Kodi mumakumananso ndi zala ndi zala zabuluu, zofiira, komanso zopweteka nthawi yozizira, makamaka mukapita ku malo ngati Nuwara Eliya? Kodi nthawi zina mumatuluka zilonda zazing'ono? Ngakhale kuti anthu ambiri amaganiza kuti ichi ndi chimfine wamba, nthawi zina ichi chingakhale vuto lomwe limafuna chisamaliro chowonjezereka. Lero tikulankhula za 'Chilblain Lupus', mtundu wa lupus wosowa koma wofunika kwambiri.
Kodi Chilblain Lupus ndi chiyani?
Mwachidule, Chilblain Lupus ndi mtundu wosowa wa lupus womwe umakhudza khungu lathu. Malinga ndi zamankhwala, timautcha ``cutaneous lupus erythematosus kapena CLE.`` Munthu amene ali ndi vutoli amakhala ndi zilonda zofiira kapena zofiirira, zotupa, pakhungu akamakhudzidwa ndi kuzizira.
Mawu akuti "chilblain" kwenikweni amatanthauza "chilonda chozizira." Izi ndi zomwe zimachitika mu mkhalidwe uwu. Nyengo yozizira ingayambitse zizindikiro izi, kapena kupangitsa kuti vuto lomwe lilipo liwonjezeke.
Nthawi zambiri, anthu ena amadwala Chilblain Lupus atapezeka ndi mtundu waukulu wa lupus, ``systemic lupus erythematosus''. Komabe, ena amatha kukhala ndi vutoli popanda kudziwika kale. Komabe, ululu ndi kusasangalala komwe kumachitika chifukwa cha vutoli ndi kwakukulu kwambiri. Ngati muwona kuyabwa, mawanga otuwa pa zala zanu, makamaka pa zala zanu ndi zala zanu, ndi bwino kupita kwa dokotala nthawi yomweyo ndikupeza chithandizo.
Kodi zizindikiro za vutoli ndi ziti?
Chilblain Lupus nthawi zambiri imadziwika ndi mabala ofiira kapena ofiirira kapena zilonda pakhungu. Izi zimawonekera kwambiri pa:
- Pa zala za dzanja
- Pamwamba pa zidendene
- Pa mapazi
- M'zala zala
Koma nthawi zambiri, zilonda zimenezi zimatha kuchitikanso m'manja, m'mawondo, m'mphuno, kapena m'makutu. Zonsezi zimakhala zoopsa kwambiri m'nyengo yozizira kapena yonyowa.
Kuwonjezera pa zizindikiro zazikuluzi, palinso zizindikiro zina zingapo zomwe zingaoneke. Tiyeni tiwone zomwe zili.
| Chizindikiro | Kufotokozera kosavuta |
|---|---|
| Matuza kapena zilonda | Mabala osachiritsa pakhungu chifukwa cha kusayenda bwino kwa magazi. |
| Kusintha kwa mtundu wa khungu (Kuchotsa mtundu wa khungu) | Madera ena a khungu amataya mtundu wake ndipo amaoneka otumbululuka. |
| Ming'alu ya chidendene | Ming'alu yozama pakhungu la zidendene. |
| Kukhuthala kwa khungu (Hyperkeratosis) | Kukhuthala kwa khungu komwe kwachitika zilonda pakhungu. |
| Chochitika cha Raynaud | Zikazizira, magazi opita ku zala ndi zala za mapazi amakhala ochepa kwakanthawi. Izi zingapangitse zala kukhala zoyera, zabuluu, kapena zofiira. |
N’chifukwa chiyani Chilblain Lupus imayamba? Kodi zimayambitsa matenda amenewa ndi chiyani?
Pali zifukwa ziwiri zazikulu zomwe zimayambitsa Chilblain Lupus. Chimodzi ndi cha majini , ndipo china ndi cha nthawi ndi nthawi .
