Ingabe wena noma othile omaziyo une-lupus? Kungenzeka ukuthi uke wezwa ukuthi lesi sifo singathinta izingxenye eziningi zomzimba. Ngaphezu kwesikhumba namalunga, i-lupus ingathinta nezinso, okuyizitho ezibaluleke kakhulu emzimbeni wethu. Namuhla sizokhuluma ngemiphumela ye-lupus ezinso, isimo esibizwa ngokuthi i-Lupus Nephritis. Ungakhathazeki, ake sixoxe ngalokhu kalula.
Kalula nje, iyini i-Lupus Nephritis?
Kulungile, ake siqale siqonde ukuthi iyini i-Lupus. I-Lupus isifo esihlasela amasosha omzimba . Okusho ukuthi, amasosha omzimba, avikela imizimba yethu ezifweni, aqala ngephutha ukuhlasela izicubu nezitho zethu ezinempilo. Kufana nebutho lethu elihlasela izwe lakithi. Uhlobo oluvame kakhulu lwe-lupus yi -Systemic Lupus Erythematosus (SLE) .
Manje, lapho amasosha ethu omzimba ehlasela izinso zethu ngale ndlela, kubangela ukuvuvukala, okungukuthi, ukuvuvukala, kanye nomonakalo ezinso. Leso yisimo esisibiza ngokuthi i-Lupus Nephritis .
Izinso zifana nezihlungi ezimbili emzimbeni wethu. Uma zingasebenzi kahle, kungavela izinkinga ezinkulu. I-Lupus Nephritis ingabangela ukuthi izinso zingakwazi ukwenza izinto ezilandelayo kahle:
- Ukuhlunga nokususa imfucuza egazini.
- Ukugcina amazinga oketshezi emzimbeni, usawoti, ama-asidi, kanye namaminerali emazingeni afanele.
- Ukulawula umfutho wegazi kanye nomthamo wegazi.
- Ukulawula amazinga ama-hormone.
Uma lesi simo singaphathwa kahle, singagcina siholele ekuhlulekeni kwezinso ngisho nesifo sezinso esisesigabeni sokugcina, okudinga ukwelashwa impilo yonke. Ngakho-ke, kubaluleke kakhulu ukuqaphela lokhu.
Ubani okungenzeka kakhulu ukuthi athole lesi simo?
Ukuze umuntu abe ne-Lupus Nephritis, kumele aqale abe ne-lupus (SLE). Ake sibheke ukuthi obani abasengozini enkulu yokuthola i-lupus:
- Kwabesifazane: Abantu abayisishiyagalolunye kwabayishumi abane-lupus ngabesifazane. Ingozi iphezulu kakhulu kulabo abaneminyaka ephakathi kwengu-15 no-44. Kodwa ngokumangalisayo, uma indoda ithola i-lupus, kungenzeka kakhulu ukuthi ithole i-Lupus Nephritis.
- Ufuzo: Uma othile emndenini ene-lupus, nabanye basengozini.
- Ithonya lezakhi zofuzo: Lesi sifo sivame kakhulu kubantu base-Asia, e-Afrika, kanye nabendabuko baseMelika.
- Izici zemvelo: Kukholelwa ukuthi ukuchayeka kumagciwane athile, izifo, kanye namakhemikhali anobuthi nakho kungabangela lokhu.
- Ezinye izifo zokuzivikela komzimba: Uma umuntu esevele enesinye isifo sokuzivikela komzimba, ingozi yokuba ne-lupus inganda kancane.
Cishe ama-50% abantu abadala abane-lupus, noma cishe oyedwa kwababili, bangase babe ne-lupus nephritis. Cishe ama -80% ezingane ezine-lupus, noma cishe abane kwabahlanu, bangase babe nalesi sifo sezinso.
Zingaba yini izimpawu zalokhu?
Izimpawu ze-Lupus Nephritis zivame ukuvela eminyakeni emihlanu ngemuva kokuqala kwezimpawu ze-lupus. Kodwa-ke, ngezinye izikhathi, uphawu lokuqala noluwukuphela kwe-lupus kungaba ukulimala kwezinso. Kubalulekile ukuqaphela lezi zimpawu.
