Uluphi ulwahluko kunye nokufana phakathi kwe-lupus (systemic lupus erythematosus) kunye ne-MS (i-multiple sclerosis?) Lo mbuzo obalulekileyo, nangona umcimbi obaluleke kakhulu njengokuba abanye abantu abane-lupus bengabonwa ngokungafani ne-MS kunye nakwezinye izinto. ezi meko zifana, kwaye zinokuthi zahluke njani ukuze wena kunye nodokotela wakho wenze ukuxilongwa ngokufanelekileyo.
I-Lupus ne-MS Basics
I-Lupus (i- systemic lupus erythematosus ) kunye ne-MS (i- multiple sclerosis ) inokubonakala ifana ngezindlela ezininzi. Enyanisweni, abantu banokungaqondakali lula ukuba babe ne-MS, xa benene-lupus.
Bobabini i-lupus kunye ne-MS zizifo ezingapheliyo. Kukho izifo ezingafaniyo eziyi-100 ezihlukeneyo, kunye neempawu ezininzi ezigqithisiweyo. Kule miqathango, isistim somzimba- kunxamnye nokuhlasela umbhuli-mhlaba onjengeibhaktheriya okanye iintsholongwane-zihlasela umzimba wakho
Kwi-lupus, isistim somzimba singahlasela izilo ezahlukahlukeneyo emzimbeni, ingakumbi ulusu, amaqhina, iintso, intliziyo, imiphunga okanye inkqubo yesantya. (Kwabanye abantu, i-lupus ithintela kuphela isikhumba, imeko eyaziwa njenge- discoid lupus erythematosus .)
Kwi-multiple sclerosis, i-immune system ihlasela ngokuthe ngqo i-myelin sheath, inqatha ekhuselekileyo kwi-brain fibers in brain and spinal cord. I-myelin sheath ingacingelwa njengokuba ungayifumana isimbozo sangaphandle somtya wombane.
Xa i-myelin sheath ibonakaliswe, ukuhanjiswa kweengcinga ezivela kwingqondo kuya emzimbeni kunye nomzimba kwisifo sengqondo kunokuchaphazeleka.
Fanayo
I-Lupus ne-MS zizifo ezahlukileyo kakhulu, kodwa zinezinto ezininzi ezifanayo:
- Zizo zombini imeko.
- Asazi izizathu ezibalulekileyo - Njengoko singayazi isizathu esicacileyo se-lupus , asiqinisekanga ngezizathu ze-MS .
- Ziyi-diagnostic klinikhi, ithetha ukuba akukho vavanyo lebhu okanye ukufundwa kweengcamango ezinokuqinisekisa ukuxilongwa ezithile. Kunoko, ukuxilongwa kwe-lupus okanye i-MS ixhomekeke kwiimpawu zeempawu, iimpawu kunye neemvavanyo zebhan ezingakwazi ukuchazwa ngenye i-diagnostic.
- Zichaphazela abantu abakwiqela elifanayo. Zona zibini zifo zixhaphaza abantu abafanayo-abasetyhini-nakuba bechaphazela abanye abantu.
- Zizo zombini izimo zokubuyiselwa / ukukhuphela. Bobabini i-lupus kunye ne-MS banokulandela umzekelo wokuxolelwa kunye nokuphindaphinda okuphindaphinda (bobabini izifo ezibuyiselwayo kwakhona .)
- Zingabangela izilonda zobuchopho kwi-MRI ezifanayo.
Nangona iimbilini zijoliswe ku-MS, i-lupus ngamanye amaxesha ichaphazela iimbilini. - Zombini iimeko zibonakala zinezinto zobomi kwaye zingenzeka kwiintsapho.
- Zombini iimeko zisoloko zingakhange zibonwe kakubi ekuqaleni.
- Ezi zombini imeko zivame ukudala iingxaki ngokukhathala, iintloko, ukuqina komzimba kunye neengxaki zememori.
Ukungafani
Ukongeza kokufana, kukho iintlobo ezahlukeneyo ezifumaneka phakathi kwe-lupus kunye ne-MS. Ezi zintlukwano zibaluleke ngokukodwa njengoko unyango lwezifo zibini ngokuqhelekileyo luhluke kakhulu. I-MS yisona sifo esiqhelekileyo sesifo segazi esihlasela abantu abatsha.
