Lupus ndi mkhalidwe wokhawokha womwe ungayambitse pleurisy koma umaphatikizidwanso muzinthu zina zamapapo. Kodi zizindikirozi ndi ziti, nanga zimapezeka bwanji, ndipo ndi mankhwala ati omwe angapezeke pa lupus-associated pleurisy? Kodi ndi matenda ena amtundu wanji omwe amapezeka makamaka pakati pa anthu omwe ali ndi lupus?
Matenda a lupus erythematosus (SLE), matenda omwe amadzimadzimadzimadzi okhaokha, ndi matenda a zizindikiro.
Zimayambitsa chitetezo cha mthupi ndipo zingakhudze chirichonse kuchokera pakhungu ndi zomangiriza ku ziwalo za mkati.
Lupus ndi matenda omwe amagwiritsidwa ntchito kwambiri kuti akhale ndi zizindikiro za pulmonary (mapapo). Anthu ambiri omwe ali ndi lupus amakhala ndi mapapo, ndipo izi ndizofunika kwambiri pa matendawa.
Lupus ndi Pleurisy
Pleurisy (kupweteka kwa chifuwa cha phokoso) ndiwowonekera kwambiri pamapapo (mapapu) maonekedwe a lupus. Pleurisy ndi matenda opatsirana omwe amatanthauza kupweteka kwa chifuwa chimene chimapezeka panthawi yopuma (nthawi zina pokhapokha panthawi yopuma kapena pamene mukukakamira).
Pokumva ululu uwu ndi kutukusira kwa zidutswa ziwiri zomwe zimayendera mapapu ( pleura ). Phokosoli limasiyanitsidwa ndi kamtengo kakang'ono kamene kamatchulidwa kuti chumity , yomwe imakhala ndi ma teaspoons atatu kapena anai a mchere wambiri . Palimodzi, pleura imakhala ngati chingwe, kuchepetsa kukangana m'mapapo pamene mupuma mkati ndi kunja.
Ndi lupus, autoantibodies (ma antibodies omwe amatsogoleredwa ndi matenda anu) amayenera kufuula, kutulutsa kutupa. Kutupa uku kungayambitse kupweteka komwe kumachitika mukatenga mpweya kapena kutulutsa kunja - chilichonse chomwe chimapangitsa pleura kusuntha. Nthawi zina kutupa ndi kofewa komanso kumapweteka kumangokhala ndi kupuma kwakukulu, kukakokera, kupopera, kapena kukakamizika kutha.
Nthawi zina kutupa kungakhale koopsa kwambiri, kumabweretsa ululu ndi kupuma kwabwino.
Monga chidziwitso china cha njira iyi, kutupa kungayambitse kupanga madzi pakati pa pleura. Zotsatira zake zothandizira phokoso zimatha kukhala ndi zizindikiro zosiyana (ngati pokhapokha pali madzi ochepa owonjezera) ndi kupuma kochepa komanso kupweteka kwakukulu komwe kumaphatikiza mapapo.
Tiyeni tiyang'ane mosamala za zizindikiro, matenda, ndi chithandizo cha pleurisy, potsatira ndondomeko yochepa ya matenda ena ammapapo omwe angagwirizane ndi lupus.
Zizindikiro
Zizindikiro za pleurisy ndi lupus zingakhalepo:
- Kupweteka ndi kupuma, kukokera, kapena kusuntha kwa chifuwa (pleuritic post pain pain)
- Ululu pa mapewa (chifukwa cha kutupa kwa mitsempha ku mapewa omwe amadutsamo phokoso
- Kupuma pang'ono (pamene kuthamangitsidwa kwachinyengo kulipo, kapena chifukwa chopewa kupuma kwakukulu chifukwa cha kusamva)
- Mwamsanga kupuma mpweya
- Cyanosis (blueness ya khungu kuchokera ku oxygen kunyansi). Cyanosis imachitika pokhapokha ngati phokoso lambiri la phokoso lamadzi limadziwika
Kudziwa
Kuzindikira kuti pleurisy yokhudzana ndi lupus kaŵirikaŵiri imapangidwa pogwiritsa ntchito mbiri yosamalitsa komanso zochitika za thupi, kuphatikizapo maphunziro a labu ndi maphunziro ojambula.
