Sekondale ya Sjogren's Syndrome ndi Arthritis

Zamkati

• Zizindikiro
• Zowopsa
• Matendawa
• Kuyesa kwa Sjogren's
• Zinthu zomwe zimafanana ndi a Sjogren
• Njira zothandizira
• Mankhwala
• Moyo
• Ndikufuna dokotala wamtundu wanji?
• Kuwona kwakanthawi

Kodi matenda a sekondale a Sjogren ndi ati?

Matenda a Sjogren ndimatenda amthupi omwe amawononga tiziwalo timene timatulutsa chinyezi, zomwe zimapangitsa kuti zikhale zovuta kutulutsa malovu ndi misozi. Chizindikiro cha matendawa ndikulowerera kwa ziwalo zolimbana ndi ma lymphocyte. Matenda a Sjogren akachitika mwaokha, amatchedwa Sjogren's syndrome.

Ngati muli ndi matenda ena amthupi okha, vutoli limatchedwa sekondale Sjogren's syndrome. Ndi ma Sjogren achiwiri, mutha kukhala ndi mawonekedwe ofooka a vutoli. Koma mudzakumanabe ndi zizindikiro za matenda omwe akukhalapo. Chomwe chimayambitsa matenda achiwiri a Sjogren ndi nyamakazi (RA), mtundu wina wamatenda amthupi okha.

Zizindikiro

Zizindikiro za Sjogren's zitha kuphatikizira maso owuma, mkamwa, mmero, komanso njira zakumpweya. Mutha kukhala ndi vuto kulawa kapena kumeza chakudya chanu. Muthanso kukhala ndi chifuwa, kuuma, mano, kapena kumavutika kuyankhula. Kwa amayi, kuuma kwa ukazi kumatha kuchitika.

Mitundu yoyamba ndi yachiwiri ya Sjogren's imatha kukhala ndi zofananira, zomwe zimaphatikizapo:

• kutopa
• chifunga chaubongo
• malungo
• kupweteka pamodzi
• kupweteka kwa minofu
• kupweteka kwa mitsempha

Nthawi zambiri, zomwe Sjogren zimayambitsa:

• zotupa pakhungu
• Mavuto akulu am'mimba
• kutupa chiwindi, impso, kapamba, kapena mapapo
• kusabereka kapena kusamba msanga

Ma Sjogren a Sekondale atha kutsata izi:

• RA
• chachikulu biliary cholangitis
• lupus
• scleroderma

Ngakhale kuti zizindikiro za RA nthawi zambiri zimaphatikizapo kutupa, kupweteka, ndi kuuma kwa malo olumikizirana, zingayambitsenso zizindikiro zina zofanana ndi za Sjogren. Izi zikuphatikiza:

• malungo pang'ono
• kutopa
• kusowa chilakolako

Zowopsa

Malinga ndi chipatala cha Cleveland, anthu opitilila miliyoni ku United States ali ndi pulayimale ya Sjogren. Oposa 90 peresenti ndi akazi. Mutha kukhala ndi a Sjogren amisinkhu iliyonse, koma nthawi zambiri amapezeka atakwanitsa zaka 40, malinga ndi Mayo Clinic. Zomwe zimayambitsa Sjogren sizikudziwika. Koma monga RA, ndimatenda amthupi.

Chifukwa chenichenicho cha RA sichidziwikiranso, koma pali gawo lazomwe zimapangidwira. Ngati muli ndi wachibale yemwe ali ndi matenda aliwonse amadzimadzi, monga RA, muli pachiwopsezo chotenga nawo.

Matendawa

Palibe mayeso amodzi a Sjogren's. Kuzindikira kumatha kuchitika mutapezeka kuti muli ndi matenda ena am'magazi amthupi ndikukula kwa mkamwa ndi maso. Kapena mutha kukumana ndi mavuto am'mimba kapena kupweteka kwamitsempha (neuropathy).

Kuti mupeze ma Sjogren a sekondale omwe ali ndi RA, muyenera kuyesedwa kangapo. Kawirikawiri izi zimaphatikizapo ma antibodies a SSA / SSB ndi milomo ya m'munsi kuti ayang'ane malo omwe ali ndi ma lymphocyte. Mutha kutumizidwa kwa dokotala wamaso kuti mukayese diso lowuma. Dokotala wanu adzatchulanso zina zomwe zingayambitse matenda anu.

Kuyesa kwa Sjogren's

Dokotala wanu ayang'ana kaye mbiri yanu yonse yazachipatala ndikuwunika. Ayeneranso kuyitanitsa mayeso otsatirawa:

• kuyesa magazi: Izi zimagwiritsidwa ntchito kuti muwone ngati muli ndi ma antibodies ena ofanana ndi a Sjogren's. Dokotala wanu adzafuna anti-Ro / SSA ndi anti-La / SSB antibodies, ANA, ndi rheumatoid factor (RF).
• kudandaula: Pochita izi, dokotala wanu azingoyang'ana matumbo anu amate.
• Kuyesa kwa Schirmer: Pakati pa kuyesedwa kwa diso kwa mphindi zisanu, dokotala wanu amaika pepala losefa pakona la diso lanu kuti muwone momwe limanyowa.
• Mayeso a Rose-Bengal kapena lissamine wobiriwira: Uku ndiyeso lina lamaso lomwe limayeza kuyeza kwa diso.

