Lupus (systemic lupus erythematosus kapena SLE) ndi kukalamba kumakhudza wina ndi mnzake. Lupus ikhoza kusokoneza ukalamba wabwino komanso ukalamba wathanzi ungakhudzire zizindikiro zanu komanso khalidwe lanu labwino ndi lupus. Kodi muyenera kudziwa chiyani?
Lupus ndi Aging
Mwinamwake mukudziwa kuti lupus ndi matenda a moyo wonse, ndipo mumadziwa momwe mumamvera lero. Koma kodi matendawa angakuchitireni bwanji mutakula?
Tiyeni tiwone njira zina zofunika kwambiri zomwe ukalamba ungakhudzire ndikusintha zizindikiro za lupus , ndi momwe lupus imakhudzidwira ukalamba wabwino. Tiyambanso kukambirana zina mwa mavuto omwe mungakumane nawo mukamakula ndi lupus, komanso mudzakambirananso zina mwazochitika za ukalamba ndi matenda. Kukalamba ndi lupus sizowonongeka.
Mavuto Ogwirizana ndi Lupus ndi Kukalamba
Ndizomveka kuti lupus ndi ukalamba zingakhudze wina ndi mnzake. Ndiponsotu, pali kufanana kwachinyama pakati pa lupus ndi ukalamba ku chipatala, maselo, ndi maselo. Zizindikiro monga kuwonjezeka kwa chiopsezo cha matenda ndi kuwonjezeka kwa matenda ndizofala kwa onse lupus ndi ukalamba. Koma kodi izi zikutanthauziridwa bwanji ku moyo weniweni? Kodi mungayembekezere chiyani mukamakalamba ndi lupus?
Kuwopsa kwa Chizindikiro Kungayende Ndi Zaka
Anthu ambiri amamasuka akamva kuti ntchito yothandizira matenda a lupus imakula ndi zaka, koma taphunzira kuti kuopsa kwake kwa zizindikiro kumakula.
Chimodzi mwazifukwa zomwe zimayambitsa izi ndikuti pamene mukukula muyenera kuti musamavutike kupirira zizindikiro zanu komanso muyenera kuthana ndi chiwerengero cha matenda anu m'mbuyomo komanso kuwonongeka komwe kwachititsa.
Kupweteka kosautsa kungakhale kovuta osati kokha chifukwa cha ululu koma chifukwa cha chiopsezo chowonjezeka cha zotsatira zokhudzana ndi mankhwala opweteka.
Mankhwala osagwiritsa ntchito mankhwala ochepetsa kutupa monga Advil (ibuprofen) ndi omwe amachititsa kuti matenda a imfine kapena kutaya m'mimba asatuluke, ndipo Tylenol (acetaminophen), ikawathandiza, sizingakhale bwino kwambiri ngati muli ndi chiwindi chachilendo. Chimene chikhoza kukhala chosasinthika pamene mudakali wamng'ono ndi chithandizo chokhalitsa kupweteka kamene mungafunike pakadali pano muyenera kutero.
Kutopa kumatha kukhalanso pang'onopang'ono, chifukwa khalidwe lokhalapo pokhudzana ndi kuwonjezereka kwa lupus kuwononga kumawonjezera kukhwima kale.
Kuwonongeka kwa Lupus Kwa Zaka Zambiri
Kuwonongeka kumawonjezeka pazaka zambiri ndipo kungachititse kuti chiwonongeko cha mafupa ndi kupweteka kosatha. Mungafunike chithandizo chamankhwala kuti muthane ndi kulimbika, kapena kusintha mmalo kuti muthane ndi kadoti yodetsedwa mumadondo kapena m'chiuno. Opaleshoni ya thupi kapena opaleshoni ya mitsempha imatha kuwonjezera maulendo a chipatala, mazunzo, ndi ndalama pa nthawi yanu yodzidzimitsa yodzichitira nokha ndi lupus.
Matenda a Osteoporosis Ndi Ofala
Pokhala ndi zaka, kupuma kwapang'onopang'ono kwapang'onopang'ono kungapangitse osteopenia kapena matenda otupa mafupa . Pali chiopsezo chowonjezeka cha matenda a osteoporosis ndi lupus pazifukwa zingapo. Imodzi mwa izi ndi yakuti mankhwala enaake a lupus, monga corticosteroids (mwachitsanzo, prednisone) amatha kufulumira kupuma kwa mafupa ( glucocorticoid-aduced osteoporosis ).
