I-Lupus ilawulwa yizikhathi zokugula kanye nempilo emihle lapho izimpawu zakho zisebenza, futhi ukuxolelwa lapho izimpawu zakho ziphela. Ukusungula imikhuba enempilo yokuphila ngenkathi uzizwa okungcono kakhulu kungakusiza ukuba ubhekane nokuphila nge-lupus futhi kungakusiza futhi ukulwa nemiphumela yelasha uma kuphakama, okwenza amasu anjalo yingxenye ebalulekile yokuphathwa jikelele kwesifo sakho.
Kodwa khumbula ukuthi i-lupus ijwayele ukuthinta labo abanayo ngezindlela ezahlukene , ngakho-ke izinguquko zendlela yokuphila ezizokusiza kakhulu zizodwa. Ngaphezu kwalokho, kungathatha isikhathi esithile ngaphambi kokuthi utshalomali lwakho lunikeze imivuzo ewusizo.
Njengoba uhamba ngale ndlela entsha, cabanga ngalezi ziphakamiso, futhi ugcine izikhumbuzo ezingqondweni ngokubaluleka kokulandela uhlelo lwakho lokusetha.
Uzwela
I-Lupus ingathatha umonakalo ongokomzwelo ngezikhathi ezithile, ikakhulukazi uma ubhekene nezimpawu ezingase zikhawulele noma zikuvimbele ukwenza okuvamile. Ungase uthola kunzima ukuchazela abanye isifo sakho. Lokhu konke okujwayelekile futhi cishe kuzothola lula ngesikhathi. Lezi ziphakamiso zingasiza:
Zithathele Isikhathi
Qinisekisa ukuthi unesikhathi sokwenza izinto ozijabulelayo. Lokhu kubalulekile empilweni yakho yengqondo kanye nenhlalakahle, kokubili ukugcina ukucindezeleka futhi ukuzinika isikhathi sokuphumula, ukuphumula, futhi ukugxila ekuguleni kwakho.
Yenza izinguquko lapho kudingeka khona
Khumbula, abantu abaningi abane-lupus bangaqhubeka nokusebenza noma baya esikoleni, noma ngabe kuzodingeka wenze izinguquko ezithile. Lokhu kungabandakanya noma yikuphi ukuphindaphinda amahora osebenzayo ukugcina ukuxhumana kuvulekile nabafundisi bakho noma oprofesa ukuba bashintshe ngempela umsebenzi wakho.
Udinga ukwenza okusemandleni akho ukuthi ubeke impilo yakho.
Lawula Ukucindezeleka Kwenu
Ukucindezeleka ngokomzwelo kuyakholelwa ukuthi kokubili i-lupus trigger kanye ne-flare trigger, ngakho ukulawula nokunciphisa ukucindezeleka kuyadingeka. Ukucindezeleka kunomthelela oqondile ebuhlungu, ngokuvamile kukhulisa amandla. Yenza okusemandleni akho ukuphatha lezo zindawo zokuphila kwakho ezibangela ukucindezeleka okukhulu. Ukwengeza, cabanga ngamasu okuzilibazisa nokuzivocavoca okujulile njengamathuluzi okusiza ukuletha ukuzola. Ukuzivocavoca nokwenza isikhathi sakho kungenye yezindlela zokulawula nokunciphisa ukucindezeleka.
Buka ubunkungu be-Brain
I-Lupus fog, eyaziwa nangokuthi inkohlakalo yobuchopho, iyinhlangano ejwayelekile ye-lupus futhi ihlanganisa izinhlobonhlobo zememori nezinkinga zokucabanga, njengokukhohlwa, ukwenza izinto izinto, ukukhathazeka ngokucabanga ngezinkinga zokugxilisa ngokucacile, noma inkathazo ephuma ngamazwi aphezu kwesiphakamiso sakho ulimi.
