Secondary Sjogren's Syndrome thiab Mob Txhaws

Zoo Siab

• Cov tsos mob
• Yam pheej hmoo
• Kev kuaj mob
• Kev Xeem rau Sjogren's
• Cov xwm txheej uas ntsiag to Sjogren's
• Cov kev kho mob xaiv
• Cov Tshuaj Kho Mob
• Txoj kev ua neej
• Kuv xav tau kws kho mob zoo li cas?
• Lub hom phiaj ncua ntev

Sjogren's syndrome theem nrab yog dab tsi?

Sjogren's syndrome yog lub caij ua haujlwm autoimmune uas ua rau lub qog ua rau lub siab ua haujlwm, ua rau nws nyuaj rau tsim cov kua qaub thiab kua muag. Ib txwm ntawm tus kab mob yog infiltration ntawm lub hom phiaj plab hnyuv siab raum los ntawm lymphocytes. Thaum Sjogren's syndrome tshwm sim los ntawm nws tus kheej, nws tau hu ua thawj Sjogren's syndrome.

Yog tias koj twb muaj lwm yam kab mob autoimmune, tus mob hu ua yam mob Sjogren's syndrome. Nrog theem nrab Sjogren's, koj yuav muaj daim ntawv me me dua ntawm qhov mob. Tab sis koj tseem yuav pom muaj cov tsos mob ntawm tus mob coexisting. Cov teeb meem uas feem ntau ua rau theem nrab Sjogren's yog mob caj dab (RA), lwm yam kab mob autoimmune.

Cov tsos mob

Cov tsos mob ntawm Sjogren's tuaj yeem suav nrog lub qhov muag qhuav, qhov ncauj, caj pas, thiab hlab pas sab saud. Tej zaum koj yuav muaj teeb meem saj los yog nqos koj cov zaub mov. Koj kuj tseem tuaj yeem hnoos, txhaws qa, mob hniav, lossis hais lus nyuaj. Rau cov poj niam, qhov chaw mos ua tau tshwm sim.

Cov qauv pib thiab nruab nrab ntawm Sjogren's tuaj yeem muaj cov tsos mob zoo sib xws, uas suav nrog:

• nkees
• lub hlwb pos huab
• ua npaws
• mob tej pob txha
• mob leeg
• leeg mob

Tsawg zaus, Sjogren's ua rau:

• daim tawv nqaij ua pob
• mob hnyuv teeb meem loj
• o ntawm lub siab, ob lub raum, tus txiav, lossis lub ntsws
• ntxiv lawm tshob los yog ntxov lawm

Theem nrab Sjogren's tuaj yeem koom nrog cov xwm txheej hauv qab no:

• RA
• thawj chilangitis
• lupus
• scleroderma

Thaum cov tsos mob ntawm RA feem ntau muaj xws li o, mob, thiab txhav ntawm cov pob qij txha, nws kuj tuaj yeem ua rau lwm cov tsos mob zoo ib yam li Sjogren's. Cov no suav nrog:

• mob npaws me ntsis
• nkees
• tsis qab los noj mov

Yam pheej hmoo

Raws li Cleveland Clinic, muaj ntau dua ib lab tus neeg hauv Tebchaws Meskas muaj thawj Sjogren's. Ntau dua 90 feem pua ​​yog poj niam. Koj tuaj yeem txhim kho Sjogren's thaum muaj hnub nyoog li cas, tab sis nws feem ntau kuaj mob tom qab hnub nyoog 40, raws li Mayo Clinic. Qhov tseeb ntawm Sjogren's tsis tau paub. Tab sis zoo li RA, nws yog kev ntshawv siab ntawm lub cev tiv thaiv kab mob.