Kutaya kwa mafupa kwawoneka mwa anthu ena patangotha sabata imodzi yokha ya ntchito ya steroid. Moyo wokhala ndi moyo wodwalayo umene umakhala ndi lupus kawirikawiri umafunanso kuti ubweretse chiopsezo. Pomaliza, zikuwoneka kuti pali kugwirizana pakati pa lupus ndi mafupa.
Mafracture chifukwa cha fupa la mafupa amapezeka kwambiri ndi lupus, makamaka m'mimba mwapakhosi (vertebral). Ndipotu, amayi omwe ali ndi lupus angakhale odwala matenda odwala matenda a m'mimba kusiyana ndi omwe alibe matendawa. Kuopsa kwa amuna omwe ali ndi lupus kumatambasulidwa.
Kaya mukudwala matenda otupa mafupa kumadalira pazifukwa zambiri, ndi kulemera kwanu, ma genetic, komanso ngati simunasute fodya.
Kuyezetsa kachulukidwe kwa mafupa kulimbikitsidwa kwa amayi onse omwe ali ndi zaka zoposa 65, komanso kale m'moyo ngati zifukwa zoopsa - monga lupus-zilipo.
Mwamwayi, pali njira zochepetsera chiopsezo chanu. Kuonetsetsa kuti mupeza vitamini D okwanira ndizothandiza ndipo palinso zothandiza kwa anthu omwe ali ndi lupus. Ngati dokotala wanu sanatengere mlingo wanu wa vitamini D, funsani. Zomwe vitamini D zimaphatikizapo kuwala kwa dzuwa ndi zakudya zina, koma pamatsika otsika (vitamini D3 supplementation) akhoza kutonthozedwa. Mankhwala operekera mafupa amapezeka, komanso kuwonjezeka kwa kuchuluka kwa mafupa, angathandizenso kuchepetsa chiopsezo cha misozi. Chifukwa cha chiopsezo chokwanira cha fractures ndi lupus, madokotala ena angakulimbikitseni kugwiritsa ntchito mankhwala ngati muli ndi matenda osteopenia komanso matenda otupa mafupa.
Mankhwala Othandizira Amadzimadzi Amatha Kutulutsa Zoopsa zaumoyo
Mankhwala opatsirana am'madzi otchedwa hormone (HRT) asagonjetsedwe m'zaka zaposachedwapa chifukwa cha chiopsezo cha khansa ya m'mawere ndi matenda a mtima. Izi zati, palinso akazi ambiri amene amatenga mankhwalawa ndi estrogen kuphatikizapo progesterone.
Azimayi omwe ali ndi lupus omwe akuganiza za HRT ayenera kukambirana za madalitso ndi madokotala awo. Pofufuza, HRT yakhala ndi chiopsezo chowonjezereka cha lupus flares , koma palibe kuwonjezeka kwa moto. Komabe, amayi ena amapeza kuti HRT imapangitsa kuti zizindikiro zawo za mimba zikhale bwino komanso zimapangitsa kuti akhale ndi moyo wabwino.
Chofunika kwambiri ndi chakuti amayi omwe ali ndi lupus ali ndi chiopsezo chowonjezeka cha matenda a mtima ndi mitsempha ya magazi, ndipo HRT ingawonjezerepo ngozi.
Azimayi onse ndi osiyana, ndipo zonsezi ziyenera kuyesedwa mosamala pakupanga chisankho chokhudza mankhwala opatsirana a hormone . Kumbukirani kuti pali njira zina zothetsera kutentha komwe kungakhale kothandiza kwa anthu ena. Popeza amayi omwe ali ndi khansa ya m'mawere (kapena ali pachiopsezo chachikulu) asagwiritse ntchito HRT, pakhala pali kafukufuku wochuluka pa zowononga thupi komanso mankhwala omwe amachititsa kuchepetsa matenda a mimba. Phunzirani zambiri za njira zomwe mungasankhe popanga kusamba .
