Ngaba unamabala abomvu, ngamanye amaxesha angqukuva entanyeni yakho, esifubeni, emqolo, okanye ezingalweni? Ngaba anamaxolo, anamaxolo, kwaye omile? Abantu abaninzi bakhathazekile ngale meko. Kuqhelekile ukuzibuza ukuba ingaba yimeko eqhelekileyo yesikhumba okanye yinto enzulu ngakumbi. Namhlanje, siza kuthetha nge-Subacute Cutaneous Lupus Erythematosus, okanye i-SCLE ngamafutshane, uhlobo lwe-lupus oluchaphazela ulusu kuphela. Nje ukuba uluqonde ngokupheleleyo olu, kuya kuba lula kakhulu kuwe ukujongana nale meko.
Kalula nje, yintoni i-SCLE?
Kulungile, masiyibeke ngokulula le nto. I-SCLE yimeko ekwiqela lezifo ezibizwa ngokuba yi-lupus, kwaye ichaphazela kakhulu ulusu. I-Lupus sisifo esenzeka ngenxa yengxaki kwinkqubo yomzimba wethu yokuzikhusela. Ngokwesiqhelo, inkqubo yethu yokuzikhusela ilwa neentsholongwane ezibangela izifo. Kodwa kwimeko efana ne-lupus, le nkqubo iqala ngempazamo ukuhlasela iiseli zethu eziphilileyo.
I-SCLE luhlobo lwe-lupus oluchaphazela ulusu. Oogqirha bayibiza ngokuba yi-Cutaneous Lupus Erythematosus (CLE). Igama elithi "Subacute" libhekisa kuhlobo lokuvuvukala okubonwa kwi-biopsy yolusu, oluyiqhekeza elincinci lolusu elithathwayo laze lahlolwa.
Okubalulekileyo kukuba, malunga nesiqingatha sabantu abane-SCLE nabo bane-lupus condition eqhelekileyo, iSystemic Lupus Erythematosus, okanye i-SLE . I-SLE yimeko enokuthi ichaphazele kungekuphela nje ulusu, kodwa kunye namalungu angaphakathi afana nezintso, intliziyo, kunye nengqondo. Ngoko ke kubalulekile ukuthetha nogqirha ukuba uneempawu ze-SCLE.
Indlela esi sifo esichaphazela ngayo wonke umntu inokwahluka, ngoko ke kunokuba nzima kancinci ukusifumanisa. Eyona nto ibalulekileyo kukufumana ugqirha oza kukuphulaphula aze akufumanele unyango olufanelekileyo.
Ziziphi iintlobo eziphambili ze-SCLE?
I-SCLE inokubonwa ngeendlela ezimbini eziphambili. Zombini ezi zibonakala zahlukile kancinci. Masibone ukuba ziyintoni na.
| Uhlobo lwe-SCLE | Inkangeleko kunye neempawu |
|---|---|
| I-Annular SCLE | Olu hlobo lwesimo solusu lubangela ukuba kuvele amabala abomvu, anamaxolo, angqukuva, okanye amile okwesangqa (iiplaque) eluswini. La mabala abonakala rhoqo kwiindawo ezichatshazelwe lilanga. Emva kokuba la mabala epholile, ulusu kwezo ndawo lunokuba mthubi kancinci. Oogqirha babiza oku ngokuba yi-hypopigmentation . |
| I-Papulosquamous SCLE | Olu hlobo lwerhashalala lolusu lubonakala ngokudibanisa iipapule ezincinci kunye nokubonakala kwerhashalala. Ekuqaleni, lunokufana ne-eczema okanye i-psoriasis. Olu hlobo lukwabiliswa kakhulu kukukhanya kwelanga . |
Zithini iimpawu ze-SCLE?
Uphawu oluphambili lwe-SCLE kukuqhambuka kwesikhumba. Oku kubonakala kakhulu kwiindawo zomzimba wakho ezihlala zichatshazelwa lilanga, njengentamo, isifuba, umqolo, neengalo.
Lo monakalo ungaba ngolu hlobo:
- Amabala abomvu, amile okwesangqa, amile okweqanda. Ngamanye amaxesha la makhonkco anokudibana aze abonakale njengepateni enkulu.
