Koj lossis ib tug neeg koj paub puas muaj mob lupus? Yog li ntawd tej zaum koj twb tau hnov tias tus kab mob no tuaj yeem cuam tshuam rau ntau qhov ntawm lub cev. Ntxiv rau daim tawv nqaij thiab pob qij txha, mob lupus kuj tseem tuaj yeem cuam tshuam rau lub raum, uas yog cov kabmob tseem ceeb hauv peb lub cev. Hnub no peb yuav tham txog cov teebmeem ntawm mob lupus rau lub raum, ib qho mob hu ua Lupus Nephritis. Tsis txhob txhawj, cia peb tham txog qhov no yooj yim.
Hauv lwm lo lus, Lupus Nephritis yog dab tsi?
Zoo, ua ntej, cia peb nkag siab txog Lupus yog dab tsi. Lupus yog ib yam kab mob autoimmune . Uas yog, lub cev tiv thaiv kab mob, uas tiv thaiv peb lub cev ntawm kab mob, pib tawm tsam peb cov nqaij thiab cov kabmob noj qab haus huv tsis raug. Nws zoo li peb cov tub rog tawm tsam peb lub tebchaws. Hom kab mob lupus feem ntau yog Systemic Lupus Erythematosus (SLE) .
Tam sim no, thaum peb lub cev tiv thaiv kab mob tawm tsam peb lub raum li no, nws ua rau o, uas yog, o, thiab ua rau lub raum puas tsuaj. Qhov ntawd yog tus mob uas peb hu ua Lupus Nephritis .
Lub raum zoo li ob lub lim dej hauv peb lub cev. Yog tias lawv tsis ua haujlwm zoo, tej teeb meem loj yuav tshwm sim. Kab mob Lupus Nephritis tuaj yeem ua rau lub raum tsis ua haujlwm zoo li no:
- Lim thiab tshem tawm cov khoom pov tseg ntawm cov ntshav.
- Tswj cov kua dej hauv lub cev, cov ntsev, cov kua qaub, thiab cov zaub mov kom nyob rau theem zoo.
- Tswj cov ntshav siab thiab cov ntshav ntim.
- Kev tswj cov tshuaj hormones.
Yog tias tus mob no tsis raug tswj kom zoo, nws tuaj yeem ua rau lub raum tsis ua haujlwm thiab txawm tias mob raum theem kawg, uas yuav tsum tau kho mus ib txhis. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum paub txog qhov no.
Leej twg yuav muaj tus mob no tshaj?
Yuav kom muaj tus kab mob Lupus Nephritis, ib tug neeg yuav tsum muaj tus kab mob lupus (SLE) ua ntej. Cia peb saib seb leej twg muaj feem yuav mob lupus ntau dua:
- Rau cov poj niam: Cuaj ntawm kaum tus neeg uas muaj mob lupus yog poj niam. Qhov kev pheej hmoo no tshwj xeeb tshaj yog rau cov neeg hnub nyoog ntawm 15 thiab 44. Tab sis qhov xav tsis thoob, yog tias ib tug txiv neej muaj mob lupus, lawv yuav muaj feem mob Lupus Nephritis ntau dua.
- Kev xeeb tub los ntawm noob caj: Yog tias ib tug neeg hauv tsev neeg muaj mob lupus, lwm tus kuj muaj feem yuav muaj mob no thiab.
- Kev cuam tshuam los ntawm noob caj noob ces: Tus kab mob no feem ntau tshwm sim rau cov neeg Esxias, African, thiab Native American.
- Tej yam ib puag ncig: Nws ntseeg tau tias kev raug qee yam kab mob, kev kis kab mob, thiab cov tshuaj lom kuj tseem yuav ua rau qhov no.
- Lwm yam kab mob autoimmune: Yog tias ib tug neeg twb muaj lwm yam kab mob autoimmune lawm, qhov kev pheej hmoo ntawm kev mob lupus yuav nce me ntsis.
Kwv yees li 50% ntawm cov neeg laus uas muaj mob lupus, lossis kwv yees li ib ntawm ob tug, yuav muaj mob lupus nephritis. Kwv yees li 80% ntawm cov menyuam yaus uas muaj mob lupus, lossis kwv yees li plaub ntawm tsib tug, yuav muaj mob raum no.
Cov tsos mob ntawm qhov no yuav yog dab tsi?
