Muviri wako unonzwa wapera mvura mumuviri here? Zvingave zviri chirwere cheSjögren's Syndrome!

Dzimwe nguva unonzwa sekuti maziso ako akaoma uye muromo wako wakaoma here? Pamwe inyaya yekuti kana wakaneta uye uine zvinhu izvi nguva dzese, hazvisi zvakajairika. Nhasi tichataura nezvechirwere chinonzi 'Sjögren's Syndrome', chine zita risinganzwisisike, asi chinokanganisa vamwe vanhu. Ungave usingazive zita iri, asi zviratidzo zvaro zvinogona kunge zvichizivikanwa kwauri.

Chii chinonzi 'Sjögren's Syndrome'?

Zvichitaurwa zviri nyore, 'Sjogren's Syndrome' chirwere chinokonzerwa ne autoimmune chinokanganisa ma glands anogadzira hunyoro mumuviri wedu. Iye zvino ungave uchishamisika kuti 'autoimmune' iyi inorevei. Fungidzira, muviri wedu une system inotidzivirira kubva kuzvirwere, inonzi immune system. Yakafanana neuto rinodzivirira nyika yedu. Asi muchirwere ichi 'che autoimmune', chinoitika ndechekuti vadziviriri vedu, kureva, immune system, vanorwisa masero edu akanaka zvisirizvo, muchiitiko ichi ma glands anogadzira hunyoro. Izvi zvakafanana nemurindi wemba yedu achifunga kuti tiri mbavha uye achitirwisa.

Nekuda kweizvozvo, maronda anogadzira hunyoro mumuviri wako anomira kushanda nemazvo. Izvi zvinonyanya kukanganisa:

• Misodzi: Izvi zvinokonzera maziso akaoma.
• Mate mumuromo: Izvi zvinoita kuti muromo uome.
• Mhino: Mhino inogona kuoma.
• Huro: Huro inogona kuoma zvokonzera kukosora.
• Sisitimu yekugaya chikafu inogonawo kukanganiswa kusvika pamwero wakati.
• Kunhengo dzevakadzi: Nhengo dzevakadzi dzinogona kuoma.

Zita iri rinodaidzwa kuti "Shaw-Granz syndrome." Kana uine zviratidzo zvitsva zvemaziso akaoma kana muromo, kunyanya kana zvichiperekedzwa nezvimwe zviratidzo (zvakaita sekurwadziwa), zvakakosha kuti uone chiremba.

Kune mhando dzeSjögren's Syndrome here?

Ehe, vanachiremba vanopatsanura izvi mumhando mbiri huru:

1. Primary Sjögren's syndrome: Izvi hazvikonzerwi nechimwe chirwere. Kureva kuti, zvinongoitika zvega.

2. Chirwere cheSecondary Sjögren's: Izvi zvinokonzerwa nechimwe chirwere kana dambudziko. Kureva kuti, chimwe chirwere ndicho chinokonzera.

Dambudziko iri rakajairika zvakadii?

Zvinonzi vanhu vakawanda pasi rose vane chirwere ichi chinonzi 'Sjögren's Syndrome'. Munyika yakaita seAmerica, zvinonzi vanhu vanosvika mamiriyoni maviri vane chirwere ichi. Panogona kunge paine vanhu vane chirwere ichi munyika medu zvakare.

Ndezvipi zviratidzo zveSjögren's Syndrome?

Chiratidzo chikuru uye chinowanzoonekwa cheizvi kuoma kusingawanzoitiki muzvikamu zvemuviri.

• Maziso akaoma kana kuti anokwenya: Zvinogona kunzwa sejecha riri mumaziso ako. Dzimwe nguva maziso ako anogonawo kutsvuka.
• Muromo wakaoma (xerostomia): Muromo unogona kuoma zvekuti zvinova zvakaoma kutaura kana kumedza chikafu. Maronda emuromo anogona kubuda. Mate anogonawo kukora.
• Kuoma kwechikadzi mumadzimai: Izvi zvinogona kukonzera kurwadziwa panguva yebonde.
• Ganda rakaoma: Ganda rinogona kuoma uye kuvaviwa.
• Mhuno yakaoma uye kubuda ropa mumhino nguva nenguva.
• Huro yakaoma: Unogona kukosora kakawanda.

