Qorshayaasha daaweynta lupus waxay ku saleysantahay baahidaada shakhsi ahaaneed waxaana laga yaabaa inay isbedesho wakhti ka dib. Noocyada iyo waxtarka daaweynta lupus waxay kordheen, iyada oo dhakhaatiirta kala doorata kala doorasho sida loo maareyn karo cudurka marka la eego cudurka iyo ka dib. Daawooyinka dhakhtarku qoro sida daawooyinka difaaca jirka iyo kuwa ka hortagga uurka, ayaa laga yaabaa in la isticmaalo.
Waxaa muhiim ah in aad si dhow ula shaqeysid dhakhtarkaaga oo aad door firfircoon ka qaadato maareynta cudurkaaga, dib u qiimeynta qorshahaaga daaweynta si joogto ah si aad u hubiso in uu yahay mid wax ku ool ah.
Marka lupus la ogaado, dhakhtarkaagu wuxuu kuu sameyn doonaa qorshe daaweyn oo ku saleysan da'da, jinsiga, caafimaadka, calaamadaha, iyo qaab nololeedkaaga. Marka aad diyaarinayso qorshahaaga daaweynta, dhakhtarkaagu wuxuu leeyahay hadafyo dhowr ah:
- Yaree infakshanka uu keeno cudurka
- Xakamee cilladaha habdhiska difaaca jirka ee mas'uulka ka ah caabuqa unugyada
- Ka hortag cayayaanka oo daawee marka ay dhacaan
- Calaamadaha xakamaynta
- Yaree dhibaatooyinka
Rijeetooyinka
Daawooyinka dhakhtarku waa qayb muhiim ah oo ka mid ah maaraynta bukaanno badan oo qaba lupus erythematosus (SLE), nooca ugu wayn ee lupus. Xeeladaha daroogooyinka ayaa hadda la heli karaa, taas oo kordhisay suurtogalnimada daaweyn wax ku ool ah iyo natiijooyin bukaan oo aad u fiican.
Daaweynta Lupus waa in ay ku jiraan daawooyinka yar sida ugu macquulsan sida ugu dhakhsaha badan.
Bukaanjiifka qaarkood marnaba uma baahna daawooyin, qaar kalena waxay u qaataan sida loo baahan yahay ama wakhtiyo gaaban, laakiin qaar badan ayaa u baahan daaweyn joogta ah oo leh qiyaaso kala duwan. Inkasta oo ay faa'iido u leeyihiin, daroogo ma laha halis. Daawooyinka inta badan loo isticmaalo si loo xakameeyo astaamaha lupus waa:
- Daawooyinka aan dawooyinka lahayn (anti-inflammatory drugs) (NSAIDs)
- Antimalarials
- Corticosteroids
- Immunosuppressives / cudur-is-bedelidda daawooyinka ladagaallanka roodhiga (DMARDs)
Haddii aad leedahay calaamado lupus khafiif ah , waxaa laga yaabaa in lagugu daaweeyo antimalarial iyo suurogal ahaan NSAID iyo / ama qiyaasta muddada gaaban ee corticosteroids.
Haddii aad leedahay calaamado lupus dhexdhexaad ah , qorshahaaga daaweyntu waxay u badan tahay inuu ku jiro antimalarial oo ay la socoto corticosteroid muddada gaaban illaa inta uu ka hortagayo antimalaris. Waxa kale oo laga yaabaa inaad ka faa'iideysato tallaalka jirka.
Calaamadaha dhabta ah ee lupus ee ku lug leh xubnahaaga, waxaad u badan tahay inaad u baahato qiyaas aad u daran oo ah daaweyn difaac ah. Waxaa sidoo kale lagaa daaweyn karaa qadar sare oo corticosteroid ah mudo kooban si loo yareeyo bararkaaga. Sida lupus fudud iyo mid dhexdhexaad ah, waxaad u maleyneysaa inaad sidoo kale ka faa'iideysan karto antimalarial.
