Felty Syndrome ye mun ye? Nin nafa ka bon aw bolo minnu bɛ ni jolidɛsɛ ye!

Aw bɛ se fana ka kolotugudaw dimi, ka funu, ani ka aw senw gɛlɛya dɔɔni sɔgɔma, ɔnhɔn? A ka ca a la, ninnu bɛ se ka sɔrɔ sɔgɔsɔgɔninjɛ fɛ. Nka yala aw b’a dɔn ko gɛlɛya wɛrɛ bɛ yen min bɛ se ka na ni nin jolidɛsɛ in ye, nka a tɛ dɔn kosɛbɛ, nka a nafa ka bon kosɛbɛ ka o dɔn wa? O ye Felty Syndrome ye. An ka kuma o kan ka ɲɛ dɔɔnin bi.

Felty Syndrome ye mun ye tigitigi?

N’an y’a fɔ cogo nɔgɔman na, Felty Syndrome ye bana saba faralen ye ɲɔgɔn kan minnu bɛ kɛ ɲɔgɔn fɛ. U ye:

• Rheumatoid Arthritis - Jolilabana min bɛ aw caman dɔn.
• Neutropenia - O ye neutrophils hakɛ dɔgɔyali ye, joli kuru finman suguya dɔ don joli la.
• Splenomegaly - O kɔrɔ ye ko sɔgɔsɔgɔninjɛ, farikolo yɔrɔ dɔ, o bɛ bonya ka tɛmɛ a cogo kɔrɔ kan.

A ka ca a la a bɛ daminɛ ni sɔgɔsɔgɔninjɛ ye (RA). Bana fila tɔw bɛ kɛ i n’a fɔ RA gɛlɛyaw. Dɔgɔtɔrɔw b’o wele ko ‘extra-articulaire manifestations’. O kɔrɔ ye ko jolidɛsɛ tɛ dan kolotugudaw dɔrɔn ma, nka a bɛ kolotugudaw de minɛ u kɔkan. O bɛ kɛ ka da funu kɛcogo kan min bɛ jolidɛsɛ bila mɔgɔ la. Hali ni a ka ca a la nin nɔ suguya ninnu bɛ kɛ kolotugudaw kɔkan ni RA ye, Felty Syndrome ye bana ye min man teli ka kɛ dɔɔni.

O bɛ nɔ bila i la cogo di?

Felty ka bana bɛ daminɛ ni sɔgɔsɔgɔninjɛ ye. O kɔ, dimi jugumanba ni funu bɛ aw kolotugudaw la. O kɔ, ni bana dɔw kɛra i n’a fɔ Neutropenie ani Splenomegaly, o bɛ nɔ bila i farikolo tangacogo la . Neutropenie ye joli kuru finman suguya dɔ dɔgɔyali ye min bɛ wele ko neutrophils. Nin neutrophils ninnu ye selilɛri suguya ye min nafa ka bon kosɛbɛ, min b’an farikolo tanga banaw ma. O la, ni u dɔgɔyara, banaw sɔrɔli sababu bɛ bonya. Sɔgɔsɔgɔninjɛ min bonyalen don, o fana bɛ se ka kɛ sababu wɛrɛ ye ka nin farikolojidɛsɛbanakisɛw dɔgɔya.

Nin bana in ka ca cogo di?

Felty ka bana bɛ sɔrɔ sɔgɔsɔgɔninjɛ bɛ mɔgɔ minnu na, olu 2% ɲɔgɔn na . I n’a fɔ RA, Felty ka bana ka ca musow la siɲɛ saba ɲɔgɔn ka tɛmɛ cɛw kan. A nafa ka bon kosɛbɛ, RA bɛ mɔgɔ minnu na, ni Felty ka bana bɛ u la, a bɛ se ka fɔ ko olu bɛɛ ye ‘seropositif’ ye. O kɔrɔ ye ko sɛgɛsɛgɛliw b’a jira ko fɛn dɔ bɛ u joli la min bɛ wele ko reumatoïde facteur anticorps. ‘seronegative’ mɔgɔw, o kɔrɔ ye ko o banakisɛfagalanw tɛ mɔgɔ minnu na, olu man teli ka Felty ka bana sɔrɔ.

