ʻO ka Secondary Sjogren's Syndrome a me ka maʻi maʻi

Anter

• Nā ʻōuli
• Nā kumu weliweli
• Kānāwai
• Nā hoʻāʻo no Sjogren's
• Nā kūlana e hoʻohālikelike iā Sjogren's
• Nā koho lapaʻau
• Nā Lapaʻau
• Auila
• He aha ke ʻano o ke kauka e pono ai?
• Nānā wā lōʻihi

He aha ka lua o Sjogren's syndrome?

ʻO Sjogren's Syndrome kahi maʻi autoimmune e hōʻino ai i nā momona hana hua, e paʻakikī e hana i ka lawai a me nā waimaka. ʻO kahi hiʻohiʻona o ka maʻi ka infiltration o nā organ target e lymphocytes. Ke hiki mai ka maʻi Sjogren ma o ia iho, kapa ʻia ʻo Sjogren's Syndrome kumu.

Inā loaʻa iā ʻoe kahi maʻi autoimmune ʻē aʻe, ua kapa ʻia kēia ʻano he maʻi ʻelua ʻo Sjogren's Syndrome. Me ka lua o Sjogren's, loaʻa paha iā ʻoe kahi ʻano milder o ke ʻano. Akā e ʻike nō ʻoe i nā ʻōuli o ka maʻi noho pū. ʻO ke kumu maʻamau o ka lua o Sjogren's he rheumatoid arthritis (RA), kekahi ʻano maʻi autoimmune.

Nā ʻōuli

Hiki i nā ʻōuli o Sjogren ke komo i nā maka maloʻo, waha, ʻāʻī, a me nā ala kiʻekiʻe o luna. Hiki paha iā ʻoe ke paʻakikī e ʻono a ale paha i kāu meaʻai. Hiki paha iā ʻoe ke hoʻomohala i ka puʻupuʻu, keu, nā pilikia niho, a i ʻole ke paʻakikī e ʻōlelo. No nā wahine, hiki i kahi maloʻo liʻiliʻi.

Hiki i nā ʻano kumu mua a me nā lua o Sjogren's ke loaʻa nā hōʻailona like, e pili pū me:

• luhi
• ohu lolo
• fiva
• ʻeha pū
• ʻeha ʻeha
• ʻeha nerve

ʻO ka liʻiliʻi pinepine, nā kumu a Sjogren:

• ʻāwīwī o ka ʻili
• nā pilikia gastrointestinal nui
• pehu o ke ake, nā puʻupaʻa, pancreas, a me nā akemāmā
• infertility a i ʻole menopause ma mua

Hiki iā Secondary Sjogren's ke hele pū me kēia mau ʻano:

• ʻO RA
• cholangitis biliary mua
• lupus
• scleroderma

ʻOiai ʻo nā hōʻailona o RA ka mea maʻamau me ka mumū, ka ʻeha, a me ka ʻoʻoleʻa o nā hono, hiki iā ia ke kumu i nā ʻōuli ʻē aʻe e like me Sjogren's. Pākuʻi ʻia kēia mau mea:

• fever fever
• luhi
• nalo ʻai ʻole

Nā kumu weliweli

Wahi a ka Cleveland Clinic, ʻoi aku ma mua o hoʻokahi miliona mau kānaka ma ʻAmelika Hui Pū ʻIa i loaʻa iā Sjogren's mua. Ma mua o 90 pākēneka he mau wahine. Hiki iā ʻoe ke hoʻomohala iā Sjogren's i kēlā me kēia makahiki, akā ʻike pinepine ʻia ia ma hope o ka makahiki 40, e like me ka Mayo Clinic. ʻAʻole ʻike ʻia ke kumu pono o Sjogren's. Akā e like me RA, he maʻi ia o ka ʻōnaehana pale.

ʻAʻole ʻike ʻia ke kumu kikoʻī o RA, akā aia kekahi ʻāpana genetika e pili ana. Inā he lālā ʻohana kou me nā maʻi autoimmune, e like me RA, makaʻu ʻoe no ka hoʻomohala ʻana i kekahi.