Waxyaabaha kala duwan ee la kala dooran karo iyo kakanaanta qorshaha daaweynta waxay noqon kartaa mid aad u adag oo wareer leh. Marka dhakhtarkaaga la yimaado qorshe daawo, waxaa muhiim ah in aad si fiican u fahamtid sababta daroogada, sida uu u shaqeeyo, inta aad u maleyneyso in aad qaadato, markaad u baahan tahay inaad qaadato, iyo waxa saameynaha ka iman kara noqon. Haddii aadan hubin, hubso inaad weydiiso.
Bukaannada badankood waxay ku fiicanyihiin dawooyinka lupus waxayna la kulmaan waxyeelo yar.
Haddii aad sameysid, isku day inaadan niyad jabin, xusuusnow in daroogooyinka kale badiyaa la heli karo. Sidoo kale, isla markiiba u sheeg dhakhtarkaaga. Waxay noqon kartaa halis ah in si lama filaan ah u joojiso qaadashada daawooyinka qaarkood, oo aadan marnaba joojin ama beddelin daaweynta adiga oo aan marka hore la hadal dhakhtarkaaga.
Antimalarials
Antimalarials waxaa markii hore la sameeyay intii lagu jiray dagaalkii labaad ee aduunka sababtoo ah quinine, daaweynta caadiga ah ee duumada, waxay ahayd mid gaaban. Cilmi baadhayaashu waxay ogaadeen in antimalarials sidoo kale loo isticmaali karaa si loo daaweeyo xanuunka wadajir ah ee la dhaco rheumatoid arthritis . Isticmaalka ku-xiga ayaa muujiyay in daawooyinkan ay wax ku ool u yihiin kantaroolka xaaladaha kuur-ku-jirka ee la xiriira:
- Lupus arthritis
- Finan maqaarka
- Boogaha afka
- Daal
- Qandho
- Xanuunka sambabada
Antimalarials, oo ay ansixisay Maamulka Cuntada iyo Dawooyinka ee Maraykanka (FDA) si loo daweeyo lupus, ayaa loo isticmaalaa inay ka caawiso ka hortagga caleenta marka si joogto ah loo qaato, laakiin looma isticmaalo si loo maareeyo noocyo halis ah, qaabab nidaam ah ee lupus ee saameeya xubnaha. Waxay noqon kartaa toddobaadyo ama bilo kahor intaadan ogaan in daawooyinkan ay xakameynayaan calaamadaha cudurka.
Noocyada antimalarials waxaa ka mid ah:
- Plaquenil (hydroxychloroquine sulfate)
- Aralen (chloroquine)
Inkasta oo chloroquine wali la isticmaalo, sababtoo ah nabadgelyo fiican, hydroxychloroquine sulfate ayaa badanaa la door bidaa. Tallaabooyinka ka hortagga dabiiciga ah ee dawooyinkaan lama fahmayo. Antimalarials ayaa sidoo kale saameyn ku yeesha qumbahaaga si loo yareeyo khatarta xinjirta dhiigga iyo heerarka hoose ee lafaha.
Dhibaatooyinka kale ee ka yimaada antimalarials waxaa ka mid noqon kara:
- Calool xanaaq
- Waxyeello loo geysto indhaha indhaha (naadir)
NSAIDs
Daawooyinka nonsteroid anti-inflammatory (NSAIDs) waxay ka kooban yihiin kooxo waaweyn iyo noocyo kala duwan oo ah daroogo kuwaas oo haysta xanuunka-yareeynta, ka-hortagga, iyo xummad-yaraynta guryaha. Xanuunka iyo bararka ayaa ah dhibaatooyin caan ah oo ku dhaca bukaanka qaba lupus, NSAIDsuna badanaaba waa daawooyinka xulashada bukaanka qaba lupus fudud oo leh wax yar ama aan lahayn xubin jidheed, inkastoo aysan si rasmi ah u ansixin FDA si loogu daaweeyo lupus. Bukaan-socodka ku lug leh xubinta jirka ee culus waxaa laga yaabaa inay ubaahantahay daawooyin ka hortag ah oo ka hortag ah iyo daawooyinka difaaca jirka.
