Lupus yini? Izimpawu, Izimbangela, & Ukwelashwa

I-Lupus yisifo sokuziphikisa komzimba lapho isimo sakho sokuvikela umzimba sihlasele ngephutha izicubu nezinye izitho zakho eziphilile. Cabanga ngakho njengesistimu yokuzivikela yomzimba wakho edideka futhi iziqalekise kunokuba ikuvikele kubantu abangcolile.

Lesi simo sithinta izigidi zabantu emhlabeni jikelele, kanti abesifazane bahlushwa kakhulu ngokuphindwe izikhathi ezingu-9 kunabesilisa. Nakuba i-Lupus ingase ibonakale iyingozi ekuqaleni, ukuqonda ukuthi iyini nokuthi isebenza kanjani kungakusiza uzizwe ulawula kangcono uhambo lwakho lokuphila.

Lupus yini?

I-Lupus yisimo esingapheli sokuziphikisa komzimba esibangela ukuvuvukala okubanzi kulo lonke umzimba wakho. Isimo sakho sokuvikela umzimba, esivame ukulwa nokutheleleka nezifo, siqala ukusebenza ngokweqile futhi siqale ukuhlasela amaseli, izicubu nezinye izitho eziphilile.

Ukuvuvukala kungathinta cishe noma iyiphi ingxenye yomzimba wakho, kufaka phakathi isikhumba sakho, izintambo, izinso, inhliziyo, amaphaphu, nobuchopho. Kungakho izimpawu ze-Lupus zihluka kakhulu kumuntu nomuntu futhi kungakho odokotela ngezinye izikhathi bebiza ngokuthi "umlingisi omkhulu."

Abantu abaningi abane-Lupus bangaphila impilo egcwele, esebenzayo ngokwelashwa okulungile nokunakekelwa. Isimo sihlala siqala siye sihambe ngezikhathi, ngezikhathi zokwanda lapho izimpawu zibuhlungu kakhulu kanye nezikhathi zokuthula lapho uzizwa kangcono kakhulu.

Ziyini izinhlobo ze-Lupus?

Kunezinhlobo ezine eziyinhloko ze-Lupus, ngayinye ithonya umzimba wakho ngendlela ehlukile. Ukuqonda ukuthi yiluphi uhlobo olukuyo kusiza udokotela wakho ukuba enze uhlelo lokwelapha oluphumelelayo olufanele isimo sakho.

I-Systemic Lupus Erythematosus (SLE) yiyona evamile futhi eyingozi kakhulu. Ingathinta izitho eziningi kulo lonke umzimba wakho, kufaka phakathi izinso zakho, inhliziyo, amaphaphu, nobuchopho. Yilokhu abantu abaningi abakushoyo lapho nje bethi "i-Lupus."

I-Lupus Yesikhumba ikhuthaza ikakhulu isikhumba sakho, ibangele ukuqhuma nokulimala okuhlukile. Uphawu oluqondakala kakhulu yilokhu kuqhuma okunjengenduku phezu kwamagalikeni akho nemphondo yempumulo, nakuba kungabonakala kwenye indawo.

I-Lupus Ebangelwa Yimithi ithuthukela njengomphumela wemithi ethile, ikakhulukazi eminye imithi yegazi nokucindezela kwenhliziyo. Izindaba ezinhle ukuthi lokhu ngokuvamile kuyahamba uma uyeka ukuthatha imithi ebangela.

I-Lupus Yabantwana Abasanda Kuzalwa yisimo esingavamile esithinta izingane ezisanda kuzalwa umama abanemithi ethile yokuzivikela emzimbeni. Iningi lezingane ezelwe kumama abanalo i-Lupus ziphilile ngokuphelele, futhi lesi simo asivamile.

Ziyini Izimpawu Ze-Lupus?

Izimpawu ze-Lupus zingaba nzima ngoba zivame ukulingisa ezinye izimo futhi zihluka kakhulu kumuntu nomuntu. Izimpawu ngokuvamile zithuthukela kancane kancane futhi zingafika ziye ngezindlela ezingaqondakali.

