Kwakukhona isikhathi lapho sonke sasisaba kakhulu ngobhubhane lwe-COVID-19. Lokhu kwesaba, lokhu kungaqiniseki, kumelwe ukuba kwazwakala kakhulu ngumuntu ophila nesimo sesikhathi eside njenge-lupus. Imibuzo efana nokuthi "Kuzokwenzekani uma ngithola i-COVID?", "Ingabe ngisengozini enkulu ngalo muthi?" kungenzeka ukuthi ibisengqondweni yakho. Ngakho-ke namuhla, ake sixoxe ngokuxhumana phakathi kwe-lupus ne-COVID-19, kalula, ngendlela ongayiqonda.
Kuyini ukuxhumana phakathi kwe-lupus kanye nengozi ye-COVID-19?
Kalula nje, nge-lupus, unamathuba amancane okuthola noma yiluphi uhlobo lokutheleleka kunomuntu ongenalo lesi simo. Lokhu kungenxa yokuthi i-lupus ishintsha indlela izivikelo zomzimba wethu, amasosha omzimba , asebenza ngayo.
Cabanga ngesimiso sethu somzimba sokuzivikela njengebutho elivikela izwe lethu. Umsebenzi waleli butho ukusivikela ngokubona nokuhlasela izitha zakwamanye amazwe (amagciwane, amagciwane). Kodwa ku-lupus, leli butho liyadideka kancane futhi alikwazi ukubona ukuthi ubani ongumngane noma isitha. Ngakho-ke liqala ukuhlasela hhayi izitha zakwamanye amazwe kuphela kodwa namaseli ethu aphilile. Lokhu sikubiza ngokuthi isimo sokuzivikela komzimba.
Lokhu kungenxa yokuthi amasosha omzimba omuntu one-lupus avame ukusebenza ngokweqile futhi abuthakathaka kancane. Ngakho-ke lapho igciwane elifana ne-COVID-19 lingena emzimbeni, lingase lingakwazi ukulwa nalo ngempumelelo. Ngenxa yalokho, iziguli ezine-lupus azigcini nje ngokuba namathuba amaningi okuthola i-COVID-19, kodwa futhi zinamathuba amaningi okuba nezimpawu ezimbi kakhulu uma zinjalo.
Ngaphezu kwalokho, abantu abaningi abane-lupus bangase babe nezinye izinkinga zempilo ezingenza kube nzima kakhulu ukulwa nokutheleleka okufana ne-COVID-19:
- Izifo ezihlobene namaphaphu (isib. Isifo Esingamahlalakhona Sokuvimbela Amaphaphu)
- Isifo senhliziyo
- Izinkinga zezinso
- Umfutho wegazi ophakeme
- Isifo Sikashukela (i-Diabetes Mellitus)
Imithi oyithathayo ye-lupus ne-COVID-19
Kungenzeka ukuthi uthatha imithi yokucindezela amasosha omzimba ukulawula i-lupus yakho. Le mithi isebenza ngokucindezela isimiso somzimba sokuzivikela esisebenza ngokweqile. Lokhu kungasiza ekulawuleni ukuqubuka kwe-lupus.
Kodwa olunye uhlangothi lwale mali ukuthi ngenxa yokuthi icindezela amasosha omzimba, ingozi yokutheleleka okuvela ngaphandle iyanda. Kodwa into ebaluleke kakhulu lapha ukuthi akufanele uyeke ukuthatha lo muthi ngaphandle kweseluleko sikadokotela wakho . Ngoba uma uyeka ukuthatha umuthi, i-lupus yakho ingase ibe yimbi kakhulu. Uma uthola ukutheleleka ngenkathi lesi sifo sesivele sithuthukile, kuyingozi nakakhulu.
Eminye yemithi yokucindezela amasosha omzimba evame ukusetshenziswa kwe-lupus ibalwe ngezansi.
| Igama Elijwayelekile Lomuthi | Amagama omkhiqizo asetshenziswa kakhulu |
|---|---|
| I-Azathioprine | Azasan, Imuran |
| I-Methotrexate | I-Rheumatrex |
| I-Cyclophosphamide | I-Cytoxan, i-Neosar |
| I-Cyclosporine | I-Gengraf, i-Neoral, i-Sandimmune |
| I-Belimumab | I-Benlysta |
| I-Rituximab | I-Rituxan |
| I-Prednisone | (Itholakala ngaphansi kwemikhiqizo eminingi) |
Ingabe imithi ye-lupus ingayelapha i-COVID-19?
