Arthritis Diagnosis
Ukuchonga i-arthritis kunokudideka kwaye kuyinkimbinkimbi. Ngeentlobo ezingaphezu kwe-100 zesifo se- arthritis kunye nezifo ze-rheumatic , iimpawu-ingakumbi iimpawu zangaphambili- zingakwazi ukugqithisa, zenze kube nzima ukuhlula phakathi kweentlobo ezahlukeneyo. Njengengxenye yenkqubo yokuxilonga, ugqirha wakho uya kukhangela iimpawu, impawu, kunye nezifo. Udokotela wakho uya kuqwalasela nembali yakho yezonyango, uvavanyo lomzimba, iimvavanyo zegazi, kunye nezifundo zokucinga njengoko elawula ezinye izifo kunye nezimo-kwaye ekugqibeleni ulawula kwisifo sokugqibela.
Ukuxilongwa ngokuchanekileyo kuyimfuneko ukwenzela ukuba isicwangciso sonyango esifanelekileyo senziwe. Ukuyilungisa ibalulekile.
Imbali Yonyango kunye neMpawu zeKliniki
Imbali yakho yezokwelapha idibanisa ulwazi malunga neemeko zonyango ezidlulileyo kunye nemeko yakho yezokwelapha yangoku. Ukufumana imbali yakho yezonyango, uya kucelwa ukuba ugcwalise lemibuzo ebhaliweyo ekuqeshweni kwakho kokuqala, ukuba kungengaphambi kokuqeshwa.
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Yintoni oyenzayo xa Ucinga ukuba unakho u-Arthritis?
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Ukuxilongwa kwangaphambili kweArthritis Kubalulekile ukuze kulawulwe izifo
Ufanele ulungele ukubonelela ngembali yakho yezobugqirha ngokucwangcisa kwangaphambili le ngcaciso elandelayo: uluhlu lwakho lwamachiza olwangoku, uluhlu lwezilonda, uluhlu lwazo zonke izifo zonyango okwangoku zonyango, iimeko zonyango oye waphathwa ngazo ngaphambili, Igama logqirha wakho oyintloko kunye nezinye iingcali, kunye nolwazi lwabo lokuqhagamshelana.
Ukuba ugcina idayari yesibonakaliso, kuya kuba lula ukudala kwakhona imbali yakho yezobugqirha kwaye ugcine umkhondo wezinto ezifanelekileyo malunga neemeko zakho kunye noshintsho njengoko zenzeka. Ngedayari, uzimisele kakhulu ukunika ugqirha wakho umfanekiso omhle weempawu ozifumanayo.
Ukuba awunayo idayari yesibonakaliso, akusayi kukhawuleza ukuqala. Ukuqhubela phambili, kuya kunceda ngokuqhubeka nokunyamekela. Ungathembeli kwimemori yakho ukulandelela iinkcukacha, ngokukodwa xa ziqhelekileyo kwiinyanga eziliqela ukuhamba phakathi koqeshwe ngugqirha.
Uvavanyo lweMvelo
Xa uqala ukubonisana, ugqirha uya kwenza uvavanyo olusemgangathweni ukuze agcine nayiphi na impawu ebonakalayo kunye nempawu ezibonisa isifo se-arthritis. Ugqirha uya kuhlola:
- ubomvu / ukufudumala ngeenxa zonke (oko kukuthi, ukuvuvukala )
- ukuqina okuhlangeneyo okanye ukunyamezela
- ukudibanisa kwamanzi okanye ukuvuvukala
- izibonda okanye iigununu (umz., iigununu ze-rheumatoid , i- heberden's nodes , i -nodes zeBourdrd )
- umzekelo wamalungu angathintekiyo (umz., umlinganiso okanye u-asymmetric)
- ulwahlulo olukhawulelwe
- umkhuhlane
- ukukhathala
Uvavanyo lweLebhu
Emva kokuba imbali yonyango kunye nokuhlolwa komzimba sele kugqityiwe, ugqirha wakho uya kufuna ulwazi oluninzi. Iimvavanyo zegazi zingabonelela ngolwazi oluthe ngqo kwaye zihlala zikhonza ukuqinisekisa ukuba ugqirha ugxeka ntoni. Iimvavanyo zegazi nazo zisetyenziselwa ukubeka esweni umsebenzi wesifo kunye nokusebenza ngonyango emva kokuxilongwa.
