Kodi zizindikiro za Lupus ndi ziti?
Zizindikiro za lupus zimatha kusiyana malinga ndi munthu. Izi zikutanthauza kuti si aliyense amene adzakumana ndi zizindikiro zomwezo. Koma pali zizindikiro zina zodziwika bwino. Tiyeni tiwone zomwe zili.- Ziphuphu zofiira pankhope kapena ziwalo zina za thupi . Nthawi zina izi zimatha kuwoneka mbali zonse ziwiri za nkhope ngati gulugufe (ziphuphu za gulugufe).
- Khungu limakhala losakhudzidwa kwambiri ndi kuwala kwa dzuwa . Ngakhale kungokhala padzuwa kwa kanthawi kochepa kungayambitse khungu kufiira ndi kukwiya .
- Kumva kutopa kwambiri . Kaya mugone tulo totani, mungamve ngati kutopa kumeneku sikutha.
- Malungo omwe amabwera popanda chifukwa .
- Kupweteka kwa mafupa ndi kutupa . Kupweteka kumeneku kumatha kukulirakulira m'mawa.
- Matenda a Raynaud . Apa ndi pamene zala ndi zala za m'mapazi zimasanduka zotuwa, zabuluu, zadzimbiri, komanso zimapweteka zikakhudzidwa ndi chimfine. Kenako zimasanduka zofiira kachiwiri.
- Kupweteka kwa minofu .
- Kuchepetsa thupi .
- Zilonda m'mphuno, pakamwa, kapena pakhosi .
- Ma glands otupa .
- Mabala a tsitsi ndi kutayika kwa tsitsi .
- Kuchepa kwa chiwerengero cha maselo ofiira a magazi, ndiko kuti, kuchepa kwa magazi m'thupi .
- Chizolowezi chokhala ndi matenda opatsirana pafupipafupi .
- Kutupa kwa nembanemba yozungulira mtima, mimba, kapena mapapo . Izi zingayambitse kupweteka pachifuwa komanso kuvutika kupuma.
- Kugwidwa ndi khunyu kapena mavuto ena a mitsempha.
- Mavuto a impso : Mapuloteni mu mkodzo ndi kutupa kwa miyendo kungachitike.
Kumbukirani, kungoti muli ndi chimodzi kapena ziwiri mwa zizindikirozi sizikutanthauza kuti muli ndi lupus. Koma ngati muli ndi zizindikiro zingapo motsatizana, ndi bwino kupita kwa dokotala kuti akupatseni upangiri.Lupus imapezeka kwambiri mwa atsikana, makamaka azaka zapakati pa 15 ndi 45.
Kodi mitundu ikuluikulu ya lupus ndi iti?
Ngakhale kuti imatchedwa lupus, pali mitundu ingapo ikuluikulu. Tiyeni tiwone zomwe zili.Systemic Lupus Erythematosus (SLE)
Uwu ndi mtundu wofala kwambiri wa lupus. Mawu akuti 'systemic' amatanthauza kuti umakhudza ziwalo zosiyanasiyana m'thupi. Izi zikutanthauza kuti SLE ingakhudze ziwalo zosiyanasiyana, kuphatikizapo khungu, mafupa, impso, ubongo, mtima, ndi mapapo. Ichi ndichifukwa chake zizindikiro zake zimasiyana kwambiri.Lupus wa m'chiuno
Mtundu uwu umakhudza kwambiri khungu. Pali mitundu ina yamtunduwu, mwachitsanzo:- Discoid Lupus Erythematosus (DLE) : Izi zimapangitsa kuti pakhungu pawoneke mabala ozungulira, ooneka ngati ndalama, ofiira, komanso okhala ndi zipsera. Izi zimapezeka kwambiri m'malo omwe dzuwa limatuluka monga nkhope, makutu, ndi khungu la mutu. Ngati ziphuphu zikuwonekera pakhungu la mutu, zimatha kuwononga tsitsi komanso nthawi zina zipsera.
- Subacute Cutaneous Lupus Erythematosus (SCLE) : Izi zingayambitse zilonda zofiira, zozungulira, kapena za papulosquamous. Izi zimachitikanso nthawi zambiri m'malo omwe dzuwa limawala. Komabe, sizimayambitsa zipsera kuposa DLE.
