A Kwayar Tsarin Kwafin Abinci
Sjogren na ciwon ciwo da ake kira bayan likitan Sweden, Henrik Sjögren, wanda ya gano shi a farkon shekarun 1900-yana da kansa, cutar cututtuka wanda zai iya faruwa a matsayin yanayin farko ba tare da wani cututtuka na rheumatic ba ko matsayin yanayin sakandare tare da wani yanayin rheumatic. Kimanin kashi 50 cikin dari na ciwo na Sjogren yana faruwa ne a matsayin yanayin da kawai.
Sauran kashi 50 na suturar Sjogren na faruwa ne a matsayin yanayin sakandare, mafi mahimmanci da cututtuka na rheumatoid , tsarin lupus erythematosus, scleroderma , polymyositis , ko dermatomyositis.
A cewar Sjogren's Syndrome Foundation, Sjogren na ciwo yana daya daga cikin mafi yawan yanayi m yanayin da rinjayar da yawa kamar miliyan 4 da Amirkawa. Rabin kashi cikin dari na Sjogren na ciwo marasa lafiya ne mata. Matsakaicin shekarun shekaru fiye da shekaru 40 ne - amma maza, mata, da yara na iya haifar da ciwo na Sjogren a kowane zamani.
Dalilin
Dalilin Sjogren ta ciwo ba a sani ba. Bisa ga Cibiyar Harkokin Rheumatology na Amurka, abubuwan da kwayoyin halitta da cututtukan cututtuka na kwayoyin cuta na iya kara haɗari na bunkasa ciwo. Hormones kuma zai iya kasancewa factor.
Cutar cututtuka
A cewar Sjogren Syndrome Foundation, cututtuka na iya hada da:
- Fadi ko harshe mai tsanani
- Dry, ƙurar makogwaro
- Difference a dandano ko wari
- Dental lalata
- Cizon yisti na yisti
- Haɗin gwiwa
- Matsalolin digestive
- Dry hanci da fata
- Kusar da gland a kusa da fuska
- Rashin ƙarancin ruwa
- Wulo
- Ƙididdigar lymph
Matsalar da ke cikin alaka da Sjogren na ciwo sun hada da:
- Rashes a kan makamai da ƙafafu da suka shafi vascularitis
- Kumburi a cikin huhu, hanta, da koda
- Rashin matsalolin rashin lafiya wanda ya haifar da ƙuntatawa, tingling, da rauni
- Lymphoma a cikin ƙananan marasa lafiya
Sanin asali
Tare da bayyanar cututtuka, sakamakon binciken jiki da wasu gwaje-gwajen bincikar taimakawa wajen samar da ganewar cutar Sjogren. Babu gwaji guda ɗaya na iya tabbatar da ganewar asali ta hanyar kanta. Gwaje-gwaje waɗanda zasu taimaka wajen tsara fasalin binciken sun hada da:
- Antinuclear antibody (nazarin ANA) - kashi 70 cikin dari na marasa lafiyar Sjogren sun gwada tabbatacce ga ANA, amma wanda zai iya kasancewa a cikin lafiyar mutane.
- SSA (anti-Ro) da kuma SSB (anti-La) - Antibodies yawanci samu a cikin mutanen da ke fama da cutar Sjogren na farko. Ba duka marasa lafiyar Sjogren sun gwada tabbatacce ga SSA da SSB ba.
- Rheumatoid factor - 60 zuwa 70 bisa dari na mutanen da aka gano tare da Sjogren ciwon ciwo ne tabbatacce ga matsalar rheumatoid.
- Immunoglobulins - Wadannan sunadaran sunadarai ne a Sjogren.
- Ƙwararrun magungunan ƙwayoyi ko gwaje-gwaje na hakori za a iya umurce su don bincika rashin ciwo marar kyau ko wasu abubuwan hauka. Gwaje-gwaje na iya hada da: Sirmer na gwaji don idon bushe (likita yana sanya takarda takarda a karkashin ƙananan fatar ido da ma'auni akan takarda bayan minti 5); samfurin fitilu (wanda wani magungunan ilimin likitancin ya yi amfani da kayan aiki don girmamawa da kuma bincika idanu, binciki bushewa da ƙonewa); Tsayawa da dyes masu dadi (binciko lalacewar fuskar ido); duba gwaji (likitocin likita don rashin ciwo kuma zai iya samo samfurin samfurin neman dubawa); labaran kwayoyin (likita ya kawar da ƙananan glanders daga ƙananan launi don binciken binciken microscopic).
