Akatswiri a Chimaheatolgist ndi Ophunzira Ena Anapatsidwa Udokotala Wachidwi Lupus
Kodi ndi dokotala wotani amene amachitira lupus ? Ndilo funso lodziwika kwa omwe angakhale kapena atapezeka kuti ali ndi systemic lupus erythematosus (SLE) kapena mtundu wina wa lupus. Popeza anthu ambiri omwe ali ndi lupus amatha kuona akatswiri osiyanasiyana, zingakhale zothandiza kufufuza mitundu ya akatswiri omwe angakhale nawo pa chithandizo chamankhwala chanu chonse.
Rheumatologists (Odzidzidziritsa Odwala Matenda Odwala)
Kawirikawiri, lupus imachiritsidwa ndi rheumatologists . Othandiza anthu odwala matendawa ndi odwala matenda odwala matenda a nyamakazi komanso matenda ena a m'magulu, minofu, mafupa, komanso matenda enaake omwe amachititsa kuti magazi asapitirire , kuphatikizapo lupus ndi matenda a nyamakazi .
Othandizira a Rheumatologists amayamba kukonza zovomerezeka mu mankhwala amkati, pulogalamu yomwe imafunika zaka zitatu zachipatala pambuyo pa sukulu ya zachipatala. Ichi chikutsatiridwa ndi chiyanjano kwa zaka zingapo mu Rheumatology pambuyo pake iwo akhoza kukhala bungwe lovomerezeka mu rheumatology.
Gulu Lanu Labwino Lathanzi Lupus
Tidzakhala tikuyamba poyankhula za momwe dokotala wanu adzagwiritsire ntchito mosamala, koma nthawi zambiri mumakhala ndi gulu la madokotala ndi othandizira omwe angakuthandizeni kuthetsa zizindikiro za matenda anu komanso zolephera zake.
Ophunzira enawa adzalankhulidwa pambuyo pake, koma ndizofunikira kutchula izi pachiyambi pamene mukuganiza kuti munthu ali ndi rheumatologist.
Onse a akatswiriwa akhoza kusewera maudindo apadera pakuyang'anira matenda anu, koma kawirikawiri nthawi zambiri mumakhala a rheumatologist omwe amakhala ngati nyumba yanu; amene amayang'anira chisamaliro choperekedwa ndi gulu lanu lonse la thanzi, kuonetsetsa kuti mavuto anu onse akukambidwa komanso kuti palibe kusiyana pakati pa mankhwala ndi mankhwala ena operekedwa.
Katswiri wanu wa chifuwa chachikulu ndi munthu yemwe mumamuitana ngati muli ndi mafunso kapena nkhawa, komanso munthu amene angakuthandizeni kugwirizanitsa inu ndi akatswiri ena omwe angakuthandizeni kusamalira mbali zina za matenda anu. Kafukufuku apeza kuti anthu omwe ali ndi ubale wabwino wodwala samangomva kuti ali ndi mphamvu zambiri muchisamaliro chawo koma amakhala ndi zotsatira zabwino.
Podziwa izi, ndikofunikira kupeza katswiri wa khunyu yemwe mumamasuka kulankhula nawo komanso amene mungathe kulankhulana bwino. Tengani kamphindi kuti mumvetsere kanema iyi momwe mungapezere dokotala wabwino kwambiri. Izi zidzakuthandizani kudziwa momwe mungayang'anire ndi kuweruza makhalidwe ofunikira kwambiri kwa dokotala amene inu mumakhulupiriradi moyo wanu.
Momwe Rheumatologists Amadziwira ndikuyesa Lupus
Ngati dokotala wanu wamkulu akudandaula kuti muli ndi lupus, mudzatumizidwa ku rheumatologist. Katswiri wa rheumatologist adzatengera mbiri yonse ya zizindikiro zanu ndikuyesera thupi kuyang'ana zizindikiro za lupus . Amayambiranso kuyesa magazi kuti aone ngati pali lupus.
Kuyesa magazi koyamba katswiri wa rheumatologist adzachita kuti aone ngati lupus imatchedwa anti-nuclear antibody (ANA) . Mayeso awa amayang'ana maantiantibodies ku nuclei m'maselo.
Maantiantibodies ndi ma antibodies ofanana ndi omwe mutha kukhala nawo pambuyo poyambitsa matenda a tizilombo kapena poyang'ana katemera, koma ndi lupus, ma antibodies amalozera pamtima mwa maselo anu. Pafupifupi anthu onse okhala ndi lupus adzakhala ndi mayeso abwino a ANA.