Uma uqala ukubhekana ne-lupus fog, kungesabeka futhi ungesaba ukuthi unesifo sengqondo se-dementia . I-Lupus fog ayinayo i-dementia futhi ngokungafani nokucindezeleka kwengqondo, i-lupus fog ayifuni kancane kancane ngokuhamba kwesikhathi. Njengezinye izimpawu ze-lupus, i-lupus fog ijwayele ukuza. Odokotela abaqiniseki ukuthi kubangelwa yini futhi akukho ukwelashwa okunokwethenjelwa okwethembekile kuwo.
I-Lupus fog akuyona nje isipiliyoni sengqondo-kungaba yinye ngokomzwelo, futhi. Njengoba kuthinta ikhono lakho lokucabanga, khumbula, futhi ugxile, ubuchopho buchopho bungaphazamisa izingxenye eziningi zempilo yakho, ngezinye izikhathi ngisho nokuyinselele okubaluleke kakhulu ukuthi ungubani. Ukudabuka, ukudabuka nokukhungatheka akuqondakali kuphela kodwa kuvamile.
Njengoba uhamba ngalokhu, phendukela ezinyathelweni ezingokoqobo ukuze usize ukuphatha izimpawu:
- Bhala phansi izimpawu zakho ze-lupus izinhlungu uma uzibona, kufaka phakathi okwenzayo, okwenzekile, nosuku. Thatha amanothi akho ekuqokweni kukadokotela wakho olandelayo.
- Bhala konke phansi (ama-aphoyintimenti, imicimbi, amagama, imininingwane yengxoxo) kumanothi anamathele, ikhalenda, umhleli, iphephabhuku, noma noma yini edingekayo ukukusiza ukhumbule izinto ozidingayo. Qiniseka ukuthi njalo unento okumele ubhale nayo nawe uma kwenzeka ukhumbule into ebalulekile. Lokhu kuzothola lula ukukhumbula okuningi ukukwenza.
- Sebenzisa izikhumbuzi, ikhalenda, kanye namanothi ku-smartphone yakho, noma zama izinhlelo zokusebenza ezihlobene. Thatha izithombe zezinto okudingeka uzikhumbule. Thumela imibhalo noma ama-imeyili njengezikhumbuzi. Setha ama-alamu ngemithi yakho.
- Bhala phansi imibuzo oyifunayo kudokotela wakho ngokushesha njengoba ucabanga ngawo. Engeza kuhlu njengoba kudingeka futhi uyithathe nawe ekuqokwa kwakho okulandelayo.
- Yiba nomusa kuwe. Inkungu ye-Lupus ayiyona iphutha lakho futhi uzofunda izindlela zokubhekana nayo. Uma uzizwa ucindezelekile, thatha umoya ojulile-ungesabi ukuhleka.
Physical
Kunezindlela eziningi zokubhekana nezibonakaliso zomzimba ze-lupus, kuhlanganise nokudla, ukuvivinya umzimba, imithi, ukuvikelwa kwelanga, nokuthola ukuphumula okwanele.
Ukudla okulinganiselwe kwakho
Okunye okungaqondakali okungavamile okungenzeka ukuthi kukhona ukuthi kukhona "okuhle" nokudla okubi "nokuthi ukufakwa noma ukukhipha lezo zinto ekudleni kwe-lupus kuzodala noma kunciphisa izimpawu zakho ze- lupus . Ngokuvamile akunjalo. Kukhona ubufakazi obuncane bokuthi ukudla okuthile noma ukudla okulodwa kungabangela i-lupus flare. Ukudla okubi, noma kunjalo, kukhona futhi kungaphazamisa uhambo lwakho nge-lupus. Ngokuvamile, ukudla okucebile izithelo nemifino ehlisa ukudla okubangela ukuvuvukala kuyindlela engcono kakhulu.
- Ukudla okuvimbela ukuvuvukala: Lokhu kuhlanganisa ukudla okuphezulu kwama-acids e-omega-3, njengamafutha amaningi (i-salmon, i-tuna, i-mackerel,) imbewu ye-flax, nama-walnuts; ukudla okuphezulu kuma-antioxidants, njengamajikijolo, i-broccoli, nezinye imifino ye-cruciferous, namantongomane, ikakhulukazi amantongomane aseBrazil nama-alimondi; nezinongo eziphikisayo, njengegalikhi, i-ginger, ne-turmeric.