Inkastoo qaar ka mid ah NSAID-yada, sida i buprofen iyo naproxen, ay diyaar u yihiin miiska, rijeetada dhakhtar ayaa loo baahan yahay dadka kale. NSAIDs waxaa laga yaabaa in loo isticmaalo kali ama la noocyada noocyada kale ee daroogada si loo xakameeyo xanuunka, bararka, iyo qandhada. Waxaa muhiim ah in aad qaadato daawooyinkan hoosta dhaqtarkaaga. NSAID waxay noqon kartaa daawada kaliya ee loo baahan yahay si loo daaweeyo hargab fudud, laakiin cudurrada firfircoon waxay u baahan karaan daawooyin dheeraad ah.
Waxyeellooyinka guud ee NSAIDs waxaa ka mid noqon kara:
- Calool xanaaq
- Jilbile
- Shuban
- Ka qaadista dareeraha
Dadka qaarkood waxay sidoo kale horumariyaan beerka, kelyaha, wadnaha, wadnaha, ama xitaa neerfayaasha oo ka yimaada isticmaalka NSAIDs, taas oo muhiimad gaar ah leh si ay ula xiriirto dhakhtarkaaga inta aad qaadaneyso daawooyinkaas.
Inkasta oo dhamaan NSAIDyadu ay u muuqdaan inay si isku mid ah u shaqeynayaan, dhammaantood maaha kuwo saameyn ku leh qof kasta. Waxaa intaa dheer, bukaanku waxay ku fiicnaan karaan mid ka mid ah NSAID muddo wakhti ah, ka dibna sababo aan la garaneynin ayaa laga yaabaa inay bilaabaan inay ka faa'iideystaan wax faa'iido ah. Is-beddelidda NSAID ka duwan ayaa soo saari kara saameynta la rabo. Waa inaad isticmaashaa hal NSAID keliya wakhti kasta.
Corticosteroids
Corticosteroids waa hoormoono qarsoodi ah oo leh qanjirrada qanjirka 'adrenal'. Qaybaha synthetic ee molecules kuwaas oo loo isticmaalo daaweyn ahaan sida daroogo xoog leh anti-bararka. Ereyga "steroids" ayaa badanaa la fahamsan yahay oo murugadu waxay keeni kartaa marka corticosteroids ay qaldan yihiin steroids anabolic.
Corticosteroids ayaa waxaa ansixiyay FDA si loogu daaweeyo lupus waxaana badanaa loo maamulaa hadal ahaan. Inta lagu jiro muddooyinka jirro halis ah, waxaa laga yaabaa in lagu maamulo xididada. Laakiin markaad xasilloonaato, maamulka afka waa in dib loo bilaabo. Maadaama ay yihiin daroogo xoogan, dhakhtarkaagu wuxuu raadin doonaa qiyaasta ugu hooseysa ee leh faa'iidada ugu weyn.
Bukaannada Lupus ee leh calaamado aan hagaajin ama aan la fileynin inay ka jawaabaan NSAID ama antimalarials ayaa la siin karaa corticosteroid. Inkasta oo corticosteroids ay leedahay saameyno halis ah oo halis ah, waxay si fiican u saameeyaan dhimista infekshinka, yaraynta murqaha iyo xanuunka lafaha iyo daal, iyo xakamaynta nidaamka difaaca. Waxay sidoo kale faa'iido u leeyihiin in la xakameeyo ka qayb qaadashada xubinta taranka ee lupus.