Ekuhambeleni kwakho kokuqala, ugqirha wakho uya kudala ukuba ahlele ezimbalwa zale mvavanyo, ngokusekelwe kwimbali yakho yemviwo kunye noviwo.
- I-Rheumatoid Factor - I-Rheumatoid factor is antibody okanye i-immunoglobulin ekhoyo malunga nama-70 ukuya kuma-80 ekhulwini kubantu abadala abanesifo se-rheumatoid arthritis.
- Intlawulo ye-Erythrocyte yeSetymentation - Ireyiti ye-sedimentation ye-erythrocyte (ESR), eyaziwa ngokuba yi-sedimentation rate okanye i-sedrate, ibonakaliso bokuba kungabikho ukuvutha komzimba. Ukuthukuthela okungabonakali kuthetha ukuba ukutshaya kukhona kwindawo ethile emzimbeni, kodwa uvavanyo aluqapheli isizathu.
- Iprotheni esebenzayo e-C (i-CRP) - Iprotheyini e-C esebenzayo yiprotheyini eveliswa sisibindi emva kokulimala kweethambo. Amanqanaba ePlasma we-CRP akhula ngokukhawuleza emva kwezihlandlo zokuvuvukala okanye ukusuleleka, okwenza lo vavanyo luphawu oluchanekileyo lomsebenzi wesifo kunezinga lokungcebeleka elitshintsha ngokuthe ngcembe.
- I-Anti-Cyclic Citrullinated Peptide Test Anti-Test Test (anti-CCP) - I-Anti-CCP yinto yokuhlolwa kwegazi ngoku ngokuqhelekileyo iyalelwe ukuba i-rheumatoid arthritis ishicilelwa. Umgangatho ophezulu ukuya kumgangatho ophezulu we-anti-CCP kwigazi ngokuqinisekileyo uqinisekisa ukuxilongwa kumntu onempawu zekliniki zesifo se-rheumatoid arthritis. Uvavanyo lwe-anti-CCP luchanekile ngakumbi kunokuba luvavanyo lwe-rheumatoid factor. Kwiinkqubo zonyango, zombini uvavanyo lwe-rheumatoid kunye novavanyo lwe-CCP kufuneka luyalwe kunye.
- I-Anti-nuclear Antibodies (ANA) - I- ANA) (anti-nuclear antibodies) (ANA) zi-autoantibodies ezingavamile (i-immunoglobulins malunga neenkliya zeseli yoluntu). Uvavanyo lusekelwe kwi-immunofluorescence engqalileyo. Ukulinganisela kwizinga eliphezulu lokukhusela i-anti-nuclear anti levels Iimvavanyo ezichanekileyo ze-anti-nuclear antibody zibonakala kwiipesenti ezingama-95 zezigulane ze-systemic lupus erythematosus, ezingama-60 ukuya kuma-80 ekhulwini zezigulane ze- scleroderma , ezingama-40 ukuya kuma-70 eepilini ezineSjogren's syndrome , kunye ne-30 ukuya kuma-50 ekhulwini lwezigulane ze- rheumatoid arthritis .
- Ukugqiba i-Blood count - Inani elipheleleyo legazi ligqiba i-WBC (i-white blood cells count), i-RBC (isibalo sesibomvu segazi elibomvu), i-hemoglobin, i-hematocrit, amanqaku amaninzi ebomvu wegazi kunye nenani leplatelet. Ukuphakanyiswa kwecandelo legazi elimhlophe libonisa ukuba kungenzeka ukuba usulelekile. Izigulana ezithatha i- corticosteroids zinokuba ne-WBC ephakamileyo ngenxa yamachiza. Ukuvuvukala okungapheliyo kunokubangela inani elibomvu lamaseli egazi. I-hemoglobin ephantsi kunye ne-hematocrit ingabonakalisa i- anemia ehambelana nezifo ezingapheliyo okanye ukuphuma kwamanzi okubangelwa yimithi. Isibalo seplatelet sisoloko siphezulu kwizigulane ze-rheumatoid arthritis, ngelixa ezinye izigulane ezinamandla ezinokubangela ukuba iiplatelets zibe ziphantsi.