Zoyambitsa zachibadwa
Vutoli lingayambitsidwe ndi kusintha kwina kwa majini athu. Makamaka, kusintha kwa majini `(TREX1)` ndi `(SAMHD1)` kwapezeka kuti kumakhudza izi. Mwachidule, majini `TREX1` amathandiza kukonza DNA yathu, ndipo majini `SAMHD1` amagwira ntchito pakugwira ntchito kwa chitetezo chamthupi chathu. Ngati pali vuto m'majini awa, likhoza kukhala chifukwa cha Chilblain Lupus m'banjamo komanso mwa ana aang'ono.
Kuchitika popanda chifukwa chilichonse
Kwa anthu ena, izi si zachilendo kwa makolo. Zingawonekere mwadzidzidzi akakula. Choyambitsa chenicheni sichinapezekebe.
Ndani ali pachiwopsezo chachikulu chotenga izi?
Ngakhale kuti vutoli lingakhudze aliyense, limapezeka kwambiri kwa okalamba . Anthu omwe amakhala m'madera omwe nyengo yozizira komanso yonyowa nthawi zonse nawonso ali pachiwopsezo chachikulu.
Kuphatikiza apo, matenda ena angapangitse kuti pakhale chiopsezo chotenga matenda a Chilblain Lupus.
- Anorexia nervosa: Ichi ndi vuto lalikulu la kudya lomwe limaika moyo pachiswe.
- Intestinal lymphoma: Iyi ndi khansa yosowa kwambiri yomwe imapezeka m'thupi la lymphatic m'matumbo athu ang'onoang'ono.
- Mimba: Azimayi ena ali pachiwopsezo chotenga matendawa ngakhale panthawi ya mimba.
Ndi mavuto otani omwe angachitike ngati sanachiritsidwe?
Ngati vutoli silinachiritsidwe bwino, mabala a pakhungu amatha kufalikira ndi mabakiteriya . Anthuwa ali pachiwopsezo chachikulu chotenga matenda a pakhungu monga ``cellulitis``.
Komanso, munthu amene ali ndi Chilblain Lupus amatha kudwala matenda a lupus erythematosus, omwe ndi matenda oopsa kwambiri omwe amakhudza ziwalo zosiyanasiyana m'thupi.
Ichi ndichifukwa chake timanena kuti ngati muwona chinthu chachilendo pakhungu lanu, makamaka bala lomwe silikuchira, musachinyalanyaze ndikupita kwa dokotala.
Kodi dokotala amazindikira bwanji izi?
Ngati muli ndi zizindikiro izi, mutha kutumizidwa kwa dokotala wa khungu kapena katswiri wa nyamakazi .
Kuyezetsa kwakukulu kozindikira matendawa ndi kuyesedwa pakhungu . Izi zimaphatikizapo kutenga kachidutswa kakang'ono kwambiri ka khungu kuchokera ku chotupa pakhungu lanu ndikukayang'ana pansi pa maikulosikopu mu labotale. Kuyezetsa kumeneku kungatsimikizire ngati muli ndi Chilblain Lupus kapena matenda ena a pakhungu.
Kodi mankhwala ochizira izi ndi otani?
Ngati matenda anu a Chilblain Lupus si oopsa kwambiri, mungafunike kudziteteza ku chimfine. Komanso, ngati mukusuta, dokotala wanu adzakulangizani kuti musiye. Kusuta kumatsekereza mitsempha yathu yamagazi, zomwe zingapangitse kuti zizindikirozi ziwonjezeke.
Ngati zizindikiro zake zili zochepa kapena zazikulu, dokotala angapereke mankhwala osiyanasiyana.
| Mtundu wa mankhwala | Ntchito yomwe imachita |
|---|---|
| Mankhwala opha tizilombo | Kuchiza matenda a bakiteriya a mabala a pakhungu. Mwachitsanzo: `dicloxacillin`, `erythromycin`. |
| Mankhwala oletsa malungo | Kuchepetsa kutupa, kutopa, ndi kupweteka kwa mafupa m'thupi. Mwachitsanzo: `hydroxychloroquine`. |
| Mankhwala oletsa chitetezo chamthupi (Calcineurin inhibitors) | Kuchepetsa mphamvu ya chitetezo cha mthupi komanso kuwongolera kutupa. Mwachitsanzo: `tacrolimus`, `mycophenolate mofetil`. |
| Zoletsa njira za calcium | Kutsegula mitsempha yamagazi ndikuthandizira kuyenda kwa magazi. Mwachitsanzo: `nifedipine`. |
| Mafuta odzola a steroid | Kuchepetsa kutupa ndi kutupa kwa khungu. Mwachitsanzo: `fluocinolone acetonide`. |
| Ma steroid okhazikika | Kuchepetsa kutupa ndi kutupa thupi lonse. Mwachitsanzo: `prednisone`. |
Kawirikawiri, dokotala wanu angakulangizeni opaleshoni. Izi zimaphatikizapo kuchotsa chilondacho ndi kuchiyikanso ndi chotupa cha khungu kuchokera kudera lina lathanzi la thupi.
