Umahluko phakathi kweLupus kunye neRA

Umxholo

• Ifana njani i-lupus ne-RA?
• Yahluke njani ilupus neRA?
• Kutheni izifo zinokudideka
• Iikhrayitheriya zokuchonga
• Ikhomishini
• Umahluko kunyango
• Yintoni onokuyilindela

Yintoni ilupus kunye neRA?

I-Lupus kunye ne-rheumatoid arthritis (RA) zombini zizifo ezizimele. Ngapha koko, ezi zifo zibini ziyadideka ngamanye amaxesha kuba zabelana ngeempawu ezininzi.

Isifo sokuzimela komzimba senzeka xa amajoni akho omzimba ehlasela iiseli emzimbeni wakho, ebangela ukudumba nokonakalisa izicwili ezisempilweni. Izazinzulu aziqinisekanga ngazo zonke izinto ezibangela izifo ezizimeleyo, kodwa ziyakwazi ukuqhuba kwiintsapho.

Abasetyhini basemngciphekweni omkhulu wokuba nesifo sokuzimela geqe kunamadoda. Ama-Afrika-aseMelika, amaMelika aseMelika, kunye nabasetyhini baseSpain basemngciphekweni omkhulu ngakumbi, ngokweZiko leSizwe lezeMpilo.

Ifana njani i-lupus ne-RA?

Ukufana okucacileyo phakathi kweRA kunye ne-lupus yintlungu edibeneyo. Ukudumba ngokudibeneyo lolunye uphawu oluqhelekileyo, nangona amanqanaba okuvuvukala angahluka. Zombini izifo zinokubangela ukuba amalungu akho ashushu kwaye athambile, kodwa oku kuchazwa ngakumbi kwiRA.

I-Lupus kunye ne-RA zichaphazela amanqanaba akho emandla ngokunjalo. Ukuba unesifo, unokuziva ukhathala rhoqo okanye ubuthathaka. Ukuba nefiva ngamaxesha athile lolunye uphawu lwazo zombini i-lupus kunye ne-RA, kodwa ixhaphake kakhulu ne-lupus.

Zombini ezi zifo zixhaphake kakhulu kwabasetyhini kunamadoda.

Yahluke njani ilupus neRA?

Kukho umahluko omkhulu phakathi kwelupus kunye neRA. Umzekelo, i-lupus inokuchaphazela amalungu akho, kodwa kunokwenzeka ukuba ichaphazele amalungu akho angaphakathi kunye nesikhumba sakho kune-RA. I-Lupus nayo inokubangela iingxaki ezisongela ubomi. Oku kunokubandakanya ukusilela kwezintso, iingxaki zokunqanda igazi, okanye ukuxhuzula, ezingezizo iimpawu zeRA.

I-RA, kwelinye icala, ihlasela ikakhulu amalungu akho. Ichaphazela iminwe, izihlahla, amadolo kunye namaqatha. I-RA nayo inokubangela ukuba amalungu adibane, ngelixa i-lupus ihlala ingenayo.

I-RA inokunxulunyaniswa nokudumba emiphungeni nasekujikelezeni kwentliziyo kwezinye iimeko, kunye namaqhuqhuva esikhumba abuhlungu. Nangona kunjalo, ngonyango olukhoyo ngoku, oku akuqhelekanga ngoku kunangaphambili.

Iintlungu ezinxulunyaniswa neRA zihlala zimbi ekuseni kwaye zithande ukuba ngcono njengoko imini iqhubeka. Kodwa iintlungu ezidibeneyo ezibangelwa yi-lupus zihlala zihlala imini yonke kwaye ziyakwazi ukufuduka.

Kutheni izifo zinokudideka

Ngenxa yokuba ezi zifo zibini zabelana ngeempawu ezifanayo, abantu banokuchongwa gwenxa nge-RA xa benelupus, okanye ngokuchaseneyo, kumanqanaba okuqala esi sifo.

Nje ukuba i-RA ihambele phambili, oogqirha banokuxela kuba esi sifo sinokubangela ukhukhuliseko lwethambo kunye nokukhubazeka ukuba ngaba unyango olufanelekileyo alunikezelwa. I-Lupus, nangona kunjalo, kunqabile ukuba ibangele ukhukhula kwethambo.

Kumanqanaba okuqala e-RA okanye i-lupus, oogqirha banokwenza isifo ngokujonga iimpawu zakho. Umzekelo, i-lupus ihlala ichaphazela izintso, ibangela i-anemia, okanye ikhokelela kutshintsho lobunzima.

I-RA nayo inokubangela i-anemia, kodwa inokukhokelela rhoqo kwimicimbi ye-pulmonary. Ugqirha unokuyalela indawo yegazi ukuba ijonge impilo yamalungu akho kunye nokujonga ukuba akukho nto iyenye inokubangela iimpawu.

Iikhrayitheriya zokuchonga

Zombini i-lupus kunye ne-rheumatoid arthritis kunokuba nzima ukuyixilonga. Oku kuyinyani ngakumbi kwangethuba kuzo zombini izifo xa kukho iimpawu ezimbalwa.

