I-systemic lupus erythematosus , eyaziwa ngokuthi i-lupus, yisifo esibangela isimiso somzimba sokuzivikela komzimba ukuba singasebenzi kahle, sikhiqize ama-antibodies ngokumelene nezicubu zomzimba. Lezi zinselo zomzimba zingabangela ukulimala ezithombeni eziningi eziholela ezimpawu ezihluka kakhulu futhi zihlanganisa ukukhathala, ukuhlukunyezwa kwesikhumba, izinhlungu ezihlangene, isifo samathambo , nokuhlukunyezwa , ngisho nokushaywa yisifo.
Iziguli ze-Lupus zivame ukuhlukunyezwa kunabantu abangenakho i-lupus. Eqinisweni, abanye abantu abanesifo se-lupus bahlaselwa ngezigameko eziphindaphindiwe, ikakhulukazi uma nabo benesifo esiphakeme segazi .
I-Lupus Yenza I-Stroke Yenza Kanjani?
Ngenxa yokuthi i-lupus ithinta izitho eziningi emzimbeni, inamandla okubangela ukushaywa ngezindlela eziningana:
- Ngokubangela ukwakhiwa kwezindwangu zegazi: Elinye lama-antibodies amaningi angavamile akhiqizwa amasosha omzimba wegciwane le-lupus yi-antiphospholipid antibody. Leli-antibody liyaziwa ukuthi lihlasela izingqamuzana zamangqamuzana afaka ngaphakathi kwemithambo yegazi. Ukuhlaselwa kubangela "i-cascade yezinto eziphilayo" eziqala ukwakheka kwezindwangu zegazi. Lokhu kungenzeka ezingxenyeni ezihlukene zomzimba, kufaka phakathi imithanjeni ejulile yemilenze, amakamelo enhliziyo, nemifudlana emikhulu yekhanda. Kwezinye izimo, lawa ma-clots egazi angakwazi ukuhamba ebuchosheni futhi abangela imivimbo embolic .
Amanye ama-antibodies abonakala ku-lupus ahlotshaniswa nokwakheka okungavamile kwezindwangu zegazi kubandakanya i-lupus anticoagulant ne-anticardiolipin antibodies.
- Ngokunciphisa ukwakheka kwezinsizakalo ezincane zomzimba ngaphakathi kwenhliziyo: Iqoqo le-immune deposits lingatholakala ngaphakathi kwezinhliziyo zengxenyana yeziguli ze-lupus. Lezi zimali zokuzivikela zomzimba zingacatshangwa njengama-pellets amancane ama-antibodies, namaseli omzimba ahlanganiswe namaminerali, amaprotheni, neminye imikhiqizo yesistimu yomzimba. Isivikelo somzimba sokuzivikela sisabela ngokumelene nezicubu zomzimba. Lesi simo, esibizwa ngokuthi yi-Liebman Sack endocarditis, singabangela ukushaywa uma lezi ziphazamisi ezincane zihamba zisuka enhliziyweni kuya ebuchosheni.
- Ngokubangela ukuvuvukala ngaphakathi kwezindonga zemithambo yegazi: Lesi simo, esaziwa njenge-vasculitis, singabonwa kuziguli eziningi ezine-lupus. Ngezinye izikhathi, ukuvuvukala emithanjeni yegazi kunzima kangangokuthi igazi ligeleza ngesikebhe esivuthayo livinjelwe ngokuphelele. Lokhu kuyingozi kakhulu uma kwenzeka emithanjeni yegazi ebuchosheni , futhi kungaholela ekushayweni.
Ihlelwe nguHeidi Moawad MD
Imithombo:
U-Katrin L. Conen, u-Christina Jeanneret, uBharkhard Hecker, uGieri Cathomas, uBarbara C. Biedermann Okuyisiguli esiphezulu seSikhuhlane Sokuvotela Okuholela Esigabeni Esibulalayo Esikhathini Esihambisana Ne-Systemic Lupus Erythematosus: I-Arteritis noma i-Atherosclerosis? Arthritis & Rheumatism 2006, Volume 54, 908-913.
U-Kushner M, u-Simonian N; I-Lupus Anticoagulants, Antibodies Anticardiolipin, ne-Cerebral Ischemia . Isibhamu 1989; 20: 225-229.
Y Kitagawa, F Gotoh, A Koto noH Okayasu; Ukushaywa yisisu kwi-Systemic Lupus Erythematosus Ukushaya isisu 1990; 21; 1533-1539.