Phantse kwisiqingatha sezigulane ze-lupus ziya kuba nenkqubo ye-nervous central (ingqondo kunye nemigudu yomgca). Nangona kunjalo, ngelixa zombini i-lupus kunye ne-MS inokuchaphazela inkqubo ye-nervous central, bavame ukwenza njalo ngeendlela ezahlukeneyo.
Ukungafani kwiimpawu
Kukho ukufana ngokufanayo phakathi kwe-lupus kunye ne-MS malunga neempawu; Bobabini izifo zivame ukudala iimpawu ze-neurological kuquka neengxaki ngeememori, iintlungu zomzimba kunye nentlungu, kunye nokukhathala. Nangona kunjalo kukho ukungafani. Ngokuqhelekileyo, umonakalo emzimbeni wenziwa ngokubanzi nge lupus kune-MS.
Ngokutsho kweNational Multiple Sclerosis Society, le miphumo elandelayo ye-lupus kwi-system ye-nervous does not typically occur in people with MS:
- Intloko ye-Migraine
- Utshintsho lobuntu
- Iinguqu kumsebenzi wokuqonda
- Ukuhlutha kwesisu
- Stroke
Iimpawu eziqhelekileyo ze-lupus zihamba kunye ne-arthritis. Ngokwahlukileyo, imivumba ayiqhelekanga nge-MS kwaye iimpawu eziqhelekileyo zibandakanya umbono ombini, ukuphazamiseka, ukubetha, okanye ubuthathaka kwelinye leminye imida, kunye neengxaki zokulinganisela kunye nokulungelelanisa.
Ukungafani kwiiLebhu zeeLebhu
Uvavanyo lwe-antiphospholipid yonyango lwalunye lindlela oogqirha baqala ngayo ukuhlula i-lupus evela kwi-MS.
Ngelixa i-antibokids anti-nuclear antibodies ingatholakala kubantu abathile abane-MS, ubukho babo bungaqhelekanga kunokuba ne-lupus. Nge-lupus, akuqhelekanga ukuba ungabi ne-antibokids antibodies ( ANA-negative lupus .)
Ngokuqhelekileyo, abantu abane-lupus baya kunqumla i-myelitis . Le meko ibhalwa ngumsila wokugqabhuka kunye nomonakalo kwi-myelin sheath. Ifanisa i-MS kwaye ngezinye izihlandlo i-lupus kuphela. Ngako oko, unokudibanisa ukuxilongwa. Izifundo ziye zafumanisa ukuba ukuvavanya i-anti-nuclear-aquaporin-4-antibodies kungasiza ekuhlukaniseni i-neuromyelitis optic kwi-lupus kwi-multiple sclerosis.
Ukwahlukana kwiZifundo zoTyikityo
Ngokubanzi, i-MRI yengqondo iza kubonisa izilonda ezingaphezulu nge-MS ("izimbobo ezimnyama kunye namabala aqhakazileyo") kodwa ngamanye amaxesha izilonda zengqondo ezifunyenwe ne-lupus okanye i-MS zingabonakali.
Ukungafani kwiMiqathango
Kubalulekile ukuqaphela ukungafani phakathi kwe-lupus kunye ne-MS xa wenza ukuxilongwa ngenxa yokuba unyango lwemiqathango emibini luhluke kakhulu.
Unyango oluqhelekileyo unyango lwe-lupus lubandakanya izidakamizwa ezingekho-steroidal ezichasayo, i-steroids (i-corticosteroids) kunye neziyobisi ze-antimalaria. Iziyobisi ezingenasistim (i-DMARDS okanye isifo sokuguqula iziyobisi ezichasene ne-arthritis) zingasetyenziselwa izifo ezinzima, ngakumbi ezichaphazela izintso.
Ngokwahlukileyo, amayeza aqhelekileyo asetyenziswa ukuphatha i-MS afaka i-interferons (njenge- Avonex ). iziyobisi kunye ne-immunomodulators.
