Lupus - yilokhu isifo? Izimbangela, izimpawu, ekwelapheni lupus

Lupus - a isifo i sokuhlasela kwamasosha omzimba uhlobo lapho ezomvikela omzimba aqale ukuhlasela amaseli ayo. izinqubo sokugembula ngokuvamile obuhambisana ukuvuvukala nezicubu umonakalo. Ngenxa yalokho, i-lupus kuphakamisa ukubukeka nezinye, izifo ngokuvamile eyingozi.

Omzimba izicubu erythematosus: Siyini ngempela lesi sifo?

Izithombe pathologies eziningi umangaze. Lezi zihlanganisa i-lupus. Kuyinto igama ethandwa kakhulu lesi sifo, ezwakala ngokuphelele njengoba lupus letindzala (erythematous) lupus. It libhekisela zokugula wesistimu sokuhlasela kwamasosha omzimba. Basuke izimpawu ukungabi eside izimpawu, ngakho uphethwe ngokushesha Ngokuvamile kunzima. Ukuze sinqumo sokugcina kwezinye iziguli kuthatha iminyaka.

Lupus ngokuvamile kudidaniswe samathambo nezinye izifo imvelo efanayo. Isici esiyinhloko sale isifo ukuvuvukala ukuthi kwenzeka kanyekanye ezindaweni eziningana emzimbeni. I ubulili fair kunamathuba amaningi okuthi ukuthuthukisa lesi sifo. Ngokuvamile, isifo sitholakale abesifazane abaneminyaka engu 20-40, kodwa amadoda nabo bayajabula.

Imininingwane zomlando

Ngo 1828, i-izimpawu zesifo ka lupus achazwa ngokokuqala. Ngemva kweminyaka engu-45 wesikhumba Kaposhi wenza esinye ukutholakala. Waqaphela ukuthi kule isifo izimpawu azibonakali nje esikhumbeni, kodwa futhi kuthinte izitho zangaphakathi.

Ososayensi uqhubeka utadisha iziguli kwathiwa unesifo "lupus". Siyini ngempela lesi sifo, yabe seyaziwa e 1890. Abacwaningi wasikisela ngalesi sifo asymptomatic, futhi waqinisekisa izibonelo zayo ezithile. Uma izinguquko abashe isikhumba ningagcini, lo zokugula kungaba "ukudla" izibilini, ezithinta izinhlelo ezibaluleke kakhulu.

Ngo-1948 kwaba khona omunye impumelelo ezibalulekile ekutadisheni isifo. Odokotela baqala ukuhlola ukuhlolwa igazi eduze kakhudlwana itheleleke. Ngenxa yalokho, lo okuthiwa LE amaseli atholakele, okungukuthi, tincenye lupus. azihlole kabanzi lisetshenziswe zokwelapha namuhla nokuthi uvumela kusaqalwa yekubona iziguli.

Ngo-1954 kwaba ukutholakala ezibaluleke kakhulu okwasiza ukuchaza izizathu ukuthuthukiswa izifo sokuhlasela kwamasosha omzimba. I amaprotheni angaphandle atholakele legazi elinegciwane, okuyinto wenza ngokumelene amaseli enempilo. omzimba ukuhlaziywa wasiza ukuthuthukisa ukuhlolwa ultrasensitive ukuxilonga i-lupus isifo ngendlela esifike ngesikhathi.

Izizathu eziyinhloko

Call izimbangela akunakungatshazwa yalesi sifo akunakwenzeka. Nokho, lokho kuthuthukisa izimo ezibangela isifo, zaziwa kahle.

Lupus - isifo sokuhlasela kwamasosha omzimba. It kuhambisana ukukhululwa amaprotheni ethize isinyathelo amaseli ayo nezicubu. Lokhu samuntu amasosha omzimba libizwa autoimmunity. Lolu hlobo ukusebenza ohlelweni Ukuvikelwa ngenxa kwezinso ezithile e ezakhini zofuzo. Lokhu kusho ukuthi i-lupus has yofuzo. Futhi, leli qiniso kuqinisekiswa nezigameko eziningi ngofuzo lesi sifo.

Umsuka wegama ukugula indima ukudlala ezifweni ezihlukahlukene. omsakazo wabo akusho lutho, ngoba iphuzu eliyinhloko kubhekwa "ukucindezeleka" ukungatheleleki ukukhiqizwa okwalandela kwamasosha omzimba. Ngo izifo ezibangelwa amagciwane iziyaluyalu elimazayo ebonwe ukwethulwa lwegciwane (isib nolwelwesi lwamafinyila). Ngenxa amasosha omzimba futhi ukudala izimo ezikahle kakhulu ukwakheka autoantibodies.

