Rheumatoid arthritis - izimpawu kanye nokwelashwa

Baningi abantu ngesikhathi kweminyaka emibili nengu-20 kuya ku-50 baphathwa izifo ngokuhlanganyela. Okuvame kakhulu kulezi zicelo yilesi rheumatoid arthritis. Kulesi sihloko, sizofunda ugxile kulokho okudingekayo sifo, kanjani futhi aphathe.

nonspecific ezithathelwanayo (noma i-rheumatoid) sokuqaqamba kwamalunga - kokunqotshwa kwe-ezicutshini ohlelweni ngokuhlanganyela. Ngokungafani samathambo onaso sibe uhlobo lesi sifo libhekene ukulahlekelwa okuqhubekayo amalunga encane izandla, iminwe, izinyawo nabanye, kanye nokuthuthukiswa okwalandela ezinzima. Kuthinta nje amalunga kuphela kodwa futhi libonakala lishonile kunesikhumba, ubende, izindlala zamanzi kanye nezinso.

Ezimweni eziningi, izimpawu ziyabonakala ngemva hypothermia, imikhuhlane nezifo ezithathelwanayo (angina, umkhuhlane, abezindaba otitis). Futhi isifo ngokuhlanganyela abesifazane kwenzeka izikhathi 3 kaningi ngaphezu kwabesilisa. 15 - 20% amacala kuholela ukuqhubekisela phambili ukukhubazeka. Ukuma ukugeleza rheumatoid arthritis kungaba oyingozi noma ezingamahlalakhona.

Rheumatoid arthritis - Izimpawu

abagulayo e esigabeni sokuqala kwaba kancane lokushisa ukwanda (kufika ku 37,5 ° C), ukungakuthandi ukudla, ezimweni eziningi - palpitations. Ngemva 1.5 - 2 izinyanga isiguli uqala ngokushesha ulahlekelwe isisindo, kukhona ukuvuvukala kanye ubuhlungu emalungeni abathintekayo, izinga lokushisa komzimba - anda.

umonakalo Joint zenzeka afanako, ubuhlungu uhlupho hhayi kuphela lapho ushayela noma ukuhamba, kodwa futhi baxhashazwe ephelele. Ubunjalo ubuhlungu emalungeni - intuthuko, okuyinto iyakhula sezulu esibi noma ekuseni. Ekuqaleni yobuhlungu ukuhamba isifo, kodwa inchubekelembili okwengeziwe ngokuvamile kungokwaphakade. Ngokuhamba kwesikhathi, amalunga amasha abahilelekile samanje lesi sifo.

Olunye uphawu kuba ukuqina ngokuhlanganyela ekuseni. Ekuseni, ngemuva elele, isiguli ayengayisebenzisa ukuvuka embhedeni, okumenza ezihambayo emabhulashini yakhe, goba futhi unbend amadolo akho bese iminwe. Lesi simo senzeka ngemva emfushane gaphambi. Lokhu uphawu izici usaqala zesifo sokuqaqamba kwamalunga. Futhi into eyinhloko lapha - awusebenzi miss isikhashana bese ngokushesha afune usizo lwezokwelapha.

izimpawu kwangaphandle imakwe ukuvuvukala kwamalunga nemithi, a reddening okuncane kwesikhumba, izinguquko ukuma emalungeni. Nemilenze abathintekayo kukhona "kamnandi" buka kwemisipha - mncane futhi thinning waphawula ukusonteka nezinzipho ziyaqothuka, nge abahlukene imivimbo longitudinal emhlophe.

Ngesikhathi touch of isikhumba abandayo kanye clammy, emalungeni uphawu ku ngamaqhubu. Izigaxana samathambo kukhona uphawu isici kakhulu khona polyarthritis. Uma ezinye izimpawu, ezifana ukuvuvukala nokuqina kungavuka khona ezinye izifo, khona amafindo - akukho. I Izigaxana itholakala ngaphansi kwesikhumba, kanye ububanzi of 2 cm, e ngesimo kobuhlungu olumhlophe nezimpawu phezu emalungeni extensor indawo ethintekayo.

ukuhlola

Sifo kusekelwe idatha kusuka x-ray, i-laboratory kanye ucwaningo lwezempilo. ukunciphisa isici in white cell segazi, kukhuphuke erythrocyte sedimentation isilinganiso, lokuhlushwa sialic acid (ngenhla 0.2) kanye fibrinogen (ngaphezu kuka-3 g / l), impendulo amaprotheni C-esisheshayo. Bone calcium mpilo iziguli, kukhona ukuvaleka imifantu ngokuhlanganyela.

Rheumatoid arthritis - Ukwelashwa

Ukwelashwa lesi sifo kufanele kwenzeke ngaphansi kokuqondisa udokotela uma yezinkinga kuyinto esibhedlela saziso. ukwelashwa Ihatilayitisi lide ngempela futhi kuhlanganisa nokusetshenziswa:

• izidakamizwa nonsteroidal antiinflammatory. Zinciphisa ukuvuvukala, ubuhlungu, saba nomthelela omuhle okusheshayo isenzo. Imiphumela engemihle - ulceration futhi dyspepsia;
• corticosteroids oyosusa yisishiso, lula ubuhlungu kanye nezinye izimpawu;
• isisekelo imithi enqanda ukuhlasela kwesifo, ukugeleza disease-modifying (gidrosihlorohin, sulfazalin);
• izidakamizwa ukuthi ukuvimbela ukwakheka tumor necrosis (adalimumab, infliximab, etanercept) by esasikhipha phansi kwesikhumba komjovo noma ngemithambo yegazi;
• Physiotherapy (cryotherapy, impatho ozocerite, ukwelashwa kazibuthe, ukwelashwa ultrasound futhi upharafini). Iphathwe lihambisana ukwelashwa. Isiza kulesetayelekile umzimba, ukubuyisela igazi ligeleze emalungeni ezidabukile, kubamba nokwehlisa amathambo eqinile.

Okusanda asebentise nezinqubo igazi uhlanzekile (hemosorbtion, plasmapheresis). Kwezinye izimo, isixazululo esingcono kakhulu kungaba zokuhlinzwa ukususa ubende.

Ekukhombeni izifo ezifana samathambo, ukuphathwa okufanele kwenziwe ngokushesha, kuze isifo isidlulile efomini ezingamahlalakhona. Ngemva kwalokho, kubalulekile ukuvimbela ukubonakaliswa esisha lesi sifo. Ukuze wenze lokhu, ukunakekelwa okukhethekile kufanele zikhokhelwe ekwelapheni izifo ezimbi kakhulu ezingalapheki njenge pharyngitis, sinusitis, namathansela, goiter.