- Ukudla okumele ugweme: Ukudla okuphakeme kuma-fatty acids ama-omega-6, ngokungafani nama-omega-3s, kuvame ukwandisa inani lamakhemikhali okuvuvukala emzimbeni wakho, kanjalo unciphise inyama (ngaphandle kwezinhlanzi), imikhiqizo yobisi, nokudla eziphezulu ushukela noma zicutshungulwa kakhulu.
Njengoba kunoma yikuphi ukudla, ukulinganisela kuyisici esibalulekile. Ucezu olunothile ushizi, isibonelo, ngeke luveze ukuvuvukala noma ukuvuvukala, kodwa ukudla okugcwele izithombo ezicebile kungenzeka.
Uma une-lupus, izimo ezihlobene ne-lupus yakho zingabangela izimpawu ezithile ezingaxhunyaniswa nokudla. Ngakolunye uhlangothi, imikhawulo ethile yokudla inganconywa kuye ngokuthi izimpawu ezithile noma izimo ezihlobene ne-lupus. Nazi ezinye izibonelo:
- Ukulahlekelwa isisindo / ukungabi nesidlo : Ukulahleka kwesidlo kuvamile uma usanda kutholakala futhi uvame ukushaywa yisifo, umzimba wakho ulungisa imithi emisha noma kokubili. Ukubonisana nomhlinzeki wakho wezempilo ukuze uxoxisane nezinguquko ekudleni kwakho kunganciphisa lezo zinkinga. Ukudla ukudla okuncane kaningi kungasiza futhi.
- Inzuzo yesisindo: Kuvamile ukuthi abantu bathole isisindo ngokusetshenziswa kwe-corticosteroids njenge-prednisone. Kubalulekile ukuthi ukhulume ne-rheumatologist ukuze uqiniseke ukuthi usezingeni eliphansi kakhulu kungenzeka ngenkathi ulawula izimpawu zakho. Ukuqala uhlelo lokuzivocavoca kungaba usizo kakhulu futhi kungasiza ngokuningi kokulawula isisindo. Ukwelulekwa okunomsoco okwesikhashana kuye kwaboniswa ukusiza.
- Imithi : Imithi yakho ingabangela izinkinga eziningana, kusukela ekuguleni kwenhliziyo kuya ezilonda zomlomo ezibuhlungu, ezingathinta indlela odla ngayo. Ukukhuluma nomhlinzeki wakho wezokunakekela impilo kuzobona ukuthi ukulungiswa kwemithi yakho noma umthamo kuyadingeka. Kwezinye izimo, ama-anesthetics okusetshenziselwa emlonyeni wakho (afana nalawo asetshenziselwa abantwana abancane) anganciphisa ubuhlungu bezilonda zomlomo.
- Ukuphefumula Kwegazi : I-osteoporosis yisimo lapho amathambo omzimba wakho alahlekelwa khona amandla futhi, ngaleyo ndlela, aphule kalula. Nakuba lesi simo ngokuvamile sithinta abesifazane asebekhulile, be-postmenopausal, kungathinta nanoma ngubani othatha i-corticosteroids isikhathi esithile. Eqinisweni, ezinye izifundo ziye zabonisa ukuthi ukulahlekelwa kwethambo kungenzeka kungakapheli isonto ukuthatha i-steroids. Kubalulekile ukuthola u-vitamin D okwanele futhi ube nokuhlolwa kwezinga lakho legazi; ungadinga ukuthatha isithasiselo se-calcium.