Nawa amaphuzu avamile ongawabhekana nawo:

• Ukukhathala okukhulu okungaphuli ngokuphumula
• Ubuhlungu nokuvuvukala kwamajozi, ikakhulukazi ezandleni, ezinzwini, nasemadolweni
• Ukuqhuma okunjengenduku phezu kwamagalikeni nemphondo yempumulo
• Ukuqhuma kwesikhumba okubi kakhulu uma kuvezwe elangeni
• Ukuqhuma komkhuhlane okungena ngaphandle kwesizathu esicacile
• Ukuwa noma ukuncipha kwezinwele
• Izihlamba zomlomo noma empumlweni
• Iminwe nezinzwane ziphenduka mhlophe noma zibomvu ebuqandeni (isimo se-Raynaud)

Abanye abantu nabo babhekana nezimpawu ezingavamile kodwa ezingathi sína ezidinga ukunakekelwa kwangaphambi kwesikhathi:

• Izinkinga zezinso, kufaka phakathi ukuvuvukala ezinyaweni nasemazweni amehlo
• Ubuhlungu esifubeni noma ukuphefumula okunzima
• Izinhlungu ezinzima zikhanda noma ukudideka
• Ukuhlupheka noma ezinye izimpawu zezinzwa
• Izinkinga zokugqwala kwegazi
• Ukungahambi kahle kwenhliziyo

Khumbula ukuthi ukuba nezimpawu ezimbili noma ezintathu akusikho isinqumo sokuthi une-lupus. Izimo eziningi zingabangela izimpawu ezifanayo, kungakho kubalulekile ukuhlolwa yi-dokotela.

Yini ebangela i-Lupus?

Imbangela eqondile ye-lupus isaqala ukucatshangelwa, kodwa abacwaningi bakholelwa ukuthi ivela ekuhlanganiseni kwezinto ezivela egazini, ezimo ezingqongile, kanye nezinto ezihlobene namahomoni. Akukho lutho olulodwa oluyimbangela ye-lupus.

I-jini lakho lidla indima, kodwa ukuba namalunga omndeni ane-lupus akusho ukuthi nawe uzoyithola. Ososayensi baye baqaphela ukuguqulwa okuthile kwe-jini okwenza abanye abantu babe sengozini enkulu, kodwa lezi zinto kufanele “zivuselelwe” izinto eziningi.

Izinto ezingqongile ezingase zivuselele i-lupus kubantu abanesifo se-jini zihlanganisa:

• Ukutheleleka yi-virus, ikakhulukazi i-Epstein-Barr virus
• Ukukhanya okukhulu kwelanga
• Ukuhlupheka okukhulu komzimba noma kwengqondo
• Imithi ethile, ikakhulukazi amanye ama-antibiotic kanye nemithi yokwelapha ukubamba
• Ukukhishwa kwezinto ezikhiqizwayo, nakuba lokhu kungavamile

Amahomoni, ikakhulukazi i-estrogen, nawo athonya ukuthuthukiswa kwe-lupus. Lokhu kuchaza ukuthi kungani abesifazane abaseminyakeni yokuzala bavame ukuba ne-lupus, nokuthi izimpawu zivame ukukhula ngesikhathi sokukhulelwa noma lapho usebenzisa imithi enamahomoni e-estrogen.

Kubalulekile ukuqonda ukuthi awenzanga lutho ukuze ube ne-lupus. Lesi simo sithuthuka ngenxa yokusebenzisana okuyinkimbinkimbi kwezinto eziningi ongenakuzilawula.

Nini okufanele ubona udokotela nge-Lupus?

Kufanele uhlele isikhathi sokubona udokotela uma uhlushwa izimpawu ezihlala njalo ezihlupha impilo yakho yansuku zonke, ikakhulu uma izimpawu eziningi zivela ndawonye. Ukuxilongwa kwasekuqaleni nokuphathwa kungavimbela ukuphazamiseka okukhulu.

