VaRumatolgist uye Vamwe Vadzidzisi Vanorayirirwa Mukurapa Kuchengetedzwa kweLupus
Ndeupi rudzi rwechiremba anobata lupus ? Uyu mubvunzo unowanzopiwa kune avo vanogona kunge vakawana kana kuti vakawana vane systemic lupus erythematosus (SLE) kana imwe nzira ye lupus. Sezvo vanhu vazhinji vane lupus vanozoona vanoverengeka vakasiyana-siyana, zvinogona kubatsira kuti uongorore maitiro evarapi vangave vari kubatanidzwa mune zvekurapa kwako zvakakwana.
Rheumatologists (Autoimmune Disease Specialists)
Kazhinji, lupus inobatwa nerheatatologists . Rheumatologists vashandi vekudzidzira kana vanachiremba (kana vose vari vaviri) vanonyanya kugadziriswa uye kurapwa kweArthritis nedzimwe zvirwere zvezvibatanidza, maronda, uye mapfupa, pamwe nezvimwe zvirwere zvinokonzerwa nemoto , kusanganisira lupus uye rheumatoid arthritis .
Rheumatologists ndeyekutanga kugadziriswa mukati moutano hwemukati, chirongwa chinoda makore matatu ekugara kwechiremba mushure mekuchirapa kuchikoro. Izvi zvinoteverwa nekuyanana kwemakore mashomanana muRheumatology mushure mekunge vangava bhodhi yakagadziriswa mu rheumatology.
Utano Hwehutano Hwako neLupus
Tichazotanga nekutaura pamusoro pebasa iro rheumatologist yako ichava nayo mukutarisira kwako, asi nguva zhinji iwe uchange uine boka rechiremba nevarapi vese vachakubatsira kudzora zviratidzo zvehutano hwako pamwe nekukanganisa kwayo.
Aya mamwe maongorori achakurukurwa gare gare, asi zvakakosha kutaura izvi pakutanga kana iwe uchifunga nezverheumatologist.
Vose vezviongorori izvi vanogona kutamba basa rakakwana pakuchengetedza chirwere chako, asi kazhinji kacho rheumatologist yako inoshanda seimba yako yepamusha; uyo anorongedza kutarisirwa kunoitwa neboka rako rose rehutano hwehutano, kuve nechokwadi chekuti zvinetso zvako zvose zviri kutaridzwa uye kuti hapana kuwirirana pakati pemishonga nezvimwe zvirongwa zvakapiwa.
Rheumatologist yako inowanzova munhu waunoshevedza kana iwe uine mibvunzo kana zvinonetsa, uyewo munhu uyo achakubatsira kukubatanidza iwe nevamwe vadzidzisi vanogona kukubatsira kutarisira zvimwe zvikamu zvehutano hwako. Zvidzidzo zvakawana kuti vanhu vane ruzivo rwakanaka-rwekukurukurirana kwechiremba vanongonzwa vaine simba guru mukutarisira kwavo asi vanogona kuva nemigumisiro iri nani zvakare.
Kuziva izvi, zvakakosha kuwana rheumatologist iwe unonzwa wakasununguka kutaura naye uye iwe waunokwanisa kutaura zvakanaka. Tora nguva yekuteerera vhidhiyo ino kuti ungawana sei chiremba akakodzera. Izvi zvichakubatsira iwe kuziva kutarisa uye kutonga unhu hwakakosha mune chiremba uyo iwe pachako uchanyatsovimba nehupenyu hwako.
Maitiro eRheumatologists Anoona uye Anoongorora Lupus
Kana iwe chiremba wako wepamusoro achifungidzira iwe une lupus, iwe uchatumirwa kune rheumatologist. Rheumatologist ichatora nhoroondo yezviratidzo zvako uye unoongorora kuongorora muviri zviratidzo zvezviratidzo zve lupus . Achatarisawo kuongororwa ropa kuti aongorore zviratidzo zve lupus.
Kuongorora ropa kwekutanga rheumatologist ichaita kuti uone kuti lupus inonzi anti-nuclear antibody (ANA) . Uyu muedzo unotarisa autoantibodies kune nuclei mumasero.
Autoantibodies ndeyezvirwere zvakafanana neaunenge uchitanga mushure mehutachiwana hwehutachiona kana mukupindira kumushonga, asi ne lupus, izvi zvirwere zvinoshandiswa zvinotungamirirwa kune imwe nhengo yemamwe masero ako. Munenge vanhu vose vane lupus vachava neAA test yakanaka.
Chibereko cheAA chakanaka, zvisinei, hazvirevi kuti une lupus. Vamwe vanhu vane chirongwa chakanaka cheAA vane scleroderma , rheumatoid arthritis, yakavhiringidza zvirwere zvechirwere , kana chirwere chakasiyana-siyana chinogadzirisa zvirwere. Uye kusvika 10 kubva muzana yevanhu vasina rheumatological chirwere vachave neAA yakanaka. Munguva yekuongorora chirwere, zvinogona kuve zvishoma nezvishoma uye zvinokanganisa, sezvo kune zvipembenene zvakasiyana-siyana zvakasiyana-siyana zvinowanikwa pakati peizvi.
