Ukuvuvukala Kwempumputhe Yeqanda NgoLupus: Izimpawu, Izimbangela, Nokwelashwa

Ukuvuvukala kwempumputhe yeqanda ngoLupus kubangelwa yi-systemic lupus erythematosus (SLE), isifo sokuziphikisa komzimba lapho izingqondo zakho zokuzikhusela zihlasele izicubu eziphilile ngephutha. Lesi simo sithinta cishe ingxenye yabantu abane-lupus, okwenza kube omunye wemiphumela emibi kakhulu yesifo.

Uma i-lupus ithonya izinkalankala zakho, ingaphazamisa ikhono lazo lokuhlanza udoti noketshezi okungaphezulu egazini lakho. Izindaba ezinhle ukuthi ngokwelashwa okufanele nokubhekwa, abantu abaningi abane-lupus nephritis bangagcina umsebenzi omuhle wezinkalankala futhi baphile impilo egcwele, esebenzayo.

Ukuvuvukala Kwempumputhe Yeqanda NgoLupus Yini?

Ukuvuvukala kwempumputhe yeqanda ngoLupus kwenzeka lapho i-lupus ibangela izingqondo zakho zokuzikhusela ukuthi ziqhubekele ezinkalankaleni zakho. Izinkalankala zakho zinezinhlaka ezincane zokuhlanza ebizwa ngokuthi yi-glomeruli, ezihlanza igazi lakho ngokususa udoti namanzi engeziwe.

Ekubeni kukhona ukuvuvukala kwempumputhe yeqanda ngoLupus, ukuvuvukala konakalisa lezi zihlungi ezinhle. Lolu wonakalo lungaba luqobo olukhulu noma olukhulu, oluthonya ukuthi izinkalankala zakho zisebenza kangcono kangakanani. Cabanga ngakho njengesihlungi sekhofi esivalekile - uma singakwazi ukuhlunga kahle, izinto okufanele zihlale ngaphakathi noma ngaphandle ziba endaweni engafanele.

Lesi simo sithuthuka kancane ezimweni eziningi. Izinkalankala zakho yizitho eziqine kakhulu, ngakho izimpawu zingase zingabonakali kuze kube yilapho kunokulima okukhulu sekwenzeke. Kungakho ukubhekwa okuqhubekayo kubalulekile kubo bonke abane-lupus.

Ziyini Izimpawu Zokuvuvukala Kwempumputhe Yeqanda NgoLupus?

Ukuvuvukala kwempumputhe yeqanda ngoLupus okuqala kuvame ukungabangeli zimpawu nhlobo, kungakho ukuhlolwa okuqhubekayo komchamo negazi kubalulekile kubantu abane-lupus. Uma izimpawu zivele, zingase zihluke kakhulu kumuntu nomuntu.

Nazi izimpawu ezivame kakhulu okufanele uzibheke:

• Urin yobubende noma efinyelela (ebangelwa yi-protein ephuma emathunjini)
• Igazi emathunjini, eliwenza libe pinki, libomvu, noma libe mbala we-cola
• Ukukhula ebusweni, ezandleni, ezinyaweni, noma ezinzwini
• I-High blood pressure
• Ukukhula kwesisindo okungachazeki okuvela ekubambekeni kwamanzi
• Ukunciphisa ukukhishwa kwamathunjini noma ukushintsha ezigcawini zokukhishwa kwamathunjini
• Ukukhathala nobuthakathaka ngaphezu kwezimpawu ze-lupus ezijwayelekile

Abanye abantu nabo baye baba nezimpawu ezingavamile njengokuzwela kakhulu kwezinhlungu zikhanda, ukuphefumula kanzima, noma ukuphefumula. Lezi zingabonisa izinkinga zezinkalankala eziphambili noma izinkinga ezinjengokwakheka kwamanzi emaphashini.

