Sekondari Sjogren's Syndrome uye Arthritis

Zvemukati

• Zviratidzo
• Njodzi zvinhu
• Kuongorora
• Miedzo yeSjogren's
• Mamiriro ezvinhu anotevedzera zvaSjogren
• Kurapa nzira
• Mishonga
• Mararamiro
• Ndorudzii rwechiremba randinoda?
• Maonero kwenguva refu

Chii chinonzi secondary Sjogren's syndrome?

Sjogren's syndrome chirwere chemuviri chinokanganisa matenhere anogadzira unyoro, zvichiita kuti zvive zvakaoma kuburitsa mate uye misodzi. Chiratidzo chechirwere ichi kupinda mukati memitezo yenhengo nema lymphocyte. Kana chirwere cheSjogren chichiitika choga, chinonzi primary Sjogren's syndrome.

Kana iwe uchitova nechimwe chirwere chemuviri, mamiriro acho anonzi sekondari Sjogren's syndrome. Neyechipiri Sjogren's, iwe unogona kunge uine fomu yakapfava yemamiriro acho. Asi iwe ucharamba uchiona zviratidzo zvechirwere chiripo. Chikonzero chakajairika chechipiri cheSjogren's rheumatoid arthritis (RA), imwe mhando ye autoimmune chirwere.

Zviratidzo

Zviratidzo zveSjogren zvinogona kusanganisira maziso akaoma, mukanwa, pahuro, uye nepamusoro pemhepo. Iwe unogona kunetseka kuravira kana kumedza chikafu chako. Iwe unogona zvakare kukura chikosoro, hoarseness, mazino nyaya, kana kunetseka kutaura. Kune vakadzi, kuoma kwechikadzi kunogona kuitika.

Mafomu ekutanga uye echipiri emaSjogren anogona kuve nezviratidzo zvakafanana, zvinosanganisira:

• kuneta
• hutsi hwehuropi
• kupindwa nechando
• kurwadza kwemajoini
• kurwadziwa kwemhasuru
• kurwadziwa kwemutsipa

Zvishoma kazhinji, zvikonzero zveSjogren:

• kuputika kweganda
• matambudziko makuru emudumbu
• kuzvimba kwechiropa, itsvo, rwatata, kana mapapu
• kushaya mbereko kana kukurumidza kuenda kumwedzi

Sekondari Sjogren's inogona kuperekedza inotevera mamiriro:

• RA
• primary biliary cholangitis
• lupus
• scleroderma

Kunyange zviratidzo zveRA zvinowanzo sanganisira kuzvimba, kurwadziwa, uye kuomarara kwemajoini, zvinogona zvakare kukonzera zvimwe zviratidzo zvakafanana neSjogren. Izvi zvinosanganisira:

• fivha shoma
• kuneta
• kurasikirwa nenzara

Njodzi zvinhu

Sekureva kweCleveland Clinic, vanhu vanopfuura miriyoni muUnited States vane main Sjogren's. Vanopfuura makumi mapfumbamwe muzana vakadzi. Iwe unogona kuvandudza Sjogren pane chero zera, asi inowanzoonekwa mushure memakore makumi mana, sekureva kweMayo Clinic. Chikonzero chaicho cheSjogren's hachizivikanwe. Asi saRA, iko kusagadzikana kwema immune system.

Icho chaicho chikonzero cheRA hachizivikanwe zvakare, asi pane chinhu chemagetsi chinobatanidzwa. Kana iwe uine nhengo yemhuri iine chero autoimmune chirwere, saRA, iwe uri panjodzi yekukudziridza imwe, futi.

Kuongorora

Iko hakuna bvunzo imwe chete yeSjogren's. Kuongororwa kunogona kuitika mushure mekunge waonekwa uine imwe autoimmune chirwere uye kukudziridza kuoma kwemuromo uye maziso. Kana iwe unogona kusangana nematambudziko akakomba emudumbu kana kurwadziwa kwemitsipa (neuropathy).

Kuti uongorore zvechipiri Sjogren neRA, iwe uchafanirwa kuita akateedzana bvunzo. Kazhinji kazhinji izvi zvinosanganisira maSSA / SSB antibodies uye yakadzika miromo biopsy kutsvaga nzvimbo dzakatarisana nema lymphocyte. Iwe unogona kuendeswa kuna chiremba weziso kuti uedze ziso rakaoma. Chiremba wako anotongawo zvimwe zvinokonzeresa zvezviratidzo zvako.

Miedzo yeSjogren's

Chiremba wako anotanga kutarisa nhoroondo yako yezvokurapa uye kuitisa bvunzo dzepanyama. Ivo zvakare vangango hodha zvinotevera bvunzo:

• kuongororwa kweropa: Izvi zvinoshandiswa kuona kana iwe uine mamwe maantibhakitiriya ane hunhu hweSjogren's. Chiremba wako achatsvaga anti-Ro / SSA uye anti-La / SSB antibodies, ANA, uye rheumatoid factor (RF).
• biopsy: Munguva iyi maitiro, chiremba wako anozotarisa pane ako mate gland.
• Muedzo waSchirmer: Munguva yemuedzo weziso wemaminetsi mashanu, chiremba wako anoisa pepa rekusefa pamusoro pekona reziso rako kuti uone kunyorova kwainoita.
• Rose-Bengal kana lissamine green kusvibisa bvunzo: Uku ndiko kumwe kuyedzwa kweziso kunoyera kuoma kwekornea.

