Koj puas tau pom tias muaj ib txhia neeg muaj ib qho liab zoo li tus npauj npaim hla lawv lub puab tsaig thiab lub qhov ntswg? Los yog tom qab siv sijhawm nyob hauv lub hnub ci Sri Lanka, lawv mam li pib mob pob khaus? Cov no tsis yog tsuas yog teeb meem ntawm daim tawv nqaij xwb. Qee zaum cov no yog cov cim qhia sab nraud ntawm teeb meem hauv peb lub cev. Niaj hnub no peb tab tom tham txog ib qho mob uas qhia cov tsos mob zoo li no, uas ntau tus neeg tsis paub txog, tab sis nws tseem ceeb heev uas yuav tsum paub txog. Qhov ntawd yog Cutaneous Lupus.
Cutaneous Lupus yog dab tsi?
Hais yooj yim xwb, cutaneous lupus yog ib yam kab mob autoimmune uas cuam tshuam rau peb daim tawv nqaij. Tam sim no tej zaum koj yuav xav paub tias qhov "autoimmune" no yog dab tsi. Okay, cia kuv piav qhia li no.
Xav txog tias peb lub teb chaws cov tub rog nyob ntawd los tiv thaiv peb ntawm cov yeeb ncuab sab nraud. Ib yam li ntawd, peb lub cev kuj muaj lub cev tiv thaiv kab mob. Nws txoj haujlwm yog los tiv thaiv peb ntawm cov kab mob los ntawm kev tawm tsam cov yeeb ncuab xws li cov kab mob me me, cov kab mob me me, thiab cov kab mob me me uas nkag mus rau hauv lub cev los ntawm sab nraud.
Tiam sis, nyob rau hauv ib qho kab mob autoimmune, muaj ib yam dab tsi tsis zoo tshwm sim. Peb lub cev tiv thaiv kab mob, lub cev tiv thaiv kab mob, tsis meej pem. Nws tsis tuaj yeem qhia tias leej twg yog phooj ywg thiab leej twg yog yeeb ncuab. Yog li ntawd, es tsis txhob tawm tsam cov kab mob txawv teb chaws, nws pib tawm tsam peb cov hlwb noj qab haus huv . Nws zoo li peb cov tub rog tawm tsam peb cov neeg.
Hauv cov kab mob lupus uas ua rau mob, lub cev tiv thaiv kab mob tawm tsam peb cov hlwb tawv nqaij, ua rau mob o ntawm daim tawv nqaij tas li, ua rau muaj cov tsos mob xws li ua pob khaus, ua pob me me, khaus, thiab o.
Qhov no puas yog tib yam kab mob uas txhua tus paub txog thaum lawv hais tias lupus?
Tsis yog. Tej zaum koj yuav tau hnov txog ib yam kab mob hu ua Systemic Lupus Erythematosus (SLE). Qhov ntawd kuj yog ib hom kab mob lupus. Tab sis hauv SLE, lub cev tiv thaiv kab mob tsis yog tsuas yog tawm tsam daim tawv nqaij xwb. Nws kuj tseem tuaj yeem cuam tshuam rau peb lub cev tag nrho, suav nrog cov kab mob tseem ceeb xws li cov pob qij txha, cov hlab ntsha, lub raum, thiab lub plawv.
Cutaneous Lupus Erythematosus (CLE) yog ib hom mob lupus uas feem ntau tsuas yog tshwm sim rau ntawm daim tawv nqaij xwb. Txawm li cas los xij, qee zaum, ib tus neeg uas muaj CLE tuaj yeem mob SLE tom qab. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum paub txog txhua yam cim ntawm lupus hauv daim tawv nqaij.
Nco ntsoov, cutaneous lupus (CLE) yog ob mus rau peb zaug ntau dua li systemic lupus (SLE).
Puas muaj ntau hom mob lupus sib txawv?
