Ukuqaphela ingozi yokuqhubela phambili kwi-Rheumatoid Arthritis
Nangona kukho ezininzi iintlobo zesifo se-arthritis , izigulane azihlali zihlala zikwezinye iindidi zesifo se-rheumatic well-known. Isigulane esinokuthi sibe kwiindawo zokuqala zesifo se- arthritis , kodwa i-pattern yeimpawu ayihambelani nomhlobo othile we-arthritis. Kukho iimpawu ezibalekayo ezibandakanya ngaphezu kwesinye isifo se-rheumatic.
Xa isigulane sinempawu ehambelana nesifo sobuthakathaka esivuthayo kodwa asikho uhlobo oluthile, bahlulwa njenge-arthritis engafanelekiyo. Yindlela yokutsho ukuba akukho nto yokuxilongwa ngokucacileyo ingasenziwa.
Kutheni kuqikelele iNdlela ye-Arthritis engabonakaliyo ebalulekileyo
Kuqikelelwa ukuba i-40-50% yezigulane ezine-arthritis ezingenasiphumo ziyaxhomekeka. Phantse ama-30% abantu abane-arthritis engabonakaliyo bahlakulela i- rheumatoid arthritis , ngelixa abanye bahlakulela ezinye iimeko. Ekubeni iinjongo zonyango kwizigulane ezine-arthritis ye-rheumatoid ukuyeka ukunyuka kwesifo, kuyincedo ukuzama ukuxela ukuba iziphi izigulana ezingenasiphelo-mpilo ziyakwazi ukuhlakulela isifo se-rheumatoid arthritis.
Ngonyaka ka-2008, umthetho wokubikezela waveliswa eYurophu waza wapapashwa kwiphephancwadi, iArthritis & Rheumatism . Ngengqalelo enikwe isigulane, ubulili, inani lamalungu axhatshazelweyo, ukuqina kobunzima bentsasa , i- CRP , i- rheumatoid factor , kunye ne-anti-CCP , umngcipheko wokwakha i-rheumatoid arthritis yayixhomekeke kakhulu kwizigulane ezine-arthritis ezingenasifo.
Ngo-2010, i-American College yeRheumatology yabambisana neYurophu League Against Against Rheumatism ukuhlaziya izikhokelo ezisetyenziselwa ukuxilonga i-rheumatoid arthritis. Izikhokelo ezihlaziyiweyo zijoliswe kumanyathelo okuqala kwesi sifo kunokuba iziganeko zexesha elide zihambelana nesifo sesifo se-rheumatoid.
Ngokwezikhokelo ezihlaziyiweyo, i-arthritis ecacileyo i-rheumatoid isekelwe kubukho obuqinisekisiweyo be- synovitis ubuncinane kunye, ukungabikho kwesinye isifo esicacisayo esichazela kakuhle i-synovitis, kunye nokuphumelela kwamanqaku athile angama-6 okanye ngaphezulu (ku-10) ukusuka iziphumo ezilandelayo kwezi zi-4 zivavanyo: inamba kunye nesayithi lamajoyina axhatshaziweyo (amanqaku athagethiweyo 0-5), ukungafaneki kwe-serologic (i-rheumatoid factor okanye i-anti-CCP; amanqaku e-0-3), impendulo ephakamileyo ye-CRP okanye i- sedimentation rate ; amanqaku ahlukeneyo 0-1), kunye nobude bexesha (amazinga a-2; u-0-1).
Nangona uvavanyo lwama-radiographic (okt, i-ray-ray okanye i-MRI), ngokukodwa kwimigudu yezandla kunye neenyawo, linokunika ulwazi olongezelelweyo kwisifo se-diagnostici, zichitha ixesha kwaye zingabi nexabiso-mali njengesixhobo sokuhlola ukuchaza ingozi yokuphuhlisa i-rheumatoid arthritis kwizigulane ezine-arthritis ezingenasiphelo.
Ukuqhubela phambili kwe-rheumatoid arthritis kufana nezigulane ezifunyaniswa okokuqala ngophethwe yintlungu engahambelaniyo kodwa ziqhubeke nokuphuhlisa i-rheumatoid arthritis kunye nalabo abafumene ukuba bane-rheumatoid arthritis ekuqaleni. Ukulahla unyango ngeziyobisi ezichasene ne-rheumatic okanye iziyobisi ze- biologic kwizigulane ezine-arthritis ezingenasiphelo zinganciphisa unyango olungalunganga lwezigulane eziza kuqhubeka nokufumana ukuxolelwa ngokukhawuleza, kodwa unyango lwangethuba lunikeza ithuba elihle lokukhusela ukukhula kwesifo, ukukhubazeka kunye nokunciphisa izinga yobomi phakathi kwabo basengozini yokuphucula i-rheumatoid arthritis.
Yingakho ukubikezela ingozi kunceda ukhethe izigulane ezingenakulibaziseka unyango.
Ngaba kufuneka unyango lweNyango?
Kukho izifundo ezincinci ezihlolisise ukusetyenziswa kwezidakamizwa ezichasene nezifo okanye i-biologics ukukhusela ukuqhubela kwe-arthritis engenasifo kwi-rheumatoid arthritis. Nangona iziphumo ziphakanyisiwe ukuba i- methotrexate kunye ne- Orencia (abatacept) inqande ukuqhubela phambili kwi-rheumatoid arthritis ngokuthelekiswa ne-placebo, i- Remicade ayizange. Kufuneka zifundo ezikhulu.
Imithombo
2010 I-Rheumatoid Arthritis Classification Iimpawu: Ikholeji yaseMerika yeRheumatology / iYurophu yoLuntu ekuchasene neRheumatism Coalborative Initiative. Aletaha, uDaniel et al. Arthritis & Rheumatism. Agasti 10, 2010.
Ukuthintela ukuqhubela phambili kwi-Arthritis engabonakaliyo kwi-Rheumatoid Arthritis: Iimpembelelo zeKliniki kunye nezezoqoqosho. UMichael H. Schiff, MD. I-American Journal ye-Care Care. Novemba 19, 2010.
Ukuqinisekiswa komGaqo wokuQela ukuPhumela iziGulane kwiziGulane kunye ne-Arthritis yangoku-Unset. Arthritis & Rheumatism. van der Helm-van Mil, AHM, et al. Umqulu 58, Ingxelo 8. Agasti, 2008.