Kodi nthawi zina mumamva ngati pakamwa panu pali pouma kwambiri, ngati mpira wa thonje? Kapena nthawi zonse mumakhala ndi kutentha kapena kuyabwa m'maso mwanu, ngati kuti muli ndi mchenga m'maso mwanu? Ngakhale timaganiza kuti izi ndi zinthu zachilendo, nthawi zina zimatha kukhala zizindikiro za chinthu china chomwe chikuchitika m'thupi mwathu. Lero tikulankhula za vuto limodzi lotere, Sjogren's Syndrome. Ngakhale kuti ili ndi vuto la nthawi yayitali, si vuto loti mudandaule nalo. Ndi chithandizo choyenera, mutha kukhala ndi moyo wabwinobwino komanso wachimwemwe.
Mwachidule, kodi Sjogren's Syndrome ndi chiyani?
Izi n'zosavuta kumvetsa. Thupi lathu lili ndi chitetezo chamthupi, timachitcha kuti chitetezo chamthupi . Ndi maselo oyera amagazi omwe amalimbana ndi majeremusi ndi mavairasi omwe amalowa m'thupi mwathu ndikutiteteza ku matenda. Komabe, Sjogren's Syndrome ndi matenda odziteteza okha .
Mwachidule, chitetezo chathu chimalephera kugwira ntchito ndipo chimayamba kuukira maselo athu athanzi m'malo mwa majeremusi achilendo. Apa, kuukira kumeneku kumakhudza makamaka tiziwalo timene timatulutsa chinyezi m'thupi lathu. Ndiko kuti, tiziwalo timene timatulutsa misozi ndi tiziwalo timene timatulutsa malovu mkamwa . Choncho tiziwalo timeneti tikawonongeka, sitingathe kutulutsa misozi ndi malovu bwino. Zotsatira zake, maso, pakamwa, ndi ziwalo zina za thupi zimauma.
Ndi zachilendo kukhala ndi nkhawa pang'ono mukazindikira kuti vutoli ndi la moyo wonse. Koma kumbukirani kuti anthu ambiri omwe ali ndi matenda a Sjogren amakhala ndi thanzi labwino ndipo nthawi zambiri samakhala ndi mavuto aakulu.
N’chifukwa chiyani izi zimachitika? Kodi zinthu zomwe zimayambitsa vutoli ndi ziti?
Madokotala sakudziwabe chomwe chimayambitsa izi, koma pali zinthu zingapo zomwe zikuganiziridwa kuti zimayambitsa izi.
- Mphamvu ya majini : Majini anu akhoza kukhala ndi chiopsezo chochepa chotenga matendawa.
- Choyambitsa: Matenda a bakiteriya kapena kachilombo ka HIV angayambitse matendawa.
Taganizirani izi motere. Muli ndi vuto la majini lokhudzana ndi matenda a Sjogren, ndipo mumadwala malungo monga mavairasi. Kenako chitetezo chanu cha mthupi chimalowa. Koma chifukwa cha vuto la majini, maselo oyera amayamba kuukira osati majeremusi okha, komanso tiziwalo timene timapanga malovu ndi misozi yathu. Chifukwa nkhondoyi ikupitirira, ngati simulandira chithandizo, zizindikiro zidzapitirira.
Kuphatikiza apo, pali zinthu zina zingapo zoopsa:
- Zaka: Nthawi zambiri zimakula kwambiri mwa anthu azaka zopitilira 40, komanso zimathanso kukula mwa achinyamata ndi ana.
- Jenda: Akazi ali ndi mwayi wochuluka wopeza matendawa kuposa amuna.
- Matenda ena a autoimmune: Pafupifupi theka la anthu omwe ali ndi matenda a Sjogren alinso ndi matenda ena a autoimmune, monga lupus kapena rheumatoid arthritis.
Kodi zizindikiro za Sjogren's Syndrome ndi ziti?
