Isifo seSjogren's Syndrome kunye neArthritis

Umxholo

• Iimpawu
• Imiba yomngcipheko
• Uxilongo
• Uvavanyo lweSjogren's
• Iimeko ezilinganisa i-Sjogren's
• Izinketho zonyango
• Amayeza
• Indlela yokuphila
• Ndidinga uhlobo luni logqirha?
• Umbono wexesha elide

Yintoni i-Sjogren's syndrome yesibini?

Isigulo seSjogren sisifo sokuzimela komzimba esonakalisa amadlala avelisa ukufuma, esenza ukuba kube nzima ukuvelisa amathe kunye neenyembezi. Uphawu lwesifo kukungena kwamalungu ekujoliswe kuwo zii-lymphocyte. Xa i-Sjogren's syndrome ivela yodwa, ibizwa ngokuba yi-Sjogren's syndrome.

Ukuba sele unesinye isifo sokuzimela, imeko ibizwa ngokuba yi-Sjogren's syndrome yesibini. NgeeSjogren zesekondari, unokuba nohlobo oluthambileyo lwemeko. Kodwa usaya kufumana iimpawu zesifo esikhoyo. Esona sizathu sixhaphakileyo sesekondari ye-Sjogren yi-rheumatoid arthritis (RA), olunye uhlobo lwesifo se-autoimmune.

Iimpawu

Iimpawu zeSjogren's zinokubandakanya amehlo owomileyo, umlomo, umqala, kunye neendlela zomoya ezingaphezulu. Unokuba nobunzima bokungcamla okanye kokuginya ukutya kwakho. Unokuphucula ukukhwehlela, ukudakumba, imiba yamazinyo, okanye ube nengxaki yokuthetha. Kubafazi, ukoma kwilungu lobufazi kungenzeka.

Iifom zaseprayimari neziziisekondari zeSjogren's zinokuba neempawu ezifanayo, ezibandakanya:

• ukudinwa
• Inkungu yengqondo
• ifiva
• intlungu edibeneyo
• iintlungu zemisipha
• iintlungu zemithambo-luvo

Ngaphantsi kakhulu, izizathu zikaSjogren:

• irhashalala
• iingxaki ezinkulu zesisu
• ukudumba kwesibindi, izintso, injeke, okanye imiphunga
• ukungachumi okanye ukuya exesheni ngaphambi kwexesha

I-Sjogren yesibini inokuhamba nale miqathango ilandelayo:

• RA
• iiprayimari ze-biliary cholangitis
• ilupus
• scleroderma

Ngelixa iimpawu zeRA zihlala zibandakanya ukudumba, iintlungu, kunye nokuqina kwamalungu, oko kunokubangela ezinye iimpawu ezifanayo nezikaSjogren. Oku kubandakanya:

• umkhuhlane omncinci
• ukudinwa
• Ukuphelelwa ngumdla wokutya

Imiba yomngcipheko

NgokweKliniki yaseCleveland, abantu abangaphezu kwesigidi eUnited States baneeSjogren zokuqala. Abangaphezu kwama-90 ekhulwini ngabasetyhini. Unokuphuhlisa i-Sjogren nangaliphi na ubudala, kodwa ihlala ifunyaniswa emva kweminyaka engama-40, ngokweKliniki yaseMayo. Isizathu esona ngqo seSjogren's asiyazi. Kodwa njengeRA, kukuphazamiseka kwenkqubo yomzimba yokuzikhusela.

Unobangela ochanekileyo weRA nawo awaziwa, kodwa kukho icandelo lofuzo elibandakanyekayo. Ukuba unelungu losapho elinaso nasiphi na isifo sokuzimela, njengeRA, usengozini yokuphuhlisa esinye, nawe.

Uxilongo

Akukho vavanyo olunye lweeSjogren's. Ukuxilongwa kunokwenzeka emva kokuba ufunyaniswe nesinye isifo sokuzimela kunye nokuphuhlisa ukoma komlomo kunye namehlo. Okanye unokufumana iingxaki ezinzima zesisu okanye iintlungu zentliziyo (i-neuropathy).

Ukuchonga i-Sjogren yesibini ene-RA, kuya kufuneka wenze uthotho lweemvavanyo. Rhoqo oku kubandakanya i-SSA / SSB antibodies kunye ne-lip biopsy esezantsi ukujonga iindawo ezijolise kwii-lymphocyte. Unokuthunyelwa kugqirha wamehlo ukuvavanya iliso elomileyo. Ugqirha wakho uya kukhupha ezinye izizathu ezinokubangela iimpawu zakho.

Uvavanyo lweSjogren's

Ugqirha wakho uya kujonga kuqala kwimbali yakho yonyango epheleleyo kwaye enze uvavanyo lomzimba. Banokuyalela ezi mvavanyo zilandelayo:

• Uvavanyo lwegazi: Ezi zisetyenziselwa ukubona ukuba unezinto ezithile zokubulala iintsholongwane ezenziwa ziiSjogren's. Ugqirha wakho uya kujonga anti-Ro / SSA kunye ne-anti-La / SSB antibodies, ANA, kunye ne-rheumatoid factor (RF).
• ingcaciso: Ngexesha lale nkqubo, ugqirha wakho uya kugxila kumathe wakho.
• Uvavanyo lukaSchirmer: Ngethuba lovavanyo lwamehlo lwemizuzu emihlanu, ugqirha wakho ubeka iphepha lokucoca kwikona yamehlo ukuze ubone ukuba limanzi kangakanani.
• I-Rose-Bengal okanye uvavanyo lwe-lissamine oluhlaza: Olu lolunye uvavanyo lwamehlo olulinganisa ukoma kwe-cornea.