Mamiriro ezvinhu anotevedzera zvaSjogren

Ive neshuwa yekuudza chiremba wako nezve over-the-counter (OTC) uye mishonga yemishonga yauri kutora. Mimwe mishonga inogona kukonzera zviratidzo zvine chekuita neSjogren's. Iyi mishonga inosanganisira:

• tricyclic antidepressants senge amitriptyline (Elavil) uye nortriptyline (Pamelor)
• antihistamines senge diphenhydramine (Benadryl) uye cetirizine (Zyrtec)
• mishonga yekudzivirira
• BP

Radiation kurapwa kunogona zvakare kukonzera zviratidzo zvakafanana, kunyanya kana iwe ukatambira aya marapiro akakomberedza musoro nemutsipa nzvimbo.

Zvimwe zvinokanganisa autoimmune zvinogona zvakare kutevedzera zvaSjogren. Zvakakosha kuti iwe utore bvunzo dzese dzakakurudzirwa uye uteedzere nachiremba wako kuti uone chinonyanya kukonzera zviratidzo zvako.

Kurapa nzira

Iko hakuna mushonga weSjogren's kana arthritis, saka kurapwa kwakakosha kudzikisira zviratidzo uye kugadzirisa hupenyu hwako hwese. Chirongwa chako chekurapa chinoenderana nekuoma kwezviratidzo zvako. Iwe ungangoda kuedza kusanganiswa kwemishonga. Dzimwe sarudzo dzinosanganisira:

Mishonga

Kana iwe uine aches uye marwadzo mumajoini ako uye mhasuru, edza OTC kurwadziwa kunodzora kana anti-kupisa mishonga. Nonsteroidal anti-inflammatory drug (NSAIDS) senge ibuprofen (Advil, Motrin) inogona kubatsira.

Kana vasina kuita hunyengeri, bvunza chiremba wako nezve corticosteroids uye antirheumatic kana immunosuppressive mishonga. Izvi zvinoshanda nekuderedza kuzvimba uye kudzivirira muviri wako kubva pakurwisa kwawo.

Neyechipiri Sjogren's, iwe ungangodawo mishonga yekubatsira kuwedzera zvakavanzika zvakaita semisodzi uye mate. Kazhinji mishonga yemishonga inosanganisira cevimeline (Evoxac) uye pilocarpine (Salagen). Iwe ungangoda mushonga weziso madonhwe kuti ubatsire rakaoma ziso. Cyclosporine (Restasis) uye lifitegrast ophthalmic solution (Xiidra) sarudzo mbiri.

Mararamiro

Dzimwe sarudzo dzehupenyu dzinogona zvakare kukubatsira iwe kurwisa yechipiri Sjogren's uye RA. Kutanga, iwe unogona kurwisa kuneta nekuwana kurara kwakanaka kwehusiku uye kutora mabreak masikati. Zvakare, bvunza chiremba wako nezve zviitwa zvinogona kukubatsira kuti uwedzere kuchinjika uye kurerutsa mhasuru uye marwadzo akabatana. Kugara uchirovedza muviri kunogona kusimudzira kuchinjika uye kudzikisira kusagadzikana. Izvo zvakare zvinobatsira kuchengetedza zvakakodzera uremu hwemuviri uye kuisa kusanyanya kunetseka pamajoini nemhasuru.

Kuchengetedza chikafu chakapfuma mune zvinovaka muviri kunogona kusimudzira hutano hwako hwese. Gara nezvirimwa-zvinodyiwa-zvinodyiwa uye zvinopesana nekuzvimba mafuta anowanikwa muhove nemafuta emiti Dzivisa shuga uye chikafu chakagadzirwa. Izvi zvinogona kuwedzera kuzvimba.

Ndorudzii rwechiremba randinoda?

Vanachiremba vane hunyanzvi muzvirwere zvakaita seArthritis vanonzi rheumatologists. Kana iwe wakamboonekwa uine arthritis, yako rheumatologist ingangove inokwanisa zvakare kubata Sjogren's.

Zvichienderana nekuomarara kwezviratidzo zvako, yako rheumatologist kana chiremba mukuru anogona kukuendesa kune vamwe nyanzvi. Ivo vachasanganisira ophthalmologist, chiremba wemazino, kana otolaryngologist, anozivikanwawo seye nzeve, mhino, uye huro nyanzvi.

Maonero kwenguva refu

Iko hakuna mushonga weSjogren's kana RA. Asi kune akawanda marapirwo uye mararamiro marongero anogona kusimudzira hupenyu hwako.

Zviratidzo zveArthritis zvinosiyana kubva pakunyoro kusvika pakuodza moyo, asi arthritis mune yekutanga Sjogren's haiwanzo kukuvadza. Chinokosha ndechekushanda nachiremba wako kuti uwane kurapwa kwakanyanya. Muzviitiko zvisingawanzoitika, vanhu vane Sjogren's vanogona kukura lymphoma. Mhan'ara zviratidzo zvekuzvimba kusingawanzo kana matambudziko eurouro kuna chiremba wako.