IiRumatolgist kunye nezinye iingcali ezichazwe kwiNyango yezoLonyango ngeLupus
Luhlobo luni logqirha oluphatha i- lupus ? Umbuzo oqhelekileyo kulabo abanakho okanye baye bafumanisa ukuba bane-systemic lupus erythematosus (SLE) okanye olunye uhlobo lwe-lupus. Ekubeni abaninzi abantu abaneepulus bephela bebona iindidi zeengcali ezahlukeneyo, kunokuba luncedo ukuhlolisisa iintlobo zeengcali ezingabandakanyeka kunyango lwakho olunzulu.
I-Rheumatologists (IiNzululwazi zeZifo eziZodwa)
Ngokuqhelekileyo, i-lupus iyaphathwa yi- rheumatologists . I-Rheumatologists ngabaqeqeshi bezilwanyana (okanye zombini) ezijolise ekuxilongweni nasekunyangeni kwe-arthritis nezinye izifo zamalungu, izihlunu, namathambo, kunye nezifo ezithile ezizimele , kuquka i-lupus ne- rheumatoid arthritis .
I-Rheumatologists iqala ukuza kubhalwa kwiiyeza zangaphakathi, inkqubo efuna ubuncinane iminyaka emithathu yokuhlala kwezonyango emva kwesikolo sezonyango. Oku kulandelwa yintsebenziswano kwiminyaka embalwa kwiRheumatology emva koko ingaba ibhodi eqinisekisiwe kwi-rheumatology.
Iqela lakho lokunakekelwa kwezempilo kunye neLupus
Siza kuqala ngokuthetha malunga nendima yakho ye-rheumatologist eya kuba nayo ekunyamekeleni kwakho, kodwa ixesha elininzi liza kuba neqela lagqirha kunye nabagqirha abaza kukunceda ukulawula iimpawu zesifo sakho kunye nokusilela kwayo.
Ezi ezinye iingcali ziya kuxutyushwa kamva, kodwa kubalulekile ukukhankanya oku ekuqaleni xa ucinga nge-rheumatologist.
Zonke ezi ngcali zingadlala indima ethile ekulawuleni isigulo sakho, kodwa ngokuqhelekileyo i-rheumatologist yakho isebenza njengesiseko sakho sasekhaya; lowo udibanisa ukunakekelwa okunikezelwa liqela lakho lononophelo lwempilo, ukuqinisekisa ukuba zonke iinkxalabo zakho zijongene nazo kwaye akukho ukusebenzisana phakathi kwamachiza kunye neminye unyango olunikeziwe.
I-rheumatologist yakho ihlala ngumntu ozakubiza ukuba unemibuzo okanye uxhalaba, kunye nomntu onokukunceda ukuxhuma kunye nezinye iingcali ezingakunceda ukunyamekela iinkalo ezithile zesifo sakho. Izifundo ziye zafumanisa ukuba abantu abanxibelelwano olugulane nogulane abanonophelo nje banokuziva banamandla ngakumbi ekunyamekeleni kwabo kodwa banokuba neziphumo ezingcono.
Ukwazi oku, kubaluleke kakhulu ukufumana i-rheumatologist enokuziva ukhululekile ukuthetha kunye nabani ongakwazi ukuthetha kakuhle. Thatha isikhashana ukuphulaphula le vidiyo malunga nendlela yokufumana ugqirha ongcono. Oku kuya kukunceda ukwazi ukujonga kwaye ugwebe iimpawu ezibalulekileyo kunogqirha oza kubeka ithemba lakho ngokuqinisekileyo ngobomi bakho.
Indlela iRheumatologist ichonga ngayo kwaye ihlolwe iLupus
Ukuba ugqirha wakho oyintloko ukhusela ukuba une-lupus, uya kuthunyelwa kwi-rheumatologist. I-rheumatologist iya kuthatha ingqalelo imbali yeempawu zakho kwaye yenza uvavanyo olusemzimbeni olukhangela imiqondiso kunye neempawu ze-lupus . Uya kuphinda aqhube iimvavanyo zegazi ukujonga iimpawu ze-lupus.
Uvavanyo lokuqala lwegazi i-rheumatologist iya kuqhuba ukujonga ukuba i-lupus ibizwa ngokuba yi- anti-nuclear anti (ANA) . Olu vavanyo lubheka i- autoantibodies kwiinuclei kwiiseli.
Ii-Autoantibodies ziintsholongwane ezifana nezo oza kuphuhlisa emva kokusuleleka kwintsholongwane okanye ukuphendula kwisitofu sokugonywa, kodwa nge lupus, ezi zikhuhlane zijoliswe kwi-nuclei yezinye iiseli zakho. Phantse bonke abantu abane-lupus baya kuba novavanyo lwe-ANA oluhle.
Isiphumo esihle se-ANA, nangona kunjalo, akuthethi ukuba unayo i-lupus. Abanye abantu abanesifo esihle se-ANA bafumana i- scleroderma , i-rheumatoid arthritis, izifo ezixubekileyo zezifo zesifo , okanye izifo ezihlukeneyo zesifo. Kwaye ukuya kuma-10 ekhulwini abantu abangenawo isifo se-rheumatological baya kuba ne-ANA enhle. Ngethuba leenkqubo zokuxilonga, inokukhawuleza kwaye ikhungatheke, njengoko kukho izifo ezininzi ezihlukeneyo zezifo zesifo esinezixhobo ezihamba phambili phakathi kwezi.
