Kusiyanitsa Pakati pa Lupus ndi RA

Zamkati

• Kodi lupus ndi RA zikufanana bwanji?
• Kodi lupus ndi RA zimasiyana bwanji?
• Chifukwa chomwe matenda angasokonezeke
• Njira zodziwitsa
• Kusintha
• Kusiyana kwa chithandizo
• Zomwe mungayembekezere

Kodi lupus ndi RA ndi chiyani?

Lupus ndi nyamakazi (RA) onse ndi matenda omwe amadzichititsa okha. M'malo mwake, matenda awiriwa nthawi zina amasokonezeka chifukwa amakhala ndi zizindikilo zambiri.

Matenda omwe amadzichotsera okha amachitika chitetezo chamthupi chanu chikamaukira maselo mthupi lanu, zomwe zimayambitsa kutupa komanso kuwononga minofu yathanzi. Asayansi satsimikiza pazomwe zimayambitsa matenda amthupi okha, koma amatha kuthamanga m'mabanja.

Azimayi ali pachiwopsezo chachikulu chotenga matenda omwe amadzitchinjiriza okha kuposa amuna. Akazi aku Africa-American, Native-American, ndi Puerto Rico ali pachiwopsezo chachikulu, malinga ndi National Institutes of Health.

Kodi lupus ndi RA zikufanana bwanji?

Kufanana kodziwikiratu pakati pa RA ndi lupus ndikumva kuwawa. Kutupa kofanana ndi chizindikiro china chofala, ngakhale kuchuluka kwa kutupa kumasiyana. Matenda onsewa amatha kupangitsa malo anu kukhala otentha komanso ofewa, koma izi zimadziwika kwambiri mu RA.

Lupus ndi RA zimakhudzanso mphamvu zanu. Ngati muli ndi matenda aliwonse, mungamve kutopa nthawi zonse kapena kufooka. Kukhala ndi malungo nthawi ndi nthawi ndi chizindikiro china cha lupus ndi RA, koma chimafala kwambiri ndi lupus.

Matenda onsewa amapezeka kwambiri mwa amayi kuposa abambo.

Kodi lupus ndi RA zimasiyana bwanji?

Pali zosiyana zambiri pakati pa lupus ndi RA. Mwachitsanzo, lupus lingakhudze ziwalo zanu, koma limakhudza kwambiri ziwalo zanu zamkati ndi khungu lanu kuposa RA. Lupus amathanso kuyambitsa mavuto owopsa. Izi zitha kuphatikizira kufooka kwa impso, mavuto oundana, kapena khunyu, zomwe sizizindikiro za RA.

RA, kumbali inayo, imalimbana ndimagulu anu. Zimakhudza zala, manja, mawondo, ndi akakolo. RA amathanso kupangitsa ziwalo kupunduka, pomwe lupus nthawi zambiri satero.

RA amathanso kuphatikizidwa ndi kutupa m'mapapu komanso mozungulira mtima nthawi zina, komanso ndimatenda opweteka apakhungu. Komabe, ndi mankhwala omwe alipo pakadali pano, izi sizachilendo masiku ano kuposa kale.

Ululu wokhudzana ndi RA nthawi zambiri umakhala woipa m'mawa ndipo umayamba kukhala bwino tsiku likamapita. Koma ululu wophatikizika womwe umayambitsidwa ndi lupus umakhala wokhazikika tsiku lonse ndipo amatha kusuntha.

Chifukwa chomwe matenda angasokonezeke

Chifukwa matendawa amagawana zikhalidwe zina, anthu amatha kuzindikira kuti ali ndi RA pomwe ali ndi lupus, kapena matendawo, koyambirira kwa matendawa.

RA ikapita patsogolo, madotolo amatha kunena chifukwa matendawa amatha kuyambitsa kukokoloka kwa mafupa ndi kuwonongeka ngati sangaperekedwe mankhwala oyenera. Lupus, komabe, sichimayambitsa mafupa.

Kumayambiriro kwa RA kapena lupus, madokotala amatha kudziwa za matendawa poyang'ana zizindikiro zanu. Mwachitsanzo, lupus nthawi zambiri imakhudza impso, imayambitsa kuchepa kwa magazi m'thupi, kapena imayambitsa kusintha kwa kunenepa.

RA amathanso kuyambitsa kuchepa kwa magazi, koma imatha kubweretsa pafupipafupi pazovuta zam'mapapo. Dokotala atha kuyitanitsa gulu lamagazi kuti liwone thanzi la ziwalo zanu ndikuwona ngati pali china chomwe chingayambitse matendawa.

Njira zodziwitsa

Matenda onse a lupus ndi nyamakazi amatha kukhala ovuta kuwazindikira. Izi ndizowona makamaka kumayambiriro kwa matenda onsewa pakakhala zochepa.

