kwezifo zakho ezigulanayo kunokuba nzima
Kutheni kunzima ukufumana ukuxilongwa ngokufanelekileyo xa ujamelana nesifo esingavamile okanye esingavamile?
Ukufumana iSifo seNgcaciso seNtsholongwane
Ukufumana ukuxilongwa ngokufanelekileyo kudla ngokuba yinto ebalulekileyo yokugxila ukuze ufumane unyango olufanelekileyo kwisifo sakho. Kunzima kakhulu kumntu onesifo esingaqhelekanga okanye esingaqhelekanga. Abantu abaninzi abakwazi ukufumana ukuxilongwa , abangafumani kakuhle , okanye abaninzi, abaphikisanayo kunye noogqirha abahlukeneyo.
Ukufuna iimpendulo zezizathu zokuba uye waziva ugule ingaba lixesha elide kwaye elixhalabisa. Abantu abaninzi bachaza amava njengendlela yokuhamba ngokukhawuleza okanye "uhambo" ngenxa yobunzima bokuvavanywa kwezonyango kunye nokuhamba ngendlela engaziwayo.
Kutheni ukufumana ukuxilongwa kunzima kangaka
Kukho izizathu ezininzi ezenza ukuba ugqirha wakho abe nobunzima bokufumanisa imeko yakho. Nazi ezinye zezizathu eziphambili ezingabangela ukulibaziseka kwi-diagnosis yakho:
I-Diagnosis iyanzima xa izifo zakho ziqhelekile
Unokubona oogqirha abaninzi ngaphambi kokufumana umntu owaziyo malunga nento ethile. Ezinye izifo zinqabile ukuba ukuhlolwa kofuzo kuphela okwenziwa ngumfuzo wezityalo (ingcali yezofuzo) kunokuchonga isizathu esibangeleyo.
Isifo esinqabileyo sisenzeka kubantu abangaphantsi kwama-200,000 e-United States okanye ngaphantsi kwama-5 ngabanye abantu abayi-10 000 kwi-European Union. Ngaphandle kokuba kukho iimeko ezibhalwe kuyo, unokuba nzima kakhulu ukuthelekisa iimpawu zakho kuzo zonke izifo ezikhoyo apho.
I-Diagnosis iyanzima xa izibonakaliso zakho zingabalulekanga
Ezinye izifo ezingabonakaliyo zinempawu, ezifana nobuthathaka , i- anemia , intlungu, ingxaki yombono, ukuxakeka , ukukhwehlela . Izifo ezininzi ezahlukahlukeneyo zingabangela le mpawu, ngoko zibizwa ngokuba "ezingabonakaliyo," zithetha ukuba azikho iimpawu zesifo esithile. Oogqirha baqeqeshwa ukuba babone izizathu eziqhelekileyo zokuqala kweempawu, ngoko banokuthi bacinge ngeendlela zesifo esinqabileyo xa baqala ukuhlolisisa.
Kukho ilizwi kwipilisi ukuba kwintsimi yehashe ubheka ihashe. Kwaloo ntsimi, isifo esingabonakali sisigubhu. Kungasoloko kuthatha ixesha elide ngaphambi kokuba oogqirha baqaphele ukuba abajongani nehashe kwaye batshintshe ingqondo yabo ukuze bafune idiza.
Ukuxilonga kunzima ukuba iziganeko zakho zingavamile
Kubonakala kunengqiqo ukuba ukuba nesifo esingaqhelekanga kunokukunceda ekufumaneni ukuxilongwa, kodwa oku kuyinyaniso ukuba ugqirha ekuhlolisayo uyayazi ngesifo esibangela uphawu olufanayo. Ukuba ugqirha akwaziyo nayiphi na isifo esibangela eso sibonakaliso, mhlawumbi uya kubhekiselwa kwingcali onokukwazi into ethile malunga nemeko yakho.
Oku kunokukhathazeka ngokukodwa xa unesifo esingavamile. Unokuziva ukuba ugqirha wakho awazi nje ukuba ufuna kuphi inkcazo yakho, kodwa usenokuziva ukuba akayikholelwa ngokwenene kwiimpawu zakho. Ngoku, akushiywe kuphela ukushiyana nesifo esingavamile, kodwa ubuza ukuba ugqirha wakho uyakholelwa kwaye uyathemba. Eli lixesha apho ufuna ngokwenene ukuba ngummeli wakho kwiinkonzo zakho zonyango, kwaye khumbula ukuba ukuba ugqirha akakholelwa ukuba akuyiyo ingxaki yakho.
Awudingi ukukhathazeka uze uzame "ukubonisa" ukuba unesifo. Ukuba uziva uxhaswe kwikona ngale ndlela, kusenokuba lixesha lesibini kunye nokungakhethi.
Ukuxilongwa kunzima ukuba Awunayo "Iincwadi zemiqulu"
Unokuba nesifo esinqabileyo, kodwa iimpawu zakho zingenakufanelana ne "classics" okanye umfanekiso wesifo. Unokuba neempawu ezingaqhelekanga kunye nesi sifo, okanye ungenayo yonke impawu ekulindelekileyo ngesifo. Oogqirha banganqikaza ukukuxilonga ngesifo esingavamile ngenxa yale nto.