- Ulusu olubomvu, oluneziqwenga, olomileyo, oluneziqwenga. Oku kudla ngokubonakala njenge-psoriasis.
Eyona nto ingcono kukuba, la mabala adla ngokungarhawuzeleli okanye angashiyi amanxeba . Nangona kunjalo, umbala wesikhumba usenokuhlala ukhona emva kokuba amabala epholile.
Ziziphi izinto ezibangela uphuhliso lwe-SCLE?
Kunzima ukukhomba unobangela omnye we-SCLE. Ngumba onzima lo. Abaphandi bakholelwa ukuba kukho izinto ezininzi ezibangela oku.
- Izinto ezibangela imfuza: Oku kuthetha ukuba kunokubakho unxibelelwano lwemfuza. Ukuba kukho umntu kusapho lwakho one-lupus, nawe usenokuba sengozini.
- Izinto ezisingqongileyo: Eyona nto ibalulekileyo kwezi yimitha ye-ultraviolet , ekhanyisa ilanga. Ukongeza, kukholelwa ukuba izinto ezinje ngokusetyenziswa kwecuba kunye nezibulali-zinambuzane nazo zinokuba nefuthe.
- Amayeza athile: Malunga nesinye kwisithathu sabantu abane-SCLE baba nale meko emva kokusela amayeza athile. Oku kubizwa ngokuba yi-"Drug-induced SCLE."
| Amanye amayeza anokubangela i-SCLE |
|---|
| Amayeza okulwa nefungus |
| Amanye amayeza okulwa nokuxhuzula |
| Amanye amayeza oxinzelelo lwegazi, umzekelo, i-ACE inhibitors |
| Amayeza e-chemotherapy |
| Amanye amayeza asetyenziselwa ukunyanga isifo sesisu (i-Proton pump inhibitors - ii-PPI) |
| Amanye amayeza asetyenziselwa ukunyanga izifo ezifana ne-arthritis (i-tumor necrosis factor inhibitors) |
Ngubani osengozini enkulu yokuba ne-SCLE?
- Kwenzeka rhoqo kubafazi kunakumadoda.
- Ixhaphake kakhulu kubantu abaphakathi kweminyaka engama-40 ukuya kwengama-60 ubudala.
- Nangona ixhaphake kakhulu kubantu abamhlophe, le meko inokuvela nakubantu balo naluphi na uhlanga.
Ukuxilongwa kunye nonyango lwesifo
Ukuba unale mpawu, into yokuqala omawuyenze kukubona ugqirha. Ungathunyelwa kwingcali yesikhumba okanye kwingcali yezifo zamathambo.
Indlela yokuxilonga esi sifo?
Ugqirha uza kuhlola ulusu lwakho aze akubuze ngeempawu zakho. Emva koko bangenza olu vavanyo lulandelayo ukuqinisekisa ukuba unesifo:
- I-biopsy yolusu: Oku kuquka ukuthatha isampuli encinci kakhulu yolusu kwi-mole eluswini lwakho phantsi kwe-anesthesia kwaye uyihlolisise phantsi kwe-microscope. Oku kunokunceda ekuqinisekiseni ukuba i-mole ibangelwa yi-SCLE okanye enye imeko yolusu.
- Uvavanyo lwegazi: Kunokwenziwa uvavanyo lwegazi oluninzi.
- Ubalo lwegazi olupheleleyo (i-CBC)
- Isantya se-Sed (ESR) kunye ne-C-reactive protein (CRP) - Ezi zijonga ukudumba emzimbeni.
- Uvavanyo lwe-antinuclear antibody (ANA): Olu luvavanyo olubaluleke kakhulu ekuxilongeni i-lupus.
- Uvavanyo lokusebenza kwezintso kunye nesibindi
- Uhlalutyo lomchamo
Iphathwa njani i-SCLE?
Eyona nto ibalulekileyo neyona iphambili ekunyangeni i-SCLE kukukhusela elangeni , njengoko ukukhanya kwelanga yeyona nto iphambili ebangela esi sifo sibe sibi ngakumbi.
