Ukuquleka, okubizwa kahle ngokuthi ukudlikiza, kubangelwa ukushaqeka kukagesi okuqala endaweni eyodwa ebuchosheni futhi ezimweni eziningi kungasakazekela ebuchosheni bonke.

The ukuquleka okuyingxenye kubonakala ngokufinyela okuvimbela inja ekulawuleni ingxenye yomzimba ethintekile, yini ebahlukanisa nokuthuthumela? Ngesikhathi sokuquleka ingxenye inja ihlala iqulekile.

Lapho ukuquleka sekuvamile, wonke umzimba uzofinyela futhi inja izofinyela umzimba wonke futhi ilahlekelwe ukwazi. Imvamisa inja ingakhipha amathe, inyathele, ichame kuyo bese ikhulula. Akasenawo amandla okulawula umzimba wakhe. Noma ukubanjwa kunodlame futhi kumangalisa, ungazami ukufaka isandla sakho emlonyeni wenja yakho ukubamba ulimi, angakuluma kanzima ngaphandle kokuqaphela. Ukubanjwa ngokuvamile kuthatha imizuzu embalwa. Ukuquleka okujwayelekile kwesifo sokuwa kuyamenyezelwa, kubizwa nge-prodrome. Inja iyanyakaza noma ididekile ngaphambi kokuhlaselwa. Ngemuva kobunzima, uba nesigaba sokululama eside kakhulu noma esincane lapho ebonakala elahlekile, noma aze aveze izimpawu zemizwa (uyadiyazela, angaboni, agijimele ezindongeni…). Isigaba sokutakula singahlala ngaphezu kwehora. Inja ayifi ngenxa yokuquleka, nakuba kungase kubonakale kuyinde noma kukukhungathekisa.

Udokotela wezilwane akavamile ukubona ukuquleka. Ungangabazi ukwenza ividiyo yenhlekelele ukuze uyibonise udokotela wakho wezilwane. Ingakusiza ukwazi ukubona umehluko phakathi kwe-syncope (okuwuhlobo lwenja equleka ngenhliziyo noma izinkinga zokuphefumula), ukuquleka noma ukuthuthumela wenja.

Njengoba ukubanjwa kwesithuthwane kwenja kuvame ukuba yi-idiopathic (isizathu esingasazi), sitholakala ngokuqeda ezinye izimbangela zokuquleka ezinjeni ezifana kakhulu nalezo zenja eqhaqhazelayo:

• Inja enoshevu (ubuthi obuthile obunobuthi obuququdayo)
• kungakhuphula izinga likashukela
• I-Hyperglycemia ezinjeni ezinesifo sikashukela
• Isifo sesibindi
• Izimila noma ukungajwayelekile kobuchopho
• Unhlangothi (unhlangothi)
• Ukuhlukumezeka ebuchosheni ngokuphuma kwegazi, i-edema noma i-hematoma
• Isifo esibangela i-encephalitis (ukuvuvukala kobuchopho) njengama-parasites athile noma amagciwane

Ukuxilongwa ngakho kwenziwa ngokubheka lezi zifo.

Ngemva kokuhlolwa okuphelele komtholampilo okuhlanganisa nokuhlolwa kwezinzwa, udokotela wakho wezilwane ngakho-ke uzohlola igazi ukuze ahlole ukuguga komzimba noma kwesibindi. Okwesibili, bangase ba-ode i-CT scan esikhungweni sokucabanga sezilwane ukuze banqume ukuthi inja yakho inokulimala ebuchosheni okubangela isithuthwane. Uma kungekho okungavamile kwegazi kanye nokuhlolwa kwezinzwa futhi kungekho zilonda ezitholakalayo singaphetha ngesithuthwane esibalulekile noma idiopathic.

Uma kutholakala isimila futhi singelashwa (ngokwelashwa ngemisebe, ukuhlinzwa noma ngamakhemikhali) lokhu kuzoba ingxenye yokuqala yokwelashwa.

Khona-ke, uma isifo sokuwa kwenja kungesona i-idiopathic izimbangela zokuquleka kwayo kufanele zelashwe.

Okokugcina, kunezinhlobo ezimbili zokwelapha zalokhu kuquleka kwesithuthwane: ukwelashwa okuphuthumayo uma ukubanjwa kuthatha isikhathi eside kakhulu kanye nokwelashwa okuyisisekelo ukuze kuncishiswe imvamisa yokuquleka noma ngisho nokukwenza kunyamalale.

Udokotela wakho wezilwane angase akunikeze umuthi oyisixazululo ozojovwa embotsheni yenja yakho (ngendunu) ngesipetu, ngaphandle kwenaliti, uma ukuquleka okujwayelekile kuthatha imizuzu engaphezu kwemi-3.

I-DMARD yithebhulethi eyodwa ethathwa nsuku zonke impilo. Inhloso yalesi sidakamizwa ukwehlisa izinga lomsebenzi wobuchopho nokunciphisa umkhawulo wokuthokoza, umkhawulo ongaphezulu ozobangelwa ukuqubuka okuxakile. KUYAEkuqaleni kokwelashwa, inja yakho ingabonakala ikhathele kakhulu noma ilele. Xoxa ngalokhu nodokotela wezilwane wakho, lokhu kuvamile. Kukho konke ukwelashwa inja yakho kufanele igadwe ngokuhlolwa kwegazi ukuze kubhekwe izinga lomuthi egazini kanye nesimo sesibindi ukuze uqiniseke ukuthi umuthi ubekezelelwa kahle inja yakho. Umthamo ube usulungiswa ngokuvumelana nemvamisa yokuhlaselwa kuze kufike umthamo omncane osebenzayo.