Phakathi kwezinye izinto ingqondo isifo zihlanganisa lokhu okulandelayo:

• ukuvezwa kwesikhathi eside elangeni;
• isisu kanye nokubeletha;
• psycho-ngokomzwelo sindisa, ukucindezeleka;
• iziyaluyalu hormone;
• Amanye amaqembu kokuthola imithi.

Zizonke, lezi zici neqhaza ekuthuthukiseni izifo ezifana lupus. Izizathu ezichazwe ngenhla, imbangela lesi sifo, futhi inkulumo yayo ezihlukahlukene.

emitholampilo isithombe

Izimpawu zesifo zonke iziguli manifest ehlukile. Abaningi bakhononda ukukhathala. Ngezinye izikhathi kukhona okuncane imfiva kanye kwesisindo. Lezi zimpawu zivame ukuhambisana uthi ezilandelayo:

• Ukungakhululeki emisipheni nasemalungeni. Iziguli eziningi ubuhlungu emalungeni nemisipha, okuyinto iyakhula ekuseni. Ngezinye izikhathi i-lupus kuhambisana ukuvuvukala kancane endaweni le lesion. odokotela Akuvamile kakhulu ukuxilonga sokuqaqamba kwamalunga noma ezinye ukwephulwa ukuhamba amalunga omzimba.
• Ukunqotshwa kwe-isikhumba, izinwele, ngalo ingaphakathi ngomlomo. Yokucasuka izihlathi - uphawu ejwayelekile lesi sifo. A ukuqubuka obomvu zingavela ezindaweni lapho ngokuvamile bakhala imisebe ultraviolet. Lesi sifo sithinta imithambo yegazi, zikhala ngezinye umsebenzi wabo. Ezimweni sina ngokukhethekile, iziguli impandla patchy.
• Igazi uhlelo lymph. Lupus uvame ukuhambisana ezinye izinhlobo igazi. Kuyinto inkinga elingavamile amahlule ukuvuvukala-lymph.
• Inhliziyo, amaphaphu nezinso. Lupus ngokuvamile uhambisana ukuvuvukala ephashini kwezicubu imisipha yomzimba eyinhloko. Lokhu kuphumela izinhlungu nokuphatheka kabi esifubeni. Ukuvuvukala ku izinso libhekene ukubukeka wamaprotheni ne igazi esithweni, okuyinto zitholakala umchamo.
• Ubuchopho kanye isimiso sezinzwa esiyinhloko. Ezimweni eziningi, i-lupus erythematosus ephelezelwa ukucindezeleka futhi umqondo njalo okwesabisayo ukungakhululeki ngokomzwelo.

Ukubonakaliswa izimpawu zalesi sifo ziyahlukahluka. Kwezinye elinegciwane kukhona isici esisodwa kuphela okungenhla, kuyilapho abanye - bawaphendule. Ekuqaleni i-lupus kusolwa nezinye izifo, ngenxa cishe bonke of them ahambisana ukukhathala okuthile, futhi umkhuhlane jikelele. Njengomthetho, ezweni namuhla elibizwa yayo ngezikhathi exacerbations futhi remissions. Izizathu zalokhu alternation ingakamiswa siyachazwa.

Ukwahlukaniswa izifo

Ifomu generalized lesi sifo Zintathu izinhlobo imisinga. Okulandelayo, sibheke ngamunye kabanzi.

okufana olunamandla libhekene isiqalo okungazelelwe. Ngokuvamile iziguli ngokunembile ngokuthi lapho liqala ukuthuthukiswa yayo lupus. Siyini ngempela lesi sifo, ngokuvamile ukufunda ngemuva kokuvakashela udokotela. Phakathi izimpawu ezinkulu ungaphawula okuvela ukuqubuka esikhumbeni, ukuthuthukiswa arthritis, imfiva. umonakalo isitho Multiple kufaka ukuwohloka abukhali, nakho ezimweni eziningi lungaboniswa iminyaka emibili. Ukwelashwa kusenesikhathi ngemithi ephumelelisa ukuthethelelwa okuqhubekayo.

Ukuze subacute ukugeleza inamagquma isici zavela kancane kancane kwenqubo sokugembula. Ekuqaleni abathintekayo amalunga isikhumba ke. Ezinye izinhlaka inamathelisiwe njalo uma ingase ibuye ngamandla ngemva. lupus lefundo eba kancane kakhulu, ngakho-ke yenza mnogosindromnuyu isithombe emtholampilo.

ukugula okungalapheki samuntu kuboniswa izimpawu eyodwa noma ngaphezulu. Against isizinda nenhlalakahle iziguli zivele ukuqubuka nesifo sokuqaqamba kwamalunga. inqubo sokugembula eba kancane kakhulu, kancane kancane ekuthumbeni bonke entsha uhlelo nokuqinisekisa.