O taamasiɲɛw ye mun ye?

A ka ca a la, taamasiɲɛ fɔlɔ minnu bɛ ye, olu ye sɔgɔsɔgɔninjɛ ye. Olu dɔw ye:

• Joli dimi
• Joli funu
• Joli gɛlɛyali, kɛrɛnkɛrɛnnenya la sɔgɔmada fɛ

Mɔgɔ dɔw bɛ se ka taamasiɲɛ wɛrɛw sɔrɔ ka fara RA kan u kolotugudaw la. I n'a fo:

• Kuru minnu bɛ kɛ fari jukɔrɔ kolotugudaw kɛrɛfɛ (o bɛ wele ko sɔgɔsɔgɔninjɛ) .
• Nɔgɔmugu funu yɔrɔw la i n’a fɔ kɔ ni kɔkiliw
• Sugunɛ bɛ se ka funu ani ka dimi ni a magara a la.
• Ɲɛ ni da jalen (o bɛ wele ko Sjogren ka bana) .
• Ɲɛ bilenman, funu (o bɛ wele ko episcleritis) .
• Fari joginda, kɛrɛnkɛrɛnnenya la senw kan
• Joli bɔli taamasiɲɛw fari kɔrɔ
• Ninakili gɛlɛya ka a sababu kɛ fogonfogon fununi ye
• Disi dimi ka a sababu kɛ funu ye dusukun lamini na
• Farigan
• Sɛgɛn ni sɛgɛn
• Dumuni nege bɔli walima farikolo girinya dɔgɔyali min ɲɛfɔlen tɛ

Ka fara ninnu kan, taamasiɲɛ wɛrɛw fana bɛ Felty Syndrome la. Tuma dɔw la, o taamasiɲɛw bɛ se ka bɔ sani RA taamasiɲɛw ka daminɛ.

• Banakisɛ minnu bɛ sɔrɔ tuma caman na, minnu bɛ mɛn sen na. Misali dɔw ye farigan, kɔnɔdimi ani faritanabana ye.
• Sɔgɔsɔgɔninjɛ funu. A bɛ se ka ye bolo la ani dimi bɛ se ka kɛ a la.
• Fari kulɛri caman cili (i n’a fɔ nɔgɔw).

Nka kabako ye, tuma dɔw la, a bɛ se ka sɔrɔ ko Felty Syndrome (Felty Syndrome) bɛ i la k’a sɔrɔ taamasiɲɛ foyi tɛ i la. Joli sɛgɛsɛgɛli ni sɛgɛsɛgɛli bɛ se k’a jira ko bana saba bɛɛ bɛ aw la sani aw yɛrɛ ka taamasiɲɛ si ye.

A ka c’a la, o bɛ daminɛ san jumɛn na?

A ka ca a la, sɔgɔsɔgɔninjɛ bɛ sɔrɔ mɔgɔkɔrɔbaw la, minnu si bɛ san 50 ni san 70 cɛ.Mɔgɔ fanba la, sɔgɔsɔgɔninjɛ taamasiɲɛw bɛ u la kabini san 10 fo san 15 ɲɔgɔn.

Mun na Felty Syndrome bɛ sɔrɔ?

Sɔgɔsɔgɔninjɛ ye bana ye min bɛ sɔrɔ farikolo tangalanw fɛ. O kɔrɔ ye ko an yɛrɛ ka farikolo tangalanw bɛ bin an yɛrɛ farikolo yɔrɔ dɔw kan i n’a fɔ u jugu. Dɔnniyakɛla caman dalen b’a la ko Felty Syndrome ye RA gɛlɛya jugumanba ye. Nin farikolo tangalanw ka bana ninnu na, an farikolo bɛ farikolo tangalanw dilan farikolojɔlifɛn dɔw kama. O farikolojɔlifɛnw bɛ taa o farikolojɔlifɛnw minɛ ka taamasiyɛn kɛ u la ko u bɛ tiɲɛ. O cogo de la funu bɛ caya.