Kuti mupezeke ndi systemic lupus, muyenera kukumana ndi izi:

• lupus wodula, womwe umakhala ndi zotupa za malar, zidzolo (lomwe limadziwikanso kuti kuthamanga kwa gulugufe) lomwe limapezeka pamasaya ndi mphuno
• Matenda osachiritsika, omwe amaphatikizapo discoid lupus, amatulutsa zotupa pakhungu
• nonscarring alopecia, kapena kupatulira tsitsi ndikuphwanya malo angapo amthupi
• matenda ophatikizana, omwe amaphatikizapo nyamakazi yomwe siyimayambitsa kukokoloka kwa mafupa
• Zizindikiro za serositis, kuphatikiza kutupa kwamkati wam'mapapo kapena kwamapapo
• Zizindikiro zamitsempha, kuphatikizapo kulanda kapena psychosis
• Zizindikiro za impso, kuphatikizapo mapuloteni kapena kuponyera kwa mkodzo, kapena biopsy kutsimikizira lupus matenda a impso
• kuchepa magazi m'thupi
• kuchuluka kwama cell oyera
• kuchuluka kwa mapiritsi
• ma antibodies a DNA yoluka kawiri
• ma antibodies kwa anti nyukiliya a Sm
• maantibospholipid antibodies, kuphatikizapo ma antibodies ku cardiolipin
• kupezeka kwa ma anti-nyukiliya, kapena ANA
• otsika a complement, mtundu wa chitetezo cha mthupi
• kuyesa kwabwino kwa ma antibodies motsutsana ndi maselo ofiira amwazi

Kuti mupezeke ndi RA, muyenera kupeza mfundo zosachepera sikisi pamiyeso ya RA. Mulingo wake ndi:

• Zizindikiro zomwe zimakhudza gawo limodzi kapena angapo (mpaka mfundo zisanu)
• kuyezetsa kachilombo ka rheumatoid kapena antitrullinated protein antibody m'magazi anu (mpaka mfundo zitatu)
• mapuloteni abwino a C-reactive (CRP) kapena mayesero a erythrocyte sedimentation (mfundo imodzi)
• Zizindikiro zotalika kupitirira milungu isanu ndi umodzi (mfundo imodzi)

Kusintha

Comorbidity amatanthauza kukhala ndi matenda opitilira umodzi nthawi imodzi. Izi zimadziwikanso kuti matenda omwe amapezeka. Anthu omwe ali ndi lupus komanso omwe ali ndi RA amatha kukhala ndi zizindikilo zina. Ndikothekanso kuti anthu azikhala ndi zizindikiro za RA ndi lupus.

Palibe malire pakuchuluka kwa zinthu zomwe mungakhale nazo, ndipo palibe malire a nthawi yomwe mungakhale ndi vuto lina lachilendo.

Matenda omwe nthawi zambiri amakhala ndi lupus ndi awa:

• scleroderma
• matenda osakanikirana
• Matenda a Sjögren
• polymyositis-dermatomyositis
• chithokomiro chokha

Matenda omwe nthawi zambiri amakhala ndi RA ndi awa:

• Matenda a Sjögren
• chithokomiro chokha

Kusiyana kwa chithandizo

Palibe mankhwala a lupus, koma chithandizo chitha kukuthandizani kuthana ndi matenda anu. Anthu ambiri omwe ali ndi lupus amatenga corticosteroids ndi mankhwala ena omwe amamwa kuti athetse kutupa ndi kupweteka.

Ena angafunike mankhwala kuti athetse zotupa pakhungu, matenda amtima, kapena mavuto a impso. Nthawi zina kuphatikiza mankhwala angapo kumagwira ntchito bwino.

Anthu omwe ali ndi nyamakazi amatha kupeza ma cortisone akatemera kuti athetse kutupa. Nthawi zina, odwala amatha kufunikira bondo kapena chiuno m'malo ena m'moyo chifukwa cholumikizacho chimakhala chopunduka kwambiri. Mankhwala ambiri amapezeka kuti athetse zizindikiro ndikupewa kuwonongeka kwamagulu.

Zomwe mungayembekezere

Anthu omwe ali ndi lupus ndi RA adzafunika kupanga mapulani a nthawi yayitali ndi madotolo awo. Dongosololi liphatikizira njira zothandizira kuchepetsa kutupa ndi kupweteka. Zithandizanso kuchepetsa zovuta za lupus ndi RA.

Zovuta zakutali za lupus zimaphatikizapo kuwonongeka kwa mtima ndi impso. Odwala Lupus nthawi zambiri amakhala ndi vuto la magazi, kuphatikiza kuchepa kwa magazi komanso kutupa kwa mitsempha. Popanda chithandizo, zonsezi zitha kuwononga minofu.

Zovuta za RA zosagwiritsidwa ntchito zimaphatikizira kupunduka kosatha, kuchepa kwa magazi m'thupi, ndi kuwonongeka kwamapapu. Chithandizo chitha kuletsa zovuta zazitali.