Funani usizo lokuthiwa ngokushesha uma une:

• Ukuthuthumela okungachazeki okuphela izinsuku eziningi
• Ubuhlungu nokuvuvukala kwamajozi amaningi
• Ukukhathala okuqhubekayo okungapheli ngisho noma ukhuluphuke
• Iziphengo ezintsha zesikhumba, ikakhulukazi ezindaweni eziqoshwe ilanga
• Ukwehla kwezinwele noma amaqhubu emlonyeni

Thola ukunakekelwa kwonyango oluphuthumayo ngokushesha uma ubhekene nalokhu:

• Ubuhlungu esifubeni noma ukuhlupheka ekuphemeni
• Izinhlungu ezinzima zekhanda ezihambisana nokudideka noma ukushintsha kokubona
• Ukuhlinzwa noma ezinye izimpawu zezinzwa
• Ubuhlungu obukhulu besisu
• Izimpawu zezinkinga zezinso njengokuvuvukala noma ukushintsha kokumisa

Unganqikazi ukulwela wena uma izimpawu zakho ziqhubeka. I-Lupus ingaba inselele ukuyihlonza, futhi kungadingeka ubone odokotela abaningi noma ochwepheshe ngaphambi kokuthola izimpendulo.

Iyini Izingozi Zokuthola I-Lupus?

Nakuba noma ubani angathola i-Lupus, izici ezithile zikhuphula amathuba akho okuthola le meko. Ukuqonda lezi zici zengozi kungakusiza uhlale ulungile ezimpawu ezingase zibe khona bese ufuna ukunakekelwa kwonyango okufanele.

Izici ezibaluleke kakhulu zengozi zihlanganisa:

• Ukuba owesifazane, ikakhulukazi phakathi kweminyaka engu-15-45
• Ukuba nomdabu wase-Afrika America, iHispanic, i-Asia, noma i-Native American
• Ukuba namalungu omndeni ane-Lupus noma ezinye izifo ze-autoimmune
• Ukutheleleka ngama-viral ngaphambili, ikakhulukazi i-Epstein-Barr virus
• Ukuthatha imithi ethile isikhathi eside

Ezinye izici zemvelo neze-lifestyle zingase futhi zikhuphule ingozi yakho:

• Ukuhlala ezindaweni lapho kukhona khona ukukhanya kwelanga okukhulu
• Ukuhlupheka okungapheli noma izehlakalo ezibuhlungu kakhulu
• Ukubhema, okungenza izimpawu zibe zimbi
• Ukubhekana nezinto ezithile zekhemikhali noma ubuthi

Ukuba nezici zengozi akusho ukuthi uzokuthola ngokuqinisekile i-Lupus. Abantu abaningi abanezici eziningi zengozi abayitholi le meko, kanti abanye abanezici ezimbalwa zengozi bayithola. Lezi zici zisiza nje odokotela ukuqonda ukuthi ubani ongaqaphela kakhulu.

Ziyini Izingozi Ezingase Zenzeke NgoLupus?

ILupus ingathinta izinhlelo eziningi zomzimba, ihole ezingozini ezihlukahlukene uma ingaphathwa noma ingaphathwa kahle. Noma kunjalo, ngokunakekelwa komtholampilo okufanele nokwelashwa, eziningi zalezi zingozi zingavikeleka noma ziphathwe kahle.

Izingozi ezivame kakhulu zihilela izinso zakho, isimo esibizwa ngokuthi i-lupus nephritis:

• Ukuvuvukala kwezinso okungathuthuka kube ukwehluleka kwezinso
• Ukuphindaphindeka kwegazi okuvela ekonakaleni kwezinso
• Ukulahlekelwa yiprotheni emchameni
• Ukugcinwa kwamanzi okubangela ukukhuluphala

Izingozi zezinhliziyo zingathuthuka ngokuhamba kwesikhathi:

• Ukungena engozini enkulu yesifo senhliziyo nesifo sobuchopho
• Ukuvuvukala kwemisipha yenhliziyo noma ukugqoka
• Izinkinga zokugandeka kwegazi
• Ukuphindaphindeka kwegazi

Izingozi ezingavamile kodwa ezinzima zihlanganisa:

