Ta yaya UCTD Ya Sauya Daga MCTD?
Magunguna mara lafiya dabam dabam (UCTD) da cututtuka masu haɗuwa da juna (MCTD) sune yanayin da ke da alaƙa da sauran cututtuka na kamuwa da ƙwayoyin cuta ko kuma halayen haɗuwa , amma akwai rarrabe wanda ya sa su bambanta. A wata cuta mai kwakwalwa ta jiki, jiki duka yana shafar da kuma tsarin rigakafi , wanda ke kare lafiyar jiki ta hanyar kai hare-haren mahaukaci, ya kai hari ga kayan jikin kansa.
A cikin cututtukan nama na haɗuwa, kamar yadda sunan ya nuna, ana kawowa ga abin da ke tattare da haɗin kai. Nau'in haɗi yana tallafawa da haɗuwa da ɓangarori daban-daban na jiki kuma ya haɗa da fata, faya-faya, da sauran kyallen.
Magungunan ciwon nama na haɗin gwiwa shine cututtuka na autoimmune tare da halayyar halayen ƙwayoyin cuta guda uku waɗanda ke tattare da su - tsarin suturar lupus erythematosus , scleroderma , da polymyositis. A wasu lokuta ana kiransa azabar ciwo. A akasin wannan, nau'in haɗin gwiwar ba tare da bambanci ba Cutar ba ta da cikakkun siffofin ko ka'idoji da za a lasafta su a matsayin kowane irin cututtuka na kamfanoni ko haɗuwa.
Hanyoyi na Abun Harhadawar Maɗaukaki Abinci
Abokan da ke fama da cututtuka masu juna biyu suna da alamun cututtuka (misali, ciwon haɗin gwiwa), sakamakon binciken gwaji (misali, ANA ), ko wasu siffofi na cututtuka na asibiti, amma basu gamsar da ka'idoji akan wasu cututtuka masu haɗa kai, irin su lupus , rheumatoid arthritis , Sjogren ta ciwo , scleroderma, ko wasu.
Lokacin da akwai cikakkun siffofin da za a lasafta su a matsayin wata cuta ta jiki mai haɗa kai, ana danganta yanayin a matsayin "wanda ba a sani ba". Magana game da cututtuka na dabba maras bambanci wanda ya fara shiga a cikin 1980s. Maimakon haka, an yi amfani da shi ga marasa lafiya wanda aka tsammanin su kasance a farkon matakan ciwon sikila.
Lentus Lupus da Lupus erythematosus ba su cika ba ne wasu sunaye masu amfani da su don bayyana wannan rukuni na marasa lafiya.
Ana tsammanin cewa marasa lafiya 20% ko marasa lafiya tare da ci gaba na ciwon haɗari da ke tattare da juna ba tare da nuna bambanci ga ciwon halayen nama ba. Kimanin kashi ɗaya cikin uku sun shiga cikin gyare-gyaren, kuma sauran suna kula da ƙwayar cuta marasa lafiya.
Hanyoyin bayyanar cututtuka na cututtuka marasa jituwa marasa nau'in haɗari sun hada da arthritis, arthralgia, samfurin Raynaud , leukopenia (ƙananan jinin jini), rashes, alopecia, cututtuka na kwakwalwa, idanu bushe, bakin bushe, ƙananan zazzabi, da hotuna. Yawanci, babu wani aikin neuro ko koda, ko kuma haɗin hanta, huhu, ko kwakwalwa. Mafi yawan marasa lafiya da marasa lafiya wanda ke da alaka da juna, watakila kashi 80%, suna da sauƙi mai mahimmanci, sau da yawa anti-Ro ko anti-RNP autoantibodies.
Binciken da Kula da UCTD
A matsayin wani ɓangare na tsarin bincike don cutar cututtukan da ba a sani ba, cikakken tarihin likita, bincike na jiki, da gwajin gwaji ya zama dole don cire yiwuwar sauran cututtuka na rheumatic. Game da lura da cututtuka marasa lahani maras bambanci, babu binciken kimiyya na al'ada game da wasu jiyya don cututtuka masu lahani maras bambanci.
Zabin maganin yawanci yana dogara ne akan bayyanar cututtuka da aka gabatar da nasara na likita a baya wajen tsara wani magani na musamman ga cututtuka na rheumatic.
Yawancin lokaci, magani ga UCTD ya ƙunshi wasu haɗuwa da analgesics da NSAID don magance ciwo, corticosteroids na fata da mucous nama, da kuma Plaquenil (hydroxychloroquine) a matsayin magungunan anti-rheumatic maganin cutar (DMARD). Idan mayar da martani bai isa ba, za a iya ƙaddamar da ƙaddarar maganganun ƙananan ƙwararre don ɗan gajeren lokaci. Ana yin amfani da ƙwayoyin corticosteroids, masu amfani da cytotoxic (misali, Cytoxan), ko sauran DMARDS (irin su Imuran).
Methotrexate na iya zama wani zaɓi don magance matsalolin cutar marasa lafiya.
Layin Ƙasa
Sakamakon ganewa ga cututtukan nama maras bambanci shine abin mamaki. Akwai ƙananan haɗari ga ci gaba zuwa cutar da ke tattare da juna, musamman a tsakanin marasa lafiya wanda ke fama da cutar marasa lafiya wanda ba a canzawa ba don shekaru biyar ko fiye. Yawancin lokuta sun kasance m kuma ana nuna alamar cututtukan ba tare da buƙatar nauyin immunosuppressants mai nauyi.
Sources:
Abun da ba'a ba da izini mai haɗuwa da cututtukan cututtuka (UCTD). Mosca M. et al. Autoimmune Reviews. 2006 Nov; 6 (1) 1-4. http://www.ncbi.nlm.nih.gov/pubmed/17110308
Abun da ba'a ba da izini Abun Haɗuwa Abun Cutar - In-Depth Overview. Jessica R. Berman, MD. Asibitin na Musamman na Wajibi. 11/10/2009. https://www.hss.edu/conditions_undifferentiated-connective-tissue-disease-overview.asp