Khumbula, ukuba nesimpawu esisodwa noma ezimbili akusikho isisho sokuthi une-lupus nephritis. Izimo eziningi zingabangela izimpawu ezifanayo, kungakho ukwelashwa kwemithi kufanele.

Imiphi Imikhakha Ye-Lupus Nephritis?

Odokotela bahlukanisa i-lupus nephritis zibe izigaba eziyisithupha ezahlukene ngokusekelwe ekulimala okukhulu kwesibindi esikhona nalapho kutholakala khona. Le nqubo yokwahlukanisa iyasisiza ukunquma indlela yokwelapha engcono kunoma ubani.

Izigaba ziya kusuka ekulimala okuncane (Isigaba I) kuya ekulimala okukhulu (Isigaba VI). Isigaba I sihilela ukulimala okuncane kakhulu kwesibindi, kuyilapho izigaba III ne-IV zimelela ukuvuvukala okukhulu okudinga ukwelashwa okuqinile. Isigaba V sihilela uhlobo oluthile lokulahleka kwe-protein, futhi isigaba VI sibonisa ukukhuluphala okuqhubekayo.

Udokotela wakho unquma isigaba nge-kidney biopsy, lapho izingcezu ezincane ze-kidney tissue ziphenyiwe ngaphansi komkhiqizo. Lokhu kungase kuzwakale kuyesabekayo, kodwa kuyindlela evamile enikeza ulwazi olubalulekile lokucwangcisa ukwelashwa kwakho.

Isigaba singashintsha ngokuhamba kwesikhathi, sibe ngcono ngokwelashwa noma siqhubeke uma singalawulwa kahle. Kungakho ukuvakasha okuqhubekayo nokuqapha kubalulekile kangaka.

Yini Ebanga I-Lupus Nephritis?

I-nephritis ye-lupus ithuthukela lapho inqubo efanayo ye-autoimmune ebangela i-lupus ihlose ngokukhethekile izinkalankala zakho. Isistimu yakho yokuzikhusela yenza ama-antibody okufanele akuvikele ekuthelelekeni, kodwa ku-lupus, la ma-antibody ahlasela ngephutha izicubu zakho.

Izici eziningi zisebenza ndawonye ukubangela lokhu kuhileleka kwesinye sezitho:

• Ama-immune complexes (ukuhlanganiswa kwama-antibody namanye amaprotheni) abanjwe ezihlanzini zezinso
• La ma-complexes abanjwe aqalisa ukuvuvukala ezicutini zezinso ezithambile
• Ukuvuvukala okuqhubekayo kulimala ikhono lesinye sezitho sokuhlanza igazi ngokufanele
• Izici ezithile ze-genetic zingenza abanye abantu babe sengozini enkulu yokubandakanyeka kwesinye sezitho
• Izici zezimo ezingaphandle njengezifo noma ukucindezeleka kungalimaza impendulo ye-autoimmune

Isizathu esiqondile sokuthi kungani abanye abantu abane-lupus bathuthukisa izinkinga zezinso kanti abanye abakwenzi akuqondakali ngokuphelele. Ucwaningo lubonisa ukuthi i-genetics, ama-hormones, nezici zezimo ezingaphandle konke kudlala indima ekuqondeni ukuthi ubani othuthukisa i-lupus nephritis.

Okwaziyo yikuthi i-lupus nephritis ayibangelwa yilutho oluwenzile okungalungile. Ayihlobene nokudla kwakho, izinqumo zokuphila, noma imikhuba yakho yomuntu siqu - kuyindlela nje kuphela Isistimu yakho yokuzikhusela ephendula ngayo ukuba ne-lupus.

Nini Okufanele Ubone Udokotela Nge-Lupus Nephritis?

Uma une-lupus, kufanele ubheke udokotela wakho ngokushesha uma uqaphela noma yiziphi izinguquko emathisini akho, ukuvuvukala, noma ukucindezeleka kwegazi. Ukutholakala kwangaphambi kwesikhathi nokuphathwa kungavimbela ukulimala okukhulu kwesinye sezitho futhi kulondoloze umsebenzi wesinye sezitho iminyaka eminingi ezayo.

