Lupus - le nto sifo? Oonobangela, iimpawu, unyango yelupus

Lupus - a isifo of an samathambo hlobo apho imikhosi yokhuselo komzimba aqalise ukuhlasela iiseli zalo. iinkqubo yezifo ngokuqhelekileyo ihamba kunye nokudumba inyama umonakalo. Ngenxa yoko, lupus kuphakamisa imbonakalo nezinye izifo, kaninzi kakhulu ngakumbi.

Systemic lupus zomzimba: yintoni na kwesi sifo ndinaso?

Iifoto ezimbi ezininzi wagcwala. Ezi ziquka lupus. Eli ligama ithandwayo sifo, apho isandi ngokupheleleyo njengoko lupus (erythematous) lupus. Oku kubhekisela leengxaki kwinkqubo sokuhlasela. Bona esibonakala ngokungabikho elide iimpawu, ngoko uxilongo olungele ukusebenza nzima. Kuba isigwebo sokugqibela kwezinye izigulane kuthatha iminyaka.

Lupus basoloko bexakaniseka kunye isifo samathambo kunye nezinye izifo efanayo. Uphawu iphambili yale sifo ukudumba ukuba kwenzeka ngaxeshanye kwiindawo ezininzi zomzimba. I sex fair kunokwenzeka ngakumbi ukuba oku sifo. Ngokuqhelekileyo, esi sifo banesifo kwabasetyhini abaminyaka yobudala eyi-20-40, kodwa amadoda akukho ngaphandle.

ulwazi zembali

Ngowe-1828, iimpawu kunye neempawu yelupus bachazwa kuqala. Emva kweminyaka 45 wesikhumba Kaposhi wenza Enye into. Waqaphela ukuba kwesi sifo iimpawu azibonakali kuphela eluswini, kodwa kuchaphazela izibilini.

Izazinzulu uqhubeka ufundisisa izigulane unesifo "yelupus". Yintoni na le sifo, oko kwazeka ngo-1890. Abaphandi baye ucingela malunga nesi sifo nazimpawu, naqiniswa imizekelo yayo ethile. Ukuba utshintsho iphawulwe kwi isikhumba anayenza, le ngezifo unako 'ukutya' enyama yangaphakathi, echaphazela kwiindlela ezininzi ezibalulekileyo.

Ngo-1948 kwakukho elinye idabi ebalulekileyo ekufundeni sifo. Oogqirha baqalisa ukukhangela iimvavanyo zegazi ngokusondeleyo bosulelekile. Ngenxa yoko, babizwa ngokuba iiseli LE afunyanwa, oko kukuthi, izinto yelupus. Loo Uhlalutyo sisetyenziswa ngokubanzi yezonyango namhlanje kunye evumela nisaqala yokubona izigulane.

Ngowe-1954 yena wenza Into ebalulekileyo yanceda ukuba achaze izizathu uphuhliso ukuphazamiseka sokuhlasela. Iiproteni basemzini kwafunyanwa igazi elosulelekileyo, leyo wenza nxamnye iiseli esempilweni. Uhlalutyo omzimba wanceda ukuphuhlisa uvavanyo ultrasensitive ukuhlola lupus sifo ngendlela ngexesha.

Izizathu

ezibangela Call engagungqiyo esi sifo akwenzeki. Noko ke, iimeko ezinegalelo sifo, baziwa kanye.

Lupus - isifo samathambo. Oko kukhatshwa nokukhululwa iiproteni ezithile ezisebenza ngayo iiseli yayo kunye namalaphu. Le ngobuwena omzimba kuthiwa autoimmunity. Olu hlobo nokusebenza le nkqubo yokhuseleko ngenxa ukungaqheleki athile kwinqanaba yemfuza. Oku kuthetha ukuba lupus unalo yofuzo. Kwakhona, le nyaniso ingqinwa kwiimeko ezininzi kwiintsapho kwesi sifo.

Imvelaphi yokugula indima ukudlala zizifo ezahlukahlukeneyo. umyalezo wabo Akukhathaliseki, kuba kwingongoma eyintloko njenge "uxinezeleko" okukwazi nokuveliswa koko omzimba. Xa amagciwane ukuphazamiseka entshabalalo iqatshelwe ekuqalisweni pathogen (umz, inwebu yangaphakathi). Ngenxa omzimba kwaye adale iimeko ezithandwa kakhulu ukuze kwakhiwe autoantibodies.

Phakathi kwezinye izinto ingqondo sifo zibandakanya oku kulandelayo:

• ithuba elide ukuze ilanga;
• isisu kunye nokuzala;
• ngokwasengqondweni-ngokweemvakalelo ukucima kombane, uxinzelelo;
• izifo hormone;
• Amanye amaqela ezifumana amachiza.