Nin banakisɛfagalanw tɛ se ka kɛ RA la tuma bɛɛ. Nka, Felty Syndrome bɛ mɔgɔ minnu na, o banakisɛfagalanw bɛ yen tiɲɛ na. Nin banakisɛfagalan ninnu sɔrɔli ye sababu ye min b’a to RA bɛ juguya ka taa a fɛ ani ka nɔ wɛrɛw bila joli kɔkanna na (joli kɔkanna taamasiɲɛw) bɛ bonya. RA ni banakisɛfagalanw bɛ a la, o bɛ wele ko ‘RA seropositif’. Sɛgɛsɛgɛliw y’a jira ko RA min bɛ sɔrɔ seropositif ani Felty Syndrome fila bɛɛ bɛ tali kɛ ‘fɛn dɔw la minnu bɛ bɔ jamu la. O kɔrɔ ye k’u bɛ Se ka Tɛmɛ mɔgɔw fɛ fo ka Se hakɛ dɔ ma.

Sɔgɔsɔgɔninjɛ (RA) bɛ kɛ sababu ye ka jolidɛsɛ ni ɲɛgɛnɛsiralabanaw bila mɔgɔ la cogo di?

Neutropenie bɛ kɛ cogo min na

Neutropenie ye joli kuru finmanw hakɛ dɔgɔyali ye min bɛ wele ko neutrophils. Kunba fila de b’o la. O dɔ ye ko aw kolotugudaw tɛ neutrophils (banakisɛfagalan) caman dilan. Walima, neutrophils minnu bɛ i fari la, olu bɛ ka tiɲɛ. Felty Syndrome (Felty Syndrome) la, o fila bɛɛ bɛ se ka kɛ. Farikolo tangacogo min kofɔra ka tɛmɛ, o bɛ se ka kɛ sababu ye ka joli segin furakisɛw bɔli bali kolotugudaw la, wa farikolojidɛsɛbanakisɛ minnu bɔra kaban, olu bɛ se ka tiɲɛ. Ani fana, sɔgɔsɔgɔninjɛ min bonyalen don, o ye sababu wɛrɛ ye min bɛ kɛ sababu ye ka neutrophils (banakisɛfagalanw) dɔgɔya.

Splenomegalie bɛ kɛ cogo min na

Aw ka sɔgɔsɔgɔninjɛ baara ye ka joli kuru kɔrɔw bɔ aw joli la, nafa tɛ minnu na. Nka ni aw ka ɲɛgɛnɛsira bonya kojugu (sɔgɔsɔgɔninjɛ), a bɛ kɛ ka tɛmɛ a dan kan , wa a bɛ daminɛ ka joli kuru ɲuman caman bɔ. Sɔgɔsɔgɔninjɛ bɛ se ka kɛ sababu ye tuma dɔw la ka ɲɛgɛnɛsira bonya. O sababu tigitigi ma jɛya fɔlɔ. Sɔgɔsɔgɔninjɛ fana bɛ se ka bonya ni neutropenie tɛ. Ani fana, a man teli kosɛbɛ, Felty Syndrome bɛ se ka sɔrɔ ni ɲɛgɛnɛsira ma bonya.

Gɛlɛya faratilenw ye jumɛnw ye minnu bɛ sɔrɔ Felty Syndrome fɛ?

Ikomi Felty Syndrome bɛ i farikolo tangacogo fanga dɔgɔya, o la, bana jugumanba bɛ i la tuma caman na . Hali ni a ka ca a la bana misɛnni dɔ bɛ aw la min furakɛli ka nɔgɔn, o bana bɛ se ka juguya fo ka se a dan na, wa tuma dɔw la, a bɛ se ka mɔgɔ ka ɲɛnamaya bila farati la. Banakisɛfagalanw tali min tɛ se ka kunbɛn, o bɛ se ka kɛ sababu ye ka bana dɔ lase mɔgɔ ma min bɛ wele ko sepsis. Felty Syndrome bɛ mɔgɔ minnu na, olu fana ka kan ka kansɛri suguya dɔw sɔrɔ, i n’a fɔ lymphome.

Nka, aw kana siran ni aw ye o kow mɛn. O faratiw bɛ yen, nka u bɛ se ka kunbɛn ni furakɛli ni jateminɛ kɛcogo ɲuman ye.

