Cutar Cutar Haɗaɗɗen Maɗaukaki

Wadatacce

• Mene ne haɗuwa da cututtukan nama?
• Menene alamun?
• Me ke kawo shi?
• Shin akwai wasu abubuwan haɗari?
• Yaya ake gane shi?
• Yaya ake magance ta?
• Menene hangen nesa?

Mene ne haɗuwa da cututtukan nama?

Cutar cututtukan nama mai hade (MCTD) cuta ce mai saurin kamuwa da cuta. Wani lokaci ana kiranta cuta mai haɗuwa saboda yawancin alamomin ta suna haɗuwa da waɗanda ke cikin sauran cututtukan nama, kamar:

• tsarin lupus erythematosus
• scleroderma
• polymyositis

Wasu lokuta na MCTD suna raba alamun bayyanar cututtuka tare da cututtukan zuciya na rheumatoid.

Babu magani ga MCTD, amma yawanci ana iya sarrafa shi ta hanyar shan magani da canje-canje na rayuwa.

Tunda wannan cutar na iya shafar gabobi daban-daban kamar fata, tsoka, tsarin narkewar abinci da huhu, gami da haɗin gwiwarku, an yi niyya don magance manyan wuraren da ake ciki.

Gabatarwar asibiti na iya zama mai sauƙi zuwa matsakaici zuwa mai tsanani, dangane da tsarin aikin.

Ana iya amfani da wakilai na farko kamar su cututtukan cututtukan cututtukan nonsteroidal da farko, amma wasu marasa lafiya na iya buƙatar ƙarin ci gaba tare da maganin antimalarial magani hydroxychloroquine (Plaquenil) ko wasu jami'ai masu gyara cuta da ilimin halittu.

A cewar Cibiyar Kula da Lafiya ta Duniya, adadin rayuwar shekaru 10 ga mutanen da ke dauke da cutar MCTD ya kai kimanin kashi 80 cikin dari. Wannan yana nufin kashi 80 cikin 100 na mutanen da ke dauke da cutar MCTD suna nan da rai shekaru 10 bayan an gano su.

Menene alamun?

Kwayar cututtukan MCTD yawanci suna nunawa a jere tsawon shekaru, ba duka lokaci ɗaya ba.

Kimanin kashi 90 na mutanen da ke tare da MCTD suna da abin mamaki na Raynaud. Wannan yanayin ne da ke tattare da munanan hare-hare na sanyi, yatsun hannu waɗanda suka zama shuɗi, fari, ko shunayya. Wani lokaci yakan faru watanni ko shekaru kafin wasu alamun bayyanar.

Arin alamun bayyanar MCTD sun bambanta daga mutum zuwa mutum, amma wasu daga cikin sanannun mutane sun haɗa da:

• gajiya
• zazzaɓi
• zafi a mahara gidajen abinci
• kurji
• kumburi a cikin gidajen abinci
• rauni na tsoka
• sanyi na hankali tare da canza launi na hannaye da ƙafa

Sauran alamun bayyanar cututtuka sun haɗa da:

• ciwon kirji
• kumburin ciki
• reflux na acid
• matsalar numfashi saboda karuwar hawan jini a cikin huhu ko kumburin ƙwayar huhu
• taurara ko ƙarfafa facin fata
• kumbura hannuwa

Me ke kawo shi?

Ba a san ainihin dalilin MCTD ba. Rashin lafiyar jiki ne, ma'ana ya haɗa da tsarin garkuwar ku bisa kuskure yana kai hari ga ƙoshin lafiya.

MCTD na faruwa ne lokacin da garkuwar jikin ku ta kai hari ga kayan haɗin kai wanda ke ba da tsarin gaɓoɓin jikin ku.

Shin akwai wasu abubuwan haɗari?

Wasu mutanen da ke tare da MCTD suna da tarihin iyali game da shi, amma masu bincike ba su sami cikakkiyar mahaɗan kwayar halitta ba.

A cewar Cibiyar Bayar da Bayanan Cututtuka na Halitta da Rare (GARD), mata sun fi maza saurin kamuwa da cutar sau uku. Zai iya bugawa a kowane zamani, amma shekarun da ake farawa shine tsakanin shekaru 15 zuwa 25.

Yaya ake gane shi?

MCTD na da wahalar tantancewa saboda yana iya kamanceceniya da yanayi da yawa. Yana iya samun manyan sifofin scleroderma, lupus, myositis ko cututtukan zuciya na rheumatoid ko haɗuwa da waɗannan rikice-rikice.