- Isifo sezinso : Uma uthola ukuthi unesifo sezinso ngenxa yomphefumulo wakho we-lupus ( lupus nephritis ), udokotela wakho angase asikisele ukudla okukhethekile-okungenzeka kube nesinye se-sodium, potassium, noma amaprotheni-kanye nezinketho zokwelashwa ezijwayelekile. I-spice turmeric (i-curcumin) ibonakala inomthelela wokuzivikela ngokumelene ne-lupus nephritis, okungenani kumagundane.
- Izifo zenhliziyo : I-Lupus ingabangela izinkinga zenhliziyo, kuhlanganise ne-atherosclerosis (ukuqina kobuchopho,) i- lupus myocarditis , nomfutho wegazi ophezulu. Ukudla okunamafutha okuphansi kungasiza ekulawuleni ukuqina kwe-atherosclerosis, futhi ukudla okuphansi kwe-sodium kungasiza ukugcina ukucindezeleka kwegazi okuvamile.
Thatha imishanguzo yakho njengobhalisiwe
Imithi yakho idlala indima ebalulekile endleleni isifo sakho esiqhubeka ngayo nokuthi kaningi kangakanani ama-flare akhona. Kungaba nzima ukukhumbula ukuzithatha uma kufanele, ikakhulukazi uma ungajwayele ukuthatha imithi. Nazi ezinye iziphakamiso ukukusiza ukhumbule ukuthatha imithi yakho:
- Thatha imithi yakho ngesikhathi esifanayo nsuku zonke, uhambisane nenye into oyenzayo njalo, njengokuxubha amazinyo akho.
- Gcina ishadi noma ikhalenda ukurekhoda nokuhlela lapho uthatha imithi yakho. Sebenzisa izikhombe ezinemibala ukulandelela izinhlobo ezingaphezu kweyodwa yemithi.
- Sebenzisa ibhokisi lepilisi.
- Sebenzisa izikhumbuzi ze-e-mail kanye / noma zefoni ukukuxwayisa ukuthi uthathe imithi yakho.
- Khumbula ukugcwalisa imininingwane yakho. Yenza inothi ekhalenda lakho ukuze ulandele futhi uqoqe ukugcwalisa okulandelayo ngesonto elilodwa ngaphambi kokuba umuthi wakho uphume. Noma, irejista yokuvuselela okuzenzakalelayo kanye / noma izikhumbuzi zombhalo uma ikhemisi yakho ibanikeza yona.
Hlola Ngodokotela Wakho Ngaphambi Kokuthatha Imithi Emisha
Ngokuvamile, enye yezinto ezivame ukungalindelekile yimithi. Okubonakala sengathi kuyasiza kungase kube yingozi, ngakho njalo hlola nodokotela wakho ngaphambi kokuthatha isidakamizwa esisha futhi ngaphambi kokuma noma yikuphi osevele usukhona, kokubili koku-counter futhi okubekiwe. Futhi, qinisekisa ukuthi utshela noma ngumuphi umhlengikazi noma udokotela ongakajwayele ukuthi une-lupus ngakho bayazi lapho beka imithi.
Hlola nodokotela wakho ngaphambi kokuthola noma yikuphi ukugoma. Ukugoma njalo, njengalabo abesifo somkhuhlane kanye ne-pneumonia, yingxenye ebalulekile yokugcina impilo yakho, kodwa kufanele uqiniseke ukuthi udokotela wakho uyavuma ngaphambi kokuba athole isibhamu.
Gcina Ukuqokwa Kwadokotela Wakho
Ngisho noma uzizwa uhle, gcina ukuqokwa kukadokotela wakho. Kunesizathu esilula sokwenza lokhu-ukugcina imigqa yokukhulumisana ivulekile futhi ukubamba noma yikuphi ukugula okungenzeka noma ukucindezeleka ezinyathelweni zakuqala.
Nazi ezinye izindlela zokukusiza ukuba usebenzise isikhathi sakho nodokotela wakho:
- Yenza uhlu lwemibuzo, izimpawu, nokukhathazeka.
- Ngabe umngane noma ilunga lomndeni uza nawe ukukusiza ukhumbule izimpawu noma wenze njengommeli wakho wesiguli.