Zinthu zomwe zimafanana ndi a Sjogren

Onetsetsani kuti muuze dokotala za mankhwala owonjezera (OTC) ndi mankhwala omwe mukumwa. Mankhwala ena amatha kuyambitsa matenda omwe amapezeka ndi Sjogren's. Mankhwalawa ndi awa:

• tricyclic antidepressants monga amitriptyline (Elavil) ndi nortriptyline (Pamelor)
• antihistamines monga diphenhydramine (Benadryl) ndi cetirizine (Zyrtec)
• njira zakulera zam'kamwa
• mankhwala a kuthamanga kwa magazi

Mankhwala othandizira ma radiation amathanso kuyambitsa zizindikilo zofananira, makamaka mukalandira mankhwalawa mozungulira mutu ndi khosi.

Zovuta zina zama autoimmune zitha kutengera za Sjogren's. Ndikofunika kuti mutenge mayeso onse ndikutsata dokotala wanu kuti mudziwe chomwe chimayambitsa matenda anu.

Njira zothandizira

Palibe mankhwala a Sjogren's kapena nyamakazi, chifukwa chake chithandizo ndikofunikira kuti muchepetse zizindikiritso ndikusintha moyo wanu wonse. Njira yanu yothandizira imadalira kuopsa kwa zizindikilo zanu. Muyenera kuyesa mitundu ingapo ya mankhwala. Zosankha zina ndi izi:

Mankhwala

Ngati muli ndi zowawa m'malo mwanu ndi minofu yanu, yesani kupweteka kwa OTC kapena mankhwala odana ndi zotupa. Mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDS) monga ibuprofen (Advil, Motrin) atha kuthandiza.

Ngati samachita zachinyengo, funsani dokotala wanu za corticosteroids ndi mankhwala oletsa kupatsirana kwa magazi kapena mankhwala opatsirana pogonana. Izi zimagwira ntchito pochepetsa kutupa ndikupewa thupi lanu kuti lisagwere lokha.

Ndi ma Sjogren a sekondale, mungafunenso mankhwala omwe angakuthandizeni kukulitsa zinsinsi monga misozi ndi malovu. Mankhwala omwe mumakonda kulandira mankhwala amaphatikizapo cevimeline (Evoxac) ndi pilocarpine (Salagen). Mungafunike madontho a diso kuti muthandize diso lowuma. Cyclosporine (Restasis) ndi lifitegrast ophthalmic solution (Xiidra) ndi njira ziwiri.

Moyo

Zosankha zina pamoyo wanu zitha kukuthandizaninso kuthana ndi sekondale Sjogren's ndi RA. Choyamba, mutha kulimbana ndi kutopa pogona tulo tofa nato ndi kupuma masana. Komanso, funsani dokotala wanu za masewera olimbitsa thupi omwe angakuthandizeni kukulitsa kusinthasintha ndikuchepetsa kupweteka kwa minofu ndi mafupa. Kuchita masewera olimbitsa thupi pafupipafupi kumatha kusintha kusinthasintha ndikuchepetsa zovuta. Zithandizanso kuti thupi likhale lolimba ndikuyika nkhawa zochepa pamafundo ndi minofu.

Kusunga zakudya zokhala ndi michere yambiri kumatha kukhala ndi thanzi labwino. Khalani ndi zakudya zopangidwa ndi mbewu ndi mafuta odana ndi zotupa omwe amapezeka mu nsomba ndi mafuta azomera. Pewani shuga ndi zakudya zopangidwa. Izi zitha kuwonjezera kutupa.

Ndikufuna dokotala wamtundu wanji?

Madokotala omwe amadziwika ndi matenda monga nyamakazi amatchedwa rheumatologists. Ngati mwapezeka kuti muli ndi nyamakazi, rheumatologist wanu atha kuthandizanso a Sjogren.

Kutengera kukula kwa zizindikilo zanu, rheumatologist wanu kapena dokotala wanu akhoza kukutumizirani kwa akatswiri ena. Adzakhala ndi ophthalmologist, wamano, kapena otolaryngologist, yemwenso amadziwika kuti khutu, mphuno, ndi mmero.

Kuwona kwakanthawi

Palibe mankhwala a Sjogren's kapena RA. Koma pali mankhwala ambiri komanso zosankha pamoyo wanu zomwe zingakuthandizeni kukhala ndi moyo wabwino.

Zizindikiro za nyamakazi zimasiyanasiyana pang'ono pang'ono mpaka kufooka, koma nyamakazi ku Sjogren's yoyamba siyowononga kawirikawiri. Chofunikira ndikuti mugwire ntchito ndi dokotala kuti mupeze mankhwala abwino kwambiri. Nthawi zambiri, anthu omwe ali ndi Sjogren amatha kukhala ndi lymphoma. Nenani zidziwitso zakutupa kwachilendo kapena mavuto amitsempha kwa dokotala wanu.