Ama-Rheumatolgists kanye Nezinye Izintatheli Ezingavunyelwe Ekunakekelweni Kwezokwelapha kweLupus
Uhlobo luni lodokotela oluphatha i- lupus ? Kungumbuzo ovamile kulabo abangase babe noma bathole ukuthi bane-systemic lupus erythematosus (SLE) noma enye indlela ye-lupus. Njengoba abantu abaningi abane-lupus bephela bebona ochwepheshe abahlukahlukene, kungaba usizo ukuhlola izinhlobo zophiko abangase bahileleke ekunakekelweni kwakho okuphelele kwezokwelapha.
I-Rheumatologists (Izifo Ezizimele Ezizimele)
Ngokujwayelekile, i-lupus iphathwa yi- rheumatologists . I-Rheumatologists i-internists noma izingane zakudala (noma kokubili) ezisebenza ngokukhethekile ekuxilongweni nasekwelapheni i-arthritis nezinye izifo zamalungu, ama-muscle, namathambo, kanye nezifo ezithile ezizimele , kuhlanganise ne-lupus ne- rheumatoid arthritis .
I-Rheumatologists iqala ukugibela isiqiniseko semithi yangaphakathi, uhlelo oludinga okungenani iminyaka emithathu yokuhlala kwezokwelapha ngemuva kwesikole sezokwelapha. Lokhu kulandelwa ukubambisana iminyaka embalwa e-Rheumatology emva kwalokho abangase babe yibhodi eliqinisekisiwe kwi-rheumatology.
Ithimba Lakho Lokunakekelwa Kwezempilo Lupus
Sizoqala ngokukhuluma ngendima yakho i-rheumatologist ezoba nayo ekunakekeleni kwakho, kodwa isikhathi esiningi uzoba neqembu labodokotela nodokotela abazokusiza ukulawula izimpawu zesifo sakho kanye nokulinganiselwa kwawo.
Lezi ezinye izazi zizoxoxwa kamuva, kodwa kubalulekile ukukhuluma ngalokhu ekuqaleni njengoba ucabanga ngesifo se-rheumatologist.
Bonke labachwepheshe bangadlala indima ekhethekile ekulawuleni isifo sakho, kodwa ngokuvamile kuyisimo sakho se-rheumatologist esisebenza njengesisekelo sakho sasekhaya; lowo oqondisa ukunakekelwa okunikezwa yiqembu lakho lonke lokunakekelwa kwezempilo, uqinisekise ukuthi konke okukhathazayo okubhekiswe kuzo futhi akukho ukuxhumana phakathi kwemithi nezinye izifo ezinikeziwe.
I-rheumatologist yakho ngokuvamile ngumuntu ozobiza uma unemibuzo noma ukukhathazeka, kanye nomuntu ozokusiza ukuxhuma nawe nabanye ochwepheshe abangakusiza ukunakekela izici ezithile zesifo sakho. Ucwaningo luye lwabona ukuthi abantu abanokukhulumisana okuhle ngokugulisa abagulayo abanomuzwa wokuthi banamandla kakhulu ekunakekeleni kwabo kodwa bangase babe nemiphumela engcono.
Ukwazi lokhu, kubaluleke kakhulu ukuthola i-rheumatologist ozwa ukhululekile ukukhuluma nokuthi ubani ongakwazi ukuxhumana kahle. Thatha isikhashana ukulalela le vidiyo ukuthi ungathola kanjani udokotela ongcono. Lokhu kuzokusiza ukwazi ukuthi ungabheka kanjani futhi uhlulele izimfanelo ezibaluleke kunazo zonke udokotela ozokuthembela ngokoqobo empilweni yakho.
Indlela ama-Rheumatologists ahlola ngayo futhi ahlolisise i-Lupus
Uma udokotela wakho wokunakekela oyinhloko usolwa ukuthi une-lupus, uzothunyelwa ku-rheumatologist. I-rheumatologist izothatha umlando ophelele wezibonakaliso zakho futhi wenze ukuhlola ngokomzimba ukufuna izimpawu nezimpawu ze-lupus . Uzophinde agijime ukuhlolwa kwegazi ukuhlola izinkomba ze-lupus.