Gcina ukhumbule ukuba uluhlu lweempawu zeemeko, abaninzi abantu banempawu ezimbalwa kuphela.
Ukongeza, abantu banokuba neempawu eziliqela ezingaboniswa.
Ukuxilongwa kunzima ukuba ulwazi luNtsha okanye luChintsho
Ngamanye amaxesha unogqirha unokwazi ukufumana ukufumana uvavanyo, kodwa ngenxa yokungabi nolwazi olusesikhathini, sukela ukufumana. Ngaloo ndlela, ngethuba lingaqhutyelwa phambili, ukuba ugqirha udlula ingxelo yakhe kwabanye ogqirha abavavanya iimpawu zakho.
Umzekelo ngabantu abanama-tarlov cysts okanye i-meningeal cysts. Kukho ubungqina bokuba la ma-cyst angabangela ubuhlungu obukhulu kunye nokukhubazeka kwegazi okuphazamisa ubomi balabo bahlala nala ma-cysts. Ukuba ubuya kuphanda uphando olutshanje, kuyacaca ukuba ezi ntshutshiso zibangele ukubandezeleka nokukhubazeka okukhulu, kodwa loo ndlela entsha ye-radiological kunye neyokukhusela ingabangela ukukhululeka kuninzi lwabantu.
Kule ncwadi, ke ke, ezi ngqungquthela zivame ukuxothwa (okwamanje) njengeziphumo ezifunyenweyo zokubaluleka okungathandabuzekiyo. Ngamanye amagama, nangona unokuxilongwa "okuhambelana" neempawu zakho, iimpawu zakho zingasuswa, kwaye ngoko kunjalo, ukuxilongwa kukuphosiwe. Kwaye nge-diagnosticosis, ukulahlekelwa kwonyango olululo lulandela.
Ube Ulindele Uze Kuze Ubonwe Iingcali
Kungaba nzima ukufumana ukuqesha kunye nodokotela ogqithiseleyo kwizifo ezingaqhelekanga, ngamanye amaxesha uthatha nantoni na kwiinyanga ezintathu ukuya ezintandathu okanye mhlawumbi ubude ngaphambi kokuba ubone umntu. Kungadaniseka kwaye kuphazamise ukulinda ixesha elide nje ukuba uxelelwe ukuba abaqinisekanga ukuba unayo okanye bafuna ukuba uye kuhamba kwenye ingcali.
Abantu abaninzi abalindile njengaye banokukhululeka xa beva ukuba banokubona umntu ngaphandle kokulinda konke. Khumbula, nangona kunjalo, isizathu sokuba abanye oogqirha banzima ukufumana ukuqesha kunye nabo bahlala becala ukuba bahambe baze bafumane impendulo. Ngokuqinisekileyo akunjalo ngaso sonke isikhathi, kodwa into emele ihlale ingqondweni.
Ukuxelela ibali lakho lulula kakhulu kwii-50 zokuqala
Siyamazi umama womntwana onesifo esinqabileyo othe wathatha iphepha ezine ezichaza intsholongwane yakhe, imbali yakhe yonyango kunye neyonyango, kunye neyeza zakhe zamanje. Uhambisa iikopi zala maphepha kumgqirha ngamnye omtsha ohlola intombi yakhe ngoko akayi kubuyisela kwakhona into yonke kwakhona. Unokuziva udidekile njengoko akwenzayo, ukuba ufumane ulwazi olufanayo kaninzi. Kungabonakala ngathi oogqirha abayifuni ishati okanye bajonga kwiziphumo zakho zokuvavanya.
Kutheni kungakhokhela ukuphindaphinda ibali lakho kwixesha eli-51
Inyaniso ke, ngamanye amaxesha awufuni omnye ugqirha ukuba afunde amanqaku kunye nezigqibo zenye ugqirha. Akuqhelekanga kumachiza ukuba uphendule ngokulula ukunyanzelwa ukuba oogqirha abalandelelanayo bathembela kumanqaku kunye nezigqibo zoogqirha abakubonayo ngaphambili. Ngokomzekelo, ingcali entsha ingayigxina inxalenye ebalulekileyo yovavanyo lwakho ukuba lo vavanyo luchazwe njengesiqhelo ngudokotela odlulileyo. (Ngokomzekelo ongasentla, mhlawumbi ugqirha owayengagqithanga ukuhlawula ukufunyanwa kwe-cylo Tarlov kwi-MRI ngokubhekiselele ekufunyaneni okungaqhelekanga. Kule meko, ukuxilongwa kuya kuhoywa ngaphambi kokuba udibane nodokotela.)
