Kodi nkhope yanu imatupa mwadzidzidzi? Kodi lilime lanu limasweka? Kodi ndi Melkersson-Rosenthal Syndrome (MRS)?

Kodi munayamba mwaonapo, kapena mwaonapo kutupa mwadzidzidzi mbali imodzi ya nkhope yanu, milomo yotupa, kumva kuwawa mbali imodzi ya nkhope yanu, kapena ming'alu yachilendo m'lirime lanu? Izi sizingakhale zochitika wamba. Zingakhale zizindikiro za matenda osowa omwe tikambirana.

Kodi Melkersson-Rosenthal Syndrome ndi chiyani?

Chabwino, tiyeni tiwone tanthauzo la Melkersson-Rosenthal Syndrome, kapena MRS mwachidule. Mwachidule, ndi vuto la mitsempha losowa kwambiri. Izi zikutanthauza kuti, limakhudza kwambiri mitsempha ya nkhope yathu. Zizindikiro zazikulu za vutoli ndi kutupa kwa nkhope, ming'alu yachilendo m'lirime (monga mitsinje yakuya), ndi kufooka kwa nkhope, komwe ndi kutaya ntchito mbali imodzi kapena zonse ziwiri za nkhope. Tangoganizani, mwadzidzidzi, ngodya ya pakamwa yagwetsedwa pansi ndipo simungathe kutseka maso anu bwino.

Matenda a `MRS` nthawi zina amatha kukhala chizindikiro cha matenda ena amtsogolo, monga matenda a Crohn (matenda osatha otupa m'matumbo) kapena sarcoidosis (matenda omwe amayambitsa ziphuphu zazing'ono zotupa m'mbali zosiyanasiyana za thupi). Madokotala nthawi zina amatcha vutoli ``Orofacial Granulomatosis`` . Ndi matenda omwe amayambitsa ziphuphu zazing'ono zotupa zotchedwa granulomas, zomwe zimayenderana ndi kutupa kuzungulira nkhope ndi pakamwa.

Ndani angadwale matenda a 'MRS'? Kodi ndi ofala bwanji?

Tsopano mwina mukuganiza kuti, "Ndani angapeze izi?" Kwenikweni, vutoli lotchedwa `MRS` limatha kuchitika pa msinkhu uliwonse. Komabe, limapezeka kwambiri mwa achinyamata, nthawi zambiri ali ndi zaka za m'ma 20, pamene zizindikiro zimayamba kuonekera.

Koma pankhani ya kuchuluka kwa matendawa, MRS ndi matenda osowa kwambiri . Akuti amakhudza anthu ochepa kwambiri, pafupifupi 0.08%. Koma asayansi amakhulupirira kuti chifukwa zizindikiro zake zimafanana ndi matenda ena, pakhoza kukhala anthu ambiri omwe sanapezekepo. Izi zikutanthauza kuti pakhoza kukhala anthu ambiri omwe akudwala matendawa kuposa chiwerengerochi. Chifukwa chake ngati muli ndi zizindikiro ngati izi, musataye mtima kuganiza kuti, "Izi zimachitika kwa anthu ochepa kwambiri, palibe njira yomwe ndingachipezere." Chofunika kwambiri ndikufunsa upangiri wa dokotala.

Kodi zifukwa za `MRS` ndi ziti?

Chabwino, tsopano tiyeni tiwone chomwe chimayambitsa vutoli la 'MRS'. Kunena zoona, asayansi sanapezebe chifukwa chenicheni . Koma pali zinthu zingapo zomwe zikuganiziridwa kuti zimayambitsa vutoli:

• Matenda a Crohn: Monga ndanenera kale, iyi ndi matenda osatha a kutupa m'matumbo. Zapezeka kuti anthu omwe ali ndi matendawa ali pachiwopsezo chachikulu chotenga matenda a MRS.
• Cholowa cha majini: Izi zikutanthauza kuti chikhoza kuperekedwa kuchokera ku mibadwomibadwo. Ngati wina m'banjamo wakhala ndi vutoli, chimenecho chingakhale chifukwa chake. Koma izi sizinatsimikizidwebe.
• Kuchuluka kwa mphamvu ya chitetezo cha mthupi: Apa ndi pamene chitetezo cha mthupi lathu chimayankha mopitirira muyeso ku chinthu china (chomwe timachitcha kuti 'antigen' kapena 'allergen' - kutanthauza kuti chikhoza kukhala chinthu chomwe chimayambitsa ziwengo). Zili ngati ziwengo, koma zimakhala zovuta pang'ono.
• Sarcoidosis: Iyi ndi matenda omwe amayambitsa ziphuphu zazing'ono (granulomas) m'mbali zosiyanasiyana za thupi. Matendawa akuganiziridwanso kuti akugwirizana ndi MRS.
• Matenda a mavairasi kapena mabakiteriya: Pali maganizo ena akuti vutoli nthawi zina limatha kuchitika pambuyo pa matenda oyambitsidwa ndi kachilombo kapena mabakiteriya.

Kodi `MRS` ndi `(Matenda a Autoimmune)`?

Tsopano anthu ena angadzifunse kuti, "Kodi uwu ndi `(matenda a Autoimmune)'?" Ndiko kuti, kodi ndi vuto lomwe chitetezo cha mthupi lathu chimaukira maselo athu athanzi? Kwenikweni, `MRS` siiganiziridwa kuti ndi `(matenda a Autoimmune)'.

Izi zimatchedwa matenda amitsempha . Izi zikutanthauza kuti ndi vuto la ubongo kapena dongosolo la mitsempha. Zimatchedwanso matenda a granulomatous . Izi zikutanthauza kuti ndi vuto losatha, lotupa, komanso lotupa (granuloma) lomwe limapangika m'thupi. Mwamvetsa? Chifukwa chake siligwera mwachindunji m'gulu la "autoimmune."

Kodi zizindikiro za `MRS` ndi ziti?

Chabwino, tiyeni tsopano tiwone zizindikiro za vuto la `MRS` ili, kapena vuto la `(Orofacial Granulomatosis)` lomwe ndatchula kale. Pali zizindikiro zazikulu zitatu zomwe zimawoneka mu izi. Izi zimatchedwa `chizindikiro cha triad cha classic' .

1. Kufooka kwa nkhope: Iyi ndi vuto lomwe limakhala ndi kufooka kapena dzanzi mbali imodzi ya nkhope, nthawi zina mbali zonse ziwiri. Izi sizingakhalepo kumayambiriro, koma zingawonekere pambuyo pake. Pamene matendawa akupita patsogolo, nthawi ya kufooka kumeneku ingakulire. Tangoganizirani, mwadzidzidzi simungathe kusuntha mbali imodzi ya pakamwa panu, mukuvutika kutseka maso anu, kapena kukhala ndi ngodya ya pakamwa panu yomwe imatuluka madzi mukamwa madzi.

2. Kutupa kwa nkhope: Anthu omwe ali ndi MRS nthawi zambiri amatupa nkhope (Orofacial edema). Kutupa kwa milomo (Cheilitis granulomatosis) kumachitika kawirikawiri. Mlomo wapamwamba nthawi zambiri umatupa mlomo wapansi usanayambe. Milomo imatha kukhala youma, yosweka, yopweteka, komanso yofiirira. Mwa anthu ena, milomo imatha kukhala yolimba ngati mwala. Sikuti milomo yokha, komanso masaya, zikope, ndipo nthawi zina ngakhale khungu la mutu limatha kutupa. Kutupa kumeneku kumatha kukhala koopsa kwambiri ndipo kumatha nthawi yayitali matendawa akamabwereranso.

3. Lilime lokhala ndi mbolo:Izi zimapangitsa kuti ming'alu yozama ngati mipata ipangike pamwamba pa lilime. Madokotala amatchanso kuti "Scrotal tongue" kapena "Lingua plicata". Izi nthawi zambiri sizimapweteka, koma anthu ena amatha kutupa, kuyabwa, komanso kutentha lilime. Zingayambitsenso kutayika kwa kukoma ndikuyambitsa matenda a mkamwa.

Chofunika ndichakuti si aliyense amene ali ndi makhalidwe onse atatuwa. Anthu ena akhoza kukhala ndi khalidwe limodzi kapena awiri okha mwa makhalidwe atatuwa. Ena akhoza kukhala ndi makhalidwe onse atatuwa.