Marka calaamadahaagu ay ka jawaabaan daaweynta, qiyaasta ayaa inta badan loo xiraa illaa qiyaasta ugu hooseeysa ee lagu maareeyo dhaqdhaqaaqa cudurrada. Waxaad u baahan tahay inaad si taxadar leh loola socdo inta lagu jiro wakhtigan cirridka ama dib u soo noqosho ee murqaha iyo murqaha, xummadda, iyo daalku oo keeni kara marka qiyaasta la yareeyo.
Qaar ka mid ah bukaannada ayaa u baahan kara corticosteroids oo keliya inta lagu jiro marxaladaha firfircoon ee cudurka; kuwa qaba cudur daran ama ka-qaybgalka xubnaha jirka ee culus waxay u baahnaan karaan daaweyn muddada-dheer. Dhakhaatiirtu mararka qaarkood waxay bixiyaan xaddi aad u badan oo corticosteroid ah oo wakhti gaaban ah (maalmo), oo lagu magacaabo bolus therapy ama daaweynta garaaca wadnaha.
Ka dib daaweynta corticosteroid kaddib, daawooyinka waa inaan la joojin si lama filaan ah. Maamulidda corticosteroids waxay keenaysaa in jirkaagu uu soo saaro hoormoonka adrenal inuu hoos u dhigo ama joojiyo, iyo adrenal la'aanta ama xitaa dhibaatada adrenal (xaalad halis ah oo nafta halis gelisa) waxay keeni kartaa haddii daroogada la joojiyo si lama filaan ah. Qaadashada qiyaasta daawada waxay u oggolaaneysaa qanjidhada adrenal ee jirka in ay soo kabtaan oo ay dib u bilaabaan wax soo saarka hoormoonka dabiiciga ah. Muddada dheer ee aad ku jirtay corticosteroids, way ka sii adag tahay inay hoos u dhigto qiyaasta ama joojiso isticmaalkooda.
Corticosteroids loo isticmaalo daaweynta lupus waxaa ka mid ah:
- Prednisone (Caabbiinka) -ka loo isticmaalo inta badan si loo daweeyo lupus; Arag in ka badan hoos
- Hydrocortisone (Cortef, Hydrocortone)
- Methylprednisolone (Medrol)
- Dexamethasone (Decadron)
Corticosteroids waxaa loo heli karaa:
- Kiriimyada miisaanka ama boomaatada (for finan maqaarka)
- Kiniinnada afka
- Xalalka yaryar
- Tallaalada steroids (irbadaha ama duritaanka xididada)
Dhibaatooyinka muddada gaaban ee corticosteroids waxaa ka mid noqon kara:
- Cadaadiska cadaadiska indhaha (glaucoma)
- Barar
- Cadaadis dhiig oo sarreeya
- Cunto kordhay
- Culeyska miisaanka
Saameynada muddada dheer ee corticosteroids waxaa ka mid noqon kara:
- Cataracts
- Sonkorta dhiiga oo saraysa (sonkorow)
- Infekshannada
- Lafaha lafdhabarta ama dhaawacmay (osteoporosis iyo osteonecrosis)
- Waqti dheeri ah nabarrada si ay u bogsadaan
- Maqaarka khafiifka ah ee aad u dhib yar
- Calaamadaynta calaamadaha
Caadi ahaan, qiyaasta tallaalka iyo inta dheer ee la qaato, khatarta iyo khatarta ka iman karta saameynaha . Haddii aad isticmaasho corticosteroids, waa inaad kala hadashaa dhakhtarkaaga wixii ku saabsan qaadashada kaalshiyam kalsiyum iyo fitamiin D ama daawooyinka si loo yareeyo khatarta ah osteoporosis.
Wax badan oo ku saabsan Prednisone
Prednisone waa corticosteroid caadi ah oo dhakhaatiirtu qoraan, keligood ama ay la jiraan daawooyin kale, laakiin badanaa waxaa loo isticmaalaa daaweyn mudo gaaban ah. Aad ayay wax ku ool u tahay daawaynta lupus firfircoon iyo astaamaha inta badan si dhakhso ah u faafaan. Kuwa qaba xaaladaha fudud ee lupus firfircooni uma baahna daawada dhan.