Ungase ukhumbule ukuthi ezinsukwini zokuqala zobhubhane lwe-COVID, kwakukhulunywa kakhulu nge -hydroxychloroquine kanye ne-chloroquine, umuthi osetshenziselwa ukwelapha i-lupus. Kwakukhona inkolelo yokuthi le mithi ingayilapha i-COVID-19. Lokhu kwaholela ekutheni kwenziwe ucwaningo emhlabeni wonke.
Nakuba ezinye izifundo zakuqala zibonise imiphumela ethembisayo, izifundo ezinkulu kamuva zaqinisekisa ukuthi le mithi ayinawo umthelela omkhulu ku-COVID-19. Abanye abantu baze baba nemiphumela emibi kakhulu. Ngakho-ke, nakuba le mithi yavunyelwa ekuqaleni ukusetshenziswa okuphuthumayo, imvume yayo yahoxiswa kamuva.
Inkinga enkulu eyavela kule ngxoxo ukuthi lo muthi, owawusetshenziswa yiziguli ezine-lupus ukulawula isifo sazo, waqala ukuntuleka emakethe. Lokhu kwaba yinkinga enkulu nakubantu abane-lupus eSri Lanka.
Okubaluleke kakhulu: Ungalokothi usebenzise le mithi njengokwelapha i-COVID-19 ngokusekelwe kulokho okuzwa komunye umuntu noma okubonayo ku-inthanethi. Landela njalo imiyalelo kadokotela wakho.
Wenzani uma ugula?
Uma uzizwa ungaphilile noma uba nezimpawu ezintsha, njengomkhuhlane, ukukhwehlela, noma ubunzima bokuphefumula, into yokuqala okufanele uyenze ukushayela udokotela wakho ucingo . Iningi labantu abane-COVID-19 banezimpawu ezincane. Lokhu kusho ukuthi bangalulama ekhaya.
Kodwa-ke, njengesiguli esine-lupus, kunezinto ezimbalwa okufanele uziqaphele kakhulu.
- Uma uthatha imithi yokucindezela amasosha omzimba, ungase ungatholi umkhuhlane ngisho noma unesifo.
- Iziguli ezine-lupus ngezinye izikhathi zingaba nomkhuhlane ophansi ngaphandle kwesizathu esibonakalayo.
- Umkhuhlane ungaba uphawu lokuqubuka kwe-lupus.
Ngakho-ke, kubaluleke kakhulu ukukhuluma nodokotela wakho uma uhlangabezana nanoma yiziphi izimpawu. Futhi, kunezinye izimpawu ezidinga iseluleko sezokwelapha ngokushesha noma ukudluliselwa eMnyangweni Wezimo Eziphuthumayo (ETU) uma zivela.
| Isibonakaliso | Okufanele ngikwenze |
|---|---|
| Izimpawu ezivamile ze-COVID-19 | |
| Imfiva | Shayela udokotela wakho ngokushesha ukuze akunike iseluleko. Hlala ekhaya uphumule. |
| Ukukhwehlela okomile | |
| Ubunzima obuncane bokuphefumula | |
| Izimpawu eziphuthumayo (iya esibhedlela/e-ETU ngokushesha) | |
| Ukuzizwa uphelelwa umoya kakhulu | Yiya ngokushesha eMnyangweni Wezimo Eziphuthumayo (i-ETU) wesibhedlela esiseduze noma ushayele isevisi ye-ambulensi ephuthumayo. |
| Ubuhlungu besifuba obuqhubekayo noma ukuqina | |
| Ukudideka okusha | |
| Izindebe noma ubuso obuluhlaza okwesibhakabhaka | |
Umlayezo Wokuya Nawe Ekhaya
- Ukuba ne-lupus kwandisa ingozi yakho yokuthola noma yikuphi ukutheleleka, okuhlanganisa ne-COVID-19, kanye nengozi yokuthi lesi sifo sibe sibi kakhulu.
- Gwema ukuyeka noma ukushintsha umthamo womuthi wakho we-lupus nganoma yisiphi isizathu ngaphandle kokubuza udokotela wakho.
- Landela yonke imiyalelo yokuphepha (ukugeza izandla, ukugqoka imaski, ukuqhelelana nabantu) enikezwa odokotela kanye neziphathimandla zezempilo ngokucophelela okukhulu.
- Gwema izinto ezingadala i-lupus yakho ibe yimbi kakhulu, njengokucindezeleka ngokomzimba nangokwengqondo kanye nokuchayeka elangeni, ngangokunokwenzeka.
- Khuluma nodokotela wakho ngokushesha nje lapho ubona noma yiziphi izimpawu. Qaphela izimpawu eziphuthumayo bese uthatha isinyathelo ngokushesha.
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