Menene Ciwon Felty? Wannan yana da mahimmanci ga waɗanda ke fama da ciwon gaɓɓai!

Haka kuma kuna iya samun ciwon gaɓoɓi, kumburi, da ɗan tauri a gaɓoɓinku da safe, ko ba haka ba? A mafi yawan lokuta, waɗannan na iya faruwa ne sakamakon ciwon gaɓoɓin rheumatoid. Amma kun san cewa akwai wata matsala da za ta iya tasowa tare da wannan yanayin ciwon gaɓoɓin, amma ba a san ta sosai ba, amma yana da matuƙar muhimmanci a sani? Wannan shine Ciwon Felty. Bari mu yi magana game da wannan dalla-dalla a yau.

Menene ainihin cutar Felty Syndrome?

A taƙaice dai, Felty Syndrome haɗuwa ce ta yanayi uku da ke faruwa tare. Su ne:

• Rheumatoid Arthritis - Kumburin gaɓoɓi wanda da yawa daga cikinku suka sani.
• Neutropenia - Wannan raguwa ne a yawan neutrophils, wani nau'in farin jini a cikin jini.
• Splenomegaly - Wannan yana nufin cewa saifa, wani sashe a jiki, ya fi girma fiye da yadda aka saba.

Sau da yawa yana farawa da ciwon gaɓɓai na rheumatoid arthritis (RA). Sauran yanayi biyu suna faruwa ne a matsayin rikitarwa na RA. Likitoci suna kiran waɗannan 'bayyanuwar cututtuka na musamman'. Wato, ciwon gaɓɓai ba wai kawai ga haɗin gwiwa ba ne, amma yana shafar gidajen da ke wajensu. Wannan ya faru ne saboda tsarin kumburi da ke haifar da ciwon gaɓɓai. Duk da cewa irin waɗannan illolin suna faruwa ne a wajen gidajen da ke fama da ciwon gaɓɓai, ciwon gaɓɓai na Felty wani yanayi ne da ba kasafai ake samunsa ba.

Ta yaya wannan ya shafe ka?

Ciwon Felty yana farawa ne da Rheumatoid Arthritis. Sannan kana jin zafi mai tsanani da kumburi a gidajenka. Sannan, idan yanayi kamar Neutropenia da Splenomegaly suka faru, yana shafar tsarin garkuwar jikinka. Neutropenia raguwa ne a cikin wani nau'in farin jini da ake kira neutrophils. Waɗannan neutrophils wani nau'in ƙwayar halitta ne mai matuƙar muhimmanci wanda ke kare jikinmu daga cututtuka. Don haka idan suka ragu, damar kamuwa da cututtuka na ƙaruwa. Ƙara girman saifa kuma na iya zama wani dalili na wannan raguwar neutrophils.

Yaya wannan ciwon ya zama ruwan dare?

Ciwon Felty yana faruwa ne a cikin kusan kashi 2% na mutanen da ke fama da cutar rheumatoid arthritis. Kamar RA, ciwon Felty ya fi yawa sau uku a cikin mata fiye da maza. Abin sha'awa, kusan dukkan mutanen da ke fama da cutar RA waɗanda suka kamu da cutar Felty suna da 'seropositive'. Wannan yana nufin cewa gwaje-gwaje sun tabbatar da cewa suna da wani abu da ake kira rheumatoid factor antibodies a cikin jininsu. Mutanen da ba su da waɗannan antibodies, ma'ana mutanen da ba su da waɗannan antibodies, ba safai suke kamuwa da cutar Felty's syndrome ba.

Menene alamun wannan?

