Sjogren's Syndrome Imayambitsa Maso Ouma

Sjogren's syndrome inatchulidwa dzina la Henrik Sjögren, dokotala wa diso la Sweden. Sjogren's Syndrome ndi chikhalidwe chimene chitetezo cha mthupi chimagonjetsa matayira ake opanga chinyezi. Kwa ochuluka odwala, amawagwiritsira ntchito mankhwala osokoneza bongo komanso mapulusa otupa, omwe amachititsa misozi . Ikhoza kuthanso matumbo ndi zina zotupa m'thupi. Sjogren ndi matenda omwe amadziwika bwino kwambiri ndi ntchito yothandizira maso chifukwa anthu omwe ali ndi vutoli nthawi zambiri amavutika chifukwa cha kuuma kwa maso ndipo nthawi zambiri madokotala amawona kuti amatha kupweteka maso ndi maso awo asanadziwe kuti Sjogren ndi amene amamukonda kwambiri. dokotala kapena rheumatologist.

Zizindikiro

Maso owuma amatha kudziwonetsera okha m'njira zosiyanasiyana. Kuwonjezera pa kuwuma, maso owuma angachititse zotsatirazi:

• Zochitika za thupi zakunja
• Mchenga, kumverera kokoma
• Kuzindikira kuwala
• Kusinthasintha, masomphenya ophwanyika

Anthu omwe ali ndi matenda a Sjogren akhoza kukhala ndi zizindikiro zotsatirazi:

• Mlomo wouma
• Zovuta kumeza
• Zowonongeka mobwerezabwereza kapena kuvunda kwa mano
• Minofu ndi mgwirizano ndi zowawa
• Khungu louma kapena khungu la khungu
• Kukuda
• Vuma lakuya
• Kuwongolera m'manja ndi miyendo
• Kutopa kwambiri

Zimayambitsa

Ofufuza sadziwa chomwe chimayambitsa matenda a Sjogren. Komabe, vutoli limayendera m'mabanja. Zimagwirizanitsidwa kuti zimagwirizana ndi jini lomwe anthu ena amanyamula lomwe limawapangitsa kuti afotokoze matendawa. Katemera woterewu, omwe angakhale ndi kachilombo ka HIV, matenda a bakiteriya kapena nkhawa, amachititsa chitetezo cha mthupi. Izi zikachitika, chitetezo cha mthupi chingakhale chopweteka kwambiri. Matenda a Sjogren amachitanso kuti azichitika limodzi ndi matenda ena akuluakulu monga lupus, rumumid arthritis kapena scleroderma.

Kudziwa

Dokotala wanu adzakumbukira mbiri yanu yonse ya zamankhwala ndi achibale kuti awulule zizindikiro kapena matenda ena omwe angakhale okhudzana nawo. Mayeso a magazi akhoza kulamulidwa kuti ayang'ane antibodies ena omwe alipo. Komanso, dokotala wanu adzafufuza kuti impso zanu ndi chiwindi zigwira ntchito. Dokotala wanu angakuitanitseni kwa dokotala wamazinesi kuti aone kuwonjezeka kwa kuvunda kwa mano.

Dokotala wanu angakulozerani kwa optometrist kapena ophthalmologist kuti muyesere mayeso ena kuti muwone zizindikiro za matenda owuma. Mayesero awa angaphatikizepo zotsatirazi:

• Sulani kuyang'ana kwa nyali: Madokotala a maso amagwiritsa ntchito nyali yapadera yotchedwa bio-microscope yomwe imatchedwa nyali yowonongeka kuti ione mbali ya kutsogolo kwa diso kuti ikhale yowuma. Dyes amalowetsa m'diso kuti asonyeze malo omwe angawonongeke ndi maso owuma kapena kusonyeza maselo akufa kapena odzipereka.
• Mayeso a misozi yowonongeka: Kuyesera misozi yambiri ndi njira yowerengera misozi yomwe mumakhala nayo poika mapepala awiri a mankhwala kuti muyese kuchuluka kwake. Ngakhale kuti mayesowa sali oyenera kwambiri amachititsa madotolo malingaliro abwino okhudza mmene maso anu angawonekere ndi achilendo.

Chithandizo

Pali njira zingapo zamankhwala zomwe zingapezeke pofuna kuchiza matenda owuma.

• Misozi yopangira mazira: Misozi yodzidzimutsa ndiyo njira yoyamba yotetezera poyang'anira maso owuma. Misozi yodzikongoletsera imapezeka pompano ndipo imabwera mu mitundu yosiyana siyana ndi mitundu. Misozi yonyamulira iyenera kuikidwa maulendo angapo patsiku kuti ikwaniritsidwe. Misozi yodzikongoletsera imathandiza kuti thupi lanu likhale louma komanso likhale ndi zizindikiro zowonongeka. Misozi yodzidzimutsa imapezeka m'mafomu osungidwa komanso osasungidwa. Chifukwa misonzi yonyamulira imatengedwa kangapo patsiku, misozi yosagwiritsidwa ntchito imayesedwa kuti ndiyo njira yathanzi kwambiri.