Asi kunyatsoongorora zvakakosha kunokosha pakutsvaga kurapa kwakanakisisa.
Mushure mekuongororwa kweAAA kwakanaka, rheumatologist ingangodaro inotanga kuongororwa kwakawedzerwa ropa kuti utsvake zvimwe zvirwere zvinogona kubatsira kubatsira kana iwe usina chirwere kana kuti zvimwe. Izvo zvinotevera kutevera kuongororwa kwakaitwa ANA ndiyo panhengo yeAAA, inotarisa ma antibodies aya:
- DNA inorambidzwa-inopetwa (anti-dsDNA)
- Anti-Smith (anti-Sm)
- Anti-U1RNP
- Anti-Ro / SSA
- Anti-La / SSB
Mamwe mabhii achaedza zvakare kupikisa nucleoprotein, anticentromere, kana antihistamine. Dzidza zvakawanda pamusoro pezvimwe zvinonzi autoantibody miedzo inowanikwa kutarisa lupus .
Rheumatologists inoshandisawo zvimwe zvishandiso-zvakadai sezvenhau yezvechiremba, kuongorora kwepanyama uye ganda nemafungiro epio-kuita sarfus diagnosis.
Kana kamwe lupus inowanikwa, rheumatologist yako inoshanda newe kuti uuye neurongwa hwehutano ( kusanganisira lupus mishonga ) inonzwisisika kwauri. Rheumatologists kubatsira varwere kudzivirira nekubata lupus flares uye kuderedza chikamu kukuvara uye mamwe matambudziko.
Mishonga yako inogona kudikanwa kuchinja kakawanda pamusoro penzira yehupenyu hwako, zvichienderana nehutano hwehutano hwako nezvimwe zvinhu. Rheumatologist yako inogona kukubatsira iwe kufamba nenzira idzi.
Lupus Yenyu Yehutano Hweboka (Dzimwe Vanachiremba Vanobata Lupus)
Iwe unogona kunge uine rheumatologist uyo achagadzirisa chirwere chako uye anobatsira kuronga kushanyirwa kwako nevamwe vadzidzisi, asi vanhu vazhinji vane lupus vachave neboka rechiremba uye nyanzvi dzinotarisira kutarisira kwavo.
Lupus inogona kukanganisa chero sangano chero ripi zvaro kana nhengo yomuviri mumuviri wako, uye iwe unogona kuve neunyanzvi mune imwe nzvimbo. Mukuwedzera, iwe unogona kunge uine vadzidzisi vanogona kukubatsira kuti utsungirire kusakwana kwechirwere chako kana kuonekwa kwepfungwa yako. Dzimwe nyanzvi dzinogona kuva chikamu cheboka rako dzinosanganisira:
Nyanzvi dzezvechiremba - Rudzi rwevanyanzvi vezvehutano rwaungaona runosanganisira:
- Cardiologist - Nemwoyo yemibvunzo yakadai se lupus myocarditis uye lupus pericarditis
- Pulmonologist - Kwemapapu emapapu akadai se pleuriy nemhaka ye lupus nemamwe mapapu
- Endocrinologist - Nezvemashoko ane chokuita nehutachiona hwako, maitiro adrenal, kana mamwe maitiro endocrine
- Nefirologist - Nezvemashoko ane chokuita neiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii
- Gastroenterologist - Nezvokudya zvinokonzera kudya
- Hematologist - Nenyaya dzine chokuita neropa rako
- Immunologist - Clinical immunologists, vanachiremba vanotaura nezvehutano hwehutano hwako, vari kuramba vachiwedzera mukurapa kwe lupus sezvinodzidza zvakawanda
Nyanzvi dzeganda - Rashes dzinowanzove ne lupus, uye vanhu vazhinji vane dermatologist (mucheche weganda) sechikamu cheboka ravo. Lupus inogonawo kukonzera photosensitivity iyo dermatologist yako inogona kubatsira kugadzirisa. Pane dzimwe huru dzemishonga, unogona kuona dermatologist inonyanya kugadzirwa kweganda re lupus.
Neurological Specialists - Nyanzvi yeuroyogori inogona kuva chikamu cheboka rako kuitira kugadzirisa urongwa hwehutano hwezviratidzo zve lupus .
Nyanzvi dzekudzorerazve - Zvichienderana nezviratidzo zvako, unogona kuona chiremba wepanyama kuti kuderedze marwadzo pamwe chete uye kuoma kana mushandi wepamberi . Vashandi ndivo vanachiremba vanoita mukurapa kwenyama uye kugadziriswa uye vanogona kutsvaga kubatsira kubatsira kuronga hurongwa hwekugadzirisa hutano. Kunyange zvazvo izvi zvisiri izvo zvitsva, tiri kudzidza kuti mushonga wekugadzirisa hutachiona hunogona kuita kusiyana kukuru muhupenyu hwevanhu vanorarama nezvirwere zvisingaperi sezvinonzi lupus.