Sekunjalo ukwenza ukuxilongwa ngokuchanekileyo kubalulekile ekufumaneni unyango olungcono.
Emva kokuvavanya kwe-ANA, i-rheumatologist iyakwazi ukuqhuba iimvavanyo ezininzi zegazi ukujonga ezinye izikhuhlane ezinokuncedisa ukuba ungenayo i-lupus okanye enye imeko. Ulandelelwano oluqhelekileyo kuvavanyo lwe-ANA oluhle yipaneli ye-ANA, ejongene nalezi zizahlulo:
- I-DNA emibini echanekileyo (anti-dsDNA)
- Anti-Smith (anti-Sm)
- Anti-U1RNP
- I-Anti-Ro / SSA
- Anti-La / SSB
Ezinye iilabhu ziya kuhlola i-anti-nucleoprotein, i-anticentromere, okanye i-antihistamine. Funda kabanzi malunga neemvavanyo ezithile ze-autoantibody ezenziwa ukujonga i-lupus .
I-Rheumatologists nayo isebenzisa ezinye izixhobo-njengembali yonyango, ukuhlolwa ngokomzimba kunye nesikhumba kunye neentso ze-kidney-ukwenza i-lupus ukuxilongwa.
Emva kokuba i-lupus ifunyenwe, i-rheumatologist yakho iza kusebenza nawe ukuza nesicwangciso sonyango ( kuquka imithi ye-lupus ) eqondakalayo kuwe. I-Rheumatologists zinceda izigulane zithinte kwaye ziphathe i-lupus flares kwaye zinciphise umonakalo womzimba kunye nezinye iingxaki.
Unyango lwakho lungadinga ukutshintsha amaninzi kwixesha lobomi bakho, kuxhomekeke kwisimo sesifo sakho kunye nezinye izinto. I-rheumatologist yakho inokunceda ukuba ujikeleze olu tshintsho.
Iqela lakho lokunakekelwa kwezempilo le-Lupus (ezinye iiDktana eziphatha iLupus)
Uya kuba no-rheumatologist oza kulawula isifo sakho kwaye uncede ukulungelelanisa ezinye iingcali, kodwa abaninzi abantu abane-lupus baya kuba neqela lezonyango kunye neengcali ezilawulayo.
I-Lupus inokuchaphazela phantse nayiphi na inqumrhu okanye inxalenye yomzimba emzimbeni wakho, kwaye unokufuna ukuba neengcali kule ndawo ethile. Ukongezelela, unokufuna ukuba neengcali ezingakunceda ukujamelana nokusilela kwesifo sakho okanye ukubonakaliswa kwemvakalelo yesifo sakho. Ezinye iingcali ezinokuba yinxalenye yeqela lakho ziquka:
Iingcali zezonyango - Uhlobo lweengcali zezokwelapha onokuzibona luquka:
- I-Cardiologist - Kwizinto ezinentliziyo ezifana ne- lupus myocarditis kunye ne- lupus pericarditis
- I-Pulmonologist - Imiba yemiphunga efana ne- pleurisy ngenxa ye-lupus kunye neminye yemiphunga
- I-Endocrinologist - Kwimiba enxulumene ne-thyroid, umsebenzi we-adrenal, okanye ezinye izinto ze-endocrine
- I-nefilologist - Imiba enxulumene neentso zakho kunye nomsebenzi wezintso ezifana ne- lupus nephritis
- I-Gastroenterologist - Imiba yokutya yokutya
- I-Hematologist - Imiba ephathelene nokubala kwegazi lakho
- I-Immunologist - I-immunologist yezonyango, oogqirha abajongana nesisifo sesifo sakho, baqhubeka bebandakanyeka ekwenzeni i-lupus njengoko kufundwa ngaphezulu
Iingcali zesikhumba - Iintlanzi zixhaphake kakhulu kunye ne-lupus, kwaye abaninzi abantu bane-dermatologist (i-skin specialist) njengenxalenye yeqela labo. I-Lupus inokubangela ukuba i- photosensitivevity inokuthi uncedo lwakho lokuncedisa. Kwamanye amaziko amakhulu ezonyango, unokukwazi ukubona i-dermatologist egxile ekubonakalisweni kwesikhumba se-lupus.
Iingcali ze-neurological - I- neurologist inokuthi ibe yinxalenye yeqela lakho ukwenzela ukujongana nembonakalo ye - nervous manifestation ye-lupus .
Iingcali zezobuyiselwa - Ukuxhomekeka kwiimpawu zakho ezithile, ungabona umphathiswa wezinto eziphathekayo ukunciphisa intlungu kunye kunye nokuqina okanye umgulane . AmaPhysics abagqirha abanobuchwepheshe kwizonyango kunye nokuvuselelwa kwaye banokufunwa ukuncedisa ukucwangcisa icebo elipheleleyo lokuvuselela. Nangona le nto ingumtsha, sifunda ukuba iyeza lokuvuselela ingenza umehluko omkhulu kumgangatho wobomi kubantu abaphila nezifo ezingapheli ezifana ne-lupus.