Kunye, ezi zinto zinegalelo kuphuhliso kwezifo ezifana lupus. Ezi zizathu zichazwe ngasentla, unobangela esi sifo, yaye lubonakaliswa ngeendlela ezahlukahlukeneyo.

picture clinical

Iimpawu zesi sifo kuzo zonke izigulane ibonakale ngokwahlukileyo. Abaninzi ezikhala ukudinwa. Maxa wambi kukho okuncinci fever kunye nokutha emzimbeni. Ezi mpawu soloko ilandelwa yi lithi zilandelayo:

• Ubuhlungu xa imisipha namalungu. izigulane ezininzi iintlungu amalungu kunye nezihlunu, leyo ziyanyuswa kusasa. Maxa wambi lupus ihamba Ukudumba okungephi kwisiza le sisilonda. oogqirha ezinqabe kakhulu nokuxilonga samathambo okanye ezinye ukunyhashwa ukuhamba amalungu.
• Kokoyiswa eluswini, iinwele, kwisisu ngomlomo. Ukungavisisani nemihlathi - luphawu wendlela sifo. A irhashalala ebomvu zingavela kwiindawo apho ngokufuthi kuwa yelanga eyingozi. Isifo kwakhona kuchaphazela imithambo yegazi, ukuphazamisa umsebenzi wabo. Kwiimeko ingakumbi kakhulu, izigulane kufuneka nenkqayi zineengxaki.
• Igazi nenkqubo emithanjeni. Lupus Idla yi ezinye iintlobo kwegazi. Kuyinto kwamaphaphu angaqhelekanga egazi igazi iindumbisa kwiindawo nkovu.
• Intliziyo, imiphunga kunye nezintso. Lupus idla sikhatshwa ukudumba komphezulu kwemiphunga inyama kunye izihlunu umzimba omkhulu. Oku kuzisa intlungu kabi esifubeni. Ukudumba kwi kidney luphawulwa imbonakalo protein negazi iphiko, apho ibekwe yokuchama.
• Ingqondo kunye nenkqubo luvo. Kwiimeko ezininzi, lupus zomzimba kunye kukudandatheka kunye nemvo rhoqo yanto kabi ngokweemvakalelo.

Okubonakalisa iimpawu zesi sifo kuyohluka. Kwezinye onesifo kukho mnye kuphela umsebenzi osemqoka ngasentla, ngelixa abanye - wonke iseti. Ekuqaleni lupus sibangelwa nezinye izifo, kuba phantse bonke bephela zikhatshwa ukudinwa, kwaye umkhuhlane jikelele. Njengomgaqo, ekhona ngamaxesha exacerbations kunye Uxolelo. Izizathu zoku alternation okwangoku ezichongiweyo.

nokubekwa kwezifo

Xa uhlobo nolahlo ngokubanzi isifo iintlobo ezintathu imisinga. Okulandelayo, khangela nganye iinkcukacha ezingaphezulu.

lobeko Acute luphawulwa isiqalo ngesiquphe. Kaninzi ngokuchanileyo ngokuba izigulane, xa liqala uphuhliso yayo yelupus. Yintoni na le sifo, badla bafunde emva ukutyelela ugqirha. Phakathi iimpawu eziphambili nga qaphela isenzeko irhashalala kakhulu eluswini, uphuhliso samathambo, nomkhuhlane. umonakalo zomzimba Multiple kuquka ukonakala elibukhali, leyo kwezinye iimeko ungadluliselwa kwiminyaka emibini. unyango kwangoko kunye namayeza ifumana nixolelwe ngokuzinzileyo.

Kuba subacute flow lihlangana iimpawu kancane inkqubo yezifo. Ekuqaleni inxaxheba amalungu kunye yesikhumba. Amanye amalungu zihlonyelwe ixesha ngalinye mkhuba. lupus oluCwangcisiweyo uvela kancinane, ngoko ke yenza mnogosindromnuyu picture clinical.

ngobuwena isifo esinganyangekiyo eboniswe iimpawu omnye okanye ngaphezulu. Ngokuchasene imvelaphi kakuhle ukuba izigulane kuvela irhashalala kunye samathambo. inkqubo yezifo uvela kancinane kakhulu, kancinci Sazithimba zonke inkqubo nokunyanzeliswa entsha.

