Cov kev tshawb fawb qhia pom tias lupus, tus kab mob autoimmune, feem ntau yog poj niam txij hnub nyoog 15 txog 44. Nws feem ntau cuam tshuam rau lub cev, xws li lub paj hlwb, tawv nqaij, ob lub raum, thiab pob qij txha. Nws cov tsos mob feem ntau masquerade raws li cov cim ntawm lwm yam mob, yog li tus mob tuaj yeem nyuaj rau kuaj mob. Cov kws tshaj lij sau tseg tias kev nkag siab cov tsos mob thiab txheej txheem kuaj mob rau tus mob lupus tuaj yeem pab koj ntes thiab kho tus kab mob no, ntxiv rau zam qhov muaj peev xwm tshwm sim.
Cov kauj ruam
Txoj Kev 1 ntawm 3: Paub Lupus Cov tsos mob
Kauj Ruam 1. Txheeb xyuas koj lub ntsej muag rau qhov npauj npaim
Qhov nruab nrab ntawm 30 feem pua ntawm cov neeg mob lupus tsim tus yam ntxwv ua pob rau ntawm lub ntsej muag feem ntau hais tias zoo li npauj npaim lossis hma tom. Cov pob tau nthuav tawm thoob plaws lub puab tsaig thiab lub qhov ntswg, feem ntau flars tawm thoob plaws ntawm lub puab tsaig thiab qee zaum npog ib feem ntawm cov tawv nqaij nyob ze ntawm lub qhov muag.
- Kuj xyuas seb puas muaj pob khaus nyob ib puag ncig koj lub ntsej muag, tawv taub hau, thiab caj dab. Cov pob no ua rau pom liab, ua thaj ua rau thaj, thiab lawv tuaj yeem ua rau hnyav heev uas lawv tawm qhov nti txawm tias tom qab lawv ploj mus lawm.
- Ua tib zoo saib xyuas qhov ua rau ua rau tawv nqaij lossis ua rau lub hnub poob tuaj. Kev nkag siab rau lub teeb ci ultraviolet, txawm yog ntuj los yog khoom cuav, tuaj yeem ua rau mob ntawm qhov pom ntawm lub hnub ntawm lub cev thiab tuaj yeem ua rau npauj npaim ua rau koj lub ntsej muag. Cov pob khaus no hnyav dua thiab txhim kho sai dua li qhov kub hnyiab ib txwm.
Kauj Ruam 2. Nco tseg txhua lub qhov ncauj lossis qhov ntswg
Yog tias koj nquag hnov mob ntawm lub ru tsev ntawm koj lub qhov ncauj, nyob ib sab ntawm koj lub qhov ncauj, ntawm koj cov pos hniav, lossis sab hauv koj lub qhov ntswg, qhov no tuaj yeem yog lwm yam lus ceeb toom. Tshwj xeeb, qhov no feem ntau tshwm sim yog tias cov mob no tsis yog "mob." Feem ntau, qhov ncauj thiab qhov ntswg mob nrog lupus tsis muaj mob.
Yog tias cov mob no hnyav zuj zus nyob rau hauv tshav ntuj, qhov no yog lub cim tseem ceeb ntawm lupus. Qhov no hu ua photosensitivity
Kauj Ruam 3. Saib cov tsos mob ntawm qhov mob o
Kev mob pob qij txha, lub ntsws, thiab sab hauv lub plawv feem ntau tshwm sim rau cov neeg mob uas muaj tus mob lupus. Sab saum toj ntawm no, cov hlab ntshav feem ntau mob. Qhov tshwj xeeb tshaj yog, koj yuav pom mob thiab o o nyob ib ncig ntawm taw, ob txhais ceg, txhais tes, thiab qhov muag.
- Yog tias koj tau mob pob qij txha, lawv yuav hnov sov thiab sib tw thiab zoo li o thiab liab.
- Kev mob plawv thiab lub ntsws tuaj yeem kuaj pom hauv tsev raws li mob hauv siab. Yog tias koj hnov mob hauv siab thaum koj hnoos lossis nqus pa tob tob, koj tuaj yeem suav qhov no yog qhov ua tau. Tib yam siv tau yog tias koj xav tias ua tsis taus pa thaum lub sijhawm no.
- Lwm cov cim qhia tias koj lub plawv lossis lub ntsws tuaj yeem ua rau mob suav nrog lub plawv tsis sib xws thiab hnoos ntshav.
- Kev ua xua kuj tuaj yeem tshwm sim hauv txoj hnyuv thiab tuaj yeem pom los ntawm cov tsos mob xws li mob plab, xeev siab, thiab ntuav.
