Kodi kusiyana ndi kufanana kotani pakati pa lupus (systemic lupus erythematosus) ndi MS (multiple sclerosis?) Funsoli ndi lofunika kwambiri, makamaka vuto lomwe anthu ena omwe ali ndi lupus samadziwika kuti ali ndi MS komanso mosiyana. izi ndizofanana, ndi momwe zingasiyanitsire kuti iwe ndi dokotala wanu muzindikire bwinobwino.
Lupus ndi MS Basics
Lupus ( systemic lupus erythematosus ) ndi MS ( multiple sclerosis ) zingaoneke mofanana m'njira zambiri. Ndipotu, anthu amatha kusokonezedwa mosavuta ngati ali ndi MS, pamene ali ndi lupus.
Onse awiri lupus ndi MS ndi matenda aakulu omwe amadziwika bwino . Pali matenda osiyana-siyana oposa 100, omwe ali ndi zizindikiro zambiri. Zikatero, chitetezo cha mthupi-m'malo momenyana ndi mabakiteriya kapena mavairasi-amaukira thupi lanu
Mu lupus, chitetezo cha mthupi chikhoza kuyambitsa ziwalo zosiyanasiyana m'thupi, makamaka khungu, ziwalo, impso, mtima, mapapo kapena dongosolo la manjenje. (Kwa anthu ena, lupus limakhudza khungu kokha, vuto lotchedwa discoid lupus erythematosus .)
Mu multiple sclerosis, chitetezo cha mthupi chimatsutsana kwambiri ndi myelin sheath, mafuta omwe amateteza ku mitsempha mu ubongo ndi msana. Mkati wa myelin ukhoza kuganiziridwa monga momwe mungaganizire chivundikiro chakunja cha chingwe cha magetsi.
Pamene chiwalo cha myelin chimawonongeka, kufalitsa kwa maganizo kuchokera ku ubongo kupita ku thupi ndi thupi ku ubongo kungakhudzidwe.
Zofanana
Lupus ndi MS ndi matenda osiyana, koma ali ndi zinthu zambiri zofanana:
- Zonsezi ndizimene zimayendera.
- Sitikudziŵa zomwe zimayambitsa - Monga momwe sitikudziwira chifukwa chomveka cha lupus , sitikudziwa za zomwe zimayambitsa MS .
- Iwo ndi matenda opatsirana, omwe amatanthauza kuti palibe kafukufuku wa labu kapena phunziro la kujambula lomwe lingatsimikizire kuti matendawa ndi otsimikizika. M'malo mwake, matenda a lupus kapena MS amadziwika pa zizindikiro, zizindikiro ndi ma laboni omwe sangathe kufotokozedwa ndi wina.
- Zimakhudza anthu a msinkhu womwewo. Matenda onsewa amakhudza amayi omwe ali amodzi-ngakhale kuti amakhudza anthu ena.
- Zonsezi ndizobwezeretsa / kubwezera. Onse awiri lupus ndi MS amatha kutsatira chitsanzo cha kukhululukidwa ndi kubwerezabwereza komwe kumabwereza (zonsezo ndizobwezeretsa-kubwezeretsa mavuto .)
- Zonsezi zingayambitse matenda a ubongo pa MRI omwe ali ofanana.
Ngakhale mitsempha ndizofunikira kwambiri pa MS, nthawi zina lupus imakhudza mitsempha. - Zonsezi zimawoneka kuti zili ndi chibadwa ndipo zingatheke m'mabanja.
- Zonsezi ndizosawerengedwa poyamba.
- Zonsezi zimayambitsa mavuto ndi kutopa, kupweteka mutu, kupweteka kwa minofu, ndi mavuto a kukumbukira.
Kusiyana
Kuwonjezera pa kufanana, pali kusiyana kwakukulu komwe kumapezeka pakati pa lupus ndi MS. Kusiyana kumeneku ndikofunika kwambiri monga momwe mankhwalawa amathandizira kwambiri. MS ndi matenda omwe amachititsa achinyamata kukhala ndi matenda a ubongo.