Kala xiriir dhakhtarkaaga haddii aad yeelatid mid ka mid ah calaamadaha soo socda kuwaas oo aan ka tagaynin ama aad u daran markaad qaadato daawada prednisone:
- Madax xanuun
- Dawakhaad
- Dhibaato la'aantu waxay huruddaa ama seexataa
- Nasiib daro xun
- Isbeddelka ba'an ee niyadda
- Isbedelka shakhsiyeed
- Indhacadeyn indhaha
- Acne
- Maskaxda, maqaarka jilicsan
- Maqaarro cas ama guduud ah ama xariijin maqaarka hoostiisa
- Xoqin yaraanta bogsashada iyo jaranjarada
- Kordhay timaha
- Isbedelada baruurta ayaa ku faafta jidhka
- Daal aad u daran
- Muruqyada liqitaanka
- Xilliyada caadada ama maqnaanshaha
- Rabitaanka galmada oo yaraaday
- Jilbile
- Dhidid dhidid
Si degdeg ah ula xiriir dhakhtarkaaga haddii aad la kulanto mid ka mid ah calaamadahan soo socda inta aad qaadanayso daawada prednisone:
- Dhibaatooyinka aragtida
- Indho xanuun, casaan, ama jeexis
- Cuno xanuun, qandho, qarqaryo, qufac, ama calaamadaha kale ee infekshanka
- Qalalaasaha
- Murugo
- Khasaaro la xiriirta xaqiiqda
- Jahwareer
- Murqaha murqaha ama adkeynta
- Ruxashada gacmaha oo aanad xakamayn karin
- Kabuubyo, gubasho ama xoqan wajiga, gacmaha, lugaha, cagaha, ama gacmaha
- Calool xanuunka
- Matagid
- Nabadgelyo
- Wadna garaacsanaan la'aan
- Miisaankii degdega ahaa
- Barar ama xanuunka caloosha
- Neefsasho adag
- Finan
- Fiiqan
- Cuncun
Immunosuppressives / DMARDs (Cudurada Is-Beddelista Mukhaadaraadka Lidka-Roogagga)
Immunosuppressives iyo daawooyinka kale ee wax ka bedelaayo daawooyinka ladagaallanka rheumatiska (DMARDs) waxaa loo isticmaalaa "off-label" (macnaheedu maaha inay FDA ogolaato daaweynta lupus) xaaladaha halista ah ee xaaladaha dhabta ah ee lupus ee xubnaha unugyada sida kelyaha ay saameyn ku yeeshaan ama ay jirto jirro barar daran ama midka xannuunsan ee arthritis. Immunosuppressives ayaa sidoo kale loo isticmaali karaa in la yareeyo ama mararka qaar laga tirtiro baahida loo qabo corticosteroids, taas oo kaa joojineysa saameynta daawooyinka aan fiicnayn ee daaweynta corticosteroid muddada dheer. Immunosuppressives waxay kaa difaacaan nidaamka difaaca jirka ee siyaabo kala duwan.
Immunosuppressives iyo DMARDs waxay yeelan karaan waxyeelo halis ah. Si kastaba ha noqotee, saameynaha daawadu waxay ku xiran tahay qiyaasta aad qaadaneyso, guud ahaanna waa la beddeli karaa iyadoo la yareeyo qiyaasta daawada ama joojinta daawada hoosta talobixinta dhakhtarka. Daawooyinkan waxaa laga yaabaa in la bixiyo af ama faleebo (daroogada daroogada ku dhex riddo xididkaaga tuubo yar).
