ʻO ka ʻokoʻa ma waena o Lupus a me RA

Anter

• Pehea nā lupus a me RA e like ai?
• Pehea ka lupus a me RA?
• No ke aha e huikau ai nā maʻi
• Nā pae hōʻoia
• ʻO Comorbidity
• ʻOkoʻa ʻokoʻa
• He aha kāu e manaʻo ai

He aha nā lupus a me RA?

ʻO ka Lupus a me ka rheumatoid arthritis (RA) nā maʻi autoimmune ʻelua. ʻO ka ʻoiaʻiʻo, huikau nā maʻi ʻelua i kekahi manawa no ka mea hāʻawi lākou i nā ʻōuli he nui.

Kū ka maʻi Autoimmune ke hoʻouka kāu ʻōnaehana pale i nā hunaola i kou kino, e hoʻonāukiuki ana i ka palaho a hōʻino hoʻi i nā mea olakino olakino. ʻAʻole maopopo i ka poʻe ʻepekema i nā mea āpau o nā maʻi autoimmune, akā hiki iā lākou ke holo i loko o nā ʻohana.

ʻOi aku ka makaʻu o nā wahine i ka loaʻa ʻana o ka maʻi autoimmune ma mua o nā kāne. ʻOi aku ka nui o ka makaʻu o nā wahine ʻApelika-ʻAmelika, ʻAmelika-ʻAmelika, a me nā wahine Hepanika, e like me ka National Institutes of Health.

Pehea nā lupus a me RA e like ai?

ʻO ka like loa i ʻike ʻia ma waena o RA a me lupus ka ʻeha pū. ʻO ka pehu pū kekahi kahi hōʻailona maʻamau, ʻoiai hiki ke ʻokoʻa nā pae o ka mumū. Hiki i nā maʻi ʻelua ke hoʻonā i kou mau hono i wela a palupalu, akā ʻoi aku kēia ma RA.

Hoʻopili ka Lupus a me RA i kāu pae ikehu pū kekahi. Inā loaʻa iā ʻoe kekahi maʻi, ʻike paha ʻoe i ka luhi mau a nāwaliwali paha. ʻO ka loaʻa ʻana o ke kuni wā kekahi hōʻailona o nā lupus a me RA, akā ʻoi aku ka maʻamau me ka lupus.

ʻOi aku ka maʻi o nā maʻi ʻelua i nā wahine ma mua o nā kāne.

Pehea ka lupus a me RA?

Nui nā ʻokoʻa ma waena o lupus a me RA. ʻO kahi laʻana, hiki i ka lupus ke hoʻopili i kou mau hono, akā ʻoi aku ka hopena o ka hopena o kāu i loko a me kou ʻili ma mua o RA. Hiki i ka Lupus ke hana i nā pilikia hoʻoweliweli ola. Pākuʻi ʻia paha kēia i nā kīʻaha ʻole, nā pilikia o ke kāpili ʻana, a i ʻole ka hopu ʻana, ʻaʻole ia he hōʻailona o RA.

ʻO RA, ma ka ʻaoʻao ʻē, hoʻouka nui i kou mau ami. Hoʻopili ia i nā manamana lima, nā pūlima, nā kuli, a me nā kuʻekuʻe wāwae. Hiki i ka RA ke hoʻonā i nā hono i ke kino, ʻoiai ʻaʻole maʻamau ka lupus.

Hiki ke pili pū ʻia ʻo RA me ka mumū ma nā akemāmā a puni ka puʻuwai i kekahi mau hihia, a me nā nodule ʻili ʻeha. Eia nō naʻe, me nā lāʻau e kū nei i kēia manawa, ʻoi aku ka liʻiliʻi o kēia ma mua o ka wā ma mua.

ʻOi aku ka maikaʻi o ka ʻeha e pili pū me RA i ke kakahiaka a hoʻomaikaʻi i ka hele ʻana o ka lā. Akā ʻo ka ʻeha hui i hoʻokumu ʻia e lupus mau i ka lā holoʻokoʻa a hiki ke neʻe.

