Koj puas muaj cov ntiv tes thiab ntiv taw xiav, liab, thiab mob thaum lub caij txias, tshwj xeeb tshaj yog thaum koj mus rau qhov chaw zoo li Nuwara Eliya? Koj puas muaj tej lub sij hawm muaj cov qhov me me? Txawm hais tias ntau tus neeg xav tias qhov no tsuas yog mob khaub thuas xwb, qee zaum qhov no tuaj yeem yog ib qho mob uas xav tau kev saib xyuas ntxiv me ntsis. Hnub no peb tab tom tham txog 'Chilblain Lupus', ib hom mob lupus uas tsis tshua muaj tab sis tseem ceeb heev.
Chilblain Lupus yog dab tsi?
Hais yooj yim xwb, Chilblain Lupus yog ib hom mob lupus uas tsis tshua muaj neeg paub uas cuam tshuam rau peb daim tawv nqaij. Hauv kev kho mob, peb hu nws tias "cutaneous lupus erythematosus lossis CLE." Ib tug neeg uas muaj tus mob no yuav muaj cov qhov txhab liab lossis ntshav uas mob heev, cov plaques, ntawm daim tawv nqaij thaum raug cua txias.
Lo lus "chilblain" txhais tau tias "mob khaub thuas." Qhov no yog qhov tshwm sim hauv qhov mob no. Huab cua txias tuaj yeem ua rau muaj cov tsos mob no, lossis ua rau qhov mob uas twb muaj lawm hnyav dua.
Feem ntau, qee tus neeg mob Chilblain Lupus tom qab kuaj pom tias muaj hom mob lupus tseem ceeb, "systemic lupus erythematosus". Txawm li cas los xij, lwm tus neeg yuav mob yam tsis tau kuaj pom ua ntej. Txawm li cas los xij, qhov mob thiab tsis xis nyob los ntawm tus mob no hnyav heev. Yog tias koj pom khaus, cov pob khaus ntawm koj cov ntiv tes, tshwj xeeb tshaj yog ntawm koj cov ntiv tes thiab cov ntiv taw, nws yog qhov zoo tshaj plaws mus ntsib kws kho mob tam sim ntawd thiab tau txais kev kho mob.
Cov tsos mob ntawm tus mob no yog dab tsi?
Chilblain Lupus feem ntau yog cov xim liab lossis ntshav lossis cov qhov txhab ntawm daim tawv nqaij. Cov no feem ntau pom ntawm:
- Ntawm cov ntiv tes ntawm tes
- Nyob rau ntawm cov pob taws
- Nyob rau ntawm ko taw
- Hauv cov ntiv taw
Tiamsis tsis tshua muaj tej qhov txhab no tshwm sim rau ntawm xib teg, hauv caug, qhov ntswg, lossis pob ntseg. Tag nrho cov no feem ntau tshwm sim thaum huab cua txias lossis ntub.
Ntxiv rau cov tsos mob tseem ceeb no, muaj ntau lwm yam tsos mob uas pom tau. Cia peb saib seb lawv yog dab tsi.
| Cov tsos mob | Ib qho lus piav qhia yooj yim |
|---|---|
| Cov pob khaus los yog cov qhov txhab | Cov qhov txhab tsis kho ntawm daim tawv nqaij vim yog cov ntshav ncig tsis zoo. |
| Kev tshem tawm xim tawv nqaij (Depigmentation) | Qee qhov chaw ntawm daim tawv nqaij poob lawv cov xim thiab ua daj ntseg. |
| Cov pob taws tawg | Cov kab nrib pleb tob hauv daim tawv nqaij ntawm cov pob taws. |
| Kev ua kom daim tawv nqaij tuab (Hyperkeratosis) | Tawv nqaij tuab zuj zus qhov twg muaj cov qhov txhab ntawm daim tawv nqaij. |
| Qhov tshwm sim ntawm Raynaud | Thaum raug dej txias, cov ntshav ntws mus rau cov ntiv tes thiab cov ntiv taw raug txwv ib ntus. Qhov no tuaj yeem ua rau cov ntiv tes hloov dawb, xiav, lossis liab. |
Vim li cas Chilblain Lupus thiaj tshwm sim? Dab tsi yog cov ua rau muaj?
Muaj ob qho ua rau Chilblain Lupus mob hnyav. Ib qho yog los ntawm noob caj ces , thiab lwm qhov yog tshwm sim tsis tu ncua .