Lupus Erythematosus (DILE) yomwe imayambitsa mankhwala
Nkhani iyi ndi yosiyana. Mankhwala ena (monga mankhwala ena a kuthamanga kwa magazi, matenda a mtima, ndi khunyu) angayambitse zizindikiro za lupus ngati njira yogwiritsira ntchito kwa nthawi yayitali. Koma chofunika ndichakuti zizindikirozi nthawi zambiri zimatha mkati mwa miyezi ingapo mutasiya kumwa mankhwalawa. Ndipo nthawi zambiri sizingayambitse mavuto aakulu, monga kuwonongeka kwa impso.Kodi zifukwa za lupus ndi ziti?
N'zovuta kudziwa chifukwa chimodzi chokha cha lupus. Nthawi zambiri imayamba chifukwa cha zinthu zosiyanasiyana. Tiyeni tiwone zinthu zazikulu zomwe zingayambitse matendawa:- Kutengera majini : Ngati anthu ena ali ndi matenda a lupus kapena matenda ena odziteteza m'thupi m'mabanja mwawo, akhoza kukhala ndi vuto linalake loyambitsa matendawa. Izi zikutanthauza kuti majini ali ndi mphamvu pa matendawa. Komabe, kukhala ndi majini okha sikumayambitsa matendawa, zinthu zina ziyeneranso kukhala ndi gawo.
- Zoyambitsa zachilengedwe: Nthawi zina matendawa amatha kuyambitsidwa ndi zinthu zomwe zili kunja.
- Matenda : Zapezeka kuti zizindikiro za lupus zimatha kuwonekera pambuyo pa zinthu zina, monga matenda opatsirana ndi mavairasi.
- Mankhwala ena : Monga tafotokozera kale, lupus imatha kuchitika chifukwa cha mankhwala ena.
- Kuwala kwa dzuwa (UV radiation) : Kukhudzidwa ndi kuwala kwa ultraviolet kungayambitsenso lupus kuphulika kapena kufalikira mwa anthu ena.
- Kupsinjika maganizo kwambiri : Zizindikiro nthawi zina zimatha kuchitika pambuyo pa zochitika zodetsa nkhawa kwambiri, monga ngozi yayikulu, opaleshoni, kapena imfa ya wokondedwa.
- Mahomoni : Popeza lupus imapezeka kwambiri mwa akazi, asayansi amakhulupirira kuti mahomoni achikazi otchedwa estrogen akhoza kukhala ndi chifukwa cha matendawa. Mwachitsanzo, zizindikiro zimatha kusintha panthawi ya mimba kapena nthawi zina za msambo.
Izi zikutanthauza kuti kuti munthu adwale lupus, ayenera kukhala ndi chibadwa chake, ndipo payenera kukhala chinthu china chokhudza chilengedwe kapena china chomwe chimayambitsa majini amenewo. Izi zili ngati kukoka mfuti kuti iphulike.
Kodi matenda a Lupus amachiritsidwa bwanji?
Kuzindikira lupus nthawi zina kumakhala kovuta chifukwa zizindikiro zake zimasiyana malinga ndi munthu ndipo zimatha kufanana ndi matenda ena. Ngati dokotala akukayikira kuti lupus ndi yoopsa, adzachita izi:- Adzakufunsani mafunso ambiri okhudza zizindikiro zanu : zizindikiro zanu ndi ziti, zinayamba liti, momwe zimakulirakulira kapena kuchira, ndi zina zotero. Angafunsenso ngati wina aliyense m'banja mwanu wakhalapo ndi matendawa.
- Kuwunika thupi : Kuwunika zilonda pakhungu, mafupa otupa, mapapo, ndi mtima.
- Kuyezetsa magazi : Izi ndizofunikira kwambiri. Kuyezetsa magazi kumafuna zinthu monga:
- Kuchuluka kwa Magazi Okwanira (CBC) : Izi zimayang'ana kuchuluka kwa maselo ofiira a m'magazi, maselo oyera a m'magazi, ndi ma platelet. Anthu omwe ali ndi lupus akhoza kukhala ndi kuchepa kwa magazi m'thupi, maselo oyera a m'magazi otsika, komanso ma platelet otsika.
- Mayeso a Antinuclear Antibody (ANA) : Iyi ndi mayeso akuluakulu omwe amachitidwa ngati pali kukayikira kuti lupus ndi yotani. ANA ndi mtundu wa antibody yomwe imapangidwa motsutsana ndi nucleus ya maselo a thupi lathu. Anthu ambiri omwe ali ndi lupus ali ndi mayeso abwino a ANA. Komabe, si aliyense amene ali ndi ANA yemwe ali ndi lupus. ANA ingakhalenso ndi kachilomboka m'matenda ena komanso mwa anthu ena athanzi.
