I-Lupus isifo esithathelwanayo esizimele esithinta isikhumba, imithambo yegazi, amalunga, inhliziyo, izinso, nesistimu yezinzwa. I-Lupus nayo ingathinta amehlo. Ngokuvamile, isimiso somzimba sokuzivikela sisilwela abahlaseli bangaphandle njengegciwane noma amabhaktheriya. Nokho, abantu abane-lupus banomzimba wokuzivikela omzimba osebenza ngokungavamile ngokuhlasela izicubu ezinempilo. Abantu abane-lupus kaningi banezikhathi zokuhlukumezeka okukhulu nokukhishwa. Ngesikhathi sokuvuvukala, ukuvuvukala nokuvuvukala kwenzeka emzimbeni, kudala ukukhathala, ubuhlungu, nokulimala kwezicubu. Amehlo abuye ahlose lesi sifo. Ngezansi kunezinkinga ezinhlanu zamehlo ezivame ukuhambisana ne-lupus.
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Izifo Zamehlo Ezomile (Keratoconjunctivitis Sicca)Amehlo omile abonakala sengathi ayenzeka njalo ngezimo ezizimele. Kodwa-ke, abantu abane-lupus bangaba nesimo somzimba esomile okuthiwa i- eye eye syndrome . I-eye syndrome eyomile yinkinga lapho izimpawu zamehlo ezomile ziba nzima kakhulu, ngokuvamile zidala ukukhanya, ukuzwa okunesihlabathi emlonyeni kanye nokushisa nokushisa. Ivolumu yezinyembezi evamile iyanciphisa kakhulu, echaphazela impilo yonke yezingxenye zangaphandle zeso, njenge-cornea ne-conjunctiva.
Uma isifo se-iso esomile senziwa kanye nesifo samathambo kanye nomzwa omile owomile, isimo sabizwa nge-Sjogren's Syndrome. I-Sjogren's Syndrome ivame kakhulu kubantu ababhekene nezimo ze-arthritis ezizimele kanye ne-lupus.
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Izifo ZezinyosiAmajwabu amehlo angaphinde athukuthele kubantu abahlupheka ngezimo ezizimele. Abantu abane- lupus bangakha isimo sengqondo esikhathazayo esibizwa ngokuthi i-discoid lupus erythematosus, ebonakala sengathi i-rash ekhuni phezu kwamajwabu amehlo. Ukuqubuka kuyenziwe nge-scaly, izilonda ezinjenge-disc. Ngokuvamile ukuqhuma kubonakala ezindaweni ezithola ukukhanya kwelanga. Ukuboniswa kwentuthu kagwayi, ngisho nokubhema kwesandla sesibili, kungase kudlale indima esimweni. Ngezinye izikhathi isimo sibonakala singazimele nge-lupus, kodwa amaphesenti angaba ngu-10 abantu abathola i-lupus erythematosus bazokwakha uhlelo lwe-lupus erythematosus yesistimu. Izilonda ngokuvamile ziphendula kahle ekwelapheni ngomlomo we-steroid.
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Izifo EzibuyiselwayoI-vasculitis yokutakula iyinkimbinkimbi ye-lupus lapho i-retina yegazi iyancishiswa noma inciphile. Uma lokhu kwenzeka, i-retina izama ukuzilungisa ngokuthuthukisa imishaya yegazi entsha, inqubo ebizwa nge-neovascularization. Ngeshwa, lezi zitsha zegazi ezintsha zibuthakathaka futhi zibuthakathaka. Igazi nomswakama livame ukungena kuwo, okwenza ukuvuvukala ku-retina. Uma i-vasculitis ihilela i- macula , umbono ophakathi ungancipha noma ulahlekelwe. I-Vasculitis ingathinta futhi imisipha ye-optic nemisindo yeso.
Odokotela bamehlo nabo bangase babone "izindawo zoboya zikotini" ku-retina. Amachashazi woboya bekhothini yizindawo ezincane, ezimhlophe ze-retina ezivuvukala ngenxa yokungabi khona kwegazi elihle ne-oxygen endaweni. Ukubonwa ngokuqondile kwamabala okotini wekotini kunika udokotela umbono wokuthi yiliphi izinga lesifo okungenzeka liqhubeke kuwo wonke umzimba.
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Izifo zesibunguI-Lupus ingabangela futhi ukuthi i- scleritis . I-sclera ingubo emhlophe, eqinile ye-eyeball. I-scleritis ibangela ukuthi i-sclera ivuke futhi ibuhlungu. Ngenxa yokuvuvukala, i-sclera iba yincipha, idala indawo ebuthakathaka kakhulu iso elingakwazi ngempela ukufakaza noma ukwandisa ingozi yomonakalo omkhulu uma ukukhathazeka kwelanga kwakuzokwenzeka esikhathini esizayo. Kubantu abaningi, i-scleritis ibangele ubuhlungu, ukuzwela okukhanya, umbono obonakalayo, nokubomvu noma ama-patches amnyama ku-sclera. I-scleritis ingelashwa nge-oral and steroids yama-topical kanye nemithi engaqinisekisayo yokulwa nokuvuvukala. Uma uqala ukuphawula izimpawu eziphakamisa i-scleritis, xhumana nodokotela wakho wezandla ngokushesha.
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Izifo ZezinzwaNakuba kungavamile, abanye abantu abane-lupus bahlakulela i- optic neuritis . I-neuritis esebenzayo ukuvuvukala kwesembozo esizungeze i-nertic optic. Ngokuvamile iso elilodwa lithintwa, kepha umonakalo omkhulu wombono ungenzeka. I-neuritis enobuchopho ehlobene ne-lupus ngokuvamile ibangela i-optic nerve ukuba i-atrophy.
I-neuropathy ye-optic nayo ingenzeka nge-lupus. I-neuropathy ye-optic iyenzeka lapho izitsha zegazi ezinikezela izinzwa ze-optic zivinjelwe, okwenza isimo esifana nesifo esibucayi emehlweni. Lesi yisimo esibi kakhulu esidinga ukwelashwa okusheshayo. Shayela udokotela wakho wezilwane masinyane uma ucabanga ukuthi unalo hlobo lwesimo.
Umthombo:
RR Sivaraj, OM Durrani, AK Denniston, PI Murray noCaroline Gordon. Ukubonakala kwe-Ocular of Lupus Erythematosus, i-pp 1757-1762.