Zizindikiro zimenezi sizimasinthasintha. Zimabwera ndi kutha. Nthawi yoyamba, zimatha kwa maola ochepa okha . Koma zikabweranso pambuyo pake, zimatha kukhala zoopsa kwambiri komanso nthawi yayitali.

Zizindikiro zina

Kuwonjezera pa zizindikiro zazikulu izi, pakhoza kukhala zizindikiro zina zingapo:

• Chizungulire
• Mutu wa mutu wa mutu waching'alang'ala
• Kulira m'makutu (tinnitus) kapena kutaya kumva
• Matendawa akakula kwambiri ndipo atachira, nthawi zina zipsera zimatha kuonekera pankhope .
• Kuvuta kumeza
• Mavuto a maso: Maso ouma, kusawona bwino, ndi kutupa kwa maso (uveitis).

Kodi matenda a MRS amachiritsidwa bwanji?

Tsopano mwina mukudabwa kuti, "Ndingadziwe bwanji kuti uyu ndi 'MRS'?" Kwenikweni, 'MRS' ndi yovuta kuzindikira. Chifukwa zizindikiro zake zimatha kusokonezedwa ndi matenda ena. Mwachitsanzo, zizindikiro zake zitha kukhala zofanana ndi 'Allergy reactions' kapena 'Bell's palsy', matenda ena omwe amayambitsa kufooka kwa nkhope.

Dokotala nthawi zambiri amazindikira matenda a MRS poyang'ana mbiri yanu ngati muli ndi zizindikiro ziwiri mwa zitatu zomwe ndatchula kale. Nthawi zina, kuti atsimikizire matendawa ndikuchotsa matenda ena, chidutswa chaching'ono cha milomo yanu chingatengedwe kuti chikayesedwe (biopsy). Izi zimayang'ana kupezeka kwa granulomas.

Komanso, dokotala angakutumizireni kwa akatswiri ena angapo, chifukwa izi zingakhudze machitidwe osiyanasiyana. Izi zikuphatikizapo:

• Dokotala wa ziwengo
• Dokotala wa khungu
• Katswiri wa matenda a m'mimba - Yang'anani zinthu monga matenda a Crohn.
• Katswiri wa chitetezo chamthupi
• Dokotala wa maso

Kodi pali mankhwala a `MRS`? Kodi mankhwala ake ndi otani?

Chabwino, funso lalikulu lomwe anthu ambiri ali nalo pakali pano ndi lakuti, "Kodi pali mankhwala athunthu a vuto la 'MRS'?" Mwatsoka, palibe mankhwala enieni a 'MRS' pakadali pano.

Nthawi zina zizindikiro zimatha popanda chithandizo chilichonse, koma zimatha kubwereranso.

Ndiye, kodi mumachichiza bwanji? Ngati zizindikiro zikubwereranso ndipo zikuvutitsa, pali njira zingapo zothandizira kuchepetsa ululu, kupewa matenda, komanso kukonza mawonekedwe. Izi zikuphatikizapo:

• Maantibayotiki: Ngati pali matenda a bakiteriya.
• Mankhwala oletsa kutupa: Amachepetsa zizindikiro zofanana ndi ziwengo komanso kutupa.
• Corticosteroids: Awa ndi mankhwala amphamvu omwe amachepetsa kutupa ndi kutupa. Angaperekedwe ngati jakisoni mwachindunji pamalo otupa, kapena ngati mapiritsi.
• Mankhwala oletsa kutupa: Izi zimathandiza kuchepetsa kutupa mwa kulamulira pang'ono ntchito ya chitetezo cha mthupi.
• Methotrexate: Iyi ndi mankhwala omwe amawongolera chitetezo cha mthupi komanso amachepetsa kutupa.
• Mankhwala oletsa kutupa (NSAIDs): Amachepetsa ululu ndi kutupa (monga Ibuprofen, Diclofenac).
• Opaleshoni: Nthawi zina opaleshoni imachitika kuti ichepetse kutupa kwa milomo yotupa kwambiri kapena kuti ichepetse kupsinjika kwa mitsempha ya nkhope. Komabe, izi sizimachitika kawirikawiri.
• Mankhwala oletsa kutupa otchedwa TNF-alpha inhibitors: Awa ndi mankhwala apadera omwe amathandiza kuletsa kutupa. Nthawi zambiri amaperekedwa ngati mankhwala ena sagwira ntchito.

