Sjogren ta ciwo da aka kira bayan Henrik Sjögren, a Sweden likita likita. Ciwo na Sjogren shine yanayin da tsarin jiki na jiki yake kaiwa ga gubar dalma. Ga mafi yawan wadanda suke fama da ita, yana kai hare-haren glandan da kuma launiyar lacrimal, wadda ke haifar da hawaye . Hakanan zai iya rinjayar jinji da sauran gland a cikin jiki. Sjogren na da ciwon daji wanda aka sani a cikin aikin kulawa da ido don mutane da yanayin suna fama da matsananciyar ƙyallen idanu kuma sau da yawa likitocin likitoci sun gano asibiti da kuma magance ciwon ƙuƙwalwar ƙwayar ƙwayar cuta kafin mai haƙuri an gano shi a matsayin Sjogren ta hanyar kulawa ta farko likita ko rheumatologist.
Cutar cututtuka
Idanun hankali sukan iya bayyana kansu a hanyoyi daban-daban. Bayan kawai bushewa, idon bushe zai iya haifar da haka:
- Kasashen waje na jin dadi
- Sandy, gritty ji
- Haske haske
- Fluctuating, hangen nesa
Mutanen da ke fama da ciwon Sjogren na iya samun wadannan alamun bayyanar:
- Dry baki
- Difficile haɗiye
- Karancin cavities da yawa ko cin hanci
- Muscle da haɗin gwiwa da kuma ciwo
- Dry fata ko fata rashes
- Coughing
- Rashin ƙarancin ruwa
- Lamba a cikin makamai da kafafu
- Babban gajiya
Dalilin
Masu bincike basu da tabbacin abin da ke haifar da ciwon Sjogren. Duk da haka, yanayin yana tayin gudu cikin iyalai. Anyi tunanin cewa yana da alaƙa da wani nau'i wanda wasu mutane ke ɗaukar cewa suna zaton sun bayyana cutar yayin da aka jawo su. Wannan jawo, wanda zai iya zama kamuwa da kwayoyi, kamuwa da cutar kwayan cuta ko ma danniya, yana kunna tsarin rigakafi na jiki. Lokacin da wannan ya faru, tsarin na rigakafi zai iya zama mummunar rikici. Sjogren na ciwo yana kuma cigaba da faruwa tare da wasu cututtuka na rashin lafiyar jiki irin su lupus, rheumatoid arthritis ko scleroderma.
Sanin asali
Kwararka zai sake gwada lafiyar lafiyarka da tarihin iyali don gano cututtuka ko wasu cututtuka da zasu iya dangantaka. Za a iya yin gwaje-gwaje na jini don neman wasu kwayoyin da ke cikin. Har ila yau, likitanku zai duba aikin koda da hanta. Kwararka zai iya mayar da kai zuwa likitan hakora domin bincika karuwa a lalacewar hakori.
Kwararka zai iya mayar da kai zuwa ga likita ko likitan magunguna don yin wasu gwaje-gwajen don bincika alamun ƙwayar ido na bushe. Wadannan gwaje-gwaje na iya haɗa da wadannan:
- Slit tararraji: Likitoci na likita suna amfani da kwayar halitta na musamman wanda ake kira fitilar fitilar don nazarin microscopically kashi na gaba na idanu don alamun bushewa. An saka ƙwayoyi a cikin idanu don haskaka wurare waɗanda zasu iya lalacewa ta hanyar idon bushe ko nuna wadanda suka mutu ko kwayoyin rayuka.
- Schirmer ta gwada gwajin gwaje-gwaje: gwajin gwajin Schirmer wata hanya ce ta tantance yawan hawaye da kuke da shi ta hanyar sanya jigun biyu na likita a cikin idanu don auna yawan ƙwayar tsaga. Kodayake jarrabawar ba ta da gaske ba, yana ba wa likitoci kyakkyawar ra'ayi game da yadda bushe idanunku zai iya kwatanta da al'ada.
Jiyya
Yawancin zaɓuɓɓukan magani suna samuwa don maganin ciwon ƙwayar ido.
Hawaye artificial: Hawaye na artificial shine farkon hanyar tsaro a zalunta da idon bushe. Akwai hawaye na artificial a kan talikan kuma ya zo da nau'o'i daban daban. Dole ne a haɓaka hawaye artificial sau da yawa a kowace rana don cimma burin da ake so. Rashin hawaye na artificial aiki ne don warkar da tafin fuska ido da kuma kula da bayyanar cututtukan ido wanda zai iya yin haƙuri. Akwai hawaye na artificial a cikin siffofin tsarewa da ba a tsare su ba. Saboda yawancin hawaye suna ɗauka sau da yawa a kowace rana, hawaye da ba a kiyaye ba suna zaton su kasance mafi kyau lafiya.