• Izinkinga zezinzwa njengokuhlwitha noma ukushintsha kwengqondo
• Ukuvuvukala kwemiphunga noma ukunqunywa
• I-anemia enzima noma inani eliphansi le-platelet
• Ukonakala kwamathanga ngenxa yokusetshenziswa kwama-steroid isikhathi eside
• Ukungena engozini enkulu yokutheleleka ngenxa yokwelashwa okuqeda amandla omzimba

Ukuvikela izingozi kubalulekile ukusebenzisana eduze neqembu lakho lokunakekelwa kwezempilo nokulandela uhlelo lwakho lokwelashwa njalo. Ukuqapha okuqhubekayo kuvumela udokotela wakho ukuthi abone futhi aphathe izinkinga ngokushesha.

ILupus Ihlonishwa Kanjani?

Ukuhlola i-lupus kungaba inselele ngoba ayikho i-test eyodwa eqinisekisa ngokuqondile isimo. Udokotela wakho uzosebenzisa ukuxuba kwezimpawu, imiphumela yokuhlolwa komzimba, namaviki wokuhlola ukuze enze ukuxilonga.

Inqubo yokuxilonga iqala ngokuvamile ngomlando wezokwelapha onemininingwane nokukhokha komzimba. Udokotela wakho uzokubuza ngezimpawu zakho, umlando womndeni, nanoma yimiphi imithi oyithathayo engase ibe yimbangela yezimpawu ezifana ne-lupus.

Izivivinyo zegazi zidlalela indima ebalulekile ekuxilongeni i-lupus:

• Ivivinyo le-anti-nuclear antibody (ANA), elibonakala liqinisile kubantu abaningi abane-lupus
• Ama-antibody e-anti-double-stranded DNA, aqinisekile kakhulu nge-lupus
• Ama-antibody e-anti-Smith, aqinisekile kakhulu kodwa atholakala kubantu abambalwa
• Amazinga e-complement (C3 ne-C4), avame ukuba aphansi ngesikhathi sesifo esisebenzayo
• Ukuhlonzwa okuphelele kwegazi ukuhlola ukungabikho kwamagazi noma inani elincane lamaseli amhlophe egazi

Ezinye izivivinyo zingafaka:

• Izivivinyo zomsebenzi wezinkalankala nokucubungula kwesisu
• Izibonakaliso zokuvuvukala njenge-ESR ne-CRP
• Ama-antibody e-anti-phospholipid uma ukuqina kwegazi kuyinkinga
• Ukukhipha amasampula ezihlukanisi, ikakhulukazi amasampula ezinkalankala uma kukhona ukubandakanyeka kwezinkalankala okucatshangelwayo

IKholeji yaseMelika ye-Rheumatology isethule izindinganiso zokusiza ekuqinisweni kokuxilongwa kwe-lupus. Awudingi ukuhlangabezana nazo zonke izindinganiso, kodwa ukuba neziningi kusikisela kakhulu i-lupus, ikakhulukazi uma kuhlanganiswa nezimpawu ezivamile.

Iyini Ukwelashwa kwe-Lupus?

Ukuphathwa kwe-lupus kugxila ekulawuleni ukuvuvukala, ukuvimbela ukonakala kwamalungu, nokuphatha izimpawu ukukusiza uphile ngokujwayelekile ngangokunokwenzeka. Uhlelo lwakho lokwelashwa luzokwenziwa ngokwezidingo zakho kuye ngokuthi yiziphi izingxenye zomzimba ezihlaselekile nokuthi isifo sakho sisebenza kangakanani.

