Ingabe ngezinye izikhathi uzizwa sengathi umlomo wakho womile kakhulu, njengebhola likakotini? Noma ingabe uhlala unomuzwa wokushisa noma wokuluma emehlweni akho, njengokungathi unesihlabathi emehlweni akho? Nakuba sicabanga ukuthi lezi yizinto ezivamile, ngezinye izikhathi zingaba izimpawu zento ethile eyenzekayo emizimbeni yethu. Namuhla sikhuluma ngesinye sezimo ezinjalo, i-Sjogren's Syndrome. Nakuba lesi kuyisimo sesikhathi eside, akusikho okufanele sikhathazeke ngaso. Ngokwelashwa okufanele, ungaphila impilo evamile nejabulisayo.
Kalula nje, iyini i-Sjogren's Syndrome?
Lokhu kulula kakhulu ukukuqonda. Umzimba wethu unesimiso sokuzivikela, sikubiza ngokuthi isimiso sokuzivikela . Amangqamuzana amhlophe egazi alwa namagciwane angena emizimbeni yethu futhi asivikele ezifweni. Kodwa-ke, i - Sjogren's Syndrome iyisifo esibangelwa ukuzivikela komzimba .
Kalula nje, uhlelo lwethu lokuzivikela luyahluleka futhi luqale ukuhlasela amangqamuzana ethu anempilo esikhundleni samagciwane angaphandle. Lapha, lokhu kuhlasela kuhlose kakhulu izindlala ezikhiqiza umswakama emizimbeni yethu. Okungukuthi, izindlala ezikhiqiza izinyembezi kanye nezindlala ezikhiqiza amathe emlonyeni . Ngakho-ke lapho lezi zindlala zonakele, azikwazi ukukhiqiza izinyembezi namathe kahle. Ngenxa yalokho, amehlo, umlomo, nezinye izingxenye zomzimba zomile.
Kuvamile ukuzizwa ukhathazekile kancane uma uthola ukuthi lesi yisimo sokuphila kwakho konke. Kodwa khumbula, iningi labantu abane-Sjogren's liphila impilo enhle futhi akuvamile ukuba nezinkinga ezinkulu.
Kungani lokhu kwenzeka? Yiziphi izinto ezibangela ingozi?
Odokotela abakakazi kahle ukuthi yini ebangela lokhu, kodwa kunezici eziningana okucatshangwa ukuthi zibangela lokhu.
- Ithonya lezakhi zofuzo : Izakhi zofuzo zakho zingase zibe nomthelela omncane ekuthuthukisweni kwalesi sifo.
- I-trigger: Ukutheleleka ngamagciwane noma ngegciwane kungaba yimbangela yokuqala kwalesi sifo.
Cabanga ngale ndlela. Unesici sofuzo esihlobene ne-Sjogren's, bese uthola okuthile okufana nomkhuhlane wegciwane. Ngemuva kwalokho amasosha omzimba wakho ayaqala ukusebenza. Kodwa ngenxa yaleso sici sofuzo, amangqamuzana amhlophe egazi aqala ukuhlasela hhayi amagciwane kuphela, kodwa nezindlala ezenza amathe kanye nezinyembezi zethu. Ngenxa yokuthi le mpi iyaqhubeka, uma ungatholi ukwelashwa, izimpawu zizoqhubeka.
Ngaphezu kwalokho, kunezinye izici eziningana eziyingozi:
- Ubudala: Ngokuvamile kukhula kakhulu kubantu abaneminyaka engaphezu kwengu-40 ubudala, kodwa kungenzeka nakubantu abasha kanye nezingane.
- Ubulili: Abesifazane banamathuba aphindwe kayishumi okuthola lesi sifo kunabesilisa.
- Ezinye izifo zokuzivikela komzimba: Cishe ingxenye yabantu abane-Sjogren's nabo banesinye isifo sokuzivikela komzimba, njenge-lupus noma i-rheumatoid arthritis.
Ziyini izimpawu ze-Sjogren's Syndrome?