Zotsatira zabwino za ANA, komabe, sizikutanthauza kuti muli ndi lupus. Anthu ena omwe ali ndi mayeso abwino a ANA ali ndi scleroderma , nyamakazi ya nyamakazi, matenda osokoneza bongo , kapena matenda osiyanasiyana. Ndipo anthu 10 pa 100 alionse omwe alibe matenda a rheumatological adzakhala ndi ANA yabwino. Pa njira yothandizira, ikhoza kukhala yodekha komanso yokhumudwitsa, popeza pali matenda osiyanasiyana okhudzana ndi minofu omwe ali ndi pakati pa izi.
Komabe kupanga chitsimikizo choyenera ndikofunikira pakupeza mankhwala abwino kwambiri.
Pambuyo pa mayeso abwino a ANA, katswiri wa rheumatologist angayambe kuyesa magazi kuti ayang'ane ma antibodies ena omwe angathandize kudziwa ngati muli ndi lupus kapena ayi. Zotsatira zodziwika kwa mayeso abwino a ANA ndi gulu la ANA, lomwe limayang'ana ma antibodies awa:
- DNA yotsutsana ndiwiri (anti-dsDNA)
- Anti-Smith (anti-Sm)
- Anti-U1RNP
- Anti-Ro / SSA
- Anti-La / SSB
Mabhala ena adzayesa anti-nucleoprotein, antiticentromere, kapena antihistamine. Phunzirani zambiri za mayesero enieni a autoantibody omwe amachitidwa pofunafuna lupus .
Ma rheumatologists amagwiritsanso ntchito zipangizo zina monga mbiri yachipatala, kuunika kwa thupi komanso khungu ndi impso zapsogolo-kuti apange kachilombo ka HIV.
Kamodzi kokha ngati lupus imapezeka, katswiri wanu wa rheumatologist adzagwira ntchito ndi inu kuti mubwere ndi dongosolo la mankhwala ( kuphatikizapo mankhwala a lupus ) omwe ali omveka kwa inu. Ma rheumatologists amathandiza odwala kupewa ndi kupatsira lupus flares ndi kuchepetsa ziwalo kuwonongeka ndi mavuto ena.
Mankhwala anu angafunikire kusintha nthawi zambiri pa moyo wanu, malingana ndi momwe matenda anu aliri ndi zina. Katswiri wanu wamatenda angakuthandizeni inu kusintha njira izi.
Team Lupus Health Care Team (Madokotala Ena Amene Amachiza Lupus)
Mutha kukhala ndi rheumatologist yemwe angateteze matenda anu ndikuthandizani kuti muzitha kuyendera limodzi ndi akatswiri ena, koma anthu ambiri omwe ali ndi lupus adzakhala ndi gulu la madokotala ndi akatswiri omwe amatha kusamalira.
Lupus ikhoza kukhudza pafupifupi ziwalo iliyonse kapena ziwalo za thupi mu thupi lanu, ndipo mungafunike kukhala ndi katswiri kuderalo. Kuonjezera apo, mungafunike kukhala ndi akatswiri omwe angakuthandizeni kuthana ndi zofooka za matenda anu kapena maonekedwe a matenda anu. Akatswiri ena omwe angakhale mbali ya gulu lanu ndi awa:
Akatswiri azachipatala - Mtundu wa akatswiri azachipatala omwe mungawawononge ndi awa:
- Katswiri wa zamoyo - Kwa mavuto a mtima monga lupus myocarditis ndi lupus pericarditis
- Pulmonologist - Mavuto a mapapu monga pleurisy chifukwa cha lupus ndi zina zamapapo
- Katswiri wa Endocrinologist - Nkhani zokhudzana ndi chithokomiro, ntchito yowonongeka, kapena zina zotero
- Wofilosofi wa Nephro - Nkhani zokhudza impso zanu ndi ntchito ya impso monga lupus nephritis
- Gastroenterologist - Kwa kapangidwe kakang'ono ka chakudya
- Katswiri wa Chilengedwe - Nkhani zokhudzana ndi magazi anu
- Kachilombo ka Immunologist - Mankhwala odziwa zachipatala, madokotala amene amakambirana za matenda anu, akuyamba kuchita nawo mankhwalawa ngati lupus
Akatswiri a khungu - Rashes ali ofala ndi lupus, ndipo anthu ambiri ali ndi dermatologist (katswiri wa khungu) monga gawo la timu yawo. Lupus angayambitsenso zithunzi zamtundu wa dermatologist zomwe zingakuthandizeni kusamalira. Pa zina zazipatala zazikulu, mukhoza kuona dermatologist yemwe amadziwika bwino ndi khungu la lupus.
Akatswiri a zachipatala - Katswiri wa zamagulu angakhale mbali ya gulu lanu kuti athetse vuto la mitsempha ya lupus .
