Ndezvipi kusiyana uye kufanana pakati pe lupus (systemic lupus erythematosus) uye MS (multiple sclerosis?) Uyu mubvunzo unokosha, kunyanya nyaya yakadai sokuti vamwe vanhu vane lupus havazivikanwi sevamwe vane MS uye zvakasiyana-siyana. Ngatitarisei kuti mamiriro aya akaenzana, uye kuti angave akasiyana sei kuitira kuti iwe nachiremba wako mugone kunyatsoongorora.
Lupus uye MS Basics
Lupus ( systemic lupus erythematosus ) uye MS ( multiple sclerosis ) inogona kufanana yakafanana munzira dzakawanda. Kutaura zvazviri, vanhu vangave nyore kunyatsorongedzwa sevamwe vane MS, apo vane chaizvo lupus.
Zvose mbiri lupus uye MS ndezvirwere zvisingaperi zvezvirwere . Kune zvipembenene zvine zana zvakasiyana-siyana, uye ine zviratidzo zvakawanda zvinoputika. Mune mamiriro ezvinhu aya, masimba ezvirwere -kunzvimbo yekurwisa muvengi anenge akadai mabhakitiriya kana mavairasi-anorwisa muviri wako pachako
Mu lupus, maitiro ezvirwere zvinogona kurwisa nhengo dzakasiyana-siyana mumuviri, kunyanya ganda, mafundo, itsvo, mwoyo, mapapu kana chirwere chetsitsi. (Kune vamwe vanhu, lupus inosanganisa ganda, chiitiko chinonzi discoid lupus erythematosus .)
Mune multiple sclerosis, maitiro emusununguko anorwisa zvakananga myelin sheath, mafuta anochengetedza mutsara muuropi uye musipinha. Iyo myelin sheath inogona kufungwa sezvaunogona kufungidzira chifukidziro chekunze chetambo yegetsi.
Apo myelin sheath inokuvadza, kuendesa kwemafungiro kubva muuropi kuenda mumuviri uye muviri kuuropi inogona kuchinjwa.
Zvakafanana
Lupus uye MS vane zvirwere zvakasiyana kwazvo, asi vane zvinhu zvakawanda zvakafanana:
- Izvo zvose zviri mamiriro ezviga.
- Hatizivi chaicho chinokonzera - Sezvo isu tisingazivi chikonzero chakajeka che lupus , hatina chokwadi nezvezvikonzera zve MS .
- Ndiro kliniki yekuongorora, kureva kuti hakuna tepi yepurojekiti kana kuti kuongorora imaging inogona kusimbisa kuongororwa kwechokwadi. Pane kudaro, kuongororwa kwe lupus kana MS kunotsvaga pane zvakaratidzwa zviratidzo, zviratidzo uye maitiro ekuraira asingagoni kutsanangurwa neumwe kuongororwa.
- Inobata vanhu vari muzera rimwe chete. Zvirwere zvose zvinowanzokonzera vakadzi vakawanda-vakadzi vaduku-kunyange zvazvo zvinokanganisa vamwe vanhu pamwe chete.
- Izvo zvose zviri kudzoka zvakare / kugadzirisa mamiriro ezvinhu. Zvose zviviri lupus uye MS zvinogona kutevera muenzaniso wekuregererwa uye kudzoka zvakare kunodzokorora (ivo vose vari kudzorerazve-kugadzirisa zvinetso .)
- Zvose zvinogona kukonzera uropi hutachiona hweMRI hwakafanana.
Kunyange zvazvo mishonga iyi ndiyo inonyanya kukosha yeMS, dzimwe nguva lupus inokanganisa nharo zvakare. - Zvose zviri zviviri zvinoita seine genetic element uye inogona kuitika mumhuri.
- Zvose zviri zviviri zvinowanzotaurwa zvisina kufanira pakutanga.
- Zvose izvi zvinowanzokonzera matambudziko nekuneta, kushaya musoro, kuoma kwemisimba, uye zvinetso zvepamusoro.
Kusiyana
Mukuwedzera kune kufanana, pane maitiro akasiyana-siyana anowanzowanika pakati pe lupus uye MS. Kusiyana uku kunokosha zvakanyanya sekurapa kwezvirwere izvi kazhinji zvakasiyana chaizvo. MS ndiyo chirwere chinonyanya kufanana neurological chinouraya vechidiki.
