I-Lupus (i-systemic lupus erythematosus noma i-SLE) nokuguga kungathinta omunye nomunye. I-Lupus ingathonya inqubo evamile yokuguga futhi inqubo evamile yokuguga ingathinta izimpawu zakho kanye nekhwalithi yokuphila nge-lupus. Yini okufanele uyazi?
Lupus nokuguga
Cishe uyazi ukuthi i-lupus ingukugula okude, futhi wazi ukuthi uzizwa kanjani namuhla. Kodwa lesi sifo singakuphatha kanjani njengoba ukhula?
Ake sibheke ezinye zezindlela ezibaluleke kakhulu lapho ukuguga kungathinta futhi kuguqule izimpawu zakho ze-lupus , nokuthi i-lupus ithinta kanjani inqubo evamile yokuguga. Sizoqala ngokuxoxa ngezinye zezinkinga ongabhekana nazo uma ukhula nge-lupus, kodwa uzoxoxa ngezici ezinhle zokuguga nesifo. Ukukhula nge lupus akuyona yonke into engalungile.
Izinkinga ezihambisana no-Lupus nokuguga
Kunengqondo ukuthi i-lupus nokuguga kungathinta omunye nomunye. Phela, kukhona ukufaniswa kwe-immunological phakathi kwe-lupus nokuguga emtholampilo, emaselula nakwezinga lezinhlamvu. Izici ezinjengengozi ekhulayo yokutheleleka kanye nesifo se-tumor esanda kakhulu kuvamile kokubili i-lupus nokuguga. Kodwa lezi zici zihumusha kanjani empilweni yangempela? Yini ongayilindela uma ukhula nge lupus?
Ubunzima besimangalo bungase bube nobudala
Abantu abaningi bayakhululeka lapho bezwa ukuthi umsebenzi we-lupus ohlobene nomsebenzi ungathuthuka ngobudala, kodwa sifunde ukuthi ubukhulu bezimpawu bungakhula.
Ingxenye yesizathu esilandelayo yukuthi njengoba ukhula akudingeki nje ukuthi ubhekane nezinkinga zakho kodwa kufanele futhi ubhekane nesamba somsebenzi wakho wesifo esikhathini esidlule kanye nomonakalo obangele.
Ubuhlungu obungapheli kungaba yisimo esiyinselele hhayi kuphela ngenxa yobuhlungu kodwa ngenxa yengozi eyengeziwe yemiphumela emibi ehlobene nokuphathwa kabuhlungu.
Imithi engeyona i-stroidal anti-inflammatory efana ne-Advil (ibuprofen) kungenzeka ukuthi ingabangela ukukhubazeka kwezinso noma ukuphuma kwamathumbu, kanti iTylenol (i-acetaminophen), uma isiza ngisho, ingase ingabi ikhetho elihle uma unesibindi esingavamile. Okungenzeka ukuthi kulawulwe lapho usencane kunomuthi owodwa ohlobene nobuhlungu manje ungadinga izindlela eziningi.
Ukukhathala kungabuye kuqhubekele phambili, ngoba ukuziphatha ngokwemvelo okuhlobene nokuqoqwa komonakalo we-lupus kwandisa ukukhathala kakade.
Ukulimala Okuhlobene ne-Lupus Eminyakeni
Ukulimala kuhlanganisa iminyaka eminingi futhi kungaholela ekubhujisweni kwamalungu kanye nobuhlungu obungapheli. Ungadinga ukwelapha ngokomzimba ukuze ubhekane nokuqina, noma ukushintshwa okuhlangene ukuze ubhekane ne-cartilage ekhishwe emadolweni noma emaceleni akho. Ukuhlinzekwa ngokomzimba noma ukuhlinzwa kwamathambo kungangeza ukuvakashelwa okuqhubekayo kwemitholampilo, ubuhlungu, kanye nezindleko kwisimiso sakho esivele sigcwele sokuzinakekela nge-lupus.
I-Osteoporosis Yivamile
Uma uneminyaka yobudala, ukulahleka kwethambo okuqhubekayo kungabangela i- osteopenia noma i- osteoporosis . Kukhona ingozi yokwanda kwe-osteoporosis ne-lupus ngezizathu eziningana. Enye yalezi ukuthi ezinye zemithi ye-lupus, njenge-corticosteroids (isibonelo, i-prednisone) ingasheshisa ukulahlekelwa kwethambo (i- glucocorticoid-induced osteoporosis ).
