Maitiro Ekuti Lupus Inozivikanwa Sei?

Kuongorora zvirwere kunogona kuva basa rakaoma. Zviratidzo zvinogona kutevera maitiro akaoma, zvingave zvinyoro kana zvakanyanya, uye zvinopindirana nezvimwe zvezvimwe zvinetso zveutano. Pamwe nehuwandu hwezvokurapa, vanachiremba vanoshandisa nguva yekuongorora uye yekuongorora mazano, uye zvichida kunyange kutengesa maitiro seMRI kana ultrasound, kusvika pakuguma.

Izvi zvinogona kushandiswa zvakanyanya kufambisa kunze kwe lupus sokuratidza chirwere chacho.

Vanachiremba vanotarisa zviratidzo mune imwe yehutano hwemutumbi wako, zvakadai seitsvo uye ganda, semapirus chirwere che systemic. Zvinosuruvarisa, vamwe vanhu vanotambura kwemwedzi kana makore asati kufungidzirwa kwaitwa pakupedzisira.

Pane zvinhu zvakawanda zvinogona kukonzera lupus diagnosis. Mukuru pakati pavo ndeyekuti lupus haisi chirwere chimwe chete asi yakawanda ye subtypes, imwe neimwe ine zvikonzero zvayo uye zviito. Zvinetso zvakawanda zvinotarisana navanachiremba zvinosanganisira:

• Ikoko hakuna mvumo yakawanda inogamuchirwa (mitemo) yekuongororwa
• Lupus chiitiko chekudzoka-kugadzirisa , zvinoreva kuti zviratidzo zvinogona kuuya nekuenda. Kusvikira purogiramu ichizivikanwa, chirwere chinogona kuitika chisingazivikanwi.
• Hapana kuongororwa kumwe kweropa kunogona kushandiswa pachako kuita kuti kuongororwa.
• Lupus "mamiriro echando", zvichireva kuti kunyange kana vanhu vaviri vane ruvara rumwechete, zviratidzo zvavo zvinogona kunge zvakasiyana zvachose.

• Lupus isiri mamiriro ezvinhu asingawanzoiti uye, semugumisiro, vanachiremba vokutanga vanogona kutarisa kana kusava nezviratidzo.

Labs uye Miedzo

Izvi ndezvimwe zvezviongorori zvekuongororwa, dzakawanda zveongororo yekuongorora, kuti vashandi vezvehutano vanoshandisa pamwe chete nedzimwe mimwe miedzo kuti vabatsire kubatanidza puzzles.

Complete Blood Count (CBC)

Izvo zvakakwana zvekuverenga ropa (CBC) yekuongorora kuongorora kune maitiro akawanda, uye inokwanisa kubatsira kuziva zvirwere zvakasiyana-siyana. Chiremba wako angangotanga nemuedzo uyu.

Muchirevo chayo chakareruka, CBC inoshandiswa kuyera tsvuku uye nyeupa yeropa rekuverenga, huwandu hweHemoglobin muropa, hematocrit (chiyero cheropa chinoumbwa nemasero matsvuku eropa), uye inoreva chimiro chechirwere (ukuru hweropa rvuku masero). ICBC inogonawo kuwedzera mamwe masero eropa semasitrophils, eosinophils, basophils, lymphocytes, monocytes, uye maplatelets.

A CBC ine nhamba dzakasiyana-siyana dzekuongorora ropa uye inowanzoshandiswa sechinhu chakareba chekuongorora. Miedzo inogadzira CBC inosanganisira:

• Sero rekuyera ropa (WBC): Merozi matsvuku eropa anobatsira muviri wako mukurwisa zvirwere uye unogona kuratidza kana une utachiona zvakare. Uyu muedzo unoyera nhamba yemasero machena eropa rako. Mamwe akawanda kana mashoma masero machena eropa anogona kuva chiratidzo chekurwara.
• Kusiyana kwemajeri eropa rega: Izvi zvinomirira mhando dzakasiyana dzemasero machena eropa.
• Ropa tsvuku yeropa (RBC) : Izvi zvinoyera nhamba yemasero matsvuku eropa aripo. Masero matsvuku eropa ane hemoglobin uye anoshanda sevatakuri vemhepo. Sezvo nemasero machena eropa, zvose zvinowedzera uye zvinoderera nhamba zvinogona kukosha.