Kuwedzera pakuoma uku, chirwere cheSjögren chinogona kukonzera zvimwe zviratidzo:

• Kurwadziwa kwemajoini: Sezvakaita arthritis.
• Kurwadziwa kwetsandanyama kana kushaya simba.
• Manodhi elymph akazvimba.
• Kuneta: Kunzwa kuneta nguva dzose kusingapere zvisinei nekuti unorara zvakadii.
• Kuoma kumedza (dysphagia) kana kuoma kutaura.
• Utsi hwepfungwa: Kuomerwa nekufunga zvakajeka uye kunzwa sekunge haugone kunyatsoisa pfungwa dzako pane chimwe chinhu.
• Kurasikirwa nekuravira.
• Kuora kwezino kana kurasikirwa nemazino: Sezvo kuumbwa kwemate mumuromo kuchiderera, dziviriro yemazino inoderera.
• Mapundu paganda.
• Neuropathy: Zvinhu zvakaita sekunzwa kusanzwa uye kukwenya mumakumbo.
• Kuzvimba kwedumbu kana mamwe matambudziko ekugaya chikafu.
• Kunzwa kwechiedza: Maziso anoita seanoita bhuruu paunobuda panze.

Ndezvipi zvikonzero zveSjögren's Syndrome?

Tatotaura kuti ichi chirwere che 'autoimmune' . Izvi zvinoreva kuti masoja edu emuviri anorwisa matumbu edu. Zvisinei, vanachiremba havasati vaziva kuti sei izvi zvichiitika.

• Hapana chikonzero chaicho chinozivikanwa chechirwere cheSjögren's syndrome .
• Chirwere cheSecondary Sjögren's syndrome chinokonzerwa nezvimwe zvirwere, kunyanya zvimwe zvirwere zve autoimmune uye zvimwe zvirwere zvehutachiona.

Zvirwere zvakasiyana-siyana zvinogona kukonzera chirwere cheSjögren's zvinosanganisira:

• Chiropa Chisingaperi (Hepatitis C)
• `Cytomegalovirus (CMV)`
• Utachiona hweEpstein-Barr
• `Human T-lymphotropic virus 1 (HTLV)`
• `COVID-19`

Zvimwe zvirwere zve autoimmune zvine chekuita neSjögren's syndrome ndeizvi:

• Arthritis ine rheumatoid
• Arthritis yePsoriatic
• `Lupus`

Zvakakosha:Havasi vese vane zvirwere izvi vachava neSjögren's syndrome. Uye hapana vimbiso yekuti munhu ane Sjögren's syndrome achawanawo zvimwe zvirwere izvi. Zvisinei, tsvakurudzo inoratidza kuti pane hukama.

Ndiani ari panjodzi huru yekubatwa neSjögren's Syndrome?

Kunyange hazvo munhu wese achigona kuva nechirwere ichi, mamwe mapoka ari panjodzi huru:

• Vakadzi: Vanhu vanopfuura 90% vane chirwere cheSjögren's syndrome vakadzi. Varume vanogonawo kuchibata, asi hazviwanzoitiki.
• Vanhu vane zvimwe zvirwere zve autoimmune: Inenge hafu yevanhu vane Sjögren's syndrome vane chimwe chirwere che autoimmune.
• Vanhu vane makore ari pakati pe45 ne55: Kunyangwe ichigona kukura muvana, vechidiki, uye vanhu vane makore anopfuura 55, kazhinji muboka iri rezera ndipo painonyanya kukura.
• Vanhu vane nhoroondo yemhuri yechirwere cheSjögren: Vanhu vanosvika 10% vane chirwere cheSjögren vane hama yepedyo (mubereki kana munin'ina) ane chirwere ichi.

Ungaziva sei kuti une chirwere cheSjögren's Syndrome? (Kuongororwa kwechirwere)

Chiremba achaita bvunzo yemuviri uye oita mimwe miedzo kuti aone kana uine chirwere cheSjögren. Chiremba achakuongorora uye obvunza nezvezviratidzo zvako. Udza chiremba kuti wakatanga kuona shanduko idzi riini, uye kana zviratidzo zvako zvakanyanya kuipa pane dzimwe nguva dzezuva kana panguva yezvimwe zviitiko.

Kuongororwa kweSjögren's syndrome kunowanzo kuve chikamu chemaitiro anonzi differential diagnosis . Izvi zvinoreva kuti chiremba wako asati asimbisa kuti une Sjögren's syndrome, achaita bvunzo dzinoverengeka kuti aone zvimwe zvirwere zvinogona kukonzera zviratidzo zvako. Mimwe yemiedzo yaungave nayo ndeiyi:

• Kuongororwa kweropa: Zvikuru, kutarisa mamwe marudzi emasoja emuviri.
• Kuongororwa kwemaziso: Kune bvunzo dzakakosha dzekutarisa huwandu hwehunyoro mumaziso.
• Kuongororwa kwemazino: Kushanda kwemate mumuromo kunogona kuonekwa.
• Kuongororwa kweweti.
• Kuongororwa kwemuviri: Dzimwe nguva kanyama kadiki, senge kanobva mukati memuromo, kanotorwa koongororwa kuti paonekwe shanduko dziri mumasero emate.
• MaX-ray: Ungangokumbirwa kutora X-ray yechipfuva kuti uone kana paine kukanganiswa kwemapapu ako.

