Matenda Odzipatula Odziwika
Dokotala wina dzina lake Henrik Sjögren, dzina lake Sjogren, anapeza kuti matendawa ndi opweteka kwambiri, omwe amatha kukhala ngati matenda enaake odwala matenda a rheumatic kapena matenda enaake. Pafupifupi 50 peresenti ya matenda a Sjogren amapezeka ngati okhawo.
Ma 50% a matenda a Sjogren amapezeka ngati achilendo, amatha kukhala ndi matenda a nyamakazi , a systemic lupus erythematosus, scleroderma , polymyositis , kapena dermatomyositis.
Malingana ndi Sjogren's Syndrome Foundation, matenda a Sjogren ndi chimodzi mwa zikhalidwe zomwe zimafala kwambiri ndipo zimakhudza pafupifupi mamiliyoni 4 a ku America. Ambiri mwa ana makumi asanu ndi anayi (90%) a Sjogren's syndrome ndi amayi. Ambiri amayamba zaka zoposa 40-koma amuna, akazi, ndi ana angathe kupanga Sjogren's syndrome pa msinkhu uliwonse.
Chifukwa
Chifukwa cha Sjogren's syndrome sichidziwika. Malingana ndi American College of Rheumatology, ziŵerengero za majini ndi matenda opatsirana pogwiritsa ntchito tizilombo toyambitsa matenda zingapangitse chiopsezo chotenga matenda. Mahomoni angakhalenso chinthu.
Zizindikiro
Malingana ndi Sjogren's Syndrome Foundation, zizindikiro zikhoza kukhala:
- Maso owuma omwe angathenso kumva kumverera kapena kuyaka
- Mlomo wouma
- Kuvuta kutafuna, kumeza, ndi kuyankhula
- Lilime losweka kapena lopweteka
- Zouma, zotentha khosi
- Kusiyana kwa kukoma kapena fungo
- Kutaya kwa mano
- Matenda a yisiti
- Chisoni chophatikizana
- Zovuta za m'mimba
- Mphuno yowuma ndi khungu
- Kutupa kwa glands kuzungulira nkhope
- Vuma lakuya
- Kutopa
- Lymph nodes
Zovuta zambiri zomwe zimagwirizanitsidwa ndi matenda a Sjogren ndi awa:
- Kusambira pa mikono ndi miyendo yokhudzana ndi mitsempha
- Kutupa m'mapapo, chiwindi, ndi impso
- Matenda a ubongo omwe amachititsa kuti munthu asatope, kumangirira, ndi kufooka
- Lymphoma mwa owerengeka odwala
Kudziwa
Kuphatikizidwa ndi zizindikiro, zotsatira za kufufuza thupi ndi mayesero ena opatsirana amathandizira kupanga matenda a Sjogren's syndrome. Palibe mayeso amodzi omwe angatsimikizire kuti matendawa ndi enieni. Mayesero omwe amathandiza kupanga matendawa ndi awa:
- Antinuclear antibody (mayeso a ANA) - 70 peresenti ya odwala a Sjogren amayesa kuti ANA ikhale yabwino, koma wodwalayo angakhalepo ndi anthu abwinobwino.
- SSA (anti-Ro) ndi SSB (anti-La) - Ma antibodies amapezeka mwa anthu omwe ali ndi matenda a Sjogren oyambirira. Si odwala onse a Sjogren omwe amayesa zowonjezereka kwa SSA ndi SSB.
- Chifuwa chachikulu - 60 mpaka 70 peresenti ya anthu omwe amapezeka ndi matenda a Sjogren ali ndi vuto la chifuwa chachikulu.
- Mankhwala a Immunoglobulins - Amapuloteni ambiri a m'magazi amakula kwambiri mu matenda a Sjogren.
- Mayeso apadera ophthalmologic kapena mazinyo angapangidwe kuti ayang'ane kuuma kwachilendo kapena zosavuta zina. Mayesero angaphatikizepo: kuyesa kwa Schirmer kwa maso owuma (dokotala amaika mapepala pamapepala ochepera pansi ndi kuyeza pamapepala pambuyo pa mphindi zisanu); kupotoza nyali ya nyali (yochitidwa ndi ophthalmologist pogwiritsa ntchito zipangizo kuti azikulitsa ndi kuyang'ana diso, kuyang'ana zowuma ndi kutupa); kudula ndi utoto wofunika (kufufuza kuwonongeka kwa pamwamba pa diso); Kuyezetsa mkamwa (dokotala amayesa zowonongeka ndipo angapeze chitsanzo cha saliva kuti ayang'anire khalidwe); Phokoso la chifuwa (dokotala amachotsa mitsempha yaying'ono kuchokera pamlomo kuti ayambe kuyeza).
