He mate hauora uaua, mau tonu te Lupus. I roto i ngā kupu māmā, ka puta mai i te wā e pōhēhē ana tō pūnaha ārai mate—e tika ana kia tiaki i tō tinana mai i ngā mate—ka tīmata te whakaeke i ō ake pūtau hauora. E mōhiotia ana tēnei he mate pūnaha ārai mate. Nā tēnei, ka taea e ia te kino ki ngā momo okana, tae atu ki tō kiri, hononga, whatukuhu, ngākau, me te roro. Kaua e ngakaukore; he pai ngā maimoatanga e wātea ana i ēnei rā hei whakahaere i ēnei tohu me te whakaiti i te auau o ngā putanga mai o ngā mate.
He aha ngā tohu o te Lupus?
He rerekē ngā tohumate o te Lupus i ia tangata, i ia tangata; kāore e rite te pānga o ēnei tohu ki te katoa. Heoi, he maha ngā tohu noa. Me titiro tātou ki ēnei tohu:
- He whero ngā ponana i te mata, i ētahi atu wāhanga rānei o te tinana. I ētahi wā ka puta mai tēnei hei "ponana pūrerehua" i ngā paparinga e rua, he rite ki te pūrerehua e whera ana i ōna parirau.
- Te aro nui ki te rā. Ahakoa he poto noa te wā e whiti ana te rā, ka whero pea tō kiri, ka puta rānei he ponana .
- Ngenge rawa. Ahakoa te roa o te moe, ka ngenge tonu pea koe.
- Ngā kirika kāore i te mārama.
- Te mamae o ngā hononga me te pupuhi . Ka kitea nuitia tēnei mamae i ngā ata.
- Te mate a Raynaud. I tēnei āhua, ka huri pōuriuri, ka kikorangi, ka ngenge rānei ō maihao, ō matimati rānei ina pāngia e te makariri, ka mamae i mua i te huri whero anō i te hokinga mai o te rere o te toto.
- Ngā mamae o te uaua.
- Te whakahekenga taumaha kāore i te whakamāramatia.
- Ngā mate pāwera i te ihu, te waha, te korokoro rānei.
- Ngā repe pupuhi .
- Te ngaro o te makawe , te pakira rānei.
- He whakahekenga o ngā toto whero, e mōhiotia ana ko te anemia .
- Te āhua ki te whakawhanake i ngā mate urutā pinepine.
- Te mumura o ngā arai tiaki e karapoti ana i te ngākau, te puku, ngā pukahukahu rānei. Ka mamae pea te uma, ka uaua rānei te manawa.
- Ngā mate hopuhopu, ētahi atu raruraru pūnaha io rānei.
- Ngā raruraru tākihi, ka puta pea hei pūmua i roto i tō mimi, hei pupuhi rānei i ō waewae.
Kia maumahara, ki te pāngia koe e tētahi, e rua rānei o ēnei tohu, ehara i te mea kei a koe te Lupus. Heoi, ki te mea kei te āwangawanga koe mō ngā tohu e mau tonu ana, ko te huarahi pai ko te whakarite i tētahi wā hui ki tētahi tākuta hei aromatawai ngaio.
Ko te nuinga o te wā ka kitea te Lupus i roto i ngā wāhine taitamariki, inā koa i waenga i te 15 me te 45 tau te pakeke.
He aha ngā momo matua o te Lupus?
Ahakoa e kīia ana ko Lupus, he torutoru ngā momo matua:
Lupus Erythematosus Pūnaha (SLE)
Koinei te momo Lupus tino noa. E ai ki te kupu "pūnaha", ka pāngia e ia ngā pūnaha tinana maha. Ka pā pea te SLE ki tō kiri, ki ō hononga, ki ō whatukuhu, ki tō roro, ki tō ngākau, me ō pukahukahu, ā, ka puta he whānuitanga o ngā tohu.
Lupus kiri
Ko te kiri te mea nui ka pā ki tēnei momo. Kei roto i tēnei he maha ngā momo iti, hei tauira:
- Discoid Lupus Erythematosus (DLE): Ka puta he porowhita, he āhua moni, he whero, he unahi i runga i te kiri, i ngā wāhi e pāngia ana e te rā pērā i te mata, taringa, tumuaki rānei. I runga i te tumuaki, ka ngaro pea te makawe me te whara.