- Sebenzisa isikhathi ukuthola ukuthi ngubani ehhovisi lakho lomhlinzeki wezempilo angakusiza kanye nezikhathi ezinhle kakhulu zokubiza.
- Buyekeza uhlelo lwakho lwezokwelapha bese ubuza ukuthi uhlelo luzokusiza kanjani ukuthuthukisa impilo yakho. Thola ukuthi yini engenzeka uma ungalandeli uhlelo lwezokwelapha.
- Buyekeza inqubekela phambili ohlelweni lwakho lwezokwelapha.
- Uma kukhona izici zohlelo lwakho lwezokwelapha ezibonakala zingasebenzi, wabelane nodokotela wakho ngokukhathazeka kwakho.
Qhubeka Ukuzivocavoca
Ukuzivocavoca kubalulekile ngokuphathelene nempilo enhle, kodwa kungakusiza nokugcina ukuhamba okuhlangene, ukuguquguquka, nokuqina kwemisipha njengoba i-lupus ivame ukuhlasela lezi zindawo zomzimba. Kuphinde kusize ekunciphiseni ukucindezeleka, esinye isinyathelo sokuqala.
Lalela Amalungu Akho
Noma yimuphi umsebenzi owenza ubuhlungu ungase ube yisifo sokuhlukumeza wena nesifo sakho. Iminye imisebenzi kanye namadivayisi wokusiza asetshenziswayo (njengama- openers jar ) ukuze unciphise ukucindezeleka okuhlangene kwakho.
Nciphisa Ukuboniswa Kwenu ku-Sunlight
Uma une-lupus, kungenzeka ukuthi une-photosensitivity, okusho ukuthi ukukhanya kwelanga nokunye ukukhanya kwe-UV kungabangela ukuhlukumeza kwakho. Ukukhanya kwe-UV kucatshangelwa ukuthi kubangele amangqamuzana ekhanda aveze amaprotheni athile phezu kwawo, akhange amantombazane. Ama-antibodies, athola amanye amangqamuzana egazi amhlophe, ahlasela amangqamuzana esikhumba futhi aholele ekuvukeni. I-apoptosis, noma ukufa kwe-cell, kuvame ukuvela kule ndawo, kodwa ikhuliswa ngeziguli ze-lupus, okuqhubekayo kwandisa ukuvuvukala.
Nansi indlela yokunciphisa ukuvezwa kwakho:
- Gwema ilanga lelanga
- Gqoka izingubo zokuvikela uma ungaphandle, njengemikhono emide, isigqoko, namabhulukwe amade
- Sebenzisa ama-sunscreen, okungcono nge-factor protection block (SPF) engama-55 noma ngenhla
- Hlala kude neminye imithombo yokukhanya kwe-UV, njengezindlu zokuqothula kanye nezinye izibani ze-halogen, i-fluorescent, ne-incandescent
- Sebenzisa i-hypoallergenic makeup equkethe abavikeli be-UV
Gwema izidakamizwa ze-Sulfa (Sulfonamides)
Ngenxa yokuthi izidakamizwa ze-sulfa zikwenza uzizwele kakhulu elangeni, kufanele uzigweme. I-Sulfonamides isetshenziselwa ukwelapha izifo ezinjenge- bronchitis kanye nezifo zokungena emanzini . Ezinye ze-sulfonamide ezivamile ziyiBactrim ne-Septra (trimethoprim-sulfamethoxazole), i-erythromycin, i-Azulfidine (i-sulfasalazine), i- Gantrisin (sulfisoxazole), i-Orinase (tolbutamide), ne-diuretics.
Nciphise Ingozi Yakho Yokutheleleka
Njengoba i-lupus yisifo esizimele, ingozi yokuthola izifo inkulu kakhulu. Ukutheleleka kwandisa amathuba okuba uthuthuke. Nazi ezinye amathiphu alula ukusiza ukunciphisa ingozi yokuthola isifo:
- Zizinakekele: Yidla ukudla okulinganiselayo, ukuzivocavoca njalo, futhi uthole ukuphumula okuningi.