Chithandizo
Chithandizo cha matenda a Sjogren ndi chosiyana kwa munthu aliyense, malingana ndi mbali zina za thupi zomwe zimakhudzidwa. Ngakhale kuti palibe mankhwala a Sjogren's syndrome, pakamwa pamutu, m'malo opangira mankhwala, opopera mankhwala, mazira, ndi chingamu, amatha kuthetsa zizindikiro zamkati. Mankhwala ndi njira zamankhwala zothandizira pakamwa youma zogwirizana ndi matenda a Sjogren zimaphatikizansopo mankhwala ndi mankhwala osokoneza bongo monga:
- Salagen (Pilocarpine hydrochloride)
- Evoxac (Cevimeline HCI)
Misozi yopangira mazira ndi mafuta opaka maso angathandize kuchepetsa maso owuma. Mankhwala ndi njira zamankhwala zothandizira pa diso louma zogwirizana ndi Sjogren's syndrome zingaphatikizepo izi:
- Restasis (Cyclosporine Ophthalmic Emulsion)
- Hydroxypropyl Cellulose (Maso Oyesedwa ndi Pellets)
Matenda owonjezera, monga kupweteka pamodzi kapena kupweteka kwa minofu, nthawi zambiri amachizidwa ndi NSAIDs (mankhwala osagwiritsidwa ntchito ndi anti-inflammatory drugs). Matumbo, impso, mitsuko ya magazi, kapena mavuto a dongosolo la mitsempha angaperekedwe ndi:
- Corticosteroids
- DMARD (matenda osinthira antirheumatic drugs) kapena immunosuppressives
Mawu Ochokera
Nthawi yochuluka kuchokera ku chiyambi cha zizindikiro zomwe zimapezeka kuti Sjogren's syndrome imakhala zaka zoposa 6. Ndipotu, pali zambiri zomwe zimayambitsa maso owuma ndi pakamwa pouma zomwe zimafunikira kutulutsidwa kunja. Maso owuma ndi owuma ndizo zizindikiro zowonjezereka zogwirizana ndi Sjogren's syndrome, koma zizindikiro siziri zokha. Mankhwala ena, otengedwa chifukwa cha zina, akhoza kuuma. Ngakhale kusamba kumayanjanitsidwa ndi zizindikiro za kuuma. Ndikofunika kuti musadumphe kuganiza chifukwa muli ndi maso owuma kapena pakamwa. Ngati muli ndi zizindikiro izi, muwone dokotala kuti awonetsetse bwinobwino ndikudziwunikira. Othandiza anthu odwala matendawa amachititsa odwala matenda a Sjogren, pamene madokotala a mano ndi madokotala owona amatha kuchiza matenda enaake. Matenda a Sjogren ndi ochiritsira. Ndi mankhwala othandiza, anthu ambiri akhoza kukhala bwino.
Tidzakhala osatchula za mankhwala ophweka pa maso owuma. Penyetsani maso anu kuti muwachepetse. Kuzimitsa 5 kapena kasanu ndi kamodzi mphindi. Tetezani maso anu ku mphepo ndi zojambula. Onetsetsani kuti mumagwiritsa ntchito chimbudzi pakhomo panu. Pewani kusuta, ndipo pewani maonekedwe a maso omwe angakhale okhumudwitsa. Mofananamo, pali malingaliro othandizira kuti asamalire pakamwa. Sakani chingamu chopanda shuga kapena kuyamwa pa maswiti ovuta a sugarfree. Sipani madzi tsiku lonse. Gwiritsani ntchito mankhwala amlomo kuti mutontheze milomo youma.
> Zotsatira:
> Ponena za Sjogren's Syndrome. Sjogren's Syndrome Foundation.
> Mafunso ndi Mayankho Ponena za Sjogren's Syndrome, NIAMS, yasinthidwa September 2016.
> Udell, James, MD. Sjogren's Syndrome. American College of Rheumatology. Kusinthidwa kwa March 2017.