Sau da yawa, alamun farko da ke bayyana su ne na ciwon haɗin gwiwa na rheumatoid. Waɗannan sun haɗa da:

• Ciwon gaɓɓai
• kumburin haɗin gwiwa
• Taurin haɗin gwiwa, musamman da safe

Wasu mutane na iya fuskantar wasu alamu ban da RA a cikin gaɓoɓinsu. Misali:

• Kumburi da ke samuwa a ƙarƙashin fata kusa da gidajen haɗin gwiwa (waɗannan ana kiransu da rheumatoid nodules)
• Kumburin lymph a wurare kamar wuya da hammata
• Hanta na iya kumbura kuma tana da zafi idan aka taɓa ta.
• Busassun idanu da baki (wannan ana kiransa da ciwon Sjogren)
• Idanu ja, sun kumbura (wannan ana kiransa episcleritis)
• Raunukan fata, musamman a ƙafafu
• Alamomin zubar jini a ƙarƙashin fata
• Wahalar numfashi saboda kumburin huhu
• Ciwon ƙirji saboda kumburi a kusa da zuciya
• Zazzaɓi
• Gajiya da kasala
• Rashin ci ko rashin nauyi mara dalili

Baya ga waɗannan, Felty Syndrome yana da wasu alamomi. Wani lokaci waɗannan alamomin na iya bayyana kafin bayyanar alamun RA.

• Cututtuka masu yawan faruwa akai-akai. Misalan sun haɗa da mura, ciwon ciki, da kuma cututtukan fata.
• Kumburin ƙashi. Ana iya jin sa a hannu kuma yana iya zama mai zafi.
• Canza launin fata (kamar tabo).

Amma abin mamaki shine, wani lokacin ana iya gano cutar Felty Syndrome ba tare da wata alama ba. Gwaje-gwajen jini da hotunan jini na iya nuna cewa kana da dukkan yanayi uku kafin ma ka ji wata alama.

A wace shekara wannan yakan fara?

Ciwon Felty yawanci yana tasowa ne a cikin tsofaffi, tsakanin shekaru 50 zuwa 70. Ga yawancin mutane, Ciwon Felty yana bayyana bayan sun sami alamun cutar rheumatoid arthritis na kimanin shekaru 10 zuwa 15.

Me yasa Felty Syndrome ke faruwa?

Rheumatoid arthritis 'cutar garkuwar jiki' ce. Wannan yana nufin cewa garkuwar jikinmu tana kai hari ga sassan jikinmu kamar maƙiyi ne. Masana kimiyya da yawa sun yi imanin cewa Felty Syndrome babbar matsala ce ta RA. A cikin waɗannan cututtukan garkuwar jiki, jikinmu yana samar da 'antibodies' akan wasu sunadarai. Waɗannan ƙwayoyin rigakafi suna zuwa su kama waɗannan sunadaran su kuma suna nuna musu cewa za a lalata su. Haka kumburi ke ƙaruwa.

Waɗannan ƙwayoyin rigakafi ba koyaushe suke kasancewa a cikin RA ba. Duk da haka, a cikin mutanen da ke fama da cutar Felty Syndrome, waɗannan ƙwayoyin rigakafi tabbas suna nan. Kasancewar waɗannan ƙwayoyin rigakafi shine dalilin da yasa RA ke ƙara tsananta kuma sauran tasirin da ke wajen gidajen abinci (bayyanuwar ƙari) ke ƙaruwa. RA tare da ƙwayoyin rigakafi ana kiransa 'seropositive RA'. Bincike ya nuna cewa duka cututtukan seropositive RA da Felty Syndrome suna da alaƙa da wasu 'abubuwan kwayoyin halitta'. Wannan yana nufin cewa ana iya yaɗa su ta hanyar tsararraki zuwa wani mataki.

Ta yaya cututtukan arthritis na rheumatoid (RA) ke haifar da neutropenia da splenomegaly?

Yadda Neutropenia Ke Faruwa

Neutropenia raguwar adadin fararen ƙwayoyin jini da ake kira neutrophils. Akwai manyan dalilai guda biyu na wannan. Na ɗaya shine cewa ɓawon ƙashi ba ya samar da isassun neutrophils. Ko kuma, ana lalata neutrophils a jikinka. A cikin Felty Syndrome, duka waɗannan na iya faruwa. Tsarin garkuwar jiki da aka ambata a baya na iya kawo cikas ga samar da neutrophils a cikin ɓawon ƙashi, kuma ana iya lalata neutrophils da aka riga aka samar. Haka kuma, faɗaɗa saifa wani dalili ne na raguwar neutrophils.