Ukulahlekelwa kwethambo kuye kwabonakala kwabanye abantu ngemva kwesonto elilodwa kuphela lokusebenzisa i-steroid. Indlela yokuphila ehlala phansi ehlala ephila ne-lupus ngokuvamile ifuna futhi iphakamisa ingozi. Okokugcina, kubonakala sengathi kukhona ukuxhumana okuqondile phakathi kwe-lupus ne-bone loss.
Ama-fractures ngenxa yokulahlekelwa kwethambo avame kakhulu ne-lupus, ikakhulukazi ukuphazamiseka komgogodla (vertebral). Eqinisweni, abesifazane abanesifo se-lupus bangase babe namathuba angaphezu kwesishiyagalombili ukuzwa ukuhlukunyezwa kwe-osteoporosis kunelabo abangenalo isifo. Ingozi yabesilisa abane-lupus iphinde iphakanyiswe.
Kungakhathaliseki ukuthi uhlakulela i-osteoporosis kuncike ezintweni eziningi, nesisindo sakho, izakhi zofuzo, nokuthi ngabe awubhemanga yini yonke into edlalayo.
Ukuhlolwa kwesisindo samathambo kunconywa kubo bonke abesifazane beseneminyaka engama-65 ubudala, nangaphambili empilweni uma izici zengozi-njenge-lupus-zikhona.
Ngenhlanhla, kunezindlela zokunciphisa ingozi yakho. Ukuqinisekisa ukuthi uthola i-vitamin D eyanele kuyasiza futhi kunezinye izinzuzo zezempilo kubantu abane-lupus. Uma udokotela wakho engakhananga izinga lakho le-vitamin D, cela. Imithombo ye-vitamin D ihlanganisa ukukhanya kwelanga nokudla okunye, kepha kumazinga aphansi (noma amazinga ajwayelekile ajwayelekile) ukuphakanyiswa kwevithamini D3 kunganconywa. Imithi yokulahlekelwa kwethambo iyatholakala, futhi ngaphezu kokwanda kwamathambo, ingasiza ekunciphiseni ingozi yezinsalela. Ngenxa yobungozi obukhulu bokuhlukana ne-lupus, abanye odokotela bangase batusa ukusebenzisa imithi uma une-osteopenia kanye ne-osteoporosis.
Ukwelashwa Kwama-Hormone Alternative Kungakhulisa Izingozi Zempilo
I-hormone-substitution therapy (i-HRT) ingenasamukele eminyakeni yamuva ngenxa yengozi eyengeziwe yokwelashwa kwebele kanye nesifo senhliziyo. Lokho kusho ukuthi kunamanje abesifazane abaningi abayithatha le mithi nge-estrogen kanye nokunciphisa i-progesterone.
Abesifazane be-Postmenopausal abane-lupus abacabangela i-HRT kufanele baxoxe ngezinzuzo nezingozi nodokotela babo. Ezicwaningweni, i-HRT iye yahlotshaniswa nengozi eyengeziwe yokwelapha i-lupus flare , kodwa ayikho ukwanda kwezingqimba ezinzima. Ngakolunye uhlangothi, abanye besifazane bathola ukuthi i-HRT ithuthukisa kakhulu izimpawu zabo ze-menopausal futhi ithuthukisa izinga lokuphila.
Okubaluleke kakhulu ukuthi abesifazane abane-lupus banengozi eyengeziwe yezifo zenhliziyo nezindwangu zamagazi, futhi i-HRT ingaqhubeka yandisa leyo ngozi.
Abesifazane ngabanye bahlukile, futhi zonke lezi zici kufanele zibhekwe ngokucophelela ekwenzeni isinqumo sakho mayelana nokwelashwa kwe-hormone esikhundleni . Khumbula ukuthi kunezinye izindlela zokulawula ukukhanya okushisayo okungahle kuphumelele kwabanye abantu. Njengoba abesifazane abaye banomdlavuza webele (noma basengozini enkulu) akufanele basebenzise i-HRT, kuye kwaba nokucwaninga okuningi mayelana namanyathelo okusebenza ngokomzimba kanye nemithi yokwelapha yemithi kanye nokwelapha eyenzelwe ukunciphisa izimpawu ze-menopausal. Funda kabanzi mayelana nokukhethwa kokwelapha kokuya esikhathini .
