Kutheni iArthritis kwiZiQiniso ezine zibhekiselele
I-polyarthritis (eyaziwa nangokuthi i-polyarticular arthritis) ichazwa njenge- arthritis echaphazela amahlanu okanye amaninzi amaninzi ngexesha elinye. I-polyarthritis isoloko idibaniswa nezifo ezizimelayo kwaye ixatyathwa njengenxunguphako njengoko ithambekele ekuqhubekeni kwamanye amaqela ngokuhamba kwexesha.
Izizathu
I-polyarthritis ibangelwa yi-dismune disorder apho i-immune system ihlasela kakubi iiseli kunye nezicubu zayo.
Izizathu zezifo ezizimelayo aziqondakali kakuhle kodwa zikholelwa ngokunamandla ezinxulumene nemfuza, imvelo, kunye nokuchazwa kuyo yonke into ukusuka kumbane ukuya kwi-toxins.
Ngenxa yokuba izifo ezithintela ngokuzenzekelayo zivame ukudala impendulo yomzimba wonke, ezo zibandakanya amajoyina azivumi ukubonakala ngokwahlukileyo njengoko zinokwenzeka nge- osteoarthritis (aka "ukugqoka isisu kunye ne-arthritis").
Izifo ezizimeleyo ngokuqhelekileyo ezidibene nepolyarthritis ziquka:
- Irheumatoid arthritis
- I-Psoriatic arthritis
- Amyloidosis
- Lupus
- Scleroderma
- I-Juvenile idiopathic arthritis
I-Polyarthritis inokubangela ezinye izifo ezibizwa ngokuba yi- alphaviral izifo eziquka igciwane le- chikungunya kunye negciwane le-Mayaro .
Ngethuba sithandana nokudibanisa i-polyarthritis kunye nesifo esiqhubekayo, esingasiguqukiyo, sinokuthi sibe njengengxenye yesifo esibuhlungu esinjenge- rheumatic fever apho ukuvuvukala kungadlulela kwaye kudlulele phakathi kwamalungu amaninzi.
Ukuxilongwa
Nangona i-polyarthritis ixhaphake ngokuqhelekileyo isifo esizimele, eli gama ngokwayo lichaza nje inani lamalungu axhatshaziweyo kwaye akukho nto. Ngaloo ndlela, ingasetyenziselwa ukuchaza nayiphi na imimiselo yeemeko, isigxina okanye isigxina, apho amanqaku angaphezu kwama amane athatyathwa.
Kule nto, ugqirha uya kuqalisa uphando ngokujonga ezimbini ezibangela izizathu ze-polyarthritis: i-rheumatoid arthritis (RA) kunye ne-osteoarthritis (OA).
Kukho iinkcukacha ezininzi ezinokukunceda ukuhlula phakathi kweemeko:
- Nge-OA, iimpawu ziza kuqala kwicala elinye lomzimba kwaye zisasaze kwenye. Ngama-RA, uphawu luyakwazi ukuhlakulela ngokucacileyo kumacala amabini.
- Nge-OA, iimpawu zivame ukuqala kunye kunye kunye nokusabalalisa ngaphandle ukuze zibandakanye amanye amalunga athile. Nge-RA, iimpawu ziyakhula kumaqela amancinci okanye amaninzi angenawo umzekelo obonakalayo.
- Iimpawu ze-OA zivame ukukhula ngokuthe ngcembe. I-RA inokubetha ngokukhawuleza kunye nangoko.
- I-OA ayiyi kuba ne-systemic (yonke imizimba) iimpawu. I-RA izakuhamba kunye nokunyamezela okuqhubekayo kunye nokuvakalelwa ngokungaqhelekanga.
- Nge-OA, amajoyina angagula aze abe nethenda kodwa engenalo okanye avuke. Ngama-RA, amanxeba aya kuba buhlungu, avuvule, kwaye anzima.
Ngokuxhomekeke kweso sizathu esityholweyo, i-X ray, i-ultrasound, iimvavanyo zegazi kunye nokuhlalutya kwamanzi ahlangeneyo (kwaziwa nangokuthi i- arthrocentesis ) ingalelwe .
I-RA ngokukodwa, iimvavanyo ezimbini zegazi ezibizwa ngokuba yi- test ye-rheumatoid test kunye ne- anti-cyclic citrullinated peptide (anti-CCP) yokuvavanya umntu onokuthi uncede ukuqinisekisa ukuxilongwa.
Ngokwahlukileyo, akukho mvavanyo yegazi ukuqinisekisa i-OS. Ukuxilongwa kusekelwe kwisifundo somzimba, iimvavanyo zokucinga, kunye nokuvavanya kwegazi kunye namanzi ahlangeneyo ukukhuphela i-RA kunye nezinye izizathu.
> Imithombo:
> Ledingham, J. "Ukuxilonga nokuphathwa kwangaphambili kwe-arthritis evuthayo." BMJ. 2017; 358: j3248. INGXELO: 10.1136 / bmj / j3248.
> Pujalte, G. kunye neAlbano-Aluquin, S. "Ukuchongwa okungafaniyo kwe-Polyarticular Arthritis." I-Phys Physician. 2015; 92 (1): 35-41.