Ngaba unamabala amile okwebhabhathane eluswini lwakho? Masifunde ngeCutaneous Lupus!

Ngaba wakha waphawula ukuba abanye abantu banendawo ebomvu efana nebhabhathane ezidleleni zabo nasempumlweni? Okanye emva kokuchitha ixesha elithile elangeni eliqatha laseSri Lanka, kuvela irhashalala eluswini lwabo ngequbuliso? Ezi azizongxaki zolusu kuphela. Ngamanye amaxesha ezi zinokuba ziimpawu zangaphandle zengxaki emizimbeni yethu. Namhlanje sithetha ngemeko ebonisa iimpawu ezinjalo, abantu abaninzi abangaziqondi kakuhle, kodwa kubaluleke kakhulu ukuba baziqaphele. Yiyo loo nto iCutaneous Lupus.

Yintoni iCutaneous Lupus?

Ngamafutshane, i-cutaneous lupus sisifo esichaphazela ulusu lwethu. Ngoku mhlawumbi uyazibuza ukuba yintoni le nto "i-autoimmune". Kulungile, mandikuchaze ngale ndlela.

Khawuthelekelele ukuba umkhosi welizwe lethu ukho ukuze usikhusele kwiintshaba zangaphandle. Ngokufanayo, umzimba wethu ukwanenkqubo yokuzikhusela. Umsebenzi wawo kukusikhusela kwizifo ngokulwa neentshaba ezifana neentsholongwane, iintsholongwane kunye neebhaktheriya ezingena emzimbeni zivela ngaphandle.

Kodwa, kwisifo sokuzikhusela komzimba, kwenzeka into ebuhlungu kakhulu. Inkqubo yokuzikhusela yomzimba wethu, inkqubo yokuzikhusela yomzimba, iyadideka. Ayikwazi ukuxelela ukuba ngubani umhlobo kwaye ngubani utshaba. Ngoko ke endaweni yokuhlasela iintsholongwane zasemzini, iqala ukuhlasela iiseli zethu eziphilileyo . Kufana nomkhosi wethu ohlasela abantu bethu.

Kwi-lupus yesikhumba, inkqubo yomzimba yokuzikhusela ihlasela iiseli zethu zesikhumba, ibangela ukudumba okungapheliyo kwesikhumba, okukhokelela kwiimpawu ezinje ngamaqhuqhuva, amabala, ukurhawuzelela, kunye nokudumba.

Ingaba esi sisifo esifanayo esisaziwa ngumntu wonke xa esithi lupus?

Hayi. Usenokuba ukhe weva ngesifo esibizwa ngokuba yiSystemic Lupus Erythematosus (SLE). Esi sisifo esibizwa ngokuba yi-lupus. Kodwa kwi-SLE, inkqubo yomzimba yokuzikhusela ayihlaseli ulusu kuphela. Ingachaphazela nomzimba wonke, kuquka amalungu angundoqo afana namalungu, imithambo yegazi, izintso kunye nentliziyo.

I-Cutaneous Lupus Erythematosus (CLE) luhlobo lwe-lupus oluphelela eluswini. Nangona kunjalo, ngamanye amaxesha, umntu one-CLE unokuba ne-SLE kamva. Ke ngoko, kubaluleke kakhulu ukuqaphela naziphi na iimpawu ze-lupus eluswini.

Ngaba kukho iintlobo ezahlukeneyo ze-lupus?

Ewe, i-cutaneous lupus isenokufika ihambe. Kwabanye abantu, iimpawu ziyafika zihambe. Kwabanye, ziyaqhubeka zineempawu, ezinye iintsuku azibi kakhulu kwaye ezinye iintsuku zibi kakhulu. Esi sifo sahlulwe ngokwexesha elithatha ngalo iimpawu kunye nohlobo lwezilonda zesikhumba. Makhe sijonge iintlobo eziphambili.

Zithini iimpawu zesi sifo?

I-lupus yesikhumba inokubangela iimpawu ezahlukeneyo zesikhumba. Ezinye iimpawu zichaphazela i-lupus. Ezinye zinokubonakala kwezinye izifo zesikhumba. Makhe sijonge iimpawu eziphambili.

