I-rheumatoid arthritis: izizathu, unyango

I-rheumatoid arthritis, ebangela ukuba iziganeko ezithintekayo ngokuzimela komzimba kwezinye izifo ezithintekayo, sisifo esiyinkimbinkimbi sesisombululo esinobuxhakaxhaka, esihamba kunye nomonakalo ohlanganyeleneyo. Inkoliso kaninzi ithola ngohlobo oluthile lwe-polyarthritis engapheliyo engapheliyo. Kuphela kwi-10% yezifo umsebenzi we-rheumatoid arthritis ngumphumo we-oligo okanye i-monoarthritis. I-Articular syndrome, eyona isiseko somfanekiso wekliniki, idla ngokubonakala ngokubandakanyeka kwamalungu amancinane kule nkqubo. Esi sifo sithatha izilonda ezilinganayo zeenyawo kunye neentsimbi.

Njengezinye izifo, i- rheumatoid arthritis, izizathu ezingayiqondi kakuhle, zinempawu zokuqala. Ekuqaleni esi sifo siyaqatshelwa, ukusetyenziswa kwonyango lwayo luya kusebenza. Iimpawu zokuqala ze-rheumatoid arthritis: ukuvuvukala; Arthralgia (intlungu ngexesha lokunyakaza, kwaye emva koko); Ubunzima bokunyakaza kusasa; Ukuphulwa komsebenzi webrashi; Ukuguqulwa kwamalungu; Ukususwa; Ankylosis; Ikhontrakthi. Kukho iimpawu eziqhelekileyo zezi sifo, ezibandakanya: ukuxhatshazwa, umkhuhlane, i-vasculitis ye-rheumatoid, ukwanda kwama-lymph nodes zesibindi, isilwane, izintso, intliziyo, imiphunga, amehlo, i-anemia. Izimpawu ezingentla zingabonakaliswa ngamazinga ahlukeneyo.

Yintoni enye into ephawulekayo malunga ne-rheumatoid arthritis? Izizathu zezi sifo ziyahlukileyo, ngoko ke, oogqirha bahlula isifo se-seropositive (esichazwe ngumbonakalo ophezulu we- rheumatoid, obonakaliswe ngama-antibologin antibodies / immunoglobulins) kunye nohlobo lwesifo se-seronegative. Ama-antibodies afunyanwa kwi- serum. Naluphi na utshintsho lwe x-ray kwesi sifo lulibazisekile xa kuthelekiswa neklinikhi.

I-rheumatoid arthritis iphathwa njani? Imbali yembali ngamnye igqiba ukuba impembelelo yonyango engcono kakhulu inokufezekiswa kwiinqanaba zokuqala zesifo. Kule nqanaba, isigulane sino-ultrasound, scintigraphy, i-magnetic remonance therapy. Kwizigaba zokuqala, unyango ngeziyobisi ezingekho-steroidal ezichasene nezidakamizwa, i-corticosteroids (nge-intra-articular administration) imiselwe. Iziguli ezine-rumatoid vasculitis corticosteroids zimiselwe ngaphakathi. Ngokuqhubela phambili kwesi sifo, amayeza "iPenicillamine" kunye ne "Hingamin" ayalelwe; Immunosuppressants; Ukulungiswa kwegolide; Physiotherapy. Kwiimeko ezigqithiseleyo, ukungenelela kwindlela yokugonywa kuyimiselwe (i-synovectomy - kwinqanaba elisisigxina sesifo, ukuvuselelwa ngokutsha kunye nokuphela kwe-endoprosthetics - ekuhambeni kwexesha).

Abanye abantu banezinto eziza kubangela izifo. I-rheumatoid arthritis, izizathu ezininzi kwiimeko ezininzi azihlali zicacile, abafazi bahlaselwa kathathu ngokuphindaphindiweyo kunamadoda. Ngokuqhelekileyo, ukuqhubela phambili kwesi sifo kuqala ngo-25 kwaye kuqhubeka iminyaka engama-50, nangona kukho iimeko zokubonakala kwayo kwenye iminyaka. Ukunyangwa kwesi sifo kwi-75% yezigulane kubangela ukunciphisa ubunzima beempawu. Kwi-10% yezigulane, i-arthritis ye-rheumato iphela ngokukhubazeka.