Matenda a lupus , omwe amadziwika kuti lupus, ndi matenda omwe amachititsa chitetezo cha mthupi kukhala chosagwira ntchito, kupanga ma antibodies motsutsana ndi matupi a thupi. Mankhwalawa amatha kuwononga ziwalo zambiri zomwe zimayambitsa zizindikiro zomwe zimasiyanasiyana komanso zimatopa, ziphuphu zapakhungu, ululu wamphongo, nyamakazi , ndi kugunda, komanso ngakhale kupwetekedwa.
Odwala Lupus amavutika kwambiri ndi kupweteka kuposa anthu opanda lupus. Ndipotu, anthu ena omwe ali ndi lupus amavutika kukwapulidwa, makamaka ngati ali ndi kuthamanga kwa magazi .
Kodi Lupus Amayambitsa Kachilombo?
Chifukwa lupus imakhudza ziwalo zambiri m'thupi, zimatha kuyambitsa ziphuphu m'njira zingapo:
- Poyambitsa mapangidwe a magazi: Mmodzi mwa ma antibodies ambiri omwe siamadziwika bwino omwe amapangidwa ndi chitetezo cha mthupi cha lupus ndi antiphospholipid antibody. Wachilombokayu amadziwika kuti amenyane ndi maselo omwe amalowa mkati mwa mitsempha ya magazi. Chiwonongeko chimayambitsa "tizilombo toyambitsa matenda" zomwe zimayambitsa mapangidwe a magazi. Izi zikhoza kuchitika m'madera osiyanasiyana a thupi, kuphatikizapo mitsempha yambiri ya miyendo, zipinda za mtima, ndi mitsempha yaikulu ya mutu. Nthaŵi zina, magaziwa amakhala ndi mwayi wopita ku ubongo ndipo amachititsa kukwapula kwapadera .
Ma antibodies ena omwe amawoneka mu lupus omwe amagwirizana ndi maonekedwe osasintha a magazi amaphatikizapo lupus anticoagulant ndi antiticardiolipin antibodies.
- Pofuna kupanga mapangidwe ang'onoang'ono a zogwiritsira ntchito chitetezo cha mthupi mkati mwa mtima: Zomwe zimatetezedwa ku chitetezo cha chitetezo cha mthupi zimapezeka mkati mwa mitima ya anthu omwe ali ndi lupus. Zomwe zimatetezedwa ku chitetezo cha mthupi zimatha kugwiritsidwa ntchito monga tizilombo tating'ono ta tizilombo toyambitsa matenda, komanso maselo a chitetezo cha mthupi timasakaniza ndi mchere, mapuloteni, ndi zinthu zina za chitetezo cha mthupi. Mmene chitetezo cha mthupi chimayendera motsutsana ndi matupi a thupi. Matendawa, omwe amatchedwa Liebman Sacks endocarditis, amatha kukwapulidwa pamene mapulaneti ang'onoang'ono akuyenda kuchokera pamtima kupita ku ubongo.
- Poyambitsa kutupa mkati mwa makoma a mitsempha: Matendawa, omwe amadziwika kuti vasculitis, amatha kuwonedwa kwa odwala ambiri omwe ali ndi lupus. Nthaŵi zina, kutupa m'mitsempha ya mitsempha ndi koopsa kotero kuti magazi amatha kupyolera m'chombo chotentha. Izi zimakhala zoopsa makamaka pamene zimakhala ndi mitsempha ya m'mitsempha , ndipo imatha kuwombera.
Kusinthidwa ndi Heidi Moawad MD
Zotsatira:
Katrin L. Conen, Christina Jeanneret, Burkhard Hecker, Gieri Cathomas, Barbara C. Biedermann Matenda Aakulu Ambiri Omwe Amagwira Ntchito Kulimbana ndi Mliri Wopweteka Muli ndi Systemic Lupus Erythematosus: Arteritis kapena Atherosclerosis? Arthritis & Rheumatism 2006, Voliyumu 54, 908-913.
Kushner M, Simonian N; Lupus Anticoagulants, Antiticardiolipin Antibodies, ndi Cerebral Ischemia . Stroke 1989; 20: 225-229.
Y Kitagawa, F Gotoh, Koto ndi H Okayasu; Kukwapula mu Lupus Erythematosus Yopweteka 1990; 21; 1533-1539.