Imithi iyisisekelo sokwelashwa kwe-lupus:

• Imithi ye-antimalarial efana ne-hydroxychloroquine yezimpawu ezilula nokuvimbela ukubhebhetheka
• I-corticosteroids yokulawula ukuvuvukala ngesikhathi sokubhebhetheka
• Abaphuli-mzimba njenge-methotrexate noma i-mycophenolate yesifo esinzima kakhulu
• Ama-Biologics afana ne-belimumab ezimweni ezinkulu ezingaphenduli kweminye imithi
• Ama-NSAIDs ubuhlungu bezingxenye zomzimba nokuvuvukala

Ukuphathwa kokubandakanyeka kwamalungu athile kungafaka:

• Abaphuli be-ACE noma ama-ARB ukuvikela izinkalankala
• Ama-anticoagulants uma unezinkinga zokugqwala kwegazi
• Imithi yokubamba ukuhlwitha uma kukhona ukubandakanyeka kwesistimu yezinzwa
• Ukuphathwa okuqondile kwezimpawu zesikhumba

Udokotela wakho uzokuqala ngokwelashwa okuthambile okusebenzayo, bese ulungisa imithi ngokuya ngendlela umzimba wakho obuyisayo kanye nanoma yiziphi izingozi ezihambisana nemithi. Ukulandelela njalo kuqinisekisa ukuthi ukwelashwa kwakho kuhlala kuphephile futhi kusebenza kahle.

Umgomo ukufinyelela ekuphumuleni, lapho umsebenzi wesifo wakho uphansi futhi ungaphila ngokujwayelekile ngemiphumela embalwa yemithi.

Indlela Yokwelapha Ekhaya Ngesikhathi Une-Lupus?

Ukuphatha i-lupus ekhaya kuhilela ukuguqula indlela yokuphila kanye namasu okunakekela okuzimele ahambisana nokwelashwa kwakho kwezokwelapha. Lezi zindlela zingasiza ekunciphiseni ukwanda kwesifo kanye nobunzima bawo ngenkathi zithuthukisa ikhwalithi yakho jikelele yokuphila.

Ukuvikelwa elangeni kubaluleke kakhulu ngoba ukukhanya kwe-UV kungabangela ukwanda kwe-lupus:

• Sebenzisa i-sunscreen ebanzi enesilinganiso se-SPF esingu-30 noma ngaphezulu nsuku zonke
• Gqoka izingubo ezivikela, iziqalo ezinobanzi, nezikhombisi zolanga
• Gwema amahora elanga aphezulu phakathi kwama-10 ekuseni na-4 ntambama
• Sebenzisa ifilimu yefasitela evikela i-UV emotweni yakho nasekhaya

Ukuphathwa kwengcindezi kudlala indima ebalulekile ekuvimbeni ukwanda kwesifo:

• Zama amasu okuphumula njengokuphefumula okujulile noma ukucamngca
• Gcina amashejuli okulala njalo futhi uqonde amahora angu-7-9 ebusuku
• Hlanganyela emisebenzini yokuzivocavoca elula njengokuhamba, ukubhukuda, noma i-yoga
• Cabanga ngokwelulekwa noma amaqembu asekelayo ukuze ubhekane nesifo esingapheli

Ukudla nokuhlengahlengisa indlela yokuphila kungasekele impilo yakho jikelele:

• Dla ukudla okuqondene okucebile nge-calcium ne-vitamin D ukuvikela amathambo
• Qinisekisa ukunciphisa ukudla kwesinkwa uma unezinkinga zezinso noma ukucindezeleka kwegazi eliphezulu
• Yekela ukubhema, ngoba kungenza izimpawu ze-lupus zibe zimbi futhi kuphazamise imithi
• Hlala ubuyekeza ngezinhlungu, ugweme izinhlungu eziphilayo

Landelela izimpawu zakho futhi ugcine idayari ebhala izici, izimpawu, kanye nemiphumela yemithi. Lolu lwazi lusiza iqembu lakho lokunakekelwa kwezempilo ukuthuthukisa uhlelo lwakho lokwelashwa.

Kufanele Uzilungiselele Kanjani Ukuya Kulodokotela?

Ukulungiselela kahle izikhathi zakho zokubona udokotela kuqinisekisa ukuthi uthola okuningi kakhulu ekuhambeleni kwakho futhi kusize iqembu lakho lokunakekelwa kwezempilo linikeze ukunakekelwa okuhle kunakho konke. Ukulungiselela okuhle kubaluleke kakhulu nge-lupus njengoba izimpawu zingaba yinkimbinkimbi futhi zihlukahlukene.