Kānāwai

ʻAʻohe ho'āʻo hoʻokahi no Sjogren's. Hiki ke hana i ka diagnose ma hope o kou ʻike ʻia me kekahi maʻi autoimmune hou a hoʻomōhala i ka maloʻo o ka waha a me nā maka. A i ʻole ʻike paha ʻoe i nā pilikia gastrointestinal koʻikoʻi a i ʻole ʻeha nerve (neuropathy).

No ke kuhi ʻana i ka lua ʻo Sjogren's me RA, pono ʻoe e hele i ke ʻano o nā hoʻokolohua. ʻO ka hapanui o kēia mau mea me nā SSA / SSB antibodies a me kahi biopsy lehelehe lalo e nānā no nā wahi kiko o nā lymphocytes. E kiʻi ʻia ʻoe i kahi kauka maka e hoʻāʻo no ka maka maloʻo. E kāpae hoʻi kāu kauka i nā kumu kūpono ʻē aʻe o kāu mau hōʻailona.

Nā hoʻāʻo no Sjogren's

E nānā mua kāu kauka i kāu mōʻaukala piha a alakaʻi i kahi hoʻokolohua kino. E kauoha paha lākou i nā hōʻike aʻe:

• nā ho'āʻo koko: Hoʻohana ʻia kēia e ʻike inā loaʻa iā ʻoe kekahi mau ʻano antibodies o Sjogren's. E ʻimi ana kāu kauka no nā anti-Ro / SSA a me anti-La / SSB antibodies, ANA, a me rheumatoid factor (RF).
• biopsy: I kēia kaʻina hana, e kau ana kāu kauka i kāu mau liʻowai.
• Hōʻike a Schirmer: I loko o kēia hoʻāʻo maka ʻelima mau minuke, hoʻokau kāu kauka i ka pepa kānana ma luna o ke kihi o kou maka e ʻike ai i ka maʻū o ka wai.
• ʻO ka hoʻāʻo ʻana ʻo Rose-Bengal a i ʻole lissamine hōʻike ʻōmaʻomaʻo: ʻO kēia kahi hoʻāʻo ʻē aʻe e ana i ka maloʻo o ke kō.

Nā kūlana e hoʻohālikelike iā Sjogren's

E pono e haʻi aku i kāu kauka e pili ana i ka counter (OTC) a me nā lāʻau lapaʻau āu e lawe nei. Hiki i kekahi mau lāʻau lapaʻau ke kumu i nā hōʻailona e pili ana me Sjogren's. Hoʻopili kēia mau lāʻau:

• nā antidepressants tricyclic e like me amitriptyline (Elavil) a me nortriptyline (Pamelor)
• antihistamines e like me diphenhydramine (Benadryl) a me cetirizine (Zyrtec)
• nā pale pale waha
• nā lāʻau kahe koko

Hiki i nā mālama uila ke hana i nā ʻōuli like, keu hoʻi ke loaʻa iā ʻoe kēia mau hana a puni ke poʻo a me ka ʻāʻī.

Hiki paha ke hoʻohālikelike i nā maʻi autoimmune ʻē aʻe iā Sjogren's. He mea nui e lawe i nā hoʻokolohua āpau i kākoʻo ʻia a e nānā me kāu kauka e hoʻoholo i ke kumu kūpono o kāu mau hōʻailona.

Nā koho lapaʻau

ʻAʻohe lāʻau lapaʻau no Sjogren's a i ʻole arthritis, no laila he mea nui ka mālama ʻana e hōʻemi ai i nā hōʻailona a hoʻomaikaʻi i kou ola holoʻokoʻa. Pili kāu papa hana i ka paʻakikī o kāu mau ʻōuli. E hoʻāʻo paha ʻoe i kahi hui o nā mālama. Aia kekahi o nā koho i:

Nā Lapaʻau

Inā loaʻa ʻoe i nā ʻeha a me nā ʻeha i kou mau hono a me nā mākala, e hoʻāʻo i nā mea hōʻeha ʻeha OTC a i ʻole nā ​​lāʻau anti-inflammatory. Hiki ke kōkua i nā lāʻau anti-inflammatory Nonsteroidal (NSAIDS) e like me ibuprofen (Advil, Motrin).