Ungangodawo kuona nyanzvi dzinoverengeka:

• Chiremba weRheumatologist: Chiremba ane hunyanzvi muzvirwere zvemajoini nezvirwere zve autoimmune.
• Nyanzvi dzekuchengetedza maziso.
• Chiremba wemazino.
• Nyanzvi yeOtolaryngologist (ENT specialist) inyanzvi yekurapa nzeve, mhino, uye pahuro.

Ndezvipi zvinetso zvinogona kukonzera Sjögren's Syndrome?

Chirwere cheSjögren chinogona kukonzera mamwe matambudziko. Asi musazvidya mwoyo , vanhu vazhinji havaiti matambudziko akakomba.

• Kuwedzera kwenjodzi yezvirwere zvemuromo nemaziso: Nekuda kwehunyoro hushoma, utachiona hunogona kukonzera zvirwere zviri nyore.
• Kusashanda zvakanaka kwechiropa kana itsvo.
• Lymphomas: Rudzi rwegomarara rinokura muma lymph nodes. Njodzi yekuti izvi zviitike yakaderera, asi hazvifanirwe kuregeredzwa.
• Matambudziko emapapu: Dzimwe nguva zvinogona kufungidzirwa kuti pneumonia.
• Matambudziko etsinga: Zvinhu zvakaita sekushaya simba, kusanzwa.

Vanhu vazhinji vane chirwere cheSjögren vanorarama vasina matambudziko akakomba. Kana uine chirwere chechipiri cheSjögren, dambudziko racho rinogona kuwedzera njodzi yako yematambudziko. Taura nachiremba wako nezveizvi.

Chirwere cheSjögren chinorapwa sei?

Chiremba wako achakurudzira kurapwa kunobatsira kudzora zviratidzo zvako. Parizvino hapana mushonga weSjögren's syndrome. Zvisinei, chiremba wako anogona kukubatsira kuwana hurongwa hwekurapa hunoderedza kukanganisa kwahunoita pahupenyu hwako hwezuva nezuva uye kunaka kwehupenyu.

Kurapwa kwaunoda kunoenderana nekuti ndeapi nhengo dzemuviri wako dziri kukanganiswa neSjögren's syndrome.

Mamwe marapirwo akajairika emaziso akaoma, muromo, kana nhengo yemukadzi anosanganisira:

• Misodzi yekugadzirwa: Chiremba wemaziso anogona kukurudzira madonhwe emaziso asingabhadhariswi nechiremba (OTC), madonhwe anonyorerwa nachiremba, kana mafuta anozora maziso.
• Kuvhiyiwa kwemaziso akaoma (punctal plugs): Chiremba wemaziso (ophthalmologist) anogona kuvhara mamwe kana ese maburi emisodzi yako. Izvi zvinobatsira kuchengetedza misodzi yako yechisikigo mumaziso ako kwenguva yakareba.
• Vanogadzira mate: Chiremba wemazino anogona kukurudzira mishonga yekuwedzera mate inotengwa kunze kwemutemo kana mishonga inobatsira muviri wako kugadzira mate akawanda. Kutsenga chingamu, kunwa mvura, uye kusveta zvidimbu zvechando mukati mezuva rose zvinogona kubatsira kuchengetedza muromo wako wakanyorova.
• Mishonga yakakosha yekuchenesa muromo kana yekuchenesa mazino: Vanhu vane chirwere cheSjögren's vari panjodzi yakakura yekuva nematambudziko emazino. Saka, kucheneswa kwemazino nguva dzose, kurapwa kwakakosha kwefluoride, kana mushonga wemazino wakanyorwa nachiremba uye mushonga wekuchenesa muromo zvinogona kudiwa.
• Mafuta ekunyorovesa kana mafuta ekuzora echikadzi:Chiremba anogona kukurudzira mafuta anogadzirwa pasina muripo wechiremba kana mafuta anonyorerwa nachiremba anogona kushandiswa zuva nezuva kana panguva yepabonde.
• Kurapa nemahormone: Vamwe vanhu vangada kurapwa nemahormone, senge estrogen, kurapa kuoma kwechikadzi kunokonzerwa nekusagadzikana kwemahormone.