Inkqubo yamagqirha ngamanye amaxesha afundiswa kwisikolo sezonyango okanye ukuhlala kuhlala kukubona isigulane ngokungathi eso sigulane sasingakhange sihambele okanye sihlole. Isimyalezo sale sifundo kukuba ukuxilongwa ngokuchanekileyo kunokuthi kunganakunyuswa ngenxa yokuba oogqirha baxhomekeke ekuhlolweni nasekuphumeleleni iziphumo zamagqirha abone isiguli ngaphambili. Ukuba iphoso lenziwe ekuqaleni, le mpazamo yambi iqhutyelwa ngaphandle kokuba ugqirha abuyele kwaye abuke ingxaki njengoluhlobo olutsha kunye nolutsha. Kukho ilizwi elithi "iingqondo ezimbini zibhetele kunomnye," kodwa, xa ugqirha sele sele efunde ngomsebenzi wakho kuze kube ngoku, umbono wakhe awunayo ingqondo entsha. Sonke sitshitshiswa kwaye sithandwa ngcaciso esele siyivile.
Abanye oogqirha abayifunde ngaphambili (isizathu sokuba babuze imibuzo efanayo kwakhona) ngenxa yokuba abafuni ukungawuboni ezinye iinkcukacha eziyimfuneko onokuzibonelela ngazo. Ugqirha ocela ukuba uqale ekuqaleni kwaye uhamba ngokubuhlungu kuyo yonke imbali yakho kwakhona unokuba ngumnye ukufumana impendulo elula engayihoywa njengoko sele isacatshangelwe.
Xa kungekho Sifo seNgcaciso
Ngamanye amaxesha, nangona ubona iingcali ezigqwesileyo, awukwazi nje ukufumana i-diagnostic eyiyo. Oogqirha bangasebenzisa amagama anjengokuthi "i-etiology engaziwayo" okanye "idiopathic" (intsingiselo, "asiyazi into ebangela ukuba" okanye, njengoko abafundi bezobugqirha besithi, "asinayo inkcazelo") okanye "i-atypical" ( intsingiselo "engavamile").
Unokunikezelwa ukuxilongwa okufanelekileyo kwiimpawu zakho, okanye unikezelo lwezinto ezimbini okanye ngaphezulu. Ukuqaphela ukuba abantu abanezifo ezingaqhelekanga banokuba nzima ukufumana ukuxilongwa, i-US National Institutes of Health (NIH) yaqalisa iNkqubo yeZifo ezingaboniyo ngo-Septemba 2008.
Inkqubo yophando ye-NIH ivavanya iimeko ezingama-50 ukuya kwe-100 zezifo ezingafumanekiyo ukuzama ukunika iimpendulo kubantu abaneemeko ezingaqondakaliyo nokunyusa ulwazi lwezokwelapha ngezifo. Ukuba unempilo yonyango kodwa akukho xilongwe, xela nodokotela wakho malunga nokuthatha inxaxheba kule nkqubo.
Kubalulekile ukuqhubeka ubona ugqirha wakho ngokutyelela ngokulandelelanayo nangona ungenayo ukuxilongwa kwimeko yakho okwangoku. Ugqirha wakho unako ukugcina ingqalelo nayiphi na inguqu yezempilo, ufumane ulwazi olutsha njengoko ixesha lihamba kwaye uqokelele iikhowudi ezinokubangela ukuxilongwa.
Ukuba awuzange ube nethuba lokuba ugqirha uhlalutye iimpawu zakho zintsholongwane kwaye zingenamkhethe, nangona kunjalo, oku kubalulekileyo isinyathelo esilandelayo.
Ukujamelana Nezifo Eziqhelekileyo
Enye yeengxaki ezinzima ekujonganeni nesifo esinqabileyo kukuba akukho zinethiwekhi zokuncedisa njengoko zikhona, zithi, umhlaza wesifuba. Ngombulelo, abaninzi abantu abanezifo ezingabonakaliyo ngoku bafumana inkxaso ngenkxaso engamaqabana amaqela okuxhasa izifo kunye noluntu olunqabileyo lwezentlalo zoluntu apho abantu banesifo esingaqhelekanga, kodwa baqonde ukukhathazeka okuthe ngqo kunye nemingeni ejongene nalabo abanzima ukuxilonga okanye ukungafumani .
Ukuba usalindele ukuxilongwa, hlola ezi ngcamango kwiimvakalelo zokulinda ukuxilongwa okungaqhelekanga .
Imithombo:
Kasper, uDennis L .., u-Anthony S. Fauci, noStephen L .. Hauser. Iinqununu zeHarrison zeMithi yoPhakathi. ENew York: imfundo kaMc Graw Hill, 2015. Print.
Klekamp, J. Udidi olutsha lwePathologies of Meninges, INgxenye 1: i-Dural Cysts, Dissections, ne-Ectasias. Neurosurgery . Ngo-2017 uMar 17. (i-Epub ngaphambi kokushicilela).
Murphy, K., Oaklander, A., Elias, G., Kathuria, S., kunye noD. Unyango lwe-213 Izigulane nge-Symptomatic Tarlov Cysts ngo-CT-Ekhokelwa nge-Percutaneous Injection ye-Fibrin Sealant. I-AJNR American Journal ye-Neuroradiology . 2016. 37 (2): 373-9.
I-Weigel, R., Polemikos, M., Uksul, N., noJ. Krauss. I-Tarlov Cysts: Ukulandelelwa kwexesha elide Emva kwePetrosturgical Inverted Plication kunye neS sacroplasty. Journal of Spine Journal . 2016. 25 (11): 3403-3410.