Puas yog lupus kho tau? Saib seb yuav tswj cov tsos mob li cas

Zoo Siab

• Li cas los tswj lupus
• 1. Kev tiv thaiv tshav ntuj
• 2. Pluaj tshuaj tiv thaiv thiab tawg
• 3. Corticoids
• 4. Lwm txoj cai ntawm kev tiv thaiv kab mob
• 5. Ntuj cov kev xaiv
• Kev saib xyuas ntawm lupus hauv cev xeeb tub

Lupus yog tus mob ntev thiab autoimmune inflammatory uas, txawm hais tias tsis tuaj yeem kho tau, tuaj yeem tswj tau nrog kev siv tshuaj uas pab txo qis kev ua haujlwm ntawm lub cev, xws li corticosteroids thiab immunosuppressants, ntxiv rau kev saib xyuas xws li daim ntawv thov tshuaj pleev thaiv hnub. txhua hnub, piv txwv, raws li cov lus qhia ntawm tus kws kho rheumatologist lossis dermatologist, uas pab tswj hwm thiab tiv thaiv kev kub ntxhov, raws li qhov pom ntawm tus kab mob hauv txhua tus neeg.

Txhua tus neeg mob lupus yuav tsum tau kuaj mob, tab sis tus kabmob tsis yog ib txwm ua haujlwm, thiab feem ntau nws tuaj yeem tswj tau cov haujlwm ib hnub, xws li kev ua haujlwm lossis kev ua si lom zem, piv txwv.

Cov tsos mob tseem ceeb uas tshwm sim hauv cov kabmob no suav nrog cov pob liab liab rau ntawm daim tawv nqaij, feem ntau hauv cov cheeb tsam uas pom lub teeb ua ntsej muag, pob ntseg lossis caj npab, plaub hau poob, kub ib ce, tsis qab los noj mov, mob thiab o ntawm pob qij txha thiab lub raum tsis zoo, muab ua piv txwv. Saib cov npe tag nrho ntawm cov kev mob ua kom lupus txhawm rau txheeb xyuas tus kabmob no.

Li cas los tswj lupus

Txawm hais tias lupus tsis muaj kev kho mob, tus kab mob tuaj yeem tswj hwm los ntawm kev ua raws li tus kws kho mob rheumatologist, uas yuav taw qhia kev siv cov tshuaj kom txo qis o, uas nws txawv raws li hom mob, kabmob cuam tshuam thiab qhov mob hnyav ntawm txhua kis. Cov kev kho mob, uas tseem muaj nyob hauv SUS, yog:

1. Kev tiv thaiv tshav ntuj

Kev siv tshuaj pleev thaiv hnub nrog SPF ntawm tsawg kawg 15, tab sis nyiam dua 30, yog txoj hauv kev tseem ceeb kom tsis txhob muaj cov tawv nqaij mob tshwm sim hauv discoid lossis systemic lupus nrog cutaneous manifestations. Cov tshuaj pleev thaiv hnub lossis blocker yuav tsum txhua lub sijhawm thaum sawv ntxov, thiab rov ua daim ntim tsawg kawg ib zaug ntxiv rau ib hnub, nyob ntawm seb lub teeb pom kev zoo hauv cheeb tsam thiab puas pom kev kis tau.

Ntxiv rau, kev siv cov ris tsho thiab cov kaus mom yog qhov tseem ceeb los tiv thaiv qhov kev ua los ntawm cov duab tshav ntuj ntawm daim tawv nqaij, thaum nyob rau thaj chaw muaj hnub ci.

2. Pluaj tshuaj tiv thaiv thiab tawg

Cov tshuaj kho mob kom txo tau qhov mob tuaj yeem tiv thaiv kev mob, xws li Diclofenac, lossis analgesics, xws li Paracetamol, uas yog qhov muaj txiaj ntsig zoo rau lub sijhawm thaum tswj kev hnov ​​mob, tshwj xeeb tshaj yog thaum tus kab mob cuam tshuam rau cov pob qij txha.

3. Corticoids

Corticosteroids, lossis corticosteroids, yog cov tshuaj siv dav siv los tswj kev mob. Lawv tuaj yeem siv tshuaj pleev, siv tshuaj pleev siv rau cov tawv nqaij ua haujlwm hauv qhov txhim kho thiab ua rau nws nyuaj ua kom nce qhov loj ntawm qhov txhab thiab hlwv.

Lawv kuj tseem siv ua qhov ncauj, hauv ntsiav tshuaj, ua rau mob lupus, ob leeg me, hnyav lossis xwm txheej ntawm cov kab mob tsis muaj zog, uas yuav muaj kev puas tsuaj rau cov ntshav ntshav, lub raum kev ua haujlwm, lossis kev ua tsis taus ntawm cov kabmob xws li lub plawv , lub ntsws thiab lub paj hlwb, piv txwv li.

