Ukubandakanya umdibaniso omnye ngexesha
I-Monoarthritis ichazwa njenge-arthritis equka iqhagamshelo elinye ngexesha. Kukho izimbalwa ezinokubangela i-monoarthritis okanye i-monoarticular arthritis njengoko ikwabizwa kwakhona, kuquka ukusuleleka, iimeko ezingabonakaliyo, ukugqithisa i-crystal, i-trauma, i-neoplasm, kunye nezimo ze-immunologic.
Ukuqala kwe-monoarthritis kudla ngokukhawuleza kwaye kunzima kunye nomkhuhlane, intlungu kunye kunye nokuvuvukala okuhlangeneyo.
Ukunikezelwa kweempawu ezinjalo kudinga ukuxilongwa ngokukhawuleza kunye nonyango ukukhusela ukutshabalalisa kunye. I-diagnostician kufuneka isebenzise imbali yengxelo yesigulane, ukuhlolwa ngokomzimba, ii-ray-ray, iimvavanyo zegazi, kunye nokuhlolwa kwe-synovial fluid ukucacisa imbangela yezimpawu ze-monoarticular. Nangona i-monoarthritis idla ngokubambisana nesimo esibucayi, nayo ingabonakalisa uphawu lokuqala lwe-polyarthritis okanye uhlobo olungapheliyo lwe-arthritis. Kwakhona kungabangelwa yimeko engabonakaliyo, umbandela (umz., Malunga nomdibaniselwano), izifo zethambo, okanye izifo zesisu .
Iimpawu zokuqala zinikeza iiClues ezibalulekileyo
Ingxaki, ukuphuka, okanye umzimba ovulekileyo ukhunjulwa xa i-monoarthritis ikhula ngokukhawuleza. I-Monoarthritis ekhula ngokuthe ngcembe, ngaphezu kweyodwa okanye ezimbini iintsuku, idla ngokudibanisa nokukhupha, ukusuleleka, okanye i-crystal deposition. Ubuhlungu bokuthi, ekuqaleni, buyaqondwa kodwa bubuhlungu ngokugqithiseleyo kwiintsuku kwiiveki, lunokubakho ngenxa yokusuleleka kwe-indolent okanye ukungabikho komzimba, i- osteoarthritis , okanye i-tumor.
Ngokuqhelekileyo, ukuba kukho ukuqina kokusa , kunye nentlungu edibeneyo kunye nokunyanzeliswa kwemithwalo, kukhankanywa uhlobo olunefuthe lwe-arthritis. Ubunzima obwenzeka kwingingqi yexesha eliqhelekileyo ngokuqhelekileyo luhambelana nokuphazamiseka kwezifo zesisu. Ukuba i-monoarthritis ingasigxina, ngokuqhelekileyo ihambelana nezifo ezidibeneyo ezikhoyo.
Kodwa, phambi kokuba i-monoarthritis ibonakaliswe engapheliyo, izimbangela ze-monoarthritis ezinzima maziqwalaselwe kwaye zigwetywe ngaphandle. Makhe siqwalasele imimiselo embalwa yeemeko ezinokubangela intlungu edibeneyo okanye i-periarticular, ngokutsho kweKley's Bookbook yeRheumatology :
I-Monoarthritis eqhelekileyo
- Isifo samathambo se-Septic (i-gonococcal okanye i-non-gonococcal)
- I-Crystal arthritis (gout, pseudogout )
- Arthritis esebenzayo
- Isifo seLyme
- Sityalo seva synovitis
- Ezinye izifo
Ingxaki okanye i-Derangement yangaphakathi
- Ukunyanzeliswa kwengcinezelo
- Umzimba olahlekileyo
- Ischemic necrosis
- Hemarthrosis
I-Monoarthritis eqhelekileyo edibaniswa ne-Polythritis ye-Eventual
- I-Psoriatic arthritis
- I-entopathic arthritis
- Irheumatoid arthritis
- Rindumic rheumatism
- I-arthritis yabantwana
I-Monoarthritis Edibene Nezifo ezingabhubhisiyo
- Osteoarthritis
- Amacandelo eCharcot
- Izifo zokugcina, ezifana neHemochromatosis (ingxaki yesinyithi)