Yadda Splenomegaly Ke Faruwa

Aikin saifa naka shine tace tsoffin ƙwayoyin jini marasa amfani daga jininka. Amma idan saifa naka ta yi girma sosai (splenomegaly), sai ta yi aiki fiye da kima kuma ta fara cire ƙwayoyin jini masu kyau da yawa. Ciwon gaɓɓai na rheumatoid a wasu lokutan na iya haifar da ƙara girman saifa. Dalilin da ya sa ba a fayyace shi ba tukuna. Saifa na iya girma ba tare da neutropenia ba. Haka kuma, ba kasafai ake samun cutar Felty Syndrome ba tare da ƙara girman saifa ba.

Waɗanne matsaloli ne masu haɗari na Felty Syndrome?

Saboda cutar Felty Syndrome tana raunana garkuwar jikinka, kana cikin haɗarin kamuwa da cututtuka masu tsanani akai-akai . Ko da yawanci kana da ƙaramin rashin lafiya wanda ake iya magance shi cikin sauƙi, wannan yanayin na iya zama mai tsanani har ya daɗe kuma wani lokacin yana barazana ga rayuwa. Cututtukan ƙwayoyin cuta marasa tsari na iya haifar da yanayi mai haɗari da ake kira sepsis. Mutanen da ke fama da cutar Felty Syndrome suma suna cikin haɗarin kamuwa da wasu nau'ikan ciwon daji, kamar lymphoma.

Amma kada ka ji tsoro idan ka ji waɗannan abubuwan. Waɗannan haɗarin suna nan, amma ana iya sarrafa su ta hanyar kulawa da kulawa da ta dace.

Ta yaya za a gane wannan?

Likitoci suna gano cutar Felty Syndrome idan suka gano cewa rheumatoid arthritis, neutropenia, da splenomegaly duk suna nan. (Ba kasafai ake iya gano cutar ba tare da girman saifa ba.)

Gwaje-gwajen da aka saba yi sune:

• Gwaje-gwajen jini: Cikakken ƙidayar jini, musamman don duba adadin neutrophils.
• X-ray na gidajen haɗin gwiwa: Duba ko akwai ciwon gaɓɓai.
• Duban ƙashi: Misali, duban dan tayi ko kuma hoton CT.
• Binciken ƙwayoyin ƙashi:Wannan yana taimakawa wajen tabbatar da cewa babu wasu cututtukan lafiya.

Menene maganin wannan?

Akwai manyan manufofi guda uku wajen magance cutar Felty Syndrome:

• Sarrafa yanayin da ke haifar da cutar Rheumatoid Arthritis.
• Idan cutar neutropenia ta yi tsanani, a yi maganinta kai tsaye.
• Hana kamuwa da cuta da kuma magance su idan sun faru.

Ciwon Felty na iya faruwa ne sakamakon rashin magani ko kuma rashin kulawa sosai ga cututtukan rheumatoid arthritis (RA). Ga mutane da yawa, ciwon neutropenia yana inganta yayin da ciwon su na RA ya inganta. Saboda haka, likitoci da farko suna neman zaɓar magungunan rage radadi masu tasiri (DMARDs) don RA. Suna kuma ƙoƙarin guje wa magungunan rage radadi gwargwadon iko.