Lupus e izingane nabesifazane abakhulelwe

Ngeshwa, ngisho phakathi seziguli ezisencane kwenzeka lupus. Izithombe izingane, okuyinto ethulwa mathiriyeli lo sihloko libonise jikelele isithombe emtholampilo. It cishe akahlukile izimpawu ezigulini omdala. Ngokwezinga elikhulu izingane singangena aphansi abasesikoleni kanye nentsha.

Lupus, izithombe zazo iningi ezisabekayo, kubhekwa isifo zesifazane. Yingakho akusiyo nesenzakalo into engavamile ngesikhathi sokukhulelwa. Lokukhulelwa ingane kungaba ukuqala aseqala yesifo noma okubi kakhulu. Ngakolunye uhlangothi, i-ukwehla umsebenzi we omzimba ngezinye izikhathi ngcono isimo abesifazane, futhi ingozi yezinkinga kuyehla. Ngenxa yentuthuko kwezokuhlolwa kwezinkanyezi imithi yesimanje, abesifazane Akasekho sesimweni eyayenziwe uphazamisa. omama Ikusasa azungeze ukunakekelwa gynecologists futhi rheumatologists. Lezi ochwepheshe ndawonye ukhethe amacebo ephumelela kunazo zonke isiguli. Lokhu ukulawula sithuthukiswe ivumela 50% abesifazane ukufinyelela ngokuphepha uphelela okunengqondo ekhulelwe kanti uba umama. Cishe ikota yebahlali iziguli ziba yezinkinga ngesimo ukopha eziningi futhi ukufa fetus.

ngihlolwa isiguli

Lapho izimpawu isifo kufanele ubonane nodokotela. onguchwepheshe reception kufanele akutshele ukuthi uvame ephelezelwa izimpawu omzimba izicubu erythematosus, onjani isifo. Photo iziguli ezivela wabahlinzeki nokwelapha, kukhona laba ubufakazi obucacile bokuba sina zesifo.

A indima ekhethekile uphethwe kungokwalabo inhlolovo eziyinkimbinkimbi. Kuhlanganisa immunological, emitholampilo, laboratory kanye okutholakele histological. Ekuqaleni, lo dokotela wenza behlolwa, lapho ungakwazi ukunquma uhlobo ukuqubuka esikhumbeni futhi izinguquko mucosal. isifo ngokucacile izimpawu zangaphandle kulesigaba kungenziwa esolwa kuyinto lupus erythematosus. Photo kwanele ukubeka ukuxilongwa esichazayo.

izindlela Immunological lokuhlolwa asetshenziswa ukucacisa uhlobo letindzala lesi sifo (ucwaningo ezindaweni enempilo futhi ezilimele, njengengxenye izinguquko egazini). Lapho Wasserman kungenzeka zamanga yi omuhle uyalandelwa. Uma usola ukuthi lupus Kunenkolelo i kwegazi ezengeziwe. Iziguli yemvelo impahla ngokuvamile atholakala amasosha omzimba antinuclear elementi nge double-DNA balahleke.

Kuphoqelekile okwazo zonke iziguli babelwe luhlolo ezingeziwe ngaphakathi komgodi ongaphakathi kwamathumbu ukuhlola ukubhebhetheka kwalesi sifo. Kucondza jikelele / kwamakhemikhali kwegazi, X-ray, i-ultrasound, electrocardiogram.

Ingabe kukhona ukwelashwa okuphumelelayo?

Lupus - isifo esingalapheki. Ngakolunye uhlangothi, uma ukwelashwa kokuqala ngesikhathi esifanele, ongayifinyelela impumelelo enkulu futhi izimpawu. Uhlelo ukuphathwa ithuthukiswe ngamunye. Iziguli lupus emnene ngokuvamile awadingi ukuphathwa ngendlela ekhethekile.

Articular amafomu oyingozi futhi subacute lesi sifo ukuphathwa izidakamizwa nonsteroidal eqeda ukuvuvukala ( "Voltaren", "Brufen"). Nge ukuhileleka sokugembula inqubo isikhumba ebekiwe imithi izidakamizwa uchungechunge quinoline ( "delagil" "Chloroquine"). Nokho, ukwelashwa okunjalo isetshenziswa Emacaleni angakajayeleki kusukela le mithi ungaba komzimba okufana dermatitis neziyaluyalu dyspeptic.

Nokho kukhona glucocorticoids ( "Prednisolone") Le mithi main ekulweni lupus. Bamiswa kungakhathaliseki uhlobo lesi sifo, isithombe emitholampilo umsebenzi inqubo sokugembula. Abesifazane abasha futhi intsha ngokuvamile abafuni hormone, owesaba ukhuluphele. Lupus - lena ngempela isifo esiyingozi lapho akufanele kube okukhethayo. Ngaphandle ukusetshenziswa glucocorticoids kwanciphisa isikhathi okulindeleke ukuba kanye izinga lehla kakhulu. Uma ukusetshenziswa eside hormone alisiniketi Dynamics omuhle, iya ukwelashwa nge immunosuppressants cytotoxic.