Izinhlangano Ezihle
Sivame ukugxila ezicini ezimbi zokuguga kanye nokuthi ukuguga kuyithinta kanjani izimo zezokwelapha ezingapheli. Kodwa-ke iqiniso liwukuthi kunezici ezinhle zokuguga nalesi sifo futhi ngezinye izikhathi ukugxila kulezizinto-okuthiwa i-linings yesiliva-kwenza kube nzima ukubhekana nakho. Phela, sifunda ukuthi ukubonga ekuphileni kuhlotshaniswa nenjabulo nenhlalakahle kakhulu kunempumelelo, ingcebo noma ngisho nempilo.
- Umsebenzi we-Symptom Uvame Ukuthuthukisa Ngokweminyaka : Njengomuntu ubudala, umsebenzi we-lupus-noma izinga lokuvuvukala nokuzivikela komzimba okwamanje-kunqamuka. Lokhu kungabangela ukulungiswa kokwelashwa , kubandakanya ukunciphisa imithi. Lokhu kuthuthukiswa kuyavumelana ngokuhamba kwesikhathi futhi kubonakala sengathi kungathinteki isimo se-menopausal.
- Abantu asebekhulile Akunakuhle Ukuthuthukisa I-Lupus Nephritis : Uma i-lupus ithinta izinso, ibizwa ngokuthi i- lupus nephritis . Ucwaningo oluthile luye lwathola ukuthi abantu asebekhulile bancane amathuba okugula ngenxa yezifo zezinso ezihlobene ne-lupus nakuba singazi ukuthi kungani. Ezinye izifundo, noma kunjalo, zisikisela ukuthi ubukhulu be-lupus nephritis bungase bubi nakakhulu. Kulabo ababhekana nezinkinga zezinso, kunoma yikuphi ubudala, ukwelashwa kuyafana.
- I-Lupus Ingangena Ekuthunjweni Nganoma isiphi Isikhathi : Ukukhululwa kwe- Lupus kungenzeka kunoma yisiphi isikhathi. Ucwaningo lwase-Italy olushicilelwe ngo-2015 lwathola ukuthi amaphesenti angu-37 abantu abane-lupus abathola ukwelashwa okujwayelekile ayenze ukuxolelwa okungenani iminyaka emihlanu. Akusekho incazelo ecacile yokuxoxwa ku-lupus, kodwa kulolu cwaningo, labo ababhekwa njengokwedluliselwa isikhathi eside babengenayo izimpawu zomtholampilo noma ze-laboratory zalesi sifo futhi bebengasayithathi imithi ye-corticosteroids noma imithi ye-immunosuppressant.
Ukuzinakekela Wena Lupus Njengoba Ukhula
Ukuphila ne-lupus nokuzizwa ngendlela enhle kungabandakanya okungaphezu kokuthatha imithi yakho. Ngisho ngaphandle kwe-lupus, abantu bavame ukukhula kangcono uma kunakekelwa ukunakekelwa ezindabeni zokuphila njengokudla nokuzivocavoca. Ukuthatha isikhathi sokubuyekeza indlela yakho yokuphila nokwenza noma yiziphi izinguquko ezidingekayo kuwufanele umzamo.
Okokuqala, futhi uma ungacabangi ngokuqondile ngokudla kwakho ne-lupus, funda ukuthi ungadla kanjani kahle ne-lupus . Ukudla okucebile izithelo nemifino kanye nokudla okuphansi kokuvutha kuyisinqumo esihle. Ungase ufise ukufaka ukudla okuphikisayo ekudleni kwakho. Nakuba kungekho ukudla okuqondile okuye kwaboniswa ukushintsha inkambo ye-lupus, i-spice turmeric (i-curcumin) ibonakala inomphumela wokuzivikela ngokumelene ne-lupus nephritis-okungenani kumagundane.
Ukucindezeleka akusiyikusizwa nje "kugxilile" kodwa kubangela ukukhululwa kwama-hormone okucindezeleka okungaba nemiphumela emibi ezingxenyeni eziningi zomzimba. Kunezinqubo eziningi zokulula ukucindezeleka ezizuzisa noma ngabe uhlala ne-lupus noma cha.
I-Falls iyimbangela ebangela ukulimala nokufa njengoba abantu bekhula, futhi sesiyazi ukuthi abantu abane-lupus cishe baningi ukuhlukumeza ithambo (ikakhulukazi umgogodla neziqhwa) uma bewa. Izinyathelo zokuvimbela ezifana nokuqeda ukuphosa ama-rugs, ukugcina izinto ezitebhisini, ukugwema imigwaqo yomshoshaphansi, nokukhanyisa izibani lapho uvuka ukuze uye endlini yokugezela ebusuku kungenzeka ukuthi bonke bancishise ingozi yakho. Thatha isikhashana ubuyekeze izinyathelo ongayithatha ukuze unciphise ingozi yokuhlehla nokuwa .