Lupus ebantwaneni kunye nabasetyhini abakhulelweyo

Ngelishwa, nditsho naphakathi abaguli abatsha kwenzeka unelupus. Amafoto abantwana, leyo zinikiwe mathiriyeli kweli nqaku ibonisa umfanekiso lwezonyango jikelele. Oku kusebenza ayahlukanga ukusuka iimpawu kwizigulana abadala. Ukuze a kakhulu abantwana singangena abafikelele kubudala bokuhamba isikolo samabanga nomthinjana.

Lupus, iifoto kuyo inkoliso osabekayo, loo nto ithathwa sisifo ababhinqileyo. Kungenxa yoko le nto ukwenzeka akuqhelekanga ngexesha lokukhulelwa. Lokukhulelwa usana kungakhokelela ekubeni bt izifo okanye okubi. Kwelinye icala, ukuhla umsebenzi lo ngumsebenzi maxa wambi kuphuculwe imo abafazi, kunye nengozi iingxaki lifinyele. Ngenxa phambili njengonyango namhlanje, amabhinqa asisekho banokunikela artificially ukuphazamisa. omama elizayo kaka gynecologists inkathalo rheumatologists. Ezi iingcali kunye ukhethe amaqhinga zisebenzayo isigulane. Le ulawulo oluphuculweyo ivumela-50% abasetyhini ngokukhuselekileyo ukufikelela uphelele ubhalo lokukhulelwa abe ngunina. Malunga nekota izigulane ukuphuhlisa yeengxaki ngokohlobo ukopha ezininzi kunye nokufa ezingekazalwa.

iimviwo nokuxilonga yesigulana

Xa iimpawu sifo kufuneka ubone ugqirha. oyingcaphephe reception kufuneka kukuxelela kakhulu soloko ilandelwa lutshintsho lwemithetho iimpawu systemic lupus zomzimba, hlobo luni sifo. Photo of izigulane ezivela kwiincwadana zonyango ubungqina ngokucacileyo ubunzulu esi sifo.

Indima okhethekileyo uxilongo bobabo kwisaveyi entsonkothileyo. Oku kuquka ngumzimba, unyango, zelabhoratri iziphumo histological. Ekuqaleni, lo ugqirha owenza ukuxilongwa ngokwasemzimbeni, apho unako kucacisa uhlobo yabangxamayo eluswini kunye notshintsho mucosal. isifo ngokucacile iimpawu zangaphandle kweli nqanaba ingakrokreleka na lupus zomzimba. Photo kwanele ukuba isifo esichazayo.

iindlela ngumzimba lokuhlola zisetyenziswa ukucacisa nohlobo lwenkqubo yemfundo sifo (isifundo yeendawo esempilweni yonakele, njengenxalenye utshintsho egazini). Xa Wasserman japan okungamanga ukuze ziqwalaselwe. Ukuba ukrokrela ukuba lupus kubanjwe uvavanyo eyongezelelweyo igazi. Izigulane izinto eziphilayo idla izilwa antinuclear kunye izakhi DNA kabini balahleke.

Kunyanzelekile ukuba zonke izigulane umsebenzi uviwo olongezelelweyo kwisisu ukuvavanya ukusasazeka kwesi sifo. Luquka iimvavanyo / jikelele zengqo- igazi,-X-reyi, ultrasound, electrocardiogram.

Ingaba ikhona unyango olusebenzayo?

Lupus - unesifo esinganyangekiyo. Kwelinye icala, ukuba unyango lokuqala ngexesha, unako ukufikelela impumelelo enkulu aze aphelise iimpawu. Inkqubo unyango iphuhliswe ngamnye. Izigulane ne lupus ezolileyo idla musa badinga unyango olulodwa.

Articular iintlobo etsolo kunye subacute kwesifo aphathwe amachiza nonsteroidal anti-ukudumba ( "Voltaren", "Brufen"). Ndikunye ukubandakanyeka kwinkqubo eluswini amayeza amayeza zophendlo lwezifo emiselweyo series quinoline ( "delagil" "Chloroquine"). Noko ke, olo nyango lisetyenziswa Kwiimeko ezizodwa kakhulu, kuba la machiza linokufumana imiphumela ezifana dermatitis nokuphazamiseka dyspeptic.

Kodwa ke glucocorticoids ( "Prednisolone") Amachiza ephambili ekulweni lupus. malungu aqeshwa kungakhathaliseki uhlobo esi sifo, umfanekiso lwezonyango kunye umsebenzi inkqubo yezifo. amabhinqa aselula kunye nabantu abatsha badla akwavuma iihomoni, esoyika utyebile. Lupus - le kakhulu sisifo esibi akufuneki ibe apho ukhetho. Ngaphandle ukusetyenziswa glucocorticoids ukucutheka kweminyaka yokuphila nezinga tsakisi kakhulu. Ukuba ukusetyenziswa ixesha elide ka emzimbeni asisiniki amandla ezintle, yiya unyango kunye immunosuppressants cytotoxic.