Inenge hafu yemapirus varwere vachave nehutachiona hwehutachiona hwehutano (uropi uye musipinha) zviratidzo. Asi, zvose zvazvo lupus uye MS zvinogona kukanganisa hutano hwemutambo, vanowanzoita nenzira dzakasiyana.
Kusiyana muzviratidzo
Kune dzimwe nguva kufanana pakati pe lupus uye MS maererano nezviratidzo; zvose zvirwere zvinowanzokonzera zviratidzo zvepfungwa zvinosanganisira zvinetso neyekuyeuka, kusuruvara uye kurwadziwa pamwe, uye kuneta. Asi pane kune kusiyana kwakasiyana. Muzhinji, kukanganisa kwomuviri kunowedzerwa ne lupus kupfuura MS.
Maererano neNational Multiple Sclerosis Society, zvinotevera zvinowanzoitika zve lupus pamusana wemagetsi hazviwanzoitiki kune vanhu vane MS:
- Migraine headaches
- Kuchinja munhu
- Kuchinja mukugadzirisa basa
- Kuora mwoyo kunotambudza
- Stroke
Zviratidzo zvinowanzozivikanwa zve lupus ndeyekushungurudza uye arthritis. Kusiyana neizvi, zvipfeko zvisingawanzove neMS uye zviratidzo zvinowanzosanganisira kuonekwa kaviri, kupera, kusungira, kana kushaya simba mune imwe yemigumo, uye zvinetso nekuenzanisa nekubatana.
Kusiyanisa muIra Laboratory Test
Antiphospholipid antibody test ndiyo imwe nzira iyo vanachiremba vanotanga kusiyanisa lupus kubva kuna MS.
Kunyange zvazvo antinuclear nyanzvi dzesimba dzingawanika kune vamwe vanhu vane MS, kuvapo kwavo hakusi kuwanzana kudarika ne lupus. Ne lupus, zvakajairika kuti urege kuva neinuclear antibodies ( ANA-negative lupus .)
Kazhinji, vanhu vane lupus vachave vachinyengera myelitis . Ichi chiitiko chinoratidzwa nemutsipa wepeminha kuputika uye kukanganisa ku myelin sheath. Iyo inomesa MS uye dzimwe nguva ndiyo chete lupus chiratidzo. Naizvozvo, inogona, kukanganisa kuongororwa. Zvidzidzo zvakawana kuti kuongorora antinuclear nyuchi uye anti-aquaporin-4 antibodies kungabatsira mukusiyanisa neuromyelitis optic mu lupus kubva multiple sclerosis.
Kusiyana kweMafungiro Okufungidzira
Muzhinji, uropi hweMRI hucharatidza zvimwe zvipembenene zvine MS ("mashizha matema uye mavara akajeka") asi dzimwe nguva zvipembenene zveuropi zvinowanikwa ne lupus kana MS zvinogona kusinganzwisisiki.
Kusiyanisa mune Zvirwere
Zvakakosha kuziva kusiyana pakati pe lupus neMS pavanenge vachiita kurapwa nokuti kurapwa kwemamiriro maviri aya kwakasiyana chaizvo.
Mishonga inowanzozivikanwa ye lupus inosanganisira kwete-steroidal anti-inflammatory drugs, steroids (corticosteroids) uye antimalaria zvinodhaka. Immunosuppressive drugs (DMARDS kana chirwere chinoshandisa anti-arthritis drugs) chinogona kushandiswa kune zvirwere zvakakomba, kunyanya izvo zvinokanganisa itsvo.
Kusiyana neizvi, mishonga inowanzoshandiswa kurapa MS inosanganisira interferons (yakadai seAvonex ). immunosuppressant drugs, uye immunomodulators.
