It bothers most people. More often than not is dry
danger and runs independently. But sometimes, especially during prolonged
maintaining or increasing severity of dryness symptoms can be
quite heavy disease - Sjogren's syndrome that requires treatment at the rheumatologist.
Sjogren's Syndrome is also known as "dry
syndrome ", which is very clearly defines its essence - insufficient
education glands secretion. But it is not hormonal, and those that produce
body fluid on the surface or in the cavity - salivary, lacrimal,
sweat, vaginal, and others.
Sjogren's syndrome, symptoms
Sjogren's syndrome (sicca syndrome) - an autoimmune disease,
in which the immune system mistakenly attacks the glands that make up
liquid. The result is a lack of saliva, tears, and other
secrets. However, dry Sjogren's syndrome can not be confined to the glands, but also affect other organs, which develops an inflammatory reaction.
The severity of symptoms can vary. Sjogren's Syndrome often affects women (9 cases out of 10), the average age of onset of the disease - 50 years.
It is important to know that Sjogren's syndrome can be an independent disease, but can occur in other diseases. In the first case the use of the term "Sjogren's disease" or "primary Sjögren's syndrome. '
In the second case, when Sjogren syndrome arises against rheumatoid
arthritis, systemic lupus erythematosus and other diseases, speak of "secondary Sjögren's syndrome."
The most common symptoms of Sjogren's syndrome are associated with deficiencies fluid secretion glands in the body:
- Dry eyes. The most common disturbs
foreign body sensation in eyes (sand), a burning sensation, itching,
increased sensitivity to light (photophobia); can be seen
redness of the eyes.
- Dry mouth, nose and throat. feeling
dryness can cause problems in swallowing and speaking. Very difficult
eat solid food, and dry (cookies, crackers, etc.) - almost
impossible. It may disturb a change in taste, education
mouth ulcers. A very common problem in long-term existence of dryness - caries. Sometimes there epistaxis, ear infections.
- Vaginal dryness. As a result, sexual intercourse becomes painful.
- Dry skin.
- The increase of the parotid glands.
In addition, often marked by fever, general
a feeling of malaise, pain and stiffness of the joints, muscle pain,
Sjogren's syndrome - a chronic disease. Symptoms may intensify, disappear for a while, or stay at the same level.
Causes Sjögren's syndrome factors
The cause of Sjogren's syndrome is unknown. In its development
take part genetic, immunological, hormonal and
external factors. In some patients, the disease triggering factor
are viral infections.
In secondary Sjögren's syndrome dryness develops due
other diseases - rheumatoid arthritis, systemic lupus erythematosus,
systemic scleroderma, polymyositis, and others.
Risk of Sjogren's syndrome is increased in the presence of at
family of autoimmune diseases, as well as in the presence
autoimmune diseases (rheumatoid arthritis, systemic lupus
lupus, systemic sclerosis, polymyositis, and others.) in humans.
How is the diagnosis of Sjögren's syndrome
For the diagnosis of Sjogren's syndrome it is very important the correct questioning the doctor, as well as saliva educational research, tears and other fluids.
No specific diagnostic test does not exist.
When blood tests evaluate the presence of inflammation, and it is determined whether the primary Sjögren's syndrome
or secondary. The most characteristic changes: increased erythrocyte sedimentation rate (rate
erythrocyte sedimentation rate), C-reactive protein (CRP), rheumatoid factor
It is often necessary to study specific antibodies are elevated in Sjögren's syndrome - anti-Ro (anti-Ro) and anti-La (anti-A) antibody.
You may need a biopsy of the oral mucosa, which can detect inflammation of the small salivary glands.
How is the treatment of Sjögren's syndrome
Treatment of Sjogren's syndrome can facilitate health and helps prevent damage to internal organs.
It is important to monitor the condition of the teeth - brush them daily with
using toothpaste with fluoride, regular dental visits.
It is recommended to use chewing gum, not containing sugar. at
the need to use saliva deputies.
The use of dark glasses to protect your eyes from dust, wind and
strong light. It is important to regularly visit an ophthalmologist. For
reduce dryness in the eyes of the need to use artificial
tears, and lay special ointment at night.
When severe pain and stiffness in the joints, you can briefly take nonsteroidal anti-inflammatory drugs.
Avoid antihistamines and reception dekongestanotov
(Drugs that are prescribed for rhinitis), as they are
worsen the dryness.
The appointment of glucocorticoid drugs the doctor decides. AT
most cases they clean well and prevent disease symptoms
development of its heavy consequences. However, the side effects
glyukokortikoidoy very serious question of their appointment, and the dose
duration of therapy is decided by the doctor individually.