Lapho i-Lupus ithinta izinso
Uma uthola ukuthi une-lupus, uzofuna ukufunda izimpawu nezimpawu zesimo esibizwa nge- lupus nephritis (LN) esithinta izinso.
I-Lupus nephritis ivela kubantu abangaba ngu-60% wabantu abane-lupus. Phakathi kwabantu abane-lupus nephritis, u-10 kuya ku-30% uthuthukisa ukwehluleka kwezinso, ngakho-ke kubalulekile ukuthi uyazi izimpawu nezimpawu.
Yini Lupus Nephritis?
I-Lupus nephritis isifo sokuvuvukala kwezinso esibangwa i-lupus.
Ngokuyinhloko, izinkinga zezinso ku-lupus zibangelwa umonakalo kumaqoqo ezinde zegazi ezintsheni ezibizwa ngokuthi i-glomeruli.
Abantu abane-lupus kanye nomonakalo ohambisana ne-glomerular bane-lupus glomerulonephritis (LGN). I-LGN ivela lapho ama-antibodies futhi egcwalisa amaprotheni akhiwa ezinso futhi abangela ukuvuvukala.
Izimpawu Nezibonakaliso
Uma uthuthukisa i-lupus nephritis, ungase ubone lezi zimpawu nezimpawu:
- I-Foamy umchamo
- Ukuvuvukala, ngokuvamile ezinyaweni, ezinyaweni nasemilenzeni
- Umfutho wegazi ophezulu
- Ubuhlungu obuhlangene noma ukuvuvukala
- Ubuhlungu besisu
- Umkhuhlane ongenayo imbangela eyaziwayo
- Ukuqhuma okubomvu, ngokuvamile ebusweni
Ukuxilongwa
Ukuze unqume ukuthi unayo i-lupus nephritis, udokotela wakho uzoqhuba izivivinyo zomchamo, kanye nokuhlola ngokomzimba ukuhlola ukucindezelwa kwegazi lakho futhi ubheke ukwakhiwa kwamanzi okuzungezile emzimbeni, okuthiwa i-edema.
Ukuhlolwa kwegazi kungasetshenziselwa ukubuka amazinga aphezulu e- creatinine , umkhiqizo odoti owandayo lapho izinso zingasebenzi kahle.
Uma usolwa ngokuqinile ukuthi une-lupus nephritis, udokotela wakho uzoyala i-biopsy yezinso.
Kunezinhlobo eziyisithupha ze-lupus glomerulonephritis ezihlukahluka. I-biopsy izosiza ekutholeni uhlobo lwe-LGN onayo. Lokhu kuhlolisisa kuzosiza ukubikezela inkambo ekulindeleke yezinkinga zakho zezinso bese uhola ukwelashwa kwakho.
Ngenxa yokuthi ezinye izinhlobo ze-LN zingaholela ekusebenzeni okuphelele kwezinso nokuxhomeka ku-dialysis, imiphumela ye-biopsy iyadingeka ukuze ikulolonge uhlelo lokukhathalela futhi usize ukuthola ukuthi yiluphi ukwelashwa okudingekile nokuthi kufanele luhlukumeze kangakanani.
Ukwelapha
Uma uthola ukuthi une-lupus nephritis, ukwelashwa kwakho kuzogxila ekuthuthukiseni umsebenzi wakho wezinso. Kunezinketho ezimbalwa ezitholakalayo, futhi kungenzeka ukuthi ukwelashwa kwakho kuzoba ngabanye ngokusekelwe ngobuqili nezinye izici zesifo sakho. Ezinye zokwelapha zihlanganisa:
- Imithi. Ukwelashwa kuqala ngemithi yokuvimbela isimiso somzimba sokuzivikela kanye nokunciphisa ukuvuvukala ezintsheni. I-Corticosteroids noma i-immunosuppressives isetshenziselwa lokhu. I-Diuretics ingasetshenziswa ukuqeda uketshezi okweqile nokunciphisa ukuvuvukala.
- Ukugcina umfutho wegazi onempilo. Imithi yokucindezelwa kwegazi, njenge-angiotensin-yokuguqula i-enzyme (ACE) inhibitors nama-block receptor blockers (ARBs), ingahle ibekiwe.
- Izinguquko ekudleni kwakho. Ungase ufundiswe ukunciphisa usawoti (sodium) ekudleni kwakho.
Izindaba ezinhle ukuthi, kubantu abaningi, ukwelashwa kwe-lupus nephritis kuphumelela kakhulu.
Imithombo:
Lupus Nephritis. I-National Institute of Diabetes kanye ne-Digestive and Kidney Diseases. April 2014.
Lupus Nephritis. I-Medline Plus. Izifo ze-Lupus neyezinso. Lupus Foundation of America. Januwari 2008.