- Cabangela ingozi yakho yokutheleleka ngokusekelwe lapho uchitha khona isikhathi sakho.
- Ukuze ugweme ukutheleleka kusuka esilwaneni sakho, qiniseka ukuthi isilwane sakho sisesikhathini kuzo zonke izibhamu kanye nemigomo yokuvimbela izifo. Futhi ugeza izandla zakho njalo emva kokuthinta isilwane sakho, ikakhulukazi ngaphambi kokuba udle.
- Gwema ukudla amaqanda aluhlaza noma aphekiwe.
- Geza izithelo nemifino ngokucophelela ngaphambi kokuba udle.
- Geza izandla zakho, ukusika amabhodi, izibali, kanye nemimese ngensipho namanzi.
Qaphela Izimpawu Zokuxwayisa Zemifanekiso
Hlanganisa nesifo sakho. Uma ungakwazi ukutshela ukuthi ukulimala kuzokwenzeka nini, wena nomhlinzeki wakho wezezempilo angathatha izinyathelo zokulawula umlayezo ngaphambi kokuba uhambe kakhulu. Futhi qinisekisa ukuthi uxhumane nodokotela wakho uma ubona ukuthi i-flare iqhubeka.
Ungabhema
Ukubhema kungenza imiphumela ye-lupus ibe nenhliziyo yakho nemithambo yegazi kakhulu nakakhulu. Kungase futhi kuholele esifo senhliziyo. Uma ubhema, yenza okusemandleni akho ukuyeka ngoba impilo yakho yonke.
Sebenzisa i-Skin and Scalp Preparations Qaphela
Qaphela izikhumba zesikhumba ne-scalp njengama-creams, ama-ointments, ama-salves, ama-lotions, noma ama-shampoos. Hlola ukuthi awunaso ubuzwelo entweni ngokuyizama kuqala esihlokweni sakho noma ngemuva kwendlebe yakho. Uma ubomvu, ukuqubuka, ukuhlakulela, noma ubuhlungu buqala, ungasebenzisi umkhiqizo.
Social
Ukuthola ukwesekwa, kungakhathaliseki ukuthi kuvela eqenjini lokusekela inthanethi, iqembu lomphakathi, noma isazi, kungaba usizo kakhulu ekuhambeni kwamanzi angokomzwelo we-lupus. Ukuzwa nokuhlanganyela nabanye abaye baphumelela futhi ukwazi ukuthi awodwa wedwa uphakamisa kakhulu. Ukwelulekwa ngabanye kungakusiza ukuba uveze imizwa yakho futhi usebenzise izindlela zokuphatha imizwelo yakho. Uma i-lupus ibangela ukungqubuzana noma ukucindezeleka ebuhlotsheni bakho, cabangela ukwelulekwa kwabashadile.
Fundisa abanye
Ukufundisa abathandekayo bakho ngesifo sakho kuzobasiza ukuthi baqonde ukuthi yini okufanele balindelwe nokuthi bangakusiza kanjani, ikakhulukazi uma une-flare. Lokhu kubaluleke kakhulu ngoba i-lupus inezimpawu eziningi ezehlukene eziza futhi ziyahamba.
Finyelela Ngaphandle
Uma uthola ukuthi une-lupus, zama ukuthola abanye abaye nabo, kungakhathaliseki ukuthi ku-intanethi, eqenjini lokusekela ubuso nobuso, noma kumcimbi wokufundisa we-lupus. Ukuxhumana njalo nabantu abahlangabezana nezimpawu ezifanayo nemizwa kungasiza.
Lokhu kubaluleke kakhulu uma ungumuntu onesifo se-lupus. Ngenxa yokuthi iningi labantu abane-lupus yizinsikazi ekukhuleni kwabo, udokotela wakho kungenzeka ukuthi wayenenkinga yokuthola ucwaningo lwakho (ngeshwa, odokotela abathile baye batshela amadoda ukuthi akunakwenzeka ukuthuthukisa lesi sifo uma ungumuntu, yiqiniso, akuyiqiniso). Lokhu kungandisa imizwa yokuzihlukanisa.