Cov tsos mob ntawm tus kab mob Lupus Nephritis feem ntau tshwm sim li tsib xyoos tom qab pib muaj cov tsos mob ntawm tus kab mob lupus. Txawm li cas los xij, qee zaum, thawj thiab tsuas yog cov tsos mob ntawm tus kab mob lupus tuaj yeem yog kev puas tsuaj rau lub raum. Nws yog ib qho tseem ceeb uas yuav tsum paub txog cov tsos mob no.
Xav txog koj ob txhais ceg, tshwj xeeb tshaj yog koj pob luj taws, o. Los yog thaum koj sawv thaum sawv ntxov, koj ob lub qhov muag yuav o. Koj cov zis ua npuas ntau dua li niaj zaus. Cov no feem ntau yog thawj cov cim qhia uas koj pom.
Cia peb saib cov tsos mob no kom meej meej.
| Cov tsos mob | Piav qhia yooj yim |
|---|---|
| Kev o (Edema) | O ntawm ob txhais ceg, pob luj taws, taw, lossis ib ncig ntawm lub qhov muag vim yog cov kua dej sib sau ua ke hauv lub cev. |
| Cov protein nyob rau hauv cov zis (Proteinuria) | Cov zis ua npuas ncauj (zoo li cov xab npum) vim yog cov protein tso tawm hauv cov zis. |
| Ntshav hauv cov zis (Hematuria) | Muaj ntshav me me hauv cov zis. Tej zaum yuav tsis pom tseeb rau ntawm qhov muag liab qab, tab sis cov zis yuav muaj xim liab dawb lossis xim av tsaus. |
| Ntshav Siab | Ntshav siab ntxiv vim yog lub raum ua haujlwm tsis zoo. |
| Qhov hnyav nce | Qhov hnyav nce sai sai vim yog cov kua dej sib sau ua ke hauv lub cev. |
| Lwm cov tsos mob ntawm lupus | Mob pob qij txha los yog o, mob nqaij, kub taub hau uas tsis paub ua cas, thiab muaj pob liab, zoo li npauj npaim ntawm lub ntsej muag. |
Tus kws kho mob nrhiav tau qhov no li cas?
Yog koj muaj cov tsos mob no, koj tus kws kho mob yuav xub kuaj koj, nug txog koj cov tsos mob thiab keeb kwm kev kho mob, thiab tom qab ntawd yuav kom kuaj ntau zaus kom paub meej tias koj muaj mob dab tsi.
- Kev Kuaj Ntshav:
- Kev kuaj ntshav tiv thaiv kab mob: Cov no kuaj seb puas muaj cov protein (antibodies) uas lub cev tiv thaiv kab mob tsim tawm ntau dhau. Cov no feem ntau tshwm sim hauv cov neeg mob lupus.
- Kev kuaj mob raum ua haujlwm: Ntsuas cov khoom xws li creatinine kom pom tias lub raum ua haujlwm zoo npaum li cas.
- Kev Kuaj Zis:
- Kev Kuaj Zis: Xyuas cov zis seb puas muaj ntshav, protein, lossis lwm yam teeb meem.
- Kev kuaj cov protein hauv zis: Ntsuas seb muaj protein ntau npaum li cas hauv cov zis.
- Kev kuaj mob raum:
Qhov no yog txoj hauv kev zoo tshaj plaws los kuaj mob Lupus Nephritis thiab txiav txim siab seb lub raum puas tsuaj npaum li cas. Ib daim nqaij me me raug rho tawm ntawm lub raum siv rab koob me me thiab kuaj xyuas hauv qab lub tshuab microscope. Qhov no feem ntau ua tiav hauv tsev kho mob, nrog rau kev siv tshuaj loog me ntsis.
Cov kev kho mob rau qhov no yog dab tsi?