Xhumana nodokotela wakho ngokushesha uma uhlangabezana nalokhu okulandelayo:

• Urin yomile, egazi, noma emnyama ngokungajwayelekile
• Ukukhula ngokuzumayo kobuso, izandla, izinyawo, noma isisu
• Ukuthola isisindo ngokushesha (amakhilogremu angaphezu kuka-2-3 ezinsukwini ezimbalwa)
• Izinhlungu ezinzima kakhulu zekhanda noma ukushintsha kokubona
• Ukuqina kokuphefumula noma ubuhlungu esifubeni
• Ukuphefumula, ukugabha, noma ukulahlekelwa ukudla
• Ukunciphisa ukuthamba noma ukuthamba okunzima

Ngisho noma uzizwa kahle, ukuhlolwa okujwayelekile ngegazi ne-urine kubalulekile. Udokotela wakho angathola izinkinga zezinso ekuqaleni ngaphambi kokuthi ubone noma yiziphi izimpawu. Ochwepheshe abaningi be-lupus bancoma ukuhlolwa kokusebenza kwezinso njalo ngenyanga ezingu-3-6, noma ngokuphindaphindiwe uma ungozini enkulu.

Ungalindi izimpawu zibe zimbi noma ubeka ithemba lokuthi ziyophela zodwa. I-Lupus nephritis iyakwazi ukwelashwa kakhulu uma itholakala ekuqaleni, futhi ukunakekelwa kwesikhathi esifanele kungenza umehluko omkhulu empilweni yakho yezinso isikhathi eside.

Iyini Izingozi Zokulimala Kwezinso Ze-Lupus Nephritis?

Nakuba noma ubani one-lupus angaba nokuhileleka kwezinso, izinto ezithile zikhuphula amathuba akho okuthola i-lupus nephritis. Ukuqonda lezi zinto ezingozini kungakusiza wena nodokotela wakho ukuthi niqaphele izimpawu zokuqala.

Izinto ezingozini ezibaluleke kakhulu zihlanganisa:

• Ukuxilongwa nge-lupus eneminyaka emincane (ngaphambi kweminyaka engu-30)
• Ukuba nezizwe ezithile (umdabu wase-Afrika-Amerika, iHispanic, i-Asia, noma i-Native American)
• Ukuba yindoda (nakuba i-lupus ivame kakhulu kwabesifazane, amadoda ane-lupus anamazinga aphezulu okuhileleka kwezinso)
• Ukuba nama-antibodies athile e-lupus afana nama-anti-dsDNA noma ama-anti-Sm antibodies
• Ukuhlushwa yizikhathi ezivamile ze-lupus noma ukuba nezimpawu ze-lupus ezinzima kakhulu
• Ukuba nomlando womndeni wesifo sezinso
• Ukuba nokucindezeleka kwegazi noma ushukela kanye ne-lupus

Amanye ama-risk factor angavamile afaka ukuguquguquka okukhethekile kwe-genetic okuthinta umsebenzi we-immune system. Ucwaningo selubonise ama-gene amaningana angase andise ubungozi bokuhlaselwa yi-lupus nezinhlungu zezinso.

Ukuba nama-risk factor akusho ukuthi uzohlaselwa yi-lupus nephritis. Abantu abaningi abanama-risk factor amaningi abanawo amaphuthumaki ezimpumputhe, kanti abanye abananoma yimaphi ama-risk factor abanawo lesi simo. Okubalulekile ukusebenzisana eduze neqembu lakho lezempilo ukuqapha umsebenzi wezinso zakho kungakhathaliseki izinga lakho lobungozi.

Ziyini Izingozi Ezingase Zenzeke NgeLupus Nephritis?

