Chirwere Chine Utano Hwakakwana
Sjogren's syndrome-inonzi mushure mechiremba wechiSweden, Henrik Sjögren, uyo akaiwana mumavambo ekutanga kwema1900-ndiyo chirwere chinoputika, chirwere chinoputika chinogona kuitika sechimiro chekutanga chisina imwe chirwere cherheumatic kana sechipiri chechipiri pamwe chete nedzimwe rheumatic condition. Inenge 50 kubva muzana yeSjogren's syndrome inowanzoitika semamiriro chete.
Imwe 50 muzana yeSjogren's syndrome inowanzoita sechipiri, zvichida ine rheumatoid arthritis , systemic lupus erythematosus, scleroderma , polymyositis , kana dermatomyositis.
Maererano neSjogren's Syndrome Foundation, Sjogren's syndrome ndiyo imwe yemamiriro ezvinhu akawandisa ekudzivirira uye inokanganisa vakawanda semamiriyoni mana eAmerica. Zvikamu makumi mapfumbamwe zvezana zveSjogren's syndrome varwere vakadzi. Ivhareji yemakore ekutanga inopfuura makore makumi mana-asi varume, vakadzi, uye vana vanogona kukura Sjogren's syndrome chero ipi zvayo.
Cause
Chikonzero cheSjogren's syndrome hachizivikanwi. Maererano neAmerican College yeRheumatology, mazita ezvakaberekwa uye zvirwere zvehutachiona zvinogona kuwedzera mungozi yekuvandudza chirwere. Mahomoni anogonawo kuva chinhu.
Zviratidzo
Maererano neSjogren's Syndrome Foundation, zviratidzo zvinogona kusanganisira:
- Maziso akaoma anogonawo kunzwa manzwiro kana kupisa
- Dry mouth
- Dambudziko rekucheka, kumedza, nekutaura
- Rwakarohwa kana rurefu rurimi
- Dry, burning throat
- Kusiyana mukuravira kana kunhuwa
- Dental decay
- Muchira mbiriso zvirwere
- Joint pain
- Digestive problems
- Dota yakasviba uye ganda
- Kufuridzira kwezvipfeko zvakakomberedza chiso
- Vaginal dryness
- Kuneta
- Yakakura lymph nodes
Kazhinji zvinetso zvakabatana neSjogren's syndrome zvinosanganisira:
- Rashes pamaoko nemakumbo zvakabatana nevasculitis
- Kuvhiringidza mumapapu, chiropa, uye itsvo
- Neurological complications inoita kuti kuve kusina simba, kumira, uye kushaya simba
- Lymphoma mune nhamba shomanana yevarwere
Kuziva
Pamwe pamwe nezviratidzo, zvinobva mukuongorora kwepanyama uye mamwe maedzo ekuongorora zvinobatsira kuita chirwere cheSjogren's syndrome. Hapana chiyero chimwe chete chinogona kusimbisa kuongororwa kwayo pachako. Miedzo inobatsira kuumba chirwere ichi chinosanganisira:
- Antinuclear antibody (kuongorora kweAAA) - 70 muzana yevarwere vaSjogren vanoedza kuti vawane ANA, asi anorifuta angave aripo mune vanhu vane utano, zvakare.
- SSA (anti-Ro) uye SSB (anti-La) - Antibodies inowanzowanika kune vanhu vane Sjogren's syndrome. Hasi vese varwere vaSjogren vanoedza zvakanaka kune SSA uye SSB.
- Rheumatoid factor - 60 kusvika ku70 muzana yevanhu vanoonekwa kuti vane Sjogren's syndrome vane maitiro akanaka ekuratidza rheumatoid.
- Immunoglobulins - Kazhinji mapuroteni eropa anokwidziridzwa muSjogren's syndrome.
- Zvimwe zviongorori zve ophthalmologic kana mazino zvingave zvakarayirwa kuti zviongorore kuoma kusina kuitika kana zvimwe zvisiri izvo. Miedzo inogona kusanganisira: Kuedza kweSchirmer kwemaziso akaoma (chiremba anoisa mapepa emapepa pasi peeyelids shoma uye kuyanisa kunyura pamapepa mushure maminitsi mashanu); kupinza chiedza chekuyera (chakaitwa neafthalmologist achishandisa midziyo yekukudza uye kuongorora ziso, kutarisa kuoma uye kuputika); kudonha nedhayi rinokosha (kutarisa kukuvadzwa kwiso reziso); muromo wokuongorora (chiremba anoongorora kusakanganisika uye anogona kuwana saliva muenzaniso wekutaridzika kwehutano); chirwere chinoputika (chiremba anobvisa zvidzitiro zviduku kubva mumuromo wakadzika kuti zviongorore zvinyorwa).
