Sjogren's syndrome chirwere chinogadzirisa muviri chinokonzera kushushikana kwehutano hwehutachiona hunogadzirwa. Kubva pakugadzirisa chirwere chemahara, ye exocrine glands - maitiro emucherechedzo uye anochera - anotambura zvikuru kupfuura ose. Muzviitiko zvakawanda, chirwere chacho chinotora nguva isingagumi.
Sjogren's Syndrome - chirwere ichi chii?
Pamusoro pekuoma kwezviratidzo zvemaonda echirwere kwekutanga kokutanga kubhadharwa kwakaitwa neSweden ophthalmologist Shegren zvishoma kudarika makore zana akapfuura. Akawana nhamba yakawanda yevarwere vake vakauya kwaari nekunyunyuta kweoma mukati maziso, zvimwe zviratidzo zvakafanana: kusingaperi kuputika kwezvibatanidzwa uye xerostomia - kuoma kwemuromo mumcosa. Kucherechedza kufarira vamwe vanachiremba uye masayendisiti. Izvozvo zvakaitika kuti chirwere ichi chakajairika uye kurwisana chinoda kurapwa kumwe.
Sjogren's syndrome - chii ichocho? Ichi chisingagumi chirwere chemotokari chinoratidzika chinopesana nechekupedzisira kwekukundikana muzvirwere zvemuviri. Mhuka yacho inotora masero ayo kune masero ekunze uye inotanga kushingaira kukudziridza zvirwere kune avo. Mukurwisana nemamiriro ezvinhu aya, kuvhiringidza kunowedzera, izvo zvinoita kuti kuderedzwa kwebasa rezvipembenene zvekunze kwekunze - kazhinji zvinyararire uye zvinyorwa.
Sjogren's Syndrome - Zvinokonzera
Kutaura zvisingaiti kuti sei zvirwere zvinoputika zvichiitika, mishonga haigoni. Nokudaro, apo yakaoma syndrome yeSjogren inobva kune chakavanzika. Zvinonyatsozivikanwa kuti mazamu, zviratidzo zvemuviri, mahomoni uye zvimwe zvekunze zvinobatanidzwa mukuvandudzwa kwechirwere. Muzviitiko zvakawanda, zvirwere zvakadai se cytomegalovirus, Epstein-Barr, herpes, kana zvirwere zvakadai sepolymyositis, systemic scleroderma, lupus erythematosus, rheumatoid arthritis inokurudzira kukura kwechirwere.
Primary Sjogren's Syndrome
Kune miviri miviri mikuru yekurwara. Asi ivo vanenge vakafanana. Kuchema kwemakumbo mumakumbo maviri aya kunokonzerwa nekurwara kwemymphocytic ye-exocrine glands pamwe nemakumbo emimba uye nzira yekufema. Kana chirwere chacho chichikura sechirwere chakazvimiririra uye hapana chakatangira kuonekwa kwayo, saka ichi ndicho chirwere chikuru cheSjogren.
Secondary Sjogren's Syndrome
Sezvakaratidzwa zvinoratidzira, pane dzimwe nguva, chirwere ichi chinopesana nechemberi kwezvimwe zvirwere. Maererano nehuwandu, imwe yechipiri yakaoma yakaoma inowanika mu20 - 25% yevarwere. Inoshandiswa apo chirwere chacho chinosangana nemigariro yezvinetso zvakadai se rheumatoid arthritis, dermatomyositis, scleroderma uye zvimwe zvinosanganiswa nemaronda emagetsi.
Sjogren's syndrome - zviratidzo
Zvose zvinoratidzika zvechirwere zvakakamurwa kuva glandular uye yakawedzera-simbi. Ichokwadi chokuti Sjogren's syndrome yakapararira kune zvinyoronyoro zvinogona kunzwisiswa nekunzwa kwekupisa, "jecha" mumaziso. Vakawanda vanonyunyuta nezvemafiyuta akaoma. Kazhinji maziso anotsemuka, uye mumakona ayo anounganidza zvinhu zvinosvibisa zvinotyisa. Sezvo chirwere chacho chichifambira mberi, photophobia inokura, ziso rinonyangarika rinonzwisisika rakadzika, maitiro anooneka anowedzera. Kuwedzera kwezvinyoronyoro zvinoratidzika ndezvisinganzwisisiki.