Pafupi theka la odwala lupus adzakhala ndi mitsempha ya ubongo (ubongo ndi msana). Komabe, ngakhale onse a lupus ndi MS angakhudze dongosolo loyamba la mitsempha, amatha kuchita zimenezi m'njira zosiyanasiyana.
Kusiyana kwa Zizindikiro
Pali mafananidwe ambiri pakati pa lupus ndi MS pokhudzana ndi zizindikiro; Matenda onsewa amachititsa kuti zizindikiro zokhudzana ndi ubongo zikhale zovuta, kuphatikizapo kukumbukira, kupweteka kwa thupi komanso kupweteka, komanso kutopa. Komabe pali kusiyana komweko. Kawirikawiri, kuwonongeka kwa thupi kumafala kwambiri ndi lupus kusiyana ndi MS.
Malingana ndi National Multiple Sclerosis Society, zotsatira zofanana zotsatira za lupus pa ndondomeko zamanjenje sizimapezeka mwa anthu omwe ali ndi MS:
- Mutu wa mutu wa Migraine
- Kusintha kwa umunthu
- Kusintha kwa chidziwitso ntchito
- Matenda a khunyu amatha kugwidwa
- Sitiroko
Zizindikiro zofala za lupus ndi ziphuphu ndi nyamakazi. Mosiyana ndi izi, mvula imakhala yosavuta ndi MS ndipo zizindikiro zambiri zimaphatikizapo masomphenya awiri, kufooka, kugwedeza, kapena kufooka m'modzi mwa mapeto, ndi mavuto oyenera komanso ogwirizana.
Kusiyana kwa mayesero a Laboratory
Kuyeza kwa antiphospholipid antibody ndi njira imodzi imene madokotala angayambe kusiyanitsa lupus kuchokera kwa MS.
Ngakhale kuti anti-nuclear antibodies angapezekedwe mwa anthu ena omwe ali ndi MS, kukhalapo kwawo kuli kochepa kwambiri kusiyana ndi lupus. Ndi lupus, si zachilendo kuti musakhale ndi anti - nuclear antibodies ( ANA-negative lupus .)
Kawirikawiri, anthu omwe ali ndi lupus adzasintha myelitis . Matendawa amadziwika ndi kutupa kwa msana ndi kuwonongeka kwa bwalo la myelin. Zimatsanzira MS ndipo nthawi zina zimakhala ndi lupus. Zingatheke kusokoneza matendawa. Kafukufuku apeza kuti kuyesa antitinuclear ndi anti-aquaporin-4 antibodies kungathandize kusiyanitsa neuromyelitis optic mu lupus kuchokera multiple sclerosis.
Kusiyana Kwambiri pa Zithunzi Zojambula
Kawirikawiri, ubongo wa MRI udzawonetsa zilonda zambiri ndi MS ("mabowo wakuda ndi mawanga owala") koma nthawizina ubongo wa ubongo umene umapezeka ndi lupus kapena MS ukhoza kusadziwika.
Kusiyanasiyana kwa Matendawa
Ndikofunika kuzindikira kusiyana pakati pa lupus ndi MS pamene mukupeza kuti mankhwalawa ndi osiyana kwambiri.
Mankhwala ochiritsira kwambiri a lupus ndiwo mankhwala osagwiritsidwa ntchito poletsa mankhwala, steroids (corticosteroids) ndi mankhwala a antitimalaria. Mankhwala osokoneza bongo (DMARDS kapena matenda opanga mankhwala osokoneza bongo) angagwiritsidwe ntchito pa matenda aakulu, makamaka omwe amakhudza impso.
Mosiyana ndi zimenezi, mankhwala omwe amagwiritsidwa ntchito kwambiri pophatikizapo MS ndiwo ma interferons (monga Avonex ). mankhwala osokoneza bongo, ndi ma immunomodulator.