An bɛ se k’o dɔn cogo di?

Dɔgɔtɔrɔw bɛ Felty Syndrome (Felty Syndrome) sɛgɛsɛgɛ ni u y’a ye ko sɔgɔsɔgɔninjɛ, jolidɛsɛ ani ɲɛgɛnɛsiralabanaw bɛɛ bɛ yen. (A man teli, bana sɛgɛsɛgɛli bɛ se ka kɛ ni sɔgɔsɔgɔninjɛ ma bonya.)

A ka c’a la, sɛgɛsɛgɛli minnu bɛ kɛ olu ye:

• Joli sɛgɛsɛgɛli : Joli jate dafalen, kɛrɛnkɛrɛnnenya la walasa ka neutrophils hakɛ lajɛ.
• Jolilabanaw ka rezow: Aw bɛ a lajɛ ni jolidɛsɛ tɛ.
• Sugunɛbilenni : Misali la, ultrasound walima CT scan.
• Kolotugudaw biyopisi: 1 .O bɛ dɛmɛ don walasa furakɛli cogoya wɛrɛw kana kɛ.

O furakɛcogo ye mun ye?

Laɲini kunbaba saba bɛ yen ni aw bɛ Felty Syndrome furakɛ:

• Rheumatoid Arthritis (Sɔgɔsɔgɔninjɛ) bana basigilen kɔlɔsili.
• Ni neutropenie ka jugu, aw bɛ a furakɛ ka ɲɛ.
• Banakisɛw kunbɛnni ani u furakɛli ni u sɔrɔla.

Felty syndrome bɛ se ka sɔrɔ sɔgɔsɔgɔninjɛ (RA) furakɛbali fɛ walima a kunbɛncogo jugu fɛ. Mɔgɔ caman fɛ, neutropenie bɛ ɲɛ ni u ka RA bɛ ka ɲɛ. O la, dɔgɔtɔrɔw bɛ fɔlɔ ka a lajɛ ka bana caman sɛmɛntiya fura ɲumanw sugandi minnu bɛ se ka banaw sɛmɛntiya (DMARD) RA la. U b’a ɲini fana ka u yɛrɛ tanga farikolo tangalanw ma ni u seko ye.

DMARD suguya caman bɛ yen minnu bɛ se ka kɛ ka Felty Syndrome furakɛ:

• Méthotrexate ni asidi foliki (aw bɛ methotrexate kɔlɔlɔw dɔgɔya) .
• Abatasɛti
• Rituximab (rituximab) ye
• Leflunomide (Leflunomide) ye

Nka ni aw ka jolidɛsɛ ma ɲɛ ni nin DMARD ninnu ye, walima ni aw ka jolidɛsɛ ka jugu kosɛbɛ, walima ni banakisɛ bɛ aw la kaban, aw ka dɔgɔtɔrɔ bɛna furakɛli wɛrɛw kɛ walasa ka dɔ fara aw ka jolisegindumuni hakɛ kan. Olu bɛ se ka kɛ ninnu ye:

• Boloci min bɛ wele ko G-CSF (granulocyte colony-stimulating factor).
• Kɔritikositɛri fura minnu bɛ kɛ waati kunkuruni kɔnɔ.
• ‘Splenectomy’ - O kɔrɔ ye ka opereli kɛ ka ɲɛgɛnɛsira min bɛ baara kɛ kojugu.

Ani fana, dɔgɔtɔrɔw bɛna fɛɛrɛ kɛrɛnkɛrɛnnenw tigɛ walasa ka aw tanga banakisɛw ma, kɛrɛnkɛrɛnnenya la ni aw ka furakɛli bɛ nɔ bila aw farikolo tangacogo la. U bɛ se ka fɛnw laadi i n’a fɔ:

• Banakisɛfagalanw tali minnu bɛ se ka banakisɛfagalanw ta.
• Boloci wajibiyalenw sɔrɔli.
• Aw bɛ aw janto kɛrɛnkɛrɛnnenya la aw da ni aw ɲinw kɛnɛya la.

