Uyini umehluko nokufana phakathi kwe-lupus (systemic lupus erythematosus) ne-MS (multiple sclerosis?) Lo mbuzo obalulekile, ngisho nangenkinga enkulu njengoba abanye abantu abane-lupus bengabhekwa njengama-MS nakwezinye izikhathi. lezi zimo zifana, nokuthi zingahlukaniswa kanjani ukuze wena nodokotela wakho nikwazi ukuxilongwa.
I-Lupus ne-MS Basics
I-Lupus (i- systemic lupus erythematosus ) ne-MS ( multiple sclerosis ) ingavela ngendlela efanayo ngezindlela eziningi. Eqinisweni, abantu bangase bangabhekwa kalula njenge-MS, uma benenkinga ye-lupus.
Kokubili i-lupus ne-MS yizifo ezingapheli ezizimele . Kunezifo ezingaba ngu-100 ezehlukene ezizimele, ezinezimpawu eziningi eziqhamukayo. Kulezi zimo, isimiso somzimba sokuzivikela- kunokuba sihlase umbhuli njengabaktheriya noma amagciwane-sihlasele umzimba wakho
Ku-lupus, isimiso somzimba samasosha omzimba singahlasela izitho ezihlukahlukene emzimbeni, ikakhulukazi isikhumba, amalunga, izinso, inhliziyo, amaphaphu noma isimiso sezinzwa. (Kwabanye abantu, i-lupus ithinta kuphela isikhumba, isimo esibizwa ngokuthi i- discoid lupus erythematosus .)
E-sclerosis amaningi, amasosha omzimba ahlasele ngokuqondile i-myelin sheath, uhla oluqinile lokuzivikela emagqabeni ezinyosi ebuchosheni nasendongeni yomgogodla. Umgogodla we-myelin ungacatshangelwa ukuthi ungayifaka isembozo sangaphandle sensimbi kagesi.
Lapho i-myelin sheath yonakaliswa, ukuhanjiswa kwemiqondo kusuka ebuchosheni kuya emzimbeni nomzimba ebuchosheni kungathinteka.
Ukufana
I-Lupus ne-MS izifo ezihluke kakhulu, kodwa zinezinto eziningana ezifanayo:
- Zombili izimo ezizenzekelayo.
- Asazi izimbangela eziqondile - Njengoba nje singazi imbangela ecacile ye-lupus , asiqiniseki ngezimbangela ze-MS .
- Ziyi-diagnostic yezokwelapha, okusho ukuthi akukho ukuhlolwa kwelebhu noma isifundo sokucabangela okungaqinisekisa ukuthi ukuxilongwa okuqinisekile. Esikhundleni salokho, ukuxilongwa kwe-lupus noma i-MS kuncike esimweni sezimpawu eziphawulekayo, izibonakaliso nokuhlolwa kwelebhu ezingenakuchazwa omunye ukuxilongwa.
- Zithinta abantu abanenkathi efanayo yobudala. Zombili lezi zifo zithinta kakhulu abesifazane abasha-abasha-nakuba bebathinta nabanye abantu.
- Zombili izimo zokubuyiselwa / zokubuyiselwa. Kokubili i-lupus kanye ne-MS bangalandela isibonelo sokuxolelwa nokuphindaphinda okuphindaphindiwe (kokubili izimo ezibuyiselwayo zokubuyiselwa kabusha .)
- Zingakhombisa izimbangela zobuchopho eMRI ezifanayo.
Ngenkathi izinzwa ziyisisekelo esiyinhloko se-MS, i-lupus ngezinye izikhathi ithinta izinzwa. - Zombili izimo zibonakala zinezici zofuzo futhi zingase zenzeke emindenini.
- Zombili lezi zimo zivame ukungazi kahle ekuqaleni.
- Zombili lezi zimo zivame ukudala izinkinga ngokukhathala, ikhanda, ukuqina komfutho, nezinkinga zememori.
Umehluko
Ngaphandle kokufana, kunemibono eminingana evame ukutholakala phakathi kwe-lupus ne-MS. Lokhu kungezwani kubalulekile ikakhulukazi njengoba ukwelashwa kwezifo ezimbili ngokuvamile kuhluke kakhulu. I-MS yisifo esivame kakhulu segazi esihlasela abantu abasha.
