Indlela yokuchonga kunye nokuchonga isifo sikaSjogren

Umxholo

• Iimpawu eziphambili
• Ezinye iintlobo zeempawu
• Indlela yokuqinisekisa ukuxilongwa
• Unyango njani

Isifo sikaSjögren sisifo esinganyangekiyo kunye nesifo se-rheumatic, esibonakala kukudumba kwamadlala athile emzimbeni, njengomlomo namehlo, okukhokelela kwiimpawu ezinjengomlomo owomileyo kunye nokuziva kwesanti emehlweni, ukongeza ukwanda kosulelo ezifana nemingxunya kunye nokudibana.

Isifo sikaSjögren sinokuzibonakalisa ngeendlela ezi-2:

• Kwiprayimari: xa ibekwa yodwa, ngenxa yotshintsho ekukhuseleni komzimba;
• Esekondari: xa ibonakala inxibelelene nezinye izifo ezenzekelayo, ezinje ngesifo samathambo, i-lupus, i-scleroderma, i-vasculitis, okanye i-hepatitis engapheliyo.

Esi sifo, nangona singenakunyangeka, sinendalo enobungozi, kwaye siyakhula kwisithuba seminyaka emininzi, kwaye kukho neendlela zonyango ezinokuthomalalisa iimpawu kunye nokuphucula umgangatho wobomi bomntu, njengamathontsi wamehlo kunye namathe angawenziyo.

Iimpawu eziphambili

Kwi-Sjögren's syndrome kukho ukukhulelwa komzimba womntu, okubangela ukuvuvukala nokuzibhubhisa kweengqungquthela, ngakumbi i-salivary kunye ne-lacrimal glands. Ngale ndlela, la madlala awanakho ukuvelisa imfihlo, kunye neempawu ezinje:

• Umlomo owomileyo, owaziwa njenge xerostomia;
• Kunzima ukugwinya ukutya okomileyo;
• Kunzima ukuthetha ixesha elide;
• Isisu esibuhlungu;
• Amehlo omileyo;
• Ukuziva isanti emehlweni kunye nobomvu;
• Ubume bamehlo;
• Uvakalelo ekukhanyeni;
• Umngcipheko wezilonda ze-corneal;
• Ukwanda komngcipheko wosulelo olufana nemingxunya, i-gingivitis kunye ne-conjunctivitis;
• Ulusu olomileyo kunye nokoma kwe-mucosa yamalungu abucala.

Esi sifo sixhaphake kakhulu kubafazi abaselula, kodwa sinokwenzeka kubantu bayo yonke iminyaka. Ngamanye amaxesha, iimpawu zokuqala zivela ekukhulelweni, kuba eli lixesha apho utshintsho lwehomoni kunye neemvakalelo ezinokuthi zilonyuse olu hlobo lwesifo.

Ezinye iintlobo zeempawu

Kwiimeko ezinqabileyo ngakumbi, esi sifo sinokubangela iimpawu kunye neempawu ezingahambelaniyo neentsholongwane, ezibizwa ngokuba kukubonakaliswa kwe-extraglandular. Ezinye zezi:

• Intlungu edibeneyo neyomzimba;
• Ukudinwa nokuba buthathaka;
• Ukukhohlela owomileyo;
• Utshintsho kulusu, olufana nemingxuma, imivumbo, amanxeba esikhumba kunye notshintsho kubuntununtunu.

Ukongeza, isifo sikaSjögren sinokubangela iimpawu ze-neurological, ukuba luhlobo olubi kakhulu lokubonakaliswa, olunokubonisa ukuphulukana namandla kwindawo yomzimba, utshintsho kubuntununtunu, ukuxhuzula kunye nobunzima ekuhambeni.

Nangona ingaqhelekanga, abantu abane-Sjögren's syndrome banokuba nethuba elongeziweyo lokuphuhlisa i-lymphoma, enokuthi yenzeke kwizigaba eziphambili zesifo.

Indlela yokuqinisekisa ukuxilongwa

Ukuchongwa kwesifo sikaSjögren kwenziwa ngugqirha wamathambo, ovavanya iimpawu, enza uvavanyo lomzimba ngamadlala kwaye angacela iimvavanyo njengophawu lokungakhuseleki, olubizwa ngokuba yi-anti-Ro / SSA, anti-La / SSB kunye ne-FAN.

I-biopsy yomlomo ingacelwa ukuba iqinisekise xa kukho intandabuzo yokufumanisa isifo okanye ukuvavanya ubukho bezinye izinto ezinokubangela iimpawu ezifanayo nesi sifo, ezinje ngezifo zentsholongwane, isifo seswekile, ukusetyenziswa kwamayeza athile okanye izizathu zengqondo, umzekelo. Jonga ukuba zeziphi ezinye izizathu zomlomo owomileyo kunye nendlela yokulwa nayo.

Ukongeza, kubalulekile ukuphanda ubukho be-Hepatitis C, kuba olu sulelo lunokubangela iimpawu ezifanayo nezo ze-Sjögren's syndrome.

Unyango njani

Unyango lwe-Sjögren's syndrome lwenziwa ikakhulu ukulawula iimpawu, kusetyenziswa ukuthambisa iliso kunye namathe, kunye namayeza afana ne-anti-inflammatories, i-corticosteroids okanye i-hydroxychloroquine, umzekelo, ukunciphisa ukudumba okumiselwe yingcali ye-rheumatologist.

Ezinye iindlela zendalo zibandakanya ukuhlafuna itshungama engenashukela, ukusela amanzi ngamathontsi emon okanye iti ye-chamomile kunye nokutya ukutya okutyebileyo kwi-omega 3, enjengeentlanzi, ioyile yeoyile kunye neoyile yeflakisi. Fumana ezinye iinkcukacha malunga nendlela yokunyanga isifo sikaSjögren.