Ngaphezu kokuthola amalungiselelo yezokwelapha, iziguli ezinemishini ukuxilongwa badinga olukhethekile lokudla kanye therapy okunezimpawu (amavithamini, ama-ejenti elwa namagciwane kanye antiulcer).

Kanjani ukuphila-lupus?

Uma uke wathola isifo akusho ukuthi ungakwazi abeke esiphambanweni. Abantu abaningi abaphila kwathiwa unesifo "lupus". Izithombe salezi ziguli abonisa ngokucacile ukuthi impi nalesi sifo kuyadingeka. Kungase kudingeke ukushintsha ezinye indlela komkhuba ukuphila. Odokotela batusa ukuphumula njengoba kudingeka. Kungcono ukuba alale izikhathi eziningana ngosuku, kuka ukusebenzela bafake.

Funda izimpawu eziyisisekelo elihlobene ne-ushintsho kwezifo esigabeni oyingozi. Ngokuvamile landulelwa kwengcindezi enkulu ephuza elangeni, abandayo. Uma ugweme lezi zici ayeke ukunisa, ukuphila kungaba lula kakhulu.

Ungakhohlwa mayelana ukuvivinya umzimba njalo, kodwa futhi peretruzhdaetsya umzimba engalandeli. Njengoba ungakhetha pilates noma yoga njengendlela yokuziqeqesha ezemidlalo ezinkulu. Ngakolunye uhlangothi, kubalulekile ukuba alahle konke imikhuba emibi. Ukubhema kanye ukusetshenziswa utshwala ungafaki impilo. Abantu abanjalo ngokuvamile ogulayo, emboza inhliziyo nezinso. Musa ukufaka ukuphila kwakho engozini siqu isikhashana injabulo.

Thatha ukuxilongwa yakho, buza udokotela uma kunesidingo. Lo chwepheshe kufanele akutshele kanjani ukuthuthukisa i-lupus, futhi sisasebenza isifo. Photo iziguli abaphila nesifo, kungashukumisa ukuba uqhubeke ngenkuthalo ekulweni naso.

Ngokukhethekile kufanele kukhokhelwe ekudleni. Kunconywa ukulahla zonke imikhiqizo eyingozi ngoba kulimaza ukusebenza kwe-eziyinhloko isitho zangaphakathi. Caffeine kanye nemikhiqizo yayo aqukethe iphinde ivinjelwe. Le into ebangela inhliziyo ukushaya ngokushesha, akusho uphumule, kanjalo ngokweqile le CNS. Ukudla kufanele libe inyama ebomvu, inhlanzi eziningi ezinkulu, kanye nemifino nezithelo ezintsha. Ungakhohlwa mayelana nemikhiqizo yobisi. Ziqukethe lemali onesifo calcium ne vitamin D, okungase ekuvimbeleni ukukhumuzeka kwamathambo.

Prevention lokugula

Manje ngoba sewuyazi ukuthi yini izimpawu lupus kuhambisana onjani isifo. Izithombe izimpawu zalesi sifo yethuliwe mathiriyeli lo sihloko. Kungenzeka yini ukuvimbela ukuthuthukiswa yayo?

Ngokusho kochwepheshe, izindlela eliphezulu nokuvinjelwa sifo ingakamiswa asethuthukile. Nokho, ungakwazi ukuvimbela okuvela kuyo uyahluleka uma elwa nokuphuza kanye nokugcina isimo iziguli ukuthethelelwa esitebeleni. Okokuqala kumele njalo uhlolwa udokotela wamathambo, thatha imithi enqunyiwe ngesikhathi umthamo Kunconywa. Uma uhlangabezana emibi, kabusha isicelo kudokotela. Kubaluleke kakhulu ukuba bagcine umbuso yomsebenzi kanye nokuphumula, ukulala amahora ngosuku okungenani eyisishiyagalombili. Ukubambelela ukudla okunempilo - kungesinye isinyathelo maqondana nokuvimbela kokushelela.

Lapho ethola ukuthi unesifo "lupus", izimbangela zesifo kumele ukuchaza udokotela. Isiguli kufanele ukhumbule ukuthi leli zokugula kuyinto "wesaba" of okuhlinza ukungenelela, hypothermia kanye ingamukeli "chocolate tan." Iziguli lupus kufanele ukhohlwe ngoba iholidi ukuphila kwakhe konke ebonisa Ezindaweni eningizimu.