• Red cell cell distribution width: Izvi zvinoyera kuchinja kwehukuru hwemasero matsvuku eropa.
• Hemoglobin: Hemoglobin ipuroteni mumasero matsvuku eropa anotakura oksijeni. Izvi zvinotarisa kuti yakawanda yeiyo proteinini inotakura okisijeni iri muropa.
• Izvozvo zvinokonzera hemoglobin : Izvi zvinoudza kuti hemoglobin yakawanda iri mune imwe tsvuku yeropa.
• Izvozvo zvinonzi corpuscular hemoglobin concentration: Izvi zvinoyera mavhareji mazana ehemoglobin mukati memusero weropa tsvuku.
• Hematocrit: Izvi zvinoyera kuti chikamu cheiyo ropa rinoumbwa nemasero matsvuku eropa (kusiyana nemaplasma, chikamu cheropa).
• Platelet count: Iyi ndiyo nhamba yemaplatelet muropa. Platelets ndiwo rudzi rwechizipa cheropa iro rinodzivirira kubuda ropa nekugadzira zvivharo.

• Pakati peplatelet volume: Izvi zvinoyera uswa hweplatelet uye zvinokwanisa kupa ruzivo pamusoro pekuita mapeletlet mumapfupa ako.

Migumisiro inobva kuCBC inogona kubatsira kuona zvinetso zvakadai sekupera mvura kana kurasikirwa kweropa, kusagadzikana mukutengesa kwemasero eropa uye mararamiro eupenyu, pamwe nehutachiwana kana hutachiona hwehutachiona, hutachiona, uye zvinetso neropa rekuvhara ropa. Mimwe migumisiro inogona kuratidza maitiro akasiyana-siyana ekushaya ropa.

Kana chiremba wako achifungidzira iwe une lupus, iye kana achangotarisa paRBC yako uye WBC nhamba. Low RBC nhamba inowanzoonekwa muzvirwere zvakadai se lupus. Zvisinei, pasi reRBC nhamba dzinogonawo kuratidzira kurasikirwa kweropa, kusakatika kwemafupa, chirwere chepfungwa, hemolysis (RBC kuparadzwa), houkemia, kusagadzikana, nezvimwewo. Low WBC inoratidzira inogona kureva ku lupus pamwe nekushaya simba kwemapfupa uye chiropa uye chirwere chepleen.

Kana iyo CBC yako ichidzoka nehuwandu hweRBCs kana hematocrit yakakwirira, inogona kuratidza zvimwe zvinhu zvinosanganisira zvirwere zvemapapu, zvirwere zveropa, kushaya mvura, zvirwere zvepfungwa, chirwere chemwoyo chepenital, uye mamwe matambudziko emwoyo. High WBCs, inonzi leukocytosis, inogona kuratidza chirwere chinotapukira, chirwere chinopisa, chirwere chinokonzerwa neukemia, kushushikana, nezvimwewo.

Kunyange zvazvo ruzivo urwu runogona kukubatsira kugadzirisa basa rako rebasa, ramba uchitaura nachiremba wako kana ukawana zviratidzo zvisina kuchena zvekuongorora ropa. Kuongororwa ropa kunongova chikamu chimwe chekuita kuongororwa kwe lupus.