Lezi zimpawu azifani kuwo wonke umuntu. Abanye abantu banesinye noma ezimbili, kanti abanye bangase babe nazo eziningi. Ake sibheke ukuthi ziyini lezi zimpawu.
| Isibonakaliso | Incazelo |
|---|---|
| Izimpawu Eziyinhloko Nezivamile Kakhulu | |
| Umlomo owomile | Ingaphakathi lomlomo lizwakala njengoshoki noma uboya bekotini. Kungaba nzima ukukhuluma nokugwinya ukudla. Lokhu kungaholela ekuboleni kwamazinyo, isifo sezinsini, kanye ne-oral thrush (candidiasis). |
| Amehlo omile | Ukusha, ukulunywa, umuzwa oqinile emehlweni. Ukuzwela ukukhanya (amehlo aluhlaza okwesibhakabhaka) kanye nokubona okufiphele kungase kwenzeke. |
| Ezinye Izimpawu Ezingenzeka | |
| Ukoma kwezinye izingxenye zomzimba | Umphimbo owomile, izindebe, isikhumba, kanye nekhala. Isitho sangasese sowesifazane esomile. |
| Ubuhlungu bomzimba nokuvuvukala | Ukuvuvukala kwamalunga, ubuhlungu, nokuqina kwawo. Ubuhlungu bemisipha. Izindlala ezivuvukele entanyeni nasebusweni. |
| Ezinye izici ezijwayelekile | Ukukhathala njalo. Ubunzima bokugxilisa ingqondo nokukhumbula. Ikhanda elibuhlungu. Ukuqubuka kwesikhumba kanye nokuzwela ukukhanya kwelanga. Ukukhwehlela okomile noma ukuphefumula kanzima. |
Izinhlobo ezimbili ze-Sjogren's Syndrome
Dokotela, ngingakutshela ngezinhlobo ezimbili zalesi sifo:
1. I-Primary Sjogren's syndrome: Lokhu kusho ukuthi une-Sjogren's kuphela, ngaphandle kwesinye isifo sokuzivikela komzimba.
2. Isifo sikaSjogren sesibili: Lokhu kusho ukuthi isifo sikaSjogren sihambisana nesinye isifo samasosha omzimba, njengesifo samathambo noma i-lupus.
Ungasithola kanjani lesi sifo?
Ngenxa yokuthi izimpawu zalesi sifo zifana nezinye izifo (isib. i-fibromyalgia) futhi zivame ukwenzeka kanye nezinye izifo zokuzivikela komzimba, ukuxilongwa ngezinye izikhathi kungaba nzima kancane.
Udokotela wakho uzokuxilonga bese ekubuza imibuzo efana nale:
- Ingabe amehlo akho ayalunywa njalo? Ingabe ayasha?
- Ingabe amazinyo akho ayabola njalo?
- Ingabe umlomo nezindebe zakho zomile?
- Ingabe unesihlungu noma ukuqina kwamalunga akho?
Ngemuva kwalokho, bazoyala ukuhlolwa okuningana ukuqinisekisa ukuxilongwa.
- Ukuhlolwa kwegazi: Lokhu kulinganisa amazinga ama-antibodies egazini lakho, kanye nokuvuvukala emzimbeni wakho. Abantu abaningi abane-Sjogren's banezinhlobo ezithile zama-antibodies egazini labo.
- Ukuhlolwa kwamehlo nomlomo:
- Ukuhlolwa kwe-Schirmer: Ukuze ubone ukuthi amehlo akho omile kangakanani, kufakwa ucezu lwephepha elincane ngaphansi kwejwabu leso elingezansi bese kulinganiswa inani lezinyembezi.
- Ukuhlolwa kwesibani esinqunyiwe: Ubuso beso buhlolwa ngedivayisi yokukhulisa.
- Ukuhlolwa kwe-salivary gland: Ingcezu encane kakhulu ye-salivary gland ivame ukuthathwa endebeni engezansi bese ihlolwa.
Indlela yokwelapha nokuphatha?
