Kodi mukukumana ndi mawanga ofiira, nthawi zina ozungulira pakhosi panu, pachifuwa, kumbuyo, kapena m'manja? Kodi ndi mawanga, mawanga, komanso ouma? Anthu ambiri akuda nkhawa ndi vutoli. Ndizachilendo kudzifunsa ngati ndi vuto la khungu lofala kapena lina lalikulu kwambiri. Lero, tikambirana za Subacute Cutaneous Lupus Erythematosus, kapena SCLE mwachidule, mtundu wa lupus womwe umakhudza khungu lokha. Mukadziwa bwino izi, zidzakhala zosavuta kuti muthane ndi vutoli.
Mwachidule, kodi SCLE ndi chiyani?
Chabwino, tiyeni tinene mwachidule. SCLE ndi matenda omwe ali m'gulu la matenda otchedwa lupus, ndipo amakhudza kwambiri khungu. Lupus ndi matenda omwe amayamba chifukwa cha vuto la chitetezo chamthupi chathu. Nthawi zambiri, chitetezo chathu chamthupi chimalimbana ndi majeremusi omwe amayambitsa matenda. Koma mu mkhalidwe ngati lupus, dongosololi molakwika limayamba kuukira maselo athu athanzi.
SCLE ndi mtundu wa lupus womwe umakhudza khungu. Madokotala amautcha kuti Cutaneous Lupus Erythematosus (CLE). Mawu akuti "Subacute" amatanthauza mtundu wa kutupa komwe kumawonedwa mu biopsy ya khungu, yomwe ndi chidutswa chaching'ono cha khungu chomwe chimatengedwa ndikuyesedwa.
Chofunika kwambiri n'chakuti, pafupifupi theka la anthu omwe ali ndi SCLE alinso ndi matenda a lupus omwe amafala kwambiri, Systemic Lupus Erythematosus, kapena SLE . SLE ndi matenda omwe angakhudze osati khungu lokha, komanso ziwalo zamkati monga impso, mtima, ndi ubongo. Chifukwa chake ndikofunikira kulankhula ndi dokotala ngati muli ndi zizindikiro za SCLE.
Mmene matendawa amakhudzira aliyense zingakhale zosiyana, kotero zingakhale zovuta kuzizindikira. Chofunika kwambiri ndikupeza dokotala amene amakumverani ndikukupezani chithandizo choyenera.
Kodi mitundu ikuluikulu ya SCLE ndi iti?
SCLE imawoneka m'njira ziwiri zazikulu. Zonsezi zimaoneka zosiyana pang'ono. Tiyeni tiwone zomwe zili.
| Mtundu wa SCLE | Maonekedwe ndi makhalidwe |
|---|---|
| SCLE yozungulira | Mtundu uwu wa vuto la khungu umapangitsa kuti ma plaque ofiira, okhala ndi mamba, ozungulira, kapena ooneka ngati mphete awonekere pakhungu. Ma plaque amenewa nthawi zambiri amapezeka m'malo omwe ali ndi dzuwa. Ma plaque awa akachira, khungu m'malo amenewo limatha kuoneka lofiirira pang'ono. Madokotala amatcha izi hypopigmentation . |
| Papulosquamous SCLE | Mtundu uwu wa ziphuphu pakhungu umadziwika ndi kuphatikiza kwa tinthu tating'onoting'ono ta pakhungu ndi mawonekedwe a zigamba. Poyamba, zingafanane ndi eczema kapena psoriasis. Mtundu uwu umakulanso kwambiri ndi kuwala kwa dzuwa . |
Kodi zizindikiro za SCLE ndi ziti?
Chizindikiro chachikulu cha SCLE ndi kutupa pakhungu. Izi nthawi zambiri zimawoneka m'malo ena a thupi lanu omwe nthawi zambiri amawotchedwa ndi dzuwa, monga khosi, chifuwa, msana, ndi manja.
Kuwonongeka kumeneku kungakhale motere:
- Madontho ofiira, ooneka ngati mphete, ozungulira. Nthawi zina mphete zimenezi zimatha kulumikizana wina ndi mnzake ndikuwoneka ngati chitsanzo chachikulu.
- Khungu lofiira, lokhala ndi zikhadabo, louma, komanso lokhala ndi zikhadabo. Izi nthawi zambiri zimaoneka ngati psoriasis.