Waxaa jira halisyo badan oo halis ah oo la xidhiidha isticmaalka immunosuppressives iyo DMARDs. Kuwaas waxaa ka mid ah:
- Immunosuppression
- Hoos u qaadista infakshanka
- Xakamaynta dhuuxa lafta
- Horumarinta malignancies
Noocyo badan oo ah daawooyinka difaaca jirka iyo daawooyinka kale ee is-beddelaya daawooyinka ladagaallanka roodhiga ayaa diyaar u ah in lagu daweeyo lupus. Dhamaan kuwaani waxay khuseeyaan kooxo daroogo ah oo loo isticmaalo sida safka labaad ee difaaca lupus iyo qaababka kale ee arthritis. Inkasta oo ay leeyihiin habab kala duwan oo ficil ah, nooc kasta wuxuu u shaqeeyaa inuu yareeyo ama ka hortago jawaab celinta.
Immunosuppressives iyo DMARD loo isticmaalo daaweynta lupus waxaa ka mid ah:
- Cyclophosphamide (Cytoxan)
- Mitrofenolate mofetil (CellCept): Daawadani waxaa badanaa loo isticmaalaa lupus nephritis ama daaweynta u adkeysiga daaweynta u adkaysata ee lupus erythematosus, qaabka ugu muhiimsan ee lupus, waxayna kaa caawineysaa yareynta qiyaasta steroids ee aad u baahan tahay.
- Azathioprine (Imuran, Azasan): Azathioprine wuxuu u shaqeeyaa kiniin-celinta hidda-socodka iyo dib-u-socodka unugyada T. Iyada oo ku saleysan murqaha (jiirka iyo jiirka) iyo daraasad bini aadaminimo, azathioprine waxaa loo tixgeliyaa wakiil daciif ah. Si kastaba ha ahaatee, waa ka jaban wakiilada kale ee difaaca jirka waxaana loo isticmaali karaa halkii laga heli lahaa steroids. Gaar ahaan, azathioprine wuxuu si fiican u shaqeeyaa ka dib marka la bilaabayo daaweynta leh cyclophosphamide ama mycophenolate.
- Methotrexate (Rheumatrex)
Dhibaatooyinka kale ee daawooyinkaan waxaa ka mid noqon kara:
- Lalabbo
- Matagid
- Dhimista timaha
- Dhibaatooyinka kaadiheysta
- Hoosudhac yaraanta
- Khatarta kansarka iyo cudurka
Khatarta daaweyntu waxay kordhisaa dhererka daaweynta. Sida daaweynta kale ee loo yaqaan 'lupus', waxaa jira khatar ah in dib loo celiyo kadib markii la joojiyo tallaal-joojinta.
Biologics
Benlysta (belligab) waa daroogada kale ee loo yaqaan FDA-da ee daweynta lupus-ku-noqoshada firfircoon, ladar-macquul-macquul ah ee bukaannada qaata daaweynta caadiga ah oo ay ka mid yihiin corticosteroids, antimalarials, immunosuppressives, iyo NSAIDs (daawooyinka nonsteroid anti-inflammatory). Benlysta waxaa loo maamulaa sida faleebo faleebo ah waana daawada ugu horeysa ee lagu beegsado borotiinka bis-Lymphocyte (BLYS), taas oo hoos u dhigta tirada unugyada aan caadiga ahayn - dhibaatada lupus.
Xulashada Noocyada Kale ee Lupus
Haddii lagugu ogaado maqaar-ku-shubka ama subacute lupus-ka, xaalado badanaa ka baxsan lupus erythematosus (SLE), waa in aad marka hore la daaweeyo kareemka corticosteroid dheeraad ah ama boomaatooyin. Kiriimyadaas waxaa lagu dabiqi karaa xanuunka habeenkii intaadan seexin; maqaarka la daweeyey waa in lagu daboolaa filim caag ah ama cajalad Cordran ah. Haddii lakabyada laga tago iyada oo aan la daboolin, daboolka corticosteroid iyo jelcaha waa in la mariyaa laba jeer maalintii.
