Ngaba wena okanye umntu omaziyo une-lupus? Mhlawumbi ukhe weva ukuba esi sifo sinokuchaphazela iindawo ezininzi zomzimba. Ukongeza kulusu kunye namalungu, i-lupus inokuchaphazela nezintso, ezingamalungu abalulekileyo emzimbeni wethu. Namhlanje siza kuthetha ngemiphumo ye-lupus kwizintso, imeko ebizwa ngokuba yi-Lupus Nephritis. Ungakhathazeki, masithethe ngale nto ngokulula.
Ngamafutshane, yintoni iLupus Nephritis?
Kulungile, masiqale siqonde ukuba yintoni iLupus. ILupus sisifo esihlasela umzimba . Oko kukuthi, inkqubo yomzimba yokuzikhusela, ekhusela imizimba yethu kwizifo, ngempazamo iqala ukuhlasela izicubu zethu ezisempilweni kunye namalungu omzimba. Kufana nomkhosi wethu ohlasela ilizwe lethu. Uhlobo oluqhelekileyo lwe-lupus yiSystemic Lupus Erythematosus (SLE) .
Ngoku, xa inkqubo yethu yokuzikhusela komzimba ihlasela izintso zethu ngale ndlela, ibangela ukudumba, oko kukuthi, ukudumba, kunye nomonakalo kwizintso. Leyo yimeko esiyibiza ngokuba yiLupus Nephritis .
Izintso zifana nezihluzo ezibini emzimbeni wethu. Ukuba azisebenzi kakuhle, kunokuvela iingxaki ezinkulu. I-Lupus Nephritis inokubangela ukuba izintso zingakwazi ukwenza ezi zinto zilandelayo ngokufanelekileyo:
- Ukucoca nokususa inkunkuma egazini.
- Ukugcina amanqanaba olwelo emzimbeni, iityuwa, ii-asidi kunye neeminerali kumanqanaba afanelekileyo.
- Ukulawula uxinzelelo lwegazi kunye nomthamo wegazi.
- Ukulawula amanqanaba e-hormone.
Ukuba le meko ayiphathwa kakuhle, ekugqibeleni inokukhokelela ekungasebenzini kwezintso kwanasekufeni kwezintso kwinqanaba lokugqibela, nto leyo edinga unyango lobomi bonke. Ngoko ke, kubaluleke kakhulu ukukwazi oku.
Ngubani onokuthi abe nale meko?
Ukuze umntu abe ne-Lupus Nephritis, kufuneka kuqala abe ne-lupus (SLE). Makhe sijonge ukuba ngubani osengozini enkulu yokuba ne-lupus:
- Kwabasetyhini: Abantu abalithoba kwabalishumi abane-lupus ngabafazi. Umngcipheko uphezulu kakhulu kwabo baphakathi kweminyaka eli-15 nengama-44 ubudala. Kodwa okumangalisayo kukuba, ukuba indoda ifumana i-lupus, banamathuba amaninzi okufumana i-Lupus Nephritis.
- Ilifa: Ukuba kukho umntu kusapho one-lupus, nabanye basengozini.
- Impembelelo yemfuza: Esi sifo sixhaphake kakhulu kubantu baseAsia, eAfrika, nakumaNdiya aseMelika.
- Izinto ezibangela imeko-bume: Kukholelwa ukuba ukuchatshazelwa ziintsholongwane ezithile, usulelo, kunye neekhemikhali ezinobungozi nako kunokubangela oku.
- Ezinye izifo ezichaphazela amasosha omzimba: Ukuba umntu sele enesinye isifo esichaphazela amasosha omzimba, umngcipheko wokuba ne-lupus unokwanda kancinci.
Malunga nama -50% abantu abadala abane-lupus, okanye malunga nomnye kwababini, banokuba ne-lupus nephritis. Malunga nama -80% abantwana abane-lupus, okanye malunga nabane kwabahlanu, banokuba nesi sifo sezintso.
Zingaba yintoni iimpawu zoku?