- Ma antibodies ena enieni: Ngati ANA ili ndi kachilombo, ndiye kuti timayang'ananso ma antibodies omwe ali enieni kwambiri ku lupus, monga anti-dsDNA ndi anti-Sm. Ngati awa ali ndi kachilombo, ndi othandiza kwambiri potsimikizira lupus.
- ESR (Erythrocyte Sedimentation Rate) ndi CRP (C-Reactive Protein) : Mayesowa amatha kuwona kutupa m'thupi. Izi zitha kukwera panthawi yowonjezereka kwa lupus.
- Kuyesa mkodzo : Kuyesa mkodzo kumachitika kuti aone ngati impso zakhudzidwa. Amafufuza mapuloteni ndi magazi mu mkodzo.
- Nthawi zina munthu angayesedwe kutenga chithunzi cha minofu (biopsy) : Ngati pali chotupa pakhungu, kachidutswa kakang'ono kake (skin biopsy) kangatengedwe ndikuyang'aniridwa pogwiritsa ntchito maikulosikopu kuti aone ngati pali kusintha kulikonse kokhudzana ndi lupus. Komanso, ngati pali kukayikira kuti impso zakhudzidwa, kachidutswa kakang'ono ka impso kangatengedwe ndikuyang'aniridwa (impso biopsy).
Kuzindikira matenda a lupus kuli ngati kuthetsa vuto linalake. Dokotala wanu adzasonkhanitsa zizindikiro zanu, zotsatira za mayeso, ndi zina zambiri kuti apeze matenda olondola. Chifukwa chake, n'kovuta kupeza matenda enieni kutengera mayeso amodzi.
Kodi mankhwala a Lupus ndi otani?
Pakadali pano palibe mankhwala a lupus. Koma musadandaule, pali njira zambiri zothandiza zothandizira kuchepetsa zizindikiro, kuchepetsa kuphulika kwa magazi, komanso kuchepetsa kuwonongeka kwa ziwalo. Chithandizo chimadalira ziwalo zomwe zakhudzidwa komanso momwe zizindikiro zanu zilili zoopsa . Munthu amene ali ndi lupus nthawi zambiri amafunika thandizo la gulu la madokotala.Thandizo kuchokera kwa madokotala odziwa bwino ntchito
Popeza lupus ingakhudze ziwalo zosiyanasiyana za thupi, ingafunike thandizo la akatswiri osiyanasiyana. Mwachitsanzo:- Katswiri wa mafupa a nyamakazi : Dokotala amene amagwira ntchito yokhudza matenda a mafupa, minofu, ndi minofu yolumikizana. Katswiri wa mafupa a nyamakazi amachita gawo lofunika kwambiri pochiza lupus.
- Dokotala wa matenda a impso : Dokotala wodziwa bwino matenda a impso. Ngati impso zakhudzidwa ndi lupus, thandizo la dokotala uyu ndilofunika kwambiri.
- Dokotala wa khungu : Amachiritsa matenda a pakhungu monga zilema ndi mabala.
- Katswiri wa matenda a mtima : Ngati pali zotsatirapo zilizonse pamtima.
- Dokotala wa Mapapu : Ngati pali zotsatirapo pa mapapo.
- Katswiri wa mitsempha : Ngati pali vuto pa ubongo kapena dongosolo la mitsempha.
- Katswiri wa zamaganizo kapena wa zamaganizo : Kuti akuthandizeni kuthana ndi nkhawa ndi chisoni chomwe chimabwera chifukwa chokhala ndi matenda a nthawi yayitali monga lupus.
Mitundu ya mankhwala omwe amagwiritsidwa ntchito
Mankhwala osiyanasiyana amagwiritsidwa ntchito poletsa zizindikiro za lupus ndikuletsa matendawa kuti asakule kwambiri.- Mankhwala oletsa kutupa :
- Mankhwala Oletsa Kutupa Osagwiritsa Ntchito Ma steroid (NSAIDs) : Mwachitsanzo, mankhwala monga ibuprofen ndi naproxen. Mankhwalawa amaperekedwa pa zinthu monga kupweteka kwa mafupa, kupweteka kwa minofu, ndi malungo. Komabe, awa ayenera kumwedwa pokhapokha ngati dokotala akuwalangiza, chifukwa anthu ena angakumane ndi mavuto am'mimba ndi impso.