Muaj ob lub hom phiaj tseem ceeb ntawm kev kho mob lupus nephritis. Ib qho yog los tswj cov tsos mob. Qhov thib ob yog los tiv thaiv lossis qeeb qhov kev puas tsuaj ntxiv rau lub raum. Kev kho mob feem ntau yuav muaj tshuaj thiab kev hloov pauv zaub mov.
| Txoj kev kho mob | Ua li cas rau nws? |
|---|---|
| Cov tshuaj tiv thaiv kab mob | Cov tshuaj no ua haujlwm los ntawm kev tswj lub cev tiv thaiv kab mob lub peev xwm los tawm tsam peb lub raum. Corticosteroids yog cov tshuaj siv ntau tshaj plaws rau lub hom phiaj no. |
| Cov tshuaj kho ntshav siab | Cov tshuaj xws li ACE inhibitors thiab ARBs tswj cov ntshav siab thiab txo cov protein tso tawm hauv cov zis, uas tuaj yeem txo qhov kev puas tsuaj rau lub raum. |
| Cov tshuaj diuretic | Cov no kuj hu ua 'tshuaj ntsiav dej'. Lawv pab txo qhov o los ntawm kev tshem tawm cov kua dej ntau dhau ntawm lub cev ua zis. Lawv kuj pab txo cov ntshav siab. |
| Kev hloov pauv hauv kev noj haus | Koj tus kws kho mob yuav qhia koj kom txo qhov kev ntxhov siab rau koj lub raum thiab txo koj cov ntsev noj . Tej zaum koj yuav raug hais kom tsis txhob noj cov khoom noj uas muaj protein ntau xws li nqaij thiab mis nyuj. Nws yog qhov zoo tshaj plaws los tham nrog koj tus kws kho mob thiab tus kws noj zaub mov txog qhov no thiab npaj ib txoj kev npaj zaub mov uas haum rau koj. |
Puas yog txhua tus neeg yuav tsum tau ntxuav dialysis?
Tsis yog. Nws tsis tshwm sim rau txhua tus. Nruab nrab ntawm 10% thiab 30% ntawm cov neeg uas muaj Lupus Nephritis thaum kawg ua rau lub raum tsis ua haujlwm. Yog tias qhov ntawd tshwm sim, koj yuav tsum xav txog cov kev kho mob no:
- Kev ntxuav ntshav: Cov txheej txheem lim cov khoom pov tseg ntawm cov ntshav siv lub tshuab thaum lub raum tsis ua haujlwm zoo.
- Kev Hloov Raum: Kev phais hloov lub raum uas tsis ua haujlwm nrog lub raum noj qab nyob zoo.
Thaum twg koj yuav tsum mus ntsib kws kho mob sai sai?
Yog koj muaj mob lupus, yuav tsum paub txog tej kev hloov pauv hauv koj lub raum. Yog koj muaj ib lossis ntau yam tsos mob hauv qab no tam sim ntawd, nws yuav yog ib qho cim qhia tias koj lub raum tsis ua haujlwm tam sim ntawd . Yog qhov no tshwm sim , nrhiav kev kho mob tam sim ntawd . Yog tias tsim nyog, mus rau chav kho mob ceev hauv tsev kho mob ze tshaj plaws (ETU).Mus.
- Mob plab
- Nyuaj tso zis, lossis tso zis me me heev
- Qaug zog lossis tsaug zog ntau dhau
- Cov zis ua npuas ncauj los yog ntshav
- Khaus tawv nqaij
- Ntshav siab nce siab sai sai
- Kev ntshaw noj mov
- Xeev siab thiab ntuav
- Ua pa nyuaj
- Lub cev o
Kev ua neej nyob nrog tus mob no yuav nyuaj heev, tab sis nrog kev kho mob zoo thiab kev qhia kho mob, ntau tus neeg tau ua neej nyob li qub. Qhov tseem ceeb tshaj plaws yog kom sib cuag nrog koj tus kws kho mob tas li thiab tau txais txhua yam kev kuaj mob thiab kev kho mob uas koj xav tau.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Lupus Nephritis yog kev puas tsuaj rau lub raum thiab o uas tshwm sim los ntawm lupus (SLE).
- Ob txhais ceg o, o ncig lub qhov muag, zis ua npuas ncauj, thiab ntshav siab tej zaum yuav yog cov tsos mob tseem ceeb uas cuam tshuam nrog qhov no .
- Kev kuaj mob thiab kho tus kab mob no thaum ntxov yuav pab txo qhov kev puas tsuaj rau lub raum tau zoo heev.
- Kev kho mob suav nrog cov tshuaj tiv thaiv kab mob, cov tshuaj ntshav siab, thiab kev hloov pauv zaub mov.
- Nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li koj tus kws kho mob cov lus qhia kom meej thiab mus ntsib cov chaw kho mob raws sijhawm.
- Yog tias muaj cov tsos mob thaum muaj xwm txheej ceev, nrhiav kev pab kho mob tam sim ntawd.
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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