Yog, mob lupus tawv nqaij tuaj yeem tuaj thiab mus. Rau qee tus neeg, cov tsos mob tuaj thiab mus. Rau lwm tus, lawv tseem muaj cov tsos mob, qee hnub tsis hnyav heev thiab qee hnub hnyav dua. Tus kab mob raug faib ua pawg raws li cov tsos mob kav ntev npaum li cas thiab hom mob ntawm daim tawv nqaij. Cia peb saib cov hom tseem ceeb.
| Hom mob lupus | Xwm thiab cov yam ntxwv |
|---|---|
| Mob Lupus Mob Ntev | Hauv hom mob no, cov tsos mob yuav kav ntev, qee zaum mus ib sim neej. Lawv tsis ploj mus tag. Qee zaum, cov qhov txhab lossis cov tawv nqaij tsis zoo yuav tseem nyob tom qab cov pob zoo lawm. Discoid lupus yog hom mob uas feem ntau tshwm sim. |
| Mob Lupus Mob Cutaneous | Qhov no kuj yog ib qho mob uas yuav kav mus ib txhis. Tiam sis cov tsos mob tsis tas li. Lawv tshwm sim sai sai thiab ploj mus tom qab ib pliag. Tiam sis lawv tuaj yeem rov tshwm sim dua. Feem ntau, lawv tsis tawm cov qhov txhab. Cov pob khaus zoo li npauj npaim (malar rash) uas peb tau tham txog yog hom no. |
| Kab mob Lupus subacute | Hauv hom mob no, cov tsos mob tsuas kav ntev xwb, tab sis lawv rov tshwm sim dua. Piv txwv li, cov tsos mob no yuav tshwm sim txhua xyoo thaum lub caij ntuj sov thaum lub hnub ci ntsa iab. Lawv cuam tshuam rau ib txheej tob dua li ntawm daim tawv nqaij. |
Cov tsos mob ntawm tus kab mob no yog dab tsi?
Kab mob lupus ntawm daim tawv nqaij ua rau muaj ntau yam tsos mob ntawm daim tawv nqaij. Qee cov tsos mob yog tshwj xeeb rau lupus. Lwm cov tuaj yeem pom hauv lwm yam kab mob ntawm daim tawv nqaij. Cia peb saib cov tsos mob tseem ceeb.
Cov tsos mob uas pom ntau zaus
- Cov pob liab, tawv nqaij: Cov no tuaj yeem yog discoid lossis annular, tshwj xeeb tshaj yog rau thaj chaw raug tshav ntuj .Feem ntau pom muaj rau ntawm lub taub hau, caj dab, thiab tes. Rau cov neeg uas muaj daim tawv nqaij tsaus dua, cov pob no yuav zoo li xim av lossis xim av.
- Mob pob khaus Malar: Qhov no yog cov tsos mob uas feem ntau cov neeg xav txog thaum lawv xav txog mob lupus. Nws yog ib qho pob khaus liab uas tshwm sim thoob plaws ntawm sab plhu thiab ntawm lub qhov ntswg, zoo li tus npauj npaim nthuav nws tis.
- Kev hloov xim ntawm daim tawv nqaij: Tom qab cov chaw uas cov pob khaus tau zoo lawm, cov xim ntawm daim tawv nqaij hauv cov chaw ntawd yuav sib dua (hypopigmentation) lossis tsaus dua (hyperpigmentation).
- Kev ua xua rau lub hnub: Cov neeg uas muaj tus kab mob lupus yuav muaj cov tsos mob ntawm daim tawv nqaij ntau dua thaum raug tshav ntuj. Txawm tias raug tshav ntuj ib ntus xwb los kuj ua rau mob pob khaus, thiab qhov mob pob khaus ntawd kuj yuav hnyav zuj zus.
- Plaub Hau Poob: Yog tias muaj cov pob lupus (discoid lesions) tshwm sim rau ntawm lub taub hau, lawv tuaj yeem ua rau muaj qhov txhab thiab ua rau plaub hau poob mus tas li.