Unhu hunhu hwechirwere cheSjogren, icho chakakonzera matanho akaoma: mucheka wakaoma mumuromo, mutsvuku, nemiromo. Kakawanda, varwere vanokurira , uye, kunze kwezvimwe zvipfeko zvinotapira, zvimwe zvezvipembenene zviri pedyo zvinowedzerawo. Pakutanga, chirwere chacho chinoratidzira chete nekuedza muviri kana kushushikana mupfungwa. Asi gare gare kuoma kunogara kusingagumi, miromo yakafukidzwa nemakristi anoputika, izvo zvinowedzera dambudziko rekubatana nehutachiona hwehutachiona.
Dzimwe nguva, nekuda kweoma mukati me nasopharynx, majeeti anotanga kuumba mumhino nemapapiro ekuongorora, izvo zvinogona kutungamirira ku otitis uye kunyange kupera kwekunzwa kwenguva pfupi. Apo zvinyorwa zvinyorwa uye mazwi zvakanyanyisa kudarika, kune hovha uye kupenya. Uye zvinowanzoitikawo kuti kukanganisa kwekumedza kunotungamirira kune inrophic gastritis. Kuongorora kunoratidzwa nekutsamwa, kuwedzera kudya kwekudya, kuyerwa mune epigastric region mushure mekudya.
Zviratidzo zvisingasviki zvechiratidzo chakaoma cheSjogren's syndrome chinoratidzika seizvi:
- joint pain;
- kuoma kwemisungo uye mafundo mangwanani;
- musimba simba;
- kuputika kwechiropa kunowanikwa mushure mezvisikwa zvevascular;
- neuritis yechiso kana hutatu hwemitsipa;
- kuputika kwemvura kunotsika uye kumativi;
- kuoma kwemudzimai.
Sjogren's syndrome - kusiyanisa zvirwere
Tsanangudzo yechirwere inonyanya kubva pakuvapo kwe xerophthalmia kana xerostomia. Iyo yekupedzisira inorwara nemishonga ye sialography, parotid scintigraphy uye salivary gland biopsy. Nokuda kwekuongororwa kwe xerophthalmia, kuedzwa kweSchirmer kunoitwa. Chimwe chigumo chemutsara wepepa yakasvibiswa yakaiswa pasi pejeri rezasi uye yakasara kwekanguva. Muvanhu vane hutano, mushure memaminitsi mashanu, anenge mamita makumi maviri nemashanu emutsara ichava yakanyorova. Kana Sjogren's syndrome ichisimbiswa, chirwere chinoratidzika chinoratidza kuti hachina kupfuura 5 mm wet.
Mukusiyanisa kuongororwa zvakakosha kuyeuka kuti NLS inogona kukura zvakafanana neyezviongorori se autoimmune thyroiditis, percinosis anemia, zvinodhaka zvirwere. Tsanangudzo yepakutanga yakaoma chirwere inobatsira zvikuru nekuonekwa kwezvirwere zveS-B. Zvakaoma zvikuru kuongorora chirwere cheSjogren nechirwere chepachirwere chetachiona, nokuti kukanganisa pamwe chete kunotanga nguva refu kusati kwaonekwa zviratidzo zveoma.
Sjogren's syndrome - miedzo
Kuongororwa kwechirwere kunosanganisira kuitisa mairareti ekuongorora. Paanoongororwa neSjogren's disease, kuongororwa kunoratidza zvikamu zvinotevera:
- Muchikamu chekuongorora ropa, kuwedzerwa kweEER, anemia uye nechepasi masero eropa rekuverengera akazvimirira.
- IOAM inoratidzwa nekuvapo kweprotheni.
- Puroteni inokurudzirwawo muhupenyu hwekuongorora ropa. Mukuwedzera, chidzidzo chinoratidzira huwandu hwemashoko ehurumende.
- Kuongororwa kweropa kwakakosha nokuda kwekuvapo kwezvirwere kune thyroglobulin mu 35% kunoratidza kuwedzera mumatambudziko avo.
- Migumisiro ye salivary gland biopsies inosimbisa zviratidzo zveSjogren's syndrome.
Sjögren's Syndrome - kurapwa
Iri dambudziko rakakomba, asi harisi kuuraya. Kana iwe ukanyatsocherechedza zviratidzo zvaro munguva uye kana iwe uone kuti chirwere cheSjogren's chinotanga, unogona kurarama nacho, unonzwa wakasununguka nazvo. Chinhu chikuru kuvarwere hachisi kukanganwa nezvekukosha kwehupenyu huri nani. Izvi zvinobatsira kusimbisa hutachiona, hazvizobvumi kuti chirwere chemaitiro chive chekuita nekukurumidza uye kuderedza zvakanyanya ngozi yezvinetso.