Kuyawusizo
Kungase kubonakale kucacile ukuthi ithuluzi elibaluleke kakhulu ekulawuleni i- lupus ukuthola ukunakekelwa kwezempilo okuqhubekayo. Kwabanye, lokho kulula ukukusho kunokukwenza. Uma uhlala edolobheni elikhulu, kuzoba lula ukuthola i- rheumatologist enhle onolwazi lokuphatha i-lupus kunokuba uhlala endaweni yasemaphandleni. Abanye abantu kufanele baqhube amahora amahora, noma ngisho nokuhamba, kumchwepheshe wabo oseduzane.
Ukungabi nomshwalense wezempilo kungenye isizathu abanye abantu abatholi ukunakekelwa kwezempilo abayidingayo. Kubantu abasanda kutholakala, abangazi ukuthi bangathola kanjani i-rheumatologist enhle futhi kuyisithiyo. Ukuhamba ngaphandle kokunakekelwa kwezokwelapha i-lupus kuyingozi. Izindaba ezinhle ukuthi uma ungaphansi kwalesi simo, kukhona ongakwenza ngakho.
Hlangana Nommeli Womshuwalense Oqinisekisiwe noma Umbhalisi Oqinisekisiwe
Abantu abaningi abangenawo umshuwalense abaqinisekisiwe ngaphandle kwephutha labo-njengokungakwazi ukukhokhela ama-premium ngenyanga noma ukulahlekelwa ukukhokhelwa . Uma ungaqinisekisiwe, thola ukuthi yini okufanelekile. Ungase ufanelekele i-Medicaid (mahhala, umshuwalense okhokhelwa uhulumeni) noma uhlelo olwenziwe nge-Care Affordable Act (owaziwa ngokuthi yi-Obamacare). Ngokungafani ne-Medicaid, i-Obamacare idinga ukukhokha nyangazonke futhi umshuwalense unikezwa inkampani yangasese. Nokho, uhulumeni uzohlinzeka ngosizo lokukhokha, uma ufaneleka.
Wonke umbuso unezinsiza ezikusiza ukuba ubhalise okuthiwa yi-Health Insurance Marketplace. Ukuthola usizo oluthe xaxa lokubhalisa, thola i-agent yomshuwalense oqinisekisiwe noma umbhalisi oqinisekisiwe. Ngokuvamile abasebenzi bezinhlangano zezinsizakalo zenhlalakahle zendawo futhi bangasebenza nawe ngaphakathi komuntu ukuthola ukuthi ungathola kanjani umshuwalense. Ngeke neze ikucele ukuthi ukhokhele izinsizakalo zabo.
Khetha uhlelo lwezempilo olufanele
Lapho ukhetha uhlelo lwezempilo, kunezinto ezibalulekile okufanele uzicabangele ngoba une-lupus. Uzonikezwa izinketho zezinhlelo ezihlinzeka ngamazinga ahlukene okuhlanganisa. Othile ongavamile ukuya kudokotela ngaphandle kokuhlolwa kwonyaka kuzodinga uhlelo oluhlukile kunomuntu onesifo esingelapheki obona ochwepheshe abambalwa njalo ngenyanga.
Kubalulekile ukucabangela izidingo zakho zezokwelapha nokuthi uzodinga ukukhokhela okungakanani ukukhokhela okukhethwa kukho ohlelweni lwezempilo. Cabanga ngezindleko zezokwelapha ezengeziwe ezifana nezokudonswa, ukukhokhelwa ngokubambisana, i-co-inshuwalense, ngabe imithi yakho kanye namadivayisi wezokwelapha ahlanganiswa, nokunye okunjalo. (Qaphela: Uma ushintsha izinhlelo futhi ufuna ukunamathela odokotela bakho bamanje, qiniseka ukuthi zihlanganiswe ngaphansi kwepulani oyikhethayo.)
