Xa i-Lupus ithinta iiItshi
Ukuba ufumene ukuba une-lupus, uya kufuna ukufunda iimpawu kunye neempawu zesifo esibizwa ngokuba yi- lupus nephritis (LN) esichaphazela iintso.
I-Lupus nephritis ivela kuma-60% abantu abane-lupus. Phakathi kwabantu abane-lupus nephritis, i-10 ukuya kwe-30% iqulethe ukungaphumeleli kwezintso, ngoko kubalulekile ukuba uyazi impawu kunye neempawu.
Yintoni iLupus Nephritis?
I-Lupus nephritis isifo sesifo esibangelwa yi-lupus.
Ngona kunjalo, iingxaki zeengso kwi-lupus zibangelwa umonakalo kumaqoqo egazi kwimithambo ebizwa ngokuthi i-glomeruli.
Abantu abane-lupus kunye nomonakalo we-glomerular bane-lupus glomerulonephritis (LGN). I-LGN iyenzeka xa iintsholongwane kunye nokuzalisa iiprotheni zakhiwe ezintso kwaye zibangele ukuvuvukala.
Izimpawu kunye neMpawu
Ukuba uhlakulela i-lupus nephritis, ungayibona le miqondiso kunye neempawu:
- Umchamo we-Foamy
- Ukuvuvukala, ngokuqhelekileyo ezinyaweni, emagxeni, nasemilenzeni
- Igazi elonyukayo
- Intlungu kunye okanye ukuvuvukala
- Ubuhlungu besisu
- Umkhuhlane ongenaso isizathu esaziwayo
- Uluhlaza obomvu, ngokuqhelekileyo ebusweni
Ukuxilongwa
Ukuchonga ukuba unayo i-lupus nephritis, ugqirha wakho uza kuhlola iimvavanyo zomchamo, kunye nokuhlolwa ngokomzimba ukujonga ingcinezelo yegazi kwaye ukhangele ukwakheka komzimba emzimbeni, othiwa i-edema.
Uvavanyo lwegazi lungasetyenziselwa ukujonga amanqanaba aphezulu e- creatinine , umkhiqizo wenkunkuma onyuka xa iintso zingasebenzi kakuhle.
Xa usukhunjulwe kakhulu ukuba une-lupus nephritis, ugqirha wakho uya kuyala i-kidney biopsy.
Kukho iintlobo ezintandathu ze-lupus glomerulonephritis ezihluka ngobunzima. I-biopsy iya kunceda ukuchonga uhlobo luni lwe-LGN onayo. Olu xilongo luya kunceda ukuqikelela ikhondo leengxaki zakho zeengtso kwaye ukhokele unyango lwakho.
Ngenxa yokuba ezinye iindidi ze-LN zingabangela ukuphelelwa kwesifo esipheleleyo kunye nokuxhomekeka kwi-dialysis, iziphumo ze-biopsy ziyimfuneko ukuyilolisa isicwangciso sokukhathalela kwaye uncede ubone ukuba yiyiphi inyango efunekayo kwaye kufuneka ibe yintloni.
Unyango
Ukuba ufumene unyango lwe-lupus nephritis, unyango lwakho luya kujolisa ekuphuculeni umsebenzi wakho wezintso. Kukho iindlela ezimbalwa ezitholakalayo, kwaye mhlawumbi unyango lwakho luya kuba lucala ngokubaluleka kunye nezinye izifo zesifo sakho. Ezinye iindlela zonyango ziquka:
- Mayeza. Unyango luqala ngemishanguzo yokukhusela isistim somzimba kunye nokunciphisa ukuvuvukala ezintso. I-Corticosteroids okanye i-immunosuppressives isetyenziselwa oku. I-Diuretics ingasetyenziselwa ukuphelisa ukwanda kwamanzi kunye nokunciphisa ukuvuvukala.
- Ukugcina uxinzelelo lwegazi. Iipilisi zogonyamelo lwegazi, ezifana ne-angiotensin-guqula i-enzyme (ACE) inhibitors kunye ne-angiotensin receptor blockers (ARBs), inokumiselwa.
- Iinguqu zokutya kwakho. Unokuyalelwa ukuba unciphise ityuwa (sodium) ekudleni kwakho.
Iindaba ezilungileyo kukuba, kubantu abaninzi, unyango lwe-lupus nephritis lusebenza kakuhle.
Imithombo:
Lupus Nephritis. Isizwe seSizwe soSifo sikashukela kunye neeNtsholongwane zeNtsholongwane. Epreli 2014.
Lupus Nephritis. Medline Plus. Izifo zeLupus kunye neentso. Lupus Foundation yaseMelika. Ja nuwari 2008.