Ciwon Sjögren

Ciwon Sjögren cuta ce ta autoimmune a cikin ta wanda glandon da ke samar da hawaye da yau suna lalacewa. Wannan yana haifar da bushewar baki da bushewar idanu. Yanayin na iya shafar wasu sassan jiki, ciki har da ƙoda da huhu.

Ba a san musabbabin cutar Sjögren ba. Cutar rashin lafiya ce. Wannan yana nufin jiki ya afkawa lafiyayyun nama bisa kuskure. Ciwon yakan faru ne galibi a cikin mata masu shekaru 40 zuwa 50. Ba kasafai ake samun yara ba.

Primary Sjögren ciwo an ayyana shi azaman busassun idanu da bushe baki ba tare da wata cuta ta rashin lafiya ba.

Secondary Sjögren ciwo yana faruwa tare da wani rashin lafiya na autoimmune, kamar:

• Rheumatoid amosanin gabbai (RA)
• Tsarin lupus erythematosus
• Scleroderma
• Polymyositis
• Hepatitis C na iya shafar gland na salivary kuma yana kama da cutar Sjögren
• Cutar IgG4 na iya zama kamar cutar Sjogren kuma ya kamata a yi la’akari da shi

Bushewar idanu da bushewar baki sune alamomin da suka fi kamuwa da wannan ciwo.

Alamun ido:

• Idanun ido
• Jin cewa wani abu yana cikin ido

Bakin ciki da alamun wuya:

• Matsalar haɗiye ko cin busassun abinci
• Rashin jin daɗin ɗanɗano
• Matsalar magana
• M ko kirtani yau
• Ciwon bakin ko zafi
• Hakora na lalacewa da kumburin ɗanko
• Rashin tsufa

Sauran cututtuka na iya haɗawa da:

• Gajiya
• Zazzaɓi
• Canja launin ruwan hannaye ko ƙafa tare da bayyanar sanyi (Raynaud sabon abu)
• Hadin gwiwa ko kumburin haɗin gwiwa
• Kumburin gland
• Rushewar fata
• Jin jiki da ciwo saboda cutar neuropathy
• Tari da gajeren numfashi saboda cutar huhu
• Bugun zuciya mara tsari
• Tashin zuciya da ƙwannafi
• Rashin farji ko fitsari mai zafi

Za a yi cikakken gwajin jiki. Jarabawar ta bayyana bushewar idanu da bushewar baki. Zai iya kasancewa ciwon baki, narkakken hakora ko kumburin danko. Wannan na faruwa ne saboda bushewar baki. Mai kula da lafiyarku zai duba bakinku don kamuwa da cutar fungus (candida). Fata na iya nuna kurji, gwajin huhu na iya zama na al'ada, za a buga ciki don faɗaɗa hanta. Za a binciki gidajen don maganin cututtukan zuciya. Jarabawar neuro za ta nemi gazawa.

Kuna iya yin gwaje-gwaje masu zuwa:

• Cikakken ilimin sunadarai na jini tare da enzymes na hanta
• Kammala lissafin jini tare da banbanci
• Fitsari
• Antinuclear antibodies (ANA) gwajin
• Anti-Ro / SSA da anti-La / SSB kwayoyin cuta
• Rheumatoid factor
• Gwaji don cryoglobulins
• Levelsara matakan
• Amintaccen electrophoresis
• Gwajin hepatitis C da HIV (idan ana haɗari)
• Gwajin thyroid
• Gwajin Schirmer na samar da hawaye
• Hoto na gland na salivary: ta duban dan tayi ko ta MRI
• Salivary gland biopsy
• Biopsy na fata idan kumburi ya kasance
• Nazarin idanu daga likitan ido
• Kirjin x-ray

Makasudin shine don taimakawa bayyanar cututtuka.

• Za a iya amfani da busassun idanu da hawaye na wucin gadi, mayukan shafawa na ido, ko ruwan cyclosporine.
• Idan Candida ta kasance, za'a iya magance shi tare da miconazole maras sukari ko shirye-shiryen nystatin.
• Za'a iya sanya kananan matosai a cikin magudanan magudanar hawaye don taimakawa hawayen su tsaya akan saman ido.

Magungunan antirheumatic-gyaggyara cuta (DMARDs) kwatankwacin waɗanda aka yi amfani da su na RA na iya inganta alamun cututtukan Sjögren. Wadannan sun hada da cututtukan necrosis factor (TNF) masu hana magunguna kamar Enbrel, Humira ko Remicaide.

Wasu abubuwan da zaku iya yi don sauƙaƙe bayyanar cututtuka sun haɗa da:

• Sip ruwa a ko'ina cikin yini
• Tauna danko mara suga
• Guji magungunan da zasu iya haifar da bushewar baki, kamar antihistamines da decongestants
• Guji shan giya

Yi magana da likitan hakora game da:

• Bakin rafkewa don maye gurbin ma'adinai a cikin haƙoranku
• Sauyewar saliva
• Magungunan da ke taimakawa gland din ku suna yin ƙarin yau

Don hana lalacewar hakori sanadiyyar bushewar baki:

• Goge hakora da goge hakori koyaushe
• Ziyarci likitan hakora don dubawa da tsaftacewa na yau da kullun

Cutar ba kasafai take yin barazanar rai ba. Sakamakon ya dogara da waɗanne cututtukan da kuke da su.

Akwai haɗari mafi girma ga lymphoma da farkon mutuwa lokacin da cutar Sjögren ta kasance mai aiki sosai na dogon lokaci, haka kuma a cikin mutanen da ke fama da cutar vasculitis, ƙaramin cikawa, da cryoglobulins.

Matsaloli na iya haɗawa da:

• Lalacewa ga ido
• Hakori na hakori
• Koda gazawar (rare)
• Lymphoma
• Ciwon huhu
• Vasculitis (m)
• Neuropathy
• Kumburin mafitsara

Kira mai ba ku sabis idan kun ci gaba bayyanar cututtuka na Sjögren ciwo.

Xerostomia - Sjögren ciwo; Keratoconjunctivitis sicca - Sjögren; Ciwon Sicca

• Antibodies

Baer AN, Alevizos I. Sjögren ciwo. A cikin: Hochberg MC, Gravallese EM, Silman AJ, Smolen JS, Weinblatt ME, Weisman MH, eds. Rheumatology. 7th ed. Philadelphia, PA: Elsevier; 2019: sura 147.

Mariette X. Sjögren ciwo. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 268.

Seror R, Bootsma H, Saraux A, et al. Bayyana ayyukan cutar da ci gaba mai mahimmancin asibiti a cikin cututtukan Sjögren na farko tare da EULAR primary Sjögren's syndrome aikin cuta (ESSDAI) da alamun haƙuri da aka ruwaito (ESSPRI). Ann Rheum Dis. 2016; 75 (2): 382-389. PMID: 25480887 www.ncbi.nlm.nih.gov/pubmed/25480887.

Singh AG, Singh S, Matteson EL. Ateima, abubuwan haɗari da sanadin mace-mace a cikin marasa lafiya da cutar Sjögren: nazari na yau da kullun da kuma nazarin kwatankwacin karatun ƙungiya. Ciwon cututtuka (Oxford). 2016; 55 (3): 450-460. PMID: 26412810 www.ncbi.nlm.nih.gov/pubmed/26412810.

Turner MD. Bayyanar maganganun baka na cututtukan tsari. A cikin: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology. Na 6 ed. Philadelphia, PA: Elsevier Saunders; 2015: babi na 14.