I-Lupus (i-systemic lupus erythematosus okanye i-SLE) kunye nokuguga kunokuchaphazela omnye nomnye. I-Lupus inokuchaphazela inkqubo yokuguga ngokuqhelekileyo kwaye inkqubo yokuguga ingasichaphazela iimpawu zakho kunye nomgangatho wobomi kunye ne-lupus. Yintoni omele uyayizi?
Lupus kunye nokuguga
Mhlawumbi uyazi ukuba i-lupus iyigulo lobomi, kwaye uyazi indlela ozivakalelwa ngayo namhlanje. Kodwa esi sifo singakuphatha njani xa ukhula?
Makhe sibone ezinye zezona ndlela ezibalulekileyo ekugugeni kunokuchaphazela kwaye utshintshe iimpawu zakho ze-lupus , kwaye indlela i-lupus ifuthe ngayo inkqubo yokuguga eqhelekileyo. Siza kuqala ngokuxoxa ngezinye iingxaki onokujamelana nazo xa ukhula nge lupus, kodwa uya kuxubusha ezinye zezinto ezilungileyo zokuguga nesifo. Ukukhula nge lupus akusiyo yonke into engalunganga.
Iingxaki ezinxulumene neLupus kunye nokuguga
Kucacisa ukuba i-lupus nokuguga kunokuchaphazela omnye nomnye. Emva koko, kukho ukufana kwe-immunological phakathi kwe-lupus kunye nokuguga kwiikliniki, kumaselula kunye nakwizinga le-molecular. Iziganeko ezinjengomngcipheko okhuselekileyo wokusuleleka kunye nesiganeko sokwanda kweemvumi ziqhelekile kokubili i-lupus nokuguga. Kodwa ezi zinto ziguqulela njani ubomi boqobo? Yintoni onokuyilindela xa udala nge lupus?
Ubunzima beSimptom buya kuhamba ngexesha
Abantu abaninzi banokukhululeka xa beva ukuba umsebenzi we-lupus ochaphazelekayo unokuphucula ngobudala, kodwa sifunde ukuba ubunzima beempawu buyanda.
Ingxenye yesizathu esilandelayo kukuba, xa ukhula, akufanele nje uhlangabezane neempawu zakho kodwa kufuneka uhlangabezane nesibalo somsebenzi wakho wesifo esidlulileyo kunye nomonakalo obangele.
Ubuhlungu obungapheliyo bunokuba ngumceli mngeni kungekhona nje ngenxa yentlungu kodwa ngenxa yengozi eyongeziweyo yeziphumo ezichaphazelekayo ezinxulumene nezobuhlungu zonyango.
Imithi engeyiyo i-steroidal anti-inflammatory efana ne-Advil (ibuprofen) inokubangela ukuba i-kidney ishicilelwe okanye igazi legazi, kunye ne-Tylenol (i-acetaminophen), xa ikunceda, ingabi yinto ekhethekileyo yokukhetha ukuba unobungozi obungavamile. Yintoni enokube ilawulwe xa usencinane kunye nolwaphulo olunxulumene nolwaphulo olulodwa lunokuthi lufune iimodeli ezininzi ngoku.
Ukukhathala kungaphinda kuqhube phambili, njengoko ukuziphatha okuhlala kwintlupheko ehambelana nokuqokelela umonakalo we-lupus kukunyusa ukukhathala okukhoyo.
Imonakalo ehambelanayo neLupus Kwiminyaka
Umonakalo uqokelela kwiminyaka kwaye unokukhokelela ekubhujisweni kwamalungu kunye nentlungu engapheliyo. Ungadinga unyango olwenziweyo ukuze uhlangabezane nobunzima, okanye ukutshintshwa ngokubambisana ukuze ubhekane ne-cartilage echanekileyo emadolweni okanye emacaleni. Ukuhlinzwa okwenyama okanye ukuhlinzwa kwamathambo kunokongeza ukhenketho lweekliniki, intlungu, kunye neendleko kwixesha lakho elipheleleyo lokuzinyamekela nge-lupus.
I-Osteoporosis Iqhelekile
Xa uneminyaka yobudala, ukulahleka kwethambo eqhubekayo kunokubangela i- osteopenia okanye i- osteoporosis . Kukho umngcipheko ophezulu we-osteoporosis kunye ne-lupus ngezizathu ezininzi. Enye yale nto kukuba amanye amayeza e-lupus, afana ne-corticosteroids (umzekelo, i-prednisone) inokukhawuleza ukukhawuleza ukulahleka kwethambo (i- glucocorticoid-induced osteoporosis ).