Erythrocyte Sedimentation Rate

Chiyero che erythrocyte sedimentation (ESR) chiratidzo chekuongorora ropa chinoshambadza kuputika mumuviri wako uye chinoshandiswa kubatsira kuongorora mamiriro ezvinhu anokonzerwa nekuputika uye kusingaperi, kusanganisira lupus. Inowanzoshandiswa pamwe chete nedzimwe mimwe miedzo, sezvo muedzo wacho pachawo usingaoneki. Mune mamwe mazwi, inogona kuwedzera kuwedzera mukuputika, asi haisi kureva kuti kuputika chii kana kuti kunongedzera kune chimwe chirwere. Mamwe mamiriro ezvinhu anogona kukanganisa migumisiro yemuedzo zvakare. Chiyero ndechimwe chinowanzotungamirirwa kanoverengeka pane imwe nguva yekuyera kuchinja mukuputika.

Kuchinja kweEst kwenguva kunogona kubatsira kutungamirira nyanzvi yehutano kune chinogona kuongororwa. Nenzira yakakwirira ESR inoitika nekuputika, asiwo nehutachiona, utachiona, pamuviri, uye kukwegura. I-ESR yakanyanya kwazvo ine chikonzero chakajeka, zvakadai sekuwedzera kwechirwere che globulins chinogona kuva nekuda kwehutachiona hwakanyanya. Kuwedzera kwe ESR kunogona kureva kuwedzera kwekuvhiringidza kana kupindura mashoma kune kurapa. Kura kwe ESR kunogona kureva kupindura kwakanaka, kunyange uchiyeuka mupfungwa kuti pasi re ESR rinogona kuratidza zvirwere zvakadai se polycythemia , zvakanyanya leukocytosis, uye mapuroteni asina kunaka.

Urinalysis

Iyi kuongorora kuongorora kunoshandiswa kuongorora zvinhu kana masero emunharaunda mumugero unosangana nezvinetso zvemagetsi uye zvepfungwa. Iko kuongororwa, uye vanachiremba vanoshandisa iyo kuti vaone kusagadzikana kunowanzoonekwa pamberi pevarwere vachifungidzira dambudziko. Kune avo vane maitiro akaoma kana asingagumi, nguva dzose urinalysis inogona kubatsira kutarisa nhengo yebasa, chimiro, uye kupindura kurapwa. Nhamba yakakwirira yemasero matsvuku eropa kana kuti mapuroteni akakwirira mumuguta wako inogona kuratidza kuti lupus inobata mafyvo ako.

Kuzadza Nhamba

Iko kuwedzera komutambo ndiro zita reboka reproteines reropa rinobatsira kurwisa utachiona. Kuzadza mazinga, sezvinoreva zita, kuyera muyero uye / kana basa reavo mapuroteni. Kushanda mukati memasimba ekudzivirira zvirwere, mapuroteni anoitawo basa mukuvandudzika kwekuputika. Mune dzimwe mhando dze lupus, kubatanidza mapurotini anodyiwa (kushandiswa kumusoro) nemhinduro ye autoimmune. Kupera kwekubatsiridza maitiro kunogona kureva lupus nephritis, lupus nephritis , kupisa kwepvo. Nemaitiro ekuzadzisa mazinga anogona kuratidza kupindurwa kwakanaka kwekurapa.

Antinuclear Antibody Test (ANA)

Chirwere cheAntinuclear Antibody (ANA) chinoshandiswa kuongorora autoantibodies inopesana nezvikamu zvemukati wemasero emuviri. Iye zvino ndiyo imwe yezvinonyanya kuongororwa zvirwere zvinoshandiswa pakuongorora lupus (SLE). Izvi ndizvo zvinoreva kuti 97 kubva muzana kana kupfuura yevanhu vane lupus (SLE) vane chirongwa chakanaka cheAA test. A negative ANA test result rinoreva lupus (SLE) isingaiti.