Ukuba une-lupus yenkqubo, kufuneka udibane ubuncinci:

• i-lupus ebonakalayo, ebandakanya ukuqubuka kwe-malar, irhash (ekwabizwa ngokuba libhabhathane irhashalala) ebonakala ezidleleni nasempumlweni
• I-lupus engapheliyo, ebandakanya i-discoid lupus, ephakamise amabala abomvu kulusu
• i-alopecia engathathi hlangothi, okanye ukunciphisa iinwele kunye nokwaphuka kwiindawo ezininzi zomzimba
• isifo esihlangeneyo, esibandakanya isifo samathambo esingabangeli ukhukuliseko lwethambo
• Iimpawu ze-serositis, kubandakanya ukudumba kwenxalenye yentliziyo okanye yemiphunga
• Iimpawu ze-neurological, kubandakanya ukubanjwa okanye isifo sengqondo
• Iimpawu zezintso, kubandakanya iiprotein okanye iiselfowuni xa zichama, okanye i-biopsy ebonisa isifo sesifo sezintso
• i-hemolytic anemia
• ubalo lweeseli ezimhlophe ezisezantsi
• ubalo lweplatelet ephantsi
• izilwa-buhlungu ezixineneyo kwi-DNA
• Amachiza omzimba kwi-anti anti yenyukliya
• i-antiphospholipid antibodies, kubandakanya ne-antibodies kwi-cardiolipin
• ubukho beentsholongwane zenyukliya, okanye i-ANA
• amanqanaba asezantsi okuxhasa, uhlobo lweprotein yomzimba
• uvavanyo oluqinisekileyo lwezinto ezibulala umzimba ngokuchasene neeseli ezibomvu zegazi

Ukuze ufumane i-RA, kufuneka ufumane amanqaku amathandathu kwinqanaba lokuhlelwa kwe-RA. Isikali sesi:

• iimpawu ezichaphazela ubuncinci elinye okanye ngaphezulu amalungu (ukuya kuthi ga kumanqaku amahlanu)
• ukuvavanywa kwe-rheumatoid factor okanye i-anticitrullinated protein antibody egazini lakho (ukuya kuthi ga kumanqaku amathathu)
• Iprotein esebenzayo yeC-esebenzayo (CRP) okanye uvavanyo lwe-erythrocyte sedimentation (inqaku elinye)
• Iimpawu zihlala ixesha elingaphezu kweeveki ezintandathu (inqaku elinye)

Ikhomishini

Ukunyanga kubhekisa ekubeni nezifo ezingaphezu kwesinye ngexesha elinye. Oku kukwabizwa ngokuba sisifo esiphakathi. Abantu abane-lupus kunye nabantu abane-RA banokuba neempawu zezinye iimeko. Kwakhona kunokwenzeka ukuba abantu babe neempawu ze-RA kunye ne-lupus.

Akukho mda ukuba zingaphi iimeko ezingapheliyo onokuba nazo, kwaye akukho mda wexesha apho unokukhulisa enye imeko engapheliyo.

Izifo ezihlala zihlala kunye ne-lupus zibandakanya:

• scleroderma
• izifo ezixubileyo zezihlunu
• Isifo seSjögren
• polymyositis-dermatomyositis
• idlala lengqula

Izifo ezihlala zihlala kwi-RA zibandakanya:

• Isifo seSjögren
• idlala lengqula

Umahluko kunyango

Akukho lonyango lwe-lupus, kodwa unyango lunokukunceda ulawule iimpawu zakho. Abantu abaninzi abane-lupus bathatha i-corticosteroids kunye namanye amayeza amiselweyo ukunyanga ukudumba kunye nentlungu.

Abanye banokufuna amayeza ukunyanga irhashalala, isifo sentliziyo, okanye iingxaki zezintso. Ngamanye amaxesha indibaniselwano yamachiza amaninzi isebenza kakuhle.

Abantu abane-rheumatoid arthritis banokufumana i-cortisone shots ukulawula ukudumba. Ngamanye amaxesha, izigulana zinokufuna idolo okanye ukutshintshwa kwe-hip kamva ebomini ngenxa yokuba idibeneyo iya kukhubazeka kakhulu. Amayeza amaninzi afumaneka ukulawula iimpawu kunye nokukhusela umonakalo odibeneyo.

Yintoni onokuyilindela

Abantu abane-lupus kunye ne-RA baya kufuna ukwenza isicwangciso sexesha elide kunye noogqirha babo. Esi sicwangciso siza kubandakanya iindlela zokunceda ukulawula ukudumba kunye nentlungu. Iya kukunceda ekunciphiseni iingxaki zelupus kunye neRA.

Iingxaki zexesha elide ze-lupus zibandakanya ukonzakala kwentliziyo kunye nezintso. Izigulana zeLupus zihlala zinengxaki yokungaqheleki kwegazi, kubandakanya i-anemia kunye nokudumba kwemithambo yegazi. Ngaphandle konyango, zonke ezi zinto zinokonakalisa izicwili.

Iingxaki ze-RA enganyangekiyo zibandakanya ukukhubazeka ngokudibeneyo, i-anemia, kunye nomonakalo wemiphunga. Unyango lunokuthintela imiba yexesha elide.