Ukungahambi kakuhle kwezinto ezingahle kwenzeke nge-Arthritis ye-Rheumatoid
Isifo se-rheumatoid lung, njengoko igama layo libonisa, lidibene ne- rheumatoid arthritis . Ku-1.5 yezigidi zaseMerika ezine-arthritis ye-rheumatoid, phantse isiqingatha sinomsebenzi ongaqhelekanga wamaphaphu. Ukufikelela kwisine-sine kubo kungahlakulela isifo se-rheumatoid lung disease.
Izibonakaliso zezifo ze-Lung Disease
Izimpawu zesifo se-arthritic ziquka intlungu edibeneyo, ukuvuvukala ngokubambisana, ukuqina okuhlangeneyo kunye neendununu .
Izimpawu ezongezelelweyo ezinxulumene nesifo se-rheumatoid pulf include:
- Ukuqhawukelwa ngumphefumlo
- Isiqhamo
- Iintlungu zesifuba
- Fever
- I-Crackle izandi xa uphulaphule imiphunga nge stethoscope (iyancipha imisindo yokuphefumula okanye izandi zomsindo oqhelekileyo nazo zinokwenzeka)
Ukuxilongwa nokuPhathwa kwezifo ze-Lung Disease
Iinkqubo ezisetyenziselwa ukuncedisa ukuba imeko iquka:
- X-ray
- Iskrini se-Computed tomography (CT) sesifuba
- Echocardiogram
- ITraracentesis
- Bronchoscopy
Kwizifo zesifo se-rheumatoid lung, izikhwama zomoya okanye i-alveoli yamaphaphu kunye nezakhiwo zabo ezixhasayo zithinteka ngenxa yokuvuvukala , okubangelwa ngumsebenzi wokuphazamiseka kwemiphunga. Okwangoku, akukho zonyango ezibonakalisiweyo zesifo se-rheumatoid lung, kodwa i- corticosteroids kunye ne-immunosuppressants zivame ukucetyiswa.
Izifo ezingaqhelekanga kunye nePulmonary eziHlanganisiweyo nezifo ze-Lung Disease
Izifo ezingenasifo kunye ne-pulmonary ezichaphazelekayo nezifo zesifo se-lungum isifo:
- Ukutshatyalaliswa kwemvelo
- Ubunzima bokukhula
- Pulmonary fibrosis
- Necrobiotic nodules
- I-Bronchiolitis obliterans iququzelela i-pneumonia (BOOP)
- Bronchiectasis
- Bronchiolitis obliterans
- I-pneumonitis yangaphakathi
- I-blood pressure
Izifo zeLung kunye neRheumatoid Arthritis
Ubonakaliso obuqhelekileyo besifo se-pulmonary kwisifo se-rheumatoid isifo sesifo se-lung.
Izigulane ezine-arthritis ezinzulu ziyakwazi ukuhlakulela isifo se-rheumatoid-arthritis-ehambisana ne-lung disease. Ingxelo ecacileyo nguDkt. Jeffrey T. Chapman evela kwiCleveland Clinic Foundation icacisa ukuxhaphaka, iimpawu kunye neempawu, ukuxilongwa, kunye nokunyangwa kwezifo zamaphaphu emzimbeni.
Abaphandi be-Clinical Mayo bacebise ukuba isifo se-rhumatoid sifo singaba sahluke ngokuthe ngqo kwezinye izifo zesifo somphunga kwaye mhlawumbi sifanele siphathwe ngokwahlukileyo. Ukuqhubela phambili ekuhlalutyoshelweni komfanekiso owenziwe ngekhompyutheni kwenze ukuba kube lula ukufumanisa izifo zesifo sengqondo sesifo se-lungum kwaye siphathe kakubi njengesifo se-immune system. Kwakhona, uphando lweMayo Clinic lubonakalise ininzi yesilwanyana seT, esaziwa njenge-CD4 T iseli, kwiisampuli zezifo zesifo se-lung.
Iindlela ezininzi eziqhelekileyo zezifo zamaphaphu ziqhelekileyo zomoya kunye ne-pneumonia ye-interstitial interstitial interstitial pneumonia. Enye inkulumo ifana ne-pulmonary fibrosis kunye ne-emphysema.
Ukubhema, into eyaziwayo yengozi ye-rheumatoid arthritis, inokudlala indima kwi-rheumatoid-arthritis echaphazelekayo isifo sesiphunga, kunye neendlela zofuzo ne-immunologic. Kuye kwacetyiswa ukuba amayeza e-rheumatoid arthritis amayeza angakhokelela kwizifo ezibangelwa yiziyobisi ezibangelwa yiziyobisi, kwezinye iimeko.
I-Rheumatoid Arthritis Treatment kunye ne-Lung Disease
I-Methotrexate yinyango yegolide yegolide ye-rheumatoid arthritis. Kodwa, i-methotrexate iphinde iphakanyiswe njenge-agent causative kwi-interstitial disease disease. Abaphandi bavavanya umngcipheko we-pulmonary disease phakathi kwezigulane ze-rheumatoid arthritis eziphethwe nge-methotrexate. Uphando oluphelile kukho ukwanda okwenyukayo kumngcipheko wesifo semiphunga kwizigulane ze-rheumatoid arthritis eziphathwe nge-methotrexate xa kuthelekiswa nezinye izidakamizwa ezichasene ne-rheumatic drugs (DMARDs) kunye neziyobisi ze-biologic .
NgoJanuwari 2016, iziphumo zophando zanyatheliswa kwi-Journal of Rheumatology eyavavanya ingozi echaphazelekayo yesifo se-pulmary phakathi kwezigulane ze-rheumatoid arthritis ezaphathwa nge- Arava (i-leflunomide) .
Akukho ubungqina benyuka imiphumo ephilileyo yokuphefumula efunyenwe kwizilingo ezingapheliyo, ezilawulwayo izigulane ze-rheumatoid arthritis ziphathwa nge-leflunomide.
> Imithombo:
> Conway R. et al. Usetyenziso lwe-Leflunomide kunye nobungozi beeLung kwi-Rheumatoid Arthritis: UkuHlola kwakhona kweeNcwadi kunye ne-Metaanalysis yeziLingo eziLawulayo ezingaHlomelo. Journal of Rheumatology . Matshi 15, 2016. I-epub ngaphambi kokuprinta.
> Conway R. et al. Isifo seMethotrexate kunye nemiphunga kwi-arthritis ye-rheumatoid: uhlalutyo lweemeta lwezilingo ezilawulwa ngononophelo. Arthritis & Rheumatology . 2014 kuMbhi; 66 (4): 803-12.
> Froidevaux-Janin S. et al. Isifo sesifo se-lungs kwi-rheumatoid arthritis. Revue Medicale Suisse . 2011 uNgo-23; 7 (318): 2272-7.
> Kim EJ, uCollard HR, uKumkani we-TE. I-Rheumatoid Arthritis-edibanisene ne-Lung Disease. Esifubeni . 2009; 136 (5): 1397-1405. i-doi: 10.1378 / i-chest.09-0444.