Chabwino kwambiri n'chakuti, madontho amenewa nthawi zambiri sayabwa kapena kusiya zipsera . Komabe, kusintha kwa mtundu wa khungu kumatha kukhalabe madonthowo akachira.
Kodi ndi zinthu ziti zomwe zimathandiza pakukula kwa SCLE?
N'zovuta kudziwa chifukwa chimodzi chomwe chimayambitsa SCLE. Ndi nkhani yovuta. Ofufuza amakhulupirira kuti pali zinthu zingapo zomwe zimayambitsa vutoli.
- Zinthu zokhudza majini: Izi zikutanthauza kuti pakhoza kukhala kulumikizana kwa majini. Ngati wina m'banja mwanu ali ndi lupus, inunso mungakhale pachiwopsezo.
- Zinthu Zachilengedwe: Chofunika kwambiri mwa izi ndi kuwala kwa ultraviolet , komwe ndi kuwala kwa dzuwa. Kuphatikiza apo, amakhulupirira kuti zinthu monga kugwiritsa ntchito fodya ndi mankhwala ophera tizilombo zimathanso kukhudza.
- Mankhwala ena: Pafupifupi gawo limodzi mwa magawo atatu a anthu omwe ali ndi SCLE amakhala ndi vutoli atamwa mankhwala ena. Izi zimatchedwa "Drug-induced SCLE."
| Mankhwala ena omwe angayambitse SCLE |
|---|
| Mankhwala oletsa bowa |
| Mankhwala ena oletsa khunyu |
| Mankhwala ena oletsa kuthamanga kwa magazi, monga ACE inhibitors |
| Mankhwala a chemotherapy |
| Mankhwala ena omwe amagwiritsidwa ntchito pochiza gastritis (Proton pump inhibitors - PPIs) |
| Mankhwala ena omwe amagwiritsidwa ntchito pochiza matenda monga nyamakazi (zoletsa zotupa za necrosis factor) |
Ndani ali pachiwopsezo chachikulu chotenga SCLE?
- Zimachitika kawirikawiri mwa akazi kuposa amuna.
- Kawirikawiri amapezeka mwa anthu azaka zapakati pa 40 ndi 60 .
- Ngakhale kuti vutoli limapezeka kwambiri mwa anthu oyera, vutoli limatha kuchitika mwa anthu a mtundu uliwonse.
Kuzindikira ndi kuchiza matendawa
Ngati muli ndi zizindikiro izi, chinthu choyamba chomwe muyenera kuchita ndikuwonana ndi dokotala. Mutha kutumizidwa kwa dokotala wa khungu kapena katswiri wa nyamakazi.
Kodi mungazindikire bwanji matendawa?
Dokotala adzakuyang'anani khungu lanu ndikukufunsani za zizindikiro zanu. Kenako angachite mayeso otsatirawa kuti atsimikizire kuti muli ndi matendawa:
- Kuyeza khungu: Izi zimaphatikizapo kutenga chitsanzo chaching'ono kwambiri cha khungu kuchokera ku mole pakhungu lanu pansi pa mankhwala oletsa ululu ndikuchiyang'ana pansi pa maikulosikopu. Izi zingathandize kudziwa ngati moleyo yayamba chifukwa cha SCLE kapena vuto lina la khungu.
- Kuyezetsa magazi: Kuyezetsa magazi kangapo kungachitike.
- Kuchuluka kwa magazi (CBC)
- Sed rate (ESR) ndi C-reactive protein (CRP) - Izi zimayang'ana kutupa m'thupi.
- Mayeso a Antinuclear Antibody (ANA): Iyi ndi mayeso ofunikira kwambiri pozindikira matenda a lupus.
- Mayeso a ntchito ya impso ndi chiwindi
- Kusanthula mkodzo
Kodi SCLE imachiritsidwa bwanji?
Chofunika kwambiri komanso chachikulu pochiza SCLE ndi kuteteza ku dzuwa , chifukwa kuwala kwa dzuwa ndiye chinthu chachikulu chomwe chimawonjezera matendawa.
