Ingaba ukukhwabanisa kwesikhumba kunokukuxelela ukuba unayo i-lupus
I-Lupus yintlupheko yokuzimela eyona nto inokuchaphazela amaninzi amaninzi omzimba, kuquka amajoyina , izintso , intliziyo kunye nemiphunga. Ezinye zeempawu ezibonakalayo zesifo, nangona kunjalo, zibandakanya isikhumba.
Ngokutsho kweLupus Foundation yaseMelika, malunga neyesibini kubathathu abantu abaphila ne-lupus baya kuba nolunye uhlobo lweengxaki zesikhumba ezinxulumene nomzimba.
Ngaphezu koko, naphi na i-40% ukuya kwi-70 ekhulwini kuya kubona ukugqithisa kwimeko yesikhumba xa kuboniswe imisebe ye-ultraviolet (UV), mhlawumbi ukusuka elangeni okanye kwimithombo yokusebenza.
Kukho iintlobo ezintathu eziphambili zeengxaki zesikhumba ezibonwe kubantu abane-lupus:
- I-lupus (lupid lupus)
- Ukuxhatshaza i-lupus
- I-lupus eqhelekileyo
I-Lupus Yengqapheli engapheliyo (i-Discoid Lupus)
I-lupus (CCL) engapheliyo ichazwa ngokunyamezela kwimeko yesikhumba. Ifomu eqhelekileyo i-discoid lupus, ebonakaliswe ngophawu olusisigxina, olusisigqabantshintshi esikhumbeni esicinga rhoqo kwiidama, impumlo kunye neendlebe. Bangakwazi ukuhlakulela emva kwentamo, umva ongasentla, nangemva kwezandla.
Izilonda ezingenayo i-discoid zinokuthi zibe ne-hypertrophic in appearance (ezinobunzima kunye ne-scaly) okanye ezenziwayo (i-wart-like). Ukuba ukuqubuka kukubandakanya indawo yesikhumba okanye isilevu endaweni, kunokudala ukulahleka kweenwele ezinkulu ( alopecia ). Ukongezelela, nayiphi na inqabileyo eyashiya ngasemva ingenza kube nzima ukuba iinwele zikhule.
Nangemva kokuba izilonda zeCCL ziye zazisombulula, zinokushiya iipatches zesikhumba esilumnyama okanye esilulayo kunye ne-atrophy ebonakalayo (ukucoca ulusu).
I-CCL ingancinci nje kwesikhumba okanye isicatshulwa kwisiganeko esikhulu, isistim equka ezinye iinkqubo zesebe. Oogqirha bajonga apha njengendlela ye- systemic lupus erythematosus (SLE) .
Konke kuxelwe, malunga neepesenti ezili-10 zabantu abane-discoid lupus baya kuphuhlisa i-SLE.
Izilonda ze-Discoid zisebenza ngokukhanyayo, ngoko yonke imizamo kufuneka yenziwe ukukhusela ukukhanya kwelanga kunye nokusebenzisa i-sunscreen ephezulu kune-SPF. Oku kubaluleke ngakumbi kuba izilonda ezide zingaphaya umntu ukuba anqande umdlavuza.
Izilonda zeCCL ziyakuthi ziphathwe ngama- corticosteroid creams, i-ointments, iigels, ii-tapes kunye nezisombululo.
I-Subacute I-Lupus eyahlukileyo
I-subacute i-lupus i-cutus (SCL) yintsholongwane ekhethekileyo yesikhumba esichazwe ngeentlobo ezimbini ezahlukeneyo zesilonda:
- Izilonda zePapulosquamous eziyi- psoriasis- ezinjengeenkalo ezibomvu, izilwanyana
- Izilonda zonyaka ezinombala obomvu kunye neengqayi ezinomlinganiselo omncinci kwimida
Izilonda ze-SCL ziza kubonakala zibonakala kwiindawo ezikhanyisiweyo zelanga zomzimba ezifana neengalo, amahlombe, intamo, i-trunk, ngamanye amaxesha ubuso. Izilonda ngokwazo azidibanisi kwaye aziqhelekanga eziqhelekileyo ezihambelana ne-SLE.
Njengoko i-disco acid i-lupus, abantu abane-SCL kufuneka baphephe ukukhanya kwelanga kunye nemibhede yokuqhawula njengoko oku kuya kubangela ukuba kube nzima ukuqhubeka. I-cortisone yesicatshulwa yindlela eqhelekileyo yokonyango.
I-Lupus edibeneyo
I-lupus (ACL) eqhelekileyo yecala ibonakaliswa yimimandla ebomvu yesikhumba ebomvu ebonakala ebusweni kumzekelo oqhelekileyo, owenziwe ngamagqabhathane (owaziwa ngokuba yi-malar rash).
Izilonda ezifake iifoto ziyakhula kwakhona kwiingalo, imilenze kunye ne-trunk.
Nangona ii-ACL izilonda ngezinye iinkhathi zilahla isikhumba, ngokuqhelekileyo aziyi kulwa. Ngaloo ndlela, nayiphi na ilahleko ezinokuthi zenzeke ziza kuba zisesigxina.
Ukubonakala kwezilonda ze-ACL ngokuqhelekileyo kubonakalisa uphawu lwe-SLE kwaye lunokuhamba kunye neminye imiba yesikhumba efana nemisundu, izilonda zomlomo, kunye ne- vasculitis (imithwalo yegazi eyonakaliswe ngathi ibomvu okanye i-bumplish bumps, ngokuqhelekileyo kwimilenze ephantsi).
Ngenxa yokuba i-ACL idla ngokuyinxalenye yesiganeko esibanzi, isimiso somhlaba wonke, i-steroids njenge- prednisone ingasetyenziselwa ukunyanga ukuvuvukala kwaye ihamba kunye nezidakamizwa ezingenayo i-immunosuppressant to reduce the response response.
> Imithombo:
> Lupus Foundation yaseMelika. "Indlela i-lupus ithinta ngayo ulusu." EWashington, DC; papashwe ngoJulayi 12, 2013.
> Okon, L. kunye noWerth, V. "I-Lupus Erythematosus ye-Cutaneous: I-Diagnosis kunye neNyango." I-Best Pract Res Clin yaseRheumatol. 2013; 27 (3): 391-404. INGXELO: 10.1016 / j.berh.2013.07.008.