Kodi mukukumana ndi madontho ofanana ndi agulugufe pakhungu lanu? Tiyeni tiphunzire za Cutaneous Lupus!

Kodi munayamba mwaonapo kuti anthu ena ali ndi malo ofiira ngati gulugufe m'masaya ndi m'mphuno mwawo? Kapena kuti atakhala nthawi yayitali ku dzuwa loopsa la ku Sri Lanka, mwadzidzidzi pakhungu lawo pamawonekera? Izi si mavuto a pakhungu okha. Nthawi zina izi zitha kukhala zizindikiro zakunja za vuto mkati mwa matupi athu. Lero tikulankhula za vuto lomwe limasonyeza zizindikiro zotere, zomwe anthu ambiri sadziwa kwenikweni, koma ndikofunikira kwambiri kuzidziwa. Imeneyo ndi Cutaneous Lupus.

Kodi Cutaneous Lupus ndi chiyani?

Mwachidule, lupus ya khungu ndi matenda omwe amayambitsa chitetezo chamthupi chomwe chimakhudza khungu lathu. Tsopano mwina mukudabwa kuti chinthu ichi "chodziteteza" ndi chiyani. Chabwino, ndiloleni ndifotokoze motere.

Tangoganizani kuti gulu lankhondo la dziko lathu lilipo kuti lititeteze kwa adani akunja. Mofananamo, thupi lathu lilinso ndi chitetezo chamthupi. Ntchito yake ndi kutiteteza ku matenda polimbana ndi adani monga majeremusi, mavairasi, ndi mabakiteriya omwe amalowa m'thupi kuchokera kunja.

Koma, mu matenda odziteteza ku matenda a autoimmune, chinthu chomvetsa chisoni kwambiri chimachitika. Chitetezo cha mthupi lathu, chitetezo cha mthupi, chimasokonezeka. Sichingathe kudziwa yemwe ali bwenzi ndi amene ali mdani. Choncho m'malo molimbana ndi majeremusi achilendo, chimayamba kuukira maselo athu athanzi . Zili ngati gulu lathu lankhondo likuukira anthu athu.

Mu matenda a lupus a pakhungu, chitetezo cha mthupi chimaukira maselo athu a pakhungu, zomwe zimayambitsa kutupa kosalekeza kwa khungu, zomwe zimayambitsa zizindikiro monga ziphuphu, mawanga, kuyabwa, ndi kutupa.

Kodi iyi ndi matenda omwewo omwe aliyense amadziwa akamanena za lupus?

Ayi. Mwina munamvapo za matenda otchedwa Systemic Lupus Erythematosus (SLE). Umenewo ndi mtundu wa lupus. Koma mu SLE, chitetezo cha mthupi sichimangoukira khungu lokha. Chingakhudzenso thupi lathu lonse, kuphatikizapo ziwalo zazikulu monga mafupa, mitsempha yamagazi, impso, ndi mtima.

Lupus Erythematosus ya m'mafupa (CLE) ndi mtundu wa lupus womwe umapezeka makamaka pakhungu. Komabe, nthawi zina, munthu amene ali ndi CLE amatha kukhala ndi SLE pambuyo pake. Chifukwa chake, ndikofunikira kwambiri kudziwa zizindikiro zilizonse za lupus pakhungu.

Kodi pali mitundu yosiyanasiyana ya lupus?

Inde, lupus ya pakhungu imatha kubwera ndi kupita. Kwa anthu ena, zizindikiro zimabwera ndi kupita. Kwa ena, zimapitirizabe kukhala ndi zizindikiro, zina masiku ochepa ndipo zina masiku ovuta kwambiri. Matendawa amagawidwa malinga ndi nthawi yomwe zizindikirozo zimakhalapo komanso mtundu wa zilonda pakhungu. Tiyeni tiwone mitundu ikuluikulu.

Kodi zizindikiro za matendawa ndi ziti?

Matenda a lupus m'matupi angayambitse zizindikiro zosiyanasiyana za pakhungu. Zizindikiro zina zimakhala za lupus. Zina zimatha kuwoneka m'matenda ena a pakhungu. Tiyeni tiwone zizindikiro zazikulu.