Izifo zeSynovial
- Dlexstrophy ebonisa uvelwano
- Sarcoidosis
- Amyloidosis
- Vigoned villonodular synovitis
- Lipoma arborescens
I-Monoarthritis echanekileyo yeSifo seSystem
- Systemic lupus erythematosus
- Vasculitis
- Isifo seBehcet
- Endocarditis yeBhakteria
- Ukubuyisela i-polychondritis
- IFester Fever yaseMediterranean
I-Monoarthritis eqhelekileyo yezifo zeThambo
- Isifo sePaget
- Osteomyelitis
- Izifo zeMetastatic
- I-pulmonary hypertrophic osteoarthropathy
Uvavanyo lokuThengisa
Uvavanyo lweGazi
Iimvavanyo zegazi zingabonisa iimpawu ezibalulekileyo. Iimpawu ezivuthayo, izicathulo, okanye i-crystal ze-arthritis ziqhelekile zidibaniswa nezinga eliphakamileyo lomdaka , i- CRP ephakamileyo, kunye nebala eliphezulu legazi elimhlophe. Ukubandakanyeka kwezifo eziqhelekileyo ngokuqhelekileyo kuxhomekeke kwiimvavanyo zegazi ezivavanya umsebenzi wezintso, isibindi, ithambo kunye nesisipha. I-rheumatoid factor , i- anti-CCP , uvavanyo lwe-anti-nuclear antibody , iprotheni electrophoresis, i-serme yesifo se-serme, kunye nokubulawa kwezinye iimvavanyo zegazi, kunokuvelisa iziphumo ezinceda ukuxilongwa.
UkuCatshulwa
I-x-rays e-Plain iyakubonisa ukuba kukho ukuvuvukala kwezicubu ezithambileyo, i-calcium kwiimfesi zengqungquthela, i-fracture, izidumbu ezivulekileyo, izifo zesifo seethambo kunye nobungqina bentshabalalo ehlangeneyo.
Iimvavanyo ze-CT ziyalelwe xa kukho iinkcukacha ezingaphezulu. I-MRI yindlela ekhethekileyo yokucinga ngethuba xa kukhankanywa izifo zesisu. I-MRI nayo inokuvavanya ubungakanani bokuvuvukala kunye nomonakalo odibeneyo, nangona i-asymptomatic. I-Arthrography kunye neengcambu zethambo nazo zikhetho zokucinga. Kwakhona, i-ultrasound yindlela yokwenza imifanekiso eqhelekileyo eqhutyelwa eklinikhi ukuxilonga izicubu ezintle kunye nezimo ze-arthritic.
Synovial Fluid Analysis
Uvavanyo lwe- synovial fluid lubonwa njengolu vavanyo oluluncedo kakhulu lokuvavanya i-monoarthritis. I-Synovial fluid ihlaziywa ngombala wayo kunye neqondo lokuma. Inani elimhlophe leeseli legazi lizimisele ukuhlukanisa phakathi kwezinto ezibangela ukuvuvukala nokungabikho kwezibhamu. Inani le-cell synovial yamanzi yegazi elimhlophe elingaphezu kwe-2,000 i-WBC / mm3 ngokuqhelekileyo linxulumene nesimo esivuthayo. I-Synovial umthamo kunye nombolo yegazi elimhlophe elingaphantsi kwe-2,000 i-WBC / mm3 ngokuqhelekileyo ayiyi-inflammatory.
I-synovial fluid kufuneka ikhutshwe kwaye i-gram stain eyenziwa ukujonga ubukho bebhaktheriya ezincinane. I-uric acid okanye i-CPPD ikhefu ingabonwa, ukuba kukho, usebenzisa i-microscopy ekhanyayo. I-Synovial fluid nayo ingahlolwa i-glucose, iprotheni kunye ne-lactic dehydrogenase.
Imithombo:
Monoarthritis. Max Field. I-Kelley's Bookbook yeRheumatology. I-ninth edition. Page 577.
Ukuchonga i-Monoarthritis eqhelekileyo kubantu abadala: Indlela eSebenzayo yoNyango weNtsapho. WaseMerika ugqirha. Siva et al. Julayi 2003.
http://www.aafp.org/afp/2003/0701/p83.html