Cov ua rau muaj los ntawm noob caj noob ces
Qhov mob no tuaj yeem tshwm sim los ntawm qee qhov kev hloov pauv hauv peb cov noob caj noob ces. Tshwj xeeb, kev hloov pauv hauv cov noob caj noob ces `(TREX1)` thiab `(SAMHD1)` tau pom tias cuam tshuam rau qhov no. Hauv cov lus yooj yim, cov noob caj noob ces `TREX1` pab kho peb cov DNA, thiab cov noob caj noob ces `SAMHD1` koom nrog kev ua haujlwm ntawm peb lub cev tiv thaiv kab mob. Yog tias muaj qhov tsis zoo hauv cov noob caj noob ces no, nws tuaj yeem ua rau Chilblain Lupus hauv tsev neeg thiab cov menyuam yaus.
Kev tshwm sim tsis muaj laj thawj
Rau ib txhia neeg, qhov no tsis yog los ntawm noob caj noob ces. Nws tuaj yeem tshwm sim sai sai thaum lawv loj hlob tuaj. Tseem tsis tau pom qhov ua rau muaj qhov no.
Leej twg muaj feem yuav muaj qhov teeb meem no ntau dua?
Txawm hais tias tus mob no tuaj yeem cuam tshuam rau txhua tus neeg, nws feem ntau tshwm sim rau cov neeg laus . Cov neeg uas nyob hauv thaj chaw uas muaj huab cua txias thiab noo noo tas li kuj muaj feem yuav mob ntau dua.
Tsis tas li ntawd xwb, qee yam mob lwm yam yuav ua rau muaj kev pheej hmoo ntawm kev mob Chilblain Lupus.
- Anorexia nervosa: Qhov no yog ib qho teeb meem loj heev, uas ua rau tuag taus.
- Kab mob qog ntshav hauv plab hnyuv: Qhov no yog ib hom mob qog ntshav tsawg uas tshwm sim hauv lub cev lymphatic ntawm peb txoj hnyuv me.
- Cev Xeeb Tub: Qee tus poj niam muaj feem yuav mob no txawm tias thaum cev xeeb tub los xij.
Yog tsis kho ces yuav muaj teeb meem dab tsi tshwm sim?
Yog tias qhov mob no tsis kho kom zoo, cov qhov txhab ntawm daim tawv nqaij yuav kis tau kab mob . Cov neeg no muaj feem yuav kis tau kab mob ntawm daim tawv nqaij xws li "cellulitis".
Tsis tas li ntawd xwb, ib tug neeg uas muaj Chilblain Lupus thaum kawg yuav tsim tau tus kab mob systemic lupus erythematosus, uas yog hom mob lupus hnyav tshaj plaws uas cuam tshuam rau ntau yam kab mob hauv lub cev.
Qhov no yog vim li cas peb thiaj hais tias yog koj pom muaj dab tsi txawv txawv ntawm koj daim tawv nqaij, tshwj xeeb yog qhov txhab uas tsis kho, koj yuav tsum tsis txhob tsis quav ntsej thiab mus ntsib kws kho mob.
Tus kws kho mob kuaj qhov no li cas?
Yog tias koj muaj cov tsos mob no, koj yuav raug xa mus rau kws kho mob dermatologist lossis kws kho mob rheumatologist .
Qhov kev kuaj mob tseem ceeb los kuaj mob no yog kev kuaj daim tawv nqaij . Qhov no suav nrog kev rho ib daim tawv nqaij me me los ntawm qhov mob ntawm koj daim tawv nqaij thiab kuaj nws hauv qab lub tshuab kuaj mob hauv chav kuaj mob. Qhov kev kuaj mob no tuaj yeem lees paub seb koj puas muaj Chilblain Lupus lossis lwm yam kab mob ntawm daim tawv nqaij.
Cov kev kho mob rau qhov no yog dab tsi?
Yog tias koj tus mob Chilblain Lupus tsis hnyav heev, koj tsuas yog yuav tsum tiv thaiv koj tus kheej ntawm qhov mob khaub thuas xwb. Tsis tas li ntawd, yog tias koj haus luam yeeb, koj tus kws kho mob yuav qhia koj kom tso tseg. Kev haus luam yeeb ua rau peb cov hlab ntsha nqaim, uas tuaj yeem ua rau cov tsos mob no hnyav dua.
Yog tias cov tsos mob yog nruab nrab lossis hnyav, tus kws kho mob yuav sau ntawv rau ntau yam tshuaj.