Chiremba wepfungwa yepamusoro - Vamwe vanhu vanoenderera mberi kuva nechiremba wepamusoro sachiremba semudzidzisi mukuru kana chiremba wemhuri vanobatanidzwa mukutarisira kwavo. Kune huwandu hwakawanda hwekubatanidzwa, pamwe nevamwe vanachiremba vanoita basa rekushanda semutungamiri wekutarisira kwako, uye vamwe vanongoraramira chete mhando dzekutarisira iwe unogona kuti izvo zvakasiyana nemapirus yako. Muzhinji, zvakakosha zvikuru kuti urambe uchiona chiremba wekutarisira. Nguva dzose chirwere chekuongorora chirwere chekenza, chakadai sePap smear uye colonoscopies hachisi chinhu chakakosha kana iwe uonekwa kuti une lupus.
Utano hwepfungwa - Vanhu vakawanda vane lupus vane chiremba wepfungwa kana chiremba wepfungwa sechikamu cheboka ravo kuti vabatsire kuratidzira zvose zviratidzo zvepfungwa zvechirwere uye hutano hwako hwepfungwa pakubata nechirwere chisingaperi. Zvose kuzvidya mwoyo uye kuora mwoyo zvinowanzoonekwa nevanhu vane lupus, uye kana iripo, inofanira kutarirwa nenyanzvi mune izvi.
Nyanzvi dzinobereka - Kana iwe uchifanira kusarudza kuva nemimba ne lupus, unogona kuva neerinatologist (nyanzvi mune pamuviri wakakonzerwa nengozi) inobatanidzwa mukutarisira kwako.
Pathologists, radiologists, uye / kana vanachiremba - Sezvambotaurwa, dzimwe nguva zvinonzi biopsies dzinodiwa kutsigira kuongororwa kwe lupus. Zvimwe zveizvi zvinoitwa senzira yehudhiology asi mamwe anosanganisira maitiro ekuvhiya. Chiremba wezvirwere rudzi rwechiremba anoona zvidzidzo izvi pasi pe microscope uye anoita chimwe chiedzo kuti aongorore chirwere chako.
Kutsigira uye Kukunda
Zvatakakundikana kutaurwa mune urongwa hwevanyori ndeyekuti ndiyo inonyanyokosha yekuchengetedza: shamwari. Nyanzvi yezvepfungwa ingakwanisa kukubatsira kutarisa zvimwe zvepfungwa dzehutano hwako, asi hapana chimwe chinhu chakafanana nekutaura kune mumwe munhu akafamba marwendo ari kutora. Dzidza nezvenzira dzaunogona kuwana rubatsiro ne lupus , kubva pamapoka ekutsigira kuenda kuInternus communities. Isuwo tinofanira kuziva kuti varume vanowana lupus zvakare , uye vanotarisana nematambudziko akasiyana.
Kutaurirana Newavo Lupus Health Care Team
Vanhu vazhinji vane lupus vachada kuchengetedza zvirwere zvavo kwehupenyu hwavo hwose, naizvozvo zvakakosha kuwana boka rekuchengetedza utano iwe waunoremekedza uye unovimba. Kuita basa rakaoma mukutarisira kwako uye kuva mutongi wako pachako hakungogadziri kuderedza kushungurudzika kwekurarama ne lupus asi kunogona kuita kuti musiyano muzvikamu zvako.
Sources
- Beusterien, K., Bell, J., Grinspan, J., Utset, T., Kan, H., uye S. Narayanan. Chiremba-Murefu Anopindirana uye Zvibereko muStudio Lupus Erythematosus (SLE): A Conceptual Model. Lupus . 2013. 22 (10): 1038-45.
- Casey, C., Chung, C., Crofford, L., naA A. Barnado. Rheumatologists 'Kuona kweSystemic Lupus Erythematosus Zviratidzo Zviratidzo: Zvinokosha Zvinokosha uye Zvipingamupinyi Zvakaonekwa. Clinical Rheumatology . 2017. 36 (1): 97-102.
- Zhang, L., Fu, T., Yin, R., Zhang, Q., uye B. Shen. Kuwandisa kwekuora mwoyo nekuzvidya mwoyo muStudio Lupus Erythematosus: Kuongorora kwakarongeka uye Meta-Kuongorora. BMC Psychiatry . 2017. 17 (1): 70.
- Zirkzee, E., Steup-Beekman, G., Schouffoer, A., Henquet, S., Calijouw, M., Huizinga, T., uye T. Vliet Vlieland. Utano Hwakanaka muSystemic Lupus Erythematosus (SLE): Mamiriro Ekutenda Kwevarwere. Clinical Rheumatology . 2014. 33 (9): 1279-87.