Zvinhu zvitatu zvakakosha zvehurongwa hwemitsipa ndiwo hutachiona hwehutano (brain and spinal cord), chirwere chetachiona chepamusoro (mitezo uye nhengo), uye urongwa hwehutongi hwehutongi (hutonga, kuchengetedza homeostasis mumuviri). Nhengo ye lupus muhurumende yekutonga inoramba ichinyatsojeka.
Muchidimbu ichi, tichakurukura zvikuru pamusoro penheyo yenheyo uye dzimwe nzira dzokuti lupus inokanganisa urongwa.
The Central Nervous System
Migumisiro ye lupus pane inonzi nervous system yakakura. Lupus inogona kukonzera nhamba yepamusoro yenheyo yezvinetso, kusanganisira, asi isingatarisirwi, kusagadzikana kwepfungwa, kuparara, kurohwa, uye musoro. Izvi zvinetso zvingave zvakabatana nevasculopathy (chirwere chinosangana nemidziyo yeropa), autoantibodies, kukurumidza kurwara nehutachiona uye kupisa kwemakemikoro. Vachirwere veLupus vanogonawo kukura munharaunda yehutano system vasculitis.
Central nervous system vasculitis (CNS vasculitis) yakanyatsokonzerwa nekuputika kweuropi uye mutsara weropa remutsipa uye zvichida kunetseka kukuru kunobatanidza ne systemic lupus erythematosus (SLE). Kuitika kwaro sechirwere chepakutanga hakusi kudarika pane kuitika kwayo sechirwere chechipiri, sekune SLE.
Zviratidzo nezviratidzo zvepakati penheyo system vasculitis zvinosanganisira fever high, kugumburwa (imwe nguva kana kuti inopfuurira), psychosis, kuoma kwemutsipa, uye misoro yakanyanya isingagamuchirwi nehutano husingaperi.
Kushungurudzwa uye kurohwa kunogona kuitika zvakasununguka zvevasculitis uye zvingave zvakabatana ne autoantibodies inowedzera dambudziko rekurohwa.
CNS vasculitis yakaoma kuongorora uye dzimwe nguva inofungidzirwa kuongororwa kunouya kuburikidza nekuedza kweboka. Mune miedzo yakawanda, yakadai seCCT (computed tomography) inoongorora, MRIs (magnetic resonance imaging), uye sampuli yemasipinari inopa minyanya yakawanda kupfuura kugadzirisa kuongorora.
Iyi inorondedzero yakawanda kwazvo, asi kana yaonekwa, vanachiremba vanogona kubata chirwere chechokwadi cheCSS vasculitis kuburikidza nekubatanidzwa kwepamusoro maitiro e corticosteroids uye cyclophosphamide, yakapiwa muchipatara.
Inenge 10 muzana yevamwe varwere vese vane chirwere ichi vanogona kusangana nemhando iyi yevasculitis uye ndiyo chete nzira yepakati yehutachiona hwehutano inowanikwa muAmerican College yeRheumatology criteria yekutsanangura SLE.
Kuchenjerera Kusagadzikana
Lupus varwere vanogona, pane dzimwe nzvimbo muhupenyu hwavo, vanonzwa vakavhiringidzika, vane dambudziko kuzviratidza ivo pachavo, uye vanoona kuora kwekuyeuka, zvose zvinosangana nehosha yavo. Pamwechete, zviratidzo izvi nezviratidzo zvakanyorwa sekunzwisisa kusagadzikana . Chikonzero chavanobatanidzwa ne lupus hachizivikanwi.
Zviratidzo zvinosanganiswa nekusaziva kusagadzikana zvinowanzogadziriswa ne-antimalarials kana corticosteroids. Mamwe maitiro ekurapa anogonawo kubatsira.
Headache
Musoro unobatwa neyemapus unofanana nemigraines muhutano hwavo uye inowanzobatwa zvakafanana. Corticosteroids inogonawo kubatsira.
Fibromyalgia
Inofungidzirwa kuti vanenge 20 muzana yevaya vanotambura neSLE vanewo fibromyalgia, chirwere chinokonzera marwadzo emusana uye kuneta mune dzimwe nzvimbo dzomuviri, zvakadai sehuro, mapepa, kumashure, mahudyu, maoko, nemakumbo.
Vakatumidzwa kuti "tender points" nokuti vane tsitsi kune vanobata. Izvi zvinowanzobatwa nemishonga inorwadza uye chirwere chepanyama, asi zvinokonzerwa nemanzwiro ehutachiona zvinorapwa nehutachiona hwehutano nekupa mazano.
Zvaunoda Chiremba Wako Kuziva
Zvakakosha kurega chiremba wako achiziva kana uri kutambura chero zviratidzo kana zviratidzo zvinogona kuwirirana nehutachiona hurongwa. Chiremba wako achada kuziva chikonzero chaicho.
Anokwanisa kutarisa miedzo yakawanda, kusanganisira kuongorora muviri uye kuongorora kwebhishore, iyo inogona kusanganisira basa reropa uye urinalysis. Zviongorori zvakajeka pakugadzirisa uye kuona hutachiona hwehutachiona huri mu lupus dzinosanganisira:
- Sedimentation rate, nonspecific screening test iyo inoratidzika kuti inotarisa kukura kwei mumuviri.
- Chirwere cheAnA (antinuclear antibody), icho chinoratidza autoantibodies inorwisa muviri wezvimedu uye masero.
- Anti-DNA test, iyo inosimbisa kana kune ma antibodies ari kubudiswa kune mazita ekugadzira muchitokisi.
- Anti-ribosomal P zvirwere zvekuedza.
- Kuzadzikisa, kuongororwa kweropa kunokera basa revamwe mapuroteni muchikamu chemvura cheropa rako.
Chiremba wako anogonawo kutungamira mutsva wezviongorori zvepurojekiti yakadai seTCT, SPECT (isina imwe photon emission computed tomography) kana MRI inoongorora, electroencephalogram, spinal tap (kutarisa masero, mapuroteni, uye antineuronal antibodies), kana PET (positron emission tomography) scan.
Kurapa
Zvirwere zvakananga zvinoratidzwa pasi pezvikamu zviri pamusoro, asi zvinofanira kuonekwa kuti kupindura kune mumwe munhu kurapwa kunoita kuti gamut inoshamisa kubva pakupedzisira. Asi nokuda kwevakawanda, hurongwa hwekutya hune hutano hunozogadziriswa zvachose.
Sources:
> Nervous System. Lupus Foundation of America. January 2008.
> Chii chinonzi Vasculitis ?. National Heart, Lung uye Blood Institute. August 2006.
> Zvaunofanira Kuziva NezveKutya Kwemagetsi Zvinonzi Vasculitis. Cleveland Clinic. Dhipatimendi reRheumatic uye Immunologic Diseases. Gumiguru 2006.
> Zvinyorwa zvitsva nezveFibromyalgia. National Institute of Arthritis uye Musculoskeletal uye Skin Diseases.