Lupus ne rosacea matambudziko maviri akasiyana ezvichuvi zvino kazhinji zvinosanganiswa nekuti zvine zviratidzo zvakafanana. Bhuku iri riri pano kurondedzera kuti zvakasiyana sei uye nei zvakakosha kuva nechirwere chakarurama.
Lupus chirwere che autoimmune chinogara kwenguva refu chinogona kukonzera zviratidzo zvakawanda, senge ganda rakajeka, kuneta, uye kurwadziwa kwemapfupa. Inogona kukanganisa nhengo dzakawanda, zvichiita kuti ive chirwere chakaoma. Ukuwo, rosacea inyaya yakajairika yeganda inowanzoonekwa sekuvava, ropa rinoratidzika, uye dzimwe nguva zvipembenene zvakaita semapundu pachiso.
Zvirwere zviviri izvi zvakajairika, lupus ichikanganisa vanhu vanosvika mamiriyoni 1.5 kuAmerica uye rosacea ichikanganisa vanhu vanosvika mamiriyoni 16 muU.S. Kunzwisisa zviratidzo zvechirwere chimwe nechimwe ndicho kiyi yekutonga nekurapa kwakanaka.
Semuenzaniso, ganda re lupus rinowanzoita sechitarisiko chebhatafurai pamatama nemuromo, nepo rosacea inowanzoonekwa sekuvava kutenderera matama, mhino, nepakati pechiso. Kuziva musiyano uyu kunogona kubatsira vanhu kuwana mazano ekurapa nekukurumidza uye kudzivirira matambudziko akawanda. Zvese zvakakosha, kusiyanisa lupus ne rosacea kunobatsira kuwedzera kuziva uye kunotungamira kumigumisiro yakanaka yehutano.
Ganda re lupus ndiro ganda rinowanzoonekwa re systemic lupus erythematosus (SLE), mamiriro e autoimmune kwaanoshandisa masimba emuviri anorwisa tishu dzakapfava, kusanganisira ganda. Kuziva marudzi nezvinokonzera ganda re lupus zvakakosha pakutonga kwakanaka.
Marudzi eganda re Lupus
Butterfly Rash (Malar Rash): Ganda dema kana dema rakajeka pamatama nemuromo.
Discoid Rash: zvidimbu zvakakwirira, zvakasviba zvinogona kukonzera mavara, kazhinji zvinoonekwa pamusoro wemusoro, chiso, kana mutsipa.
Photosensitivity Rash: Ganda rinokonzerwa nezuva, rinoratidzika sezvidimbu zvitsi dzakatsvuka munzvimbo dzakatarisana nezuva senge maoko, chipfuva, nechiso.
2. Zvinokonzera
Sunlight (UV Exposure): Chinokonzera chikuru, kazhinji chinokonzera kuwedzera kwezviratidzo munhu anonzwa zuva.
Stress: Kunetseka kwepfungwa kana kwemuviri kunogona kuwedzera zviratidzo zve lupus, kusanganisira ganda.
Mishonga Yakati: Mishonga yakati inogona kukonzera zviratidzo zvakaita se lupus, kusanganisira ganda.
3. Zviratidzo
Ganda dema, rakasviba rinogona kukwenya kana kurwadza.
Kuwedzera kwezviratidzo kunogona kuwirirana nezvimwe zviratidzo zve lupus, senge kurwadziwa kwemapfupa kana kuneta.
4. Kurapa nekutonga
Topical Creams: Creams dze steroid kana dzisiri steroid dzinoderedza kuzvimba.
Sun Protection: Kushandisa sunscreen nekupfeka zvipfeko zvinodzivirira kunoderedza photosensitivity.
Mishonga: Antimalarials senge hydroxychloroquine inobatsira kutonga ganda nezviratidzo zvemuviri.
Rosacea chirwere cheganda chinogara kwenguva refu chinotapurisa chiso, zvichikonzera kuvava, ropa rinoratidzika, uye, mune dzimwe nguva, zvipembenene zvakaita semapundu. Kunyange zvazvo chikonzero chacho chisingazivikanwi, rosacea inogona kukanganisa hupenyu hwemunhu zvakanyanya kana isina kurapwa.
1. Marudzi eRosacea
Erythematotelangiectatic Rosacea (ETR): inoratidzwa nekuvava kwenguva refu uye ropa rinoratidzika.
Papulopustular Rosacea: Inosanganisira kuvava nemapundu akaita se acne kana mapundu.
Phymatous Rosacea: Izvi zvinokonzera ganda rakaoma, kazhinji pamhino (rhinophyma).
Ocular Rosacea: inokanganisa maziso, zvichikonzera kuvava, kuoma, uye kukwakuka.
2. Zviratidzo
Kuvava kwechiso, kunyanya pamatama, mhino, pakati pechiso, nechin.
Ropa rinoratidzika (telangiectasia).
Mapundu akaita se acne kana mapundu.
Kunzwa kwekupisa kana kukwakuka paganda.