Iimpawu zeLupus Nephritis zihlala zibonakala emva kweminyaka emihlanu emva kokuqala kweempawu zelupus. Nangona kunjalo, ngamanye amaxesha, uphawu lokuqala nolokuphela kwalo lwelupus lunokuba kukonakala kwezintso. Kubalulekile ukuzazi ezi mpawu.
Khawucinge ngemilenze yakho, ingakumbi amaqatha akho, evuvukile. Okanye xa uvuka kusasa, amehlo akho azive evuvukile. Umchamo wakho unamagwebu ngaphezu kwesiqhelo. Ezi zidla ngokuba ziimpawu zokuqala oziqaphelayo.
Masizijonge ngokucacileyo ezi mpawu.
| Uphawu | Ingcaciso elula |
|---|---|
| Ukudumba (Ukudumba) | Ukudumba emilenzeni, emaqatheni, ezinyaweni, okanye kufutshane namehlo ngenxa yokuqokelelana kolwelo emzimbeni. |
| Iiproteni kumchamo (iProteinuria) | Umchamo uba negwebu (njenge-soap suds) ngenxa yokukhululwa kweproteni kumchamo. |
| Igazi kumchamo (iHematuria) | Igazi elincinci kumchamo. Lisenokungabonakali emehlweni, kodwa umchamo unokuba pinki okanye ube mdaka ngebala. |
| Igazi elonyukayo | Uxinzelelo lwegazi oluphezulu ngenxa yokusebenza kakubi kwezintso. |
| Ukutyeba kwakho | Ukwanda kobunzima ngequbuliso ngenxa yokuqokelelana kolwelo emzimbeni. |
| Ezinye iimpawu ze-lupus | Intlungu okanye ukudumba kwamalungu, iintlungu zemisipha, umkhuhlane ongaziwayo, kunye nokurhawuzelelwa okubomvu okufana nebhabhathane ebusweni. |
Ugqirha uyifumana njani le nto?
Ukuba unale mpawu, ugqirha wakho uza kuqala akuhlole, akubuze ngeempawu zakho kunye nembali yakho yezonyango, aze emva koko acele iimvavanyo ezininzi ukuqinisekisa ukuba unesifo.
- Uvavanyo lwegazi:
- Uvavanyo lwegazi lwe-antibody: Olu vavanyo lujonga amanqanaba aphezulu eeproteni ezithile (ii-antibodies) eziveliswa yinkqubo yomzimba yokuzikhusela. Ezi zixhaphake kakhulu kwi-lupus.
- Uvavanyo lokusebenza kwezintso: Lulinganisa izinto ezifana ne-creatinine ukuze kubonwe ukuba izintso zisebenza kakuhle kangakanani.
- Uvavanyo lomchamo:
- Uhlalutyo lomchamo: Luhlola umchamo ukuba awunazo na iiproteni, igazi, okanye ezinye iingxaki.
- Uvavanyo lweprotheyini yomchamo: Lulinganisa ngqo ukuba ingakanani na iprotheyini emchameni.
- Uvavanyo lwezintso:
Le yeyona ndlela ilungileyo yokuxilonga i-Lupus Nephritis ngokuqinisekileyo nokufumanisa ubungakanani bomonakalo wezintso. Iqhekeza elincinci kakhulu lesicwili lithathwa kwizintso kusetyenziswa inaliti encinci lize lihlolwe phantsi kwemakroskopu. Oku kudla ngokwenziwa esibhedlele, phantsi kwe-anesthesia ekhaphukhaphu.
Zithini iindlela zonyango zoku?
Kukho iinjongo ezimbini eziphambili zokunyanga i-lupus nephritis. Enye kukulawula iimpawu. Enye kukuyeka okanye ukunciphisa umonakalo ongakumbi kwizintso. Unyango ludla ngokubandakanya amayeza kunye notshintsho kwindlela yokutya.
