Abubuwa guda uku na tsarin tausayi shine tsarin tsakiya na tsakiya (kwakwalwa da kashin baya), tsarin jiki na jiki (ƙwayoyin jiki da gabobin jiki), da tsarin kulawa na jiki (tsarin sarrafawa, rike homeostasis a jiki). Matsayin lupus a cikin tsarin kulawa na kwakwalwa ba ya da kyau.
A cikin wannan bayyani, zamu mayar da hankali ga tsarin kulawa ta tsakiya da wasu hanyoyin da Lupus ke shafar tsarin.
Tsarin Tsakiyar Tsakiya
Hanyoyin lupus akan tsarin kulawa na tsakiya suna da yawa. Lupus zai iya haifar da ƙananan matsalolin tsarin kulawa, ciki har da, amma ba'a iyakance su ba, rashin tausayi, haɗari, bugun jini, da ciwon kai. Wadannan matsalolin na iya kasancewa da alaka da cututtuka (cututtuka da ke shafi jini), autoantibodies, cutar ciwon zuciya da ƙwayoyin ƙwayoyin cuta. Lupus marasa lafiya na iya haifar da ciwon zuciya na tsohuwar jiki.
Tsarin tsakiya na juyayi (CNS vascularitis) yana da ƙananan ƙumburi da kwakwalwa na jini da kuma ƙwayar jini wanda yake da alaka da tsarin lupus erythematosus (SLE). Abinda yake faruwa a matsayin cuta ta farko shi ne mafi muni fiye da abin da ya faru a matsayin cuta na biyu, kamar yadda yake tare da SLE.
Alamun da alamun bayyanar cututtukan kwayoyin halitta sun hada da mummunan furuci, tsunduma (lokaci daya ko tsauri), rashin tausayi, ƙwanƙun wuyan wuyansa, da ciwon kai mai tsanani waɗanda basu da karfin magani.
Rigakafi da ƙwaƙwalwa na iya faruwa ba tare da yaduwar cutar ba, kuma yana iya alaka da autoantibodies wanda zai kara yawan hadarin bugun jini.
Cibiyar ta CNS na da wuya a gano asali kuma a wasu lokuta ana ganin wani ƙwarewar da ta zo ta hanyar kokarin tawagar. Yawancin gwaje-gwajen, irin su CT (ƙididdigar rubutun kwaikwayon) sune, MRIs (hotunan haɓakaccen haske), kuma samfurori na ƙwayoyi na asali suna bada alamomi fiye da ƙayyade ganewar asali.
Wannan cikakkiyar bayanin ne, amma da zarar an bincikar da su, likitoci na iya magance gaskiyar CNS ta hanyar haɗuwa da ƙwayoyin corticosteroids da cyclophosphamide, waɗanda aka ba su a asibiti.
Kusan kashi 10 cikin 100 na marasa lafiya Lupus zasu iya fuskantar wannan nau'i na wariyar launin fata kuma shine kawai nau'in tsarin cuta na tsakiya wanda ya kunshi Kwalejin Kwalejin Rheumatology na Amirka don fassara SLE.
Dysfunction Masani
Lupus marasa lafiya na iya, a wasu lokuta a rayuwarsu, suna jin damuwa, suna da wahalar bayyana kansu, da kuma gano wasu rashin kwakwalwa, duk abin da ke cikin cutar. Gaba ɗaya, waɗannan alamomi da alamun bayyanar suna dauke da su a matsayin ƙyama . Dalilin da suke hade da lupus ba a sani ba.
Kwayar cututtukan da ke hade da dysfunction na yau da kullum ana gudanar da su tare da antimalarials ko corticosteroids. Wasu farfadowa na hali na iya tabbatar da amfani.
Ciwon kai
Ciwon kai da ke hade da lupus suna kama da migraines a cikin tsanani kuma yawanci ana bi da su. Corticosteroids na iya zama taimako.
Fibromyalgia
An kiyasta cewa kimanin kashi 20 cikin dari na waɗanda ke fama da SLE suna da fibromyalgia, wani cuta da ke haifar da ciwon tsoka da gajiya a wasu sassan jiki, irin su wuyansa, kafadu, baya, hips, makamai, da kafafu.
An kira su "ma'ana" saboda suna jin daɗin tabawa. Ana shawo kan wannan lokacin tare da magungunan ciwon magunguna da farfasa jiki, yayin da ake magance matsalolin motsin cutar tare da antidepressants da shawara.
Abin da Dokokinku ke so su sani
Yana da muhimmanci a sanar da likitan ku idan kuna shan wahala daga kowace alamu ko alamun bayyanar da za a iya hade da tsarin mai juyayi. Dandanku zai so ya ƙayyade ainihin dalilin.
Zai iya gudanar da gwaje-gwajen da dama, ciki har da nazarin jiki da kuma gwajin gwaje-gwajen, wanda zai iya haɗawa da aikin jini da kuma aikin gaggawa. Ganin ƙayyadaddun ga ƙayyade da kuma gano tsarin shigar da hankali a cikin lupus sun hada da:
- Ƙimar ƙwaƙwalwa, gwajin gwajin da ba a gane ba wanda ya nuna cewa ƙima yana cikin jiki.
- ANA (gwagwarmaya ta maganin antineal antibody), wanda ke nuna autoantibodies da ke kaiwa ga kayan jikin mutum da sel.
- Nazarin anti-DNA, wanda ya tabbatar da cewa akwai kwayoyin da ake samarwa ga kwayoyin halitta a tantanin halitta.
- Anti-ribosomal P gwajin gwaji.
- Ƙarin, gwajin jini wanda yayi la'akari da aikin wasu sunadarai a cikin ɓangaren ruwa na jininka.
Kwararku zai iya gudanar da jerin gwaje-gwajen neurology kamar CT, SPECT (simintin ƙwayar photon da aka ƙaddara) ko MRI scanner, electroencephalogram, katakon murji (don bincika kwayoyin halitta, hadewar sinadaran, da kuma maganin antineuronal), ko PET tomography) scan.
Jiyya
Ana lura da maganganun musamman a ƙarƙashin ƙididdiga a sama, amma ya kamata a lura cewa amsawa ga mutum yana kula da gamuwa daga wasan kwaikwayo a hankali. Amma ga mafi yawan, shinge tsarin tsarin shine gaba ɗaya.
Sources:
> Tsarin Sashin. Lupus Foundation of America. Janairu 2008.
> Menene Vasculitis ?. Cibiyar Zuciya ta Duniya, Lung da Blood. Agusta 2006.
> Abin da Kayi Bukatar Sanin Game da Tsarin Tsakanin Tsarin Tsakanin Tsarin Kwayoyin Vasculitis. Cleveland Clinic. Ma'aikatar Rheumatic da Cututtuka na Immunologic. Oktoba 2006.
> Sanin Fax game da Fibromyalgia. Cibiyar Nazarin Arthritis da Kwayoyin Kwayoyin cuta da Bidiyo.