Ukuxilongwa kwangaphambili kunye nonyango kudla ngokugxininiswa njengenxalenye yolawulo oluphumelelayo lwe- rheumatoid arthritis . Iintlanzi kunye nezilwanyana ezivuvukalayo ziqhelekileyo phakathi kweempawu zokuqala zesifo. Ubunzima , ubomvu, kunye nokufudumala kwisayithi lamajoyina achaphazelekayo unokuba nemiqondiso yokuqala ye- arthritis .
Nangona amaqela amaninzi ahlukeneyo anokuchaphazeleka yi-arthritis ye-rheumatoid, amaqela athile achaphazelekayo.
Ukwazi ukuba iziphi iindidi ezithintekayo kakhulu kwisifo singakunceda uqaphele iimpawu kunye neempawu zokuqala kwaye uncede uqaphele ukubaluleka kokubonisana nogqirha wakho, ngaphandle kokulibaziseka, ukuba ezo zimpawu zenzeka. Kwakhona, amaxhepha achaphazelekayo yi-arthritis ye-rheumatoid iyavela kumzekelo olinganayo (okt, inxube efanayo iyachaphazelekayo kumacala omabini omzimba), ukubonelela enye enye inkcazelo ebalulekileyo.
Amalungu amaninzi achaphazelekayo yi-Rheumatoid Arthritis
Amancinci amancinane wesandla, isandla, unyawo, idolo, kunye ne-ankle zichaphazeleka ngokuphawulekayo kwi-rheumatoid arthritis. Umzekelo wokubandakanyeka kunye namalungu e-MCP (metacarpophalangeal), ama-PIP (amaninzi e-interphalangeal), kunye nesandla sikrokritiki ye-rheumatoid arthritis, kodwa ayiyiyo. Umzekelo weempawu kufuneka uhlukaniswe kwi- osteoarthritis , i- psoriatic arthritis , kunye ne- pseudogout . Amadolo kunye kunye ne-MTP (i-metatarsophalangeal) kunye namaqela ahlala ebandakanyeka kwi-rheumatoid arthritis.
Amaqela angadluliyo ngokuqhelekileyo achaphazelekayo yi-Rheumatoid Arthritis
Ezinye izihlanganisi ezinokuthi zibe nezibonakaliso zesifo se-rheumatoid arthritis, kodwa esingaphantsi ngokuqhelekileyo, kufaka ihlombe, i-elbow, i-ankle, i-tarsal, i-hip, iqhagamshelo le-acromioclavicular (ngasentla kwegxala), iqhagamshelo le-sternoclavicular (idibanisa i-breastbone ibe yintlaphula), idijitomandibular (umhlathi) kunye izihlanganiso zomlomo wesibeletho .
I-rheumatoid arthritis ayichaphazeli i-lumbar spine, i-thoracic umgudu, i-sacroiliac, i- costochondral (indawo yokuloba ), okanye iqela lokuqala le-carpometacarpal (isiseko sesithupha). Ubunzima kunye nokuvuvukala kwama-DIP (distal interphalangeal) amaqabane aqhelekileyo axhambelana ne-osteoarthritis kwaye ayibangelwa yi-arthritis ye-rheumatoid.
Ukubonisana noDokotela wakho
Xa udibana nogqirha, unokuzondla kuphela ingqalelo yokukhathazeka-eyona nto ibuhlungu kakhulu okanye ibangela ukuphazamiseka kakhulu kwimisebenzi eqhelekileyo. Uviwo oluhlanganyelweyo luya kwenziwa, kungekhona nje loo mdibaniso othile, kodwa nabanye.
Ugqirha wakho uza kuhlolisisa amaqumrhu akho ngokuvuvukala, ubomvu kunye nokukhubazeka; ukunyanzelisa amanqaku akho ukuba unqume ukuba uluhlu lwesinyanzelo luqhelekileyo okanye aluqhelekanga kwaye unqume ukuba ukunyakaza kukunyusa intlungu; i-palpate (hlola ngothintelo) ngenxa yentlungu, ukufudumala kunye nokunyamekela. Ngaphandle kwentlungu, ububele, ukuvuvukala, kunye nobuninzi bokuhamba, ugqirha uya kuhlolisisa amanxeba akho kwi- crepitus kunye nokungazinzi.
Nangona kubalulekile ukuba ugqirha wakho aqonde ngokuchanekileyo ubukho okanye ukungabikho kweziphumo ezithile ngexesha loviwo oludibeneyo, i-ultrasonography kunye ne-MRI (i-imagination magnetic resonance) zibuhlungu kakhulu ukufumana i- synovitis kunye nokungaqhelekanga okucacileyo.
Izibonakaliso zomzimba zesifo se-rheumatoid arthritis, esiya kubonakala ngexesha loviwo oludibeneyo, lunokuthi lufumaneke kwiinqanaba zokuqala zesifo se-rheumatoid arthritis. Kungenxa yoko uviwo oludibeneyo, ngelixa liyinxalenye ebalulekileyo yenkqubo yokuxilonga, yinto enye-enye inxalenye. Imbali yakho yezokwelapha, iziphumo zokuvavanya igazi, kunye nezifundo zengcamango nazo ziyimimiselo ebalulekileyo xa kulungiswa ukuchonga.
Imithombo:
I-Rheumatoid Arthritis: I-Early diagnosis and Treatment. Ukubandakanywa Okuhlangeneyo. Page 32. UJohn J. Cush, MD, uMichael E. Weinblatt, MD, uArthur Kavanaugh, i-MD yesithathu. Ishicilelwe nguComputer Communications, Inc.
Irheumatoid arthritis. Ehlelwe nguRaashid Luqmani, uTheodore Pincus, uMartin Boers. Isahluko 3. Ukuxilonga kunye nempawu zonyango zesifo se-rheumatoid arthritis. I-Oxford Rheumatology Library. I-Oxford University Press. 2010.
I-Kelley's Bookbook yeRheumatology. Imbali kunye nokuPhononongwa kweMvelo yeSistimlostic System. Davis, Moder, Hunder. Icandelo 5. Isahluko 40. Ishicilelwe ngu-Elsevier Saunders. I-ninth edition.