Iimeko ezilinganisa i-Sjogren's

Qiniseka ukuba uxelela ugqirha wakho malunga ne-counter-counter-counter (OTC) kunye neyeza zonyango ozithathayo. Amanye amayeza anokubangela iimpawu ezinxulumene neSjogren's. La mayeza aquka:

• I-tricyclic antidepressants efana ne-amitriptyline (Elavil) kunye ne-nortriptyline (Pamelor)
• antihistamines ezinje nge diphenhydramine (Benadryl) kunye ne cetirizine (Zyrtec)
• izinto zokucwangcisa ngomlomo
• uxinzelelo lwegazi amayeza

Unyango lwe-radiation lunokubangela iimpawu ezifanayo, ngakumbi ukuba ufumana unyango kunyango nasentanyeni.

Ezinye iingxaki zokuzikhusela komzimba zinokulinganisa iiSjogren's. Kubalulekile ukuba uthathe lonke uvavanyo olucetyiswayo kwaye ulandele nogqirha wakho ukumisela oyena nobangela weempawu zakho.

Izinketho zonyango

Akukho lunyango lwe-Sjogren's okanye i-arthritis, ke unyango lubalulekile ekunciphiseni iimpawu kunye nokuphucula umgangatho wobomi. Isicwangciso sakho sonyango sixhomekeke kubukhali beempawu zakho. Uya kudinga ukuzama indibaniselwano yonyango. Olunye ukhetho lubandakanya:

Amayeza

Ukuba unamahlaba kunye neentlungu kumalungu akho kunye nezihlunu, zama iintlungu ze-OTC okanye amayeza okulwa nokudumba. Izidakamizwa ezichasayo ezichasayo (i-NSAIDS) ezifana ne-ibuprofen (Advil, Motrin) inokunceda.

Ukuba abenzi ngobuqhetseba, buza ugqirha wakho malunga ne-corticosteroids kunye ne-antirheumatic okanye i-immunosuppressive iyeza. Oku kusebenza ngokunciphisa ukudumba kunye nokuthintela umzimba wakho ekuhlaseleni owawo.

Nge-Sjogren yesibini, unokufuna amayeza ukunceda ukwandisa ukhuseleko olufana neenyembezi kunye namathe. Amachiza aqhelekileyo amiselweyo abandakanya i-cevimeline (Evoxac) kunye ne-pilocarpine (Salagen). Unokufuna amayeza wamehlo amayeza ukunceda iso elomileyo. ICyclosporine (iRestasis) kunye nesisombululo se-ophthalmic ophthalmic (Xiidra) kukukhetha ezimbini.

Indlela yokuphila

Ukhetho oluthile lokuphila lunokukunceda ukuba ulwe neSjogren yesibini kunye neRA. Okokuqala, unokulwa nokudinwa ngokulala ubuthongo obuhle kunye nokuthatha ikhefu emini. Buza ugqirha wakho malunga nokuzilolonga okunokukunceda wandise ubhetyebhetye kunye nokunciphisa iintlungu zentlungu kunye nokudibana. Ukuzilolonga rhoqo kunokukwenza ube bhetyebhetye kunciphise ukungonwabi. Kuya kunceda nokugcina ubunzima bomzimba obufanelekileyo kwaye ubeke uxinzelelo oluncinci kumalungu nakwizihlunu.

Ukugcina ukutya okunezondlo kunokuyiphucula impilo yakho iyonke. Namathela kukutya okusekwe kwizityalo kunye neoyile echasayo efumaneka kwiintlanzi nakwioyile yezityalo. Gwema iswekile kunye nokutya okucutshungulwayo. Oku kunokunyusa ukudumba.

Ndidinga uhlobo luni logqirha?

Oogqirha abagxile kwizifo ezinjengesifo samathambo kuthiwa zii-rheumatologists. Ukuba ufunyaniswe unesifo samathambo, i-rheumatologist yakho iya kuba nakho ukunyanga i-Sjogren's.

Ngokuxhomekeka kubukhali beempawu zakho, i-rheumatologist yakho okanye ugqirha jikelele unokukuthumela kwezinye iingcali. Ziya kubandakanya i-ophthalmologist, ugqirha wamazinyo, okanye i-otolaryngologist, ekwabizwa ngokuba yindlebe, impumlo, kunye nomqala wengcali.

Umbono wexesha elide

Akukho lunyango lweSjogren's okanye iRA. Kodwa zininzi iindlela zonyango kunye neendlela zokuphila ezinokuphucula umgangatho wobomi bakho.

Iimpawu zesifo samathambo ziyahluka ukusuka kubumnene ukuya ekunciphiseni, kodwa isifo samathambo kwi-primary Sjogren's kunqabile ukuba sonakalise. Isitshixo kukusebenza nogqirha wakho ukufumana olona nyango lulungileyo. Kwiimeko ezinqabileyo, abantu abane-Sjogren's banokuphuhlisa i-lymphoma. Xela iimpawu zokudumba okungaqhelekanga okanye iingxaki ze-neurologic kugqirha wakho.