Jiyya
Jiyya na ciwo na Sjogren ya bambanta ga kowane mutum, dangane da abin da sassan jiki ke shafar. Ko da yake babu magani ga Sjogren na ciwo, ƙuƙumma, gurbataccen gurbi, sprays, gel, da kuma danko iya taimakawa bayyanar cututtuka. Magunguna da maganin maganin miyagun ƙwayoyi don bushe baki da ke haɗuwa da ciwo na Sjogren zai iya haɗawa da sifa da ƙananan ƙwayoyin magunguna, kamar:
- Salagen (Pilocarpine hydrochloride)
- Evoxac (HCI Hanya)
Gyakan artificial da idanu na ido zasu iya taimakawa wajen taimakawa idon bushe. Magunguna da maganin maganin miyagun ƙwayoyi don ƙuƙwalwar ido wanda ke hade da Sjogren na ciwo zai iya haɗawa da:
- Saukewa (Cyclosporine Ophthalmic Emulsion)
- Hydroxypropyl Cellulose (Gudun idanu da Pellets)
Ƙananan matsaloli, irin su ciwon haɗin gwiwa ko ƙunsar ciwo na tsoka, ana shawo kan su tare da NSAIDs (kwayoyin masu ba da cututtukan steroidal). Koda, koda, jirgin jini, ko matsalolin matsalolin da za a iya magance su:
- Corticosteroids
- DMARDs (cututtukan maganin cutar antirheumatic) ko immunosuppressives
Kalma Daga
Yawan lokaci daga farkon bayyanar cututtuka don ganewar asali na ciwo na Sjogren ya kasance fiye da shekaru 6. Bayan haka, akwai dalilai da dama don ƙananan idanu da kuma bushe bakin da yake buƙatar fitar da su. Dry baki da idanu bushe sune mafi yawan bayyanar cututtuka da suka hada da Sjogren na ciwo, amma alamun cututtuka ba su da iyaka. Wasu magunguna, waɗanda aka dauka don wasu yanayi, na iya haifar da bushewa. Ko ma menopause yana hade da bayyanar cututtuka na bushewa. Yana da mahimmanci kada ku yi tsalle don yankewa saboda kuna fuskantar idanun bushe ko bushe. Idan kana da waɗannan bayyanar cututtuka, ga likita don cikakken kimantawa da ganewar asali. Rheumatologists sarrafa Sjogren ta marasa lafiya marasa lafiya, yayin da likitocin da likita likita iya bi da wasu bayyanar cututtuka. Sjogren ta ciwo shi ne yanayin da zai iya samuwa. Tare da magani mai mahimmanci, yawancin mutane zasu iya zama da kyau.
Ba za mu yi jinkirin kada mu ambaci magunguna masu sauki don idon bushe ba. Yi kullun idanunku don su wanke su. Blink 5 ko 6 sau a minti daya. Kare idanunku daga iska da zane. Tabbatar yin amfani da mai ƙasƙanci a gidanka. Ku guje wa hayaki, kuma ku guji kayan shafa ido wanda zai iya fushi. Bugu da ƙari, akwai hanyoyi na yau da kullum domin kula da bakaken baki. Chew sugar-free danko ko tsotse a kan sugarfree wuya alewa. Sip ruwa a ko'ina cikin yini. Yi amfani da laushi don yalwata laushi mai laushi.
> Sources:
> Game da Sjogren ta ciwo. Sjogren's Syndrome Foundation.
> Tambayoyi da Answers Game da Ciwo na Sjogren, NIAMS, Sabunta Satumba 2016.
> Udell, James, MD. Sjogren ta ciwo. Kwalejin Amirka na Rheumatology. Updated Maris 2017.