Iimpawu eziqhelekileyo

• Amabala abomvu, anamaxolo: La angafunyanwa okanye ajikelezileyo, ingakumbi kwiindawo ezivezwe lilanga .Zibonakala kakhulu entloko, entanyeni, nasezandleni. Kubantu abanesikhumba esimnyama, la mabala anokubonakala emfusa okanye emdaka.
• I-Malar Rash: Olu luphawu abantu abaninzi abalucingayo xa becinga nge-lupus. Liqhuqhuva elibomvu elivela ezidleleni nakwibhulorho yempumlo, lifana nebhabhathane elisasaza amaphiko alo.
• Umbala wolusu uyatshintsha: Emva kokuba iindawo apho amabala angaphambili apholileyo khona, umbala wolusu kwezo ndawo unokuba mhlophe (hypopigmentation) okanye ube mnyama (hyperpigmentation).
• Ukuvaleka kwesikhumba: Abantu abane-lupus bafumana iimpawu zolusu ezikhulayo xa bevezwa lilanga. Nokuba ixesha elifutshane bevezwa lilanga linokubangela ukurhawuzelela, kwaye ukurhawuzelela kunokuba nzima.
• Ukulahleka kweenwele: Ukuba kuvela amabala e-lupus (izilonda ze-discoid) entlokweni, anokuba namabala aze abangele ukulahleka kweenwele okungapheliyo.
• Izilonda emlonyeni okanye empumlweni: Izilonda ezincinci ezingenabuhlungu zinokuvela eluphahleni lomlomo, ngaphakathi ezidleleni, okanye ngaphakathi empumlweni.
• Ukurhawuzelelwa nokudumba kwesikhumba: Amanye amabala anokuhamba nokurhawuzelelwa nokudumba, ingakumbi kufutshane namehlo (i-edema).

Kutheni oku kusenzeka? Zithini izinto ezibangela umngcipheko?

Njengoko besitshilo ngaphambili, esi sisifo sokuzikhusela komzimba. Oku kuthetha ukuba sibangelwa yimpazamo kwinkqubo yethu yokuzikhusela komzimba. Izazinzulu azikaqiniseki ngokupheleleyo ukuba kutheni oku kusenzeka. Kodwa zikholelwa ukuba ukudibana kwezinto ezahlukeneyo kunokudlala indima.

Zizinto ezibangela utyekelo lwemfuza kunye nezinto ezibangela ukwenzeka kwendalo .

Ngamafutshane, abanye abantu banotyekelo oluncinci lokufumana olu hlobo lwesifo kwiijini zabo. Kodwa esi sifo asiphumi kuba nje benalo olo tyekelo. Xa umntu onotyekelo lolo tyekelo lwemfuza evezwa kwizinto ezithile ezingqongileyo, oko kunokuvuselela inkqubo yomzimba yokuzikhusela kwaye kubangele ukuba esi sifo sivele.

Ezinye izinto ezandisa umngcipheko:

• Ukuba ngumfazi: Abafazi basengozini enkulu yokufumana i-lupus kunamadoda, ingakumbi ngexesha apho amanqanaba e-estrogen ephezulu.
• Ilifa: Ukuba umntu kusapho lwakho une-lupus okanye esinye isifo sokuzikhusela komzimba, usenokuba sengozini engakumbi.
• Ukuba nezinye izifo ezichaphazela amasosha omzimba: Abantu abanezinye izifo ezichaphazela amasosha omzimba, ezifana nesifo se-thyroid kunye ne-rheumatoid arthritis, basengozini enkulu yokuba ne-lupus.
• Ukusetyenziswa kwamayeza athile ixesha elide:Amanye amayeza, afana namayeza oxinzelelo lwegazi oluphezulu kunye namayeza okuxhuzula, anokubangela izifo ezifana ne-lupus xa esetyenziswa ixesha elide.
• Uxinzelelo olukhulu lwengqondo okanye lomzimba: Uxinzelelo olukhulu emzimbeni, njengosulelo olukhulu okanye ingozi, ngamanye amaxesha lunokubangela isifo.
• Ukutshaya: Ukutshaya yimbangela enamandla ye-lupus kunye nokwanda kweempawu.

Ugqirha uyifumana njani le nto?

Ukuba ufumana ezi mpawu zolusu, eyona nto ingcono onokuyenza kukubona ugqirha, ingakumbi ugqirha wesikhumba . Uza kukubuza ngeempawu zakho aze ahlole ulusu lwakho ngononophelo.

Ezinye iimpuku zelupus (ezifana nempuku ye-malar) zinokubonwa ngoko nangoko. Nangona kunjalo, ngenxa yokuba ezinye iindawo zifana nezinye iimeko zesikhumba, kunokufuneka uvavanyo olongezelelweyo ukuqinisekisa ukuxilongwa.

• I-Biopsy yoLusu: Oku kuquka ukuthatha amayeza amancinci okubulala iintlungu kwindawo ethile uze uthathe iqhekeza elincinci lolusu uze ulihlolisise phantsi kwe-microscope. Oku kunokunceda ekuqinisekiseni ukuba kukho naluphi na utshintsho kwiiseli zolusu olunxulumene ne-lupus.
• I-Immunofluorescence ethe ngqo: Olu luvavanyo olukhethekileyo olwenziwa kwi-biopsy yolusu. Lunokufumanisa ukuba kukho ubungqina bokuba inkqubo yomzimba yokuzikhusela ihlasela ulusu.
• Uvavanyo lwegazi: Ngamanye amaxesha ugqirha wakho uya kucebisa novavanyo lwegazi. Olu lwenziwa ukujonga iimpawu ze-SLE, imeko echaphazela amalungu angaphakathi omzimba, ukongeza kwi-lupus eluswini.