Ukwahlukana kwiPrognosis
Phakathi kwama-80 ne-90 ekhulwini labantu abane-lupus baya kuhlala ubomi obuqhelekileyo. Ukugxekwa kwe-lupus kuye kwatshintsha. Ngama-1955 kuphela isiqingatha sabantu bekulindeleke ukuba baphile iminyaka emihlanu. Ngoku, iipesenti ezingama-95 zabantu ziphila emva kweminyaka eyi-10. Ukulindela ubomi kunye ne-MS ngokuqhelekileyo iminyaka eyisixhenxe imfutshane kunomntu ongenayo i-MS, kodwa oku kuyahluka kakhulu phakathi kwabantu abahlukeneyo nesifo. Abanye abantu abanezifo ezinobundlobongela banokufa emva kwesithuba esifutshane nesi sifo, kanti abantu abaninzi baphila ubomi obuqhelekileyo.
Kutheni amaxesha amaninzi athathaka
Ukongeza kwi-myelitis ehambayo, apho i-lupus ingakwazi ukulinganisa i-MS (kodwa iphathwa ngokuhlukileyo,) kukho ezinye iindidi ezifanayo phakathi kwe-lupus kunye ne-MS ezinokufaka isandla kwi-diagnosis:
- Zombini izifo zi-immunological.
- Zombini zichaphazela abantu abanjalo.
- Bobabini banekhosi yokubuyela kwakhona
- Bobabini banokuba neempawu ze-neurological.
- Bobabini banokuba nezilonda zobuchopho.
Yintoni eyenzekayo nge-Misdiagnosis?
Ekubeni amayeza ahlukeneyo asetyenziselwa ukuphatha i-lupus kunye ne-MS, enye yeengxaki nge-misdiagnosis kukuba awufumani unyango olungcono kwizifo zakho. Kodwa oko akusiyo yonke into, njengoko amanye amayeza e-MS angenza iimpawu ze-lupus zibi nakakhulu.
Okukwintsusa
Ukuba ufunyanwe ukuba unayo i-lupus okanye i-MS, ingakumbi ukuba imeko yakho ithathwa ngokuba "yi-atypical," xela ugqirha wakho. Buza malunga nokufunda malunga nokuxilongwa kwakho. Ukuba awuqondi into ethile, cela kwakhona. Qinisekisa ukuba ubona ingcali onguchwepheshe ononyango lwe-lupus okanye i-MS. Funda malunga noogqirha abanakekela abantu abane-lupus kunye neengcali ezikhathalela abantu abane-MS .
Unokufuna kwakhona ukufumana umbono wesibini. Abanye abantu bayanqikaza ukucela imbono yesibini, kodwa kungekuphela nje oku akukwenzakalisi ugqirha wakho, kulindeleke xa abantu bejamelana nesimo sengqondo esibi.
Unokuziva ngathi unguye wedwa ujamelana nokuxilongwa kwakho. Abantu abaninzi abane-MS bayanqikaza ukuthetha ngeemeko zabo kuluntu, kwaye abantu abanesifo se-lupus bafumana ukuba abantu bathi izinto ezilimazayo xa befunda ngesifo sabo. Kukho ukuqonda okungakumbi malunga ne-lupus okanye i-MS kubemi ngokubanzi malunga nezinye iimeko zonyango. Uninzi lweempawu azibonakali kwabanye, okubangelwa "ukuhlupheka okungenangqondo."
Cinga ukujoyina iqela lokuxhasa okanye uluntu lwenkxaso yoluntu. Le nto ingaba yindlela efanelekileyo yokudibana nabanye abantu abajongene neminye imingeni kwaye ihlala yindlela eninzi yokufunda ngokubanzi ngesifo sakho kunye nophando olutsha.
> Imithombo:
> Karussis, D. Ukuxilongwa kwe-Multiple Sclerosis kunye nee-Syndromes ezahlukeneyo zokuDemel: UkuHlola okuBalulekileyo. Umbhalo we-Autoimmunity . 2014. 48-49: 134-42.
> Magro, C., Cohen, D., Bollen, E. et al. Ukutyhila izifo kwi-SLE: Ngaba i-Multiple Sclerosis okanye i-Lupus ?. Ukusebenza ngokuPhezulu nokuPhando. Rheumatology Clinic . 2013. 27 (3): 405-24.
> Jurynczyk, M., Craner, M., Palace, J. et al. Ukugqitywa kwee-CNS izifo ezivuthayo: Ukuhlukana kweziganeko ze-NMO kunye ne-MS. I-Journal ye-Neurology, i-Neurosurgery kunye ne-Psychiatry . 2015. 86 (1): 20-5.