| Indlela yonyango | Kwenzeka ntoni kuyo? |
|---|---|
| Amayeza okunciphisa umzimba | La mayeza asebenza ngokulawula amandla omzimba okuhlasela izintso zethu. Ii-corticosteroids zezona zisetyenziswa kakhulu kule njongo. |
| Amayeza oxinzelelo lwegazi | Amayeza anjenge -ACE inhibitors kunye nee-ARB alawula uxinzelelo lwegazi kwaye anciphise ukuphuma kweeproteni kumchamo, nto leyo enokunciphisa umonakalo kwizintso. |
| Iziyobisi zomchamo | Ezi zikwabizwa ngokuba 'ziipilisi zamanzi'. Zinceda ekunciphiseni ukudumba ngokususa ulwelo olugqithisileyo emzimbeni njengomchamo. Zikwanceda ekunciphiseni uxinzelelo lwegazi. |
| Utshintsho kwindlela yokutya | Ugqirha wakho unokukucebisa ukuba unciphise uxinzelelo kwizintso zakho kwaye unciphise ukutya kwakho i-sodium . Usenokucelwa ukuba unciphise ukutya okuneproteni ephezulu njengenyama kunye nobisi. Kungcono ukuthetha nogqirha wakho kunye nengcali yesondlo ngale nto uze uvelise isicwangciso sokutya esifanelekileyo kuwe. |
Ngaba wonke umntu kufuneka aye kwi-dialysis?
Hayi. Akwenzeki kubo bonke abantu. Phakathi kwe -10% kunye ne-30% yabantu abane-Lupus Nephritis ekugqibeleni baba nokungasebenzi kakuhle kwezintso. Ukuba oko kuyenzeka, kunokufuneka uqwalasele olu nyango:
- I-Dialysis: Inkqubo apho umatshini uhluza inkunkuma egazini xa izintso zingasebenzi kakuhle.
- Ukufakelwa kwezintso: Ukufakelwa izintso eziphilileyo ngotyando ukuze kuthathelwe indawo izintso ezingasebenzi kakuhle.
Kunini apho kufuneka ubone ugqirha ngokukhawuleza?
Ukuba une-lupus, qaphela naluphi na utshintsho kwizintso zakho. Ukuba ufumana olunye okanye ngaphezulu kwezi mpawu zilandelayo ngequbuliso, oko kungaba luphawu lokungasebenzi kakuhle kwezintso ngequbuliso . Ukuba oku kuyenzeka , funa uncedo lwezonyango ngokukhawuleza . Ukuba kuyimfuneko, yiya kwigumbi likaxakeka lesibhedlele elikufutshane (ETU).Hamba.
- Isisu esibuhlungu
- Ubunzima bokuchama, okanye umchamo omncinci kakhulu ophumayo
- Ukudinwa kakhulu okanye ukozela
- Umchamo onogwebu okanye onegazi
- Ulusu olurhawuzelelayo
- Ukunyuka ngequbuliso koxinzelelo lwegazi
- Umnqweno wokutya
- Isicaphucaphu nokuhlanza
- Ubunzima bokuphefumla
- Ukudumba komzimba
Ukuphila nale meko kunokuba nzima, kodwa ngonyango olufanelekileyo kunye neengcebiso zonyango, abantu abaninzi baye bakwazi ukuphila ubomi obuqhelekileyo. Eyona nto ibalulekileyo kukuhlala unxibelelana rhoqo nogqirha wakho kwaye ufumane zonke iimvavanyo kunye nonyango olufunekayo.
Umyalezo Wokuya Ekhaya
- I-Lupus Nephritis kukulimala kwezintso kunye nokudumba okubangelwa yi-lupus (SLE).
- Ukudumba kwemilenze, ukudumba okujikeleze amehlo, umchamo onamagwebu, kunye noxinzelelo lwegazi oluphezulu zisenokuba zezona mpawu ziphambili ezinxulumene noku .
- Ukuchongwa kwangethuba kunye nonyango lwesi sifo kunokunciphisa kakhulu umonakalo kwizintso.
- Unyango luquka amayeza okunciphisa umzimba, amayeza oxinzelelo lwegazi, kunye notshintsho kwindlela yokutya.
- Kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho ngokuchanekileyo kwaye uye kwiikliniki ngexesha.
- Ukuba kuvela iimpawu ezingxamisekileyo, funa ingcebiso kagqirha ngoko nangoko.
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