Uma i-lupus nephritis ingaphathwa kahle noma ingaqaphelwa, ingabangela ezinye izingozi ezinkulu. Izindaba ezinhle ukuthi iningi lalezi zingozi lingavikeleka noma liphathwe ngokunakekelwa okufanele kwezokwelapha nokwenza izinguquko ekuphileni.

Izingozi ezivame kakhulu zihlanganisa:

• Isifo sesinso esingapheli, lapho umsebenzi wesinso uyancipha kancane ngokuhamba kwesikhathi
• Uxinzelelo lwegazi oluphakeme oluyoba nzima ukulawula
• Ukulahlekelwa yi-protein okuholela ekukhulekeni nasekukhuleni komngcipheko wokutheleleka
• Isifo samathambo esivela ekungalingani kweziminerali okubangelwa ukungasebenzi kahle kwezinso
• Ukungcipha komngcipheko wesifo senhliziyo nesifo sobuchopho
• Ukungaphili kahle kokutheleleka ngenxa yemithi ye-immune system

Izingozi ezinkulu kodwa ezingavamile zingafaka ukuhluleka kwezinso okudinga i-dialysis noma ukuhlinzwa, ukugcinwa okukhulu kwamanzi okubangela izinkinga zokuphefumula, noma izifo zokugqwala kwegazi. Abanye abantu bangase baphuthume ngenxa yemithi esetshenziswa ukwelapha i-lupus nephritis, njengokwanda komngcipheko wokutheleleka noma ukuncipha kwamathambo.

Ubungozi bokuthuthukisa lezi zingozi buyahluka kakhulu kuye kokuthi lesi simo sibanjwe nini, ukuthi siphendula kanjani ekwelapheni, nokuthi ulandela kanjani uhlelo lwakho lokwelapha. Abantu abaningi abathola ukunakekelwa okufanele bangagwema izingozi ezinkulu futhi bagcine ikhwalithi enhle yokuphila.

Ukuvimbela Kanjani I-Lupus Nephritis?

Nakuba ungakwazi ukuvimbela ngokuphelele i-lupus nephritis uma usuvele une-lupus, ungathatha izinyathelo eziningi zokunciphisa ingozi yakho nokuyibamba ngokushesha uma isalaphazeka kakhulu. Ukuvimbela kugxila ekuqondiseni kahle i-lupus yakho yonke nokulandelela impilo yezinso zakho eduze.

Nazi izindlela zokuvikela ezisebenza kakhulu:

• Thatha imithi yakho ye-lupus ngokuqondile njengoba ilotshiwe, ngisho noma uzizwa uphilile
• Hamba kuyo yonke imiqhudelwano yezokwelapha ebhaliwe nezivivinyo zelebhu
• Qapha uxinzelelo lwakho lwegazi njalo bese ulugcina lulawulwa
• Gcina isisindo esinempilo futhi uzivoge njalo njengoba ubekezelela
• Landela ukudla okuhle kwezinso okune-salt encane nokudla okuqediwe
• Hlala uthambile kodwa ungagcini ukusetshenziswa kwamanzi uma unezinkinga zezinso
• Gwema imithi engalimaza izinso, njengezinye izilulu zokunciphisa ubuhlungu
• Lawula ukucindezeleka ngezindlela zokupumula, ukwelulekwa, noma amaqembu wokusekela
• Thola ukulala okwanele futhi ugweme izinto eziqala i-lupus uma kungenzeka

Ukusebenzisana eduze neqembu lakho lezeMpilo yindlela yakho engcono kakhulu yokulwa ne-lupus nephritis. Ukulandelela njalo kuvumela ukutholwa kwangaphambi kwesikhathi nokungenelela, okungavimbela noma kunciphisa ukonakala kwezinso. Udokotela wakho angakuncoma ukuhlola okuvamile uma unezici zengozi zokubandakanyeka kwezinso.

Khumbula ukuthi ukuvimbela i-lupus nephritis kuyimisebenzi yeqembu phakathi kwakho nabaphakeli bakho bezempilo. Ukuhlanganyela kwakho okusebenzayo ekunakekelweni kwakho kwenza umehluko omkhulu emiphumeleni yakho.