Cov koob tshuaj thiab lub sijhawm siv nyob ntawm qhov mob hnyav ntawm qhov xwm txheej, rau txhua kis. Ntxiv rau, muaj cov kev xaiv ntawm cov tshuaj corticosteroids, siv tau ntau dua ntawm cov mob hnyav lossis thaum muaj teeb meem nyuaj hauv nqos ntsiav tshuaj.

4. Lwm txoj cai ntawm kev tiv thaiv kab mob

Qee cov tshuaj uas tuaj yeem siv nrog kev sib xyaw nrog corticosteroids lossis siv cais, los tswj tus kab mob, yog:

• Tshuaj Kho Mob, zoo li Chloroquine, feem ntau hauv kev sib koom tes, tau siv rau ob qho tib si rau cov kab mob thiab tsis pom tseeb, txawm tias nyob rau theem kev zam kom tswj tau tus kabmob;
• Kev txhaj tshuaj tiv thaiv kab mob, piv txwv li Cyclophosphamide, Azathioprine lossis Mycophenolate mofetil, piv txwv, yog siv nrog lossis tsis muaj corticosteroids, ua kom lub cev tsis muaj zog thiab ua kom lub cev tsis muaj zog tswj kom zoo dua tswj tus mob;
• Immunoglobulin, yog ib hom tshuaj txhaj, ua nyob rau hauv qhov mob hnyav uas tsis muaj kev txhim kho hauv kev tiv thaiv kab mob nrog lwm cov tshuaj;
• Cov kab mob roj ntsha, zoo li Rituximab thiab Belimumab, yog cov khoom lag luam tshiab ntawm kev tsim kho caj ces, kuj tau tshwj tseg rau cov mob hnyav uas tsis muaj kev txhim kho nrog lwm txoj hauv kev.

5. Ntuj cov kev xaiv

Qee qhov kev coj cwj pwm txhua hnub, ua hauv tsev, nrog rau kev kho mob, kuj tseem ceeb kom pab tswj tau tus kabmob. Qee qhov kev xaiv yog:

• Tsis txhob haus luam yeeb;
• Zam kev haus dej haus cawv;
• Xyaum kev tawm dag zog 3 mus rau 5 zaug hauv ib asthiv, thaum lub sijhawm tshem tawm ntawm tus kabmob;
• Noj cov khoom noj muaj txiaj ntsig zoo ntawm omega-3, tam sim no hauv salmon thiab sardines, piv txwv li, 3 zaug hauv ib lub lis piam;
• Noj cov khoom noj uas tiv thaiv kab mob thiab tiv thaiv duab, xws li dej xas xas ntsuab, qhiav thiab kua, piv txwv li, ntxiv rau lwm hom txiv hmab txiv ntoo thiab zaub.

Tshawb xyuas cov yeeb yaj kiab no, nrog ntau txoj kev xaiv thiab cov lus qhia, kom kawm paub noj kom zoo thiab nyob zoo dua nrog cov kab mob no:

Ntxiv rau, nws yog ib qho tsim nyog yuav tsum tau tswj kev noj zaub mov kom zoo, txwv tsis pub noj cov zaub mov uas muaj suab thaj thiab rog, vim lawv pab txhawb kom muaj cov roj triglycerides, roj cholesterol thiab ntshav qab zib ntau ntau, uas tuaj yeem ua rau nce phaus thiab ntshav qab zib, uas tuaj yeem ua rau tsis tuaj yeem tswj hwm. kab mob.

Lwm qhov kev tiv thaiv suav nrog zam kev txhaj tshuaj tiv thaiv tus kab mob nyob, tsuas yog nyob hauv kev kho mob tswv yim, saib xyuas qhov muaj nuj nqis ntawm calcium thiab vitamin D hauv cov ntshav, uas yuav txo qis nrog kev siv corticosteroids, tau txais kev kho mob lub cev kom tiv thaiv thiab kho mob pob qij txha, ntxiv rau kev zam kev nyuaj siab, uas tuaj yeem cuam tshuam cov kev tawm ntawm tus kab mob.

Kev saib xyuas ntawm lupus hauv cev xeeb tub

Nws yog ib qho ua tau xeeb tub thaum koj muaj lupus, txawm li cas los xij, zoo dua, nws yuav tsum yog lub sijhawm muaj menyuam hauv plab, thaum lub sijhawm muaj kabmob tsawg dua, thiab yuav tsum tau saib xyuas txhua lub sijhawm los ntawm kws kho mob xeeb tub thiab kws kho pob txha, vim tias muaj peev xwm dhau los ua exacerbation ntawm tus kab mob.

Ntxiv rau, cov tshuaj tau kho rau kev xeeb tub thiab lub sijhawm pub mis, kom nws muaj mob lom rau tus menyuam, feem ntau yog siv cov tshuaj corticosteroids tsawg kawg.