Lesi sifo asikwazi ukwelapheka ngokuphelele, kodwa kunezindlela eziningi zokwelapha ezingasiza ekulawuleni izimpawu futhi ziphile impilo enempilo.
Ukwelashwa kwamehlo omile
Udokotela wakho angase akunike amaconsi amehlo abizwa ngokuthi 'izinyembezi zokwenziwa'. Kufanele uwasebenzise usuku lonke. Kukhona namajeli aqinile ongawasebenzisa ebusuku. Uma lokhu kungasizi, unganikezwa umuthi ofana no-'(Restasis)'. Okunye ukwelashwa 'ukuvalwa kwe-punctal'. Lapha, kufakwa ipulaki elincane emigudwini yezinyembezi ukuze liwavimbe. Lokhu kuvumela izinyembezi ukuthi zihlale isikhathi eside esweni futhi ziligcine limanzi.
Ukwelashwa komlomo owomile
Udokotela angase ancome imithi efana ne-pilocarpine, ekhuthaza ukukhiqizwa kwamathe emlonyeni. Kukhona nezifutho zamathe zokwenziwa. Into ebaluleke kakhulu ukubona udokotela wamazinyo njalo futhi unakekele impilo yamazinyo akho. Ngoba lapho amathe ehla, ingozi yokubola kwamazinyo iyanda.
Ukwelashwa kwezinye izimpawu
Ubuhlungu bamalunga bungelashwa ngama-painkiller noma imithi yokulawula izifo efana ne-hydroxychloroquine. Ngezinye izikhathi, uma izitho zangaphakathi zomzimba zithintekile, ama-steroid afana ne-prednisone noma i-methotrexate anganikezwa isikhathi esifushane. Konke lokhu kunqunywa udokotela wakho.
Amakhambi alula ongawenza ekhaya
Kanye nokwelashwa, ungathola impumuzo enkulu ezintweni ezilula ongazenza ekhaya.
- Umlomo owomile:
- Phuza amanzi kancane kancane usuku lonke.
- Ukuhlafuna ushungamu ongenashukela noma ukuhlafuna i-lozenge kungandisa ukukhiqizwa kwamathe.
- Gwema ukudla okubabayo, okunosawoti, okumuncu, nokomile (njengamabhisikidi).
- Hlanza amazinyo akho kabili ngosuku. Ungasebenzisi izihlanzi zomlomo eziqukethe utshwala.
- Gwema ngokuphelele ukubhema nokubhema ugwayi.
- Amehlo nesikhumba esomile:
- Gwema izindawo ezinentuthu, uthuli, nomoya onamandla.
- Thatha ikhefu njalo uma usebenzisa ikhompyutha.
- Sebenzisa i-humidifier ukuze ugcine umswakama endlini.
- Sebenzisa amanzi afudumele esikhundleni samanzi ashisayo uma ugeza.
- Faka i-moisturizer enhle esikhumbeni sakho nsuku zonke.
Umlayezo Wokuya Nawe Ekhaya
- I-Sjogren's Syndrome yisifo esibangelwa ukungasebenzi kahle kwesimiso sethu somzimba sokuzivikela. Ungakhathazeki, asithelelani.
- Izimpawu eziyinhloko umlomo namehlo omile . Ngaphezu kwalokho, izimpawu ezifana nobuhlungu bamalunga nokukhathala nazo zingase zivele.
- Nakuba lesi sifo singelapheki ngokuphelele, ngokwelashwa okufanele kanye nokushintsha indlela yokuphila elula, izimpawu zingalawulwa kahle futhi impilo evamile ingaholwa.
- Uma unalezi zimpawu, nakanjaniBona udokotela wakho bese uthola iseluleko.
- Nakekela impilo yakho yamazinyo ngokukhethekile. Bonana nodokotela wamazinyo njalo.
I-Sjogren's Syndrome, umlomo owomile, amehlo omile, izifo zokuzivikela komzimba, ubuhlungu bamalunga, isifo sokuzivikela komzimba
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