Ngaba ilupus inonyango? Jonga indlela yokulawula iimpawu

Umxholo

• Ulawula njani ilupus
• 1. Ukukhuselwa lilanga
• 2. Iipainkiller kunye ne-anti-inflammatories
• 3. IiCorticoids
• 4. Abanye abalawuli bokuzikhusela
• 5. Izinketho zendalo
• Ukunyamekela i-lupus ngexesha lokukhulelwa

I-Lupus sisifo esinganyangekiyo kunye nesifo somzimba esivumayo, nangona singenakunyangeka, sinokulawulwa ngokusetyenziswa kwamayeza anceda ukunciphisa ukusebenza kwamajoni omzimba, njengee-corticosteroids kunye ne-immunosuppressants, ukongeza kwinkathalo enje ngokusetyenziswa kwescreen selanga. yonke imihla, umzekelo, ngokwezikhokelo ze-rheumatologist okanye i-dermatologist, enceda ukulawula nokukhusela iingxaki, ngokubonakaliswa kwesi sifo kumntu ngamnye.

Zonke izigulana ezine-lupus zifuna ukubekwa esweni kwezonyango, kodwa esi sifo asihlali sisebenza, kwaye kuhlala kunokwenzeka ukugcina imisebenzi yemihla ngemihla, njengokusebenza okanye ukwenza imisebenzi yolonwabo, umzekelo.

Iimpawu eziphambili ezibonakala kwesi sifo zibandakanya amabala abomvu eluswini, ikakhulu kwimimandla evezwe kukukhanya njengobuso, iindlebe okanye iingalo, ukulahleka kweenwele, umkhuhlane omncinci, ukuphelelwa ngumdla, iintlungu nokudumba kwamalungu kunye nokungasebenzi kakuhle kwezintso, umzekelo. Jonga uluhlu olupheleleyo lweempawu zelupus ezichonga esi sifo.

Ulawula njani ilupus

Nangona i-lupus ingenalo unyango, isifo sinokulawulwa ngokulandela i-rheumatologist, eya kukukhokela ekusebenziseni iziyobisi ukunciphisa ukuvuvukala, okuhluka ngohlobo lwesifo, izitho ezichaphazelekayo kunye nobunzima becala ngalinye. Iinketho zonyango, ezifumaneka kwi-SUS, zezi:

1. Ukukhuselwa lilanga

Ukusetyenziswa kwescreen selanga kunye ne-SPF ubuncinci be-15, kodwa ngokukhethekileyo ngaphezulu kwe-30, yindlela ebalulekileyo yokuphepha ukwenziwa kwezilonda zolusu ezikhoyo kwi-discoid okanye inkqubo ye-lupus enezinto ezibonakalayo. Iscreen selanga okanye ibhlokhi kufuneka isetyenziswe rhoqo kusasa, kwaye iphinde isetyenziswe kwakhona kube kanye ngemini, kuxhomekeke kukukhanya kwendawo kunye nokubakho kokuvezwa.

Ukongeza, ukusetyenziswa kwempahla kunye neminqwazi kubalulekile ukuthintela isenzo semitha ye-ultraviolet eluswini, xa kwindawo enelanga.

2. Iipainkiller kunye ne-anti-inflammatories

Amayeza okuthomalalisa iintlungu angaba ziyeza ezichasayo, ezifana ne-Diclofenac, okanye ii-analgesics, ezinjengeParacetamol, eziluncedo kakhulu kumaxesha apho kufuneka khona ukulawula iintlungu, ngakumbi xa isifo sichaphazela amalungu.

3. IiCorticoids

I-Corticosteroids, okanye i-corticosteroids, ngamachiza asetyenziswa ngokubanzi ukulawula ukudumba. Zingasetyenziswa ngokwemixholo, kwiithambiso ezisetyenziswe kwizilonda kulusu ukunceda ekuphuculeni kwazo kwaye zenze kube nzima ukwandisa ubungakanani bamanxeba kunye namadyungudyungu.

Zikwasetyenziswa kwifom yomlomo, kwithebhulethi, eyenziwe kwimeko ye-lupus, zombini ezinobumnene, ezinzima okanye iimeko zokonyuka kwesifo se-systemic, apho kunokubakho umonakalo kwiiseli zegazi, ukusebenza kwezintso, okanye ukonakala kwamalungu anjengentliziyo , imiphunga kunye nenkqubo yemithambo-luvo, umzekelo.

