Indlela odibene ngayo iCricoarytenoid echaphazelekayo kwi-Arthritis ye-Rheumatoid
Amalungu angama-cricoarytenoid kufuphi nomoya wakho onokuphefumula unokuchaphazeleka ukuba unesifo se-rheumatoid arthritis , esibangela ukuphazamiseka nokuphefumula. Amacandelo e-cricoarytenoid aphakathi kwe-cricoid kunye nee-carrylages ezidibeneyo ezibini ezikwindonga yangasemva kwe-larynx. Amalungu angama-cricoarytenoid anceda ukuvula, ukuvala, kunye nokuqinisa iintambo zezwi ngelixa uthetha kunye nokuphefumla.
I-Rheumatoid Arthritis yeCricoarytenoid Joint
Ikhonkco ye-cricoarytenoid iyinxalenye ye-diarthrodial, oku kuthetha ukuba umdibaniso ujikelezwe ngumxube we-fibrous joint and has synovial fluid ukucoca ii-surface zamathambo. I-rheumatoid arthritis ichaphazela ukudibanisa ngokubangela ukuvuvukala kwimbane ye synovial. Oku kwasasazeka kwiindawo ezisemathanjeni, kubangela i-fibrosis. Oko ekugqibeleni kungabangela ukunyaniseka nokunamathela, okubizwa ngokuba yi-ankylosis. Le nkqubo iholele ekuhlaleni okucuthayo kwaye isebenze ngokubambisana. Kwimeko yesigxina se-cricoarytenoid, ngoko ke akunakwenzeka ukuhambisa iintambo zamagama okanye ukuncedisa ekuphefumla.
Ukungaqhelekanga kwendibano ye-cricoarytenoid efunyenwe ngumbono ongafanelanga kakuhle kunye neqondo leempawu zesigulane. Ukutshintshwa kokubambisana kunokwenzeka ngaphambi okanye emva kokuba umntu eneempawu.
Ubuninzi beArthritis yeCricoarytenoid Joint
I-Cricoarytenoid arthritis ixhaphake kakhulu kwizigulane ze-rheumatoid arthritis, kodwa iyakwenzeka nakwezinye iimeko, kubandakanya i- scleroderma , igout, i- lupus , izifo eziphezulu zokuphefumula, izifo zentambo yezwi kunye ne- Tietze's syndrome .
I-rheumatoid arthritis yayicatshangelwa ukuba ayinakuchaphazela ngokungaqhelekanga amajoyina angama-laryngeal, nangona iinkcazo zembali zeemeko zibeka ingqungquthela njengempawu. Nangona kunjalo, uphando olongezelelweyo kwiminyaka yama-1960 lufunyenwe malunga nabantu abathathu abane-arthritis ye-rheumatoid ene-cricoarytenoid arthritis.
Ukubambisana kwendibano ye-cricoarytenoid, ukudibanisa i-cricothyroid, ukudibanisa kwe-temporomandibular, kunye nezakhiwo ezidibeneyo kwi-larynx kufumaneka kuma-90 ekhulwini abantu abane-arthritis ye-rheumatoid emva kokuhlolwa kwe-post-mortem.
Kutheni abanye abantu bebandakanyeka ngakumbi kunye nempawu ezininzi kwaye abanye abayaziwa.
Iimpawu
Iimpawu ziquka ezi zilandelayo:
- Ukuthuka
- Ubuhlungu xa ugwinya (odynophagia)
- Ukuvakalelwa kokuba nento enamathele emqaleni wakho
- Ubuhlungu xa uthetha okanye ukhwehlela
- Ukuphefumula (dyspnea)
Ukuba unayo le mpawu, ungawadluli njengento encinci. Ukuba iimpawu zakho ziqhubeka, qhagamshelana nodokotela wakho. Ngamanye amaxesha ukuphazamiseka nemiphumo yokuphefumula yimiqondiso kuphela yokuba umntu une-rheumatoid arthritis.
Unyango
Izimpawu ezincinci ziphathwa ngokugqithiseleyo nge-high-dose systemic corticosteroids . Ukuba oko akusebenzi, i-injection ye corticosteroids kwisigxina se-cricoarytenoid ingafuneka. Ukuba akukho nenye yeyeza unyango, utyando lwenziwa. Iinkqubo zingabandakanya i-tracheostomy, i-arytenoidectomy (ukususwa kwe-cartilage ngasemva kwelarynx apho iintambo zamagama ziqhotyoshelweyo), okanye i-arytenoidopexy (ukulungiswa kocando lwe-cartilage ngasemva kwe-larynx).
Ukuba nesifo se-arthritis kumalungu e-cricoarytenoid kukuxhalaba ukuba isigulane sidinga ukuba singenakunyuswa kwaye kufuneka siqhotyoshelwe ukuba singabangela umonakalo omkhulu.
Imithombo:
> Feraco P, Bazzocchi A, Righi S, Zampogna G, Savastio G, Salizzoni E. Ukubandakanywa kwamaQela e-Cricoarytenoid kwi-Arthritis ye-Rheumatoid. JCR: Umbhalo we-Clinical Rheumatology . 2009; 15 (5): 264. i-doi: 10.1097 / rhu0b013e3181b2a965.
> Hamdan AL, Sarieddine D. Laryngeal Ukubonakaliswa kwe-Rheumatoid Arthritis. Izifo eziziThatywayo . 2013; 2013: 1-6. I-doi: 10.1155 / 2013/103081.
> Maini RN, Venables PJW. Ulwazi olunomonde: Izimpawu ze-rheumatoid arthritis kunye nokuxilongwa. Isemgangathweno.