Kauj Ruam 4. Ua tib zoo saib koj cov zis
Thaum cov zis txawv txav tuaj yeem nyuaj rau pom hauv tsev, muaj qee qhov tsos mob uas koj tuaj yeem tshawb pom. Yog tias lub raum tsis tuaj yeem lim koj cov zis vim yog lupus, koj txhais taw yuav o tuaj. Qhov phem tshaj, yog tias koj ob lub raum pib ua tsis tiav, koj yuav hnov xeev siab lossis tsis muaj zog.
Kauj Ruam 5. Nco tseg txhua yam teeb meem nrog koj lub hlwb thiab lub paj hlwb
Lupus tuaj yeem cuam tshuam rau lub paj hlwb. Qee cov tsos mob, zoo li kev ntxhov siab, mob taub hau, thiab teeb meem pom kev, muaj ntau thiab nyuaj rau muab rau lupus; txawm li cas los xij, qaug dab peg thiab kev hloov pauv ntawm tus kheej yog cov tsos mob tshwm sim tiag tiag.
Nco ntsoov tias thaum mob taub hau ntau heev nrog lupus, lawv tuaj yeem nyuaj rau tus yam ntxwv mob. Mob taub hau yog ib txwm muaj thiab muaj ntau yam ua tau
Kauj Ruam 6. Nug koj tus kheej yog tias koj nkees nkees ntau dua li ib txwm muaj
Kev qaug zog heev yog lwm qhov tshwm sim ntawm lupus. Nws tuaj yeem tshwm sim los ntawm ntau qhov sib txawv, tab sis feem ntau cov xwm txheej no tuaj yeem txuas nrog lupus. Thaum qaug zog nrog ua npaws, koj yuav paub tseeb tias nws yog lupus.
Kauj Ruam 7. Saib lwm yam kev coj txawv txawv hauv koj lub cev
Koj yuav pom tias koj cov ntiv tes lossis ntiv taw hloov xim (dawb lossis xiav) thaum raug rau txias. Qhov no hu ua Raynaud qhov tshwm sim, thiab feem ntau nrog lupus. Koj kuj tseem yuav pom qhov muag qhuav thiab ua tsis taus pa. Yog tias tag nrho cov tsos mob tshwm sim ua ke, koj tuaj yeem cuam tshuam nrog lupus.
Txoj Kev 2 ntawm 3: Txheeb Xyuas Lupus
Kauj Ruam 1. Npaj rau koj mus ntsib kws kho mob
Koj tuaj yeem mus rau txhua tus kws kho mob rau kev kuaj mob lupus, tab sis tus kws kho mob tuaj yeem xa koj mus rau tus kws kho mob rheumatologist uas tuaj yeem xaj ntau qhov kev kuaj pom tseeb thiab pab tswj cov tsos mob nrog tshuaj tshwj xeeb rau lupus. Feem ntau, txawm li cas los xij, kev pib tshuaj kho mob zoo yuav nyob ntawm tus kws kho mob lub chaw haujlwm.
- Ua ntej koj teem sijhawm, sau cov ntaub ntawv hais txog thaum koj cov tsos mob pib thiab ntau npaum li cas. Tsis tas li sau ntawv ntawm cov tshuaj thiab tshuaj ntxiv uas koj noj raws li qhov ua tau.
- Yog tias niam txiv lossis tus nus muag puas tau muaj tus mob lupus lossis lwm yam teeb meem autoimmune, koj yuav tsum nqa cov ntaub ntawv ntawd nrog koj ib yam. Tus neeg mob thiab tsev neeg keeb kwm tseem ceeb heev rau kev kuaj mob lupus.
Kauj Ruam 2. Npaj rau kev kuaj antinuclear antibody (ANA)
ANA yog cov tshuaj tiv thaiv kab mob uas tawm tsam cov protein hauv lub cev, thiab cov ANA no muaj nyob hauv cov neeg feem coob uas muaj mob lupus. Qhov no feem ntau yog siv ua qhov kev kuaj xyuas thawj zaug; Txawm li cas los xij, tsis yog txhua tus neeg nrog qhov ntsuas ANA zoo muaj lupus. Yuav tsum muaj kev tshuaj ntsuam ntxiv txhawm rau paub tseeb tias muaj tus mob lupus.
Piv txwv li, qhov ntsuas ANA zoo tuaj yeem qhia pom scleroderma, Sjogren's syndrome, thiab lwm yam kab mob autoimmune
Kauj Ruam 3. Ua kom tiav cov suav ntshav
Qhov ntsuas ntshav ntsuas ntsuas cov qe ntshav liab, cov qe ntshav dawb, cov qe ntshav liab, thiab hemoglobin hauv koj cov ntshav. Qee qhov txawv txav tuaj yeem yog lwm qhov cim tau ntawm lupus. Piv txwv li, qhov kev kuaj no tuaj yeem qhia txog ntshav tsis txaus, uas yog ib qho tsos mob ntawm lupus.
