Lupus erythematosus: The most important thing is to maintain

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Has been induced lupus erythematosus due to many factors, often in an unstable condition, activities and ease the often alternating. Thus, self-care of patients with lupus erythematosus has become the best guarantee of a healthy skin, the face of suffering is already suffering from diseases of the skin, can the sun? Able to carry out physical exercise? What are particular about food?

The law of work and rest, not exertion

Clinically, many patients clearly into remission, but because of fatigue, illness suddenly increased, leading to the therapeutic effect of hard come fleeting, or sicker.

In view of this situation, Fan Ruiqiang chief physician, said: Due to over exertion and induced or exacerbated by the case of illness, and this is because, whether it is more than the patient's ability to bear physical or mental, can lead to a reduced ability to self-regulate stress, thereby affecting immune system disorders, worse.

Therefore, patients should maintain regular lifestyle to ensure that sleep, in the acute phase, especially those with visceral damage should pay attention to rest in bed in a stable condition only after appropriate activities or to work.

How to skin care

Because lupus erythematosus is the most direct damage to the external skin damage, remove lupus erythematosus caused by itching, pain, kept alive the patient is discouraged pedestrians surprised looks, due to large areas of skin disorders, lupus erythematosus patients often suffer great spiritual pressure, regardless of daily life, or work and study, are difficult to sustain, in the difficult to cure, how to maximize the protection of the skin suffered damage which small details are available for reference?

1.Must pay attention to warm the skin to avoid squeezing. Lupus erythematosus in patients with poor peripheral circulation, these sites include the fingers, toes, nose, ears and so on. Temperature on skin blood circulation have a major impact. The temperature is too low apt to cause vascular spasm, vascular inflammation, leading to peripheral limb emergence of Raynaud's phenomenon and vascular inflammatory red maculopapular rash, and pain.

While the temperature is too high, the organization increased congestion and edema, pain and swelling. Therefore, the temperature suitable for the patient is very important. Low temperatures as much as possible to avoid contact with cold water. Yichuan cotton, soft and strong warm clothing advised to wear cotton gloves (gloves, the best option other than the four fingers except the thumb of the glove are connected together, so that four fingers can warm each other, and the oppression of the little finger), cotton socks protection, to guard against the cold stimulation. Bath temperature should be suitable. Extrusion can be further aggravated acral microcirculation condition, so well as paying attention extremities warm, but also to avoid the extrusion, such as to keep beds clean smooth, to wearing cotton socks, avoid walking barefoot and wear sandals.

2.Must pay attention to sun. SLE patients have light-sensitive, ultraviolet radiation will cause the skin condition worsened and both the active phase, remission or quiescent period required to avoid exposure to sunlight, incandescent and some rays, to avoid the 10 am to 3 pm When the sun out strong, cloudy it's best to rub sunscreen, wear long-sleeved, wearing broad-brimmed hat or umbrella, ward try not to use UV disinfection.

3.Anti-breakage. Disable alkaline soap, cosmetics and hair dyes irritant, avoid contact with pesticides and some decorative materials. The skin dry, itchy patients, application of mild itching lubricants, such as the 3% salicylic acid ointment, vitamin B6 ointment and so on. To avoid the scratch, so as not to scrape the skin, once broken, should protect the integrity of the skin damage, such as ulceration occurs, infection should be treated. Smoking can vasospasm, increased vascular inflammation, should be to persuade patients to quit. Regular trimming nails, not a hand to pull the nose to prevent scratch the skin. Can be used in patients with oral ulcer 500ml + sodium bicarbonate 0.9% saline solution 30 prepared 4% sodium bicarbonate mouth rinse liquid 3 to 4 times / day, watermelon frost spraying the wound with anti-inflammatory and pain relief. Brushing movements should be soft, use soft-bristled toothbrush.

Prevention of infection

Connective tissue diseases are mostly due to autoimmune disease, there is a severe immune dysfunction, decreased body resistance, and to use more sugar, corticosteroids and immunosuppressive drug therapy, it is easy to place a variety of bacteria, viruses, fungal infections.

In addition, uremia caused by lupus nephritis, nephrotic syndrome and central nervous system damage and lung disease caused by dysfunction of pulmonary ventilation, malnutrition, diabetes and other factors, have to make the body less resistant to pathogens and easy secondary infection. There are the more common oral fungal infection, upper respiratory tract infections, pneumonia and urinary tract infections all. Certain infections is lupus erythematosus relapse, increase the incentive, it is very important to prevent infection, we should strengthen awareness of anti-infection patients.

Solution: Try not to go to public places, do not go to crowded places, try not to travel. To avoid sweating when the wind, in the cold season and weather changes in a timely manner, when attention to clothes, the flu in winter when they go out the best period and wearing a hat and mask. To keep the mouth, skin cleansing, morning and evening, and after dinner mouth, frequently changes the underwear. Once signs of infection such as fever (axillary temperature ≥ 38.5 ℃), Zexu medical treatment as soon as possible.

Note that condition changes, and timely treatment

As the long-term use in patients with corticosteroids, immunosuppressive agents, and non-steroidal anti-inflammatory drug therapy, drug side-effects can lead to hypertension, high blood sugar, stress-induced gastrointestinal ulcers or bleeding, osteoporosis, electrolyte disorders, cataracts and other side effects, Therefore, manure should be regularly detected hematuria three conventional, biochemistry, blood lipids, liver and kidney function and other laboratory tests, usually to observe drug side effects, once the blood pressure, upper abdominal pain, heartburn, black stools, skin acne, hip joint pain , blurred vision and so not suited to doctors in time to reflect as soon as possible to adjust treatment programs. A variety of vaccination need to consider carefully, because the vaccine as a heterologous protein is species-specific antigen, can induce a potential lupus patient, or to increase the lupus patient's immune disorders.

For lupus patients, identify recurrence of aura on a regular basis is essential to conduct immunological tests, early detection can control the disease without relapse, or even relapse can receive timely treatment. Qualified patients in remission should be monitored every six months on a laboratory indexes. Unconditional patients can be judged according to their own sense of whether the possibility of recurrence. If the original joint pains, fever, fatigue and other symptoms of re-emergence of early treatment should be the necessary checks.

2010-03-22