• Mafuta ndi mafuta: Pa odwala owuma ouma kwambiri, mafuta ndi mafuta odzola amaperekedwa. Mafuta ndi mafuta odzola amavala zowonjezereka ndipo zimapereka chitetezo chokwanira. Mafuta ndi mafuta onunkhira angathe kuikidwa m'diso pogona pamene akuteteza usiku.
• Pellets: Pellets amapangidwa ndi hydroxypropyl methylcellulose, mankhwala omwe amapezeka misozi, mazira, ndi mafuta onunkhira. Ma pellets awa akhoza kuikidwa pansi pa chikopa. Kutentha kwa thupi kumawalola kuti asungunuke ndi kupereka pang'onopang'ono, gwero lopitirira la mafuta.
• Cyclosporin A: Cyclosporin A, yomwe imapezeka ndi dzina lakuti Restasis (Allergan, Inc.), ndi mankhwala osokoneza bongo omwe amachititsa kuti chitetezo cha m'thupi chitembenuke pamtunda kuti diso lanu likhoza kupanga misozi yambiri.

• Chigamulo (plugs): Chidziwitso cha punctal ndi njira imene optometrist kapena ophthalmologist amalowetsera pulasitiki yaing'ono, yomwe nthawi zambiri imapangidwa ndi silicone, mu puncta (kutsegula makina osungunuka) kuti achepetse kapena kuteteza kuyamwa kwa misozi. Madokotala ena amasankha kuchotsa makotiwa, ngakhale kuti izi zingawonongeke komanso ndizokhazikika.
• Maski kuvala kapena kutsekemera: Odwala owopsa kwambiri akuyenera kutsekereza kapena kutaya mafilimu onse omwe ali m'chipinda momwe akugona. Komanso, odwala ena amatha kuyanika kuti asayambe kuvala chigamba kapena kugona maski pamaso awo usiku kuti athe kuchepa.
• Nthawi zambiri kumakhala kosavuta : Izi zingawoneke zachilendo, koma odwala owuma akuyenera kuyesa kuganiza mozama. Mukamamveka bwino, mumayambanso kuyala misozi yambiri pamaso pa diso. Komanso, Ngati mumagwiritsa ntchito makompyuta kapena muwerenge nthawi yochuluka, mutenge nthawi zambiri. Mukamaganizira zinthu zakutali monga kompyuta, kusinthasintha kwanu kumachepetsa kuchepa.
• Bweretsani mankhwala: Inu ndi dokotala wanu muyenera kusamalira ndi kupenda mankhwala ena omwe mungatenge, monga antihistamines, omwe angayambitse kuyanika. Mankhwala ena omwe amachititsa kuti aziuma bwino ndi omwe amachititsa kuti thupi likhale louma, mankhwala opatsirana m'mimba, mankhwala oletsa kutsekula m'mimba, mankhwala ena opatsirana pogonana, otetezera, mankhwala ena opatsirana magazi komanso antidepressants.
• Onjezerani chipangizo chosungunula m'chipinda chanu: Wosungunula amachititsa kuti misonzi ing'onozing'ono iwonongeke kuchokera pamwamba pa diso.
• Imwani madzi ambiri: Kumwa madzi ochuluka kumathandiza kuchepetsa kuchepa kwa madzi ndi kuchepetsa kuyanika kwambiri.
• Kutseketsa: Panthawi yovuta kwambiri ya diso lakuthwa, madokotala opaleshoni angaganize kuti kutsegula kwa maso kumakhala kochepa. Izi zimadziwika ngati kutsekemera. Ndondomekoyi imachepetsa malo omwe amafunika kuti azikhala ndi mafuta.

Zimene Mukuyenera Kudziwa

Ambiri aife takhala ndi zizindikiro zowopsya pamaso panthawi ina m'miyoyo yathu. Komabe, youma omwe amapezeka mu Sjogren ndi owopsa kwambiri. Maso ouma, omwe ndi owuma amatha kuyambitsa mawanga owuma pa cornea, zomangidwa bwino ngati dome pambali kutsogolo kwa diso. Mawanga awa akhoza kuwonjezereka ndikukhala zilonda zomwe zingatengeke. Ndiponso, kuyanika kosatha kungayambitse chilema cha cornea ndi conjunctiva. Ngati matendawa akuipiraipira, odwala angawonongeke masomphenya.

_Zotsatira:

_{Catania, Louis J. Primary Care of the Anterior Segment, Second Edition, Copyright 1995 ndi Appleton & Lange.}