Zithini iindlela zonyango zoku?

Into yokuqala neyona ibalulekileyo ekufuneka siyithethe kukuba akukabikho nyango lwe-cutaneous lupus, kuba inxulumene nokusebenza kwenkqubo yethu yokuzikhusela komzimba.

Isicwangciso sonyango simiselwa ngokujonga uhlobo lwe-lupus onayo, ubukhali beempawu zakho, kunye nendlela ezichaphazela ngayo ubomi bakho.

Iindlela eziphambili zonyango kunye nemiyalelo zezi:

1. Ukukhuselwa lilanga: Le yeyona nto ibalulekileyo nekufuneka yenziwe. Ukuvezwa lilanga eliqatha laseSri Lanka kufuneka kuncitshiswe kangangoko kunokwenzeka.

• Kuphephe ukuphuma elangeni elinamandla phakathi kwentsimbi ye-10:00 kusasa kunye neye-4:00 emva kwemini.
• Ukuba uphuma phandle, nxiba impahla egquma umzimba wakho, njengomnqwazi obanzi kunye nempahla enemikhono emide.
• Ixabiso le-SPF 50 okanye ngaphezuluSebenzisa isithambisi selanga esilungileyo njengoko ugqirha wakho ekucebisile. Sithambise imizuzu engama-20 ngaphambi kokuba uphume phandle.

2. Amayeza Asetyenziswa Ngasemzimbeni:

• Ugqirha wakho angakunika iikhrimu, iiloshini, okanye iithambiso zokulawula ukudumba kunye nokurhawuzelela kolusu. Iikhrimu ze-corticosteroid kunye neethambiso ze -tacrolimus zezona zisetyenziswa kakhulu.

3. Ukufakwa kweziyobisi:

• Ngamanye amaxesha, ukuba amabala atyebile kakhulu kwaye akaphenduli kunyango, ugqirha unokufaka iyeza le-steroid ngqo kuloo ndawo.

4. Amayeza Omlomo:

• Ukuba iimpawu zolusu zinzima okanye azilawulwa ngamayeza asetyenziswa ngaphandle kwesikhumba, amayeza asetyenziswa ngomlomo anganikwa. Amayeza asetyenziswa kakhulu kwi-lupus yi -hydroxychloroquine kunye ne -chloroquine . La mayeza anceda ekulawuleni ukusebenza ngokugqithisileyo kwenkqubo yomzimba yokuzikhusela.

5. IVithamin D:

• Ukuphepha ukutshiswa lilanga kunokubangela ukunqongophala kwevithamini D emzimbeni wakho. Ugqirha wakho uza kukuvavanya oku aze akunike iipilisi zevithamini D ukuba kuyimfuneko.

Izinto ekufuneka uziqwalasele xa uphila ne-lupus

I-cutaneous lupus yimeko ehlala ubomi bonke, kodwa ngokulawulwa ngokufanelekileyo, ungaphila nayo ngempumelelo. Nangona kunokuba nzima ukuziqhelanisa nolu tshintsho ekuqaleni, ekuhambeni kwexesha luya kuba yinxalenye yobomi bakho.

• Kuphephe ukukha okanye ukukrwela amabala esikhumba. Ukwenza njalo kungonakalisa ulusu ngakumbi kwaye kubangele ukuba kuvele amabala amatsha.
• Ukuba ukhathazekile ngamabala, sebenzisa izinto zokuthambisa ezikhethekileyo ezicetyiswe ngugqirha wakho ukuze uzigubungele.
• Kungangcono nokuba unganciphisa ukusetyenziswa kwezibane ezikhanyayo (iityhubhu) ekhaya nasemsebenzini . Zikhupha nemitha encinci ye-UV.
• Bona ugqirha wakho rhoqo. Yiya rhoqo kwiimvavanyo ukuze ujonge imeko yakho kwaye ujonge naziphi na ezinye iimeko, ezifana ne-SLE.
• Cinga nangempilo yakho yengqondo. Amabala abonakalayo eluswini lwakho ngamanye amaxesha anokukwenza uzive ulusizi kwaye uxhalabile. Ngamaxesha anje, thetha nomntu omthembayo kwaye ucele ingcebiso ukuba kuyimfuneko.

I-cutaneous lupus ayisosifo esisongela ubomi. Kodwa inokuchaphazela umgangatho wobomi bakho. Eyona nto ibalulekileyo kukwazi kakuhle ngesi sifo, ulandele imiyalelo kagqirha wakho ngononophelo, kwaye ufumane unyango kunye nendlela yokuphila efanelekileyo kuwe.