Umehluko phakathi kweLupus neRA

-Delile

• I-lupus ne-RA zifana kanjani?
• Ngabe i-lupus ne-RA zihluke kanjani?
• Kungani izifo zingadideka
• Izindlela zokuxilonga
• Ukwehliswa kwemvelo
• Ukwelashwa okwehlukile
• Ongakulindela

Yini i-lupus ne-RA?

I-Lupus ne-rheumatoid arthritis (RA) zombili izifo ezizimele. Eqinisweni, lezi zifo ezimbili kwesinye isikhathi ziyadideka ngoba zihlanganyela izimpawu eziningi.

Isifo sokuzivikela komzimba senzeka lapho amasosha akho omzimba ehlasela amaseli emzimbeni wakho, abangela ukuvuvukala futhi alimaze izicubu ezinempilo. Ososayensi abaqiniseki ngazo zonke izimbangela zezifo ezizimele, kodwa bangakwazi ukugijima emindenini.

Abesifazane basengozini enkulu yokuba nesifo sokuzivikela komzimba kunabesilisa. Abesifazane base-Afrika-baseMelika, aboMdabu baseMelika nabaseSpain basengozini enkulu kakhulu, ngokusho kweNational Institutes of Health.

I-lupus ne-RA zifana kanjani?

Ukufana okusobala kakhulu phakathi kweRA ne-lupus ubuhlungu bamalunga. Ukuvuvukala okuhlangene ngesinye isibonakaliso esivamile, noma amazinga wokuvuvukala angahluka. Zombili lezi zifo zingadala ukuthi amalunga akho ashise futhi abe nethenda, kepha lokhu kugqame kakhulu kwiRA.

ILupus neRA ziyathinta namazinga akho wamandla. Uma unesifo, ungazizwa ukhathala njalo noma ubuthakathaka. Ukuba nemfiva ngezikhathi ezithile kungenye yezimpawu zombili i-lupus ne-RA, kepha kuvame kakhulu nge-lupus.

Zombili lezi zifo zivame kakhulu kwabesifazane kunabesilisa.

Ngabe i-lupus ne-RA zihluke kanjani?

Kunokwehluka okuningi phakathi kwe-lupus ne-RA. Isibonelo, i-lupus ingathinta amalunga akho, kepha kungenzeka ukuthi ithinte izitho zakho zangaphakathi nesikhumba sakho kune-RA. ILupus nayo ingadala izinkinga ezisongela impilo. Lokhu kungafaka ukwehluleka kwezinso, izinkinga zokujiya, noma ukuquleka, okungezona izimpawu ze-RA.

I-RA, ngakolunye uhlangothi, ihlasela kakhulu amalunga akho. Ithinta iminwe, izihlakala, amadolo namaqakala. I-RA nayo ingadala ukuthi amalunga akhubazeke, kanti i-lupus imvamisa ayenzi.

I-RA nayo ingahlotshaniswa nokuvuvukala emaphashini nasenhliziyweni nasesimweni esithile, nangamaqhubu esikhumba abuhlungu. Kodwa-ke, ngezindlela zokwelapha zamanje ezitholakalayo, lokhu akuvamile kakhulu manje kunangaphambili.

Ubuhlungu obuhambisana ne-RA buvame ukuba bubi kakhulu ekuseni futhi buye buba ngcono njengoba usuku luqhubeka. Kepha ubuhlungu obuhlanganisiwe obudalwa yi-lupus buhlala buhlala usuku lonke futhi bungahamba.

Kungani izifo zingadideka

Ngenxa yokuthi lezi zifo ezimbili zabelana ngezici ezithile ezivamile, abantu bangatholwa kabi nge-RA lapho empeleni bene-lupus, noma okuphambene nalokho, ekuqaleni kwezifo.

Lapho i-RA isihambile, odokotela bangasho ngoba lesi sifo singadala ukuguguleka kwamathambo nokukhubazeka uma kunganikezwa ukwelashwa okufanele. I-Lupus, noma kunjalo, kuyaqabukela kubangele ukuguguleka kwamathambo.

Ezigabeni zokuqala ze-RA noma i-lupus, odokotela imvamisa bangenza ukuxilongwa ngokubheka izimpawu zakho. Isibonelo, i-lupus ivame ukuthinta izinso, ibangele i-anemia, noma iholele ekushintsheni kwesisindo.

I-RA nayo ingadala i-anemia, kepha ingaholela kaningi ezindabeni zamaphaphu. Udokotela angayalela iphaneli legazi ukuthi lihlole impilo yezitho zakho futhi abone ukuthi ngabe kukhona yini okunye okungadala izimpawu.

Izindlela zokuxilonga

Kokubili i-lupus ne-rheumatoid arthritis kungaba nzima ukuyihlola. Lokhu kuyiqiniso ikakhulukazi ekuqaleni kwazo zombili izifo lapho kunezimpawu ezimbalwa.