Zvinogona here kuporesa Sjogren's syndrome?
Kamwe kana chirwere ichi chichinyatsosimbiswa, murwere anogamuchira mazano ekurapa. Sjogren's syndrome iri kurapwa kubudirira nhasi, asi haisati yakwanisika kubvisa zvachose chirwere chacho. Nokuda kwechikonzero ichi, chete chirwere chinoratidzira chinoitwa. Zvirongwa zvekuongorora hutano hwekurapa ndeyekugadziriswa kwekliniki zviratidzo zvechirwere. Kana zvirongwa zvose zvekurapa zvichibatsira, zviratidzo zve laboratori uye chinyorwa chake chinotaridzika chinovandudza.
Sjögren's Syndrome - Clinical Mazano
Kurapa kwewaini yakaoma kunosanganisira kuderedza zviratidzo uye, kana zvichidikanwa, kurwisa chirwere chinonzi autoimmune chirwere. Kusati kwaitwa kurapwa kweSjogren's syndrome, kuongororwa kunofanira kuitwa. Pashure, sekutonga, nzira dzakadaro dzinoshandiswa:
- glucocorticoid Prednisolone (iyo chirongwa uye dhizi rinotsanangurwa mumwe nomumwe zvichienderana nekuoma kwechirwere uye kuoma kwezviratidzo zvayo);
- angioprotectors - Parmidin, Solcoseryl;
- immunomodulator Splenin;
- anticoagulant Heparin;
- Mhirizhonga kana Trasilol - zvinodhaka zvinomisa kugadzirwa kweproteolytic enzymes;
- Zioostatics - Chlorbutin, Azathioprine, Cyclophosphamide (zvinonyanya kurumbidza kutora ne glucocorticoids).
Kuti ubvise muromo wakaoma, simbura. Dry eye syndrome inorapwa neinstitation ye saline, Hemodesis. Dried bronchial tubes uye trachea inogona kurapwa neBromhexine . Nekuvhiringidza kwezvitsvina zveDimexide, Hydrocortisone kana Heparin vari kutambura. Dzimwe nguva muromo wakaoma mukati mekuongororwa kweSjogren's syndrome kunotungamirira kukurudzirwa kwezvirwere zvemazino. Kuti uzvidzivirire, iwe unofanirwa kutarisira huwandu hwehutsanana hwehutano.
Chirwere cheSjogren - kurapwa nemishonga yevanhu
Dry syndrome idambudziko rezviratidzo uye zviratidzo. Nevose vavo zviri nani kurwisana netsika. Asi dzimwe nguva neSjogren's syndrome, nzira dzevanhu dzinoshandiswa mubasa rakafanana dzinovandudza mamiriro ekurapa. Vamwe varwere, somuenzaniso, nyora kuti madonhwe eziso akaitwa kubva kune dill uye mbatatisi juisi inoshanda zvakanyanya kudarika zvinodhaka zvinoshandiswa mvura.
Herb decoction for rinsing
Zvisungo:
- chamomile maruva - 1 tablespoon;
- mashizha mashizha - 1 tbsp. l.;
- mvura - 1 girazi.
Kugadzirira nekushandiswa:
- Gorosi zvinosanganiswa uye zvishoma zvinokuya.
- Mvura inyorera uye udururire mumusanganiswa wakaoma.
- Mushonga unofanirwa kupeta kwemaminitsi makumi mana.
- Mushure mekutsvaga iyo yakagadzirira kushandiswa.
Sjogren's syndrome - kufungidzira
Ichi chirwere chinowedzera pasina ngozi kune hupenyu. Asi nekuda kwake, hutano hwehupenyu hwevarwere huri kuwedzera kuoneka. Kurapa kunobatsira kudzivirira zvinetso uye kuchengetedza simba rekushanda revanhu vakuru - Sjogren's syndrome muvana inonyanya kushandiswa. Kana chirwere chisina kutanga, chirwere chacho chinogona kukura kuva chimiro chakakomba, icho, apo zvipembenene zvechipiri, zvakadai sebronchopneumonia , sinusitis kana zvekare zvekare, dzimwe nguva zvinotungamirira kukuremara.