Ese amaso yawe n'umunwa wawe bihora byumye? Bishobora kuba ari indwara ya Sjogren!

Ese hari igihe wumva umunwa wawe wumye cyane, nk'umupira w'ubwoya bw'ipamba? Cyangwa uhora ushyuha cyangwa uryarya mu maso, nk'aho ufite umucanga mu maso? Nubwo dutekereza ko ibi ari ibintu bisanzwe, rimwe na rimwe bishobora kuba ibimenyetso by'ikindi kintu kiba mu mibiri yacu. Uyu munsi turimo kuvuga kuri imwe muri izo ndwara, Sjogren's Syndrome. Nubwo iyi ari indwara y'igihe kirekire, nta mpungenge ifite. Iyo uvuwe neza, ushobora kubaho ubuzima busanzwe kandi bwishimye.

Mu magambo make, indwara ya Sjogren ni iki?

Ibi biroroshye cyane kubyumva. Umubiri wacu ufite ubwirinzi, tuwita ubwirinzi bw'umubiri . Ni uturemangingo tw'amaraso turenza udukoko na virusi byinjira mu mubiri wacu bikaturinda indwara. Ariko, Sjogren's Syndrome ni indwara iterwa n'ubwiyongere bw'umubiri .

Mu magambo make, ubwirinzi bwacu bwite burakora nabi bugatangira kwibasira uturemangingo twacu tuzima aho kwibasira mikorobe z’abanyamahanga. Aha, iki gitero cyibasira cyane cyane uturemangingo dukora amazi mu mubiri wacu. Ni ukuvuga uturemangingo dukora amarira n’uturemangingo dukora amacandwe mu kanwa . Rero iyo utwo turemangingo twangiritse, ntidushobora gukora amarira n’amacandwe neza. Ingaruka zabyo ni uko amaso, umunwa n’ibindi bice by’umubiri byumye.

Kuki ibi bibaho? Ni ibihe bintu bishobora gutera ibyago?

Abaganga ntibaramenya neza icyabitera, ariko hari ibintu byinshi bivugwa ko bishobora kubigiramo uruhare.

• Ingaruka ku miterere y'uturemangingo : Uturemangingo twawe dushobora kuba dufite ubushobozi bwo kurwara iyi ndwara.
• Imbarutso: Ubwandu bwa bagiteri cyangwa virusi bushobora kuba imbarutso y'iyi ndwara.

Tekereza muri ubu buryo. Ufite inenge y’uturemangingo ijyanye na Sjogren's, maze ukarwara ikintu kimeze nk'umuriro uterwa na virusi. Hanyuma ubudahangarwa bw'umubiri bwawe buratangira. Ariko kubera iyo ntege nke y’uturemangingo, uturemangingo tw’amaraso bwera dutangira kwibasira mikorobe gusa, ahubwo no ku ngirabuzimafatizo zikora amacandwe n'amarira. Kubera ko iyi ntambara ikomeje, niba utabonye ubuvuzi, ibimenyetso bizakomeza.

Byongeye kandi, hari n'ibindi bintu byinshi bishobora gutera ibyago:

• Imyaka: Akenshi ikunze kwibasira abantu barengeje imyaka 40, ariko ishobora no kugaragara ku rubyiruko no ku bana.
• Igitsina: Abagore bafite amahirwe menshi yo kurwara iyi ndwara inshuro 10 kurusha abagabo.
• Izindi ndwara ziterwa n’ubwiyongere bw’umubiri: Hafi kimwe cya kabiri cy’abantu barwaye Sjogren bafite indi ndwara iterwa n’ubwiyongere bw’umubiri, nka lupus cyangwa rheumatoid arthritis.

Ni ibihe bimenyetso by'indwara ya Sjogren?

Ibi bimenyetso si bimwe kuri buri wese. Hari abantu bafite kimwe cyangwa bibiri, abandi bashobora kugira byinshi. Reka turebere hamwe ibyo bimenyetso.

Ubwoko bubiri bwa Sjogren's Syndrome

Muganga, ndakubwira ubwoko bubiri bw'iyi ndwara:

1. Indwara ya Sjogren y'ibanze: Ibi bivuze ko ufite Sjogren's gusa, nta yindi ndwara y'ubudahangarwa bw'umubiri.

2. Indwara ya Sjogren ya kabiri: Ibi bivuze ko Sjogren's syndrome iherekezwa n'indi ndwara y'ubudahangarwa bw'umubiri, nka rubagimpande cyangwa lupus.

Ni gute wasuzuma indwara?

Kubera ko ibimenyetso by'iyi ndwara bisa n'izindi ndwara (urugero: fibromyalgia) kandi akenshi bihurirana n'izindi ndwara z'ubudahangarwa bw'umubiri, rimwe na rimwe gusuzuma indwara bishobora kugorana.