I-Lupus Nephritis Ihlonishwa Kanjani?

Ukuhlonishwa kwe-lupus nephritis kuhilela ukuhlolwa okuningi okusisiza udokotela wakho ukuthi aqonde ukuthi izinso zakho zisebenza kahle kangakanani nokuthi i-lupus iyazithinta yini. Inqubo iyaphelele kodwa ilula, futhi izinhlu eziningi zilula futhi azinabhlungu.

Udokotela wakho uzoqala ngezivivinyo eziyisisekelo ezingenziwa ngesikhathi sokuvakasha ehhovisi eliqondile:

• Izivivinyo ze-urine ukuhlola amaprotheni, igazi, noma amangqamuzana angavamile
• Izivivinyo zegazi zokuqapha ukusebenza kwesibindi kanye nomsebenzi we-lupus
• Ukuqapha ingcindezi legazi
• Ukuhlolwa komzimba ukuhlola ukukhula noma ezinye izimpawu

Uma lezi zihloko zokuqala zikhomba ukuhileleka kwesibindi, udokotela wakho angase akukhuthaze ukuhlolwa okuqhubekayo. Lokhu kungafaka ukuqoqwa kwe-urine yamahora angu-24 ukuqapha inani elikhulu lokwehluleka kwamaprotheni, izifundo zokubonisa njenge-ultrasound ukuhlola ubukhulu besibindi, noma izivivinyo zegazi ezikhethekile ukuhlola ama-antibodies athile e-lupus.

Ivivinyo eliqinisekile kunazo zonke yi-biopsy yesibindi, lapho isibonelo esincane sethishu yesibindi sisuswa futhi sihlolwe ngaphansi komkhiqizo. Le nqubo ivame ukwenziwa nge-anesthesia yendawo futhi ithatha cishe imizuzu engu-30. Nakuba kungase kuzwakale kuyesabekayo, kubhekwa njengokuphephile kakhulu futhi kunikeza ulwazi olubalulekile ngohlobo nobunzima bokulimala kwesibindi.

Udokotela wakho uzosebenzisa lonke lolu lwazi ndawonye ukuze aqinisekise ukuthi une-lupus nephritis, ukuthi yiliphi isigaba, nokuthi iyiphi indlela yokwelapha ezokusebenza kangcono kuwe.

Iyini Ukwelashwa kweLupus Nephritis?

Ukwelashwa kwe-lupus nephritis kugqamele ekunciphiseni ukuvuvukala, kulondoloze ukusebenza kwesibindi, futhi kuvimbele izinkinga zesikhathi eside. Uhlelo lwakho lokwelashwa luzokwenziwa ngokwezimo zakho, kubhekwe ubunzima besimo sakho nempilo yakho yonke.

Izinhlelo zokwelapha eziningi zifaka izigaba ezimbili: ukwelashwa kokungenisa ukulawula ukuvuvukala okusebenzayo, kanye nokwelashwa kokugcina ukuvimbela ukukhanya nokugcina ukusebenza kwesibindi isikhathi eside.

Imithi evamile esetshenziswa ekwelapheni ifaka:

• Imithi yokucindezela amasosha omzimba efana nemycophenolate noma icyclophosphamide ukuze kunciphisa umsebenzi wesimiso somzimba sokuvikela
• I-Corticosteroids ukulawula ngokushesha ukuvuvukala ngesikhathi se-flares
• Abaphikisi be-ACE noma i-ARB ukuvikela izinkulungwane futhi ulawule ukucindezeleka kwegazi
• Imithi yokulwa ne-malaria efana ne-hydroxychloroquine yokuphathwa okujwayelekile kwe-lupus
• I-Biologics efana nebelimumab kumacala anzima ukwelapha
• Izindlela ezintsha eziqondiswe ezikhombisa ithemba ekuhlolweni kwemithi

Udokotela wakho uzoqaphela nezinkinga ezihlobene njengokucindezeleka kwegazi okuphezulu, impilo yamathambo, nokuvimbela ukutheleleka. Izinhlelo zokwelapha zilungiswa ngokusekelwe ekuphenduleni kwakho kahle nanoma yiziphi izingozi ezingase uzibhekane nazo.