Mbiri yakale ya kupweteka kwa chifuwa cha lupus ndi pleuritic ingakhale yonse yomwe ikufunika kuti yipewere pamene zizindikiro ziri zochepa. Phokosolo ndi losalala, koma likakhudzidwa ndi pleuritis, limakhala lopweteketsa, limagwirana pamodzi, ndipo nthawi zambiri limapanga phokoso lovuta. Phokoso limamveka kudzera mu stethoscope, ndipo nthawi zina mwakumangika khutu ku chifuwa.
Popeza lupus imayanjananso ndi mapapo ena, mayesero ena amachitidwa nthawi zambiri. Zina mwa izi zingaphatikizepo:
- Ntchito ya magazi - Kuyezetsa magazi kwa lupus (ngati izi sizinachitike)
- Kuchuluka kwa magazi - A CBC angathandize kuthetsa zifukwa zina za pleurisy monga matenda a bakiteriya kapena mavairasi.
- Chifuwa cha X-ray kapena CT.
- Ngati kupembedzera kwachinyengo kulipo, thoracentesis nthawi zambiri imachitika. Mwa njirayi, singano yabwino imayikidwa kudzera mu chifuwa mumalo osungira madzi kuti athetse madzi. Kuwonjezera pa kuchepetsa kukula kwa mpweya wochulukirapo (ngati mpweya ulipo), madziwa akhoza kusanthuledwa mu labu kuti athetse zifukwa zina zomwe zingayambitse kupweteka.
Chithandizo
Kaŵirikaŵiri palibe mankhwala enieni a pleurisy okhudzana ndi pleurisy pokhapokha ngati mabakiteriya kapena matenda a tizilombo ali ndi udindo mmalo mwa kutukumula komwe kumayambitsa. Popeza chikhalidwe cha lupus chimakhala ndi zizindikiro nthawi zambiri, mankhwala aliwonse omwe amagwiritsidwa ntchito kuti athetse lupus, ambiri, adzawunikiranso pa pleurisy. Pleurisy yomwe imayambitsa matenda a lupus imayamba nthawi yake, ndipo ululu ukhoza kuyang'aniridwa ndi mankhwala odana ndi kutupa mpaka atatsimikiza.
Njira Zina Zomwe Lupus Angakhudzire Mapungidwe Anu
Mitundu ina yamapapo yamapapo imakhudza anthu 50 peresenti ya anthu okhala ndi lupus. Ikhoza kuchita zimenezi pogwira mbali zosiyanasiyana ndi mapangidwe a m'mapapo kuphatikizapo:
- Pleura (monga mu pleurisy tafotokozedwa pamwambapa)
- Minofu yokhayokha (minofu yolumikizana m'mapapo)
- Alveoli (timagulu ting'onoting'ono ta mpweya m'mapapu omwe amachititsa kuti mpweya uzikhala ndi mpweya wa carbon dioxide)
- Bronchi ndi bronchioles (mpweya waukulu ndi waung'ono m'mapapo)
- Mitsuko ya magazi m'mapapu
- Mphuno (monga momwe mukugwiritsira ntchito matenda a mapapu omwe akufotokozedwa pansipa)
Mavuto Okhudza Matenda Okhudzana ndi Mimba Okhudzana ndi Lupus
Kuphatikiza pa pleurisy, pali matenda ena ammapapu omwe amapezeka makamaka mwa anthu omwe ali ndi lupus. Zambiri mwazikhala ndi zizindikiro za chifuwa, kupuma pang'ono, ndipo nthawi zina zimakokera magazi , choncho kufufuza mosamala n'kofunika kuti mudziwe chomwe chimayambitsa. Maung'onoting'ono (kuphatikizapo pleurisy) zomwe zimagwirizana ndi lupus zikuphatikizapo:
- Lupus pneumonitis (zonse zovuta komanso zosapweteka) - Lupus pneumonitis imatanthawuza kutentha kwa minofu yamapapo. Ndi liti pamene likhoza kuyambitsa chifuwa, kupuma pang'ono, ndi kupweteka ndi kupuma? Steroids amagwiritsidwa ntchito, ndipo mlingo waukulu ukhoza kufunikira.
