Ezinye iiVirus zingenza iArthralgia okanye iArthritis
I-arthritis yintsholongwane i - arthritis echaphazelekayo ebangelwa yi-HIV. Ngokwe- Clinical Medicine , malunga neepesenti enye yazo zonke iimeko zesifo se-arthritis esishukumisayo zidibene ne-agental causative agent. Zininzi iintsholongwane zibikwe njengesizathu sesifo samathambo e-viral. Kulabo abanomdla oqaqambileyo we- polyarthritis , imbangela yentsholongwane kufuneka ithathelwe ingqalelo.
Iintsholongwane azikholelwa ukuba zibangela iintlobo ezibhubhisayo ezingapheliyo, ezinokuguqulwa kwesifo samathambo , njenge- arthritis ye-rheumatoid . Kodwa iintsholongwane zingabangela iimpawu ze-rheumatic ngokusebenzisa iindlela ezahlukeneyo.
Indlela i-Viral Arthritis eqhubeka ngayo
Iintsholongwane zingangena ngokuthe ngqo kwi-joint ekhokelela ekusulelekeni kwintsholongwane ye synovium okanye iifomthi ezihlangeneyo. Iintlobo ze-Viral (i-virions epheleleyo okanye i-antigens virus) zingenza njenge-antigen kwiimpawu zokuzivikela ezithintela ukusuleleka kwintsholongwane. Kwiimeko ezinjalo, i-immune complexes ingafakwa kwiindawo. Olunye uhlobo lwezenzo lubandakanya ukusuleleka kwezifo zentsholongwane ezikhokelela ekukhuselweni kwe-immune kunye nokuphazamiseka okungapheliyo.
Iimpawu ze-Viral Arthritis
Izimpawu eziqhelekileyo ezinxulumene ne-arthritis yentsholongwane zibandakanya ukubandakanyeka ngokubambisana okunokulingana okunokukhula njenge-arthralgia (intlungu edibeneyo) okanye i-arthritis (ukutshatyalaliswa ngokubambisana) okufanisa isifo se-rheumatic , esoloko sinokukhwabanisa.
Izimpawu ezidibeneyo zingaphambi okanye zihambelane neempawu zeklinikhi kunye neempawu zokusuleleka kwintsholongwane.
Ngokuqhelekileyo, ukubandakanyeka ngokubambisana okuhambisana ne-viral arthritis kuya ku:
- phuhlisa ngokukhawuleza
- kubekho ixesha elifutshane (okt, aluphikiyo)
- aphinde aphinde
Nangona kunjalo, ezinye iintsholongwane zentsholongwane ziqhubeka okanye ziphinde zibuye. Nangona kunjalo, i-arthritis yintsholongwane ayinakhokelela kwi-arthritis engapheliyo kunye nokutshatyalaliswa ngokuhlangeneyo-ngaphandle kwe- chikungunya .
Ukuxilongwa kwe-Viral Arthritis
Ukuxilongwa kwe-arthritis yentsholongwane kunokuba yinto ekhohlakeleyo kuba akukho ncwadana yeempawu eziza kuthathwa njengento eqhelekileyo. Iimpawu eziqhelekileyo neempawu-umkhuhlane, ukukhawuleza kunye nentlungu edibeneyo-ziqhelekile kwezinye izifo nezinye iimeko. Ekubeni i-arthritis ingaphambi kwezibonakaliso zentsholongwane yentsholongwane, loo nto iyanzima kwinkqubo yokuxilonga.
Uvavanyo lwe-serologic yindlela efanelekileyo kakhulu yokufumanisa ukuxilongwa kwe-viral arthritis xa utyholongwane lwentsholongwane lugqitywa-okanye uphononise imbangela ye-arthritis okanye i-arthralgia engaziwayo ngaphandle kwayo. Ukuba ukusuleleka kwintsholongwane kukhankanywa, i-serology kufuneka yenziwe ngokukhawuleza emva kweveki ezi-2 ukuya kwezi-3.
- Impendulo ye-IgM ye-antibody response elandelwayo yi-IgG antibodies kwi-virus ethile iqinisekisa intsholongwane ye-virus.
- Ukwanda (amaxesha amane okanye ngaphezulu) kwi-IgG ixesha elide linxulumene nosulelo lwangoku nje apho isampuli yegazi yokuqala isithathiwe kakhulu ukuba ifumene i-IgM, Ingabonakalisa kwakhona ukuphindaphinda okanye ukuphindaphinda.
- Amanqanaba ase-IgG azinzileyo awaxhasi ukuxilongwa kwentsholongwane yintsholongwane. Inokuthi ibonakalise intsholongwane endala ye-virus engahambelananga ne-arthritis kamva.
Iimvavanyo zegazi ziqhelekelelwa ukuba zenze ezinye izizathu zokubangela iimpawu ezidibeneyo.