Cabanga ngemilenze yakho, ikakhulukazi amaqakala akho, evuvukele. Noma uma uvuka ekuseni, amehlo akho azizwa evuvukele. Umchamo wakho unegwebu kakhulu kunokujwayelekile. Lezi zivame ukuba yizimpawu zokuqala oziqaphelayo.
Ake sibheke lezi zimpawu ngokucacile.
| Isibonakaliso | Incazelo elula |
|---|---|
| Ukuvuvukala (i-Edema) | Ukuvuvukala emilenzeni, emaqakaleni, ezinyaweni, noma eduze kwamehlo ngenxa yokuqongelela koketshezi emzimbeni. |
| Iphrotheni emchameni (i-Proteinuria) | Umchamo uba negwebu (njengezinhlayiya zensipho) ngenxa yokukhishwa kweprotheni emchameni. |
| Igazi emchameni (i-Hematuria) | Inani elincane legazi emchameni. Lingase lingabonakali emehlweni, kodwa umchamo ungaba nombala opinki noma onsundu omnyama. |
| Umfutho Wegazi Ophakeme | Ukwanda komfutho wegazi ngenxa yokusebenza kwezinso okungasebenzi kahle. |
| Ukwanda kwesisindo | Ukwanda kwesisindo ngokuzumayo ngenxa yokuqongelela koketshezi emzimbeni. |
| Ezinye izimpawu ze-lupus | Ubuhlungu noma ukuvuvukala kwamalunga, izinhlungu zemisipha, umkhuhlane ongachazeki, kanye nokuqubuka okubomvu okufana nokwebhabhathane ebusweni. |
Udokotela ukuthola kanjani lokhu?
Uma unalezi zimpawu, udokotela wakho uzoqala akuhlole, akubuze ngezimpawu zakho kanye nomlando wezokwelapha, bese eyala ukuhlolwa okuningana ukuqinisekisa ukuxilongwa.
- Ukuhlolwa Kwegazi:
- Ukuhlolwa kwegazi lama-antibody: Lokhu kuhlola amazinga aphezulu amaprotheni athile (ama-antibodies) akhiqizwa isimiso somzimba sokuzivikela. Lokhu kuvame kakhulu kwi-lupus.
- Ukuhlolwa kokusebenza kwezinso: Kulinganisa izinto ezifana ne-creatinine ukuze kubonwe ukuthi izinso zisebenza kahle kangakanani.
- Ukuhlolwa komchamo:
- Ukuhlolwa komchamo: Kuhlola umchamo ukuthi awunazo yini iziphazamiso egazini, amaprotheni, noma ezinye izinkinga.
- Ukuhlolwa kwephrotheni yomchamo: Kulinganisa ngqo ukuthi ingakanani iphrotheni emchameni.
- Ukuhlolwa Kwezinso:
Lena yindlela engcono kakhulu yokuxilonga i-Lupus Nephritis ngokunembile nokunquma izinga lomonakalo wezinso. Kuthathwa ingxenye encane kakhulu yezicubu ezinso kusetshenziswa inalithi encane bese ihlolwa ngaphansi kwe-microscope. Lokhu kuvame ukwenziwa esibhedlela, ngaphansi kwe-anesthesia elula.
Yiziphi izindlela zokwelapha lokhu?
Kunezinhloso ezimbili eziyinhloko zokwelapha i-lupus nephritis. Eyokuqala ukulawula izimpawu. Eyokuqala ukuvimba noma ukunciphisa umonakalo owengeziwe ezinso. Ukwelashwa kuvame ukuhilela imithi kanye nokushintsha ukudla.