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Uhlalutyo lwe-Synovial Fluid luya kuba luVavanyo loViwo oluxabisekileyo
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I-CRP Uvavanyo lwegazi I-Ordered Order When Arthritis Isalindelwe
- I-HLA Tissue Typing - i-Human Leukocyte Antigens (i-HLA) iiprotheni phezu kwamaseli. Iiprotheni ezithile ze-HLA ziyimpawu zofuzo kwezinye zezifo ze-rheumatic. Uvavanyo luyakwazi ukuba ngaba ngabavelisi abathile bezofuzo. I-HLA-B27 inxulumene ne- spondylitis e-ankylosing kunye nezinye i- spondyloarthropathies . I-rheumatoid arthritis idibene ne-HLA-DR4.
- I-Acric Acid - Amanqanaba aphezulu e-uric acid egazini (eyaziwa ngokuba yi- hyperuricemia ) inokubangela ukuba iiferi zifake ezifakwe kwiindawo kunye nezicubu. Ukunyuswa kwamafutha e-uric acid kunokubangela ukuhlaselwa kwe-gout. Uric acid yiyona nto yokugqibela ye- purine metabolism kubantu.
Kwiintlobo ezithile zezifo zesifo se-rheumatic, ii-biopsies zamalungu athile anokubonelela ngolwazi olubalulekileyo lokuxilonga. Kwakhona, uhlalutyo olumanzi oludibeneyo lunokunika ugqirha ngeenkcukacha ezininzi malunga nempilo yomntu.
UkuBecisa
Uphando lwezifundo lusetyenziswa ekuncediseni ukuxilongwa. Ugqirha wakho unokuyalela i-x-ray (radiographs), enika imifanekiso yamathambo namalungu akho. I-ray-ray ingabonisa ukukhubazeka kunye nokungaqhelekanga kwamathambo kunye namalungu. I-ray-ray ayibonisi i-cartilage, imisipha, kunye nemigqa, nangona kunjalo.
I-MRIs, okanye i-Magnetic Resonance Imaging scans, ivelise imifanekiso enqamlekileyo yomzimba wakho ngokusebenzisa i-magnetic field kunye namaza omsakazo. Ulwazi oluchanekileyo ngamathambo, amaqela kunye nezicubu ezithambileyo zibonelelwa ngemifanekiso ye-MRI. Utshintsho oluncinane kumzimba lunokufunyanwa ngokusebenzisa iMRI.
ILizwi
Isibonakalisi esinye okanye umphumo omnye wokuvavanya akwanele ukuxilonga uhlobo oluthile lwe-arthritis okanye isifo se-rheumatic. Iipatheni ezithile neempawu kunye neemvavanyo zihlanganiselwe ukulawula izifo ezithile kwaye zilawulwe kwi-diagnosis. Kungabonakala ngathi kuyinkqubo enzima xa ufuna iimpendulo ezikhawulezayo. Umonde wakho uyadingeka njengoko ugqirha wakho ebeka iziqwenga ze-puzzle.
Ukwenza kube nzima nakakhulu ukufumana izifo ezingaphezu kwesinye se-rheumatic. Cinga olu luhlu lwezifo ezi-11 ze-rheumatic ezifanisa i-rheumatoid arthritis njengomzekelo wezinto ezinzima ezinxulumene nokuxilongwa kwe-arthritis. Ingaba unesifo esisodwa se-rheumatic? Ingaba unesifo esingaphezu kwesinye se-rheumatic? Ngaba unayo iimpawu ezigqithisileyo ezixakekisa ukuxilongwa?
Ngaphandle kokungathandabuzeki, njengoko uhamba kwinkqubo yokuxilonga, uya kuba negama lesiganeko esingaqhelekanga esikhankanywe kuyo. Kulo, sizimisele ukukunceda uqonde isigama-magama kunye namanyathelo okuhamba kwindlela ekuxilongwa ngayo. Nangona kunjalo, ukuxilongwa ngokuqinisekileyo kuyisisiseko sokufunda ukulawula isifo sakho. Sinikeza ulwazi ngala ma nyathelo alandelayo, njengokuqonda uhlobo lwakho lwe-arthritis , ukuqonda ukhetho lwakho lwe- arthritis , ukulawula ubuhlungu be-arthritis , ukuphucula umgangatho wobomi kunye nokunye.
Imithombo:
Arthritis Diagnosis. Health Encyclopedia. IYunivesithi yaseRochester Medical Centre. Uhlaziywe nguHanhan noHorowitz.
Arthritis Diagnosis. Arthritis Foundation.
I-Kelley's Bookbook yeRheumatology. I-ninth edition. Elsevier.