Ziyabonakala Njani?
I-rheumatoid arthritis iyanzima. Uninzi lwabantu abane-arthritis ye-rheumatoid ziya kukuxelela ukuba ixesha elithile lidlulileyo ngaphambi kokuba banikwe ukuxilongwa ngokucacileyo. Nangona ugqirha ugxeka i-rheumatoid arthritis kwangaphambili, akukho vavanyo olulodwa okanye ubungqina obungqina obuqinisekisa ukuxilongwa. Iziphumo ezivela kwisifo somzimba wesigulane, imbali yonyango, iimvavanyo zelabhoratri kunye nezifundo zokucinga zimele ziqwalaselwe zonke.
Akunjalo nje kuphela ezimbalwa izifo ezichaphazelekayo ezichaphazelekayo ne-rheumatoid arthritis, izigulana ezineempawu ezahlukahlukeneyo zesifo. Kwizigulane ezininzi ze-rheumatoid arthritis, ukuqala kweempawu kubonakala ngokukhawuleza kwaye kusekwe kakuhle phambi kokuba kuqaphelwe. Umgangatho we- polyarthritis uquka amaqela amancinci ezandla kunye neenyawo ngaphambi kokufudukela kumaqela amakhulu. Kodwa kukho ezinye iindlela zesifo se-arthritis esizibonakalisa sona esingaqhelekanga: i-palindromic (imisonto emfutshane yentlungu ephindaphindiweyo kunye nokuqina, okuchaphazela omnye okanye amaninzi amaninzi, kamva eqhubekayo); I-polymyalgic (ngokuqhelekileyo isigulane esikhulileyo esesikhalazo esiphambili sobunzima, amaxesha amaninzi okanye amanqatha); inkqubo (imbonakalo engeyiyo yembonakalo, njengemfiva, i- malaise , ukulahleka kwesisindo); i- monoarthritis eqhubekayo (i-arthritis kwisihlanganisi esisodwa esikhulu esiqhubekayo).
I-arthritis yokuqala ye-rheumatoid ingahluka kwizinto esizicingayo njenge-arthritis ye-rheumatoid.
Izigulane ezininzi zineempawu eziqhelekileyo zokukhupha xa ziqala ukubonisana nodokotela malunga neempawu zabo zokuqala. Uninzi luqhelekile x-ray. Yintoni enokudideka ngakumbi kwi-diagnostic, kwaye ngoko isigulane, kukuba kukho ezinye iimeko ezininzi ezibonakaliswe yi-polyarthritis eneziganeko ezixhomekeke kwi-arthritis ye-rheumatoid.
Ngenxa yokuba ezo zimo zifanisa i-rheumatoid arthritis, kufuneka zicatshangelwe, zize zingabandakanywa, ngaphambi kokuba ukuxilongwa kwe-rheumatoid arthritis iqiniseke ngokuqinisekileyo. Nazi ezinye zeemeko ezifanisa i-rheumatoid arthritis:
I-Post-Viral Arthritis
Izifo ezithintekayo kunye nezifo ezingapheliyo zingabangela i-polyarthritis ekhangeleka njenge-rheumatoid arthritis ekliniki. Izifo ezithintekayo zentsholongwane, ezifana ne-parvovirus B19, ngokuqhelekileyo zingabonakaliswa ngembali yokungabonakali, ukugqithisa kunye neemeko zokugqibela zihlala ixesha elithile. Kubalulekile ukuba uvavanyo lwe-diagnostian lukhuphe ukusuleleka kwintsholongwane ye-hepatitis okanye isifo se-immunodeficiency virus, ingakumbi ukuba unyango olujongene ne-immunosuppressants lucatshangelwa.