- Lupus Erythematosus Kiriwai Āhua-Āta (SCLE): Ka puta he whero, he porowhita (annular) he unahi rānei (papulosquamous), ka puta hoki ki ngā wāhi e whiti ana te rā, ahakoa he iti ake te koha e puta mai ana i tērā i te DLE.
Lupus Erythematosus i puta mai i te rongoā (DILE)
He momo motuhake tēnei e puta mai ana i te whakamahinga roa o ētahi rongoā (pērā i ngā rongoā mō te toto toto tiketike, te mate ngakau, te haurangi rānei). Ko te mea nui kia mōhio koe, ko te tikanga ka memeha haere ēnei tohu i roto i ētahi marama i muri i te whakamutu i te rongoā. He tino onge te kino o ngā whekau, pērā i te ngoikore o te whatukuhu, i roto i tēnei momo.
He aha te take o te Lupus?
Kāore he take kotahi mō te Lupus; he huinga o ngā āhuatanga. Ko ngā tino take ko:
- Te āhua ira: Mena he hītori whānau tōu mō te Lupus, ētahi atu mate pūnaha ārai mate rānei, tera pea he nui ake tō tūponotanga ki te pāngia e te mate. Heoi, kāore te ira anake e kī taurangi ka pāngia koe e te mate.
- Ngā mea e whakaoho ana i te taiao: He maha ngā āhuatanga o roto i tō taiao e whakaoho ana i te tīmatanga o te mate.
- Ngā Mate Pukupuku: Kua honoa ētahi mate huaketo ki te tīmatanga o ngā tohu Lupus.
- Ngā rongoā motuhake: E ai ki te kōrero, ka taea e ngā rongoā motuhake te whakaputa tohu rite ki te Lupus.
- Te hihi o te rā (ira UV): Ka taea e ngā hihi ultraviolet te whakaoho, te whakanui rānei i te Lupus i roto i ētahi tāngata.
- Te ahotea tinana nui, te ahotea hinengaro nui rānei: Ko ngā huihuinga nui o te ao, pērā i te whara nui, te pokanga, te mate whaiaro rānei, ka taea te whakaoho i te mura o te mate.
- Ngā homoni: Nā te mea he nui ake te kitea o te Lupus i roto i ngā wāhine, e whakapono ana ngā kaipūtaiao he hononga kei waenganui i te homoni estrogen . Tērā pea tēnei e whakamārama ana he aha i rerekē ai ngā tohu i te wā e hapu ana, i te wā katoa rānei o te paheketanga.
I te poto, ko te whakawhanaketanga o te Lupus me whai huinga o te ngoikoretanga ira i puta mai i tētahi āhuatanga taiao—he rite ki te hiahia o te pū ki tētahi rūma kua utaina me te kukume keti kia pupuhi ai.
Me pēhea te tātaritanga o te Lupus?
He uaua te tātaritanga i te Lupus i ētahi wā nā te mea he rerekē ngā tohu i waenga i ngā tāngata takitahi, ā, he maha ngā wā ka rite ki ētahi atu mate. Mena kei te whakapae tō tākuta he Lupus koe, ka mahi pea rātou i ēnei e whai ake nei:
- Arotake taipitopito i ngā tohumate : Ka pātai tō tākuta i ngā pātai hōhonu mō tō mamae, te wā i tīmata ai, me ngā mea e whakaoho ana, e whakamama ana rānei i ō tohumate. Tērā pea ka pātai atu rātou mō tō hītori hauora whānau kia kite ai mēnā kei roto i tō whānau ngā āhuatanga ōrite.
- Whakamātautau tinana : Ka whakahaerehia e te tākuta he whakamātautau tinana, ka tirohia mēnā he ponana kiri, he pupuhi hononga, ā, ka whakarongo ki tō ngākau me ō pukahukahu.
- Ngā whakamātautau toto : He mea nui ēnei. Ka āwhina ngā whakamātautau toto ki te tautuhi i:
- Tatau Toto Katoa (CBC) : Ka ine tēnei i ō toto whero, toto mā, me ngā pereti toto. He maha ngā wā ka pāngia te hunga whai Lupus e te anemia, te hekenga o ngā toto mā, te iti rānei o ngā pereti toto.