Akatswiri ochita zothandizira anthu odwala matendawa - Malinga ndi zizindikiro zanu, mukhoza kuwona wodwalayo kuti athetse kupweteka kumodzi kapena kuuma kapena wogwira ntchito . Achirombo ndiwo asing'anga omwe amagwiritsa ntchito chithandizo chamankhwala ndi kukonzanso ndipo angayesedwe kuti athandizire kukonza ndondomeko yowonetsera kukonzanso. Ngakhale izi zili zatsopano, tikuphunziranso kuti mankhwala othetsera vutoli angapangitse kusiyana kwakukulu m'moyo wa anthu omwe ali ndi matenda aakulu monga lupus.
Dokotala wamkulu wa chisamaliro - Anthu ena akupitiriza kukhala ndi dokotala wamkulu monga wamkulu internist kapena dokotala yemwe akugwira nawo ntchito yawo. Pali mbali yambiri yogwira ntchito, ndi madokotala ena omwe akuyang'anira chisamaliro chanu, ndi ena omwe amatha kusamalira mtundu womwewo umene mungachite kuti ukhale wosiyana ndi lupus. Kawirikawiri, ndikofunikira kupitiriza kuchiwona dokotala wamkulu. Kuyezetsa magazi nthawi zonse, monga mapepala a Pap ndi ma colonoscopies sizomwe zili zochepa mutapezeka kuti muli ndi lupus.
Thanzi labwino - Anthu ambiri omwe ali ndi lupus ali ndi katswiri wa maganizo kapena odwala matenda a maganizo omwe ali m'gulu lawo kuti athe kuthana ndi mawonetseredwe a maganizo a matendawa komanso momwe mukulimbana ndi matenda aakulu. Nkhawa zonse ndi kuvutika maganizo ndizofala kwa anthu omwe ali ndi lupus, ndipo ngati alipo, ayenera kuyang'aniridwa ndi katswiri pazinthu izi.
Akatswiri obeletsa - Ngati mukufuna kusankha kukhala ndi pakati ndi lupus, mukhoza kukhala ndi perinatologist (katswiri wapakati pa mimba) omwe akukhudzidwa.
Madokotala, radiologists, ndi / kapena madokotala ochita opaleshoni - Monga taonera poyamba, nthawi zina biopsies amafunika kutsimikiza kuti matendawa ndi a lupus. Zina mwa izi zimachitika ngati njira ya radiology pamene ena amaphatikizapo maopaleshoni. Wodwala matenda ndi mtundu wa dotolo yemwe amawonetsa zitsanzo izi pansi pa microscope ndipo amayesa kuyezetsa matenda anu.
Thandizo ndi Kulimbana
Zomwe sitinathe kuzilemba mndandanda wa akatswiri ndizofunika kwambiri: abwenzi. Katswiri wa zamaganizo akhoza kukuthandizani kuthetsa zina mwazochitika zamaganizo za matenda anu, koma palibe chabe ngati kulankhula ndi wina amene wayenda kuyenda. Phunzirani za njira zomwe mungapezere thandizo ndi lupus , kuchokera kumagulu othandizira kupita kumadera a lupus pa intaneti. Tiyeneranso kuzindikira kuti amuna amatenga lupus , ndikukumana ndi mavuto apadera.
Kulankhulana ndi gulu Lupus Health Care Yanu
Anthu ambiri omwe ali ndi lupus amafuna kusamalira matenda awo kwa moyo wawo wonse, choncho ndizofunikira kupeza gulu lachipatala limene mumalemekeza ndi kudalira. Kusewera mbali yogwira ntchito yanu komanso kukhala wothandizira kwanu kumachepetsa kuchepetsa nkhawa za moyo ndi lupus komanso kungapangitse kusiyana kwanu.
Zotsatira
- Beusterien, K., Bell, J., Grinspan, J., Utset, T., Kan, H., ndi S. Narayanan. Kuyanjana kwa Odwala ndi Zotsatira mu Zomwe Zapangidwe Lupus Erythematosus (SLE): Zomwe Zimaganizira. Lupus . 2013. 22 (10): 1038-45.
- Casey, C., Chung, C., Crofford, L., ndi A. Barnado. Mauthenga a Rheumatologists 'Kuzindikira kwa Lupus Erythematosus Yodalirika Zizindikiro Zamtengo Wapatali: Zopindulitsa Zopambana ndi Zopingidwa Zomwe Zilipo. Clinical Rheumatology . 2017. 36 (1): 97-102.
- Zhang, L., Fu, T., Yin, R., Zhang, Q., ndi B. Shen. Kukula kwa Kuvutika Maganizo ndi Nkhawa mu Lupus Erythematosus Yoyamba: Kukonzekera Mwadongosolo ndi Kufufuza Meta. BMC Psychiatry . 2017. 17 (1): 70.
- Zirkzee, E., Steup-Beekman, G., Schouffoer, A., Henquet, S., Calijouw, M., Huizinga, T., ndi T. Vliet Vlieland. Thanzi labwino mu Lupus Erythematosus (SLE) yodalirika: Maganizo a Wodwala. Clinical Rheumatology . 2014. 33 (9): 1279-87.