Tsvagiridzo yakagonesa kufambira mberi kukuru mu kurapwa kwechiratidzo du lupus. Zvisinei, hapana mushonga wakananga wechirwere ichi. Mishonga inovandudza mararamiro ehupenyu nekuderedza kusimba kwezviratidzo, kuderedza njodzi yematambudziko uye kuwedzera hupenyu hwehupenyu.

Zvakanaka, kurapwa kwe lupus nemishonga mishoma sezvinobvira uye kwenguva pfupi, kudzikamisa mhirizhonga. Vamwe vanhu havadi chero mushonga, vamwe vanoushandisa chete sezvinodiwa kana kwenguva pfupi (flare-ups), asi vanhu vazhinji vanoda kutora kurapwa kwenguva yakareba.

Zvinodhaka zvinodhaka

Mishonga yemarwadzo (nonsteroidal anti-inflammatory drugs). Acetaminophen (Tylenol®, Atosol®) uye anti-inflammatory drugs²⁵ over-the-counter (ibuprofen, Advil®, kana Motrin) inogona kushandiswa kuderedza marwadzo mukati Hudyu, apo lupus isina kunyanya kuoma kana kupisa-kupisa kusina kunyanya. Zvisinei, vanachiremba havakurudzire kuti vanhu vane a yakanyanya lupus tora pamusoro-the-counter zvinoderedza marwadzo pachavo. Iyi mishonga inogona kuwedzera njodzi yematambudziko kubva ku lupus, kunyanya kukuvara kweitsvo. Zvinogona kutora nguva kuti uwane mushonga unopesana nekuputika uye gadzirisa dose nachiremba wako.

Corticosteroids. Corticosteroids, kunyanya prednisone uye methylprednisone, ndiyo inonyanya kurwisa-kupisa mishonga yekurapa. lupus, apo chirwere chacho chinokanganisa nhengo dzakawanda. Yakashandiswa kubva kutanga kwema1960 ichipikisa lupus, prednisone (Deltasone®, Orasone®) yakakurumidza kuva mushonga unokosha wekuvandudza mararamiro evarwere. Inobatsira kuderedza kuzvimba uye kudzora zviratidzo, kunyanya ne-flare-ups. Nekudaro, corticosteroids inotorwa muhombe dosi kana pamusoro penguva yakareba inogona kukonzera nhevedzano yeZvikanganiso, kusanganisira kutanga kwekupwanya, kushanduka-shanduka, chirwere cheshuga^25-26 , matambudziko ekuona (cataracts), kuwedzera kweropa uye mapfupa asina simba (osteoporosis). Mushonga wacho wakanyatsogadziriswa nachiremba kuitira kuti uwane migumisiro shoma sezvinobvira. Munguva pfupi, mhedzisiro huru yecorticosteroids inorema uye kuzvimba kwechiso nemuviri (edema). Kushandisa calcium uye vitamin D zvinowedzera kunobatsira kuderedza ngozi ye osteoporosis.

Makirimu uye mishonga yemunharaunda. Rashes dzimwe nguva inorapwa nemafuta, kazhinji ne corticosteroids.

Anti-marariya mishonga. Hydroxychloroquine (Plaquenil®) uye chloroquine (Aralen®) - mishonga inoshandiswawo kurapa marariya – dzinoshanda pakurapa lupus apo nonsteroidal anti-inflammatory drugs haina kukwana. Vanoderedza marwadzo uye kuzvimba mumajoini uye vanobatsira kurapa mapundu. Imwe yemishonga iyi inogona kutorwa kubva muchirimo kusvika pakudonha kudzivirira kutanga kwezvironda zveganda. zuva. Hydroxychloroquine inoshandiswawo seyakakosha kurapa kudzivirira kudzoka zvakare. Mhedzisiro huru yemishonga iyi kurwadziwa mudumbu uye kusvotwa.

Immunosuppressants. Immunosuppressive agents inoderedza basa rekudzivirira kwemuviri kune nhengo dzayo uye matishu. Mishonga yakasimba iyi inoshandiswa muchikamu chidiki chevanhu kana prednisone isingabatsire nezviratidzo kana painokonzeresa yakawandisa. Ivo vanodiwa kana the lupus kunokanganisa kushanda kwe chiuno kana hurongwa kutya. Inonyanya kushandiswa ndeye cyclophosphamide (Cytoxan®), azathioprine (Imuran®) uye mycophenolate mofetil (Cellcept®). Mune vamwe varwere, methotrexate (Folex®, Rheumatrex®) inogonawo kushandiswa pamitengo yakaderera semushonga wekuchengetedza. Mishonga iyi zvakare ine chikamu chayo chemhedzisiro, iyo inonyanya kukosha iyo inokonzeresa kutapukirwa uye njodzi huru yekubatwa negomarara. Mushonga mutsva, belimumab (Benlysta) unogona kushanda mune zvimwe zviitiko zve lupus; migumisiro yaro inobvira kusvotwa, manyoka uye fivha²⁵.

mwe

Immunoglobulin infusions. Immunoglobulin (antibody) gadziriro dzinowanikwa kubva muropa revanopa. Inodzorwa mukati memutsinga, ine anti-kuzvimba chiito sezvo ivo zvishoma neutralize autoantibodies, kureva abnormal masoja ekudzivirira chirwere anopokana nemuviri uye ane chekuita ne lupus. Immunoglobulin infusions inochengeterwa zviitiko zve lupus inopesana nemamwe marapirwo, akadai se corticosteroids.