Akwai nau'ikan DMARD da dama da za a iya amfani da su don magance Felty Syndrome:

• Methotrexate da folic acid (rage illolin methotrexate)
• Abatacept
• Rituximab
• Leflunomide

Amma idan cutar neutropenia ba ta inganta ba tare da waɗannan DMARDs, ko kuma idan cutar neutropenia ta yi tsanani sosai, ko kuma idan kana da kamuwa da cuta, likitanka zai gwada wasu magunguna don ƙara yawan neutrophils ɗinka. Waɗannan na iya haɗawa da:

• Allurar rigakafi da ake kira G-CSF (granulocyte colony-stimulating factor).
• Magungunan corticosteroid na ɗan gajeren lokaci.
• 'Splenectomy' - Wannan yana nufin cire saifa mai yawan aiki ta hanyar tiyata.

Haka kuma, likitoci za su ɗauki matakai na musamman don kare ka daga kamuwa da cututtuka, musamman idan maganinka ya shafi garkuwar jikinka. Suna iya ba da shawarar abubuwa kamar:

• Shan maganin rigakafi mai faɗi.
• Samun allurar rigakafi da ake buƙata.
• A kula da lafiyar bakinka da haƙoranka musamman.

Idan wani mai fama da cutar Felty Syndrome ya kamu da cuta, likitoci suna ɗaukarsa da muhimmanci. Idan wannan ya same ka , kana buƙatar samun magani nan da nan . Likitanka zai rubuta maka magunguna masu ƙarfi.

Yaya tsawon rai da ake da shi tare da Felty Syndrome?

Babu wani kididdiga a halin yanzu game da tsawon rayuwar mutanen da ke fama da cutar Felty Syndrome. Duk da haka, gabaɗaya, jiyya ta inganta sosai a cikin 'yan shekarun nan. Don haka akwai kyakkyawan damar cewa kowace magani za ta yi nasara a gare ku. Babban haɗarin mutuwa a cikin cutar Felty Syndrome har yanzu yana faruwa ne daga cututtuka masu tsanani . Saboda haka, ɗaukar matakai don kare kanku daga kamuwa da cuta na iya yin babban bambanci ga lafiyar ku na dogon lokaci.

Ciwon Felty wani irin matsala ne da ba kasafai ake mantawa da shi ba na cututtukan rheumatoid arthritis (RA). Idan kana da RA mara tsari na tsawon lokaci, ko kuma idan magungunanka suka daina aiki kamar yadda suke yi a da, za ka iya kamuwa da cutar Felty Syndrome. Wasu mutane suna kamuwa da ita ba tare da wata alama ba. Yana iya zama abin takaici a fahimci cewa wata cuta da ke shafar gidajenka na iya shafar ƙwayoyin jininka.

Idan kana fama da cutar RA, da kuma wasu alamomin, zai iya zama abin mamaki a sami sabon ganewar asali. Amma cutar Felty ba ta haifar da sabbin alamomi da yawa ba, kuma ƙila ba ta buƙatar ƙarin magani ba. Abu mafi mahimmanci shine a san haɗarin. Ta hanyar yin aiki tare da likitanka don magance cutar RA da hana kamuwa da cuta, za ka iya sarrafa cutar Felty Syndrome.

A ƙarshe, abubuwan da za a tuna

Ciwon Felty wani yanayi ne da zai iya faruwa ga wasu mutane masu fama da cutar arthritis (RA). Yana da alaƙa da raguwar adadin fararen ƙwayoyin jini da ake kira neutrophils a cikin jininku (neutropenia) da kuma faɗaɗa spleen (splenomegaly).

• Babban haɗarin kamuwa da cuta shine yawan kamuwa da cuta, don haka yana da matuƙar muhimmanci a kare kanka daga kamuwa da cuta.
• Ko da yake wannan yana iya zama kamar abin tsoro, ana iya sarrafa wannan yanayin sosai ta hanyar samun magani da shawarwari masu kyau .
• Idan kana da cutar RA, ka kula da waɗannan ƙarin alamun. Idan kana da wata damuwa , ka tabbata ka yi magana da likitanka. Za su iya taimaka maka.

Ciwon Felty , Rheumatoid Arthritis, Neutropenia, Splenomegaly, Arthritis, kumburin gaɓoɓi, Neutrophils, Spleen, Rigakafi