Nco ntsoov tias qhov kev sim no tsis kuaj mob lupus los ntawm nws tus kheej. Ntau lwm yam mob kuj tuaj yeem ua rau muaj qhov txawv txav zoo ib yam
Kauj Ruam 4. Cia siab tias yuav kuaj ntshav rau qhov mob o
Koj tus kws kho mob yuav ua ntau qhov kev ntsuas uas pom tias muaj mob hnyav, txawm hais tias lawv yuav tsis muaj pov thawj tseeb tias koj muaj lupus. Ib qho kev ntsuas no ntsuas koj li erythrocyte sedimentation rate (ESR). Qhov kev ntsuas no ntsuas nrawm npaum li cas nws yuav siv cov qe ntshav liab los tsaws hauv qab ntawm lub raj kuaj hauv ib teev. Tus nqi nrawm tuaj yeem qhia tus mob lupus. Tus nqi nrawm kuj tseem tuaj yeem ua tus tsos mob ntawm lwm yam mob, mob qog noj ntshav, thiab kis kab mob, yog li nws tsis yog qhov kev sim meej, ib yam.
Lwm qhov kev sim uas tsis yog tshwj xeeb rau lupus tab sis tuaj yeem kuaj mob o yog C-reactive protein (CRP) kuaj. Cov protein nyob hauv daim siab no tuaj yeem qhia pom tias muaj mob o, tab sis muaj ntau yam xwm txheej uas tuaj yeem ua rau cov protein no tshwm tuaj
Kauj Ruam 5. Tshawb nrhiav lwm yam kev kuaj ntshav
Txij li tsis muaj kev kuaj ntshav tshwj xeeb rau tus mob lupus, cov kws kho mob feem ntau ua cov kev kuaj ntshav kom nqaim qhov kev kuaj mob. Cov tsos mob feem ntau yuav tsum sib phim yam tsawg kawg plaub ntawm kaum kaum tus tsos mob tseem ceeb uas kws kho mob nrhiav. Lwm qhov kev sim uas koj tus kws kho mob yuav siv suav nrog:
- Kev kuaj ntshav ntsuas koj li erythrocyte sedimentation tus nqi. Qhov kev ntsuas no ntsuas nrawm npaum li cas nws yuav siv cov qe ntshav liab los tsaws hauv qab ntawm lub raj kuaj hauv ib teev. Tus nqi nrawm tuaj yeem qhia tus mob lupus. Tus nqi nrawm kuj tseem tuaj yeem ua tus tsos mob ntawm lwm yam mob, mob qog noj ntshav, thiab kis kab mob, yog li nws tsis yog qhov kev sim meej, ib yam.
- Ib qho tshuaj tiv thaiv kab mob rau phospholipids (APL). Ib qho APL kuaj xyuas cov tshuaj tiv thaiv kab mob uas ua rau phospholipids, thiab lawv zoo li muaj nyob hauv 30 feem pua ntawm cov neeg mob lupus.
- Ib qho tshuaj tiv thaiv rau Sm xeem. Cov tshuaj tiv thaiv no tawm tsam Sm protein hauv cov cell nucleus, thiab nws muaj nyob hauv kwv yees li 30 txog 40 feem pua ntawm cov neeg mob lupus. Ntxiv mus, nws tsis tshua pom tshwm rau tib neeg yam tsis muaj lupus, yog li qhov txiaj ntsig zoo yuav luag ib txwm lav qhov kev kuaj mob lupus.
- Kev tshuaj tiv thaiv dsDNA. Anti-dsDNA yog cov protein uas tawm tsam ob kab DNA. Kwv yees li 50 feem pua ntawm cov neeg mob lupus muaj cov protein no hauv lawv cov ntshav. Nws yog qhov tsawg heev hauv tib neeg yam tsis muaj lupus, yog li qhov txiaj ntsig zoo yuav luag txhua qhov ua rau mob lupus.
- Kev ntsuam xyuas Anti-Ro (SS-A) thiab Anti-La (SS-B). Cov tshuaj tiv thaiv no tiv thaiv cov protein RNA hauv koj cov ntshav. Nws yog ntau dua rau cov neeg mob nrog Sjögren's syndrome, txawm li cas los xij.
Kauj Ruam 6. Mus kuaj zis
Kev kuaj zis tso zis saib xyuas ob lub raum, thiab ob lub raum puas tuaj yeem yog tus cim ntawm lupus. Tej zaum koj yuav tsum tau muab cov zis tso zis kom tus kws kho mob tuaj yeem ua qhov ntsuas zis. Qhov kev ntsuam xyuas no saib koj cov zis kom muaj cov protein ntau lossis muaj cov qe ntshav liab.