- Mob hauv qhov ncauj lossis qhov ntswg: Cov mob me me uas tsis mob tuaj yeem tshwm sim rau ntawm lub ru tsev ntawm lub qhov ncauj, sab hauv sab plhu, lossis sab hauv qhov ntswg.
- Khaus thiab o ntawm daim tawv nqaij: Qee qhov chaw yuav muaj kev khaus thiab o, tshwj xeeb tshaj yog nyob ib ncig ntawm lub qhov muag (o).
Vim li cas qhov no thiaj tshwm sim? Cov yam uas ua rau muaj kev pheej hmoo yog dab tsi?
Raws li peb tau hais ua ntej lawm, qhov no yog ib yam kab mob autoimmune. Qhov no txhais tau tias nws yog los ntawm qhov yuam kev hauv peb lub cev tiv thaiv kab mob. Cov kws tshawb fawb tseem tsis tau paub tseeb 100% tias vim li cas qhov no tshwm sim. Tab sis lawv ntseeg tias kev sib xyaw ua ke ntawm ntau yam yuav ua lub luag haujlwm.
Lawv yog cov kev hloov pauv caj ces thiab cov teeb meem ib puag ncig .
Hais yooj yim xwb, qee tus neeg muaj tus cwj pwm me ntsis uas yuav muaj tus kab mob no hauv lawv cov noob caj noob ces. Tiam sis tus kab mob no tsis yog tsuas yog vim lawv muaj tus cwj pwm ntawd xwb. Thaum ib tus neeg uas muaj tus cwj pwm ntawd raug rau tej yam ib puag ncig, nws tuaj yeem ua rau lub cev tiv thaiv kab mob thiab ua rau tus kab mob tshwm sim.
Qhov ua rau muaj mob lupus yog ultraviolet (UV) radiation , uas txhais tau tias raug tshav ntuj lossis lub teeb dag xws li lub teeb fluorescent.
Lwm yam uas ua rau muaj kev pheej hmoo ntxiv:
- Ua ib tug poj niam: Cov poj niam muaj feem yuav mob lupus ntau dua li cov txiv neej, tshwj xeeb tshaj yog thaum lub sijhawm uas cov tshuaj estrogen siab.
- Kev xeeb tub los ntawm noob caj noob ces: Yog tias ib tug neeg hauv koj tsev neeg muaj mob lupus lossis lwm yam kab mob autoimmune, koj kuj tseem yuav muaj kev pheej hmoo me ntsis ntxiv.
- Muaj lwm yam kab mob autoimmune: Cov neeg uas muaj lwm yam kab mob autoimmune, xws li kab mob thyroid thiab mob rheumatoid arthritis, muaj feem yuav mob lupus ntau dua.
- Kev siv tshuaj ntev ntev rau qee yam:Qee cov tshuaj, xws li cov tshuaj ntshav siab thiab cov tshuaj qaug dab peg, tuaj yeem ua rau muaj mob zoo li lupus thaum siv mus sij hawm ntev.
- Kev ntxhov siab hnyav rau lub hlwb lossis lub cev: Kev ntxhov siab hnyav rau lub cev, xws li kev kis kab mob hnyav lossis kev raug mob, qee zaum tuaj yeem ua rau muaj tus kab mob.
- Haus luam yeeb: Haus luam yeeb yog ib qho ua rau mob lupus thiab ua rau cov tsos mob hnyav zuj zus.
Tus kws kho mob nrhiav tau qhov no li cas?
Yog koj muaj cov tsos mob ntawm daim tawv nqaij no, qhov zoo tshaj plaws uas yuav tsum ua yog mus ntsib kws kho mob, zoo dua yog mus ntsib kws kho mob tawv nqaij . Nws yuav nug koj txog koj cov tsos mob thiab kuaj xyuas koj daim tawv nqaij kom zoo.
Qee cov pob khaus lupus (xws li cov pob khaus malar) tuaj yeem paub tam sim ntawd. Txawm li cas los xij, vim tias qee cov pob zoo li lwm yam mob ntawm daim tawv nqaij, tej zaum yuav xav tau kev kuaj ntxiv kom paub tseeb tias muaj mob.