Ngaphambi kokubona udokotela, buza ulwazi olubalulekile:

• Bala zonke izimpawu ezikhona, lapho zaqala khona, nokuthi yini ezenza zibe ngcono noma zimbi
• Letha wonke amaphilisi, izithasiselo, namavithamini owawasebenzisa
• Buza noma yimiphi imiphumela yokuhlola yangaphambili noma amarekhodi ezempilo
• Bhala phansi imibuzo ofuna ukuyibuza
• Qaphela noma yimuphi umlando womndeni wezifo ezizimele

Gcina idayari yezimpawu amasonto ambalwa ngaphambi kokuvakashela kwakho:

• Izinga lokubaluleka kwansuku zonke lezimpawu
• Izici ezingaba khona ozibonayo
• Indlela izimpawu ezikuthinta ngayo imisebenzi yakho yansuku zonke
• Imiphumela emibi yemithi noma ukukhathazeka
• Izindlela zokulala namanqanaba kwamandla

Lungiselela imibuzo ethile mayelana nesimo sakho nokwelashwa kwakho:

• I-lupus yami isebenza kangakanani njengamanje?
• Ingabe kunanoma yiziphi izinkinga ezintsha engifanele ngiqaphele?
• Kufanele ngishintshe imithi yami noma indlela yami yokuphila?
• Kufanele ngihlele nini isikhathi sami esilandelayo sokubona udokotela?
• Ziziphi izimpawu ezidinga ukunakekelwa kwezokwelapha ngokushesha?

Cabanga ukuthi ulethe umngane othembekile noma ilungu lomndeni ukuze akusize ukukhumbula ulwazi olubalulekile futhi unikeze ukwesekwa ngokomzwelo ngesikhathi sokuvakashela.

Ukuvimbela i-Lupus Kungenzeka Kanjani?

Ngeshwa, ayikho indlela yokuvimbela i-lupus ukuthi ibe khona njengoba ivela ekuhlanganyeleni okunzima phakathi kwezinto zofuzo nezinto ezingaphandle. Kodwa-ke, uma une-lupus, ungathatha izinyathelo zokuvimbela ukubhebhetheka nokukhuluphala.

Nakuba ungakwazi ukuvimbela ukuqala kwe-lupus, unganciphisa ingozi yokubhebhetheka:

• Zivikele ekukhanyeni okukhulu kwelanga
• Lawula ukucindezeleka ngezindlela zokubhekana nezimo eziphilile
• Gcina impilo enhle ngokujima rhoqo nokudla okufanele
• Gwema ukubhema futhi ubeke umkhawulo ekusetshenzisweni kotshwala
• Thola ubuthongo obukhulu nokuphumula

Uma unemlando womndeni welupus noma ezinye izifo ezizimela ngokweqile, hlala uxwayile ngezimpawu ezingase zivele bese ufuna ukwelashwa kwezokwelapha uma kuvela izimpawu ezinkulu. Ukutholakala kwangaphambi kwesikhathi nokuphathwa kungavimbela izinkinga ezinzima.

Kubantu abasuke sebehlonishwa ngelupus, ukuvimbela izinkinga kuhilela:

• Ukuthatha imithi njengoba kulotshiwe njalo
• Ukuya emihlanganweni yokwelapha njalo
• Ukuqapha izimpawu ezintsha noma izinguquko
• Ukuhlala usesikhathini ngokunakekelwa okuvimbelayo njengokugoma nokulingwa

Ukugxila kuguquka ekuvinjelweni ukuya ekulawuleni uma selukhona ulupus, futhi ngokunakekelwa okuhle, abantu abaningi bangaphila impilo egcwele, esebenzayo.

Iyini i-Key Takeaway Mayelana neLupus?

ILupus iyisimo esiyinkimbinkimbi sezifo ezizimela ngokweqile esithinta wonke umuntu ngendlela ehlukile, kodwa lilawuleka ngokuphelele ngokunakekelwa kwezokwelapha okuhle nokwenza izinguquko ekuphileni. Nakuba ukuthola ukuxilongwa kwe-lupus kungase kuzwakale kukhulu, khumbula ukuthi ukwelashwa kuye kwaqhubeka kakhulu phakathi nezikhathi ezimbalwa ezedlule.