- Whakamātautau Paturopi Ārai-Nuclear (ANA) : He whakamātautau tirotiro tuatahi tēnei mō te Lupus. Ko te ANA he paturopi e aro ana ki te pūtake o ō pūtau. Ahakoa he pai te whakamātautau a te nuinga o te hunga whai Lupus mō te ANA, kāore te hua pai e tohu tonu kei a koe te Lupus, nā te mea ka puta pea i roto i ētahi atu āhuatanga, i roto rānei i te hunga hauora.
- Ngā paturopi motuhake : Mena he pai tō whakamātautau ANA, ka tono pea tō tākuta i ngā whakamātautau mō ngā paturopi motuhake pēnei i te anti-dsDNA, te anti-Sm rānei, he āhuatanga nui ake ēnei mō te Lupus, ā, ka āwhina ki te whakaū i te mate.
- ESR (Te Auau Whakatakotoranga Erythrocyte) me te CRP (Pūmua C-Reactive) : Ka ine ēnei whakamātautau i te mumura i roto i te tinana, e piki haere ana i te wā e pāngia ana e te Lupus.
- Ngā whakamātautau mimiKa whakamahia ēnei hei tirotiro mēnā kei te pāngia ō whatukuhu e te Lupus mā te rapu pūmua, toto rānei i roto i tō mimi.
- Kohikohi kiri : I ētahi wā, ka taea te whakahaere i te kohikohi kiri (te tango i tētahi tauira iti o te ponana) me te kohikohi whatukuhu hei rapu i ngā tohu motuhake o te Lupus i te taumata pūtau.
He rite te tātaritanga o te Lupus ki te whakaoti rapanga. Ka whakakotahi tō tākuta i ō tohumate, i ngā kitenga ā-tinana, me ngā hua o te whakamātautau kia tae atu ai ki tētahi tātaritanga tika. Kāore i te maha ngā wā ka whakatauhia mā te whakamātautau kotahi anake.
He aha ngā maimoatanga mō te Lupus?
Ahakoa kāore anō kia kitea he rongoā mō te Lupus i tēnei wā, kaua e ngakaukore. I Nirogi Lanka , e whakanui ana mātou he pai ngā maimoatanga e wātea ana hei whakahaere i ngā tohu, hei whakaiti i ngā putanga mai o te mate, me te ārai i te kino o ngā okana. Ka whakaritea tō mahere maimoatanga i runga i ngā okana e pāngia ana me te kaha o ō tohu. He maha ngā wā, me whai tīma hauora maha-mātauranga hei whakarato i te tiaki pai rawa atu.
Te tīma tohunga
Nā te mea ka pāngia ngā wāhanga rerekē o te tinana e te Lupus, me rapu āwhina pea koe i tētahi rōpū tohunga, pēnei i:
- Rheumatologist : He tohunga ki ngā hononga, ngā uaua, me ngā mate hononga. Ko rātou te nuinga o te wā e ārahi ana i tō tiaki Lupus.
- Tohunga whatukuhu : He tohunga whatukuhu, he mea nui mēnā kua pāngia tō mahi whatukuhu e te Lupus.
- Tākuta kiri : Hei rongoā i ngā tohumate kiri pērā i te ponana me ngā whara.
- Tākuta ngākau : Mena ka pāngia tō ngākau e te mate.
- Tākuta pūkahukahu : Mena kei te pāngia te pūkahukahu.
- Tohunga io : Mena ka pāngia te roro, te pūnaha io rānei.
- Tākuta Hinengaro, Tākuta Hinengaro rānei : Hei āwhina i a koe ki te whakahaere i te ahotea kare ā-roto me te manukanuka ka puta mai i te noho me te mate mau tonu pēnei i te Lupus.
Ngā rongoā noa
He maha ngā rongoā e whakamahia ana hei whakahaere i ngā tohu me te ārai i ngā putanga mai o te mate:
- Ngā rongoā ārai-mumura :
- Ngā Rongoā Ārai-Mumura Kore-Steroid (NSAID) : Pērā i te Ibuprofen, i te Naproxen rānei. Ka āwhina ēnei i te mamae o ngā hononga, ngā mamae uaua, me te kirika. Whakamahia ēnei i raro i te tirotiro a te tākuta anake, nā te mea ka pāngia te puku, te whatukuhu rānei i ētahi wā.