Ni bana dɔ donna mɔgɔ min na, o tigi ye bana sɔrɔ, dɔgɔtɔrɔw b’a ta kosɛbɛ. ni o kɛra aw la , aw ka kan ka furakɛli kɛ o yɔrɔnin bɛɛ . Aw ka dɔgɔtɔrɔ bɛna fura barikamaw sɛbɛn aw ye.

Ni Felty Syndrome (Felty Syndrome) bɛ mɔgɔ si hakɛ min na, o ye mun ye?

Jateminɛ si ma kɛ sisan Felty Syndrome bɛ mɔgɔ minnu na, olu si hakɛ kan. Nka, a ka ca a la, furakɛli suguyaw ɲɛnabɔra kosɛbɛ nin san laban ninnu na. O la, a ka ca a la furakɛli suguya o suguya bɛna ɲɛ i bolo. saya faratiba min bɛ Felty Syndrome la , o bɛ sɔrɔ hali bi banakisɛ jugumanw fɛ . O la, ni aw ye fɛɛrɛw tigɛ walasa ka aw yɛrɛ tanga banakisɛw ma, o bɛ se ka fɛn caman kɛ aw ka kɛnɛya kuntaalajan na.

Felty Syndrome ye gɛlɛya ye min man teli ka sɔrɔ, wa a ka ca a la, a tɛ ye ka ban, min bɛ sɔrɔ sɔgɔsɔgɔninjɛ (RA) fɛ. Ni aw ye RA kunbɛn min tɛ se ka kunbɛn kabini waati jan, walima ni aw ka furaw ye baara dabila ka ɲɛ i n’a fɔ u tun bɛ kɛ cogo min na fɔlɔ, aw bɛ se ka bana sɔrɔ min bɛ wele ko Felty Syndrome. Mɔgɔ dɔw bɛ a sɔrɔ k’a sɔrɔ a taamasiɲɛ foyi tɛ a la. A bɛ se ka mɔgɔ hakili ɲagami dɔɔni k’a dɔn ko bana min bɛ i kolotugudaw minɛ, o bɛ se ka nɔ bila i joli kuruw fana na.

Ni aw bɛ ka RA kunbɛn kaban, ani laala taamasiɲɛ wɛrɛw, a bɛ se ka kɛ ko a ka gɛlɛn ka bana sɛgɛsɛgɛli kura sɔrɔ. Nka Felty Syndrome tɛ taamasiɲɛ kura caman lase mɔgɔ ma, wa a bɛ se ka kɛ a tɛ furakɛli wɛrɛ wajibiya. Min nafa ka bon, o ye ka faratiw dɔn. Ni aw ni aw ka dɔgɔtɔrɔ ye baara kɛ ɲɔgɔn fɛ walasa ka aw ka RA furakɛ ani ka banakisɛw bali, aw bɛ se ka Felty Syndrome kunbɛn.

A laban na, fɛn minnu ka kan ka to an hakili la

Felty Syndrome ye bana ye min bɛ se ka sɔrɔ sɔgɔsɔgɔninjɛ (RA) bɛ mɔgɔ dɔw la. A taamasiɲɛ ye joli kuru finmanw hakɛ dɔgɔyali ye minnu bɛ wele ko neutrophils aw joli la (neutropenie) ani ka ɲɛgɛnɛsira bonya (splenomegaly).

• Faratiba min bɛ a la, o ye banakisɛw sɔrɔli ye tuma caman, o la a nafa ka bon kosɛbɛ ka aw yɛrɛ tanga banakisɛw ma.
• Hali ni o bɛ se ka kɛ siranfɛn ye dɔɔni, o bana bɛ se ka kunbɛn ka ɲɛ ni furakɛli ni laadilikan ɲumanw ye .
• Ni RA bɛ aw la, aw bɛ aw janto nin taamasiɲɛ wɛrɛw la. Ni haminanko dɔw bɛ aw la , aw ye aw jija ka kuma aw ka dɔgɔtɔrɔ fɛ. U bɛna se k’i dɛmɛ.

` Felty Syndrome, Rheumatoïde Arthritis, Neutropenie, Splenomegalie, Arthritis, Joli funu, Neutrophils, Sɔgɔsɔgɔninjɛ, Banakisɛfagalanw