Umgomo ukufumana ibhalansi efanele yemithi elawula i-lupus nephritis yakho ngenkathi unciphise izingozi. Lokhu kuvame ukuthatha isikhathi esithile nokubekezela, kepha abantu abaningi bafumana uhlelo lokwelapha olusebenza kahle kubo.

Indlela Yokuthatha Ukwelashwa Ekhaya Ngesikhathi Se-Lupus Nephritis?

Ukuphatha i-lupus nephritis ekhaya kuhilela izinyathelo ezibalulekile ezingeza ekwelapheni kwakho kwezokwelapha. Lezi zindlela zokunakekela kwakho zingakusiza uzizwe kangcono, uvikele izinkinga, futhi usekele impilo yezinso zakho phakathi kokuvakashela udokotela.

Umkhuba wakho wansuku zonke kufanele ufake:

• Ukuthatha imithi ngokuqondile njengoba kulotshwe, ngisho noma uzizwa kahle
• Ukuqapha isisindo sakho nsuku zonke ukuze ubone ukugcinwa kwamanzi ngokushesha
• Hlola ukucindezeleka kwegazi kwakho njalo uma une-monitor ekhaya
• Kulandela ukudla okuhle kwezinso nge-sodium encane nokudla okucutshunguliwe
• Hlala uthambile kepha ulandela noma yikuphi ukulinganiselwa kwamanzi udokotela wakho akuphakamisa
• Ukuthola ukuphumula okwanele nokulawula ukucindezeleka ngokuphumelelayo
• Ukuqeda imithi yokunciphisa ubuhlungu engaphezulu kokuthengiswa engenakulimaza izinkulungwane

Qaphela umzimba wakho futhi ugcine ulandelela noma yikuphi ukushintsha kwezimpawu. Iphepha lokuqopha imihla ngemihla yesisindo sakho, ukucindezeleka kwegazi, nokuthi uzizwa kanjani kungakusiza wena nodokotela wakho ukuthi nibone izinkinga ngokushesha. Abantu abaningi bathola ukuthi izinhlelo zokusebenza ze-smartphone ziwusizo ekulandeleleni lezi zingqamuzana.

Ungangabazi ukuthintana neqembu lakho lokunakekelwa kwezempilo uma ubona izimpawu ezintsha noma uma izimpawu ezikhona ziyaqina. Ukungenelela kwangaphambi kwesikhathi kuvame ukuvimbela izinkinga ezincane ezingaba yizinkinga ezinkulu.

Khumbula ukuthi ukuphathwa ekhaya kusebenza kangcono uma kuhlanganiswe nokunakekelwa okunjalo kwezokwelapha. Imizamo yakho yokunakekela kwakho iyisigaba esibalulekile sokwelashwa kwakho, kodwa ayisiyisihlunu sokuthi udinga ukwelashwa nokulandelelwa kwezokwelapha ochwepheshe.

Kufanele Uzilungiselele Kanjani Ukuya Ubone Udokotela Wakho?

Ukulungiselela ukuya kubona udokotela wakho kungakusiza ukuthi uthole okuningi kakhulu ekuhambeleni kwakho futhi kuqinisekise ukuthi konke ukukhathazeka kwakho kuqondwe. Ukuzilungiselela kancane kuhamba ibanga elide ekusizeni iqembu lakho lokunakekelwa kwezempilo ukunikeza ukunakekelwa okuhle kakhulu.