Kusiyanasiyana kwa Mafupa
Pakati pa 80 ndi 90 peresenti ya anthu omwe ali ndi lupus adzakhala ndi moyo wamba. Chizindikiro cha lupus chasintha. Mu 1955 theka la anthu anali kuyembekezera kukhala ndi moyo zaka zisanu. Tsopano, anthu 95 peresenti ali amoyo pambuyo pa zaka khumi. Nthawi yokhala ndi moyo ndi MS ndi zaka zisanu ndi ziwiri zofupika kusiyana ndi munthu wopanda MS, koma izi zimasiyana kwambiri pakati pa anthu osiyanasiyana omwe ali ndi matendawa. Anthu ena omwe ali ndi matenda opweteka kwambiri amatha kufa patangopita nthawi yochepa ndi matendawa, pamene anthu ambiri amakhala ndi moyo wathanzi.
Chifukwa Chake Mavuto Osayembekezereka Nthaŵi zina Amapezeka
Kuphatikiza pa transveral myelitis, yomwe lupus imatha kufanana ndi MS (koma yomwe imachitidwa mosiyana,) pali zina zambiri zomwe zimachitika pakati pa lupus ndi MS zomwe zingathe kuwonetsa vuto:
- Matenda onsewa ndi immunological.
- Zonsezi zimakhudza anthu ofanana.
- Onse awiri ali ndi njira yobwereranso
- Onse awiri akhoza kukhala ndi zizindikiro za ubongo.
- Zonsezi zingakhale ndi zilonda za ubongo.
Kodi Chimachitika ndi Chiyani?
Popeza mankhwala osiyanasiyana amagwiritsidwa ntchito pochiza lupus ndi MS, vuto limodzi ndi vuto losokoneza bongo ndikuti simukupeza mankhwala abwino pa matenda anu. Komabe sizinthu zonse, monga mankhwala ena a MS angapangitse lupus kukhala zovuta kwambiri.
Pansi
Ngati mwapezeka kuti muli ndi lupus kapena MS, makamaka ngati matenda anu akuwoneka ngati "ovuta," lankhulani ndi dokotala wanu. Funsani za zomwe mumaphunzira. Ngati simumvetsa kanthu, funsani. Onetsetsani kuti mukuwona katswiri yemwe ali katswiri wodziŵa lupus kapena MS. Phunzirani za madokotala omwe amasamalira anthu omwe ali ndi lupus ndi akatswiri omwe amasamalira anthu omwe ali ndi MS .
Mwinanso mutha kupeza lingaliro lachiwiri. Anthu ena amakayikira kufunsa kachiwiri, koma izi sizikukhumudwitsa dokotala wanu, ndiye kuti anthu akukumana ndi matenda aakulu.
Mwinamwake mungamve ngati muli nokha mukukumana ndi matenda anu. Anthu ambiri omwe ali ndi MS amakayikira kulankhula za matenda awo, ndipo anthu omwe ali ndi lupus amapeza kuti anthu amanena zinthu zopweteka akamaphunzira za matenda awo. Palibe kumvetsa za lupus kapena MS pakati pa anthu ambiri poyerekeza ndi matenda ena ambiri. Zizindikiro zambiri siziwoneka kwa ena, zomwe zimabweretsa "kuzunzika kosalekeza."
Ganizirani kulowetsa gulu lothandizira kapena gulu lothandizira pa intaneti. Izi zikhoza kukhala njira yabwino yokomana ndi anthu ena omwe akulimbana ndi mavuto omwewo ndipo nthawi zambiri ndi njira yabwino yophunzirira zambiri za matenda anu komanso kafukufuku wam'tsogolo.
> Zotsatira:
> Karussis, D. Kuzindikira kwa Multiple Sclerosis ndi Njira Zosiyanasiyana Zowononga Syndromes: Kukambitsirana Kwambiri. Journal of Autoimmunity . 2014. 48-49: 134-42.
> Magro, C., Cohen, D., Bollen, E. ndi al. Matenda Owonetsa Matenda MU SLE: Kodi ndi Multiple Sclerosis kapena Lupus ?. Ntchito Yabwino ndi Kafukufuku. Clinical Rheumatology . 2013. 27 (3): 405-24.
> Jurynczyk, M., Craner, M., Palace, J. et al. Kuphatikizana kwa CNS Matenda opatsirana: Kusiyanitsa Zochitika za NMO ndi MS. Journal of Neurology, Neurosurgery, ndi Psychiatry . 2015. 86 (1): 20-5.