Cishe isigamu seziguli ze-lupus ziyoba nesistimu enkulu yezinzwa (ubuchopho nomgogodla) izimpawu. Noma kunjalo, kuyilapho i-lupus kanye ne-MS ingathinta isistimu yomphakathi, bavame ukwenza kanjalo ngezindlela ezahlukene.
Umehluko Embonisweni
Kukhona ukufana okuvamile phakathi kwe-lupus ne-MS mayelana nezimpawu; kokubili izifo zivame ukubangela izimpawu ze-neurological kuhlanganise nezinkinga ngommoko, ubuhlungu bomzimba nobuhlungu, kanye nokukhathala. Kodwa kukhona ukungafani kahle. Ngokuvamile, umonakalo emzimbeni wenziwa kabanzi nge-lupus kune-MS.
Ngokusho kweNational Multiple Sclerosis Society, imiphumela elandelayo evamile ye-lupus ohlelweni lwezinzwa ngokuvamile alukho kubantu abane-MS:
- I-Migraine ikhanda
- Izinguquko zobuntu
- Izinguquko kumsebenzi wokucabangela
- Ukuqothuka kwesisu
- Isibungu
Izimpawu ezivame kakhulu ze-lupus ziyingozi futhi i-arthritis. Ngokuphambene nalokho, ukuvuthwa akuvamile nge-MS futhi izimpawu ezivame kakhulu zihlanganisa umbono ophindwe kabili, ukuphazamiseka, ukugubungula, noma ubuthakathaka komunye wemikhawulo, nezinkinga ngokulinganisela nokuhlanganiswa.
Umehluko ezinhlolweni zeLebrobhu
Ukuhlolwa kwe-Antiphospholipid antibody yindlela eyodwa odokotela abangaqala ngayo ukuhlukanisa i-lupus kusuka ku-MS.
Ngenkathi izidakamizwa ze-anti-nyukliya zingatholakala kwabanye abantu abane-MS, ukutholakala kwabo akuvamile kakhulu kune-lupus. Nge-lupus, akuvamile ukuthi ungabi namagciwane antinuclear (i- ANA-negative lupus .)
Ngokuvamile, abantu abane-lupus bazoba ne -myelitis eguquguqukayo . Lesi simo sibonakaliswe ukuvuvukala kwentambo yomgogodla nokulimala emgodleni we-myelin. Ilingisa i-MS futhi ngezinye izikhathi yilapho kuphela i-lupus uphawu. Ngakho-ke, kungangqubuzana nokuxilongwa. Ucwaningo luye lwabona ukuthi ukuhlolwa kwamagciwane okulwa ne-antitinuclear kanye ne-anti-aquaporin-4 kungasiza ekuhlukaniseni i-neuromyelitis optic e-lupus kusuka ku-multiple sclerosis.
Umehluko Ekuhloleni Ukucabangela
Ngokuvamile, i-MRI yobuchopho izobonisa izilonda eziningi nge-MS ("izimbobo ezimnyama namabala aqhakazile") kodwa ngezinye izikhathi izilonda zobuchopho ezitholakala nge-lupus noma i-MS zingakwazi ukungaqondakali.
Ukwahlukana Kuzokwelapha
Kubalulekile ukuqaphela umehluko phakathi kwe-lupus kanye ne-MS uma uthola ukuxilongwa ngoba ukwelashwa kwezimo ezimbili kuhlukile kakhulu.
Imithi ejwayelekile kakhulu ye-lupus ihlanganisa izidakamizwa ezingekho-steroidal ezilwa nokuvuvukala, i-steroids (i-corticosteroids) nezidakamizwa ze-antimalaria. Izidakamizwa ezingenayo i-immunosuppressive (DMARDS noma isifo sokuguqula izidakamizwa ezilwa negciwane) zingasetshenziswa ngezifo ezimbi, ikakhulukazi lokho okuthinta izinso.
Ngokuphambene nalokho, imithi ejwayelekile kakhulu yokwelapha i-MS ihlanganisa ama-interferons (njenge- Avonex ). izidakamizwa ze-immunosuppressant, kanye nama-immunomodulators.