- Kev kuaj tawv nqaij: Qhov no suav nrog kev noj tshuaj me me los ntawm ib qho chaw thiab muab ib daim tawv nqaij me me thiab kuaj nws hauv qab lub tshuab microscope. Qhov no tuaj yeem pab txiav txim siab seb puas muaj kev hloov pauv hauv cov hlwb tawv nqaij uas cuam tshuam nrog lupus.
- Kev kuaj mob Direct Immunofluorescence: Qhov no kuj yog ib qho kev kuaj tshwj xeeb uas ua rau ntawm daim tawv nqaij biopsy. Nws tuaj yeem ntes tau seb puas muaj pov thawj tias lub cev tiv thaiv kab mob tab tom tawm tsam daim tawv nqaij.
- Kev kuaj ntshav: Qee zaum koj tus kws kho mob kuj yuav pom zoo kom kuaj ntshav. Cov no yog ua los xyuas seb puas muaj cov cim qhia ntawm SLE, ib yam mob uas cuam tshuam rau cov kab mob sab hauv lub cev, ntxiv rau lupus ntawm daim tawv nqaij.
Cov kev kho mob rau qhov no yog dab tsi?
Qhov tseem ceeb tshaj plaws thiab tseem ceeb tshaj plaws uas yuav tsum hais yog tias tseem tsis tau muaj kev kho mob rau tus kab mob lupus, vim nws muaj feem cuam tshuam nrog kev ua haujlwm ntawm peb lub cev tiv thaiv kab mob.
Tiamsis tsis txhob txhawj! Qhov no tsis tau txhais hais tias koj yuav tsum raug kev txom nyem nrog cov tsos mob no mus ib txhis. Yog tias koj kho mob kom zoo thiab hloov koj txoj kev ua neej , koj tuaj yeem tswj koj cov tsos mob tau zoo heev thiab ua neej nyob li qub.
Txoj kev npaj kho mob yog txiav txim siab los ntawm kev xav txog hom mob lupus uas koj muaj, qhov hnyav ntawm koj cov tsos mob, thiab lawv cuam tshuam li cas rau koj lub neej.
Cov txheej txheem kho mob tseem ceeb thiab cov lus qhia yog:
1. Kev tiv thaiv tshav ntuj: Qhov no yog qhov tseem ceeb tshaj plaws thiab yuav tsum ua. Kev raug tshav ntuj kub heev hauv Sri Lanka yuav tsum txo kom tsawg li tsawg tau.
- Tsis txhob tawm mus rau sab nraum zoov thaum lub hnub ci ntsa iab ntawm 10:00 sawv ntxov thiab 4:00 tsaus ntuj.
- Yog koj mus sab nraud, hnav khaub ncaws uas npog koj lub cev, xws li lub kaus mom dav thiab khaub ncaws tes ntev.
- Tus nqi SPF 50 lossis siab duaSiv tshuaj pleev thaiv hnub zoo raws li koj tus kws kho mob hais. Siv li 20 feeb ua ntej tawm mus sab nraum zoov.
2. Cov Tshuaj Siv Rau Sab Nraud:
- Koj tus kws kho mob yuav sau ntawv kom muab tshuaj pleev, tshuaj pleev, lossis tshuaj pleev kom tswj tau qhov o thiab pob khaus ntawm daim tawv nqaij. Cov tshuaj pleev Corticosteroid thiab tshuaj pleev tacrolimus yog cov tshuaj uas siv ntau tshaj plaws.
3. Kev txhaj tshuaj:
- Qee zaum, yog tias cov pob ntawd tuab heev thiab tsis teb rau kev kho mob, tus kws kho mob yuav txhaj tshuaj steroid ncaj qha rau hauv qhov chaw ntawd.