Don yin ganewar asali, likitanku zai ba ku gwajin jiki. Za su kuma tambaye ku cikakken tarihin alamunku. Idan za ta yiwu, adana alamun alamun cutar, lura da lokacin da suka faru da tsawon lokacin da za su dade. Wannan bayanin zai taimaka wa likitanka.

Idan likitanku ya fahimci alamun asibiti na MCTD, kamar kumburi a kewayen mahaɗan, kumburi, ko kuma shaidar alamun sanyi, suna iya yin odar gwajin jini don bincika wasu ƙwayoyin cuta masu alaƙa da MCTD, kamar su anti-RNP, da kuma kasancewar na alamun kumburi.

Hakanan suna iya yin odar gwaje-gwaje don neman kasancewar ƙwayoyin cuta waɗanda suke da alaƙa da wasu cututtukan autoimmune don tabbatar da daidaitaccen ganewar asali da / ko tabbatar da wata cuta ta zowa.

Yaya ake magance ta?

Magunguna na iya taimakawa wajen kula da alamun cutar MCTD. Wasu mutane kawai suna buƙatar maganin cutar lokacin da ta tashi, amma wasu na iya buƙatar magani na dogon lokaci.

Magungunan da ake amfani dasu don magance MCTD sun haɗa da:

• Magungunan anti-inflammatory marasa ƙwayar cuta (NSAIDs). SAididdigar NSAIDs, kamar ibuprofen (Advil, Motrin) da naproxen (Aleve), na iya magance ciwon haɗin gwiwa da kumburi.
• Corticosteroids. Magungunan cututtukan steroid, kamar prednisone, na iya magance kumburi kuma zai taimaka dakatar da garkuwar jikinku daga afkawa cikin kyallen takarda. Saboda suna iya haifar da illoli da yawa, kamar su hawan jini, ciwon ido, sauyin yanayi, da ƙimar nauyi, yawanci ana amfani da su ne kawai don ɗan gajeren lokaci don kauce wa haɗarin lokaci mai tsawo.
• Magungunan zazzabin cizon sauro. Hydroxychloroquine (Plaquenil) na iya taimakawa tare da sassauƙan MCTD kuma tabbas zai iya taimakawa wajen hana fitina.
• Masu toshe tashar calcium. Magunguna kamar nifedipine (Procardia) da amlodipine (Norvasc) suna taimakawa wajen sarrafa alamarin Raynaud.
• Immunosuppressants. Mai tsananin MCTD na iya buƙatar magani na dogon lokaci tare da masu rigakafi, waɗanda kwayoyi ne waɗanda ke murƙushe tsarin garkuwar ku. Misalan gama gari sun hada da azathioprine (Imuran, Azasan) da mycophenolate mofetil (CellCept). Wadannan kwayoyi na iya iyakance yayin daukar ciki saboda yiwuwar lalacewar tayi ko yawan guba.
• Maganin hauhawar jini na huhu Ciwan jini na huhu shine babban dalilin mutuwar mutane tare da MCTD. Likitoci na iya yin amfani da magunguna kamar bosentan (Tracleer) ko sildenafil (Revatio, Viagra) don taimakawa hana hauhawar jini daga huhu daga mummunan rauni.

Baya ga magani, canje-canje da yawa na rayuwa na iya taimakawa:

• Menene hangen nesa?

  Duk da kewayon alamomin bayyanar cututtuka, MCTD na iya gabatarwa kuma ya kasance mai sauƙi zuwa matsakaiciyar cuta.

  Koyaya, wasu marasa lafiya na iya ci gaba da haɓaka mummunan yanayin bayyanar cututtukan da suka shafi manyan gabobi kamar huhu.

  Yawancin cututtukan nama masu haɗin kai ana ɗaukarsu cututtukan tsarin ƙasa da yawa kuma ya kamata a duba su kamar haka. Kula da manyan gabobi wani muhimmin bangare ne na kula da lafiya.

  Game da MCTD, nazarin lokaci-lokaci na tsarin yakamata ya haɗa da alamomi da alamomin da suka danganci:

  • SLE
  • polymyositis
  • scleroderma

  Saboda MCTD na iya samun sifofin waɗannan cututtukan, manyan gabobi kamar huhu, hanta, koda, da kwakwalwa na iya shiga.

  Yi magana da likitanka game da kafa tsarin kulawa na dogon lokaci da tsarin gudanarwa wanda ke aiki mafi kyau don alamun ku.

  Miƙawa ga ƙwararren masanin cututtukan rheumatology na iya taimakawa saboda yiwuwar rikitarwa na wannan cuta.