IServonegative Spondyloarthritis
I-Psoriatic arthritis inokuba nzima ukuhlula kwi-rheumatoid arthritis, ingakumbi ukuba akukho lihla. Ukubandakanywa kwamalungu e- sacroiliac okanye ama-distal interphalangeal joints of hands anganciphisa ukuxilongwa kwi-psoriatic arthritis. Elinye i-sponeyloarthropathies ye- seronegative (i -arthritis esebenzayo , i- spondylitis e-ankylosing , i-arthropathy ene-inflammatory disease-linked hyfactory) iyakwazi ukulinganisa i-rheumatoid arthritis. "Ukubandakanyeka ngokubambiseneyo, ukungabikho kwezifo ezincinci, ukubonakala kwe-sausage-appearance of digits, nokubandakanyeka kwe-lumbosacral umgudu wonk 'ubani uthanda i-arthropathies ye-seronegative", ngokutsho kweKlinikhi yaseCleveland.
Lupus
I-systemic lupus erythematosus inokudibaniswa nokubandakanyeka ngokubambisana okufanisa i-rheumatoid arthritis, kodwa i-lupus ihluke ngokungaqhelekanga ukuba isifo esiyingozi. Nge-lupus, ukukhubazeka kunokuhlakulela okufana nezo ezihambelana nesifo se-rheumatoid arthritis - umahluko ngenxa yokuba i-tendon kunye ne-ligament laxity ne-lupus, kungekhona intshabalalo.
Scleroderma
Inani elipheleleyo legazi, iplastiki yeenkomiti ezipheleleyo kunye nezifundo ze-serologic (umzekelo, i-anti-nuclear, antiticentromere, kunye ne-antitopoisomerase antibodies) ngokuqhelekileyo iyalelwe xa isigulane sikhankanywa ukuba sine-scleroderma . Izilinganiselo ze-kinase, i-sedryation sedimentation, kunye ne-pro-protein measure measurements, ingaba luncedo njengoko i-diagnostic yenziwe.
"Iziphumo eziphakanyisiweyo zibonisa i-myositis, i-vasculitis, i-malignancy, okanye i-systemic sclerosis kunye nesinye isifo esisodwa," ngokutsho kwe-AAFP.
Vasculitis
I-Polymyalgia rheumatica (PMR) kunye ne- giant cell arteritis (GCA) inokuvela nge-polyarthritis ehambelana. Uninzi lwamaxesha amaninzi, imbali yonyango epheleleyo esuka kwezi gulane inokukunceda ukuhlukanisa i-PMR okanye i-GCA (umz., Intloko yesifo, kunye neentlungu kunye nentlungu ye-hip). Kwezinye iimeko, ukuxilongwa kuxhomekeke ekuqwalaselweni kwesifo emva kwexesha. Ngamanye amazwi, iingxaki ezinzulu zingaphuhlisa ngexesha elibhekisela kwi-vasculitide. I- vasculitis yesistim ingabonakalisa ne-polyarthritis. I-granulomatosis ye-Wegener ingaba yintlu ye-rhumatoid.
Osteoarthritis
Ukungabikho kwempawu kunye neempawu zokuvuvukala komzimba, ukuqala ekukhuleni kwabantu abadala, kunye nomzekelo wokubandakanyeka ngokubambisanayo (ukulinganisa) kudla ngokwaneleyo ukuhlukanisa i- osteoarthritis kwi-rheumatoid arthritis. "I- osteoarthritis enobungozi inokubakho ukubonakala okuvukisayo kwiimviwo, kodwa iquka ukubandakanya amajoyina e-PIP ngokuyinhloko, ayinakunyaniswa ne-synovitis eyandayo, ayikho i-RF (i-rheumatoid factor factor), kwaye inokubonakala kwimibala ye-radiography", kubika iCleveland Clinic.