Kurapa marwadzo nezvimwe zviratidzo:

• Mishonga inoderedza marwadzo inopihwa nechiremba: Mishonga yakaita se `NSAIDs (mishonga isingashandisi masteroidal anti-inflammatory)` (semuenzaniso ibuprofen) kana `acetaminophen` (semuenzaniso Panadol) inogona kubatsira kuderedza marwadzo nekuzvimba. Usatore mishonga iyi kwemazuva anopfuura gumi panguva imwe chete usina kupiwa mazano nachiremba.
• Corticosteroids: Iyi mishonga inoderedza kuzvimba uye inopihwa semapiritsi kana majekiseni akanyorerwa nachiremba.
• Mishonga inodzvinyirira immune system: Mishonga iyi inodzikamisa masoja emuviri wako uye inoderedza mashandiro awo. Chiremba wako anogona kukupa mishonga yakaita seDMARDs (mishonga inogadzirisa zvirwere inorwisa rheumatic).

Munhu ane chirwere cheSjögren's Syndrome angatarisira ruzivo rwerudzii?

Uchafanira kudzora zviratidzo zvako kwenguva yakareba, zvichida kwehupenyu hwako hwese. Zvisinei, kana wawana kurapwa kwakakodzera, kuoma kwezviratidzo zvako kunofanira kudzikira. Vanhu vane chirwere cheSjögren vanowanzo dzidza kudzora zviratidzo zvavo, saka kuoma kwezviratidzo zvavo kunodzikira nekufamba kwenguva.

Sjögren's Syndrome inogona kudzivirirwa here?

Nekuti chikonzero chaicho hachizivikanwe, hapana nzira yekudzivirira chirwere cheSjögren. Hazvigonekiwo kufanotaura kuti ndiani achachibata kana kuti riini.

Unofanira kuona chiremba rini?

Ona chiremba kana ukatanga zviratidzo zvitsva, kana kuti zviratidzo zvako zvikawedzera. Ramba uchitarisa zviratidzo zvako uye cherechedza chero shanduko dziripo.

Chiremba wako achakuudza kuti unofanira kuuya kangani kuzoongororwazve, kuongororwa, kana kumwe kuongororwa. Kana uchinzwa sekuti kurapwa hakusi kushanda kana kuti hakusi kushanda sezvakwaimboita, usanonoka kuona chiremba wako. Zviratidzo zveSjögren's syndrome dzimwe nguva zvinogona kunge zvisinganyatsooneki. Ndiwe wega unoziva kana chimwe chinhu chisina kumira zvakanaka.

Dambudziko: Kana uchinzwa sekunge uri kunetseka kufema kana kumedza, enda kuchipatara nekukasika kana kufonera 1990 (emergency ambulance service).

Mibvunzo ipi yaunofanira kubvunza chiremba wako?

Usakanganwa kubvunza mibvunzo iyi kana waona chiremba:

• Rudzii rweSjögren's syndrome rwandinarwo? (Chekutanga kana chechipiri?)
• Ndedzipi bvunzo dzandinofanira kuita?
• Ndichafanira kuona vamwe nyanzvi here?
• Ndinofanira kurapwa sei?
• Ndezvipi zviratidzo kana shanduko dzandinofanira kutarisa?

Kugadzirisa chirwere cheSjögren kunogona kunetsa dzimwe nguva. Zvinogona kunetsa kuva nemaziso akaoma, muromo wakaoma, kana kutooma kwechikadzi zvinoita kuti bonde rirwadze. Asi mashoko akanaka ndeekuti vanhu vazhinji vane chirwere cheSjögren vanogona kubata zviratidzo zvavo zvakanaka kana vawana musanganiswa wemishonga inovabatsira.

Pakupedzisira, zvinhu zvekurangarira (Mharidzo Yekuenda Kumba)

Sjögren's syndrome chirwere chinogona kusafadza, asi chinogona kudzorwa nekurapwa kwakakodzera .

• Hausi wega: kune vamwe vanhu vanorarama nezvirwere izvi.
• Kurapwa kwakakodzera kwakakosha: Taura nachiremba wako kuti uwane nzira yakakodzera yekurapwa. Ungangoda kuedza nzira dzakasiyana dzekurapa.
• Udza chiremba wako kana zviratidzo zvako zvikachinja: Kana zviratidzo zvako zvikachinja, zvikawedzera kuipa, kana kuti zvichiita sezviri kukanganisa mabasa ako ezuva nezuva zvakanyanya, udza chiremba wako.
• Kuongororwa maziso nguva dzose: Bvunza chiremba wako kuti unofanira kuongororwa maziso kangani uye kuongororwa mazino nguva dzose. Kuongororwa mazino nguva dzose kunogona kubatsira kudzivirira matambudziko.

Ndinovimba ruzivo urwu ruchakubatsira. Kana uine mibvunzo, usazeza kubvunza chiremba.

Sjögren 's Syndrome, maziso akaoma, muromo wakaoma, autoimmune system, immune system, kurwadziwa kwemajoini