- Ngā rongoā ārai mate pāwera : Ko te Hydroxychloroquine te mea e whakamahia whānuitia ana. Ahakoa tōna ingoa, he tino whai hua ki te whakahaere i ngā ponana kiri, te mamae o ngā hononga, me te ngenge, ā, ka tino whakaiti i te auau o ngā putanga mai o ngā mate pāwera.
- Ngā Corticosteroids : Pērā i te Prednisolone. Ka tere te mahi a ēnei hei whakaiti i te mumura me te pehi i te pūnaha ārai mate. He maha ngā wā ka whakamahia i ngā wā ka pā mai he mate kino, he āhuatanga rānei e morearea ana ki ngā okana. Nā te mea ka pā mai pea ngā pānga taha mēnā ka roa te whakamahinga (pērā i te taumaha, te mate huka, te angiangi wheua rānei), ka whai tō tākuta kia whakamahia te horopeta iti rawa mō te wā poto rawa.
- Ngā rongoā ārai mate : Ka āwhina ngā rongoā pēnei i te Azathioprine, Mycophenolate, Cyclophosphamide, me te Methotrexate ki te ārai i tō pūnaha ārai mate kei whakaeke i ō ake kiko. He mea nui ēnei mō te pānga kino o ngā okana, inā koa i roto i ngā whatukuhu. Me aro turuki hauora ēnei nā te mea ka nui ake te mōrearea o te mate.
- Ngā rongoā koiora : Ko ngā maimoatanga hou pēnei i a Belimumab, Rituximab rānei, ka aro ki ngā wāhanga motuhake o te pūnaha ārai mate, ā, ka tino whai hua pea mō ētahi tūroro.
Ko te mea nui ko te tango i tō rongoā kia rite ki te mea i tohua. Mā tō tākuta e whakatau te rongoā me te roa e pai ana māu. Kaua e mutu te tango i tō rongoā, kaua hoki e whakarerekē i te horopeta me te kore e kōrero tuatahi ki tō kaiwhakarato hauora.
Te noho me te Lupus: He aha atu ngā mea me mōhio koe?
He haerenga roa te Lupus mō te wa katoa, ā, ko te ako ki te whakahaere i tēnei mate he mea nui. Haunga te rongoā, ka taea e ngā whakarerekētanga ngāwari o te noho te whai wāhi nui ki te whakahaere i ō tohu me te ārai i te pikinga o ngā tohu.
- Tiakina koe i te rā : He maha ngā tāngata whai lupus e pāngia ana e te hihi o te rā. Ngāna kia karohia te hihi tika, te hihi kaha i waenga i te 10:00 i te ata me te 4:00 i te ahiahi. Ki te hiahia koe ki te haere ki waho, me whakamahi tonu i te hinu ārai rā SPF 30, neke atu rānei. Mauria he kākahu ringaringa roa, he pōtae, me ngā mōhiti kanohi hei tiaki atu.
- Whakatairangahia te okiokinga : Ko te ngenge tetahi tohu matua o te lupus. Whai kia 8 hāora te moe i ia pō, ā, ngana ki te whakauru i ngā wā okiokinga poto i te awatea. Kaua e nui rawa te mahi tinana, me te whakarongo ki te hiahia o tō tinana mō te wā okioki.
- Kia mau ki te kai hauora : He mea nui te kai taurite. Kia arotahi ki ngā huawhenua, ki ngā hua rākau, ki ngā rau matomato, ki ngā kai momona i te muka, me ngā pūmua kikokore pērā i te ika me te heihei. Ngāna kia whakawhāitihia ngā kai tukatuka, ngā huka kua whakatikatikaina, me ngā kai he nui te ngako.
- Kia kaha tonu : Kaua e noho noa iho nā te mea kua ngenge koe. Ka taea e ngā mahi whakakori tinana ngāwari pēnei i te hikoi, te kaukau, te yoga rānei te āwhina i te whakaiti i te pakari o ngā hononga, te hanga kaha o ngā uaua, te whakahaere i te ngenge, me te whakapai ake i tō hauora hinengaro. Me kōrero tonu ki tō tākuta kia mōhio ai ko ēhea ngā mahi whakakori tinana e haumaru ana mōu.