- Gels and ointments: A cikin marasa lafiya mai ƙananan ƙwayoyin ido, gels da ointments suna nuna. Gels da man shafawa suna sa ido da ido kuma zai iya samar da sakamako mafi kari. Gels da kayan shafawa za a iya dasa su a idon lokacin kwanta barci don kare kariya.
- Pellets: Anyi amfani da launi na hydroxypropyl methylcellulose, sinadaran da aka samu a wasu hawaye, gels, da ointments. Wadannan pellets za a iya sanya a karkashin fatar ido. Sakamakon jikin jiki yana sannu a hankali ya narkewa da kuma samar da sauƙi, ci gaba da lubrication.
- Cyclosporin A: Cyclosporin A, wanda yake da alamar suna Restasis (Allergan, Inc.), wani maganin rigakafi ne wanda ke canza tsarin rigakafi na gida a kusa da glandan lacrimal don ganin ido zai iya samar da hawaye.
- Harshen haɗuwar hanyoyi: Harshen hawan ƙwallon wata hanya ce wadda wani mai amfani da na'urar ƙwaƙwalwa ko ƙwararren magunguna ya sanya wani ƙananan ƙananan, wanda aka saba yi da silicone, a cikin puncta (buɗewa ta hanyar tsage tsage) don rage ko hana magudi na hawaye na al'ada. Wasu likitoci za su za i su cauterize wadannan ducts, kodayake wannan zai iya haifar dashi kuma yana da dindindin.
- Mask rufe ko patching: Masu kula da marasa lafiya marasa lafiya su juya ko kashe wasu magoya baya a cikin dakin da suke barci. Har ila yau, wasu marasa lafiya na iya samuwa da shi ƙasa da bushewa don ɗaukar takalma ko barci mai barci akan idanuwansu a daren don rage daukan hotuna.
- Blink sau da yawa: Wannan na iya jin baƙon abu, amma marasa lafiya marasa lafiya sun kamata suyi kokarin yin tunani game da lalatawa. Da zarar ka yi hankali, ƙila ka shimfiɗa sabon laka mai tsabta bisa fuskar ido. Har ila yau, idan kun yi amfani da kwamfutar ko karanta don lokaci mai tsawo, ɗauki raguwa da yawa. Lokacin da kake mayar da hankali akan abubuwa kamar abubuwa masu allon kwamfutarka, ƙwanƙirin ku yana ƙaddarawa.
- Yi nazarin magunguna: Dole da likitanka ya kamata kulawa da sake nazarin sauran magungunan da ka iya ɗauka, kamar su maganin antihistamines, wanda zai iya haifar da ƙarin bushewa. Wasu magunguna da zasu haifar da bushewa sune masu lalata, diuretics, kwayoyi masu cutar cututtuka, wasu kwayoyin antipsychotic, masu sintiri, wasu magungunan jini da kuma antidepressants.
- Ƙara wani mai sauƙi a cikin ɗakin kwanan ku: Mai nutsuwa zai haifar da hawaye don cirewa daga fuskar ido.
- Sha ruwa mai yawa: Shan shan ruwa da yawa zai hana shan ruwa da rage girman bushewa.
- Tarsorrhaphy: A lokuta masu tsanani na ido bushe, likitoci na iya ɗaukan rufe rufewar ido. An san wannan a matsayin tarsorrhaphy. Wannan hanya kawai rage yankin da yake buƙatar lubrication.
Abin da Kuna Bukatar Ku sani
Mafi yawancinmu sun shawo kan alamun cututtukan ido a wasu wurare a rayuwarmu. Duk da haka, bushewa da ke faruwa a Sjogren ya fi tsanani. Mai tsananin gaske, idon busassun idanu na iya haifar da spots mai bushe a kan tarin hankalin, kamar yadda tsarin dome yake a gaban ido. Wadannan sutura zasu iya ciwo kuma sun zama ulcers wanda zai iya zama kamuwa. Har ila yau, yawancin bushewa na iya haifar da ƙananan fatalwa da conjunctiva. Idan yanayin ya ci gaba da karawa, marasa lafiya na iya fama da lalacewar hangen nesa.
Sources:
Catania, Louis J. Primary Care of the Anterior Segment, Edition na biyu, Copyright 1995 da Appleton & Lange.