Ukuhlolwa kwegazi lokuqala i-rheumatologist izoqhuba ukuhlola ukuthi i-lupus ibizwa ngokuthi i- anti-nuclear antibody (ANA) . Lokhu kuhlolwa kubheka ama- autoantibodies ku-nuclei kuma-cell.
Ama-autoantibodies angama-antibodies afana nalawo ozowakhula ngemva kokutheleleka ngegciwane noma ekuphenduleni umgogodla, kodwa nge-lupus, lezi zinhlobo zamagciwane ziqondiswa ku-nuclei yamanye amaseli wakho. Cishe bonke abantu abane-lupus bazoba nokuhlolwa okuhle kwe-ANA.
Isiphumo esihle se-ANA, noma kunjalo, akusho ukuthi une-lupus. Abanye abantu abanesifo esihle se-ANA banesifo se-scleroderma , isifo se-rheumatoid, isifo esixubene nesishukela , noma izifo ezihlukahlukene ezixhumene nezicubu. Futhi amaphesenti angama-10 abantu abangenayo isifo se-rheumatological bazoba ne-ANA enhle. Phakathi nenqubo yokuxilonga, ingahle ifinyelele futhi ikhungathekise, njengoba kunezifo eziningi zezicubu ezixhumene nezifo eziningi eziphakathi kwezi.
Kodwa ukwelashwa okunembile kubalulekile ekutholeni izindlela zokwelapha ezingcono kakhulu.
Ngemuva kokuhlolwa okunamandla kwe-ANA, i-rheumatologist cishe izoba nokuhlolwa okuningi kwegazi ukufuna amanye ama-antibodies angasiza ukukhomba ukuthi ungenayo i-lupus noma isinye isimo noma cha. Ukulandelelwa okujwayelekile kuhlolo oluhle lwe-ANA yiphaneli le-ANA, elibheke lawa ma-antibodies:
- I-DNA ene-double-stranded (anti-dsDNA)
- I-Anti-Smith (anti-Sm)
- I-Anti-U1RNP
- I-Anti-Ro / SSA
- I-Anti-La / SSB
Amanye ama-labs azohlola futhi i-anti-nucleoprotein, i-anticentromere, noma i-antihistamine. Funda kabanzi mayelana nokuhlola okuqondile kwe-autoantibody okwenziwe ukufuna i-lupus .
I-Rheumatologists futhi isebenzisa amanye amathuluzi-njengomlando wezokwelapha, ukuhlolwa ngokomzimba kanye nezikhumba nezinso zezinso-ukwenza isifo se-lupus.
Uma i-lupus ifunyanwa, i-rheumatologist yakho izosebenza nawe ukuza plan yokulashwa ( kufaka phakathi imithi ye-lupus ) enengqondo kuwe. Ama-Rheumatologists asiza iziguli zivimbele futhi ziphathe amaphilus futhi zinciphise ukulimala komzimba nezinye izinkinga.
Ukwelashwa kwakho kungadinga ukushintsha izikhathi eziningi esikhathini sokuphila kwakho, kuye ngokuthi isimo sesifo sakho nezinye izici. I-rheumatologist yakho ingakusiza ukuthi ufunde lezi zinguquko.
Ithimba lakho lokunakekelwa kwezempilo Lupus (Abanye Odokotela Abaphatha Lupus)
Ngokuqinisekile uzoba ne-rheumatologist ezophatha isifo sakho futhi usize ukuxhumanisa ukuvakashelwa kwakho nabanye ochwepheshe, kodwa abantu abaningi abane-lupus bayoba neqembu labangcali nodokotela abaphatha ukunakekelwa kwabo.