- Whakahaerehia te ahotea : Ka taea e te ahotea te whakaoho i te putanga mai o te lupus. Whakauruhia ngā tikanga pēnei i te whakaaroaro, te yoga, ngā mahi manawa hōhonu, te whai wāhi atu rānei ki ngā mahi whakangahau e pai ana ki a koe hei āwhina i te pupuri i ō taumata ahotea kia mau tonu.
- Kaua e kai paipa : Ka taea e te kai paipa te whakanui ake i ngā tohu o te lupus, ā, ka nui ake te tūponotanga o te mate ngakau. Ki te kai paipa koe, me rapu awhina ngaio hei whakamutu.
- Haere ki ngā wā tirotiro hauora katoa : Kia mau tonu ō haerenga ki te tākuta. He mea nui tēnei hei aroturuki i te pai o te mahi a tō rongoā, hei tirotiro i ngā pānga taha pea, me te whakarite kei te pai te whakahaere i tō āhua.
- Kia mōhio ki ngā tohu whakatūpato o te mura : Akohia te tautuhi i ō tohu whakatūpato whaiaro mō te mura (hei tauira, te ngenge nui, te mamae hononga hou, te ponana kiri rānei). Mā te ripoata tonu i ēnei tohu ki tō tākuta ka āwhina i te tīmatanga wawe o te maimoatanga me te ārai i ngā raruraru kino atu.
- Kōrerohia ō hiahia : Mena he ākonga koe, whakamōhiotia ō kaiako, ō kaiwhakahaere kura rānei mō tō āhua kia whiwhi ai koe i te tautoko e hiahiatia ana e koe. Mena kei te mahi koe, kōrerohia ngā whakaritenga e tika ana ki tō wāhi mahi.
He uaua te noho me te lupus, engari ehara i te mea ko koe anake. Whakawhirinaki ki tō tīma hauora, ki te whānau, me ngā hoa mō te tautoko, me te ako tonu i a koe anō mō te mate.
Ngā Kaupapa Matua mō tō Hauora
Ko tāku tumanako kua mārama ake koe ki te lupus nā ēnei kōrero. Anei ngā mea tino nui hei maumahara māu:
- He mate mau tonu te Lupus, ina whakaekea hētia tō tinana e tō pūnaha ārai mate. Ka pā pea ki ngā momo okana me ngā pūnaha.
- He rerekē ngā tohu i ia tangata, i ia tangata. Ko ngā tohu noa ko te ponana kiri, te mamae o ngā hononga, te ngenge nui, me te kirika.
- He mea nui te tātaritanga hauora tika. Kaua rawa e ngana ki te tātaritanga i a koe anō; whakawhirinaki ki ngā whakamātautau hauora me ngā whakamātautau ngaio.
- Ahakoa kāore he rongoā mō te lupus i tēnei wā, kei te wātea ngā maimoatanga tino whai hua hei whakahaere i ngā tohu me te whakapai ake i te kounga o tō oranga.
- He mea tino nui te ū ki ngā rongoā kua tohua e koe, me te tirotiro tonu i ngā wā hauora.
- Ko ngā whakarerekētanga ngāwari o te noho (te tiaki i te rā, te kai hauora, te whakakori tinana auau, me te whakahaere i te ahotea) he mea nui ki te whakahaere i tō āhua.
- Kāore koe i te mokemoke.He whatunga whakatapua tōu o ngā tākuta, ngā nēhi, ngā kaiwhakatakoto whakaaro, me ngā whanaunga hei tautoko i a koe.
Ko te noho mōhio, te kōrero tūmatanui mō tō hauora, me te rapu tautoko ngā huarahi pai hei whakatere angitu i te ao me te lupus. Mena he āwangawanga āu, kaua e mangere ki te kōrero ki tō tākuta i Nirogi Lanka.
Lupus, SLE, mate pūnaha ārai mate, tohu, maimoatanga, Sri Lanka, ārai mate, mamae hononga, mate kiri