Ukongeza amalungiselelo zonyango, izigulane unesifo kufuneka ukutya ezizodwa kunye nonyango kwangumqondiso (iivithamini, iiarhente antibacterial kunye antiulcer).

Indlela yokuphila ne lupus?

Ukuba ziye zafumana isifo oko akuthethi ukuba unako emnqamlezweni. Abantu abaninzi abaphila unesifo "yelupus". Iifoto kwezi zigulane kubonisa ngokucacileyo ukuba nalwa sifo kuyimfuneko. Kusenokufuneka ukutshintsha indlela ukusoloko yobomi. Oogqirha bacebisa abanye njengoko kuyimfuneko. Kubhetele ukuba kulala phantsi izihlandlo eziliqela ngosuku, kunokuba ukusebenza ukuguga.

Funda iimpawu ezisisiseko enxulumene utshintsho izifo kwinqanaba oyingozi. Kudla kokuba landulelwa luxinzelelo olungamandla, ukuba sesichengeni elide elangeni, kubanda. Ukuba uphephe ezi zinto ukunisa, ubomi kuba lula kakhulu.

Musa ukulibala malunga nomsebenzi rhoqo umzimba, kodwa peretruzhdaetsya umzimba akalandeli. Njengoko uyakwazi ukukhetha Pilates okanye yoga njengendlela zemidlalo ezikhulu. Kwelinye icala, kuyimfuneko ukuba yonke imikhwa emibi. Ukutshaya kunye zokusela iziselo ezinxilisayo asongezi zempilo. Abantu abanjalo badla uyagula, awongamela intliziyo kunye nezintso. Musa esichengeni ubomi bakho okomzuzwana iziyolo.

Thatha isigulo sakho, adibane nogqirha xa kukho imfuneko. Yingcali kufuneka kukuxelela indlela ukuphuhlisa lupus, yaye kungenxa sisifo. Photo of izigulane abaphila nesisifo, nga susumetela ukuba uqhubeke ukulwa nayo ngenkuthalo.

ingqalelo ekhethekileyo kufuneka ihlawulwe kwizidlo. Kuyanconywa ukuba bashiye zonke iimveliso eziyingozi kuba kuchaphazela ukusebenza kweenkqubo omzimba lwangaphakathi ezinkulu ngokungalunganga. Caffeine kunye neemveliso zayo equlathe nabo akuvumelekanga. Le nto ibangela intliziyo ibethe ngokukhawuleza, ngaba angakhululeki, ngaloo ndlela sithwalisa i CNS. Adla kufuneka luqulathe igama inyama ibhityile, intlanzi ezininzi, ngokunjalo imifuno kunye neziqhamo fresh. Musa ukulibala malunga neemveliso zobisi. Bona ziqulathe imali sisifo calcium kunye novithamini D, ezinokunqanda kwamathambo.

Yokuthintela isigulo

Ke kaloku, ukuba uyazi ukuba yintoni na iimpawu yelupus lukhatshwa luni sifo. iimpawu Amafoto kwesi sifo nayo thaca kwi mathiriyeli kweli nqaku. Ngaba kunokwenzeka ukuba ukuthintela ukukhula kwawo?

Ngokutsho kweengcali, iye azikaphuhliswa iindlela ophezulu umgangatho zokuthintela esi sifo. Noko ke, unako ukuthintela kukuvela likakade nokugcina imeko lwezigulana kuxolelwe ezizinzileyo. Okokuqala kufuneka rhoqo axilongwe wamathambo, uthathe amayeza ezimiselweyo kwi idosi ekhuthazwayo. Ukuba ngaba wehlelwa ziziphumo ebezingalindelekanga, kwakhona isicelo kugqirha. Kubaluleke kakhulu ukuba bagcine urhulumente umsebenzi kunye ukuphumla, ukulala iiyure ezisibhozo ngosuku. Ukubambelela ukudla elungeleleneyo - yenye njengenyathelo kuthintelo likakade.

Xa unesifo "lupus", oonobangela esi sifo kufuneka achaze ugqirha. Isigulana kufuneka ukhumbule ukuba olu ngezifo yi "woyika" zongenelelo zotyando, emzimbeni kwaye akazamkeli "tshokoleti tan." Izigulane ne lupus kufuneka ukulibala bebe ikhefu kwi ezinezinga esemazantsi.