SAY ni DOK | Ano ang sanhi at paano makokontrol ang sintomas ng lupus?
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00:00 According to healthyphilipinas.ph, systemic lupus erythematosus or lupus
00:06 occurs in 30 to 50 per 100,000 people here in the Philippines
00:12 and around 9 out of 10 people with lupus are females.
00:17 And now, we will be joined by Dr. Anna Monica Estrella,
00:24 a rheumatologist, to talk about lupus.
00:27 Doctor, good morning. This is Diana and Audrey.
00:31 Good morning.
00:35 Okay, Doctor, for our RSP's who are not familiar with lupus,
00:42 can you explain what this is and are there different types of lupus?
00:47 Lupus, like you said earlier,
00:52 another name for this is systemic lupus erythematosus.
00:57 It can be called lupus or SLE.
01:01 SLE or lupus, generally, what happens to a person's body
01:08 is that the body is fighting against itself.
01:11 Usually, we see this in terms of autoimmune disease.
01:17 In other words, our body is fighting against our own body
01:22 that causes inflammation or the formation of organ systems in the body.
01:29 There are many different types of lupus.
01:33 There is systemic lupus erythematosus
01:36 that can affect any part or organ system in the body.
01:42 It can also be lupus on the skin or cutaneous lupus.
01:47 It can also be drug-induced lupus
01:52 or it can be related to taking other medicines.
01:55 There are also neonatal lupus
01:59 that can affect the uterus or the new birth.
02:06 What is the cause of lupus and what are the risk factors?
02:14 Lupus is an autoimmune disease.
02:19 There is nothing particular that causes lupus.
02:24 Usually, we call it an interplay of multiple factors.
02:29 It means that there are many factors.
02:33 Usually, there is a predisposition
02:36 or there are genetic factors that cause lupus
02:40 that makes a patient more at risk.
02:44 After that, if we have a genetic predisposition,
02:49 the environment can trigger or become a factor
02:54 that makes a patient's predisposition to lupus more active.
03:02 Some of the environmental triggers would be infection.
03:07 UV light or sunlight can also trigger lupus.
03:13 What are the symptoms of lupus and what part of the body can it affect?
03:23 Lupus can vary.
03:28 Different patients can have different symptoms.
03:33 Like what we said earlier, systemic lupus erythematosus.
03:38 Meaning systemic, the whole body can have a presentation of lupus.
03:45 However, there are some common symptoms.
03:49 Some of them are fatigue or general weakness,
03:54 fever, fever, joint pains, or the symptoms of morning sickness.
04:00 Rashes are also very common.
04:03 These are the symptoms we hear, like butterfly rash on the face.
04:08 Or there can be rashes on different parts of the body.
04:12 There can also be rashes on the mouth, hair loss,
04:17 and there are also different possible symptoms on different parts of the body.
04:23 Like in the sneezing, breathing, and heart.
04:27 So there can be a lot of symptoms of lupus.
04:33 Do you have any health issues or health conditions that can be caused by lupus?
04:39 Lupus, like what we mentioned earlier, is an inflammation of the organ system.
04:48 Meaning, our internal organs and parts of our body are affected.
04:56 After this, there can be complications, like a kidney, heart, or pulmonary system.
05:11 So that can be a complication.
05:14 Another thing, when we have lupus, we can be at risk for infection.
05:21 Or if our immune system is weak, it's easier to get sick.
05:27 Doctor Ana, is lupus fatal?
05:33 There are many different presentations of lupus in different patients.
05:41 We can see patients who have mild lupus,
05:46 not affected by other parts of the body.
05:50 There are also lupus that are affected by major organs of the body.
05:56 If this is fatal, it really varies.
06:04 It's not automatic that if a patient has lupus, they will die.
06:09 For other diseases, if lupus is swollen or there is a complication,
06:14 it's harder to treat or there is a risk that the prognosis is worse.
06:24 How is lupus diagnosed? What check-ups should an individual do?
06:31 There are diagnostic tests that can help us.
06:38 Usually, if the doctor notices that the patient's symptoms are lupus,
06:48 there are additional laboratory tests that can be done.
06:53 Some of these are the ANE or antibody tests that we can request to the patient.
07:01 This is blood. This can also be combined with other routine tests like CBC, blood count, urinalysis, chest x-ray.
07:13 All of these can be ordered to the patient.
07:16 There is no single test that can tell that the patient has lupus.
07:22 This is a combination of tests that the doctor needs to interpret.
07:27 Dr. Ana, you have mentioned a lot of information about lupus.
07:33 But as a last question, are there other things that our countrymen should know about this disease?
07:40 For our countrymen who are listening and are afraid or worried about lupus,
07:53 I would recommend a good health-seeking behavior.
07:58 Meaning, routine laboratory and routine check-ups with our doctors.
08:04 We should always be compliant.
08:07 Also, if we have symptoms, we should not stop talking to our doctors
08:13 so that they can help us diagnose it.
08:17 If we have risk factors, like in our relatives who have lupus or other autoimmune diseases,
08:26 we should not hide it from our doctors because it can help us diagnose the patients.
08:35 Lupus should not be feared.
08:39 We should monitor and help our doctors.
08:45 It is not automatic that this is a deadly disease.
08:51 Thank you for sharing your information with us on Libring Telemed this morning.
08:56 Dr. Ana, thank you.
08:58 Thank you. Good morning.