Kunyange zvazvo vanhu vazhinji vane lupus test yakanaka kune ANA, zvirwere zvehutano zvakadai sezvirwere nezvimwe zvirwere zvinotapukira zvinogona kupa mhinduro yakanaka. Nokuda kwechikonzero ichi, chiremba wako anogona kuraira zvimwe zviratidzo zveropa kuitira kunyatsoongorora chirwere.

Iyo antinuclear antibody (ANA) kuedza haisi kungoenzanisa chete titer (concentration) yemotokari-asi asiwo muenzaniso wavanosunga kumasero evanhu. Mamwe mazita ekuremekedza uye mararamiro anowedzera kukanganisa kwe lupus, asi vamwe vashoma kudaro.

Sezvambotaurwa pamusoro apa, chirongwa cheAAA chakanaka pachako chinogona kuratidza chimwe chezvirwere zvakasiyana siyana, kusanganisira zvinodhaka-induced lupus. Zvimwe zvezvirwere izvi zvinosanganisira:

• Zvimwe zvirwere zvinobatanidza, zvinonzi scleroderma uye rheumatoid arthritis
• Kuita kune mamwe mishonga
• Zvirwere zvepachirwere, zvakadai sechirwere chinotapukira mononucleosis
• Zvirwere zvisingaperi zvinopararira, zvakadai sehepatitis uye malaria
• Zvimwe zvirwere zvinotapukira, zvinosanganisira thyroiditis uye multiple sclerosis

Zvose, chirongwa cheAA chinofanira kushandiswa kana chiremba wako achifungidzira lupus. Kana muongorudzo wacho wakaipa, saka lupus haigoneki. Kana chiratidzo chacho chikaitika zvakanaka, kuongororwa kwakawedzerwa kunowanzodiwa kutsigira kuongororwa.

Zvimwe zveAnticorps Test

Zvimwe zvinogona kuongororwa zvekare zvinogona kushandiswa kubatsira kutsigira kuongororwa kwe lupus.

Ihwo huongorori hunoongorora kuvepo kwezvirwere izvi:

• DNA inorambidzwa-inopetwa kaviri , rudzi rwechirwere chinoputika chinowanika mu70 muzana ye lupus; kunyanyisa kukuru kweSLE
• Anti-Smith antibodies , inowanikwa mu30 muzana yevanhu vane SLE; kunyanyisa kukuru kweSLE
• Anti-phospholipids antibodies , inowanikwa mu30 muzana ye lupus mamiriro ezvinhu uye inouyawo muchirwere (kutsanangura kuti sei vanhu vakawanda vane lupus vane zvirwere zvechirwere dzakashata)
• Anti-Ro / SS-A uye anti-La / SS-B , inowanikwa mune zvakasiyana-siyana zvezvirwere zvinotapukira, zvinosanganisira SLE uye Sjogren's syndrome
• Anti-histone antibodies, inoonekwa muSLE nemhando yezvinodhaka-induced lupus
• Anti-ribonucleic antibodies, inoratidzwa nevarwere vane SLE nemamwe maitiro anogadzirisa autoimmune

Kubatanidzwa kweAAA yakanaka uye kana DNA inopesana-inopetwa kaviri kana anti-Smith antibodies inofungidzirwa zvakanyanya pfungwa dzeSLE. Zvisinei, havasi vanhu vose pakupedzisira vakaongororwa vane SLE vane idzi autoantibodies.

Tissue Biopsy

Mune zvimwe zviitiko, chiremba wako angada kuita bhidhiyo yezvisikwa zvezvikamu chero zvipi zvayo zvinoita sokuti zvinosanganisira zviratidzo zvako. Izvi kazhinji kacho ganda rako kana tsitsi asi rinogona kuva imwe nhengo. Mhuka yacho inogona kuongororwa kuti ione kuwanda kwekuputika kuripo uye kuti yakawanda sei mungozi yako yakatsigira. Dzimwe mimwe miedzo inogona kuratidza kana iwe une autoimmune antibodies uye ingave yakabatana ne lupus kana chimwe chinhu.