Into ebaluleke kakhulu okumele uyiqonde ukuthi ulupus iyisimo esingapheli esidinga ukulawulwa okuqhubekayo kunokwelashwa. Ngaphansi kwepulani yokwelashwa efanele, abantu abaningi abane-lupus bangaphila impilo evamile, egcwele ngaphandle kokulinganiselwa okuncane.

Impumelelo ekulawuleni i-lupus ivela ekwakheni ubudlelwano obuqinile neqembu lakho lokunakekelwa kwezempilo, ukuhlala uqine ngokwelashwa, nokwenza izinguquko ekuphileni ezisekela impilo yakho iyonke. Unganqikazi ukubuza imibuzo, ufuna ukwesekwa, futhi uzikhuthaze ngesikhathi sohambo lwakho lwempilo.

Khumbula ukuthi ukuba ne-lupus akuhlukumi ubuntu bakho. Uyaqhubeka uyingqayizivele onamaphupho, imigomo, namathalente afanayo. I-Lupus iyisici esisodwa sempilo yakho esidinga ukunakekelwa nokunakekelwa.

Imibuzo Evame Ukubuzwa Nge-Lupus

Ingabe i-lupus ingaphiliswa ngokuphelele?

Okwamanje, ayikho impilo ye-lupus, kodwa ingaphathwa kahle ngokwelashwa okufanele. Abantu abaningi bafinyelela ezikhathini ezinde zokukhululeka lapho banezimpawu ezincane futhi bephila ngokujwayelekile. Abacwaningi baqhubeka besebenza ezindleleni ezintsha zokwelapha ezingase ekugcineni ziholele ekwelapheni.

Ingabe i-lupus iyadluliseka noma iyefa?

I-Lupus ayidluliseki futhi ayikwazi ukudluliselwa komuntu komunye. Nakuba i-genetics idlala indima, i-lupus ayilithiwe ngokuqondile njengezinye izimo. Ukuba nelungu lomndeni eline-lupus kukwandisa ingozi yakho kancane, kodwa abantu abaningi abane-family history abazitholi le simo.

Ingabe abantu abane-lupus bangaba nabantwana ngokuphepha?

Abesifazane abaningi abane-lupus bangaba nokukhulelwa okuphumelelayo ngokuhlela okufanele nokunakekelwa kwezokwelapha. Kubalulekile ukusebenzisana eduze nodokotela wakho we-rheumatologist nodokotela wakho we-obstetrician ngaphambi nangesikhathi sokukhulelwa. Amanye ama-medication angadinga ukulungiswa, futhi ukuqapha okuqinile kudingeka ngokuvamile.

Ingabe i-lupus izoba mbi ngokuhamba kwesikhathi?

I-Lupus ibathinta bonke abantu ngokuhlukile. Abanye abantu bane-disease ephansi ehlala iqinile iminyaka eminingi, kanti abanye babhekana ne-disease esebenzayo ngokwengeziwe ngezikhathi zokukhanya nokukhululeka. Ngokwelashwa okufanele, abantu abaningi bathola ukuthi i-lupus yabo iba lula ngokuhamba kwesikhathi njengoba bafunda ukuqaphela izinto ezikhuthazayo nokusebenza neqembu labo lokukhathalela impilo.

Ingabe ukushintsha ukudla kungasiza ekulawuleni izimpawu ze-lupus?

Nakuba kungekho ukudla okuqondene ngokuqondile ‘ne-lupus’, ukudla okulinganiselayo, okulwa nokuvuvukala kungasekele impilo yonke futhi kungasiza abanye abantu bazizwe bekhulu. Gxila ezithelo, imifino, ukudla okugcwele, namaprotheni aphansi amafutha ngenkathi ugcina ukudla okuthuthukisiwe. Abanye abantu bathola ukuthi ukudla okuthile kubangela ukukhanya, ngakho ukugcina idayari yokudla kungasiza.