Zizindikiro izi sizili zofanana kwa aliyense. Anthu ena ali ndi chimodzi kapena ziwiri, pomwe ena amakhala ndi zambiri. Tiyeni tiwone zomwe zizindikirozi zili.
| Chizindikiro | Kufotokozera |
|---|---|
| Zizindikiro Zazikulu ndi Zodziwika Kwambiri | |
| Pakamwa pouma | Mkati mwa pakamwa mumamveka ngati choko kapena thonje. Zimakhala zovuta kulankhula ndi kumeza chakudya. Izi zingayambitse kuwola kwa mano, matenda a chingamu, komanso matenda a mkamwa (candidiasis). |
| Maso ouma | Kupsa, kuyabwa, kumva ngati ming'alu m'maso. Kumva kutopa ndi kuwala (maso abuluu) ndi kusawona bwino kungachitike. |
| Zizindikiro Zina Zomwe Zingatheke | |
| Kuuma m'mbali zina za thupi | Kuuma kwa pakhosi, milomo, khungu, ndi mphuno. Kuuma kwa nyini. |
| Kupweteka kwa thupi ndi kutupa | Kutupa, kupweteka, ndi kuuma kwa mafupa. Kupweteka kwa minofu. Kutupa kwa tinthu ta m'khosi ndi nkhope. |
| Makhalidwe ena onse | Kutopa nthawi zonse. Kuvutika kuganizira zinthu ndi kukumbukira. Mutu. Kutupa pakhungu komanso kumva kuwala kwa dzuwa. Chifuwa chouma kapena kupuma movutikira. |
Mitundu iwiri ya matenda a Sjogren
Dokotala, ndikuuzeni za mitundu iwiri ya matendawa:
1. Matenda a Sjogren's: Izi zikutanthauza kuti muli ndi matenda a Sjogren okha, opanda matenda ena aliwonse oteteza thupi.
2. Matenda a Sjogren achiwiri: Izi zikutanthauza kuti matenda a Sjogren amatsagana ndi matenda ena a chitetezo chamthupi, monga nyamakazi kapena lupus.
Kodi mungazindikire bwanji matendawa?
Popeza zizindikiro za matendawa zimafanana ndi matenda ena (monga fibromyalgia) ndipo nthawi zambiri zimachitika limodzi ndi matenda ena oteteza chitetezo chamthupi, nthawi zina kuzindikira matendawa kungakhale kovuta pang'ono.
Dokotala wanu adzakuyesani ndikufunsani mafunso monga:
- Kodi maso anu amayabwa nthawi zonse? Kodi amayaka?
- Kodi mano anu nthawi zonse amaola?
- Kodi pakamwa panu ndi milomo yanu ndi zouma?
- Kodi muli ndi ululu kapena kuuma kwa mafupa anu?
Kenako, adzayitanitsa mayeso angapo kuti atsimikizire matendawa.
- Mayeso a magazi: Izi zimayesa kuchuluka kwa ma antibodies m'magazi mwanu, komanso kutupa m'thupi mwanu. Anthu ambiri omwe ali ndi matenda a Sjogren ali ndi mitundu inayake ya ma antibodies m'magazi mwawo.
- Mayeso a maso ndi pakamwa:
- Mayeso a Schirmer: Kuti muwone momwe maso anu alili ouma, kapepala kakang'ono kamayikidwa pansi pa chikope cha m'munsi ndipo kuchuluka kwa misozi kumayesedwa.
- Kuwunika nyali yodulidwa: Pamwamba pa diso pamayang'aniridwa ndi chipangizo chokulitsa.
- Kufufuza za malovu: Kachidutswa kakang'ono kwambiri ka malovu nthawi zambiri kamatengedwa kuchokera pa mlomo wapansi ndikuwunika.
Kodi mungachiritse bwanji ndikuwongolera?
Matendawa sangachiritsidwe kwathunthu, koma pali njira zambiri zochiritsira zomwe zingathandize kuchepetsa zizindikiro ndikukhala ndi moyo wathanzi.