Maziso akaoma kana akatsvuka (mu ocular rosacea).
3. Zvinokonzera
Kupisa, zuva, kana chando.
Zvokudya zvinopisa, doro, kana zvinwiwa zvinopisa.
Kunetseka kana basa guru remunhu.
Zvigadzirwa zvekuchengetedza ganda kana mishonga.
4. Kurapa nekutonga
Topical Treatments: Creams kana gels dzinorayirwa nadokotera kuderedza kuvava nekuzvimba.
Oral Medications: antibiotics kana isotretinoin kune zviitiko zvakakomba.
Lifestyle Changes: Kudzivisa zvinokonzera zvinozivikanwa, kushandisa zvigadzirwa zvekuchengetedza ganda zvinyoro, uye kupfeka sunscreen.
Feature | Lupus Rash | Rosacea |
---|---|---|
Chikonzero | Mamiriro e autoimmune kwaanoshandisa masimba emuviri anorwisa tishu dzakapfava. | Chirwere cheganda chinopisa chinogara kwenguva refu; chikonzero chacho chisingazivikanwi asi chinogona kusanganisira zvinhu zve ropa nemasimba emuviri. |
Kutaridzika | Ganda dema, rakaita sebhatafurai pamatama nemuromo; zvidimbu zvakasviba kana zvakasviba. | Kuvava kwechiso kwenguva refu, ropa rinoratidzika, uye mapundu akaita se acne. |
Zvinokonzera | Zuva (UV exposure), kunetseka, uye mishonga yakati. | Kupisa, zuva, chando, zvokudya zvinopisa, doro, kunetseka, nezvigadzirwa zvekuchengetedza ganda. |
Nzvimbo dzakakanganiswa | Kunyanya matama nemuromo; inogona kupararira kumusoro wemusoro, mutsipa, kana chipfuva. | Chiso (mata, mhino, pakati pechiso, nechin); dzimwe nguva inokanganisa maziso (ocular rosacea). |
Zviratidzo | Ganda dema, rakasviba, rinokwenya, kana rinorwadza; rinogona kuwirirana nekurwadziwa kwemapfupa kana kuneta. | Kunzwa kwekupisa kana kukwakuka; kuoma kana kukwakuka; mu ocular rosacea, maziso matsvuku, akaoma, uye akatsvuka. |
Kuongororwa | Kuongororwa kweropa (ANA), biopsy, uye kuongororwa kwechiremba. | Kuongororwa kwechiremba kunobva pakutaridzika nezvinokonzera; hapana bvunzo chaiyo yekurabhoritari. |
Kurapa | Sunscreen, steroid creams, antimalarials (e.g., hydroxychloroquine). | Kurapa kwe topical, oral antibiotics, isotretinoin, uye kugadzirisa mararamiro. |
Prognosis | Chinogara kwenguva refu, asi chinogona kutongwa nekutarisirwa kwakanaka nemishonga. | Chinogara kwenguva refu; zviratidzo zvinogona kutongwa asi hazvicharapiki. |
Ganda re lupus ne rosacea ndizvo zvirwere zve ganda zvakasiyana zvinogovana kuvava kwechiso sechitarisiko chakajairika asi zvakasiyana muzvikonzero zvavo, zvinokonzera, nezviratidzo. Ganda re lupus, mamiriro ehutano ane chekuita ne autoimmune, kazhinji rinoratidzika seganda dema rakaita sebhatafurai pamatama nemuromo kana zvidimbu zvakasviba zve discoid. Rinokonzerwa nezuva, kunetseka, kana mishonga yakati uye rinogona kuwirirana nezviratidzo zvemuviri senge kuneta kana kurwadziwa kwemapfupa.
Rosacea, chirwere cheganda chinopisa chinogara kwenguva refu, chinoratidzwa nekuvava kwenguva refu, ropa rinoratidzika, uye mapundu akaita se acne, kunyanya pachiso. Kazhinji rinokonzerwa nekupisa, zvokudya zvinopisa, doro, nekunetseka. Kusiyana ne lupus, rosacea inogonawo kusanganisira zviratidzo zvemaziso mu ocular rosacea.
Kuongororwa nekurapa zvakasiyana nezvirwere zviviri izvi. Ganda re lupus rinoda bvunzo dzeropa nemishonga senge antimalarials, nepo kutonga kwe rosacea kunotarisa pakurapa kwe topical, mishonga yemukanwa, nekugadzirisa mararamiro. Zvirwere zviviri izvi zvinobatsirwa nekuchengetedzwa kwezuva nekurapa kwechiremba kuti zviratidzo zvikwanise kutongwa. Kuongororwa kwakarurama nechiremba ndicho chinhu chakakosha pakurapa kwakarongwa uye hupenyu hwakanaka.
Chiziviso: August ipuratifomu yemashoko ehutano uye mhinduro dzayo haisi zano rekurapa. Gara uchibvunza nyanzvi yezvekurapa ine rezinesi pedyo newe usati waita chero shanduko.
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