Zizindikiro zomwe zimawoneka kawirikawiri

• Madontho ofiira komanso otupa: Izi zitha kukhala zobisika kapena zozungulira, makamaka m'malo omwe dzuwa limawala .Kawirikawiri amapezeka pamutu, pakhosi, ndi m'manja. Kwa anthu omwe ali ndi khungu lakuda, madonthowa amatha kuoneka ofiirira kapena abulauni.
• Ziphuphu Zoopsa: Ichi ndi chizindikiro chomwe anthu ambiri amaganiza akamaganiza za lupus. Ndi ziphuphu zofiira zomwe zimawonekera m'masaya ndi mlatho wa mphuno, ngati gulugufe wotambasula mapiko ake.
• Mtundu wa khungu umasintha: Pambuyo poti malo omwe zilema zakale zachira, mtundu wa khungu m'malo amenewo ukhoza kukhala wopepuka (hypopigmentation) kapena wakuda (hyperpigmentation).
• Kumva kuwala kwa dzuwa: Anthu omwe ali ndi lupus amamva zizindikiro za khungu kwambiri akamakumana ndi dzuwa. Ngakhale kukhala padzuwa kwa kanthawi kochepa kungayambitse ziphuphu, ndipo ziphuphuzo zimatha kukhala zoopsa kwambiri.
• Kutaya tsitsi: Ngati mabala a lupus (zilonda za discoid) atuluka pamutu, amatha kukhala ndi zipsera ndikupangitsa kuti tsitsi litayike kwamuyaya.
• Zilonda mkamwa kapena m'mphuno: Zilonda zazing'ono zopanda ululu zimatha kuchitika pamwamba pa pakamwa, mkati mwa masaya, kapena mkati mwa mphuno.
• Kuyabwa ndi kutupa kwa khungu: Madontho ena amatha kukhala ndi kuyabwa ndi kutupa, makamaka kuzungulira maso (edema).

N’chifukwa chiyani izi zimachitika? Kodi zinthu zomwe zimayambitsa vutoli ndi ziti?

Monga tanenera kale, uwu ndi matenda odziteteza ku matenda. Izi zikutanthauza kuti amayamba chifukwa cha kulakwitsa kwa chitetezo chamthupi chathu. Asayansi sakudziwabe 100% chifukwa chake izi zimachitika. Koma amakhulupirira kuti zinthu zosiyanasiyana zingathandize.

Ndi chibadwa cha munthu komanso zinthu zomwe zimayambitsa chilengedwe .

Mwachidule, anthu ena amakhala ndi mwayi woti adwale matenda amtunduwu m'majini awo. Koma matendawa samangoyamba chifukwa chakuti ali ndi mwayi woterewu. Munthu amene ali ndi mwayi woterewu akakumana ndi zinthu zina zachilengedwe, amatha kuyambitsa chitetezo cha mthupi ndikupangitsa kuti matendawa awonekere.

Zinthu zina zomwe zimawonjezera chiopsezo:

• Kukhala mkazi: Akazi ali pachiwopsezo chachikulu chotenga lupus kuposa amuna, makamaka nthawi yomwe estrogen imakhala yokwera.
• Cholowa: Ngati wina m'banja mwanu ali ndi lupus kapena matenda ena odziteteza ku matenda a autoimmune, inunso mungakhale pachiwopsezo chowonjezeka pang'ono.
• Kukhala ndi matenda ena odziteteza ku matenda a autoimmune: Anthu omwe ali ndi matenda ena odziteteza ku matenda a autoimmune, monga matenda a chithokomiro ndi nyamakazi, ali pachiwopsezo chachikulu chotenga lupus.
• Kugwiritsa ntchito mankhwala ena kwa nthawi yayitali:Mankhwala ena, monga mankhwala othamanga magazi ndi mankhwala a khunyu, angayambitse matenda ofanana ndi lupus akagwiritsidwa ntchito kwa nthawi yayitali.
• Kupsinjika maganizo kapena thupi: Kupsinjika maganizo kwambiri pa thupi, monga matenda aakulu kapena ngozi, nthawi zina kungayambitse matendawa.
• Kusuta: Kusuta fodya ndi chifukwa chachikulu cha lupus komanso kuwonjezereka kwa zizindikiro.

Kodi dokotala amapeza bwanji izi?

Ngati mukukumana ndi zizindikiro za pakhungu izi, chinthu chabwino kuchita ndikuonana ndi dokotala, makamaka dokotala wa khungu . Iye adzakufunsani za zizindikiro zanu ndikuyang'ana khungu lanu mosamala.

Ziphuphu zina za lupus (monga ziphuphu za malar) zimatha kuzindikirika nthawi yomweyo. Komabe, chifukwa madontho ena amafanana ndi matenda ena a pakhungu, mayeso ena angafunike kuti atsimikizire matendawa.

• Kufufuza za Khungu: Izi zimaphatikizapo kutenga mankhwala ochepa ochepetsa dzanzi kuchokera pamalopo ndikutenga khungu laling'ono ndikuliyang'ana pansi pa maikulosikopu. Izi zingathandize kudziwa ngati pali kusintha kulikonse m'maselo a khungu komwe kumakhudzana ndi lupus.
• Kuyeza kwa Direct Immunofluorescence: Iyi ndi njira yapadera yoyezera yomwe imachitika pa biopsy ya khungu. Imatha kuzindikira ngati pali umboni woti chitetezo cha mthupi chikuukira khungu.
• Kuyezetsa magazi: Nthawi zina dokotala wanu angakulangizeninso kuyezetsa magazi. Izi zimachitika kuti muwone ngati pali zizindikiro za SLE, matenda omwe amakhudza ziwalo zamkati mwa thupi, komanso lupus pakhungu.