Ndiyenera kupita kwa dokotala liti?
Ngati muwona zilonda zofiira kapena zofiirira, zoyabwa, kapena zopweteka pa zala zanu kapena zala zanu, zidendene, kapena mapazi anu, pitani kwa dokotala nthawi yomweyo . Iye adzatha kuzindikira vuto lanu ndikuyamba chithandizo chofunikira.
Mukapita kwa dokotala, mungafunsenso mafunso awa:
- "Dokotala, ndi chifukwa chiyani chachikulu chomwe ndikupangira izi?"
- "Kodi n'zotheka kuti ndikhale ndi matenda a lupus?"
- "Ndiyenera kuchita chiyani kuti ndipewe kuvulala kumeneku?"
- "Kodi chingachitike ndi chiyani ndi kuvulala komwe kukuchitika panopa?"
Kodi Chilblain Lupus angapewedwe?
Chinthu chabwino kwambiri chomwe mungachite kuti muchepetse chiopsezo chanu cha matendawa ndikudziteteza ku chimfine . Kuti muchite izi, mutha kutsatira izi.
- Kuchita masewera olimbitsa thupi nthawi zonse:Kuchita masewera olimbitsa thupi kumathandizira kuti magazi aziyenda bwino komanso kumachepetsa kutentha kwa thupi.
- Sungani nyumba yanu ndi malo anu antchito kutentha: Sinthani malo anu kuti mudziteteze ku kuzizira.
- Zilowerereni manja ndi mapazi anu m'madzi ofunda: Kuchita izi kangapo patsiku kungathandize kuti magazi aziyenda bwino.
- Tenthetsani miyendo yozizira pang'onopang'ono: Musachite zinthu monga kuzikhudza mwadzidzidzi pamoto. Tenthetsani pang'onopang'ono kuti magazi ayambe kuyenda bwino.
- Valani zovala zofunda: Valani masokosi okhuthala, magolovesi, ndi nsapato zofunda mukakhala pamalo ozizira.
Monga matenda ena a pakhungu, Chilblain Lupus angayambitse zizindikiro zovuta ndipo nthawi zina zimatenga nthawi kuti mupeze chithandizo choyenera. Koma musataye mtima. Kugwira ntchito ndi dokotala amene mumamudalira kungakuthandizeni kupeza yankho lomwe lingagwire ntchito kwa inu. Pakadali pano, kulowa nawo gulu lothandizira komwe mungalankhule ndi ena omwe ali ndi vuto lomwelo kungakhale kothandiza kwambiri.
Uthenga Wopita Nawo Kunyumba
- Chilblain Lupus ndi matenda osowa kwambiri pakhungu omwe amayambitsa zilonda zofiirira/zofiira pakhungu zomwe zimakula chifukwa cha chimfine.
- Ngati muwona zizindikiro izi m'miyendo yanu, musamazinyalanyaze ngati zachilendo ndipo funsani upangiri wa dokotala mwachangu momwe mungathere.
- Chofunika kwambiri popewa ndi kulamulira vutoli ndikudziteteza ku chimfine.
- Ndikofunikira kwambiri kupewa kusuta fodya kotheratu, chifukwa kusuta kumatsekereza mitsempha yamagazi ndikuwonjezera zizindikiro.
- Ngakhale kuti vutoli ndi la moyo wonse, ndi chithandizo choyenera komanso chisamaliro, zizindikiro zimatha kulamulidwa bwino ndipo moyo wabwinobwino ukhoza kukhalapo.
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