Umzekelo, i- rheumatoid factor , i- anti-CCP , i- sed sed , kunye ne- CRP iya kulandelwa.
Iintsholongwane eziqhelekileyo ezixhamle ne-Viral Arthritis
Iintsholongwane eziqhelekileyo ezidibene ne-arthralgia okanye i-arthritis ziquka:
- Iimpawu zeParvovirus - ezidibeneyo zenzeka kuma-60 ekhulwini labantu abadala abanegciwane
- I-Hepatitis B-10 ukuya kuma-25 ekhulwini yenza isifo se-arthritis
- I-Hepatitis C-2 ukuya kwi-20 ekhulwini yenza i-arthritis
- I-Rubella - iziganeko ze-arthritis zifikelela kuma-30 ekhulwini amabhinqa asulelekileyo kunye nama-6 ekhulwini yabesilisa
- I-Alphaviruses - i-RNA ye-insect-borne e-RNA eqhubekayo kwiindawo ezihlala kuyo
- I-Epstein-Barr isifo-eziqhelekileyo kwizigulane ezithatha iziyobisi ze-biologic
Ngenxa yokufumaneka kwezigulana ezithile (umz., I-mumps) okanye ukuphuhliswa kweyeza-antiretroviral (umz., Kwi-HIV), kuye kwaba nzima ukubona i-arthritis ye-viral echaphazelekayo neentsholongwane ezithile. Ezinye iintsholongwane ezinokuthi zidibaniswe ne-viral arthritis, kodwa zingaphantsi, zibandakanya i-Hepatitis E, i-T-lymphotrophic virus-type 1, i-enterovirus kunye ne-virus ye-dengue.
I-chikungunya virus, i-alphavirus ebangele isifo e-Afrika nakwi-Asiya ngokubanzi, isasazwa ngama-Aedes. I-chikungunya eqhelekileyo idla ngokuqhubekayo ukuya kwiiveki, kodwa ihambelana ne-arthritis eqhubekayo kwiinyanga ezingama-36. Ngokuqhelekileyo i-arthritis yamathambo ye-chikungunya ichaphazela iminwe, isundu, amadolo kunye namaqhosha. Ukubuyiselwa kwakhona nokubuyisela iimpawu kubangelwa ngamaphesenti angama-60 ukuya kuma-80 abo bachaphazelekayo, ngokutsho kwe- Clinical Medicine . Ukuqhambuka kwe-chikungunya eyenziwe kwiCaribbean kunokwandisa ukusabalalisa kwale nhlobo ethile ye-arthritis yentsholongwane kuba kuyindawo ebushushu kubahambi.
Unyango lwe-Viral Arthritis
Utyando lwe-arthritis yentsholongwane lujolise kwi-relief relief, kwakunye nokugcina umsebenzi ohlangeneyo. Izidakamizwa kunye ne- nonsteroidal anti-inflammatory drugs (NSAIDs) zinokumiselwa . I-Corticosteroids ngokuqhelekileyo igwenywe, ingakumbi kuba ikwazi ukugubha okanye ibuhlungu kakhulu isifo sesifo sengculazi. Ukwelapha ngokwenyama kunye nokwelapha emsebenzini kunokunceda ugcine umsebenzi ohlangeneyo. Kufuneka kuqatshelwe nangona iimeko ezininzi ze-arthritis zentsholongwane zithintela (oko kukuthi, zixazulula ngaphandle kwonyango).
ILizwi
Kungumnqweno wakho ukuthabatha iimpawu zokuqala ugqirha wakho ukuze ufumane uvavanyo oluchanekileyo oluchanekileyo. Kubalulekile ukuchonga uhlobo lwe-arthritis ukuze lulawulwe kakuhle. Kwimeko ye-arthritis yentsholongwane, i- DMARD ( isicatshulwa -anti-rheumatic drug) ayiyi kuqaliswa njengoko idla ngokuphindaphindiweyo ukunyanga i-rheumatoid arthritis okanye ezinye iintlobo zokuvuvukala kwe-arthritis. I-bottom line-qaphela iimpawu zakuqala uze ubonane nodokotela wakho.
> Imithombo:
> Iimpawu, uM. kunye neMarko, i-JL Viral Arthritis. Unyango lwezonyango. Epreli 2016.
> Moore, uTerry L. MD. I-Pathogenesis kunye noxilongo lwe-Viral Arthritis. Isemgangathweno. Ukuhlaziywa kwe-Apreli 18, 2017.
> Moore, uTerry L. MD kunye noSyed, iReema MD. Iimvumi ezikhethekileyo ezibangelwa iArthritis UpToDate. Ukuhlaziywa kweyoKwindla 3, 2016.
> Vyas, Jatin M. MD, PhD et al. Viral Arthritis. MedlinePlus. Ukuhlaziywa nge- 12/10/2015.