Inā ʻaʻole lākou e hana i ka hana hoʻopunipuni, e nīnau i kāu kauka e pili ana i ka lāʻau corticosteroids a me ka antirheumatic a i ʻole nā ​​lāʻau immunosuppressive. Hana kēia mau mea ma ka hoʻemi ʻana i ka lī a me ka pale ʻana i kou kino mai ka hoʻouka ʻana iā ia iho.

Me ka lua o Sjogren's, pono paha ʻoe i nā lāʻau e kōkua i ka hoʻonui ʻana i nā huna e like me ka waimaka a me ka lawai. ʻO nā lāʻau lapaʻau maʻamau e pili ana i ka cevimeline (Evoxac) a me ka pilocarpine (Salagen). Pono paha ʻoe i nā kulu maka maka e kōkua i ka maka maloʻo. ʻO Cyclosporine (Restasis) a me ka solution ophthalmic lifitegrast (Xiidra) nā koho ʻelua.

Auila

Hiki i kekahi mau koho nohona ke kōkua iā ʻoe e hakakā i ka lua o Sjogren's a me RA. ʻO ka mea mua, hiki iā ʻoe ke hakakā me ka luhi ma o ka hiamoe maikaʻi ʻana a me ka hoʻomaha ʻana i ke ao. Eia kekahi, e nīnau i kāu kauka e pili ana i nā hana e hiki ke kōkua iā ʻoe e hoʻonui i ka maʻalahi a maʻalahi hoʻi i ka ʻeha a me ka ʻeha pū. Hiki i ka hoʻoikaika kino mau ke hoʻomaikaʻi i ka maʻalahi a hoʻoliʻiliʻi i ka pilikia. E kōkua pū ia i ka mālama ʻana i ke kaupaona kūpono a kau i ke koʻikoʻi ma nā hono a me nā mākala.

Mālama i ka papaʻai meaʻai i nā mea momona hiki ke hoʻomaikaʻi i kou olakino olakino. Hoʻopili me nā meaʻai mea kanu a me nā momona anti-inflammatory i loaʻa i nā iʻa a me nā aila mea kanu. Hōʻalo i ke kō a me nā meaʻai i hana ʻia. Hiki i kēia mau mea ke hoʻonui i ka pehu.

He aha ke ʻano o ke kauka e pono ai?

ʻO nā kauka i loea i nā maʻi e like me ka maʻi rumati, ua kapa ʻia ʻo rheumatologists. Inā ua hōʻoia ʻia ʻoe me ka maʻi kō, e hiki nō i kāu rheumatologist ke mālama iā Sjogren's.

Kaukaʻi ʻia i ke koʻikoʻi o kāu mau ʻōuli, hiki i kāu rheumatologist a i ʻole kauka kauka paha ke kuhikuhi iā ʻoe i nā loea ʻē aʻe. E hoʻopili lākou i kahi ophthalmologist, dentist, a i ʻole otolaryngologist, i ʻike ʻia he pepeiao, ihu, a me ka ʻāʻī puʻupuʻu.

Nānā wā lōʻihi

ʻAʻohe mea ola no Sjogren's a i ʻole RA. Akā he nui nā koho a me nā koho nohona e hiki ke hoʻomaikaʻi i kou ola.

Hoʻololi nā ʻōuli o ka maʻi ʻōmaʻomaʻo mai ka palupalu a i ka nāwaliwali, akā ʻaʻole ʻino ka hōʻino ʻana i ka maʻi o ka Sjogren. ʻO ke kī e hana pū me kāu kauka e ʻike i nā lāʻau ʻoi loa. I nā hihia maʻamau, hiki i ka poʻe me Sjogren's ke ulu i ka lymphoma. Hōʻike i nā hōʻailona o ka pehu ʻole a me nā pilikia neurologic i kāu kauka.