Kodi mankhwala ochizira izi ndi otani?

Choyamba komanso chofunika kwambiri ndichakuti palibe mankhwala a lupus ya khungu, chifukwa imakhudzana ndi momwe chitetezo cha mthupi lathu chimagwirira ntchito.

Ndondomeko ya chithandizo imatsimikiziridwa poganizira mtundu wa lupus womwe muli nawo, kuopsa kwa zizindikiro zanu, komanso momwe zikukhudzira moyo wanu.

Njira zazikulu zochiritsira ndi malangizo ndi awa:

1. Chitetezo ku dzuwa: Ichi ndiye chinthu chofunikira kwambiri komanso chofunikira kuchita. Kukumana ndi dzuwa loopsa ku Sri Lanka kuyenera kuchepetsedwa momwe mungathere.

• Pewani kutuluka padzuwa loopsa pakati pa 10:00 am ndi 4:00 pm.
• Ngati mutuluka panja, valani zovala zophimba thupi lanu, monga chipewa chachikulu ndi zovala za manja aatali.
• Mtengo wa SPF 50 kapena kupitirira apoGwiritsani ntchito mafuta abwino oteteza ku dzuwa monga momwe dokotala wanu wanenera. Pakani mphindi 20 musanatuluke panja.

2. Mankhwala Ogwiritsidwa Ntchito Pakhungu:

• Dokotala wanu angakulembereni mafuta odzola, mafuta odzola, kapena mafuta odzola kuti achepetse kutupa ndi ziphuphu pakhungu. Mafuta odzola a corticosteroid ndi mafuta odzola a tacrolimus ndi omwe amagwiritsidwa ntchito kwambiri.

3. Kubayidwa kwa mankhwala:

• Nthawi zina, ngati mawangawo ndi okhuthala kwambiri ndipo sakuyankha chithandizo, dokotala akhoza kubaya mankhwala a steroid mwachindunji pamalopo.

4. Mankhwala Omwe Amamwa:

• Ngati zizindikiro za pakhungu zili zazikulu kapena sizikuthetsedwa ndi mankhwala opaka pakhungu, mankhwala omwa amatha kuperekedwa. Mankhwala omwe amagwiritsidwa ntchito kwambiri pochiza lupus ndi hydroxychloroquine ndi chloroquine . Izi zimathandiza kuwongolera kugwira ntchito mopitirira muyeso kwa chitetezo cha mthupi.

5. Vitamini D:

• Kupewa kukhala padzuwa kungayambitse kusowa kwa vitamini D m'thupi lanu. Dokotala wanu adzakuyesani izi ndikukupatsani mapiritsi a vitamini D ngati pakufunika kutero.

Zinthu Zofunika Kuziganizira Mukakhala ndi Lupus

Matenda a lupus m'matupi ndi matenda omwe munthu amakhala nawo kwa moyo wake wonse, koma ngati mutayang'aniridwa bwino, mutha kukhala nawo bwino. Ngakhale zingakhale zovuta kusintha izi poyamba, pakapita nthawi zidzakhala gawo la moyo wanu.

• Pewani kutola kapena kukanda zipsera pakhungu. Kuchita zimenezi kungawononge khungu kwambiri ndikupangitsa kuti zipsera zatsopano ziwonekere.
• Ngati mukuda nkhawa ndi zilema, gwiritsani ntchito zodzoladzola zapadera zomwe dokotala wanu wakupatsani kuti muziziphimba.
• Zingakhalenso bwino ngati mungachepetse kugwiritsa ntchito magetsi a fluorescent (machubu) kunyumba ndi kuntchito . Amatulutsanso kuwala kochepa kwa UV.
• Pitani kwa dokotala nthawi zonse. Pitani kukayezetsa nthawi zonse kuti muwone momwe mulili komanso kuti muwone ngati muli ndi matenda ena aliwonse, monga SLE.
• Ganiziraninso za thanzi lanu la maganizo. Zilema zomwe zimaoneka pakhungu lanu nthawi zina zingakupangitseni kukhala achisoni komanso oda nkhawa. Nthawi zina ngati izi, lankhulani ndi munthu amene mumamukhulupirira ndipo funsani uphungu ngati pakufunika kutero.

Matenda a m'mimba si matenda oopsa. Koma angakhudze moyo wanu. Chofunika kwambiri ndikudziwa bwino za matendawa, kutsatira malangizo a dokotala wanu mosamala, ndikupeza chithandizo ndi moyo womwe uli woyenera kwa inu.