Kuphatikiza apo, dokotala wanu angakulangizeni mankhwala opangidwa ndi manja kapena opangidwa ndi manja kutengera kuopsa kwa zizindikiro zanu.
| Mtundu wa chithandizo | Zitsanzo (zolembedwa ndi dokotala zokha) |
|---|---|
| Ma steroid apakhungu | Hydrocortisone, Triamcinolone, Clobetasol |
| Mafuta ena odzola pakhungu (Oletsa calcineurin) | Tacrolimus, Pimecrolimus |
| Mankhwala oletsa malungo pakamwa | Hydroxychloroquine, Chloroquine |
| Mankhwala oletsa chitetezo chamthupi pakamwa | Methotrexate, Azathioprine |
| Mitundu ina ya mankhwala | Dapsone, Retinoids, ma antibodies a monoclonal (IVIG, Rituximab) |
Chenjezo: Musagwiritse ntchito mankhwala aliwonse awa popanda upangiri wa dokotala. Dokotala wanu yekha ndi amene angakuuzeni chithandizo chabwino kwambiri.
Kodi mungakhale bwanji ndi SCLE?
SCLE ndi matenda osatha omwe amakhalapo kwa moyo wonse. Izi zikutanthauza kuti zizindikiro zimatha kuwonjezeka nthawi zina ndikuchepa nthawi zina. Komabe, zimatha kulamulidwa bwino ndipo mutha kukhala ndi moyo wabwinobwino.
Chitetezo ku dzuwa ndi chinthu choyamba!
Ichi ndi chinthu chofunika kwambiri chomwe mungachite.
- Gwiritsani ntchito mafuta oteteza khungu ku dzuwa okhala ndi mphamvu ya SPF 50 kapena kuposerapo tsiku lililonse mukapita padzuwa . Izi ndizofunikira, ngakhale masiku a mitambo.
- Pewani dzuwa loopsa pakati pa 10 koloko m'mawa ndi 4 koloko madzulo.
- Mukapita padzuwa, valani zovala zoteteza ku dzuwa, monga chipewa chachikulu ndi zovala zazitali.
- Siyani kugwiritsa ntchito mipanda yopaka utoto kwathunthu.
Kudzisamalira bwino ndi mankhwala!
- Mvetsetsani matendawa: Werengani za matendawa kuchokera ku magwero odalirika ndipo phunzirani nokha. Izi zikuthandizani kumvetsetsa bwino zomwe zikuchitika m'thupi lanu.
- Pezani dokotala amene mumamudalira: Mungafunike kuonana ndi dokotala nthawi zonse, choncho pitirizani kufunafuna chithandizo kuchokera kwa dokotala amene amakumvetserani ndi kukumvetsani.
- Pangani njira yothandizira: Kulankhula ndi anthu omwe ali mumkhalidwe wofanana ndi wanu ndikugawana zomwe mwakumana nazo kudzakuthandizani kukhala ndi mphamvu zambiri zamaganizo.
- Dzisamalireni: Idyani bwino, chita masewera olimbitsa thupi, gonani bwino, komanso chepetsani nkhawa. Zinthu izi zidzakuthandizani kwambiri kulimbana ndi matendawa.
Popeza muli ndi SCLE ndipo muyenera kudziteteza ku dzuwa nthawi zambiri, mutha kukhala ndi vuto la kusowa kwa vitamini D. Ndibwino kulankhula ndi dokotala wanu za izi ndikumwa vitamini D yowonjezera ngati pakufunika kutero.
Uthenga Wopita Nawo Kunyumba
- SCLE ndi matenda omwe amakhudza khungu la munthu amene ali ndi lupus kwa moyo wake wonse.
- Chizindikiro chachikulu ndi kuoneka kwa mawanga ofiira, ozungulira, kapena ozungulira pakhungu omwe amawotchedwa ndi dzuwa.
- Kuteteza ku dzuwa ndiye chinthu chofunikira kwambiri komanso choyamba pakuthana ndi matendawa.
- Madontho amenewa nthawi zambiri samayambitsa kuyabwa kapena zipsera, koma amatha kusiya khungu litasintha mtundu.
- Ngati muli ndi zizindikiro izi, musachite mantha ndipo pitani kwa dokotala mwamsanga. Mukalandira chithandizo choyenera komanso kuyang'aniridwa bwino, mutha kukhala moyo wabwinobwino.
💬 Comments (0)
Palibe ndemanga zomwe zatumizidwa pano. Onjezani ndemanga yanu pano koyamba.
Onjezani ndemanga yanu