Imaging

Chiremba wako angadawo kuita zvimwe zviitiko zvekufungidzira, kunyanya kana iwe uine zviratidzo zvinoratidza mwoyo wako, uropi, kana mapapu zvingave zvakakanganiswa kana dai waiva nemigumisiro yakaipa yebazi.

X-ray

Iwe unogona kuva ne-x-ray yebhokisi rako kuti utsvake zviratidzo izvo moyo wako wakawedzerwa kana kuti mapapu ako anopiswa uye / kana kuti ane fluid mukati mavo.

Echocardiogram

Imwe nyanzvi inogona kuratidzira matambudziko nemagetsi ako uye / kana mwoyo wako. Inoshandisa mazaya akajeka kuti aumbe mifananidzo yemwoyo wako paanenge achirova.

Computed Tomography (CT) Scan

Iyi miedzo inogona kushandiswa kana uine marwadzo emimba kuti uongorore zvinetso zvakadai sepancreatitis kana chirwere chepapu.

Magnetic Resonance Imaging (MRI)

Kana iwe uine zviratidzo zvakadai sekuyeuka zvinetso kana matambudziko kune rumwe rutivi rwomuviri wako, chiremba wako anogona kuita MRI kuti aongorore uropi hwako.

Ultrasound

Chiremba wako angave achida kuita ultrasound yenhengo dzako kana uine marwadzo mazhinji. Kana iwe uine zviratidzo zvinoenderana nehvo yako, iwe unogona kuva ne-ultrasound yemunharaunda yako kuti uongorore kuwedzerwa kwetsvo nekudzivirirwa.

Kusiyanisa Kuongorora

Lupus chirwere chinonyanya kuoma kuti chiongorore nokuti zviratidzo zvayo uye mhinduro dzinogona kuratidza zvirwere zvakawanda zvinogona kuitika. Kune zvirwere zvakawanda zvinoputira zviratidzo ne lupus kupfuura zvingave zvakanyorwa apa, asi zvimwe zvezvinowanikwa zvakanyanya zvinosanganisira:

• Rheumatoid arthritis (RA): Lupus arthritis neR RA vane zviratidzo zvakawanda , asi chirwere chakabatana mu RA chinowanzowedzera. Uyewo, kuvapo kwechirwere chinonzi anti-cyclic citrullinated peptide chinowanika kune vanhu vane RA asi kwete SLE.
• Systemic sclerosis (SSc): Zviratidzo zvakafanana pakati peScc uye lupus zvinoratidza reflux uye chirwere chaRaynaud (kana minwe yako ichiita bhuruu kana machena nechando). Imwe misiyano pakati peScc uye lupus ndeyekuti DNA DNA (dsDNA) uye anti-Smith (Sm) antibodies, iyo inobatanidza ne lupus, haiwanzoitiki muScc. Imwe mutengesi ndeyekuti vanhu vane SSC vanowanzova nema antibodies kune antigen anonzi Scl-70 (topoisomerase I) kana ma antibodies kune centromere maprotestine.
• Sjögren's syndrome: Nhengo dzakafanana dzinogona kubatanidzwa ne lupus, dzakadai seganda, mwoyo, mapapu, uye itsvo, zvinogona kuratidzawo muSjogren's syndrome . Zvisinei, pane zvimwe zviratidzo zvinowanzoonekwa kune imwe kana imwe, uye vanhu vane Sjogren's syndrome vanowanzova nemasimba ekuRo uye La antigens.
• Vasculitis: Zviratidzo zvekugoverana zvemapus uye vasculitis zvinosanganisira zvipembenene zveganda, zvinetso zvepvo, nekuputika kwemidziyo yeropa. Chimwe chekuenzanisa kusiyanisa pakati pevasculitis ne lupus ndechokuti vanhu vane vasculitis vanoita seAAA-negative; ivo vanowanzova nemishonga inopesana neutrophil cytoplasmic antigen (ANCA).
• Behçet's syndrome: Zviratidzo zvinoputika zvinosanganisira muronda wemakumbo, arthritis, chirwere chemaziso chinoputika, chirwere chemwoyo, uye chirwere chepfungwa. Vanhu vane bhehçet's syndrome vanowanzova varume neAA-negative, asi izvo zvakasiyana ndezvechokwadi kune avo vane lupus.
• Dermatomyositis (DM) uye polymyositis (PM): Kunyange zvazvo vanhu vose vane lupus vane chirongwa chakanaka cheAA, chete vanenge vanenge 30 muzana yevanhu vane DM uye PM vanoita. Zvakawanda zvezviratidzo zvepanyama zvakasiyana. Semuenzaniso, vanhu vane DM naVaMDC havana muromo wemakumbo, kuora kwepvo, arthritis, uye ropa risina kunaka iro vanhu vane lupus.
• Chirwere Chechidiki Chekare (ASD): Lupus uye ASD inogona kugovana zvimwe zviratidzo zvakafanana, zvakadai sefivha, kuvhiringira lymph nodes, arthritis, uye fever. Zvisinei, vanhu vane ASD vanowanzova neAAA muedzo usinganzwisisiki uye kuchena kwemasero eropa ropa, asi avo vane lupus vanoyevedza kuongororwa kweAA uye nechepasi masero eropa rekuverenga.
• Chikuchi's disease: Chirwere ichi chinowanzoenda mukuregererwa pacharo mumwedzi mina uye ichionekwa neine lymph node biopsy. Zvimwe zvezviratidzo zvinowanzofanana ne lupus zvinosuruvarisa lymph nodes, kurwadziwa kwemisonda, kurwadziwa kwemajoni, fivha, uye, kazhinji kacho, chirwere chakawedzerwa uye chiropa.
• Utachiona hweSerum : Zviratidzo zvinoputika pakati pehutachiona hweSerum, zvinokonzerwa nemishonga inopindwa muropa, uye lupus inogona kusanganisira lymph nodes yekubvunda, zvipembenene zveganda, fivha, uye marwadzo. Zvisinei, vanhu vane chirwere cheSerum vanowanzova anA-negative uye zviratidzo zvavo zvinopera kana vachinge vachinge vachinge vachinge vachinge vachinge vaita izvi, kazhinji mazuva mashanu kusvika gumi.
• Fibromyalgia: Iyi inogona kunge yakaoma zvishoma kuti iparadzanise nekuti vanhu vakawanda vane lupus vane fibromyalgia , zviratidzo zvayo zvinosanganisira kuneta uye kubatana uye kurwadziwa kwemisimba. Zvisinei, iyo photosensitivity, arthritis, nekubatanidzwa kwenhengo kunogona kuitika ne lupus hakuwanikwi mu fibromyalgia.
• Zvirwere: Avo vane zviratidzo zvakadai vanosanganisira Epstein-Barr, HIV, hepatitis B , hepatitis C , cytomegalovirus , salmonella , uye tuberculosis . Epstein-Barr inogona kunge yakanyanya kuoma kusiyanisa kubva ku lupus nokuti inoguma neAA test yakanaka. Apa ndipo apo maitiro ega self-antibody anokwanisa kubatsira.

Vanachiremba vane basa rekududzira mhinduro dzemigumisiro, zvino vanovabatanidza nemararamiro enyu uye mamwe mhinduro dzekuedza. Zvakaoma apo varwere vanoratidza zviratidzo zvisinganzwisisiki uye vanopikisa mhinduro dzemigumisiro, asi vanachiremba vane unyanzvi vanogona kufunga nezvezvikamu izvi zvehupupu uye pakupedzisira vanoona kana iwe une lupus kana chimwe chinhu zvachose. Izvi zvinogona kutora nguva pamwe chete nekuedzwa uye kukanganisa.