| Indlela yokwelapha | Kwenzekani kuyo? |
|---|---|
| Imithi yokucindezela amasosha omzimba | Le mithi isebenza ngokulawula ikhono lesimiso somzimba sokuzivikela ekuhlaseleni izinso zethu. Ama-corticosteroids yiwona umuthi osetshenziswa kakhulu kule njongo. |
| Imithi yokucindezeleka kwegazi | Imithi efana ne -ACE inhibitors kanye ne-ARB ilawula umfutho wegazi futhi inciphise ukuphuma kwamaprotheni emchameni, okunganciphisa ukulimala kwezinso. |
| Imithi yokuhlanza | Lezi zibizwa nangokuthi 'amaphilisi amanzi'. Zisiza ekunciphiseni ukuvuvukala ngokukhipha uketshezi oluningi emzimbeni njengomchamo. Zisiza futhi ukwehlisa umfutho wegazi. |
| Izinguquko ekudleni | Udokotela wakho angase akucebise ukuthi unciphise ukucindezeleka ezinso zakho futhi unciphise ukudla kwakho i-sodium . Ungase futhi ucelwe ukuthi unciphise ukudla okunamaphrotheni amaningi njengenyama nobisi. Kungcono ukukhuluma nodokotela wakho kanye nochwepheshe wezokudla ngalokhu bese uqhamuka nohlelo lokudla olufanele wena. |
Ingabe wonke umuntu kufanele enze i-dialysis?
Cha. Akwenzeki kuwo wonke umuntu. Phakathi kuka -10% no-30% wabantu abane-Lupus Nephritis bagcina sebenenkinga yezinso. Uma lokho kwenzeka, kungadingeka ukuthi ucabangele lezi zindlela zokwelapha:
- I-Dialysis: Inqubo lapho umshini uhlunga khona imfucuza egazini lapho izinso zingasebenzi kahle.
- Ukufakelwa Kwezinso: Ukufakelwa izinso eziphilile ngokuhlinzwa ukuze kuthathelwe indawo izinso ezingasebenzi kahle.
Kunini lapho udinga ukubonana nodokotela ngokushesha?
Uma une-lupus, qaphela noma yiziphi izinguquko ezinso zakho. Uma uhlangabezana nesinye noma ngaphezulu kwalezi zimpawu ezilandelayo ngokuzumayo, kungaba uphawu lokwehluleka kwezinso ngokuzumayo . Uma lokhu kwenzeka , funa usizo lwezokwelapha ngokushesha . Uma kudingeka, iya egumbini lezimo eziphuthumayo esibhedlela esiseduze (ETU).Hamba.
- Isisu esibuhlungu
- Ubunzima bokuchama, noma inani elincane kakhulu lomchamo elikhishwayo
- Ukukhathala ngokweqile noma ukozela
- Umchamo onegwebu noma onegazi
- Isikhumba esilumayo
- Ukwanda okungazelelwe komfutho wegazi
- Isifiso sokudla
- Isicanucanu nokuhlanza
- Ubunzima bokuphefumula
- Ukuvuvukala komzimba
Ukuphila nalesi simo kungaba yinselele, kodwa ngokwelashwa okufanele kanye neseluleko sezokwelapha, abantu abaningi bakwazile ukuphila impilo evamile. Into ebaluleke kakhulu ukuxhumana njalo nodokotela wakho futhi uthole zonke izivivinyo kanye nokwelashwa okudingayo.
Umlayezo Wokuya Nawe Ekhaya
- I-Lupus Nephritis ukulimala kwezinso kanye nokuvuvukala okubangelwa yi-lupus (SLE).
- Ukuvuvukala kwemilenze, ukuvuvukala okuzungeze amehlo, umchamo onegwebu, kanye nomfutho wegazi ophakeme kungaba yizimpawu eziyinhloko ezihlobene nalokhu .
- Ukuxilongwa kusenesikhathi kanye nokwelashwa kwalesi sifo kunganciphisa kakhulu umonakalo wezinso.
- Ukwelashwa kuhlanganisa imithi yokucindezela amasosha omzimba, imithi yokucindezela kwegazi, kanye nokushintsha kokudla.
- Kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo nokuya emitholampilo ngesikhathi.
- Uma kuvela izimpawu eziphuthumayo, funa iseluleko sezokwelapha ngokushesha.
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