Chithandizo cha maso ouma
Dokotala wanu angakulembereni madontho a m'maso otchedwa `artificial tears`. Muyenera kuwagwiritsa ntchito tsiku lonse. Palinso ma gels okhuthala oti mugwiritse ntchito usiku. Ngati izi sizikuthandizani, mankhwala monga `(Restasis)` angakulembereni. Chithandizo china ndi `punctal occlusion`. Apa, pulagi yaying'ono imayikidwa mu ducts kuti izitseke. Izi zimathandiza kuti misozi ikhale pa diso kwa nthawi yayitali ndikusunga chinyezi.
Chithandizo cha pakamwa pouma
Dokotala angakulangizeni mankhwala monga pilocarpine, omwe amalimbikitsa kupanga malovu mkamwa. Palinso mankhwala opopera malovu opangidwa. Chofunika kwambiri ndikuwonana ndi dokotala wa mano nthawi zonse ndikusamalira thanzi la mano anu. Chifukwa malovu akachepa, chiopsezo cha kuwola kwa mano chimawonjezeka.
Chithandizo cha zizindikiro zina
Kupweteka kwa mafupa kumatha kuchiritsidwa ndi mankhwala ochepetsa ululu kapena mankhwala oletsa matenda monga hydroxychloroquine. Nthawi zina, ngati ziwalo zamkati mwa thupi zakhudzidwa, ma steroid monga prednisone kapena methotrexate angakupatseni kwa kanthawi kochepa. Zonsezi zimasankhidwa ndi dokotala wanu.
Mankhwala osavuta omwe mungachite kunyumba
Pamodzi ndi chithandizo chamankhwala, mutha kupeza mpumulo waukulu kuchokera ku zinthu zosavuta zomwe mungachite kunyumba.
- Pakamwa pouma:
- Imwani madzi pang'onopang'ono tsiku lonse.
- Kutafuna chingamu chopanda shuga kapena kutafuna lozenge kungapangitse kuti malovu atuluke kwambiri.
- Pewani zakudya zokometsera, zamchere, zowawasa, komanso zouma (monga mabisiketi).
- Sambitsani mano anu kawiri patsiku. Musagwiritse ntchito mankhwala otsukira mkamwa omwe ali ndi mowa.
- Pewani kusuta fodya konse komanso kusuta fodya.
- Maso ndi khungu louma:
- Pewani malo okhala ndi utsi, fumbi, ndi mphepo yamphamvu.
- Pumulani nthawi zonse mukamagwiritsa ntchito kompyuta.
- Gwiritsani ntchito chotenthetsera mpweya kuti musunge chinyezi m'nyumba.
- Gwiritsani ntchito madzi ofunda m'malo mwa madzi otentha mukamasamba.
- Pakani mafuta odzola pakhungu lanu tsiku lililonse.
Uthenga Wopita Nawo Kunyumba
- Matenda a Sjogren ndi matenda omwe amayamba chifukwa cha kulephera kwa chitetezo chamthupi chathu. Musadandaule, si opatsirana.
- Zizindikiro zazikulu ndi pakamwa ndi maso ouma . Kuphatikiza apo, zizindikiro monga kupweteka kwa mafupa ndi kutopa zimathanso kuchitika.
- Ngakhale kuti matendawa sangachiritsidwe kwathunthu, ndi chithandizo choyenera chamankhwala komanso kusintha kosavuta kwa moyo, zizindikiro zimatha kulamulidwa bwino ndipo moyo wabwinobwino ukhoza kuyendetsedwa.
- Ngati muli ndi zizindikiro izi, ndithudiPitani kwa dokotala wanu ndipo mupeze upangiri.
- Samalani kwambiri thanzi la mano anu. Pitani kwa dokotala wa mano nthawi zonse.
Matenda a Sjogren, pakamwa pouma, maso ouma, matenda a autoimmune, kupweteka kwa mafupa, matenda a autoimmune
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