Kauj Ruam 7. Nug txog kev ntsuas duab
Koj tus kws kho mob yuav xaj kom kuaj duab yog tias lawv xav tias koj muaj daim ntawv lupus uas cuam tshuam rau koj lub ntsws lossis lub plawv. Ib qho xoo hluav taws xob hauv siab ib txwm yuav xaj kom saib koj lub ntsws. Ib qho echocardiogram yuav saib koj lub plawv.
- Xoo hluav taws xob hauv siab tuaj yeem nthuav qhia duab ntxoov ntxoo hauv koj lub ntsws, uas tuaj yeem qhia pom thaj tsam ntawm cov kua dej lossis mob.
- Ib qho echocardiogram siv lub suab tsis zoo los ntsuas kev ntaus koj lub plawv thiab txhawm rau txheeb xyuas teeb meem hauv lub plawv.
Kauj Ruam 8. Nug txog kev kuaj nqaij
Yog tias koj tus kws kho mob xav tias lupus tau ua rau koj ob lub raum puas tsuaj, lawv tuaj yeem ua lub raum kuaj. Lub hom phiaj ntawm kev kuaj lub cev no yog kom tau txais cov qauv ntawm cov ntaub so ntswg. Lawv yuav tshuaj xyuas koj lub raum raws li qhov kev puas tsuaj tau tshwm sim ntau npaum li cas, thiab nws puas yog yam twg. Cov kws kho mob tuaj yeem siv daim ntawv kuaj mob no txhawm rau txiav txim siab kho mob zoo tshaj plaws rau tus mob lupus.
Txoj Kev 3 ntawm 3: Kawm Txog Lupus
Kauj Ruam 1. Kawm seb lupus yog dab tsi
Lupus yog tus kab mob autoimmune, uas txhais tau hais tias nws ua rau lub cev tiv thaiv kab mob kom noj qab nyob zoo ntawm koj lub cev. Ib zaug ntxiv, nws feem ntau cuam tshuam rau lub cev, xws li lub hlwb, tawv nqaij, ob lub raum, thiab pob qij txha. Tus kab mob no tseem yog mob ntev, uas txhais tau tias nws kav ntev mus. Nws ua rau lub cev kub hnyiab vim lub cev tiv thaiv kab mob noj qab nyob zoo.
Tsis muaj tshuaj kho tus mob lupus; txawm li cas los xij, kev kho mob tuaj yeem yooj yim rau cov tsos mob
Kauj Ruam 2. Nkag siab txog peb hom kab mob lupus
Thaum tib neeg hais txog lupus, feem ntau lawv hais txog kab mob lupus erythematosus (SLE). Hom kab mob lupus no cuam tshuam rau koj cov tawv nqaij thiab koj lub cev, tshwj xeeb yog koj ob lub raum, lub ntsws, thiab lub plawv. Muaj lwm hom kab mob lupus, suav nrog cov tawv nqaij lupus erythematosus thiab cov tshuaj lupus.
- Cov tawv nqaij lupus erythematosus tsuas yog cuam tshuam rau ntawm daim tawv nqaij thiab tsis ua rau lwm yam kabmob hauv koj lub cev. Nws tsis tshua txhim kho mus rau SLE.
- Tshuaj lupus tuaj yeem cuam tshuam rau tawv nqaij thiab koj lub cev sab hauv, tab sis nws raug ntxias los ntawm kev siv cov tshuaj tshwj xeeb. Feem ntau nws ploj mus thaum cov tshuaj no tawm ntawm tus neeg mob lub cev. Cov tsos mob cuam tshuam nrog daim ntawv lupus no feem ntau zoo me ntsis.
Kauj Ruam 3. Txheeb xyuas qhov ua rau
Txawm hais tias nws tau nyuaj rau cov kws kho mob kom nkag siab txog lupus, dhau sijhawm lawv tau txheeb xyuas nws tus yam ntxwv. Lupus zoo li tshwm sim los ntawm kev sib xyaw ntawm koj cov noob thiab koj ib puag ncig. Hauv lwm lo lus, yog tias koj muaj kev xav caj ces rau lupus, ib puag ncig ib puag ncig tuaj yeem ua rau nws.
- Cov tsos mob ntawm tus mob lupus suav nrog tshuaj noj, kis kab mob, lossis tiv tshav ntuj.
- Lupus tuaj yeem tshwm sim los ntawm tshuaj sulfa, tshuaj uas ua rau koj nkag siab ntau dua rau tshav ntuj, penicillin, lossis tshuaj tua kab mob.
- Cov mob hauv lub cev uas tuaj yeem ua rau mob lupus suav nrog kev kis mob, mob khaub thuas, kis kab mob, qaug zog, tau txais kev raug mob, lossis raug kev nyuaj siab.
- Nws yog ultraviolet rays los ntawm lub hnub uas tuaj yeem ua rau lupus. Ultraviolet rays los ntawm lub teeb ci fluorescent tuaj yeem ua qhov qub.