Makhalidwe Abwino
Timakonda kuika maganizo pa zovuta za ukalamba komanso momwe kukalamba kumakhudzira matenda aakulu. Chowonadi, komabe, ndikuti pali zinthu zabwino zomwe zimapangitsa munthu kukalamba ndi matenda komanso nthawi zina kuganizira zinthu izi-zomwe zimatchedwa silives-zimapangitsa kukhala kosavuta. Ndipotu tikuphunzira kuti kuyamikira pamoyo kumakhudzana ndi chimwemwe ndi moyo wabwino kuposa kupambana, chuma, kapena ngakhale thanzi.
- Ntchito Yachizindikiro Imayamba Kulimbitsa Ndi Zaka : Pamene munthu ali ndi zaka, lupus ntchito-kapena kuchuluka kwa kutupa ndi chitetezo cha thupi-zimachepa. Izi zingachititse kusintha kwa mankhwala , kuphatikizapo kuchepetsa mankhwala. Kupititsa patsogolo kumeneku kumakhala kosasinthasintha pa nthawi ndipo zimawoneka kuti sizimakhudzidwa ndi chikhalidwe cha amuna.
- Anthu Okalamba Sali Ochepa Kwambiri Kukulitsa Lupus Nephritis : Pamene lupus imakhudza impso, imatchedwa lupus nephritis . Kafukufuku wina apeza kuti anthu achikulire sangavutike kwambiri ndi matenda a impso omwe ali ndi lupus ngakhale sitikudziŵa chifukwa chake. Kafukufuku wina, komabe, akusonyeza kuti kupweteka kwa lupus nephritis kungakhale koipitsitsa ndi msinkhu. Kwa omwe amakumana ndi mavuto a impso, pa msinkhu uliwonse, mankhwalawa ndi ofanana.
- Lupus Angapite Kumakhululukiro Nthawi Zonse : Lupus remission ikhoza kuchitika pa msinkhu uliwonse. Kafukufuku wina wa ku Italy omwe adafalitsidwa mu 2015 anapeza kuti 37 peresenti ya anthu omwe ali ndi lupus omwe adalandira mankhwala oyenera adakhululukidwa kwa zaka zisanu. Palibenso ndondomeko yoonekeratu ya kukhululukidwa mu lupus, koma mu phunziro ili, omwe akuwona kuti akhala ndi chikhululukiro cha nthawi yaitali analibe zizindikiro zachipatala kapena ma laboratory a matenda ndipo sanatengenso mankhwala a corticosteroids kapena mankhwala osokoneza bongo.
Kudzisamalira Nokha ndi Lupus Monga Inu Zaka
Kukhala ndi lupus ndi kumverera bwino monga momwe mungathere kumaphatikizapo zambiri kuposa kumwa mankhwala anu. Ngakhale opanda lupus, anthu amakula msinkhu pamene chidwi chimaperekedwa kuzinthu za moyo monga chakudya ndi masewera olimbitsa thupi. Kupatula nthawi yowerengera moyo wanu ndikupanga kusintha kulikonse kuli koyenera.
Poyamba, ndipo ngati simunaganize mozama za zakudya zanu ndi lupus, phunzirani momwe mungadye bwino ndi lupus . Chakudya chokhala ndi zipatso ndi ndiwo zamasamba komanso zakudya zosakaniza zotupa ndizo zabwino. Mwinanso mutha kuwonjezera zakudya zotsutsana ndi zotupa . Ngakhale palibe zakudya zenizeni zomwe zasonyezedwa kuti zisinthe njira ya lupus, spice turmeric (curcumin) ikuwoneka kuti ili ndi mphamvu yotetezera lupus nephritis-osachepera mu mbewa.
Kupsinjika maganizo sikungatipangitsa ife kukhala "opsinjika maganizo" koma kumatulutsa kumasulidwa kwa mahomoni opweteka omwe angakhale ndi zotsatirapo zoipa pa ziwalo zambiri za thupi. Pali njira zambiri zochepetsera nkhawa zomwe zimakhala zabwino ngati mukukhala ndi lupus kapena ayi.