Gout
Ngokuqhelekileyo igulane ngokuqhelekileyo idibene ne-asymmetric monoarticular okanye i-oligoarticalular ukuvuvukala kunye ne-arthritis, ihlala iintsuku ezi-3 ukuya kwi-10. Kodwa, ukuhlaselwa kwe-gout kungaba rhoqo, kusele ixesha elide, kwaye kungenako ukulungisa, okukhokelela ekutheni i-arthropathy engapheliyo. I-Gouty hythropathy ingabangela ukukhutshwa kunye nokutshabalalisa. Ikwahluke kwi-arthritis ye-rheumatoid ngokungabikho kwendawo edibaniseneyo kunye nokungabikho kwe- osteopenia yexesha eliqhelekileyo, ngokwe-Clinic yaseCleveland.
Inkcazo
I-CPPD i-crystal deposition disease idibene kunye nemibonakalo yekliniki. Ingaba yinto engabonakaliyo, i-gout-like (pseudogout), i-rheumatoid arthritis-like, okanye i-osteoarthritis-like. I-Pseudogout iyahlukaniswa ngokuhlaselwa ngokuthe tye kwe-synovitis efana nokulinganisa igciwane. Uhlalutyo lwe-Synovial lwamanzi lusetyenziselwa ukuxilongwa ngokungafani.
Sjogren's Syndrome
I-Sjogren's syndrome iyisifo sokuzibulala, isifo esivuthayo. Inokuthi ibe yinkqubo ephambili ngaphandle kwesinye isifo se-rheumatic okanye njengesimo sesibini kunye nesinye isimo se-rheumatic. Isifo seSjogren sePrayimari sinokulinganisa i-rheumatoid arthritis. Amaphesenti angama-60 ukuya kuma-70 ezigulane zase-Sjogren eziphambili zineempembelelo ze-rheumatoid factor. Kukho ngokuqhelekileyo ubuhlungu, ukuqina, nokuvuvukala kwamalungu. Uvavanyo olukhethekileyo lunokunceda ukuhlukanisa phakathi kweSjogren's syndrome kunye ne-rheumatoid arthritis.
Sarcoidosis
I-Sarcoidosis ingabonakalisa nge-synovitis kumaqela amaninzi kwaye ingaba nesifo se-rhumatoid. Kodwa, ezinye iimpawu zinceda ukuhlula kwi-rheumatoid arthritis. Kwezinye iimeko, i-biopsy yamathambo ingafuneka ukuba imise ukuxilongwa.
Fibromyalgia
I-Fibromyalgia inokuthi ibonakaliswe yi-arthralgias ehambelanayo kunye nobunzima ekuphumleni, kodwa ukungabikho kwe-synovitis, ukungabikho kwintlungu ekuhambeni, kunye nezifundo eziqhelekileyo zelabhoratri kunye neengcamango zivumela ukuxilongwa kwe-fibromyalgia, ukwahlula kwi-rheumatoid arthritis, ngokutsho kweCliniveland Clinic.
Ngaphantsi
Kukho iimeko ezifanisa i-rheumatoid arthritis, ingakumbi ekuqaleni kwexesha le sifo. Umgangatho oqhelekileyo oqhelekileyo ngowama-polyarthritis. Imbali yesigulane yesigulane, ukubonwa kweempawu kunye nezibonakaliso zezifo ngexesha, kunye nokuvavanya okuvakalayo ukuxilonga kunceda ukwahlula iimeko kwi-rheumatoid arthritis.
Imithombo:
Gout kunye nePseudogout. Feyrouz Al-Ashkar. Kliniki yaseCleveland.
http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/rheumatology/gout-and-pseudogout/
Irheumatoid arthritis. UWilliam S. Wilke. Kliniki yaseCleveland.
http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/rheumatology/rheumatoid-arthritis/
Systemic Sclerosis / Scleroderma: I-Treatment Multisystem System. UMonique Hinchcliff, MD kunye noJohn Varga, uMdokotela waseMelika waseMelika. Oktobha 15, 2008.
http://www.aafp.org/afp/2008/1015/p961.html
Ukuxilongwa kwe-Arthritis yokuqala ye-Rheumatoid: Oko okungafunekiyo kwiNgcali. E Suresh, MD MRCP. Umbhalo weRoyal Society of Medicine. Septemba 2004.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1079582/