Ngaphambi kokubona udokotela, butha ulwazi olubalulekile:

• Bhala zonke izimpawu ozibonile kusukela ekuhambeleni kwakho kokugcina
• Bala wonke amaphilisi owathatha, kufaka phakathi imithamo nesikhathi
• Qaphela noma yikuphi ukushintsha endleleni yakho yansuku zonke, ukudla, noma amazinga engcindezi
• Lungiselela imibuzo mayelana nokwelashwa kwakho noma ukukhathazeka ngemiphumela emibi
• Letha ama-log akho okuqapha ekhaya (isisindo, ukucindezeleka kwegazi, izimpawu)
• Buyekeza umlando wakho wezokwelapha nganoma yiziphi izinkinga ezintsha zezempilo

Phakathi kokubona udokotela, ungangabazi ukubuza imibuzo noma ucele incazelo mayelana nanoma yini ongayiqondi. Kuwusizo ukuletha ilungu lomndeni noma umngani ongakusiza ukukhumbula ulwazi olubalulekile oluxoxwe ngalo ngesikhathi sokuhambela.

Qiniseka ukuthi uyayiqonda uhlelo lwakho lokwelashwa ngaphambi kokushiya. Buza ngesikhathi sokusebenzisa imithi, imiphumela emibi okufanele uyilinde, nesikhathi sokubiza ihhovisi uma unezinkinga. Uma uqala imithi emisha, buza ngokusebenzisana okungenzeka nemithi yakho yamanje.

Hlela i-aphoyintimenti yakho elandelayo ngaphambi kokushiya, futhi uqiniseke ukuthi uyayiqonda ukuhlolwa noma ukulandelela okuzodingeka ngaphambi kwalokho. Lokhu kusiza ukuqinisekisa ukuqhubeka kokunakekelwa nokuvimba izingxenyana ekwelapheni kwakho.

Iyini Iphuzu Eliyinhloko Mayelana Ne-Lupus Nephritis?

I-Lupus nephritis yinkinga enzima kodwa ephatheka kahle ye-lupus eithinta cishe ingxenye yabantu abanesifo. Into ebaluleke kakhulu okumele uyikhumbule ukuthi ukutholakala kwangaphambi kwesikhathi nokuphathwa okuhle kungagcina umsebenzi wezinso zakho futhi kukusize ukuphila impilo egcwele, esebenzayo.

Ukuhlanganyela kwakho okusebenzayo ekunakekelweni kwakho kwenza umehluko omkhulu emiphumeleni yakho. Lokhu kusho ukuthatha imithi njengoba kuqokiwe, ukuya ezivivinyweni njalo, ukulandelela izimpawu zakho, nokugcina imikhuba yempilo enempilo. Ngenkathi i-lupus nephritis idinga ukunakekelwa okuqhubekayo, abantu abaningi bayiphatha ngempumelelo iminyaka eminingi.

Ikamu lokwelapha i-lupus nephritis liyaqhubeka nokuthuthuka, ngemithi emisha nezindlela zokwelapha ezinikeza ithemba lemibono engcono nakakhulu. Ukusebenzisana eduze neqembu lakho lokukhathalela impilo nokugcina ukuzimisela ehlelweni lakho lokwelapha kukunika ithuba elihle kakhulu lempilo enhle yesikhathi eside yezinso.

Khumbula ukuthi ukuba ne-lupus nephritis akuchazi wena noma akulinganiselani lokho ongakukwazi ukukufinyelela. Ngokuphathwa okuhle, ungaqhubeka uphishekela imigomo yakho, ugcine ubudlelwano, futhi ujabulele imisebenzi ebaluleke kakhulu kuwe.

Imibuzo Evame Ukubuzwa Mayelana Ne-Lupus Nephritis

Ingakwelashwa ngokuphelele yini i-lupus nephritis?

