Ukujonga Iimpawu zeGazi ezibonisa i-Rheumatoid Arthritis
Ngaba kunokwenzeka ukuba ne- rheumatoid arthritis (okanye ezinye izifo ze-rheumatic) kwaye unomsebenzi wegazi ophakathi kweendawo eziqhelekileyo zokumakhwala? Ubuninzi bokuxilongwa kusekelwe kwiimvavanyo zegazi ngenxa yokuvuvukala ?
Iziphumo Eziqhelekileyo Zokuhlolwa Kwegazi I-Out Rumumatic Diseases?
Uninzi lwezigulane ezine-arthritis ye-rheumatoid (RA) zinommaki othile wesifo egazini.
Oku kungaquka:
- i- rheumatoid factor (RF)
- i-anti-cyclic citrullinated peptide (CCP)
- Iimilinganiselo eziphakamileyo zokuvuvukala
- isantya se-erythrocytes esandisiweyo (ESR)
- Iprotheyini esebenzayo yeC (CRP) .
Ngakolunye uhlangothi, ngezihlandlo isiguli isigxina se-RA sinokuba nesifo esisebenzayo kwaye zonke ezi mvavanyo ziqhelekileyo. Ngokuqhelekileyo, ezi gulane ezingenazo ziqhelo egazini zingenakukwazi ukuvelisa umonakalo odibeneyo. Phantse zonke izigulane ezine-lupus zikhona phambi kwe- anti-nuclear antibodies (ANA) okanye ukuba zingekho, i-SSA antibody okanye i-antiphospholipid-antibodies (edibene nomngcipheko ophezulu weengxaki ezifana ne-blood clot okanye isisu okanye ukukhulelwa komzimba). Kwakhona, kukho izigulane, nangona ziqabile, zine-lupus naphezu kwezi mvavanyo ezimbi. Uninzi lwezigulane ze-Sjogren ze-syndrome ziza kubonisa i-ESR ephakamileyo okanye zibe ne-ANA, RF, SSA okanye i-SSB yonyango kwigazi labo.
Kubalulekile ukukhumbula ukuba ngelixa iimvavanyo zegazi zinceda ekuqinisekiseni ukuxilongwa nokuhlolwa kwesifo sesifo, kubaluleke kakhulu ukuxilonga nokunyanga ngokusekelwe kwintetho yesigulane yesigulane.
I-Rheumatoid Arthritis ichongwa njani?
I-rheumatoid arthritis inokuba nzima ukuyixilonga ngenxa yokuba izibonakaliso zezi zifo zingabonakali kwaye zingabonakali. Umzekelo, ukuqina okuhlangeneyo kunye nama-achy joints - ngokukodwa, emva kokuvusa - kunokubhekiswa kwiintlobo ezahlukeneyo zesifo.
Ekugqibeleni, ukuxilongwa kwe-rheumatoid arthritis yinto enhle eyenziwa ngu- rheumatologist .
I-rheumatologist ngumfundi (okanye udokotela wezilwanyana) ofumana uqeqesho oluqhubekayo kwisifo se-musculoskelet and autommune. Ngokuqhelekileyo, umntu uya kwenza i-aphoyintimenti kunye nodokotela wakhe wokunakekelwa ngokusisiseko oya kukhankanya i-arthritides kwaye abuyele isigulane kwisifo se- rheumatologist ukwenzela ukuvavanya. Inqaku, ukuba uyakrokreka ukuba unakho isifo se-rheumatoid, kubalulekile ukuba uqaphele ugqirha wakho wokukhathalela oyintloko kule nkxalabo.
Ukuxilongwa kwe-rheumatoid arthritis kusekelwe kwiziphumo ezininzi eziquka oku kulandelayo:
- anti-CCP (uhlobo oluthile lwe-antibody)
- i-anemia
- I-ESR ephakamileyo (uvavanyo olungafanelekanga lokuvuvukala)
- i-rheumatoid factor (ekugqibeleni ikhona kuma-80 ekhulwini abantu abane-rheumatoid arthritis)
- iimvavanyo zokuxilonga kuquka i-x-ray, i-MRI, kunye ne-ultrasound
- ukufudumala, ukuvuvukala kunye nentlungu yamalungu
Iseluleko malunga neRheumatoid Arthritis
Ukuba wena okanye umntu obathandayo uyasolisa i-rheumatoid arthritis, kuyimfuneko ukuba ufumane unyango, ukuxilongwa, kunye nonyango. I-rheumatoid arthritis ayibangeli kuphela ukukhubazeka ngokukhawuleza kunye nokwehliswa komgangatho wobomi kodwa idibene nezinye izifo ezinzulu ezifana nesifo senhliziyo.
Ukuxilongwa kwe-rheumatoid arthritis kuyingozi kwaye iyatshintsha ubomi.
Ngokuqhelekileyo, abantu abafunyaniswa ukuba bane-rheumatoid arthritis bazive bekhulile kwaye bebuhlungu. Qiniseka, nangona kunjalo, ukuba unyango olufanelekileyo kunye nezinye iindlela zokungenelela ezijoliswe ekunyuseni amandla omzimba (njengokuhamba kunye nezinye iziphumo ezincinci), abantu abaninzi abane-arthritis ye-rheumatoid bazive bebhetele ngakumbi ngexesha.
Umthombo
Impendulo eyanikwe nguScott J. Zashin, MD, uprofesa oncedisayo wezonyango kwiYunivesithi yaseTexas Southwestern Medical School, iCandelo leRheumatology, eDallas, eTexas. UDkt. Zashin naye uhamba noogqirha kwii-Hospital zasePresbyterian zaseDallas nasePlano. Ungumntu we-American College of Physicians kunye ne-American College of Rheumatology kunye nelungu le-American Medical Association.