Ingabe ngokuzumayo uzwa ukuqubuka okubomvu noma i-eczema esikhumbeni sakho okukwenza ungakhululeki? Lokhu kungaba uphawu lwesimo esibizwa ngokuthi i-lupus . Abantu abaningi bayesaba uma bezwa igama, kodwa uma ulazi, ukuphatha lesi simo akunzima kangako. Ake sibheke ukuthi ziyini lezi ziqubuka ze-lupus , ukuthi kungani zenzeka, nokuthi yini okufanele siyenze.
Kuyini ukuqubuka kwe-lupus? Kuvelaphi?
Kalula nje, i-lupus rash yindawo yokuvuvukala , ukulunywa, amaqhubu, noma ukushintsha kombala esikhumbeni sakho. Lokhu kungavela noma kuphi emzimbeni wakho. Kodwa kuvame ukubonakala ku:
- Ezandleni zombili
- Ngemuva
- Ebusweni
- Izintende zezandla
- Entanyeni
Esinye sezimpawu ezaziwa kakhulu nezibonakalayo ze-lupus ukuqubuka okufana nokwebhabhathane . Uma sikhuluma iqiniso, ukuqubuka okubomvu okufana nokwebhabhathane okusakaza amaphiko alo, kusukela ekhaleni lakho bese kusakazeka ezihlathini zakho. Lokhu kwaziwa ngokwezokwelapha ngokuthi 'ukuqubuka kwe-malar'. Kodwa lokhu akusikho kodwa, kunezinhlobo eziningi zokuqubuka okungenzeka kuye ngohlobo lwe-lupus onayo.
Into ebaluleke kakhulu ukuthi imbangela eyinhloko yalokhu kuqubuka ukuchayeka elangeni . Isikhumba sakho singase sibe nomuzwa omkhulu emisebeni ye-ultraviolet (UV) evela elangeni noma ekukhanyeni okwenziwe. Lokhu kungabangela ukuqubuka noma kwenze ukuqubuka okukhona kube kubi nakakhulu.
Yiziphi izinhlobo eziyinhloko zamaqhubu e-lupus?
Kunezinhlobo ezahlukene ze-lupus, futhi ukuqubuka kwesikhumba okwenzekayo nakho kuhlukile. Ake sibheke izinhlobo eziyinhloko.
| Uhlobo lokuqubuka | Izici eziyinhloko | Izibazi/izinguquko zesikhumba |
|---|---|---|
| Ukuqubuka kwe-Discoid Lupus (DLE) | Lolu uhlobo oluvame kakhulu lwe-skin lupus. Luvame ukuthinta ubuso nesikhumba. Lokhu kungamaqhubu ayindilinga, aminyene, anamaqhubu amise okwemali. Ngokuvamile awalunyi noma awabuhlungu. | Amanxeba angakheka ngemva kokuphola. Umbala wesikhumba ungashintsha unomphela (uphenduke omhlophe/omnyama). Uma kwenzeka ekhanda, izinwele nazo zingase ziwe. |
| Ukuqubuka kwe-Lupus okubangelwa yisikhumba (SCLE) | Zivame ukuvela ezindaweni ezivezwe yilanga njengezingalo, amahlombe, isifuba kanye nentamo. Zingabukeka njengezindandatho ezixhunywe ndawonye. Azibuhlungu noma ziyaluma. | Akukho zibazi lapho kuphulukiswa, kodwa umbala wesikhumba ungashintsha unomphela. |
| Ukuqubuka Okubukhali Kwe-Lupus Yesikhumba (ACLE) | Lokhu kwenzeka ngesikhathi sokuqubuka kwe-lupus okusebenzayo. Ukuqubuka okufana novemvane (i-Malar Rash) okukhulunywe ngakho ekuqaleni kungokwalolu hlobo. Kungase kubonakale njengamaqhubu apinki/abomvu, futhi kungase kuhambisane nobuhlungu (ukuvuvukala). | Ngokuvamile akushiyi izibazi, kodwa lokhu kuqubuka kungase kuqhubeke kuze kube yilapho lesi sifo silawulwa. |
Ake sifunde ngezinye izinhlobo ezingavamile
Ngaphezu kwalezi zinhlobo ezintathu eziyinhloko, kunezinye izinhlobo eziningana ezingavamile zama-rashes.
- I-Chilblain lupus : Amaqhubu abuhlungu futhi alumayo avela ngenxa yokubanda kanye nomswakama.
- I-Lupus erythematosus tumidus: Amaqhubu aphakanyisiwe esikhumbeni. Lawa awashiyi izibazi lapho ephola.
- I-Lupus panniculitis: Uhlobo oluthinta izingqimba ezijulile zesikhumba. YingakhoIzilonda nezibazi ezihlala zibonakala njengemigoqo esikhumbeni zingakheka njengoba ziphola.
- I-lupus yezingane ezisanda kuzalwa: Isimo esenzeka ezinsaneni ezisanda kuzalwa. Amabala amise okwesiyingi angabonakala ekhanda, ebusweni nasentanyeni.
Kungani lokhu kuqubuka kwe-lupus kuvele kungazelelwe?
Kunezizathu eziningana ezenza ukuthi ukuqubuka kwe-lupus kungavele noma kube kubi kakhulu. Lokhu sikubiza ngokuthi 'izimbangela'.
Kalula nje, i-lupus yisimo sokuzivikela komzimba lapho amasosha omzimba ethu ehlasela khona imizimba yethu. Ngakho-ke uma sichayeka elangeni, lawa maseli omzimba asebenza ngokweqile, okubangela ukuvuvukala esikhumbeni. Lona umphumela esiwubona njengokuqhuma.