I-Lupus ingathinta cishe noma yiluphi uhlelo lombuso noma isitho emzimbeni wakho, futhi kungase kudingeke ube nochwepheshe kule ndawo ethile. Ngaphezu kwalokho, kungase kudingeke ube nochwepheshe abangakusiza ukuba ubhekane nokulinganiselwa kwesifo sakho noma ukubonakaliswa ngokomzwelo kwesifo sakho. Abanye ochwepheshe abangase babe yingxenye yethimba lakho bahlanganisa:
Ochwepheshe bezokwelapha - Uhlobo lwachwepheshe bezokwelapha ongabona luhlanganisa:
- I-Cardiologist - Ngezinkinga zenhliziyo ezifana ne- lupus myocarditis ne- lupus pericarditis
- I-Pulmonologist - Ngezindaba zephunga ezifana ne- pleurisy ngenxa ye-lupus nezinye izimo zamaphaphu
- I-endocrinologist - Ngezindaba eziphathelene ne-thyroid, umsebenzi we-adrenal, noma ezinye izinto ze-endocrine
- Isazi se-Nephrologist - Ngezindaba eziphathelene nezinso zakho nokusebenza kwezinso njenge lupus nephritis
- I-Gastroenterologist - Ngezinkinga zokugaya ukudla
- I-Hematologist - Ngezindaba eziphathelene nokubala kwegazi lakho
- I-Immunologist - Izifo ze-immunologists zemitholampilo, odokotela ababhekene nenqubo eyisisekelo yesifo sakho, baqhubeka behileleka ekwelapheni kwe-lupus njengoba kufundiswa okwengeziwe
Ochwepheshe bezikhumba - Ama-Rashes ajwayelekile kakhulu ne-lupus, futhi abantu abaningi bane-dermatologist (isazi sesikhumba) njengengxenye yeqembu labo. I-Lupus ingabangela nokuvezwa kwe-photosensitivity okuyinto i-dermatologist yakho engasiza ukuphatha. Kwezinye zezikhungo zokwelapha ezinkulu, ungase ubone i-dermatologist egxile ekubonakalweni kwesikhumba kwe-lupus.
Abachwepheshe bezinzwa - I- neurologist ingase ibe yingxenye yeqembu lakho ukuze iqondise ukubonakaliswa kwesistimu yezinzwa ze-lupus .
Ochwepheshe bokuvuselela izimo - Ngokuya ngezibonakaliso zakho ezithile, ungabona umuthi wezinto eziphilayo ukuze unciphise ubuhlungu obuhlangene nokuqina noma umuthi osebenza emsebenzini . Ama-physics angamadokotela asebenza ngokukhethekile emithi yokwelashwa nokuvuselelwa futhi angase afune ukusiza ukuhlela uhlelo oluphelele lokuvuselela. Nakuba lokhu kusanda kusha, sifunda ukuthi imithi yokuvuselela ingenza umehluko omkhulu emkhakheni wokuphila kubantu abaphila nezifo ezingapheli ezifana ne-lupus.
Udokotela oyinhloko yokunakekelwa - Abanye abantu bayaqhubeka nokuba nodokotela oyinhloko wokunakekelwa njenge-internist jikelele noma udokotela womndeni ohilelekile ekunakekeleni kwabo. Kunomthelela omkhulu wokubandakanyeka, kanti abanye odokotela bokunakekelwa okuyisisekelo abasebenza njengomxhumanisi wokunakekela kwakho, nabanye abaphatha kuphela izinhlobo zokunakekelwa okungase zidingeke ukuthi zihlukile kwi-lupus yakho. Ngokuvamile, kubaluleke kakhulu ukuqhubeka nokubona udokotela oyinhloko. Ukuhlolwa kokuhlolwa komdlavuza njalo, njengePap smears kanye ne-colonoscopies akuyona into engabalulekile ngemuva kokuthi utholakale ukuthi une-lupus.