Ukuze utholwe une-systemic lupus, kufanele uhlangane okungenani:

• i-lupus cutaneous acute, efaka ukuqubuka kwe-malar, ukuqubuka (okwaziwa nangokuthi ukuqubuka kovemvane) okuvela ezihlathini nasekhaleni
• i-lupus engapheli engapheli, efaka i-discoid lupus, ephakamise amabala abomvu esikhunjeni
• i-nopcarring alopecia, noma ukunciphisa izinwele nokugqobhoza kumasayithi amaningi omzimba
• isifo esihlangene, okubandakanya isifo samathambo esingabangeli ukuguguleka kwamathambo
• izimpawu ze-serositis, kufaka phakathi ukuvuvukala kwendwangu yenhliziyo noma amaphaphu
• izimpawu zezinzwa, kufaka phakathi ukubanjwa noma i-psychosis
• izimpawu zezinso, kufaka phakathi amaprotheni noma ukukhishwa kwamaselula emchameni, noma i-biopsy ekhombisa isifo sezinso se-lupus
• i-hemolytic anemia
• ukubalwa kwamangqamuzana egazi amhlophe aphansi
• ukubalwa kweplatelet okuphansi
• amasosha omzimba ku-DNA eboshwe kabili
• amasosha omzimba kuSm antigen antigen
• ama-antiphospholipid antibodies, kufaka phakathi ama-antibodies e-cardiolipin
• ukutholakala kwama-anti-nuclear antibodies, noma i-ANA
• amazinga aphansi okugcwalisa, uhlobo lwamaphrotheni omzimba
• isivivinyo esihle samasosha omzimba alwa namaseli abomvu egazi

Ukuze utholwe une-RA, kufanele okungenani uthole amaphuzu ayisithupha esikalini sokuhlukaniswa ngezigaba kweRA. Isikali sithi:

• izimpawu ezithinta okungenani ilunga elilodwa noma amaningi (kufika amaphuzu amahlanu)
• ukuhlolwa kutholakalela i-rheumatoid factor noma i-antitrullinated protein antibody egazini lakho (kuze kufike kumaphoyinti amathathu)
• amaprotheni asebenzayo we-C-esebenzayo (CRP) noma ukuhlolwa kwe-erythrocyte sedimentation (iphuzu elilodwa)
• izimpawu ezihlala isikhathi eside kunamasonto ayisithupha (iphuzu elilodwa)

Ukwehliswa kwemvelo

Ukwehliswa komzimba kusho ukuba nezifo ezingaphezu kwesisodwa ngasikhathi sinye. Lokhu kwaziwa nangokuthi izifo ezigqagqene. Abantu abane-lupus nabantu abane-RA bangaba nezimpawu zezinye izimo. Kungenzeka futhi ukuthi abantu babe nezimpawu ze-RA ne-lupus.

Akunamkhawulo wokuthi zingaki izimo ezingalapheki ongaba nazo, futhi akukho mkhawulo wesikhathi lapho ungaba khona nesinye isimo esingelapheki.

Izifo ezivame ukuhlangana ne-lupus zifaka:

• scleroderma
• izifo ezixubile zezicubu
• Isifo seSjögren
• i-polymyositis-dermatomyositis
• igciwane elisebenza ngokuzenzakalela

Izifo ezivame ukuhlangana ne-RA zifaka:

• Isifo seSjögren
• igciwane elisebenza ngokuzenzakalela

Ukwelashwa okwehlukile

Alikho ikhambi le-lupus, kepha ukwelashwa kungakusiza ukuphatha izimpawu zakho. Abantu abaningi abane-lupus bathatha i-corticosteroids neminye imishanguzo kadokotela yokwelapha ukuvuvukala okuhlangene nobuhlungu.

Abanye bangadinga imithi yokwelapha ukuqubuka kwesikhumba, isifo senhliziyo, noma izinkinga zezinso. Kwesinye isikhathi inhlanganisela yezidakamizwa eziningana isebenza kahle kakhulu.

Abantu abane-arthritis ye-rheumatoid bangathola ama-cortisone shots ukulawula ukuvuvukala. Kwesinye isikhathi, iziguli zingadinga ukufakwa kwamadolo noma okhalweni kamuva empilweni ngoba ilunga likhubazeka kakhulu. Imithi eminingi iyatholakala ukulawula izimpawu nokuvikela ukulimala okuhlangene.

Ongakulindela

Abantu abane-lupus ne-RA bazodinga ukwenza uhlelo lwesikhathi eside nodokotela babo. Lolu hlelo luzobandakanya izindlela zokusiza ukulawula ukuvuvukala nobuhlungu. Kuzokusiza futhi ukunciphisa izingqinamba ze-lupus ne-RA.

Izinkinga zesikhathi eside ze-lupus zibandakanya ukulimala kwenhliziyo nezinso. Iziguli zeLupus zivame ukubhekana nokungajwayelekile kwegazi, kufaka phakathi i-anemia nokuvuvukala kwemithambo yegazi. Ngaphandle kokwelashwa, konke lokhu kungalimaza izicubu.

Izinkinga ze-RA ezingalashwa zifaka phakathi ukukhubazeka okuhlangene okuhlala njalo, i-anemia, nokulimala kwamaphaphu. Ukwelashwa kungavimbela izingqinamba zesikhathi eside.