I-systemic lupus erythematosus , eyaziwa ngokuba yi-lupus, isifo esibangela ukuba umzimba we- immune system ungasebenzi kakubi, uvelise ama-antibodies ezinxulumene nezicubu zomzimba. Ezi zinqamana zingabangela umonakalo kwizitho ezininzi ezikhokelela kwimpawu ezahlukileyo kwaye zibandakanya ukukhathala, ukunyuka kwesikhumba, iintlungu ezihlangeneyo, i- arthritis , kunye nokutshatyalaliswa , kunye nokubetha.
Izigulane zaseLupus ziyakwazi ukuxhatshazwa kunabantu abangenawo i-lupus. Enyanisweni, abanye abantu abane-lupus bafumana iintlungu eziphindaphindiweyo, ngakumbi ukuba nazo zinokunyuka kwengcinezelo yegazi .
I-Lupus Yenza I-Stroke?
Ngenxa yokuba i-lupus ithinta amaninzi amaninzi emzimbeni, inokukwazi ukunyanzelisa i-stroke ngeendlela ezininzi:
- Ngokubangela ukubunjwa kwee-clots zegazi: Enye yezilwanyana ezininzi ezingaqhelekanga eziveliswe ngumzimba wokhuselo lwegciwane i-lupus izigulana ngu-antiphospholipid antibody. Loo mntu uchazwayo ukuhlasela iimbumba zeeseli ezihamba ngaphakathi kwimithambo yegazi. Ukuhlaselwa kukubangela "i-cascade" yebhokisi eqalise ukubunjwa kwegazi. Oku kunokwenzeka kwiindawo ezahlukeneyo zomzimba, kubandakanywa nemithanjeni enzulu yemilenze, amagumbi entliziyo, kunye nemigodi emikhulu yentloko. Kwezinye iimeko, la macala egazi anako ukuhamba echotsheni aze enze imivimbo embolic .
Amanye ama-antibodies abonwayo kwi-lupus edibeneyo nokubunjwa okungavumelekanga kwamacandelo egazi kuquka i-lupus anticoagulant kunye ne-anticardiolipin antibodies.
- Ngokunciphisa ukwakheka kwezinto ezincinci ze-immune ngaphakathi kwintliziyo: Iqoqo le-immune deposits lingatholakala kwiintliziyo zeqhekeza zezigulane ze-lupus. Ezi zidibansi zokuzivikela ziyakucingwa nje ngokuba ziincinci ezincinci ze-antibodies, kunye neeseli zomzimba ezixutywe kunye namaminerali, iiprotheni kunye neminye imveliso yamasosha omzimba. Amajoni omzimba asabela ngokuchasene nezicubu zomzimba. Le meko, ebizwa ngokuba yi-Liebman Sack endocarditis, inokubangela ukubetha xa ezi zinto zincinci zihamba ukusuka entliziyweni ukuya kwingqondo.
- Ngokubangela ukuvuvukala ngaphakathi kweendonga zemithambo yegazi: Le meko, eyaziwa ngokuba yi-vasculitis, ibonakala kwizigulane ezininzi ezine-lupus. Ngamanye amaxesha, ukuvuvukala emithanjeni yegazi kunzima kangangokuba igazi eligeleza kwiinqanawa ezivuthayo likhuselwe ngokupheleleyo. Oku kuyingozi kakhulu xa kwenzeka kwimithwalo yegazi kwingqondo , kwaye ingakhokelela ekubetheni.
Ulungiswe nguHeidi Moawad MD
Imithombo:
UKatrin L. Conen, u-Christina Jeanneret, uBurkhard Hecker, uGieri Cathomas, uBarbara C. Biedermann I-Occult Acous Occlusive Isifo esikhulu seVessel esiya kwi-Stroke ebulalayo kwi-Systemic Lupus Erythematosus: i-Arteritis okanye i-Atherosclerosis? Arthritis & Rheumatism 2006, uMqulu 54, 908-913.
UKushner M, uSimonian N; I-Lupus Anticoagulants, iiAnticardiolipin Antibodies kunye neCerebral Ischemia . I-Stroke 1989; 20: 225-229.
Y Kitagawa, F Gotoh, A Koto noH Okayasu; Isibetho kwi-Systemic Lupus Erythematosus Isibetho 1990; 21; 1533-1539.