Ugqirha wezonyango lokuqala - Abanye abantu bayaqhubeka befumana ugqirha wokunakekelwa okuphambili njengowomsebenzi oqhelekileyo okanye oogqirha bezentlalo abandakanyekayo ekunyamekeleni kwabo. Kukho uluhlu olubanzi lokubandakanyeka, kunye nabanye oogqirha abanonophelo bonyango abasebenza njengonxibelelwano lwenkathalo yenu, kunye nabanye abalawula kuphela iintlobo zonyango onokuzifuna ukuba zihlukile kwi-lupus yakho. Ngokubanzi, kubaluleke kakhulu ukuqhubeka nokubona ugqirha wezempilo. Imviwo rhoqo yokuhlola iifestile, ezifana nee-Pap smears kunye ne-colonoscopies ayilona nto ibaluleke kakhulu emva kokuba ufumene i-lupus.
Impilo yengqondo - Abantu abaninzi abane-lupus baneengqondo zengqondo okanye i-psychiatrist njengenxalenye yeqela labo ukuze bancede babhekane nokubonakaliswa kwengqondo kweso sifo kunye nempilo yakho yengqondo ekujonganeni nesifo esingapheliyo. Ukuxhalaba kunye nokuxinezeleka kuqhelekileyo kubantu abane-lupus, kwaye ukuba kukho, kufuneka kuthathelwe ingcali kwiingcambu.
Iingcali zokuzala - Ukuba ukhetha ukukhulelwa i-lupus, unokuba ne-perinatologist (oyingcali ekhuselweni eliphezulu) echaphazelekayo ekunakekeleni kwakho.
I-pathologists, i-radiologists, kunye / okanye oogqirha - Njengoko kuphawuliwe ngaphambili, ngamanye amaxesha kufuneka ukuba kuqinisekiswe ukuxilongwa kwe-lupus. Ezinye zezi zinto zenziwa njengenkqubo ye-radiology kanti ezinye ziquka i-biopsies. I-pathologist uhlobo logqirha obonakalisa le miboniso phantsi kwe-microscope kwaye wenza olunye uvavanyo ukuvavanya isifo sakho.
Inkxaso kunye nokuKhekana
Oko sikuphumelelanga ukukhankanya kuloluhlu lweengcali mhlawumbi uhlobo olubaluleke kakhulu lwenkathalo: abahlobo. Ingcali yengqondo ingakwazi ukunceda ukujongana neminye imvakalelo yesifo sakho, kodwa akukho nto ifana nokuthetha nomnye umntu ohambahamba ngendlela ohamba ngayo. Funda malunga nezindlela onokufumana inkxaso kunye ne-lupus , ukusuka kumaqela enkxaso ukuya kwiindawo ze-lupus zendawo. Kwakhona kufuneka siqaphele ukuba amadoda afumana i-lupus , kwaye ajongene nemingeni ekhethekileyo.
Ukunxibelelana neqela lakho lokunakekelwa kwezempilo le-Lupus
Uninzi lwabantu abane-lupus luya kufuna ukunyamekela isifo sabo bonke ubomi babo, ngoko ke kubalulekile ukufumana iqela lokunakekelwa kwezempilo olihlonelayo. Ukudlala indima echaphazelekayo ekunyamekeleni kunye nokuba ngummeli wakho kunokunciphisa kuphela uxinzelelo lokuphila ne-lupus kodwa kunokukwenza ukuba umehluko kwisiphumo sakho.
Imithombo
- Beusterien, K., Bell, J., Grinspan, J., Utset, T., Kan, H., noS S. Narayanan. Ulwalamano-Unxibelelwano lwezonyango kunye neziPhumo kwi-Systemic Lupus Erythematosus (SLE): Umzekelo woBuchule. Lupus . 2013. 22 (10): 1038-45.
- Casey, C., Chung, C., Crofford, L., no-A. Barnado. I-Rheumatologists 'Ukuqonda kwe-Systemic Lupus Erythematosus Iimpawu zoBume: Inzala ebalulekileyo kunye neengxaki ezibonwe. Rheumatology Clinic . 2017. 36 (1): 97-102.
- Zhang, L., Fu, T., Yin, R., Zhang, Q, kunye no B. Shen. Ukunyamezeka koxinzelelo kunye nokuxhalabisa kwi-Lupus Erythematosus esebenzayo: Uhlolo lokuHlola kunye nokuHlola kweMeta. BMC Psychiatry . 2017. 17 (1): 70.
- Zirkzee, E., Steup-Beekman, G., Schouffoer, A., Henquet, S., Calijouw, M., Huizinga, T., kunye noT. Vliet Vlieland. Ukunakekelwa kweMpilo kwi-Systemic Lupus Erythematosus (SLE): Umbono weMonde. Rheumatology Clinic . 2014. 33 (9): 1279-87.