Lupus ndi chimodzi mwa matenda osamvetsetseka omwe madokotala sanakanepo. Palibe amene amadziwa motsimikiza kuti ndichifukwa chiyani kapena chifukwa chake chikuchitika. Komabe, akatswiri ambiri amakhulupirira kuti lupus imayamba chifukwa cha mitundu yambiri ya chilengedwe ndi zachilengedwe, zomwe ndizo zomwe mungathe komanso simungathe kuzilamulira.
Sipadzakhala mpaka sayansi ikugwira ndi matenda omwe tidzamvetsetsa mizu yake.
Padakali pano, tikhoza kuyang'ana anthu omwe amakhulupirira kuti ali ndi lupus monga momwe asayansi amawamvetsela tsopano.
Zowopsa Zowopsa
Lupus ndi matenda omwe amachititsa kuti thupi lanu lisamagwire ntchito, zomwe zimapangitsa thupi lanu kugonjetsa matupi awo. Zifukwa izi zimaonedwa kuti ndizo zomwe zimachitika:
Mahomoni
Kafukufuku amasonyeza kuti zida za mahomoni zimagwirizanitsa ndi matenda okhaokha, ngakhale kuti kafukufuku akadali akadakalipo ndipo kugwirizana pakati pa ziwirizi ndikumangopitirirabe. Poganizira kuti 90 peresenti ya anthu omwe ali ndi lupus ndi azimayi, chinthuchi chimakhala chofunika kwambiri. Komabe, mahomoni achikazi monga estrogen samawoneka kuti amachititsa lupus. M'malo mwake, amawoneka kuti amachulukitsa chiopsezo kwa omwe ali kale ndi matendawa.
Kutenga
Mavairasi ndi mabakiteriya akhoza kuthandizira pa chitukuko cha lupus, koma kugwirizana kwachindunji sikunakhazikitsidwe. Komabe, matendawa amatchulidwa ngati chimodzi mwa zomwe zimachititsa kuti pakhale vuto la lupus.
Vuto la Epstein-Barr (EBV) mwa ana limagwirizanitsidwa ndi mwana wa lupus, komanso lupus mwa akuluakulu. Mavairasi ndi mabakiteriya angayambitsenso lupus.
Mankhwala
Zakhazikitsidwa kuti mankhwala ena amachititsa lupus ndi lupus flares. Ndipotu, kachilombo ka matendawa, kamene kali ndi mankhwala ophera mankhwala osokoneza bongo , amachokera pa izi.
Mtundu uwu wa lupus umachitika nthawi zambiri ndi mankhwala enaake monga anticonvulsants, antibiotics, ndi mankhwala a magazi ndi zizindikiro nthawi zonse zimachoka pamene mankhwala akuchotsedwa.
Kuonjezera apo, kupweteka kwa mankhwala kumawoneka mobwerezabwereza kwa anthu omwe ali ndi lupus omwe amapezeka kale kuposa omwe alibe lupus.
Chilengedwe
Zomwe zimayambitsa zachilengedwe, ngakhale sizikutsimikiziridwa, zimakhulupirira kuti zingayambitse lupus ndi / kapena lupus flares ndipo zingaphatikizepo izi:
- Kuwonetsedwa kwa ultraviolet kuwala (photosensitivity) kuchokera ku mababu kapena dzuwa
- Kuwonetsedwa ku fumbi la silika, lomwe limapezeka mu nthaka, utsi wa ndudu, mbiya, ndi ufa woyeretsa
- Kusonyeza kusuta
Dyes ena a tsitsi, mankhwala ophera tizilombo, nkhani, komanso mowa nthawi zina ankakhulupirira kuti ndi a lupus, koma izi zatsutsidwa.
Moyo
Zosankha zina zomwe mumadzipangira nokha, komanso momwe mumayendera mavutowo pamaganizo ndi m'maganizo, zingathandizenso kupititsa patsogolo lupus. Zinthu zitatu izi zimaganiziridwa:
- Kusokonezeka maganizo, kaya maganizo kapena thupi
- Kutopa
- Kusuta
Zinthu Zowopsa kwa Anthu
Makolo akale, zaka, ndi chikhalidwe chonse chiopsezo chotenga lupus (SLE):
- Mpikisano: Ku US ndi Europe, mitengo ya lupus (SLE) yapamwamba kwambiri imapezeka pakati pa anthu a ku America, Asia, ndi Africa; malire otsika kwambiri amapezeka mwa anthu a ku Ulaya.
- Zaka: Anthu ambiri amapezeka kuti ali ndi lupus pakati pa zaka 15 ndi 45, ngakhale kuti akhoza kuchitika nthawi iliyonse.
