Ubonakala kunye nokubaluleka kwezigulane ze-rheumatoid
Ukuba une-arthritis ye-rheumatoid, unokuba uzibuze ukuba i-nodule ye-rheumatoid isingenakwenzeka. Iigulane ze-Rheumatoid zibonwa kwi-35 pesenti yabantu abane- arthritis ye-rheumatoid . Njengengxenye yesifo sesifo, iqinile, engeyiyo ithenda, iigununu zincinci zikhula kwinqanaba lexinzelelo, amajoyina, nakwizitho zangaphakathi. Funda kabanzi malunga nokubaluleka kwazo nokuba ngaba kukho unyango osebenzayo.
Uqwalaselo kunye nokuBaluleka
Iigulane ze-Rheumatoid zibhekwa njengeyona ndlela eqhelekileyo yesikhumba (i-skin) ye-rheumatoid arthritis. Ekuqaleni kwenkcazo, xa abantu baqala ukuvavanywa ngesifo se-rheumatoid ngugqirha, malunga neepesenti ezi-7 zazo zifunyenwe ukuba zinamaxilongo angama-rheumatoid.
Iigulane ze-Rheumatoid zixhaphake ngokuqhelekileyo kunye nokubonakaliswa komzimba kunye nokubonakaliswa okuthe ngqo kwe-rheumatoid arthritis, enokubandakanya ukubandakanywa kwemiphunga okanye amehlo . Iigununu ziyakwazi ukuhluka ngobukhulu ngexesha leprogram yesifo. Ziyakunxulumaniswa neengxaki, kubandakanywa ukuhamba ngokukhawuleza, ukuphazamiseka, ukubunjwa kwe-fistula kunye nosulelo.
Phantse ama-75 ekhulwini labantu abanesifo se-Felty (uhlobo oluthile lwe-arthritis ye-rheumatoid) banama-nodules e-rheumatoid. Izigulane ze-rheumatoid arthritis ezineengqungquthela ziyakwazi ukuphuhlisa i- vasculitis . Ngokuqhelekileyo, kucatshangelwa ukuba abo abaneengqungquthela ze-rheumatoid banesifundo esiyingozi kakhulu ngesifo se-rheumatoid kunye nomonakalo ohambelanayo ngokukhawuleza.
Izimpawu kunye neMpawu
Iigulane ze-Rheumatoid zingaba ziyingqiqo, zingenabuhlungu. Ngokuqhelekileyo zilinganisa phakathi kwama-2 millimeters kunye no-5 cm. Iinqununu, ezinokubonakala ngathi ziyingqimba okanye njengesiqendu seendununu, ngokuqhelekileyo zikhula xa i-rheumatoid arthritis isebenza. Izigulane ezincinci zihamba ngokuqhelekileyo kwaye zivakalelwa kwi-rubbery.
Abanye banamathele kwi-periosteum (ithambo) baze bazive beqinile okanye banobunzima ekuthinteni.
Iindawo eziqhelekileyo zeendununu ze-rheumatoid ziquka i-elbow, emuva kwe-forearm, i- metacarpophalangeal joints (knuckles) , i-Achilles tendon, kunye ne-tendons exensor.
Iinqununu ze-Rheumatoid azifumaneki kwi-sacrum, i-occiput (emva kwentloko), iintambo zezwi, i-pulmonary parenchyma, i-pleura, i-pericardium, i-myocardium, okanye i-leptomeninges yenkqubo ye-nervous central-kodwa inokwenzeka. Kwakhona kunokwenzeka ukuba izigulane ze-rheumatoid ziphuhlise ngaphakathi kwamalungu angaphakathi.
Imizimba yabantu abangenayo i-arthritis kuphela. Imibala engapheliyo ingenzeka nge- gout (ebizwa ngokuba yi- tove ), i- rheumatic fever , i-xanthomatosis, kunye ne- sarcoidosis , phakathi kwezinye iimeko. Enye into eyahlukileyo phakathi kwee-nodules ze-rheumatoid kunye ne-toout ye-gout kukuba i-rheumatoid nodules ayifuni i-ulcerate okanye ivela kwi-skin overlying. Kukho ukulungelelaniswa okuqhelekileyo phakathi kwee-nodules ze-rheumatoid kunye nenqanaba eliphezulu le- rheumatoid kwisifo segazi.
Unyango
Iinjongo ze-intranodular steroid zinganciphisa ubukhulu be-nodule. Unyango kunye ne- DMARD okanye i- block block ye-TNF inokwenza okanye ayiyi kuphelisa iigununu ze-rheumatoid njengoko i-rheumatoid arthritis ilawulwa phantsi. Okuthakazelisayo kukuba, abanye abantu baphathwa ngamava e- methotrexate okwehla kwamanzi, nangona ezinye iinkalo zesifo zibonakala zilawulwa kakuhle.
Ukutshatyalaliswa kokuchithwa kukhetho, kodwa iigunyuli zivame ukuphindaphinda ezincinane nje ngeenyanga ezimbalwa, ingakumbi xa zikhona ngaphaya kwendawo yokuhlaselwa ngokuphindaphindiweyo. Ngokuqhelekileyo, ngenxa yeso sizathu, utyando luye ludangala.
> Imithombo:
> Cush JJ, Weinblatt ME, iKavanaugh A. I- Rheumatoid Arthritis: Ukuchonga kunye noTyango . I-West Islip, NY: UQhagamshelwano loBugcisa; 2014.
> Davis JM. Iimodemu zeRumatoid. Isemgangathweno.
> Firestein GS, uKelley WN. I-Kelleys Bookbook yeRheumatology . Philadelphia, PA: Elsevier / Saunders; 2013.