Co-Occurrence ya Matenda Odzidzimutsa
Mankhwala ambiri a autoimmune syndrome, mwakutanthauzira, ndizochitika zofanana za matenda osachepera atatu omwe ali ndi munthu omwewo. Pafupifupi 25 peresenti ya anthu omwe ali ndi matenda okhaokha amakhala ndi chizoloŵezi chokhala ndi matenda ena omwe amadzimadzimadzi okhaokha. Anthu omwe ali ndi matenda osiyanasiyana amatha kukhala ndi vuto limodzi lachidziwitso (khungu), lomwe nthawi zambiri limakhala vitiligo kapena alopecia areata .
Kugwirizanitsa kwa matenda asanu omwe amachititsa kuti thupi liziyenda bwino limatengedwa kuti ndi losowa kwambiri.
Zolemba za Multiimimune Syndrome
Ndondomeko ya magulu anakhazikitsidwa kwa anthu omwe ali ndi matenda awiri omwe amadzimadzimadzimadzimodzi omwe amapezeka chifukwa cha kuchuluka kwa zinthu zina zomwe zimachitika palimodzi. Ndondomeko yamagulu, yomwe imasiyanitsa mitundu yambiri ya matenda m'magulu atatu, ndi othandiza pozindikira vuto latsopano pamene zizindikiro zimayambira. Zimathandizira kudziwa komwe chikhalidwe chachitatu chimakhala "cholowa."
- Mtundu Wambiri Wopanga Magalimoto Odzidzimutsa - myasthenia gravis , thymoma, polymyositis , chimphona chachikulu cha myocarditis
- Mtundu Wambiri Wambiri Wopanga Magetsi - Syndrome ya Sjogren , matenda a nyamakazi , nyamakazi yoyamba ya biliary, scleroderma , matenda a chithokomiro
- Matenda a mitundu itatu (3) Odzimadzimadzimadzimadzi a Symmine - Matenda a chithokomiro, myasthenia gravis ndi / kapena thymoma, Sjogren's syndrome, matenda a anemia, idiopathic thrombopenic purpura, matenda a Addison, mtundu wa shuga wa shuga, vitiligo, autoimmune hemolytic anemia, systemic lupus erythematosus , dermatitis herpetiformis
Chifukwa cha Magalimoto Odzidzimutsa Ambiri a Syndrome
Njira yowonongeka yomwe imatsogolera ku matenda osiyanasiyana amadziwika bwino. Zimenezo zinati, ofufuza akuganiza kuti zimachititsa kuti zinthu zachilengedwe zisinthe. Zimadziwikanso kuti ena amagwiritsidwa ntchito m'madera ena ndipo machitidwe ambiri a ziwalo angakhudzidwe.
Chifukwa chakuti zinthu zambiri zomwe zimagwira ntchito paokha zimapezeka mwa munthu yemweyo, kapena m'banja, njira yowonongeka yowonongeka imakhudzidwa.
Zotsatira zofufuza meta zomwe zafalitsidwa mu Nature Medicine (2015) zasonyeza kuti mu matenda khumi ndi awiri omwe anabadwa ali mwana, panali zizindikiro 22 za jini zomwe zinagawidwa ndi matenda awiri kapena ambiri ndipo 19 anagawana ndi matenda atatu omwe amadzimadzimadzi. Zambiri mwazizindikiro zomwe anazipeza zinali pa njira zogwirizanitsidwa ndi maselo, kusungunuka kwa maselo, ndi machitidwe omwe amathandiza kwambiri ku chitetezo cha mthupi- komanso njira zodzipangira thupi, makamaka. Matenda khumi omwe anali ndi matendawa anali mtundu wa shuga , matenda a leliac , matenda a mwana wamwamuna , matenda a immunodeficiency, omwe amachititsa kuti munthu asatenge thupi, matenda a Crohn, ulcerative colitis, psoriasis , autoroidmotherapy, ndi ankylosing spondylitis .
Maphunziro ena a mitundu yambirimbiri adapeza zamoyo mazana ambiri pakati pa matenda omwe amachititsa kuti anthu ambiri azidwala. Ngakhale kudziwa za majini kumatithandiza kumvetsa chifukwa cha multipleimmune syndrome, zingatithandizenso kutsogolo kwa zovuta zambiri.
Ngakhale kuti mitundu yambiri ya ma jini ndi machitidwe oyambitsa zachilengedwe ndizo zoganizira, zowonjezera zomwe achita kafukufuku apanga.
Anthu amanena kuti ngati mankhwala osokoneza bongo amayamba kulandira matenda amodzi okhaokha, kusintha kwa chitetezo cha mthupi kumachitika komwe kumayambitsa chitukuko cha matenda ena.
Matenda awiri kapena owonjezereka Omwe amadzimadzimutsa mu Rheumatology
Kugwirizanitsa kwa matenda awiri kapena oposa omwe sikumadziwika bwino sikunali kofala. Kawirikawiri amawoneka ndi machitidwe a systemic lupus erythematosus, nyamakazi ya nyamakazi, scleroderma, matenda a Sjogren, vasculitis , ndi polymyositis.
Kafukufuku wasonyeza kuti nyamakazi ya nyamakazi ndi matenda otchedwa autoimmune thyroiditis ndi ena mwa matenda omwe amadziwika bwino omwe amapezeka mwa anthu ambiri.
Malingana ndi Healio Rheumatology, ngati wina ali ndi zifukwa ziwirizi, chiopsezo chawo chokhala ndi china ndi choposa 1.5 kuposa omwe alibe chikhalidwe.
Chochititsa chidwi, pali kugwirizana pakati pa nyamakazi ya nyamakazi ndi multiple sclerosis , kutanthauza kuti ngati muli ndi zina mwazimenezi, kuchepetsa kutengeka kukuthandizani. Ngakhale kuti tinganene kuti izi ndizodziwikiratu, mitundu yosiyanasiyana ya zamoyo ingawononge chifukwa chake.
Ndikoyenera kutchula kuti matenda omwe amadzimadzimadzimadzi amapezeka kwambiri pakati pa akazi kuposa amuna. Kusiyanasiyana pakati pa amuna ndi akazi kumaphatikizapo chisankho kwa ochita kafukufuku omwe amayesa kupeza chiopsezo chokhala ndi vuto lachiwiri kapena matenda ambiri odziletsa. Kodi chiopsezo ndi chimodzimodzi kwa amuna ndi akazi? Zambiri zisanaphunzirepo.
Mawu Ochokera
Kwa anthu omwe ali ndi vuto limodzi lokha, ayenera kukhalabe osamala kuti akule bwino zinthu zina. Zimadziwika kuti matenda ambiri amadzimadzi amodzi amapezeka ndifupipafupi pakati pa iwo omwe ali ndi vuto limodzi. Nthawi zonse muzikambirana kusintha komwe mumakhala mukukumana ndi dokotala wanu. Matenda oyambirira ndi chithandizo amakuyamikirani.
> Zotsatira:
> Anaya JM et al. Syndromes Yambiri Yodziimitsa Magalimoto. Zosowa Zowonongeka pa Matenda Odzidzimutsa. Springer. 2008.
> Cojocaru M, et al. Multiimmune Syndrome. Maedica (Buchar). April 2010.
> Li YR et al. Kufufuza kwa Shared Genetic Architecture Kulimbana ndi Matenda khumi Omwe Amadzimitsa Odwala. Nature Medicine 2015.
> Kupitiliza Kukumana ndi Mavuto Odzidzimutsa Ambiri. Healio Rheumatology. August 2016.