- Kugonana: Amodzi mwa anthu 10 aliwonse omwe amapezeka ndi lupus ndi akazi.
Genetics
Ngati muli ndi lupus m'banja mwathu, mukhoza kukhala ndi lupus komanso zotsatira zina zomwe zili pamwambapa. Ambiri ofufuza amavomereza kuti chibadwa kapena chibadwa ndicho chinthu chimodzi chokha pofuna kudziwa momwe mungakhalire ndi lupus; Komabe, payekha, izi sizingakhale zokwanira kuchititsa lupus.
Kumbukirani kuti, mbiri yakale ya banja la lupus sizitanthauza kuti mudzapeza lupus, koma ndizovuta kuti mutengeke.
Mpaka lero, pali majini opitirira 50 omwe asayansi agwirizana ndi lupus, ngakhale kuti sizinatsimikizidwe kuti zimayambitsa lupus, kuti zitha kupereka.
Udindo wa Antigeni
An antigen ndi chinthu chomwe chimalowa m'thupi ndipo chimapangitsa kuti chitetezo cha mthupi chitengeke, makamaka kupanga ma antibodies, omwe amamenyana ndi zomwe thupi limawona kuti ndizowononga. Antigeni amatha kuchoka ku poizoni, mabakiteriya, maselo achilendo kunja, ndi maselo ombidwa. Odwala omwe ali ndi lupus, makamaka SLE, chitetezo cha mthupi chimayambitsa ma antigen m'zinthu zabwino-zotchedwa antigen antigen kapena antigen antigen.
Mwa kuyankhula kwina, kulekerera kwachidziwitso kwa mankhwalawa kumatayika ndi lupus odwala, makamaka chifukwa cha zamoyo komanso zachilengedwe. Kwa anthu omwe ali ndi lupus, ma antibodies omwe amatsogoleredwa ndi antigen-antigen monga DNA yophatikizidwa ndi DNA komanso Smith (Sm) antigen ndi othandiza kuti azindikire. Mankhwalawa amatsitsimutsidwa ndi antigen antigen amatchedwa anti-antibodies.
Lupus ndi dongosolo, kapena thupi lonse, matenda omwe amadzimanga okha omwe amakhudza ziwalo zosiyanasiyana zosiyana monga impso, ziwalo, khungu, mitsempha, maselo a magazi, ndi mitsempha ya magazi. Pamene chimodzi mwa ziwalozi chikukumenyana ndi chitetezo cha mthupi lanu, zizindikiro, ndi zizindikiro zokhudzana ndi ziwalozo zimawonetseredwa. Mwachitsanzo, ngati chitetezo chanu cha mthupi chitulutsa ma antibodies omwe akutsutsa impso zanu, zizindikiro monga mapuloteni mumtsuko wanu (zomwe zingabweretse mkodzo wamphuno), kuthamanga kwa magazi, ndi / kapena kuwuka kwa mlingo wanu wa magazi mumakhala nthawi zambiri.
Kutsegulidwa kwa chiwalo cha thupi kumayambira ndi chitetezo cha mthupi kuganiza kuti antigen (monga mapuloteni oyenera mu thupi) ndi chinthu chachilendo ndi choipa. Kuzindikiritsa kuti antigen ndi yolakwika ndi thupi lanu kumafuna kuphatikizapo zochitika, monga chibadwa cha chibadwa ndi chimodzi kapena zambiri zomwe zimayambitsa, monga matenda.
M'mawu ena, zimatengera zochitika zosayembekezereka, zosautsa-mphepo yabwino, kunena.
> Zotsatira:
> Fattal I, Shental N, Wolemba D, et al. Mbiri ya Anti Antibody ya Lupus Erythematosus Yowonongeka Yotetezedwa ndi Antigen Microarray. Immunology . 2010; 130 (3): 337-343. lembani: 10.1111 / j.1365-2567.2010.03245.x.
> Lee AY, Ang EB. Kuchipatala cha Autoantibodies mu General Practice Rheumatology. British Journal ya General Practice . 2014; 64 (626): e599-e601. lembani: 10.3399 / bjgp14X681601.
> Lupus Foundation ya America. Nchiyani Chimachititsa Lupus? Idasinthidwa November 28, 2016.
> Chipatala cha Mayo Clinic. Lupus. Ophunzira a Mayo Clinic. Idasinthidwa pa October 25, 2017.
> Schur PH, Hahn BH. Epidemiology ndi Pathogenisis za Lupus Erythematosus Yoyamba. Zaposachedwa. Idasinthidwa pa April 26, 2017.