Idosi kunye nexesha lokusetyenziswa lixhomekeke kubukhali bemeko, kwimeko nganye. Ukongeza, kukho ukhetho lwe-corticosteroids enesitofu, esetyenziswa ngakumbi kwiimeko ezinzima okanye xa kunzima ukuginya ithebhulethi.

4. Abanye abalawuli bokuzikhusela

Amanye amayeza anokusetyenziswa ngokudibeneyo ne-corticosteroids okanye asetyenziswe ngokwahlukeneyo, ukulawula isifo, zezi:

• Izilwanyana ezinganyangekiyo, njengeChloroquine, ubukhulu becala kwizifo ezidibeneyo, iluncedo kuzo zombini iisystemic kunye ne-discoid lupus, nakwinqanaba lokuxolelwa ukugcina isifo siphantsi kolawulo;
• Amajoni omzimba, ezinje ngeCyclophosphamide, iAzathioprine okanye iMycophenolate mofetil, umzekelo, zisetyenziswa kunye okanye ngaphandle kwecorticosteroids, ukwenza buthathaka nokuzola amajoni omzimba kulawulo olusebenzayo lokudumba;
• Immunoglobulin, lunyango olutofwayo, olwenziwe kwiimeko ezinzima apho kungekho kuphuculwa ekukhuselekeni namanye amayeza;
• Iiarhente zebhayoloji, njengeRituximab kunye neBelimumab, ziimveliso ezintsha zobunjineli bemfuza, zigcinelwe iimeko ezinzima apho kungabikho kuphucuka kunye nezinye iindlela.

5. Izinketho zendalo

Ezinye zeendlela zokucinga zemihla ngemihla, ezenziwa ekhaya, ngokudibene nonyango, zikwabalulekile ukunceda ukugcina isifo siphantsi kolawulo. Ezinye iindlela zezi:

• Musa ukutshaya;
• Ziphephe iziselo ezinxilisayo;
• Ziqhelise ukwenza umthambo amaxesha ama-3 ukuya kwezi-5 ngeveki, ngamaxesha oxolelwaniso lwesifo;
• Yitya ukutya okutyebileyo kwi-omega-3, okhoyo kwi-salmon nakwi-sardines, umzekelo, kathathu ngeveki;
• Sebenzisa ukutya okuchasayo nokukhusela ifoto, njengeti eluhlaza, ijinja kunye neapile, umzekelo, ukongeza kwezinye iziqhamo kunye nemifuno.

Jonga le vidiyo, unokhetho kunye neengcebiso, ukuze ufunde indlela yokutya kakuhle kwaye uphile ngcono nesi sifo:

Ukongeza, kubalulekile ukugcina ukutya okunesondlo, ukunqanda ukusetyenziswa kokutya okuneswekile kunye namafutha, kuba banegalelo ekwandeni kwe-triglycerides, i-cholesterol kunye namanqanaba eswekile, anokubangela ukutyeba kunye neswekile, enokuthi ikhokelele ekungalawulweni. isifo.

Olunye uthintelo lubandakanya ukuthintela izitofu zentsholongwane ephilayo, ngaphandle kwalengcebiso yezonyango, ukubeka esweni amaxabiso e-calcium kunye nevithamin D egazini, enokuncipha ngokusetyenziswa kwe-corticosteroids, ukunyanga ngokwasemzimbeni ukukhusela nokunyanga iintlungu ngokudibeneyo, ukongeza kuthintelo uxinzelelo, olunokuchaphazela ukuqhambuka kwesi sifo.

Ukunyamekela i-lupus ngexesha lokukhulelwa

Kuyenzeka ukuba ukhulelwe xa une-lupus, nangona kunjalo, ngokukhethekileyo, kufanele ukuba kukukhulelwa okucwangcisiweyo, ngexesha elibi kakhulu lesi sifo, kwaye kufuneka kubekwe iliso kulo lonke ixesha ngugqirha wokubelekisa kunye nerheumatologist, ngenxa yokuba kunokwenzeka ukuba mandundu zesi sifo.

Ukongeza, amayeza ahlengahlengiswa ukuze akhulelwe kwaye ngexesha lokuncancisa, ukuze ibe yityhefu kangangoko emntwaneni, ihlala isetyenziswa ngeedosi ezisezantsi ze-corticosteroids.