- Mankhwala oletsa malungo : Hydroxychloroquine ndi mankhwala omwe amagwiritsidwa ntchito kwambiri. Ngakhale kuti ndi mankhwala ochiza malungo, amathandiza kwambiri kuchepetsa ziphuphu pakhungu, kupweteka kwa mafupa, komanso kutopa kwa lupus. Amachepetsanso kuopsa kwa matendawa.
- Corticosteroids : Mankhwala monga prednisolone. Mankhwalawa amathandiza kuchepetsa kutupa ndi chitetezo chamthupi mwachangu. Mankhwalawa amagwiritsidwa ntchito pamene matendawa ali oopsa komanso pamene kuwonongeka kwa ziwalo kukuika moyo pachiswe. Komabe, chifukwa izi zingayambitse zotsatirapo zoyipa (kulemera, matenda a shuga, mafupa ochepa, komanso kufalikira kwa matenda) akagwiritsidwa ntchito kwa nthawi yayitali, madokotala amayesa kuwapatsa mlingo wotsika kwambiri kwa nthawi yochepa kwambiri.
- Mankhwala oletsa chitetezo chamthupi : Mankhwala monga Azathioprine, Mycophenolate, Cyclophosphamide, ndi Methotrexate. Mankhwalawa amagwira ntchito pochepetsa mphamvu ya chitetezo chamthupi ndikuletsa kuti chisaukire thupi lake. Mankhwalawa amagwiritsidwa ntchito ngati ziwalo zawonongeka kwambiri, makamaka impso. Muyenera kukhala pansi pa utsogoleri wa dokotala nthawi zonse mukamamwa mankhwalawa, chifukwa chiopsezo chotenga matenda chikuwonjezeka.
- Mankhwala a Zamoyo : Mankhwala atsopano, monga Belimumab ndi Rituximab, akupezeka tsopano. Mankhwalawa amakhudza mbali zina za chitetezo chamthupi ndipo akhoza kukhala othandiza kwambiri kwa anthu ena.
Chofunika kwambiri ndikumwa mankhwala omwe dokotala wanu wakupatsani monga mwalembedwera, panthawi yake, komanso kwa nthawi yomwe mwapatsidwa. Dokotala wanu adzasankha mankhwala oyenera kwa inu komanso nthawi yomwe muyenera kumwa. Musasiye kumwa mankhwala anu kapena kusintha mlingo nokha.
Kodi ndi chiyani china chomwe muyenera kudziwa chokhudza kukhala ndi lupus?
Popeza lupus ndi matenda omwe amayamba kwa nthawi yayitali, ndikofunikira kuphunzira kukhala nawo. Kuwonjezera pa mankhwala, palinso kusintha kosavuta komwe mungapange pa moyo wanu komwe kungathandize kuthana ndi zizindikiro ndikupewa kuphulika kwa matenda.- Dzitetezeni ku dzuwa.: Anthu ambiri omwe ali ndi lupus amakhudzidwa ndi kuwala kwa dzuwa. Choncho pewani kutuluka padzuwa nthawi zambiri momwe mungathere pakati pa 10 koloko m'mawa ndi 4 koloko madzulo. Ngati mutuluka, gwiritsani ntchito mafuta oteteza ku dzuwa okhala ndi SPF ya 30 kapena kuposerapo. Valani zovala za manja aatali, chipewa, ndi magalasi a dzuwa.
- Pumulani mokwanira : Kutopa ndi chizindikiro chachikulu cha lupus. Choncho yesetsani kugona maola osachepera 8 patsiku. Ndi bwinonso kupuma pang'ono masana. Musamagwire ntchito mopitirira muyeso m'thupi lanu.
- Idyani zakudya zopatsa thanzi : Ndikofunikira kwambiri kudya zakudya zopatsa thanzi. Phatikizani ndiwo zamasamba, zipatso, nyemba, zakudya zokhala ndi ulusi wambiri, ndi mapuloteni opanda mafuta ambiri (nsomba, nkhuku). Chepetsani zakudya zokonzedwa kale, zakudya zokhala ndi shuga wambiri, ndi zakudya zokhala ndi mafuta ambiri.
- Kuchita Masewera Olimbitsa Thupi : Osangokhalira pamalo amodzi chifukwa chotopa. Kuchita masewera olimbitsa thupi pang'ono monga kuyenda, kusambira, ndi yoga kungathandize kuchepetsa kuuma kwa mafupa, kulimbitsa minofu, kuchepetsa kutopa, komanso kukonza thanzi la maganizo. Koma ndi bwino kufunsa dokotala wanu za masewera olimbitsa thupi omwe ali oyenera kwa inu.
- Kuthetsa kupsinjika maganizo : Kupsinjika maganizo kungapangitse kuti zizindikiro za lupus ziwonjezeke kwambiri. Choncho yesetsani kuchepetsa kupsinjika maganizo pogwiritsa ntchito zinthu monga kusinkhasinkha, yoga, kuchita masewera olimbitsa thupi opumira kwambiri, komanso kuchita zinthu zomwe mumakonda.
- Pewani kusuta : Kusuta kungapangitse kuti lupus ikule kwambiri komanso kuonjezera chiopsezo cha matenda a mtima. Choncho ngati mukusuta, pemphani thandizo kuti musiye.
- Pitani kukayezetsa dokotala nthawi zonse : Pitani kwa dokotala wanu nthawi yomweyo momwe mwakonzera. Izi ndizofunikira kwambiri kuti muwone ngati mankhwalawo akugwira ntchito bwino, ngati pali zotsatirapo zina, komanso ngati matendawa akutha.
- Zindikirani zizindikiro zochenjeza za kuphulika kwa mafupa : Yesetsani kumvetsetsa zizindikiro zomwe muli nazo musanayambe kuphulika kwa mafupa (monga kutopa kwambiri, kupweteka kwa mafupa atsopano, ziphuphu pakhungu). Ngati muuza dokotala wanu mwamsanga mukangozindikira zizindikirozi, mutha kuyamba chithandizo msanga ndikuletsa matendawa kuti asakule kwambiri.
- Dziwitsani ophunzira anu kapena ogwira ntchito : Ngati ndinu wophunzira, uzani aphunzitsi anu ndi ogwira ntchito kusukulu za vuto lanu. Kenako mutha kupeza thandizo lomwe mukufuna. Ngati mukugwira ntchito, dziwitsani malo anu antchito ngati pakufunika kutero.
Kukhala ndi lupus kungakhale kovuta, koma simuli nokha. Pezani thandizo kuchokera kwa gulu lanu lachipatala, banja lanu, ndi anzanu. Dziwani bwino za matendawa.
Uthenga Wopita Nawo Kunyumba
Chabwino, ndikukhulupirira kuti muli ndi lingaliro labwino la Lupus kuchokera pa zomwe takambirana. Pomaliza, nazi zinthu zofunika kukumbukira:- Lupus ndi matenda omwe chitetezo cha mthupi lathu chimaukira thupi lathu. Amatha kukhudza ziwalo zingapo.
- Zizindikiro zimasiyana malinga ndi munthu. Ziphuphu pakhungu, kupweteka kwa mafupa, kutopa kwambiri, ndi kutentha thupi ndi zina mwa zizindikiro zodziwika bwino.
- Uphungu ndi mayeso azachipatala ndizofunikira kwambiri kuti munthu adziwe matenda molondola. Musayese kudzifufuza nokha.
- Ngakhale kuti lupus singathe kuchiritsidwa kwathunthu, tsopano pali mankhwala othandiza kwambiri oletsa zizindikiro ndikukweza moyo wabwino.
- Ndikofunikira kwambiri kugwiritsa ntchito mankhwala omwe dokotala wakupatsani molondola komanso kuyesedwa koyenera.
- Kusintha moyo wamba (kuteteza ku dzuwa, kudya zakudya zoyenera, kuchita masewera olimbitsa thupi, kuchepetsa kupsinjika maganizo) kungathandize kwambiri poletsa matendawa.
- Simuli nokha. Pali madokotala, anamwino, alangizi, ndi okondedwa anu omwe angakuthandizeni kuthana ndi lupus.
Njira yabwino kwambiri yokhalira ndi moyo wabwino ndi lupus ndiyo kudziwa za matendawa, kulankhula momasuka za matendawa, ndikupeza chithandizo chomwe mukufuna. Ngati muli ndi nkhawa iliyonse, musaope kulankhula ndi dokotala.
Lupus, SLE, chitetezo chamthupi, zizindikiro, chithandizo, Sri Lanka, chitetezo chamthupi, kupweteka kwa mafupa, matenda a pakhungu
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