Mankhwalawa apangidwa kuti achepetse zizindikiro ndikuchepetsa kusasangalala. Dokotala wanu adzasankha chithandizo chomwe chili choyenera kwa inu.

Kodi vuto la `MRS` lingapewedwe?

Kodi vuto la 'MRS' limeneli lingapewedwe? Ndipotu, popeza asayansi sakumvetsabe zomwe zimayambitsa izi, palibe njira yotsimikizika yopewera. Chifukwa chake, tiyenera kuyang'ana kwambiri kuzindikira zizindikiro msanga ndikupeza chithandizo choyenera.

Kodi 'MAYI' adzakhala bwanji? Kodi adzachira?

Kodi tsogolo la munthu amene ali ndi matenda a MRS ndi lotani? Izi zimasiyana kwambiri malinga ndi munthu. Anthu ena amakhala ndi zizindikiro zochepa kwambiri, monga kamodzi pa zaka zingapo, ndipo zimatha zokha. Kwa ena, zizindikiro zimatha kuwonekera pafupipafupi, monga masiku angapo, ndipo zimatha kuipiraipira nthawi iliyonse.

Matendawa amatha kukhala a moyo wonse, ndipo kutupa kumatha kukhala kosatha. Koma asayansi saganiza kuti matendawa amakhudza moyo wonse. Izi zikutanthauza kuti mutha kukhala ndi moyo wabwinobwino ndi matendawa, koma muyenera kukhala ndi zizindikiro zake. Chifukwa chake, kukhalabe olimba m'maganizo ndikofunikira kwambiri.

Mafunso oti mufunse dokotala wanu

Ngati muli ndi Melkersson-Rosenthal Syndrome, kapena mukuganiza kuti muli nayo, ndi bwino kufunsa dokotala wanu mafunso awa:

• Kodi munganene bwanji motsimikiza kuti iyi ndi Melkersson-Rosenthal Syndrome? Kodi si chinthu china?
• Ndi akatswiri ena ati omwe ndiyenera kuwaona? (monga dermatologist, neuronologist, etc.)
• Ngati zizindikiro zikubwereranso, ndiyenera kupita liti kwa dokotala? Ndi zizindikiro ziti zomwe ndiyenera kuda nazo nkhawa kwambiri?
• Kodi ndiyenera kuyezetsa matenda a Crohn kapena sarcoidosis?
• Kodi ndiyenera kuchita chiyani kuti ndipewe matenda, kutupa kosatha, ndi zipsera?
• Kodi mumalimbikitsa kuyezetsa majini? Kodi zimenezi zingakuuzeni chiyani?
• Kodi mukudziwa magulu othandizira omwe amathandiza anthu omwe ali ndi matenda awa? Kodi pali phindu lililonse lomwe lingakhalepo ngati ine nditalowa nawo?

Ndiye, ndi zinthu ziti zofunika kwambiri zomwe tiyenera kutenga kuchokera m'nkhaniyi?

Matenda a Melkersson-Rosenthal (MRS) ndi matenda osowa kwambiri omwe amakhudza mitsempha ya nkhope. Ngati mukumva kutupa kwadzidzidzi kwa nkhope, kufooka kwa nkhope, kapena ming'alu yachilendo m'lilime lanu, muyenera kuwonana ndi dokotala.

Ngakhale kuti palibe mankhwala enieni a izi, pali mankhwala othandiza oletsa zizindikiro, kuchepetsa kusasangalala, komanso kupewa mavuto. Choncho musadandaule. Mukazindikira msanga komanso kulandira chithandizo choyenera, mutha kukhala bwino ndi vutoli. Simuli nokha, ndipo madokotala ndi okondedwa anu angakuthandizeni.

Matenda a Melkersson-Rosenthal, MRS, kutupa kwa nkhope, kufooka kwa nkhope, lilime losweka, neuropathy, granulomatosis ya m'kamwa