- Kuchepetsa matenda oopsa - Kuopsa kwa magazi kumayambitsa matenda a magazi mkati mwa mapiritsi (mapiritsi omwe amachokera ku ventricle yolondola ya mtima kupita kumapapo) ndi okwera, ndipo amapezeka pafupifupi 10 peresenti ya anthu omwe ali ndi lupus.
- Matenda a mapapu otsika - Kuwonongeka ndi kutupa kwa phokoso kungayambitse vuto limene limatchedwa kuti matenda a mapapo. Chizoloŵezi chosavutachi chimachititsa kukwera kwa chifuwa, kuchepetsa malo ammapapu omwe amatha kugwiritsidwa ntchito pophatikiza mpweya.
- Matenda a m'mapapo monga matenda a pulmonary fibrosis - Matenda a m'mimba ndi matenda ochepetsa mapapo (mosiyana ndi matenda monga mphumu ndi emphysema zomwe zimayambitsa matenda a m'mapapo.) Kutupa komwe kumatsatira ndi kupweteka kwa mapapo kumateteza mapapu kuti apitirize kukula ndi kupuma. ntchito ya mapapo.
- Mavuto ena a m'mapapo - Zinthu monga pulmonary embolism, pneumothorax, phokoso lachisokonezo, ndipo mphumu imakhalanso yowonjezereka kwa anthu okhala ndi lupus Kuwonjezera pa vutoli, chiopsezo cha khansa ya m'mapapo, makamaka squamous cell carcinoma m'mapapu, ndi apamwamba kuposa anthu amene anapezeka ndi lupus.
Pansi
Matenda opatsirana, monga taonera, amapezeka ndi lupus, omwe amachititsa anthu oposa theka la anthu omwe ali ndi lupus nthawi zina. Chinthu chofala kwambiri ndi pleurisy, kutukusira kwa nembanemba kumapapu m'mapapu chifukwa cha kutupa komwe kumafala mu lupus. Ngakhale palibe chithandizo chapadera, nkofunika kutsimikiza kuti matenda ena ammapapu omwe amapezeka mwa anthu omwe ali ndi lupus sapezeka. Njira zochepetsera ululu, monga mankhwala, kutsogolola, ndi kupewa kuchita masewera olimbitsa thupi omwe amachititsa kupuma kwambiri, kungathandize anthu kumverera bwino mpaka matendawa atatha.
Zotsatira:
Borrell, H., Narvaez, J., Alegre, J. et al. Kuchepetsa Matenda a Mitsempha mu Lupus Erythematosus Yodalirika: Nkhani Yokambirana ndi Kufotokozera Zaka. Medicine (Baltimore) . 2016. 95 (33): e4626.
Mittoo, S., ndi C. Fell. Zowonetseratu Zowonongeka kwa Lupus Erythematosis. Seminars mu Kuzizira ndi Zofunikira Kusamalira Mankhwala . 2014. 35 (2): 249-54.
Rosenberger, A., Sohns, M., Friedrichs, S. et al. Gene-Konzani Meta-Analysis ya Khansa Yam'mimba Imene Imayendera Njira Yogwirizana ndi Lupus Erythematosus. PLoS One . 2017. 12 (3): e0173339.