Impilo yengqondo - Abantu abaningi abane-lupus banezengqondo noma isazi sengqondo njengengxenye yeqembu labo ukuze basize ekubhekaneni kokubili ukubonakaliswa kwengqondo yesifo kanye nempilo yakho engokomzwelo ekubhekaneni nesifo esingelapheki. Kokubili ukukhathazeka nokucindezeleka kuvamile kubantu abane-lupus, futhi uma bekhona, kufanele babhekane nongcweti kulezi zindawo.
Ochwepheshe bokuzala - Uma kufanele ukhethe ukukhulelwa nge-lupus, ungaba ne-perinatologist (isazi ekukhulelweni okukhulu) okubandakanyekile ekunakekeleni kwakho.
I-Pathologists, i-radiologists, kanye / noma odokotela abahlinzayo - Njengoba kuphawuliwe ngaphambili, ngezinye izikhathi ama-biopsies adingekayo ukuqinisekisa ukuxilongwa kwe-lupus. Ezinye zazo ziyenziwa njengenqubo ye-radiology kanti ezinye zihlanganisa ama-biopsies okuhlinzeka. I-pathologist uhlobo lodokotela obheka lezi zibonelo ngaphansi kwe-microscope futhi wenza olunye uhlolo lokuhlola isifo sakho.
Ukusekela nokuphikisana
Okuhluleka ukukusho kulolu hlu lwabachwepheshe mhlawumbe uhlobo olubaluleke kakhulu lokunakekela: abangane. Isazi sezengqondo singakwazi ukusiza ukubhekana nezinye izici zengqondo zesifo sakho, kodwa akukho lutho nje olufana nokukhuluma nomunye ohambahambayo ohambayo. Funda ngezindlela ongathola ngazo ukwesekwa nge-lupus , kusukela kumaqembu asekelayo kuya emiphakathini ye-lupus ye-intanethi. Sidinga futhi ukuqaphela ukuthi amadoda athola i-lupus futhi , futhi abhekane nezinselelo eziyingqayizivele.
Ukuxhumana Nethimba Lakho Lokunakekelwa Kwezempilo Lupus
Iningi labantu abane-lupus lizodinga ukunakekela isifo sabo impilo yabo yonke, ngakho-ke kubalulekile ukuthola iqembu lokunakekelwa kwezempilo olihloniphayo nelithembayo. Ukudlala indima ephathekayo ekunakekeleni kwakho nokuba ngummeli wakho akugcini nje ukunciphisa ukucindezeleka kokuphila ne-lupus kodwa kungenza umehluko emphumela wakho.
Imithombo
- Beusterien, K., Bell, J., Grinspan, J., Utset, T., Kan, H., noS S. Narayanan. Ukusebenzisana Kwabahlengikazi-Iziguli kanye Nemiphumela Kwi-Systemic Lupus Erythematosus (SLE): Isibonelo Sokuqonda. Lupus . 2013. 22 (10): 1038-45.
- Casey, C., Chung, C., Crofford, L., no-A. Barnado. Ukubukwa kwe-Rheumatologists 'Ukuqaphela kwe-Systemic Lupus Erythematosus Izinkomba Zekhwalithi: Izintshisekelo ezibalulekile nezithiyo ezibonwe. I-Rheumatology yezokwelapha . 2017. 36 (1): 97-102.
- Zhang, L., Fu, T., Yin, R., Zhang, Q., no B. Shen. Ukuqhathaniswa kokucindezeleka nokukhathazeka ku-Systemic Lupus Erythematosus: Ukubuyekezwa okuhlelekile nokuhlaziywa kwe-Meta-Analysis. BMC Psychiatry . 2017. 17 (1): 70.
- Zirkzee, E., Steup-Beekman, G., Schouffoer, A., Henquet, S., Calijouw, M., Huizinga, T., noT. Vliet Vlieland. Ukunakekelwa kwezeMpilo kwi-Systemic Lupus Erythematosus (SLE): Umbono weMguli. I-Rheumatology yezokwelapha . 2014. 33 (9): 1279-87.