Kusiyanisa muPrognosis
Pakati pe80 ne90 muzana yevanhu vane lupus vachararama hupenyu hwemazuva ose. Zviratidzo zve lupus zvakashanduka. Muna 1955 hafu yevanhu vaitarisirwa kurarama kwemakore mashanu. Iye zvino, 95 muzana yevanhu vari vapenyu mushure memakore gumi. Hupenyu hunotarisirwa nehuwandu hweMMS hunowanzopfuura makore manomwe shomanana kupfuura kune mumwe munhu asina MS, asi izvi zvinogona kusiyana zvikuru pakati pevanhu vakasiyana-siyana vane chirwere. Vamwe vanhu vane chirwere chinoshungurudza vanogona kufa mushure menguva shomanana nechirwere, asi vanhu vazhinji vanorarama hupenyu hwemazuva ose.
Chikonzero nei kuongororwa kwemajeri Dzimwe nguva Zvinoitika
Mukuwedzera kune zvinyorwa zvangu myelitis, iyo iyo lupus inogona kutevedzera MS (asi iyo inobatwa nenzira yakasiyana,) pane zvimwe zvakasiyana-siyana zvinowanikwa pakati pe lupus uye MS zvinogona kuita kuti pave nekusaziva:
- Zvirwere zvose zvirwere.
- Zvose izvi zvinobatsira vanhu vakafanana.
- Vose vari vaviri vanove nekudzoka-remitting course
- Vose vangave vane zviratidzo zvehutano.
- Zvose izvi zvinogona kuva nehutachiona.
Chii Chinoitika Nokusagona Kunetseka?
Sezvo mishonga yakasiyana-siyana inoshandiswa kurapa lupus uye MS, imwe yezvinetso nehuwandu hwekusaziva ndeyokuti hausi kuwana mishonga yakanakisisa yehosha yako. Asi izvi hazvisi zvose, semamwe mishonga yeMMS inogona kuita zvirwere zve lupus zvakanyanya.
Pasi Pasi
Kana wakamboonekwa kuti une lupus kana MS, kunyanya kana chirwere chako chinonzi "atypical," taura nechiremba wako. Bvunza pamusoro uye udzidze nezvehutano hwako. Kana iwe usinganzwisisi chimwe chinhu, bvunza zvakare. Iva nechokwadi chokuti uri kuona nyanzvi uyo ari nyanzvi yekurapa lupus kana MS. Dzidza nezvevanachiremba vanotarisira vanhu vane lupus uye vadzidzisi vanochengeta vanhu vane MS .
Iwe unogonawo kuda kuwana mhinduro yechipiri. Vamwe vanhu vari kunonoka kukumbira mutsva wechipiri, asi kwete chete izvo izvi hazvigumbidzi chiremba wako, zvinotarisirwa apo vanhu vari kutarisana nechirwere chakakomba.
Iwe unganzwa sokuti iwe uri woga wakatarisana nekutarisa kwako. Vanhu vazhinji vane MS vanozeza kutaura pamusoro pemamiriro avo evanhu, uye vanhu vane lupus vanowanzoona kuti vanhu vanotaura zvinhu zvinokuvadza pavanodzidza nezvechirwere chavo. Iko kusanzwisiswa kuduku pamusoro pe lupus kana MS muhuwandu hukuru maererano nezvimwe zvirwere zvakawanda. Zvizhinji zvezviratidzo hazvisi kuonekwa kune vamwe, zvichiita kuti "kutambura kwakanyarara."
Funga kubatana neboka rekutsigirwa kana sangano rekutsigira rekutsvaga. Iyi inogona kuva nzira yakanaka yekusangana nevamwe vanhu vari kurarama nemamwe matambudziko akafanana uye inowanzova nzira yakanakisisa yekudzidza zvakawanda nezvechirwere chako uye kutsvakurudza kwezvino.
> Sources:
> Karussis, D. Dambudziko re Multiple Sclerosis uye Dhiyabhorosi Dhiyabhorosi Kuongorora. Zvinyorwa zveAgmimunity . 2014. 48-49: 134-42.
> Magro, C., Cohen, D., Bollen, E. et al. Kuderedza Denda muSLE: Ndiyo Multiple Sclerosis kana Lupus ?. Maitiro Akanakisisa uye Ongororo. Clinical Rheumatology . 2013. 27 (3): 405-24.
> Jurynczyk, M., Craner, M., Palace, J. et al. Kuputika kweCSS Inflammatory Diseases: Kusiyanisa Zvinhu zveNMO uye MS. Nyaya yeNeurology, Neurosurgery, uye Psychiatry . 2015. 86 (1): 20-5.