Umehluko ku-Prognosis
Phakathi kwamaphesenti angu-80 no-90 abantu abane-lupus bazophila impilo evamile. Ukuchazwa kwe-lupus kushintshile. Ngonyaka ka-1955 kuphela abantu ababesele bahlala iminyaka emihlanu kuphela. Manje, amaphesenti angu-95 abantu asephila ngemva kweminyaka eyishumi. Isikhathi sokuphila ne-MS sisilinganiso seminyaka eyisikhombisa emifushane kunomuntu ongekho i-MS, kodwa lokhu kungahlukahluka phakathi kwabantu abahlukene abanesifo. Abanye abantu abanesifo esibi kakhulu bangase bafe isikhathi esifushane nesifo, kanti abantu abaningi baphila impilo evamile.
Isizathu Sokuthola I-Misdiagnosis Ngezinye izikhathi Kuyakwenzeka
Ngaphandle kwe-myelitis eguquguqukayo, lapho i-lupus ingalingisa khona i-MS (kodwa ephathwa ngokuhlukile,) kunezinye ezinye izinto ezifanayo phakathi kwe-lupus ne-MS ezingabangela ukungazi kahle:
- Zombili lezi zifo zine-immunological.
- Zombili zithinta inani elifanayo.
- Bobabili banenkambo yokubuyela kabusha
- Bobabili bangase babe nezimpawu ze-neurological.
- Bobabili bangaba nezilonda zobuchopho.
Yini Eyenzeka Ngokwelashwa Okungaqondakali?
Njengoba imishanguzo ehlukene isetshenziselwa ukwelapha i-lupus ne-MS, enye yezinkinga ezinokuhlukumeza kabi ukuthi awutholi ukwelashwa okungcono kwesifo sakho. Kodwa akusikho konke, njengoba imithi ethile ye-MS ingenza izimpawu ze-lupus zibi nakakhulu.
Ngaphansi
Uma utholakale ukuthi une-lupus noma i-MS, ikakhulukazi uma isimo sakho sibhekwa "se-atypical," khuluma nodokotela wakho. Buza futhi ufunde mayelana nokuxilongwa kwakho. Uma ungaqondi into ethile, cela futhi. Qinisekisa ukuthi ubona ochwepheshe onguchwepheshe wokuphatha i-lupus noma i-MS. Funda mayelana nodokotela abanakekela abantu abane-lupus kanye nochwepheshe abanakekela abantu abane-MS .
Ungase futhi ufuna ukuthola umbono wesibili. Abanye abantu bayanqikaza ukucela umbono wesibili, kodwa lokhu akukona nje ukuthi akucasuli udokotela wakho, kulindeleke ukuthi abantu bebhekene nesimo esibucayi sezokwelapha.
Ungase uzizwe sengathi uwedwa wedwa ukubhekana nokuxilongwa kwakho. Abantu abaningi abane-MS bayanqikaza ukukhuluma ngesimo sabo emphakathini, futhi abantu abane-lupus bathola ukuthi abantu bathi izinto ezilimazayo lapho befunda ngesifo sabo. Kukhona ukuqonda okuncane mayelana ne-lupus noma i-MS emphakathini omkhulu ngokuhambisana nezinye izimo eziningi zezokwelapha. Izimpawu eziningi azibonakali kwabanye, okuholela ekuhluphekeni okuthulile.
Cabanga ngokujoyina iqembu lokusekela noma umphakathi wokusekela inthanethi. Lokhu kungaba yindlela enhle yokuhlangana nabanye abantu ababhekana nezinselele ezifanayo futhi ngokuvamile kuyindlela enhle yokufunda kabanzi ngesifo sakho kanye nocwaningo lwamuva.
> Imithombo:
> Karussis, D. Ukuhlolisiswa kwe-Multiple Sclerosis kanye nama-Various Demyelinating Syndromes: Ukubukeza Okubalulekile. I-Journal Yokuzivocavoca . 2014. 48-49: 134-42.
> Magro, C., Cohen, D., Bollen, E. et al. Ukudambisa izifo ku-SLE: Ingabe i-Multiple Sclerosis noma i-Lupus ?. Ukusebenza Okuhle Kakhulu Nokucwaninga. I-Rheumatology yezokwelapha . 2013. 27 (3): 405-24.
> Jurynczyk, M., Craner, M., Palace, J. et al. Ukuqothulwa kwezifo ezivuthayo ze-CNS: Ukuhlukanisa izici ze-NMO ne-MS. Journal of Neurology, Neurosurgery, kanye Psychiatry . 2015. 86 (1): 20-5.