Amalungiselelo ama-premium aphakeme angase aqede ukubiza izindleko ezincane uma izindleko zabo ezingaphandle kwezezimali ziphansi kakhulu. Sebenza nombhalisi wakho oqinisekisiwe noma i-ejenti yomshuwalense ukwenza izibalo bese uthola izindleko nezinzuzo zepulani ngalinye.
Xhumana ne-Lupus Inhlangano
Uma ungenayo umshwalense noma usanda kutholakala futhi udinga ukubona udokotela we-lupus, inhlangano yakho ye-lupus yendawo ingakwazi ukusiza. Uma ungaqinisekisiwe, lezi zinhlangano zingakunikeza ngolwazi ngemitholampilo ye-rheumatology yamahhala noma ephansi, imitholampilo yomphakathi, noma izikhungo zezempilo eziseduze nawe. Qaphela: Uma ubona udokotela emtholampilo womphakathi noma isikhungo sezempilo, angase abe internist futhi hhayi rheumatologist. Kulesi simo, ulethe ulwazi mayelana ne-lupus nokuphatha i-lupus nawe. I-National Institute of Arthritis neMisculoskeletal and Skin Skin [NIAMS] inezinsiza eziwusizo.
Uma u-insured futhi udinge nje iziphakamiso ezithile zomhlinzeki, inhlangano ye-lupus ingabuye iphakamise ama-rheumatologists amahle ngemikhuba yangasese endaweni yakho ejwayele i-lupus. Uma i-lupus inhlangano isebenza ngamaqembu okusekela, amalungu ayimithombo enhle yalolu lwazi, futhi.
Ezinye Izinketho Zokunakekelwa Kwezempilo
Zama isikhungo somphakathi, esingenzi nzuzo, noma esibhedlela. Bavame ukuba nesilinganiso esikhanyayo esilinganiselwe (izinkokhelo ezincishisiwe) kubantu abangaqinisekisiwe. Buza mayelana nokunakekelwa kosizo noma usizo lwezezimali kunoma yisiphi isibhedlela. Uma ungaceli, bangase bangakhulumi futhi bakutshele mayelana nezinhlelo ezikhethekile ezinikeza usizo lwezezimali. Uma ungumfundi, isikole sakho singanikeza ukunakekelwa kwezempilo okuncishisiwe noma sibe nenkhungo yezempilo ongayifinyelela mahhala noma ephansi. Uma u-freelancer, zama i-Freelancers Union. Isikhwama se-Actors sinemithombo ewusizo yokuthola umshuwalense wezempilo, ikakhulukazi uma ungumculi owenzayo noma usebenza embonini yokuzijabulisa.
Uma ulahlekelwa yomshuwalense wakho kodwa une-rheumatologist, menze azi isimo sakho. Angase akwazi ukukusiza ngokunciphisa ibhilikhithi yakho noma ekuthumeleni emtholampilo ophansi lapho asebenza khona.
> Imithombo:
> Bates MA, Brandenberger C, Langohr II, et al. I-Silika-Yenzelwe Ukuzimela Ngamakhemikhali E-Lupus-Prone Okuvinjelwe NguDocosahexaenoic Acid Consumption. UCrispin J, u-ed. PLoS ONE . 2016; 11 (8): e0160622. i-doi: 10.1371 / iphephandaba.pone.0160622.
> Lupus Foundation of America. Izinkinga ezivamile ze-Lupus. Kubuyekezwe ngo-18 Julayi 2013.
> Miyake C, Gualano B, uDantas W, et al. Ukunyuka kwama-insulin kanye namazinga e-Glucagon Esigulini Esingahle Sisebenzise I-Lupus Isiguli Naphezu Kokwejwayelekile kwe-Glucose Ukubekezela. Ukunakekelwa Kwe-Arthritis Nokucwaninga . NgoJanuwari 2018; 70 (1): 114-124. i-doi: 10.1002 / acr.23237.