Muganga wawe azagusuzuma kandi akubaze ibibazo nk'ibi:

• Ese amaso yawe ahora asharira? Ese arashya?
• Ese amenyo yawe ahora abora?
• Ese umunwa wawe n'iminwa yawe byumye?
• Ese ufite ububabare cyangwa ubukomere mu ngingo zawe?

Hanyuma, bazategeka ibizamini byinshi kugira ngo bemeze ko barwaye.

• Ibipimo by'amaraso: Ibi bipima urugero rw'uturemangingo tw'umubiri mu maraso yawe, ndetse n'ububyimbirwe mu mubiri wawe. Abantu benshi barwaye Sjogren bafite ubwoko bwihariye bw'uturemangingo tw'umubiri mu maraso yabo.
• Ibipimo by'amaso n'umunwa:
• Ikizamini cya Schirmer: Kugira ngo urebe uburyo amaso yawe yumye, agapapuro gato gashyirwa munsi y'ijisho ryo hasi hanyuma ingano y'amarira irapimwa.
• Gusuzuma itara rito: Isura y'ijisho ipimwa hakoreshejwe icyuma gikuza.
• Isuzuma ry'imitsi y'amacandwe: Agace gato cyane k'imitsi y'amacandwe gakunze gukurwa ku munwa wo hasi kagasuzumwa.

Uburyo bwo kuvura no gucunga indwara?

Iyi ndwara ntishobora gukira burundu, ariko hari uburyo bwinshi bwo kuvura bushobora gufasha mu kugenzura ibimenyetso no kubaho ubuzima bwiza.

Uburyo bwo kuvura amaso yumye

Muganga wawe ashobora kukwandikira ibitonyanga by'amaso byitwa 'artificial tears'. Ugomba kubikoresha umunsi wose. Hariho kandi jels nini zo gukoresha nijoro. Iyo ibi bidafashije, ushobora kwandikirwa umuti nka '(Restasis)'. Ubundi buryo bwo kuvura ni 'punctal occlusion'. Aha, hashyirwa agace gato mu miyoboro y'amarira kugira ngo kayifunge. Ibi bituma amarira akomeza ku jisho igihe kirekire kandi rigakomeza kuba ritose.

Uburyo bwo kuvura umunwa wumye

Muganga ashobora kukugira inama yo gukoresha imiti nka pilocarpine, ituma amacandwe akorwa mu kanwa. Hariho kandi imiti ikoreshwa mu gutera amacandwe y’ubukorano. Icy'ingenzi ni ukubonana na muganga w’amenyo buri gihe no kwita ku buzima bw’amenyo yawe. Kuko iyo amacandwe agabanutse, ibyago byo kwangirika kw'amenyo biriyongera.

Kuvura ibindi bimenyetso

Ububabare bw'ingingo bushobora kuvurwa n'imiti igabanya ububabare cyangwa imiti igabanya indwara nka hydroxychloroquine. Hari igihe, iyo ingingo z'imbere z'umubiri zigize ikibazo, imiti nka prednisone cyangwa methotrexate ishobora kwandikirwa igihe gito. Ibi byose bigenwa na muganga wawe.

Imiti yoroshye ushobora gukora mu rugo

Hamwe no kuvurwa n'abaganga, ushobora kubona ihumure rikomeye mu bintu byoroshye ushobora gukorera mu rugo.

• Umunwa wumye:
• Nywa amazi buhoro buhoro umunsi wose.
• Guhekenya shim idafite isukari cyangwa guhekenya agafuko k'amacandwe bishobora kongera umusaruro w'amacandwe.
• Irinde ibiryo birimo ibirungo, umunyu, uburyaryate n'ibyumye (nk'ibisuguti).
• Koza amenyo yawe kabiri ku munsi. Ntugakoreshe imiti yoza mu kanwa irimo alcool.
• Irinde burundu kunywa itabi no guhura n'umwotsi w'itabi.

• Amaso n'uruhu byumye:
• Irinde ahantu hari umwotsi, ivumbi n'umuyaga mwinshi.
• Fata ikiruhuko gihoraho igihe ukoresha mudasobwa.
• Koresha icyuma gifasha mu kubungabunga ubushuhe mu nzu.
• Koresha amazi y'akazuyazi aho gukoresha amazi ashyushye mu gihe woga.
• Siga amavuta meza yo kwisiga ku ruhu rwawe buri munsi.

Sjogren's Syndrome, umunwa wumye, amaso yumye, indwara z'ubwiyongere bw'umubiri, ububabare bw'ingingo, indwara z'ubwiyongere bw'umubiri