Unyango Iithagethi Ukuvutha Okuhlangene NoSynovitis
I-Synovitis yile gama lonyango lokuvuvukala kwimbali yesigxina (ie, synovium) . Iimpawu ezinxulumene ne-synovitis ziquka intlungu edibeneyo, ukuvuvukala okuhlangeneyo, ubomvu, kunye nokufudumala .
Kubantu abanobuchopho, imbangela ye synovitis idla ngokusetyenziswa kakubi. I-Synovitis nayo yinto ephambili yeentlobo ezahlukeneyo zesifo samathambo . Nge-arthritis evuthayo, iimpawu ze-synovitis zivame ukubonakala ngexesha loviwo lomzimba.
Syncitis
I-sublinlin synovitis ichazwa nje ngokuba ukuvuvukala kwimbombo yesigxina engabonakali ngexesha loviwo lwangaphakathi. I-subclinical synovitis ingabonwa ngokusebenzisa i-MRI (i-imagination magnetic resonance) kodwa kubaluleka kwayo. Ngokwe-rheumatologist uScott J. Zashin, MD, "Ngokwam namava e-rheumatologist, izigulane ezine-subclinical synovitis kunye neendlela eziqhelekileyo zokuvuvukala egazini, njengesiqhelo sokuqhekeza kwesilthrocyte okanye iprotheni esebenzayo e-C (CRP), akunakwenzeka ukuba ukuvelisa umonakalo odibeneyo obonakalayo kwi-x-rays eyisiseko, nangona andingazi naziphi na izifundo ezipapashiweyo kule ngxelo. "
Nangona i-MRI ingenakuphikiswa ukuba yindlela efanelekileyo yokucingela izifundo eziphathekayo, zibiza kwaye zichitha ixesha. I-ultrasound ye-Musculoskeletal iyanceda kwaye ibonakaliswe njengebiza ngexabiso kwaye ilinganayo njenge-MRI yokufumanisa i-synovitis.
Synovitis esebenzayo
Ngexesha leempawu ze synovitis zibonakala okanye zibonakala ngexesha loviwo lwangaphakathi, kukho ukuvuvukala okusebenzayo okwenzekayo kwi-joint joint.
I-synovitis esebenzayo inokukhokelela ekuwonakalweni okuhlanganyelweyo. Yiloo nto ixhalabileyo xa i-synovitis ifunyenwe kwaye ukuba kutheni ukuxilongwa kwangaphambili kunye nokunyangwa kwe-arthritis kugxininiswa.
I-Synovitis ayinakulimaza kuphela umdibaniso, kodwa inokuchaphazela izakhiwo ezungezile, ezifana neeton . Ikhonkco elonakaliswe kakubi linokukhubazeka okanye lihlangane kunye, ukwenza ukuhamba okuqhelekileyo kunye nomsebenzi onzima, ukuba akunakwenzeka.
Symptomatic Synovitis
Synovitis kunye neRheumatoid Arthritis
Ngeliveki ezimbalwa zokuqala zesifo sesifo se-rheumatoid arthritis , ngezinye izihlandlo kungase kube neeseli zegazi ezimhlophe okanye i-edema yamathambo kunokulindelwe ngokuvuvukala, kodwa i-biopsy ibonisa ngokuqhelekileyo imbonakalo yeselula yezifo eziphambili. Abantu abane "isifo se-rheumatoid's early" basenokuba nenkqubo yesifo eqhubekayo phambi kokuqala kweempawu. I-Autoantibodies (iintsholongwane ezichasene nezicubu zomzimba) zicingelwa ukuba ziveliswe kubantu abane-arthritis iminyaka ngaphambi kokuba kubonakale iimpawu zonyango. Oku kuphakamisa isigaba esandulela iklinikhi esingahle senzeke ngaphambi kokuba i-synovitis ye-symptomatic ivelise.
Synovitis kunye neMonoarthritis
Emva kokuba i-synovitis ichongiwe njengesizathu sobuhlungu obudibeneyo, ukuvuvukala, ubomvu, okanye ukufudumala, isizathu sokuvuvukala ngokubambisana kufuneka simiselwe. Ngamanye amazwi, yintoni isifo esiyintloko okanye imeko ehambelana nokuvuvukala okuqhubekayo? Ukuba umntu uveza i- monoarthritis (oko kukuthi, iimpawu zesifo se-arthritis ezichaphazela enye idityaniswe), injongo ebaluleke kakhulu yokuhlolwa kwempilo kukuqinisekisa ukuba khona okanye ukungabikho kokuxutywa kunye okanye synovitis. Ubungqina be-synovitis bubeka umlinganiselo wokuxilongwa ngokungafani phakathi kweentlobo zesifo se-arthritis, i-arthritis esithathelanayo kunye nezifo zesifo se-rheumatic.
Kwizigaba zalo zokuqala, i-rheumatoid arthritis ingabonisa njenge-monoarthritis. Njengoko iqhubela phambili, i-rheumatoid arthritis iyaba i-polyarthritis, echaza ukuba amanxeba amaninzi afakwe kumacala omabini omzimba.
UkuPhatha iSyptomatic Synovitis
Ngoxilongo olufanelekileyo, unyango olufanelekileyo luyaqala. Izidakamizwa ezichasene nezidakamizwa (non-steroidal anti-inflammatory drugs) (NSAIDs) zifakwe ngokukhawuleza ukuze zinciphise ukuvuvukala. Kwi-rheumatoid arthritis, izidakamizwa ezichasayo izifo ezichasene ne-rheumatic (DMARDs) kunye neziyobisi ze-biologic zongezwa nje njengenxalenye yenkqubo yokunyango yokuzisa i-synovitis phantsi kolawulo, ukukhusela umonakalo kunye kunye nokunciphisa ukuqhuma kwesifo.
> Umthombo:
> Kelley's Bookbook yeRheumatology. I-ninth edition. Elsevier. I-Etiology ne-Pathogenesis ye-Rheumatoid Arthritis. Isahluko 69.
> Synovitis. Isibhedlele soPhengululo olukhethekileyo.
> UHelggott, uSimon M. MD. Ubume be-Monoarthritis kuBantu abadala. Isemgangathweno. Kugqitywe kwakhona ngoJanuwari 2017.