Iintlobo zeArthritis ezixhatshazwayo
Iintsholongwane ezivuthayo ze-arthritis zinokubandakanya amanxeba amaninzi ngexesha elinye. Ngokuqhelekileyo, isistim somzimba esingasasebenzi okanye esingasebenzi kakuhle siyimbangela yokuvuvukala . Iimpawu eziphambili zezinto ezivuthayo zesifo se-arthritis zibuhlungu kunye nokuqina komso okanye emva kwexesha lokuphumla okanye ukungasebenzi. Kwizigulane ezine-arthritis ezivuthayo, ixesha lobunzima obusasa kakhulu lidlula imizuzu engama-60.
Ukuvuvukala, ubomvu, kunye nokufudumala nazo ziqhelekileyo kwiindawo ezichaphazelekayo okanye ezikufutshane. I-arthritis evuthayo ayithinti kuphela amajoyina - ezinye izitho zomzimba zinokuchaphazeleka, kuquka isikhumba okanye izitho zangaphakathi. I-arthritis evuthayo inokuchaphazela abantu babo bonke ubudala, kodwa ihlala ibetha abantu ebuntwini bokuphila.
Ukuvama akusoloko kwenzeka nge-arthritis evuthayo. Nangona oko kungabonakala kungabonakaliyo, izigulane ezivuthayo ezinokuvuthayo ziba neentlungu ngaphandle kokuvuvukala, ukuvuvukala ngaphandle kwentlungu, okanye ukukhawuleza ngokomzimba ngaphandle kweentlungu okanye ukuvuvukala.
Iintlobo zeArthritis enobuhlungu
Iintlobo ezintathu eziqhelekileyo zesifo samathambo esingapheliyo sisifo se- rheumatoid arthritis , i- psoriatic arthritis , kunye ne- spondylitis engavumelaniyo . Kodwa, kukho nabanye. Kwizigulane ezibonisa iimpawu ze-musculoskeletal, izimo ezivuthayo ezingenayo ukubandakanyeka ngokubandakanyeka zingabandakanya i- bursitis , i- tendinitis , okanye i- polymyalgia rheumatica .
Izigulane ezinamalungu angama-3 abandakanyekayo zinokuba nezimo ezinokubandezeleka ezinjenge- arthritis , i-gout, i- pseudogout , i-arthritis echaphazelekayo, okanye i-Chlamydial arthritis-okanye imeko engapheliyo yokugulisa i-psoriatic arthritis, i-spondyloarthropathy, i-arthritis yamathambo, okanye i-arthritis echaphazelekayo. ephuza ukuphilisa.
Izigulane ezinamaqela amane okanye ngaphezulu ezibandakanyekayo zinokuba nezimo ezinokubandezela ezinjenge-viral arthritis, i-arthritis ye-drug, i-rhyumatic fever, i-rheumatic fever, i- palindromic rheumatism , okanye ukubuyisela i-syoneitis ehambelana ne-synovitis ene-edema (RS3PE). ezifana ne-rheumatoid arthritis, i- polyarthritis engabonakaliyo , i- osteoarthritis evuthayo , izifo ezixubileyo zesifo , i- lupus , i- scleroderma , i-polyarticular ye-arthritis yabantwana, okanye isifo sabantu abasesifo.
I-Arthritis Yokuvuthayo Ichongwa Njani?
Ukuphakama kwamagqabantshintshi asisigxina kusebenza njengezibonakaliso zokuvuvukala. Ngoxa iimbini eziqhelekileyo zisetyenziswa, i- CRP kunye ne- sedimentation rate , zibonisa ukuvuvukala, azihluli phakathi kwe-rhyumineid arthritis kunye nezinye iintlobo zesifo se-arthritis. Kwakhona, akubona zonke izigulane ezine-arthritis ezivuthayo eziye zaphakamisa iRPP okanye izinga lokungcebeleka ekuqaleni. Ezinye izigulane kunokuthi ziphakame amanqanaba e-ferritin, haptoglobin, ceruloplasmin, okanye i-complement. Ezinye iimpawu ezibonakalisa uhlobo oluvuthayo lwe-arthritis zi-anemia zezifo ezingapheliyo, iiplatelets eziphakamileyo, kunye nokubalwa kweeseli ezimhlophe.
Kukho iimvavanyo ze-serologic ukukunceda ukukhawuleza ukuxilongwa.
I-rheumatoid factor is orderly when a rheumatoid arthritis. Kodwa, akubona bonke abantu abane-arthritis ye-rheumatoid ezichanekileyo kwi-rheumatoid factor (seropositive). Phantse i-20% yezigulane ezixilongwa nge-rheumatoid arthritis zibi kakhulu kwi-rheumatoid factor (seronegative). Ekuqaleni kwe-arthritis (iimpawu ezingaphantsi konyaka) ubuhlungu besifo se-rheumatoid malunga ne-17-59%, ngokutsho kweKley's Bookbook yeRheumatology. Ubume abukho kakuhle kwi-arthritis yokuqala ye-rheumatoid, kuba ezinye iimeko zinokuthi zidibaniswe ne-positive rheumatoid factor (umzekelo, lupus, syjrome ye-Sjogren's ).
Kuye 4-5% yoluntu jikelele lukhangelekile kwi-rheumatoid factor. Ezinye iimvavanyo ze-serologic, ezifana ne- anti-CCP kunye ne- ANA zinokubonelela ngolwazi olungakumbi lokuxilonga, ngaphezu kwe-CRP, izinga lokunciphisa, kunye ne-rheumatoid factor.
Ukuvavanywa kwamanqaku athile asemzimbeni kunokunceda. Ngokomzekelo, ubuhle be-HLA-B27 budibaniswa ngokuqinileyo kunye ne-spondylitis e-ankylosing. Kananjalo, uhlalutyo lwamanzi lwamanzi luya kunika ulwazi malunga ne-inflammaton-synovial fluid ukusuka kwintlambo evuthayo ngokuqhelekileyo ephuzi kunye nexhala, kunye neenombolo ezimhlophe zeseli ezingaphezulu kweetyeli ezili-10 / mm, kunye nepesenti enkulu kuba yi-neutrophils.
Ukucingwa kusetyenziswa kwakhona njengenxalenye yenkqubo yokuxilonga ye-arthritis evuthayo. Ubungqina be-X-ray ye-arthritis evuthayo ingabandakanya ukuvuvukala kwezicubu, i- chondrocalcinosis , ukuxhatshazwa okuhlangeneyo , i- osteopenia kufuphi nomdibaniso , ukulahleka komlinganiso we-cartilage , indawo yokudibanisa kunye neengxaki zokubamba.
Imithombo:
Isikhungo seArthritis esivuthayo. Isibhedlele soPhengululo olukhethekileyo.
http://www.hss.edu/inflammatory-arthritis-center.asp#.UzS4Q4VsJ4w.
I-Kelley's Bookbook yeRheumatology. Isahluko 42. I-Arthritis yePolyarticular. UJohn J. Cush noK Kathryn H. Dao. I-ninth edition. Elsevier Saunders.
Isikhokelo soNyango loPhando lweZikolo eziPrayimari kwi-Arthritis evuthayo; Ukuxilongwa. Rheumatology Network. Juni 2, 2010.
http://www.rheumatologynetwork.com/articles/primary-care-physicians-guide-inflammatory-arthritis-diagnosis.