| Hom tshuaj | Txoj haujlwm uas nws ua |
|---|---|
| Cov tshuaj tua kab mob | Siv kho cov kab mob bacterial ntawm cov qhov txhab ntawm daim tawv nqaij. Piv txwv li: 'dicloxacillin', 'erythromycin'. |
| Cov tshuaj tua kab mob malaria | Txhawm rau txo qhov o, qaug zog, thiab mob pob qij txha hauv lub cev. Piv txwv li: 'hydroxychloroquine'. |
| Cov tshuaj tswj kev tiv thaiv kab mob (Calcineurin inhibitors) | Txhawm rau txo qhov kev ua haujlwm ntawm lub cev tiv thaiv kab mob thiab tswj kev o. Piv txwv li: `tacrolimus`, `mycophenolate mofetil`. |
| Cov tshuaj calcium channel blockers | Yuav kom qhib cov hlab ntsha thiab pab kom cov ntshav ntws tau yooj yim. Piv txwv li: 'nifedipine'. |
| Cov tshuaj steroid | Txhawm rau txo qhov o thiab o ntawm daim tawv nqaij. Piv txwv li: 'fluocinolone acetonide'. |
| Cov tshuaj steroids hauv lub cev | Txhawm rau txo qhov o thiab o ntawm lub cev. Piv txwv li: 'prednisone'. |
Tsis tshua muaj, koj tus kws kho mob yuav pom zoo kom phais. Qhov no suav nrog kev phais tshem tawm qhov mob thiab hloov nws nrog daim tawv nqaij los ntawm lwm qhov chaw noj qab haus huv ntawm lub cev.
Kuv yuav tsum mus ntsib kws kho mob thaum twg?
Yog koj pom cov qhov txhab liab los yog ntshav, khaus, los yog mob rau ntawm koj cov ntiv tes los yog cov ntiv taw, pob taws, los yog hauv qab taw, mus ntsib kws kho mob sai li sai tau . Nws yuav muaj peev xwm kuaj xyuas koj tus mob thiab pib kho mob tsim nyog.
Thaum koj mus ntsib kws kho mob, koj tuaj yeem nug cov lus nug no:
- "Kws kho mob, yog vim li cas kuv thiaj muaj qhov no?"
- "Puas ua tau rau kuv muaj tus kab mob lupus uas ua rau lub cev puas tsuaj?"
- Kuv yuav tsum ua li cas thiaj li tiv thaiv tau cov kev raug mob no?
- Yuav ua li cas txog cov kev raug mob tam sim no?
Puas tuaj yeem tiv thaiv Chilblain Lupus tau?
Qhov zoo tshaj plaws uas koj ua tau los txo koj txoj kev pheej hmoo ntawm tus mob no yog tiv thaiv koj tus kheej ntawm qhov mob khaub thuas . Yuav ua li no, koj tuaj yeem ua raws li cov no.
- Kev tawm dag zog tsis tu ncua:Kev tawm dag zog ua rau cov ntshav ncig zoo dua thiab tswj qhov kub ntawm lub cev.
- Ua kom koj lub tsev thiab chaw ua haujlwm sov: Kho koj ib puag ncig kom tiv thaiv koj tus kheej ntawm qhov txias.
- Muab koj txhais tes thiab ko taw tso rau hauv dej sov: Ua qhov no ntau zaus hauv ib hnub yuav ua rau cov ntshav ncig zoo dua.
- Maj mam ua kom cov ceg txias sov: Tsis txhob ua tej yam xws li cia li kov hluav taws. Maj mam ua kom cov ntshav rov qab los.
- Hnav khaub ncaws sov: Hnav thom khwm tuab, hnab looj tes, thiab khau sov thaum nyob hauv qhov chaw txias.
Ib yam li lwm yam mob ntawm daim tawv nqaij, Chilblain Lupus tuaj yeem ua rau muaj cov tsos mob nyuaj thiab qee zaum siv sijhawm ntev los nrhiav kev kho mob zoo. Tab sis tsis txhob tso tseg kev cia siab. Kev ua haujlwm nrog tus kws kho mob uas koj ntseeg siab tuaj yeem pab koj nrhiav kev daws teeb meem uas ua haujlwm rau koj. Lub sijhawm no, koom nrog pab pawg txhawb nqa uas koj tuaj yeem tham nrog lwm tus uas muaj tib yam mob tuaj yeem yog qhov kev pab zoo.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Chilblain Lupus yog ib yam mob tawv nqaij tsis tshua muaj uas ua rau mob ntshav/liab ntawm daim tawv nqaij uas ua rau mob hnyav dua los ntawm mob khaub thuas.
- Yog koj pom cov tsos mob no ntawm koj ob txhais ceg, tsis txhob tsis quav ntsej lawv li qub thiab nrhiav kev kho mob sai li sai tau.
- Qhov tseem ceeb tshaj plaws los tiv thaiv thiab tswj tus mob no yog tiv thaiv koj tus kheej ntawm qhov mob khaub thuas.
- Nws yog ib qho tseem ceeb heev uas yuav tsum tsis txhob haus luam yeeb kiag li, vim tias kev haus luam yeeb ua rau cov hlab ntsha nqaim thiab ua rau cov tsos mob hnyav zuj zus.
- Txawm hais tias qhov no yog ib qho mob uas yuav kav mus ib txhis, yog tias muaj kev kho mob thiab kev saib xyuas zoo, cov tsos mob yuav tswj tau zoo thiab ua neej nyob tau zoo li qub.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus