Uri kuona maronda matsvuku, dzimwe nguva akaita denderedzwa pamutsipa wako, pachipfuva, kumusana, kana mumaoko here? Ane maronda, maronda, uye akaoma here? Vanhu vazhinji vanonetseka nezvechirwere ichi. Zvakajairika kushamisika kana chiri chirwere cheganda chinowanzoitika kana chimwe chinhu chakakomba. Nhasi, tichataura nezveSubacute Cutaneous Lupus Erythematosus, kana kuti SCLE muchidimbu, rudzi rwe lupus runongokanganisa ganda chete. Kana wangoziva izvi zvizere, zvichave nyore kwauri kubata nechirwere ichi.
Zvichitaurwa zviri nyore, chii chinonzi SCLE?
Zvakanaka, ngatizvitaure zviri nyore. SCLE chirwere chiri muboka rezvirwere zvinonzi lupus, uye chinonyanya kukanganisa ganda. Lupus chirwere chinoitika nekuda kwedambudziko remasoja emuviri wedu. Kazhinji, masoja edu ekudzivirira muviri anorwisa utachiona hunokonzera chirwere. Asi mumamiriro ezvinhu akaita se lupus, masoja aya anotanga kurwisa masero edu ane hutano.
SCLE rudzi rwe lupus runokanganisa ganda. Vanachiremba vanorudaidza kuti Cutaneous Lupus Erythematosus (CLE). Izwi rekuti "Subacute" rinoreva rudzi rwekuzvimba kunoonekwa mu biopsy yeganda, inova chidimbu chidiki cheganda chinotorwa choongororwa.
Zvakakosha kuti, inenge hafu yevanhu vane SCLE vanewo chirwere che lupus chinowanzoonekwa, Systemic Lupus Erythematosus, kana SLE . SLE chirwere chinogona kukanganisa kwete ganda chete, asiwo nhengo dzemukati dzakadai seitsvo, moyo, nehuropi. Saka zvakakosha kutaura nachiremba kana uine zviratidzo zveSCLE.
Mabatiro anoita chirwere ichi munhu wese anogona kusiyana, saka zvinogona kuoma kuona chirwere ichi. Chinhu chakakosha ndechekuwana chiremba anokuteerera uye anokuwana mushonga wakakodzera.
Ndedzipi mhando huru dzeSCLE?
SCLE inogona kuonekwa nenzira mbiri huru. Dzese idzi dzinotaridzika zvakasiyana zvishoma. Ngationei kuti chii.
| Rudzi rweSCLE | Chitarisiko uye hunhu |
|---|---|
| Annular SCLE | Rudzi urwu rwechirwere cheganda runokonzera kuti zvidimbu zvitsvuku, zvine makwapa, zvakatenderera, kana zvakaita sedenderedzwa zvioneke paganda. Zvipembenene izvi zvinowanzoonekwa munzvimbo dzine zuva. Mushure mekunge zvipembenene izvi zvapora, ganda riri munzvimbo idzodzo rinogona kuchenuruka zvishoma. Vanachiremba vanodana izvi kuti hypopigmentation . |
| Papulosquamous SCLE | Rudzi urwu rwemapundu paganda runoratidzwa nekusanganiswa kwemapule madiki uye chitarisiko chine maganda. Pakutanga, anogona kunge akafanana ne eczema kana psoriasis. Rudzi urwu runonyanya kuwedzerwa nechiedza chezuva . |
Ndezvipi zviratidzo zveSCLE?
Chiratidzo chikuru cheSCLE mapundu eganda. Izvi zvinonyanya kuonekwa panhengo dzemuviri wako dzinowanzo piswa nezuva, dzakadai semutsipa, chipfuva, musana, nemaoko.
Kukuvadzwa uku kunogona kunge kwakaita seizvi:
- Mavara matsvuku, akaita sedenderedzwa, uye ane denderedzwa. Dzimwe nguva mhete idzi dzinogona kubatana uye kuita sepatani hombe.
- Ganda dzvuku, rine makwapa, rakaoma, rine makwapa. Izvi zvinowanzoita se psoriasis.
Chinhu chakanakisa ndechekuti, mavara aya haawanzovavi kana kusiya mavanga . Zvisinei, ruvara rweganda runogona kuramba ruripo mushure mekunge mavara acho apora.
Ndezvipi zvinhu zvinobatsira pakukura kweSCLE?
Zvakaoma kuziva chikonzero chimwe chete chinokonzera SCLE. Inyaya yakaoma. Vaongorori vanotenda kuti zvinhu zvakawanda zvinouya pamwe chete kuti zviikonzere.
- Zvinhu zvinokonzerwa nemajini: Izvi zvinoreva kuti panogona kunge paine hukama hwemajini. Kana mumwe munhu mumhuri yako aine lupus, iwe unogona kunge uri panjodzi.
- Zvinhu Zvakatipoteredza: Chinonyanya kukosha pane izvi imwaranzi ye ultraviolet , inova chiedza chezuva. Pamusoro pezvo, zvinotendwa kuti zvinhu zvakaita sekushandiswa kwefodya nemishonga yekuuraya zvipembenene zvinogonawo kukanganisa.
- Mimwe mishonga: Vanhu vanosvika chikamu chimwe muzvitatu vane SCLE vanowana chirwere ichi mushure mekutora mimwe mishonga. Izvi zvinonzi "Drug-induced SCLE."
| Mimwe mishonga inogona kukonzera SCLE |
|---|
| Mishonga yekurwisa fungus |
| Mimwe mishonga yekudzivirira kubatwa nepfari |
| Mimwe mishonga yeBP, semuenzaniso ACE inhibitors |
| Mishonga yekurapa nemakemikari |
| Mimwe mishonga inoshandiswa kurapa gastritis (Proton pump inhibitors - PPIs) |
| Mimwe mishonga inoshandiswa kurapa zvirwere zvakaita searthritis (tumor necrosis factor inhibitors) |
Ndiani ari panjodzi huru yekuva neSCLE?
- Zvinoitika kakawanda kuvakadzi kupfuura kuvarume.
- Inonyanya kuonekwa muvanhu vane makore ari pakati pe40 ne60 .
- Kunyangwe zvichinyanya kuitika kuvanhu vachena, chirwere ichi chinogona kuitika kuvanhu verudzi rupi zvarwo.
Kuongororwa uye kurapwa kwechirwere ichi
Kana uine zviratidzo izvi, chinhu chekutanga chaunofanira kuita kuona chiremba. Unogona kutumirwa kuna chiremba weganda kana chiremba wemapfupa.
Nzira yekuziva sei chirwere ichi?
Chiremba achaongorora ganda rako uye achakubvunza nezvezviratidzo zvako. Vanogona kuita bvunzo dzinotevera kuti vasimbise chirwere chako:
- Kuongororwa kweganda: Izvi zvinosanganisira kutora ganda diki kubva kumota iri paganda rako uchibatsirwa neanesthesia woriongorora uchishandisa maikorosikopu. Izvi zvinogona kubatsira kuona kana mota iri rinokonzerwa neSCLE kana chimwe chirwere cheganda.
- Kuongororwa kweropa: Kuongororwa ropa kwakawanda kunogona kuitwa.
- Kuverengwa kweropa rose (CBC)
- Sed rate (ESR) uye C-reactive protein (CRP) - Izvi zvinotarisa kuzvimba mumuviri.
- Kuongororwa kweAntinuclear Antibody (ANA): Iyi iongororo yakakosha pakuongorora lupus.
- Kuongororwa kwebasa reitsvo nechiropa
- Kuongororwa kweweti
SCLE inorapwa sei?
Chinhu chinonyanya kukosha uye chikuru pakurapa SCLE kudzivirira zuva , sezvo chiedza chezuva chiri chinhu chikuru chinowedzera chirwere ichi.
Uyezve, chiremba wako anogona kukurudzira mishonga yekurapa kana yekunwa zvichienderana nekuoma kwezviratidzo zvako.
| Rudzi rwekurapwa | Mienzaniso (inotorwa kubva kuchiremba chete) |
|---|---|
| Mishonga yekurapa | Hydrocortisone, Triamcinolone, Clobetasol |
| Mamwe mafuta eganda emuganda (Topical calcineurin inhibitors) | Tacrolimus, Pimecrolimus |
| Mishonga yekudzivirira malaria nemuromo | Hydroxychloroquine, Chloroquine |
| Mishonga inodzvinyirira masoja emuviri | Methotrexate, Azathioprine |
| Mamwe marudzi emishonga | Dapsone, Retinoids, Monoclonal antibodies (IVIG, Rituximab) |
Yambiro: Usashandise chero ipi zvayo yemishonga iyi usina kupiwa mazano nachiremba. Chiremba wako chete ndiye anogona kusarudza mushonga wakanakira iwe.
Maitiro ekurarama neSCLE?
SCLE chirwere chisingaperi (chisingaperi). Izvi zvinoreva kuti zviratidzo zvinogona kuwedzera uye kudzikira dzimwe nguva. Zvisinei, chinogona kudzorwa zvakanaka uye unogona kurarama hupenyu hwakajairika.
Kudzivirirwa nezuva ndiko kwekutanga!
Ichi ndicho chinhu chakakosha kupfuura zvose chaunogona kuita.
- Shandisa mafuta ekudzivirira zuva ane SPF 50 kana kupfuura zuva rega rega paunobuda muzuva . Izvi zvinofanirwa kuitwa, kunyangwe kana paine makore.
- Dzivisa zuva rakasimba pakati pa10am na4pm.
- Kana uchibuda muzuva, pfeka mbatya dzinodzivirira zuva, dzakadai sengowani ine muromo wakafara uye mbatya dzine maoko marefu.
- Rega kushandisa mibhedha yekuchenesa tanning zvachose.
Kuzvitarisira zvakanaka mushonga zvakare!
- Nzwisisa chirwere ichi: Verenga nezvechirwere ichi kubva kunzvimbo dzakavimbika uye uzvidzidzise. Izvi zvichakupa kunzwisisa kuri nani kwezviri kuitika mumuviri wako.
- Tsvaga chiremba waunovimba naye: Ungangoda kuona chiremba nguva dzose, saka ramba uchitsvaga kurapwa kubva kuna chiremba anokuteerera uye anokunzwisisa.
- Vaka rutsigiro: Kutaura nevanhu vari mumamiriro ezvinhu akafanana neako uye kugovana zvakaitika kwauri kuchakupa simba guru repfungwa.
- Zvichengete: Idya zvine hutano, rovedza muviri, rara zvakanaka, uye dzora kushushikana. Zvinhu izvi zvichabatsira zvikuru mukudzivirira chirwere ichi.
Sezvo uine SCLE uye uchida kuzvidzivirira kubva kuzuva zvakanyanya, unogona kushaya vhitamini D. Zvakanaka kutaura nachiremba wako nezveizvi uye kutora vhitamini D supplement kana zvichidikanwa.
Mharidzo Yekuenda Nayo Kumba
- SCLE chirwere chinogara kwenguva refu chinokanganisa ganda rine lupus.
- Chiratidzo chikuru ndechekuonekwa kwemavara matsvuku, akaita sedenderedzwa, kana kuti ane makwapa paganda rinopiswa nezuva.
- Kudzivirira zuva ndiyo nhanho inonyanya kukosha uye yekutanga mukudzivirira chirwere ichi.
- Mavara aya haawanzokwenya kana kukonzera mavanga, asi anogona kusiya ruvara rweganda.
- Kana uine zviratidzo izvi, usavhunduka wobva waona chiremba nekukurumidza. Kana ukarapwa zvakanaka uye uchitarisirwa zvakanaka, unogona kurarama hupenyu hwakajairika.
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