Ukuvuvukala kwezinso okubangelwa yi-lupus akunakwelashwa, kodwa kuvame ukunqunywa ngempumelelo ngokwelashwa okuhle. Abantu abaningi bafinyelela ekuphumuleni, lapho umsebenzi wabo wezinso uzinzile futhi izimpawu ziyaphela. Umgomo wokwelashwa ukunciphisa ukulimala kwezinso nokugcina umsebenzi omuhle wezinso isikhathi eside.

Ngokuthuthuka kokwelashwa, abantu abaningi abane-lupus nephritis baphila isikhathi eside esijwayelekile ngekhwalithi yokuphila enhle. Ukwelashwa kwasekuqaleni nokuphathwa okuqhubekayo kuyisihluthulelo sokufeza imiphumela emihle kakhulu.

Ngizodinga ukususwa kwegazi uma ngine-lupus nephritis?

Abantu abaningi abane-lupus nephritis abadingi ukususwa kwegazi. Cishe kuphela u-10-30% wabantu abane-lupus nephritis ekugcineni bathuthukisa ukwehluleka kwezinso okudinga ukususwa kwegazi noma ukuhlinzwa, futhi le ngozi iye yancipha kakhulu ngokwelashwa kwamanje.

Amathuba okudinga ukususwa kwegazi axhomeke ezintweni ezifana nokuthi isimo sibanjwe nini, ukuthi siphendula kanjani ekwelapheni, nokuthi ulandela kanjani uhlelo lwakho lokwelashwa. Ukuqapha njalo nokwelashwa okuhle kunciphise kakhulu le ngozi.

Ngingakhulelwa yini uma ngine-lupus nephritis?

Abesifazane abaningi abane-lupus nephritis bangaba nokukhulelwa okuphumelelayo, kodwa kudinga ukuhlelwa ngokucophelela nokunakekelwa kwezokwelapha okukhethekile. Umsebenzi wakho wezinso, umsebenzi we-lupus, kanye nezinambuzane zonke kufanele zithuthukiswe ngaphambi kokukhulelwa.

Uzodinga ukusebenza nomkhetheli wakho we-lupus nomkhetheli wokukhulelwa okungozini enkulu. Amanye amaphilisi kufanele ashintshwe abe yizinye eziphephile ekukhulelweni, futhi uzodinga ukuqapha okuvamile phakathi kokukhulelwa. Ukuhlela kusengaphambili kukunika ithuba elihle lokukhulelwa okunempilo nengane enempilo.

Kufanele ngihlolwe kaningi kangakanani izinswo zami?

Uma une-lupus, kufanele ube nezivivinyo zomsebenzi wezinso okungenani izikhathi ezingu-3-6 ngenyanga, ngisho noma uzizwa kahle. Lokhu kuhlanganisa ukuhlolwa kwegazi ukuhlola umsebenzi wezinso kanye nokuhlolwa komchamo ukubheka iprotheni noma igazi.

Uma usuvele unoluphus nephritis, kungase kudingeke ukuhlolwa njalo, ikakhulukazi uma uqala ukwelashwa okusha noma uma isimo sakho singalawulwa kahle. Udokotela wakho uzoqonda isimiso sokugcina sokulandelela esifanele isimo sakho.

Kufanele ngigweme ukudla luni ngoluphus nephritis?

Ukudla okuhle emphefumulweni kuvame ukulinganisela i-sodium, ukudla okucutshungulwayo, neprotheni eningi. Kufanele unciphise ukudla kwesinkwa ukuze ulawule ukucindezeleka kwegazi nokuvalela amanzi. Linganisela ukudla okunama-phosphorus nama-potassium amaningi uma umsebenzi wemphefumulo wakho unciphile kakhulu.

Kodwa-ke, ukulinganiselwa kokudla kuyahluka kakhulu kuye ngomsebenzi wemphefumulo yakho nempilo yakho iyonke. Sebenza nodokotela wakho noma umqeqeshi wokudla obhalisiwe ukuze uthuthukise uhlelo lokudla oluhambisana nezidingo zakho ngenkathi lusajabulisa futhi luhlala njalo.