El Inkqubo yeLupus Erythematosus (SLE) sisifo esiyinkimbinkimbi somzimba, ebonakala ngobuninzi bee-antibodies. Nangona ibonakala nakweyiphi na iminyaka, ibonakalisa ikakhulu kwabasetyhini abakwiminyaka yokuzala. Abantu abasithoba kwabalishumi abane-lupus ngabafazi. Ukuba ucinga ukukhulelwa kwaye ufumane ukuba unesi sifo, kuya kufuneka udibane nogqirha wakho malunga nemingcipheko oqhuba ngayo wena, okanye umntwana.
Ngokubanzi I-lupus ayichaphazeli ukuchuma, kodwa inokukhokelela kwiingxaki ezithile Ngexesha lokukhulelwa. Iya kuba yimeko yakho yeklinikhi ngaphambi kokukhulelwa okumisela yonke inkqubo. Uninzi lwabasetyhini abane-lupus banokukhulelwa okukhuselekileyo kodwa okulawulwayo ngokuzala abantwana abasempilweni, abanoncanciswa ngoonina.
I-lupus ichaphazela njani ukukhulelwa kwangaphambili?
Imvelaphi yelupus ayisaziwa, zidityanisiwe Imfuza, ihomoni, imeko yendalo esingqongileyo, ukuguqulwa kweselula kunye nokutshintsha kwi-cytokines eseleyo. Umfanekiso wayo weklinikhi wahluke kakhulu, sele uchaphazela phantse naliphi na ilungu. Iimpawu zayo eziphambili zezi: ukuhlangana ngokudibeneyo kunye nolusu, kunye ne-erythema ephathekayo kumaphiko ebhabhathane kummandla we-malar, photosensitivity, pleurisy kunye ne-pericarditis, ukubandakanyeka kwezintso, i-osteoporosis kunye negazi kunye neenguqu ze-immunological.
Njengoko sele uyazi, i-lupus ayinakunyangeka kodwa ungayilawula ngonyango olwahlukeneyo. Kuyacetyiswa ukuba abasetyhini abane-lupus abafuna ukukhulelwa cwangcisa ukukhulelwa. Esi sifo kufuneka silawulwe okanye sixolelwe kangangeenyanga ezintandathu ngaphambi kokuba sikhulelwe kwaye ukubandakanyeka kwezintso, ukuba kukhona, kuye kwanyamalala.
Kuba i-lupus ayichaphazeli ukuchuma kwabasetyhini abane-lupus, ngaphandle kwalabo baphathwa nge-cyclophosphamide, kubalulekile ukusebenzisa inzalo xa isifo sikwinqanaba elisebenzayo. Xa i-lupus isebenza, yonyusa umngcipheko wokukhulelwa kwesisu, ukuzalwa komntwana oswelekileyo, okanye ezinye iimeko ezinzima. Abo bafazi bangena kwi-vitro fertilization banokufumana Ukuphinda kusebenze ngexesha lokungeniswa kwe-ovulation.
Iingxaki ezinokwenzeka ngexesha lokukhulelwa
I-Lupus inokuba mandundu ngexesha lokukhulelwa. Inkqubo ye- Ukuphantse kwenzeke rhoqo kwikota yokuqala okanye yesibini, kwaye zihlala zithambile. Yazisa ugqirha wakho malunga naziphi na iimpawu ezintsha, kuba unokufuna amayeza kwangoko okanye, ukuba kunjalo, uthathe isigqibo sokubangela kunye nokuqhubela phambili umsebenzi. Amanye amayeza athathwa njengonyango anokulimaza ngokumasikizi usana.
Abafazi abakhulelweyo abane-lupus banayo ukwanda komngcipheko weengxaki ezithile kunaleyo ingenayo. I-Preeclampsia yenzeka kwi-13% yabasetyhini abane-lupus, kwaye kwababini kwabasetyhini abalishumi bafumanekile kwaye sele benembali izifo zezintso.
Kwakhona ukukhulelwa kunokunyusa umngcipheko wezinye iingxaki, ngakumbi ukuba uthatha ii-corticosteroids, ezinje uxinzelelo lwegazi, isifo seswekile kunye neengxaki zezintso. Abasetyhini abanesifo semiphunga, ukusilela kwentliziyo, ukusilela kwezintso okungapheliyo, isifo sezintso ngaphambi kwe-lupus, kodwa ngenxa yoko, zithathwa njengokukhulelwa okuphezulu.
Ngaba umntwana wam angazalwa enelupus?
La inkoliso yeentsana ezizalwe ngoomama abanesi sifo zisempilweni. Kukho imeko eyi-neonatal lupus, ethi, nangona inqabile ukuba idluliselwe, inokuthi yenzeke ukuba ezinye ii-antibodies ezikhoyo kunina ziyibange. Ugqirha wakho wezonyango uya kukunika vavanya phambi kokuba umntwana azalwe ukufumanisa ukuba unayo. Unyango lunokuqalwa ngokuzalwa okanye kwangoko.
Umntwana one-lupus ye-neonatal unokuba nokuqunjelwa kolusu, iingxaki zesibindi, okanye amanqanaba asezantsi eeseli ezibomvu zegazi. I-90% yaba bantwana ayinakuyiphuhlisa kamva, kwaye ihlala ibuyela umva phakathi kweenyanga zokuqala ezi-6 ukuya kwezi-8 zobomi. Ayiphinde ivele. Kwiimeko ezinzima kakhulu bahlakulela ukukhubazeka kwentliziyo, ukuzalwa kwentliziyo yokuzalwa.
Ukuncancisa yeyona ndlela yokondla ilungele usana olusandul 'ukuzalwa, kwaye kunokwenzeka ukuba unelupus, kodwa ungalibali ukulandela iingcebiso zengcali yakho. Amanye amayeza anokugqithisela umntwana wakho ngobisi lwebele, njenge-cyclophosphamide kunye ne-methotrexate.