Ukulahleka kwethambo kuye kwabonakala kwabanye abantu emva kweveki enye yokusetyenziswa kwe-steroid. Ukuphila ngendlela yokuhlala ngokuhlala kunye ne-lupus kaninzi kufuna kwakhona kuphakamisa umngcipheko. Ekugqibeleni, kubonakala ngathi kudibene ngqo phakathi kwe-lupus kunye nokulahleka kwethambo.
Iifractures ngenxa yokulahlekelwa kwethambo zixhaphake kakhulu ne-lupus, ngokukodwa i-spinal (vertebral). Enyanisweni, abasetyhini abane-lupus bangaba ngamaxesha angamahlanu ukuba banokuphuka kwe-osteoporosis echaphazelekayo kunabo abangenasifo. Umngcipheko wamadoda ane-lupus nawo uphakanyisiwe.
Enoba uhlakulela i-osteoporosis incike kwiimeko ezininzi, kunye nesisindo sakho, i-genetics, nokuba ingaba ungatshintshisi yonke into idlala indima.
Uvavanyo lokuxinwa kwethambo lunconywa kuwo onke amabhinqa angaphezu kweminyaka engama-65, nangaphambili ebomini ukuba izinto ezinobungozi-ezifana ne-lupus-zikhoyo.
Ngethamsanqa, kukho iindlela zokunciphisa umngcipheko wakho. Ukuqinisekisa ukuba ufumana i-vitamin D eyaneleyo kunceda kwaye kuneminye inzuzo yezempilo kubantu abane-lupus. Ukuba ugqirha wakho akakuchukumanga umgangatho wakho we-vitamin D, cela. Imithombo ye-vitamin D ibandakanya ukukhanya kwelanga kunye nokutya, kodwa kumanqanaba aphantsi (okanye amanqanaba aphantsi aqhelekileyo) kunokuncediswa i-vitamin D3. Amachiza okulahlekelwa kwethambo abuye afumaneke, kwaye ngaphezu kokunyusa ukwanda kwamathambo, kunokukunceda ukunciphisa umngcipheko weentambo. Ngenxa yobungozi obuphezulu beentlobo ze-lupus, abanye oogqirha banokuncoma ukusebenzisa imithi xa une-osteopenia kunye ne-osteoporosis.
IHormone Alternative Therapy Inokuphakamisa Iingozi Zempilo
I-Hormone yonyango yokutshintshwa (HRT) iye yahlaselwa yintlonelo kwiminyaka yamuva ngenxa yengozi yokwanda komhlaza wesifo kunye nesifo senhliziyo. Oko kwathiwa, kusekho amabhinqa amaninzi athatha la mayeza kunye ne-estrogen kunye okanye ukunciphisa i-progesterone.
Abafazi basePostenopausal abane-lupus abaqwalasela i-HRT kufuneka baxoxe ngezibonelelo kunye nobungozi babo oogqirha. Kwiingcaphephe, i-HRT idibaniswe nobungozi obuncitshisiweyo be- lupus flares , kodwa akukho ukwanda kwimililo enzima. Ngakolunye uhlangothi, abanye abafazi bafumana ukuba i-HRT iphucula kakhulu impawu zabo ze-menopausal kwaye iphucula umgangatho wobomi.
Ukubaluleka okubalulekileyo kukuba abafazi abanesifo se-lupus banomngcipheko okwandisiweyo wezifo ze-cardiovascular and clots, kwaye i-HRT inokunyusa ukwanda kwengozi.
Abasetyhini ngabanye bahlukileyo, kwaye zonke ezi zinto kufuneka zicingwe ngenyameko ekwenzeni isigqibo malunga ne-hormone yonyango yokutshintsha indawo . Gcina ukhumbule ukuba kukho ezinye iindlela zokulawula ukutshisa okutshitshisiweyo okunokuba luncedo kwabanye abantu. Ekubeni abafazi abasenomdlavuza wesibeleko (okanye basengozini enkulu) akufanele basebenzise i-HRT, bekukho uphando oluninzi malunga namanyathelo omzimba kunye namachiza omzimba kunye namachiza ayenzelwe ukunciphisa iimpawu ze-menopausal. Funda kabanzi malunga neendlela zokwelapha zokumisa .