No ke aha e huikau ai nā maʻi

Ma muli o ka hoʻokaʻawale ʻana o kēia mau maʻi ʻelua i kekahi mau ʻano maʻamau, hiki ke kuhi hewa ʻia ka poʻe me RA ke loaʻa maoli iā lākou ka lupus, a i ʻole ka hope, i nā wā mua o nā maʻi ʻelua.

Ke holomua ʻo RA, hiki i nā kauka ke haʻi aku no ka mea hiki i ka maʻi ke hana i ka iwi a me ka deformity inā ʻaʻole hāʻawi ʻia kahi lāʻau kūpono. Eia naʻe ka Lupus, kākaʻikahi wale ke kumu o ka holo ʻana o ka iwi.

I nā wā mua o RA a i ʻole lupus, hiki i nā kauka ke hana maʻamau i ke kuhi ma ka nānā ʻana i kāu mau ʻōuli. ʻO kahi laʻana, hoʻopili pinepine ka lupus i ka puʻupaʻa, kumu i ka anemia, a i ʻole ke alakaʻi i nā loli kaumaha.

Hiki i ka RA ke kumu i ka anemia, akā hiki ke alakaʻi pinepine i nā pilikia pulmonary. Kauoha paha ke kauka i kahi ʻāpana o ke koko e nānā i ke olakino o kāu mau kino a ʻike inā he mea ʻē aʻe e hiki ke hana i nā hōʻailona.

Nā pae hōʻoia

Hiki i nā lupus a me nā rheumatoid arthritis ke paʻakikī i ke kuhi. ʻOiaʻiʻo nō kēia i ke kakahiaka nui i nā maʻi ʻelua ke loaʻa nā ʻōuli.

E ʻike ʻia me ka lupus ʻōnaehana, pono ʻoe e hui ma ka liʻiliʻi:

• lupus cutaneite huʻihuʻi, kahi e hoʻopili ai i ka maʻi malar, kahi ʻūlū (i ʻike ʻia hoʻi me ka hua o ka butterfly) e ʻike ʻia ma nā papalina a me ka ihu
• ʻO ka lupus cutaneus mau, kahi e hoʻopili ai i ka lupus discoid, hāpai i nā ʻulaʻula i ka ʻili
• alopecia nonscarring, a i ʻole ka lahilahi ʻana o ka lauoho a haki i nā pūnaewele lehulehu
• maʻi pū, ʻo ia hoʻi ka maʻi kōā e kumu ʻole ai ka holo ʻana o ka iwi
• nā hōʻailona serositis, e like me ka mumū o ka uhi o ka puʻuwai a i ʻole nā ​​ake māmā
• nā hōʻailona neurological, e like me ka hopu ʻana a i ʻole psychosis
• nā ʻōuli ʻōniʻoniʻo, e like me ka protein a i ʻole ke kelepona i hoʻolei ʻia i ka mimi, a i ʻole kahi biopsy e hōʻike ana i ka maʻi lupus
• hemolytic anemia
• helu keʻokeʻo haʻahaʻa keʻokeʻo haʻahaʻa
• helu platelet haʻahaʻa
• nā mea ʻino i DNA i pāpālua ʻia
• nā mea ʻino i Sm ant antigen
• antifosfolipid nā mea pale umauma, me nā mea pale i ka cardiolipin
• ke kū ʻana o nā mea pale antinuclear, a i ʻole ANA
• nā pae haʻahaʻa o ke kōkua, kahi ʻano o ke protein pale
• kahi hōʻike maikaʻi no nā mea ʻāpili e kūʻē i nā hunaola ʻulaʻula

E ʻike ʻia me RA, pono ʻoe e kiʻi ma kahi o ʻeono mau helu ma ka pae hoʻohālikelike RA. ʻO ka pālākiō:

• nā ʻōuli e pili ma hoʻokahi a ʻoi paha o nā hono (a i ʻelima mau helu)
• ke hōʻoia maikaʻi no ka mea rheumatoid a i ʻole anticitrullined protein antibody i loko o kou koko (a i ʻekolu mau helu)
• maikaʻi C-reactive protein (CRP) a i ʻole nā ​​erythrocyte sedimentation (kahi hoʻokahi)
• ʻoi aku ka lōʻihi o nā ʻōuli ma mua o ʻeono pule (hoʻokahi kiko)

ʻO Comorbidity

ʻO Comorbidity e pili ana i ka loaʻa ʻana o nā maʻi i hoʻokahi manawa i ka manawa like. Ua ʻike ʻia kēia ma ke ʻano he overlap maʻi. Hiki i nā poʻe me ka lupus a me ka poʻe me RA ke loaʻa nā ʻōuli o nā kūlana ʻē aʻe. Hiki nō i nā kānaka ke loaʻa nā ʻōuli o RA a me lupus.

ʻAʻohe palena i ka nui o nā ʻano maʻi maʻamau i hiki iā ʻoe ke loaʻa, a ʻaʻohe palena manawa no ka wā e hiki ai iā ʻoe ke hoʻomohala i kahi maʻi maʻi ʻē aʻe.

ʻO nā maʻi i hoʻopili pinepine ʻia me ka lupus me:

• scleroderma
• maʻi maʻi hoʻopili
• Sjögren maʻi maʻi
• polymyositis-dermatomyositis
• thyroid autoimmune

ʻO nā maʻi i hoʻopili pinepine ʻia me RA me:

• ʻO Sjögren maʻi
• thyroid autoimmune

ʻOkoʻa ʻokoʻa

ʻAʻohe lāʻau lapaʻau no ka lupus, akā hiki i ka lāʻau lapaʻau ke kōkua iā ʻoe e hoʻokele i kāu mau ʻōuli. Lawe ka poʻe he nui me ka lupus i ka lāʻau Corticosteroids a me nā lāʻau ʻē aʻe e mālama ai i ka huehue a me ka ʻeha.

Pono paha kekahi i ka lāʻau e mālama ai i ka ʻili o ka ʻili, nā maʻi puʻuwai, a i ʻole nā ​​pilikia o nā puʻupaʻa. I kekahi manawa maikaʻi ka hui ʻana o kekahi mau lāʻau.

Hiki i nā kānaka me nā rheumatoid arthritis ke kiʻi i nā kī ʻo cortisone e kāohi ai i ka pehu. I kekahi manawa, pono paha i nā mea maʻi ke kukuli a i ʻole ke kuapo ma hope o ke ola no ka mea ua hele a hemahema loa ka hui. Loaʻa nā lāʻau he nui e kāohi i nā ʻōuli a pale i ka hōʻino pū.

He aha kāu e manaʻo ai

Pono nā poʻe me nā lupus a me RA e hana i kahi hoʻolālā lōʻihi me kā lākou kauka. E hoʻopili kēia hoʻolālā i nā ala e kōkua ai i ka mālama ʻana i ka mumū a me ka ʻeha. E kōkua pū ia iā ʻoe e hōʻemi i nā pilikia o ka lupus a me RA.

ʻO nā pilikia lōʻihi o ka lupus me ka hōʻino o ka puʻuwai a me ka hakuʻala. ʻEha pinepine nā mea maʻi Lupus mai nā maʻi maʻamau o ke koko, me ka anemia a me ka mumū o nā kīʻaha koko. Me ka ʻole o ka lapaʻau ʻana, hiki i kēia mau mea āpau ke hōʻino i nā meaola.

ʻO nā pilikia o RA i mālama ʻole ʻia e pili pū me ka deformity hui paʻa, anemia, a me nā hōʻino o ka māmā. Hiki i ka mālama ʻana ke pale i nā pilikia lōʻihi.