Kurapa
Chirwere cheSjogren's syndrome chakasiyana nemunhu mumwe nomumwe, zvichienderana nezvikamu zvipi zvemuviri zvinobatwa. Kunyange zvazvo pasina mushonga weSjogren's syndrome, kushambidza muromo, saliva panzvimbo, mashizha, gel, uye gum zvinogona kubvisa zviratidzo zvemuromo. Mishonga uye nzira dzokurapa zvinodhaka pamuromo wakaoma unobatanidza naSjogren's syndrome zvinogona kusanganisira saliva uye simbi zvinokurudzira zvinodhaka, zvakadai se:
- Salagen (Pilocarpine hydrochloride)
- Evoxac (Cevimeline HCI)
Misodzi yemajozi uye mafuta eziso anogona kubatsira kubvisa maziso akaoma akaoma. Mishonga uye nzira dzokurapa zvinodhaka zveziso rinomira rinosangana neSjogren's syndrome rinogona kusanganisira:
- Restasis (Cyclosporine Ophthalmic Emulsion)
- Hydroxypropyl Cellulose (Eye Drops and Pellets)
Zvimwe zvinetso zvakanyanya, zvakadai sekurwadziwa kwejodzi kana kurwadziwa kwemasumbu, zvinowanzobatwa neNSAIDs (kwete-steroidal anti-inflammatory drugs). Mwenje, tsvete, ropa mudziyo, kana zvinetso zvematambudziko zvinogona kutarisirwa ne:
- Corticosteroids
- DMARDs (chirwere-kuchinja antirheumatic drugs) kana immunosuppressives
Shoko Rinobva
Ivhareji yenguva kubva pakutanga kwezviratidzo kuongororwa kweSjogren's syndrome inonzi inopfuura makore matanhatu. Mushure mezvose, kune zvikonzero zvakawanda zvemaziso akaoma uye muromo wakaoma unoda kubudiswa kunze. Dry muromo uye maziso akaoma ndiwo zviratidzo zvinowanzobatanidzwa neSjogren's syndrome, asi zviratidzo hazvisi izvo chete. Mimwe mishonga, inotorwa kune dzimwe mamiriro ezvinhu, inogona kuita kuti uome. Kunyanya kuguma kunosanganiswa nezviratidzo zveoma. Zvinokosha kuti usasvetuka kugumisa nokuti uri kuona maziso akaoma kana omuromo wakaoma. Kana uine zviratidzo izvi, ona chiremba kuti uongororwe uye kuongorora. Rheumatologists inoshandisa varwere veSjogren's syndrome, nepo vanachiremba vemazino uye vanachiremba vemaziso vanogona kubata zviratidzo zvakananga. Sjogren's syndrome inogona kurapwa. Nehutano hwakanaka, vanhu vazhinji vanogona kurarama zvakanaka.
Tingave tisingatauri kutaura nezvemishonga isina kuoma yemaziso akaoma. Bvisa meso ako kuti uite moisten. Kubwinya 5 kana katanhatu paminiti. Chengetedza maziso ako kubva kumhepo uye mapurisa. Iva nechokwadi chekushandisa humidifier mumba mako. Dzivisa utsi, uye udzivise maziso eziso zvinogona kugumbura. Saizvozvowo, pane mazano evfungwa ekugadzirisa muromo wakaoma. Cheng gum isina shuga kana kunwa pa sugarfree hard candy. Sip mvura zuva rose. Shandisa muromo wemarara kuti unyengedze miromo yakaoma.
> Sources:
> About Sjogren's Syndrome. Sjogren's Syndrome Foundation.
> Mibvunzo nemhinduro Pamusoro peSjogren's Syndrome, NIAMS, yakasunungurwa muna September 2016.
> Udell, James, MD. Sjogren's Syndrome. American College of Rheumatology. Yakarongwa muna March 2017.