Iimpawu Ezilungileyo
Sivame ukugxila kwizinto ezimbi zokuguga kwakunye nokuba ukuguga kukuchaphazela njani iimeko ezingapheliyo zonyango. Kodwa inyaniso kukuba kukho izinto ezintle zokuguga kunye nesifo kwaye ngamanye amaxesha ukugxila kulezi zinto-oko kuthiwa nge-silver linings-kwenza ukuba kube lula ukulula. Emva koko, sifunda ukuba ukubulela ebomini kuhambelana nolonwabo nenhlalakahle kakhulu kunempumelelo, ubutyebi, nokuba nempilo.
- Umsebenzi weSimboli Uqala Ukuphucula Ngexesha Elidala : Njengomntu ubudala, umsebenzi we-lupus-okanye isantya sokuvuvukala kunye nokuzikhusela komzimba-ngokuqhelekileyo kuyahla. Oku kunokukhokelela ekutshintshisweni kwonyango , kubandakanywa ukunciphisa kwamachiza. Olu phuculo luyavumelana ngokufanelekileyo ngexesha kwaye libonakala lingahambelani noluhlobo lwemenopausal.
- Abantu abakhulileyo abakwazi ukuphuhlisa iLupus Nephritis : Xa i-lupus ichaphazela iinjongo, ibizwa ngokuba yi- lupus nephritis . Ezinye iziphumo ziye zafumanisa ukuba abantu asebekhulile abahluphekanga ngenxa yezifo zengqondo ezihambisana ne-lupus nakuba asiyazi ngokupheleleyo isizathu. Ezinye izifundo, nangona kunjalo, zibonisa ukuba ubunzima be-lupus nephritis bunokuba bubi kakhulu. Kwabo bajamelana neengxaki zezintso, nangaliphi na ubudala, unyango lufana.
- I-Lupus Ingena Ekuxoxweni Ngaliphi Ixesha : Ukukhululwa kweLupus kunokwenzeka nanini na. Ucwaningo lwase-Itali olupapashwe ngo-2015 lufumene ukuba iipesenti ezingama-37 zabantu abane-lupus abafumana unyango oluqhelekileyo baye baxolelwa ubuncinane iminyaka emihlanu. Akukho ncazelo ecacileyo yokuxolelwa kwi-lupus, kodwa kulolu cwaningo, abo babecingwa ukuba baye bahlala bekhulile babengenayo imiqondiso yeklinikhi okanye i-laboratory yesi sifo kwaye babengasayi kuthatha i-corticosteroids okanye imithi yokuxilonga imithi.
Ukunyamekela Lupus Njengoko Uhlala
Ukuphila ne-lupus kunye nesimo esifanelekileyo njengoko unokubandakanya ngaphezu kokuthatha amayeza akho. Ngaphandle kwe-lupus, abantu banomdla wokuba bangcono xa kugcinwa ingqalelo kwimicimbi yokuphila njengokutya kunye nokuzilolonga. Ukuthatha ixesha lokuba ubuyekeze indlela ophila ngayo kwaye wenze nayiphi na inguqu efunekayo kufuneka ufanele umzamo.
Ukuqala, kwaye ukuba awuzange ucinge ngokuthe ngqo ngokutya kwakho kunye ne-lupus, funda indlela yokutya ngokufanelekileyo ne-lupus . Ukutya okucebile kwiziqhamo kunye nemifuno kunye nokutya okuphantsi kokuvuthayo kukukhetha okuhle. Unokuba unqwenela ukongeza ukutya okuchasayo ekudleni kwakho. Nangona kukho akukho ukutya okukhethiweyo okuye kwaboniswa ukuguqula inkambo ye-lupus, i-sperm turmeric (i-curcumin) ibonakala ibe nefuthe ekukhuseleni ne-lupus nephritis-ubuncinci kwimicebe.
Ukuxinezeleka kungekhona nje kusishukumisa ukuba sibe 'sixinezelekile' kodwa kubangela ukukhululwa kwama-hormone oxinzelelo obunokuba nemiphumo emibi kwiindawo ezininzi zomzimba. Kukho iindlela ezilula zokulawula uxinzelelo oluxhamlekileyo nokuba uhlala ne-lupus okanye akunjalo.
I-Falls yimbangela ebangela ukulimala nokufa njengabantu abadala, kwaye sele sisazi ukuba abantu abaneepulus banokuthi baqhekeke ithambo (ingakumbi umlenze kunye neenyawo) xa bewa. Amanyathelo okukhusela njengaye ekupheliseni ukuphosa umbhoxo, ukugcina izinto kwizitebhisi, ukuphepha imigwaqo emigqabi, kunye nokukhanyisa izibane xa usukuma ukuya kwindawo yokuhlambela ubusuku bonke banokunciphisa ingozi. Thatha isikhashana uhlolisise amanyathelo ongayithatha ukuze unciphise umngcipheko wakho wokulahla kunye nokuwa .