Ukongeza, ugqirha wakho unokucebisa amayeza asetyenziswa ngaphandle okanye ngomlomo kuxhomekeke ekubeni iimpawu zakho zinzima kangakanani.
| Uhlobo lonyango | Imizekelo (ifumaneka kuphela kwimiyalelo kagqirha) |
|---|---|
| Iisteroids zezihloko | I-Hydrocortisone, i-Triamcinolone, i-Clobetasol |
| Ezinye iikhrimu zolusu ezisetyenziswa ngaphandle kwesikhumba (ii-Topical calcineurin inhibitors) | I-Tacrolimus, iPimecrolimus |
| Amayeza okulwa nemalariya ngomlomo | I-Hydroxychloroquine, iChloroquine |
| Amayeza okuthintela amajoni omzimba ngomlomo | I-Methotrexate, i-Azathioprine |
| Ezinye iintlobo zamachiza | I-Dapsone, iiRetinoids, ii-antibodies zeMonoclonal (IVIG, iRituximab) |
Isilumkiso: Musa ukusebenzisa naliphi na kula mayeza ngaphandle kwengcebiso kagqirha. Ngugqirha wakho kuphela onokumisela unyango olulungele wena.
Ungaphila njani ne-SCLE?
I-SCLE sisifo esihlala ixesha elide (esingapheliyo). Oku kuthetha ukuba iimpawu zinokwanda ngamanye amaxesha kwaye zinciphe ngamanye amaxesha. Nangona kunjalo, ingalawulwa kakuhle kwaye ungaphila ubomi obuqhelekileyo.
Ukukhuselwa lilanga yeyona nto iphambili!
Le yeyona nto ibalulekileyo onokuyenza.
- Sebenzisa i-broad-spectrum sunscreen ene-SPF 50 nangaphezulu yonke imihla xa uphuma elangeni . Oku kuyimfuneko, nokuba kukwimihla enamafu.
- Kuphephe ilanga elinamandla phakathi kwentsimbi ye-10 kusasa ne-4 emva kwemini.
- Xa uphuma elangeni, nxiba impahla yokukhusela ilanga, njengomnqwazi obanzi kunye nempahla enemikhono emide.
- Yeka ukusebenzisa iibhedi zokutshisa ilanga ngokupheleleyo.
Ukuzinyamekela kakuhle kukwayindlela yonyango!
- Qonda esi sifo: Funda ngesi sifo kwimithombo ethembekileyo uze uzifundise. Oku kuya kukunika ukuqonda okungcono ngento eyenzekayo emzimbeni wakho.
- Fumana ugqirha omthembayo: Usenokufuna ukubona ugqirha rhoqo, ngoko ke qhubeka ufuna unyango kugqirha okumamelayo nokuqondayo.
- Yakha inkqubo yokuxhasa: Ukuthetha nabantu abakwimeko efanayo nokwabelana ngamava akho kuya kukunika amandla amakhulu engqondo.
- Zikhathalele: Yitya ukutya okunempilo, qhelisa umzimba, ulale kakuhle, kwaye ulawule uxinzelelo. Ezi zinto ziya kukunceda kakhulu ekulawuleni esi sifo.
Ekubeni une-SCLE kwaye kufuneka uzikhusele elangeni kakhulu, usenokuba nokungabikho kwe-vitamin D. Kungcono ukuthetha nogqirha wakho ngale nto uze uthathe i-vitamin D supplement ukuba kuyimfuneko.
Umyalezo Wokuya Ekhaya
- I-SCLE yimeko ehlala ubomi bonke echaphazela ulusu kwi-lupus.
- Uphawu oluphambili kukubonakala kwamabala abomvu, amile okwesangqa, okanye anamaxolo eluswini oluvezwe elangeni.
- Ukukhusela ilanga yeyona nto ibalulekileyo neyona iphambili ekulawuleni esi sifo.
- La mabala adla ngokungarhawuzeleli okanye abangele amanxeba, kodwa anokushiya umbala wolusu utshintsha.
- Ukuba unale mpawu, ungoyiki kwaye ubone ugqirha ngokukhawuleza. Ngonyango olufanelekileyo nolawulo, ungaphila ubomi obuqhelekileyo.
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