Zviratidzo Zvokuziva

Zvinosuruvarisa, hapana maitiro anozivikanwa akawanda anogamuchirwa kweSLE. Zvisinei, vanachiremba vakawanda vanoshandisa American College of Rheumatology (ACR) 11 inowanzo. Aya maitiro akagadzirirwa kutora zvidzidzo zvekutsvakurudza kwekutsvakurudza, saka ivo vakanyanyisa. Kana iwe ikozvino mune zvine kana kupfuura zvezvirevo izvi kana kuti iwe wakava nazvo munguva yakapfuura, mikana yakakwirira zvikuru kuti WAKARAMBA. Zvisinei, kuva nechepasi pechina hakubvisi kunze SLE. Zvakare, kuwedzerwa kuwedzerwa kungave kwakakosha kuzivisa kuongororwa kwakaitwa. Izvi zvinosanganisira:

1. Malar rash: Wakave nekukwira kungave kwakasimudza kana kuputika pamhino dzako nematama, anonzi butterfly rash.
2. Photosensitivity : Chero iwe unowana kubuda kubva kwezuva kana imwe chiedza cheVV, kana kuti inokurumidza iwe kutowedzera kuipa.
3. Discoid rash: Wakave nekuputika kwakakosha uye kukwidza uye kunogona kukonzera zvipembenene zvinokonzera.
4. Zvipembenene zvemumuromo: Wanga uine zvironda mumuromo mako zvinowanzosuruvara.
5. Arthritis: Wave uine marwadzo uye uchikudzirwa mune zviviri kana kupfuura zvezvibatanidza zvako zvisingaparadzi mapfupa akapoteredza.
6. Serositis: Wave uine chirwere chepfuva chakanyanya kuipa paunotora kufema kwakadzika uye kunokonzerwa nokuputika kwechimwe chigadziko chiri pamapapu ako kana kumira pamwoyo wako.
7. Dambudziko repoyo: Wave uine mapuroteni anoramba achienderera mberi kana kuti masero emagetsi (mabheti emasero anofanirwa kupfuura) mumuguta wako.
8. Neurological disorder: Wakamboona psychosis kana kugumburwa.
9. Dambudziko reRopa: Wakaonekwa kuti une anemia, leukopenia, thrombocytopenia, kana lymphopenia.
10. Immunologic disorder: Iwe unopesana neviri-rakapetwa-DNA, anti-Smith, kana rakanaka antiphospholipid antibodies.
11. Unormal ANA: Your antinuclear antibody test (ANA) yakanga isingawanzoitiki.

Zvakakosha kuziva kuti havasi vanhu vose vanoongororwa vane lupus kana vana kana kupfuura pane izvi. Vamwe vanongosangana vaviri kana vatatu asi vane zvimwe zvinhu zvinobatanidzwa ne lupus. Ichi chimwe chiyeuchidzo chekuoma kwakadini chirwere ichi chinogona kuva nehuwandu hwezviratidzo zvinogona kuratidza zvakasiyana mumunhu mumwe nomumwe.

> Sources:

> Lam NC, Ghetu MV, Bieniek ML. Systemic Lupus Erythematosus: Kutarisirwa Nheyo Kubatsira Kuziva uye Kutungamirirwa. American Family Physician. 2016; 94 (4): 284-94.

> Lupus Foundation of America. Dhiyabhorosi Miedzo yeLupus. Yakaperedzwa July 8, 2013.

> Lupus Foundation of America. Zvinodavirwa Nechiremba Kutsigira Kuziva. Yakaperedzwa July 25, 2013.

> Mayo Clinic Staff. Lupus. Mayo Clinic. Yakaperedzwa October 25, 2017.

> Wallace DJ. Kuongororwa uye Kusiyaniswa Kwekusiyanisa kweSystemic Lupus Erythematosus muVakuru. Kusvika pari zvino. Yakapedzwa musi waSeptember 20, 2017.