Mapazi ndi omwe amachititsa anthu kuvulala komanso imfa ngati anthu akula, ndipo tikudziwa kale kuti anthu omwe ali ndi lupus amakhala ochuluka kwambiri kuti amphyole fupa (makamaka msana ndi chiuno) akagwa. Zitetezo monga kuthetseratu makapu, kusunga zinthu pa masitepe, kupewa njira za m'misewu, ndi kuyatsa magetsi mukadzuka ku bafa usiku onse akhoza kuchepetsa chiopsezo chanu. Tengani kamphindi kuti muwone zomwe mungachite kuti muchepetse chiopsezo chanu .
Zoonadi, maulendo odwala nthawi zonse ndi ofunika kusamalira zinthu zomwe mungathe kuziyika. Popeza chiopsezo cha matenda a mtima chikuwonjezeka ndi lupus, dokotala wanu amatha kuganizira kwambiri zaziopsezo monga kuthamanga kwa magazi, kuchuluka kwa cholesterol, ndi insulini kukana kapena shuga. Matenda amakhalanso ofala kwambiri kwa anthu omwe ali ndi lupus, ndipo popeza chiopsezo cha khansa chikuwonjezeka ndi zaka, ndikofunika kutsata ndondomeko zowonongeka kwa khansa.
Anthu ena omwe ali ndi lupus amapeza kuti akamakula amakhala ndi nthawi yopeza gulu la thandizo la lupus. Magulu awa akhoza kukhala chitsimikizo chodabwitsa pomwe panthawi yomweyo akukupatsani mwayi wofufuza zatsopano mu lupus kafukufuku. Ndiponsotu, palibe amene alimbikitsidwa kuphunzira za mankhwala atsopano ndi malingaliro kuposa omwe amakhala ndi matenda tsiku ndi tsiku. Ngati simukudziwa kumene mungayambire, tengani kamphindi kuti mudziwe momwe mungapezere gulu la thandizo la lupus , kaya mumudzi wanu kapena pa Intaneti paliponse.
Mawu Ochokera
Lupus ndi ukalamba zimagwirizanitsidwa m'njira zosiyanasiyana, ndipo kumvetsetsa izi kumakupatsani mwayi wokhala wothandizira paumoyo wanu. Ndili ndi zaka, chizoloŵezi chochita ndi lupus chimachepa koma zizindikiro zomwe zilipo zingakhale zovuta kwambiri. Kuwonjezeka kwa kuwonongeka kwa zaka zingapangitse kufunika kokonzanso limodzi kapena mankhwala ena.
Kuopsa kwa ziphuphu zomwe zimakhudzana ndi matenda a osteoporosis ndi apamwamba kwambiri pakati pa anthu omwe ali ndi lupus kusiyana ndi anthu ambiri, ndipo aliyense ayenera kukhala ndi fupa losakanikirana pang'onopang'ono asanafike ali ndi zaka 65 (ndipo mofulumira kwa anthu ena). Ngati mukulakwitsa mafupa, pali mankhwala omwe angachepetse ngozi. Izi zinati, kukhala osamala ndi kuganizira za kuthana ndi kugwa mwinamwake kumathandiza.
Pogwiritsa ntchito kuchepetsa ntchito, ziwopsezo za lupus nephritis zimatha kuchepa. Ndipo, monga anthu a msinkhu uliwonse ali ndi lupus, kukhululukidwa kwa nthawi yaitali nthawi zina kumatheka, ngakhale okalamba.
> Zotsatira:
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> Khafagy, A., Stewart, K., Christianson, M. et al. Mmene Zimayambira Kutsekula kwa Mimba Mankhwala Odwala pa Matenda Kupitirira mu Lupus Erythematosus Yodalirika: Kusintha Kwambiri. Maturitas . 2015. 81 (2): 276-81.
> van den Hoogen, L., Sims, G., van Roon, J., ndi R. Fritsch-Stork. Lupus Erythematosus Yakula ndi Yowonongeka-Imodzi ndi Pambuyo. Sayansi Yakale Yakale . 2015. 8 (2): 158-77.
> Wang, X., Yan, S., Liu, C. ndi al. Mphuno Yophulika ndi Mitsempha ya Minofu Kulemera kwa Odwala Odwala Lupus Erythematosus Wowonongeka: Kukonzekera Mwadongosolo ndi Meta-Analysis. Osteoporosis International . 2016. 27 (4): 1413-23.
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