Ngaphandle kokukhanya kwelanga, kunezinye izimbangela eziningana ezivamile:
- Ukutheleleka
- Ukulimala emzimbeni
- Eminye imithi
- Ukubhema (Ukuchayeka ekubhemeni)
- Ukucindezeleka okukhulu
- Izinguquko ekushiseni
Ungakhuluma nodokotela wakho ukuze uthole imbangela eqondile yokuqubuka kwakho.
Yiziphi izindlela zokwelapha lokhu?
Kunezindlela zokwelapha ezahlukahlukene ezitholakalayo zokuphatha nokwelapha amaqhubu e-lupus. Udokotela wakho uzokunikeza ofanele kakhulu ngokusekelwe ohlotsheni lwamaqhubu onawo kanye nobunzima besimo.
- Okhilimu bokugcotshwa kwesikhumba – isibonelo ukhilimu we-corticosteroid
- Imithi yokulwa nomalaleveva
- Ama-antibiotic
- Izinhlobo zama-retinoids (i-retinoid)
- Izithiyo zokucindezela amasosha omzimba
- Imithi yezinto eziphilayo (i-Biologics)
Okubaluleke kakhulu: Udokotela wakho kuphela onganquma ukwelashwa okukulungele.Ukwelashwa kunqunywa uhlobo lokuqubuka onalo kanye nohlobo lwesimo. Ngakho-ke, qiniseka ukuthi ufuna iseluleko sezokwelapha.
Yiziphi izikhathi ezinhle kakhulu zokuya kudokotela?
Uma une-lupus noma usola ukuthi unayo, kubaluleke kakhulu ukubona udokotela futhi uthole iseluleko esifanele.
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Ingabe ukuqubuka kwe-lupus kungavinjelwa?
Nakuba amanye amaqhubu e-lupus engenakuvinjelwa ngokuphelele, ukugwema izinto ezibangela lokhu kunganikeza impumuzo ebalulekile. Ukuvikelwa elangeni kubaluleke kakhulu.
- Gqoka isithako selanga esihle esinobubanzi obuhlukahlukene nsuku zonke, noma ngabe ungaphakathi endlini . Phinda ufake isithako njalo emahoreni amabili.
- Nciphisa ukuchayeka elangeni elinamandla phakathi kuka-10 ekuseni no-4 ntambama. Yilapho imisebe yelanga inamandla kakhulu khona.
- Uma uzohlala elangeni, mboza isikhumba sakho ngezinto ezifana nezingubo ezinemikhono emide kanye nesigqoko esinompheme obanzi.
- Ungasebenzisi imibhede yokushiswa kwesikhumba.
- Kungaba ngcono uma ungafaka izembozo zamafasitela ezivikelayo emafasiteleni endlu yakho eziwavikela emisebeni ye-UV.
I-Lupus iyisimo esiyinselele okufanele usilawule. Izinkinga zesikhumba, ikakhulukazi, zingaba nzima kakhulu, kokubili ngokwengqondo nangokomzimba. Kodwa akudingeki ubhekane nalezi zinto wedwa. Udokotela wesikhumba oqeqeshiwe noma udokotela womndeni wakho angakusiza ukuthi ubhekane nalesi simo.
Umlayezo Wokuya Nawe Ekhaya
- Ukuqubuka kwesikhumba kuvamile kwi-lupus. Ukuqubuka ebusweni okufana nokwebhabhathane (i-malar rash) kuyisibonakaliso esikhulu.
- Ukukhanya kwelanga kuyimbangela eyinhloko yalokhu kuqubuka, ngakho-ke ukuvikelwa elangeni kubalulekile.
- Uma kuvela ukuqubuka noma amabala angavamile esikhumbeni sakho, ungazihloli noma uzelaphe, kodwa qiniseka ukuthi ubona udokotela.
- Ngokwelashwa okufanele, ukuqubuka kwe-lupus kungalawulwa futhi izibazi zingancishiswa. Ngakho-ke ungesabi ukufuna iseluleko sezokwelapha.
👩🏽⚕️ Imibuzo eyengeziwe (ama-FAQ)
💬 Ingabe kufanele ukhathazeke uma kungazelelwe uvela ubomvu obufana nobebhabhathane (i-Lupus Rash) ebusweni bakho?
Uma uvame ukuzwa ukuqubuka okubomvu okukhulu ezihlathini zakho nasemakhaleni (ukuqubuka kwebhabhathane), akuvamile. Kungaba uphawu olukhulu lwesifo esiyingozi esibizwa ngokuthi 'i-Lupus (SLE).' Ngakho-ke, uma umuntu omdala enalokhu kuqubuka okungavamile, bheka udokotela ngokushesha.
💬 Ingabe ilanga liyalimaza ukuqubuka okubangelwa yi-lupus?
Yebo! Abantu abane-lupus bathinteka kakhulu ukukhanya kwelanga (i-Photosensitivity). Ngisho nesikhathi esifushane elangeni kungabangela ukuqubuka okukhulu nokuvuvukala okufana nokushiswa yilanga emzimbeni wonke. Ngakho-ke, kubaluleke kakhulu ukufaka umuthi wokuvikela ilanga uma uphuma ngaphandle.
💬 Ingabe lokhu kuqubuka okubomvu esikhumbeni kungelapheka?
I-Lupus yisifo esihlasela amasosha omzimba esingelapheki ngokuphelele. Kodwa-ke, ngosizo lwama-cream akhethekile (ama-Steroid creams / Hydroxychloroquine) anikezwe odokotela kanye nokuvikelwa elangeni, ungasusa ama-rashes nezibazi esikhumbeni sakho futhi uphile impilo ejwayelekile.
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