Ngokuqinisekileyo, ukutyelela ngokugqithiseleyo ugqirha kubalulekile ukulawula naziphi na izinto ezibangelwa yingozi. Ekubeni ingozi yesifo senhliziyo ikhuliswa nge-lupus, ugqirha wakho unokuhlawula ngokukhethekileyo izinto ezinobungozi ezifana nokunyuka kwengcinezelo yegazi, ukwanda kwe-cholesterol, kunye ne-insulin ukumelana nesifo sikashukela. Izibilini zixhaphake kakhulu kubantu abane-lupus, kwaye ekubeni ingozi yomhlaza ikhula kunye nobudala, kubalulekile ukulandela izikhokelo zokufumana okokuqala umhlaza.
Abanye abantu abane-lupus bafumanisa ukuba xa bekhulile, ekugqibeleni banalo ixesha lokulandela iqela le-lupus inkxaso. La maqela anokuba ngumthombo omncedisayo ngenkxaso ngeli xesha likunika ukufikelela kwiziphumo zakutshanje zophando lwe-lupus. Emva koko, akukho mntu ukhuthazwa ukuba afunde malunga neyeza ezintsha kunye neengcamango kunabo abaphila nesifo imihla ngemihla. Ukuba awuqinisekanga ukuba ungaqala kuphi, thatha umzuzwana ukuba ufunde malunga nendlela yokufumana iqela le-lupus inkxaso , mhlawumbi kwindawo yakho okanye kwi-intanethi naphi na.
ILizwi
I-Lupus kunye nokuguga zidibaniswa ngeendlela ezininzi, kwaye ukuqonda le micimbi kukuvumela ukuba ube ngummeli wakho kwimpilo kunye nonyango lwezempilo. Xa uneminyaka yobudala, umsebenzi wesifo kunye ne-lupus udla ngokukhawuleza kodwa iimpawu ezikhoyo zingaba nzima kakhulu. Ukuqokelela umonakalo kwiminyaka kunokubangela isidingo sokutshintshwa okuhlanganyelweyo okanye ezinye izibonelelo.
Umngcipheko weentlobo ezihlobene ne-osteoporosis iphakamileyo kakhulu kubantu abane-lupus kunabantu bonke, kwaye wonke umntu kufuneka ahlole ukutsalwa kwamathambo ngexesha elithile ngaphambi kokuba afinyelele kwiminyaka engama-65 (kwaye kungekudala abantu abathile). Ukuba uhlakulela ukulahleka kwethambo, kukho amayeza atholakalayo anokunciphisa ingozi yokuphazamiseka. Oko kwathiwa, ukuqikelela nokucinga malunga nokukhusela ukuwa kukuxhamla ngokufanayo.
Kanye nokunciphisa umsebenzi weempawu, umngcipheko we-lupus nephritis ungancipha. Kwaye, njengaye nawuphi na umntu oneminyaka epheleleyo ne-lupus, ukuxolelwa ixesha elide ngamanye amaxesha kungenziwa, nangona asebekhulile.
> Imithombo:
> Bultink, I., kunye noWed. Lupus kunye neFractures. Umbono okhoyo kwiRheumatology . 2016. 28 (4): 426-32.
> Khafagy, A., Stewart, K., Christianon, M. et al. Impembelelo ye-Menopause I-Hormone Ukwelashwa kwiZifo Ukuqhubela phambili kwi-Systemic Lupus Erythematosus: Uhlolo lokuHlola. Maturitas . 2015. 81 (2): 276-81.
> van den Hoogen, L., Sims, G., van Roon, J., noR. Fritsch-Stork. I-Lupus Erythematosus-I-Immunosenescence kunye neNgaphambili. Isayensi ye-Aging Current . 2015. 8 (2): 158-77.
> Wang, X., Yan, S., Liu, C. et al. Ukuphulwa kweNgcembeko kunye neT Bone Mineral Level Levels kwizigulane nge-Systemic Lupus Erythematosus: UkuHlola okuHlolo kunye ne-Meta-Analysis. Osteoporosis International . 2016. 27 (4): 1413-23.
> Zen, M., Iaccarino, L., Gatto, M. et al. Ukuxolelwa ixesha elide kwizigulane zaseCaucasian nge-SLE: ukuPhukela kunye neziPhumo. Iziganeko zeeRheumatic Diseases . 2015. 74 (12): 2117-22.