Hab kale oo loo isticmaalo dawooyinka dabiiciga ah ee loo yaqaan 'subacute' iyo 'disinute lupus' waa in la isticmaalo kiniiniyada calcineurin ee daawada sida kiriimka pimecrolimus ama bacriminta tacrolimus. Haddii dhakhtarkaagu aanu ka jawaabin corticosteroids ama kiniiniyada calcineurin, dhakhtarkaagu wuxuu isku dayi karaa in corticosteroid lagu duro maqaarkaaga.
Haddii aysan mid ka mid ah daaweynadani shaqeyn, dhakhtarkaagu wuxuu u badan tahay inuu isku dayayo daaweyn nidaam. Daaweynta ugu horeysa waxaa ka mid ah antimalarials sida hydroxychloroquine sulfate, chloroquine, ama quinacrine. Kuwani waxay waxtar u leeyihiin dadka badankood.
Haddii antimalarisku aysan sameynin khiyaamada, dhakhtarkaagu wuxuu isku dayi karaa mid ka mid ah daaweynadan habeysan:
- Tallaal-difaaceed, sida methotrexate ama miyotofenolate mofetil (MMF)
- Qalabka taranka, sida isotretinoin ama acitretin
- Dapsone, sulfonamide
- Thalidomide, wakiil immunomodulatory ah
Mid ka mid ah saameynta xun ee daawooyinka antimaaaliya waa cudurka psoriasis, taas oo ah nooc kale oo ah cudur maqaarka ah oo leh calaamado la mid ah subacute iyo ka-luminta lupus-ka. Isotretinoin iyo thalidomide labaduba waa teratogens labadaba, taas macnaheedu waa in daawooyinkan ay waxyeeleyn karaan uur-kujirka, sidaa darteed ha u qaadin kuwaan haddaad uur leedahay ama aad ka fekereyso inaad uur yeelato.
Dawada Kale ee Kale
Sababtoo ah dabeecada iyo qiimaha daawooyinka loo isticmaalo in lagu daweeyo lupus iyo suurtogalnimada waxyeellooyinka halista ah, bukaanno badan ayaa raadinaya habab kale oo siyaabo kala duwan loogu daaweyn karo cudurka. Qaar ka mid ah qaabab kale oo ay ka mid yihiin:
- Cuntooyinka Gaarka ah
- Daawooyinka dhirta
- Noocyada saliidda ee saliidda
- Daryeelka lafdhabarta
- Homeopathy
- Acupuncture
- Tai Chi
- Daaweynta maskaxda
- Biofeedback
- Mucaawin
Inkasta oo hababkaasi aysan waxyeello u geysan karin naftooda oo ay ka caawin karaan qaar ka mid ah astaamahaaga marka lagu daro qorshaha daaweyntaada joogtada ah, cilmi baaris ma'ahan taariikhda waxay muujineysaa inay saameynayaan geedi socodka cudurka ama ka hortagga dhaawaca xubnaha. Dhab ahaan, dhirta dabiiciga ah ayaa dhab ahaantii noqon karta waxyeello, taasoo suuragal ah in calaamadahaaga lupus aad uga sii daro iyo / ama farageliso daawooyinkaaga daawada laguu qoray.
Had iyo jeer la tasho dhakhtarkaaga inta aadan bilaabin wax daaweyn ah ama daaweyn kale, iyo inaad hubiso inaad sii wadatid daawooyinka laguu qoray.
> Ilo:
> Clarke J. Maareynta Hore ee Laxuska Diskid Lupus iyo Subacute Loseus Lupus. UpToDate. La daabacay May 16, 2017.
> Clarke J. Maareynta Nafaqada Luujka Lupus iyo Subacute Lutusus Lupus. UpToDate. La daabacay Janaayo 11, 2017.
> MedlinePlus. Prednisone. Maktabadda Qaranka ee Dawada ee Maraykanka. Dib loo cusbooneysiiyay November 15, 2015.
> Wallace DJ. Natiijada Maareynta iyo Maqnaanshaha Lupus Erythematosus ee Dadka waaweyn. UpToDate. La daabacay January 24, 2018.