Yiqiniso, ukuvakashelwa odokotela njalo kubalulekile ukuphatha noma yiziphi izinkinga zakho ezingase zibe yingozi. Njengoba ingozi yesifo senhliziyo ikhuliswa nge-lupus, udokotela wakho angabheka ngokukhethekile izinto ezinobungozi ezifana nomfutho wegazi ophakeme, i-cholesterol eyandayo, nokuqina kwe-insulin noma isifo sikashukela. Izitholampilo nazo zivame kakhulu kubantu abane-lupus, futhi njengoba ingozi yomdlavuza ikhula ngokweminyaka, kubalulekile ukulandela imihlahlandlela yokuthola kuqala umdlavuza.
Abanye abantu abane-lupus bathola ukuthi njengoba bekhula, ekugcineni banesikhathi sokuphishekela iqembu lokusekela i-lupus. Lawa maqembu angaba umthombo omuhle wokusekela ngenkathi ngesikhathi esisodwa ekunika ukufinyeleleka kwamuva ku-lupus ucwaningo. Phela, akekho okhuthazwa ukuba afunde ngezindlela ezintsha zokwelashwa nemicabango kunelabo abaphila nalesi sifo nsuku zonke. Uma ungaqiniseki ukuthi ungaqala kuphi, thatha isikhashana ukuthi ufunde mayelana nokuthi ungathola kanjani iqembu lokusekela i-lupus , kumphakathi wakho noma ku-intanethi noma yikuphi.
Izwi elivela
I-Lupus nokuguga kuhlotshaniswa ngezindlela eziningana, futhi ukuqonda lezi zinkinga kukuvumela ukuthi ube ngummeli wakho siqu empilweni yakho yezempilo kanye nokwelashwa. Njengoba uneminyaka yobudala, umsebenzi wesifo nge-lupus uvame ukwehla kodwa izimpawu ezikhona zingase zibe nzima kakhulu. Ukuqoqwa komonakalo phakathi neminyaka kungabangela isidingo sokushintshwa okuhlanganyelwe noma ezinye izifo.
Ingozi yezinsalela ezihlobene nokuqeda i-osteoporosis iphakeme kakhulu kubantu abane-lupus kunabantu abaningi, futhi wonke umuntu kufanele abe ne-scan mass scan okwenziwa ngesikhathi esithile ngaphambi kokuba afinyelele eminyakeni yobudala engama-65 (futhi ngokushesha okukhulu kwabanye abantu). Uma uhlakulela ukulahleka kwethambo, kukhona imithi etholakalayo enganciphisa ingozi yokuphulwa. Lokho kusho ukuthi ukuqapha nokucabanga ngokuvimbela ukuwa cishe kuyasiza ngokulinganayo.
Kanye nokuncipha komsebenzi wesifo, ingozi ye lupus nephritis ingase iyancipha ngobudala. Futhi, njengalabo abanoma yibuphi ubudala abane-lupus, ukuxolelwa isikhathi eside kungase kutholakale ngezinye izikhathi, ngisho nasebekhulile.
> Imithombo:
> Bultink, I., noW. W.. I-Lupus ne-Fractures. Umbono wamanje ku-Rheumatology . 2016. 28 (4): 426-32.
> Khafagy, A., Stewart, K., Christianon, M. et al. Umphumela we-Menopause Treatment Hormone Ukwelashwa Okuqhubekayo Kwi-Systemic Lupus Erythematosus: Ukubuyekezwa Okuhlelekile. Maturitas . 2015. 81 (2): 276-81.
> van den Hoogen, L., Sims, G., van Roon, J., noRis Fritsch-Stork. I-Lupus Erythematosus-Immunosenescence Nokudlula. Isayensi ye-Aging yamanje . 2015. 8 (2): 158-77.
> Wang, X., Yan, S., Liu, C. et al. Izingozi ze-Fracture ne-Bone Mineral Levels in Iziguli ezine-Systemic Lupus Erythematosus: Ukubuyekezwa Okuhlelekile kanye nokuhlaziywa kwe-Meta-Analysis. I-Osteoporosis International . 2016. 27 (4): 1413-23.
> Zen, M., Iaccarino, L., Gatto, M. et al. Ukukhululwa Okuqhubekayo Emapulini aseCaucasian nge-SLE: Ukusakazeka kanye Nemiphumela. Ama-Annal of the Rheumatic Diseases . 2015. 74 (12): 2117-22.