Qhov tseem ceeb ua rau RA tsis muaj peev xwm tsis paub, tab sis muaj qhov caj ces txuam nrog. Yog tias koj muaj ib tus neeg mob hauv koj tsev neeg muaj kab mob autoimmune, ib yam li RA, koj yuav muaj kev pheej hmoo rau kev mob ib yam nkaus,

Kev kuaj mob

Tsis muaj ib qho kev sim rau Sjogren's. Kev kuaj mob tuaj yeem tshwm sim tom qab koj tau txheeb xyuas nrog lwm tus kab mob autoimmune thiab tsim muaj qhov ncauj ntawm qhov ncauj thiab qhov muag. Lossis koj yuav ntsib teeb meem loj hauv txoj hnyuv lossis qhov mob hlab ntaws (neuropathy).

Txhawm rau kuaj mob theem nrab Sjogren's nrog RA, koj yuav tsum yauv mus kuaj sim. Feem ntau cov no suav nrog SSA / SSB cov tshuaj tiv thaiv kab mob thiab lub ntsej muag qis kom saib cov kab mob lymphocytes. Koj yuav raug xa mus rau tus kws kho qhov muag mus kuaj qhov muag qhuav. Koj tus kws kho mob yuav tseem txiav txim rau lwm yam uas ua rau koj cov tsos mob.

Kev Xeem rau Sjogren's

Koj tus kws kho mob yuav saib koj cov keeb kwm kho mob tag nrho thiab kuaj koj lub cev. Lawv kuj yuav ua kom muaj kev sib tw raws li hauv qab no:

• kuaj ntshav: Cov no tau siv los saib seb koj puas muaj qee cov yam ntxwv ntawm tus cwj pwm ntawm Sjogren's. Koj tus kws kho mob yuav nrhiav cov kab mob anti-Ro / SSA thiab cov tshuaj tiv thaiv La / SSB, ANA, thiab mob pob qij txha (RF).
• me: Thaum txoj kev ua no, koj tus kws kho mob yuav tsom rau koj cov qaub ncaug qaub ncaug.
• Kev sim Schirmer: Hauv lub sijhawm kuaj tsib-feeb qhov muag no, koj tus kws kho mob tso cov ntawv lim rau lub kaum ntawm koj lub qhov muag kom pom seb nws ntub dej npaum li cas.
• Rose-Bengal lossis lissamine ntsuab staining xeem: Qhov no yog lwm qhov muag ntsuas uas ntsuas dryness ntawm lub pob zeb.

Cov xwm txheej uas ntsiag to Sjogren's

Nco ntsoov qhia koj tus kws kho mob txog kev yuav tom kiab khw (OTC) thiab cov tshuaj uas koj noj. Qee cov tshuaj tuaj yeem ua rau cov tsos mob cuam tshuam nrog Sjogren's. Cov tshuaj no suav nrog:

• tricyclic antidepressants xws li amitriptyline (Elavil) thiab nortriptyline (Pamelor)
• cov tshuaj tiv thaiv antihistamines xws li diphenhydramine (Benadryl) thiab cetirizine (Zyrtec)
• tshuaj tiv thaiv qhov ncauj
• tshuaj ntshav siab

Kev kho mob hluav taws xob kuj tseem tuaj yeem ua rau cov tsos mob zoo sib xws, tshwj xeeb yog tias koj tau txais cov kev kho mob no ncig thaj tsam taub hau thiab caj dab.

Lwm yam kev ua haujlwm autoimmune kuj tseem tuaj yeem qog Sjogren's. Nws yog ib qho tseem ceeb uas koj yuav tsum kuaj txhua qhov kev kuaj mob pom zoo thiab taug qab nrog koj tus kws kho mob txhawm rau txiav txim qhov tseeb qhov tshwm sim ntawm koj tus tsos mob.

Cov kev kho mob xaiv

Tsis muaj kev kho rau Sjogren's lossis mob caj dab, yog li kev kho yog qhov tseem ceeb los txo cov tsos mob thiab txhim kho koj lub neej zoo. Koj txoj kev kho mob yog nyob ntawm qhov mob hnyav ntawm koj cov tsos mob. Tej zaum koj yuav tau sim ua ntau yam kev kho mob. Qee qhov kev xaiv suav nrog:

Cov Tshuaj Kho Mob

Yog tias koj mob ib ce thiab mob hauv koj cov pob qij txha thiab cov leeg, sim ua cov tshuaj OTC los yog cov tshuaj tiv thaiv. Cov tshuaj nonsteroidal anti-inflammatory (NSAIDS) xws li ibuprofen (Advil, Motrin) yuav pab tau.