4. Cov Tshuaj Haus:
- Yog tias cov tsos mob ntawm daim tawv nqaij hnyav heev lossis tsis tswj tau nrog cov tshuaj pleev, cov tshuaj noj yuav raug sau ntawv kom noj. Cov tshuaj siv feem ntau rau lupus yog hydroxychloroquine thiab chloroquine . Cov no pab tswj qhov ua haujlwm ntau dhau ntawm lub cev tiv thaiv kab mob.
5. Vitamin D:
- Kev zam kev raug tshav ntuj yuav ua rau koj lub cev tsis txaus vitamin D. Koj tus kws kho mob yuav kuaj koj rau qhov no thiab sau ntawv rau koj noj cov tshuaj vitamin D yog tias tsim nyog.
Tej yam yuav tsum xav txog thaum nyob nrog lupus
Mob lupus yog ib yam mob uas yuav kho tau mus ib txhis, tab sis yog koj tswj tau zoo, koj yuav ua neej tau zoo. Txawm hais tias tej zaum yuav nyuaj rau koj hloov kho rau cov kev hloov no thaum xub thawj, tab sis dhau sij hawm lawv yuav dhau los ua ib feem ntawm koj lub neej.
- Tsis txhob khawb lossis khawb cov tawv nqaij uas muaj cov kab mob. Ua li ntawd yuav ua rau tawv nqaij puas tsuaj ntxiv thiab ua rau muaj cov kab mob tshiab tshwm sim.
- Yog koj txhawj xeeb txog cov qhov tsis zoo, siv cov tshuaj pleev ib ce tshwj xeeb uas koj tus kws kho mob pom zoo kom npog lawv.
- Nws kuj tseem yuav zoo yog tias koj tuaj yeem txo qhov kev siv cov teeb fluorescent (tube lights) hauv tsev thiab tom chaw ua haujlwm . Lawv kuj tso tawm me ntsis cov teeb UV.
- Mus ntsib koj tus kws kho mob tsis tu ncua. Mus kuaj mob tsis tu ncua kom paub seb koj tus mob zoo li cas thiab puas muaj lwm yam mob xws li SLE.
- Xav txog koj txoj kev noj qab haus huv ntawm lub hlwb thiab. Tej qhov tsis zoo uas pom ntawm koj daim tawv nqaij qee zaum ua rau koj tu siab thiab ntxhov siab. Thaum lub sijhawm zoo li no, tham nrog ib tus neeg uas koj ntseeg siab thiab nrhiav kev pab tswv yim yog tias tsim nyog.
Kab mob lupus tsis yog ib yam kab mob uas ua rau tuag taus. Tab sis nws tuaj yeem cuam tshuam rau koj lub neej. Qhov tseem ceeb tshaj plaws yog kom paub zoo txog tus kab mob, ua raws li koj tus kws kho mob cov lus qhia kom zoo, thiab nrhiav kev kho mob thiab kev ua neej uas haum rau koj.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kab mob lupus yog ib yam kab mob uas tshwm sim los ntawm peb lub cev tiv thaiv kab mob tawm tsam daim tawv nqaij. Nws tsis yog ib yam kab mob sib kis tau.
- Nws cov tsos mob tseem ceeb yog pob khaus zoo li npauj npaim hla lub puab tsaig thiab lub qhov ntswg, thiab cov pob khaus uas hnyav zuj zus thaum raug tshav ntuj.
- Qhov ua rau muaj tus kab mob no yog vim raug tshav ntuj (UV rays) . Yog li ntawd, kev tiv thaiv tshav ntuj yog qhov tseem ceeb.
- Txawm hais tias qhov no tsis tuaj yeem kho tau tag nrho los xij, nws tuaj yeem tswj tau zoo heev nrog kev siv tshuaj thiab kev hloov pauv hauv lub neej.
- Yog koj muaj cov tsos mob no, nws yog ib qho tseem ceeb heev uas yuav tsum mus ntsib kws kho mob, tshwj xeeb yog kws kho mob tawv nqaij, sai li sai tau.
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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