Yog tias lawv tsis ua qhov dag, nug koj tus kws kho mob txog corticosteroids thiab antirheumatic lossis cov tshuaj tiv thaiv kab mob. Cov no ua haujlwm los ntawm kev txo qis o thiab tiv thaiv koj lub cev los ntawm kev tawm tsam nws tus kheej.

Nrog theem nrab Sjogren's, koj kuj tseem xav tau cov tshuaj los pab ua kom muaj kev zais cia xws li kua muag thiab qaub ncaug. Cov tshuaj uas yuav siv tau suav nrog cevimeline (Evoxac) thiab pilocarpine (Salagen). Koj yuav tsum tau muag tshuaj rau qhov muag kom pab qhov muag qhuav. Cyclosporine (Restasis) thiab kev daws teeb meem ophthalmic lifigralmic (Xiidra) yog ob txoj kev xaiv.

Txoj kev ua neej

Qee qhov kev xaiv lub neej kuj tseem tuaj yeem pab koj tawm tsam Sjogren's thiab RA. Ua ntej, koj tuaj yeem tawm tsam kev qaug zog los ntawm kev pw tsaug zog hmo ntuj zoo thiab so thaum nruab hnub. Tsis tas li, nug koj tus kws kho mob txog kev tawm dag zog uas tuaj yeem pab koj nce siab thiab tsis yooj yim rau cov leeg mob thiab mob pob txha. Kev tawm dag zog tsis tu ncua tuaj yeem txhim kho qhov yooj thiab txo qis qhov tsis xis nyob. Nws tseem yuav pab tswj kom lub cev nyhav kom zoo thiab ua rau kev ntxhov siab tsawg dua ntawm cov pob qij txha thiab cov leeg.

Tswj cov khoom noj muaj txiaj ntsig zoo yuav ua rau koj txoj kev noj qab haus huv tag nrho. Lo nrog cov khoom noj cog uas cog thiab tiv thaiv kom tsis txhob muaj cov rog hauv cov ntses thiab cog roj. Tsis txhob muaj suab thaj thiab zaub mov ua. Cov no tuaj yeem ua rau o tuaj.

Kuv xav tau kws kho mob zoo li cas?

Cov kws kho mob tshwj xeeb hauv cov kabmob xws li mob caj dab yog hu ua kws kho mob Rheumatologist. Yog tias koj tau kuaj pom muaj mob caj dab, mob rheumatologist feem ntau kuj tuaj yeem kho Sjogren's.

Ua raws li qhov mob hnyav ntawm koj cov tsos mob, koj tus kws kho mob rheumatologist lossis tus kws kho mob dav dav tuaj yeem xa koj mus rau lwm cov kws kho mob tshwj xeeb. Lawv yuav suav nrog kws kho qhov muag, kws kho kaus hniav, lossis kws kho mob otolaryngologist, tseem hu ua kws kho pob ntseg, qhov ntswg, thiab caj pas.

Lub hom phiaj ncua ntev

Tsis muaj tshuaj kho rau Sjogren's lossis RA. Tab sis muaj ntau txoj kev kho thiab kev xaiv lub neej uas tuaj yeem txhim kho koj lub neej zoo.

Cov tsos mob ntawm mob caj dab mas txawv me me mus rau debilitating, tab sis mob caj dab hauv thawj Sjogren's tsis tshua muaj kev puas tsuaj. Qhov tseem ceeb yog ua haujlwm nrog koj tus kws kho mob kom pom cov kev kho mob zoo tshaj plaws. Muaj qee zaus, cov neeg uas muaj Sjogren's tuaj yeem txhim kho cov qog ntshav. Qhia cov tsos mob ntawm qhov o txawv txav lossis cov leeg hlab ntshav muaj teeb meem rau koj tus kws kho mob.