Ukuphathwa okulondoloza ka-rheumatoid arthritis

rheumatoid arthritis kungokwalabo lefundo zezinzwa izicubu isifo nge izilonda amalunga encane wemikhawulo. Yiqiniso Okungalapheki okuqhubekayo isifo zidinga ukwelashwa isikhathi eside futhi ehlelekile. ukuphathwa okulondoloza ka-rheumatoid arthritis wenziwa iziqondiso ezilandelayo:

- nokuqedwa noma attenuation zobuhlungu;

ukuvuvukala -Reduce e ulwelwesi lwamalunga amalunga, nokuvinjelwa ithambo ekubhujisweni, yangaphakathi isitho ukuzibandakanya futhi ankylosis;

- nokuvinjelwa ukusonteka ngokuhlanganyela;

- nokuvuselelwa iziguli ngokubacindezela ngokwenyama nangokwengqondo.

With exacerbation abukhali samathambo siqale aphoyintimenti embhedeni noma ukwelashwa mnene, immobilization amalunga athintekayo, eqeda ukuvuvukala kanye nemithi analgesic.

yokwelapha anti-inflammatory

Ama-NSAID ne-ejenti eyisisekelo isetshenziselwa ukwelapha ukubonakaliswa okukhulu isifo yokwelapha yesondlo ezimweni arthritis kancane ezithuthukayo. Ngesimo amafutha okhilimu ama-NSAID asetshenziselwa ukwelashwa ngezihloko ezihlukene. Nakuba ama-NSAID babe analgesic omuhle futhi isenzo antiinflammatory, musa kuthinte Yiqiniso lesi sifo futhi ncisheka cha nqanda ukubhujiswa articular uqwanga evele. Leli qembu izidakamizwa uma iqondiswa obungamcasula isisu engaholela kolwelwesi izidakamizwa olubangelwa ngisho izilonda.

izidakamizwa eyisisekelo

Ngesisekelo imithi ye-rheumatoid arthritis bakha izidakamizwa eziyisisekelo. Le mithi ukuguqula ukuqhubeka kwesifo, ithonya lazo livela kancane. Ukuze izindlela eziyisisekelo zihlanganisa immunosuppressants cytotoxic - nosawoti igolide, aminohinolinovogo amalungiselelo, D-penicillamine. Omunye izidakamizwa ezivame kakhulu kuleli qembu - methotrexate rheumatoid arthritis kunomphumela evelele eqeda ukuvuvukala, kubamba inchubekelembili kwaleso sifo futhi ivikela uqwanga izicubu ekubhujisweni.

izidakamizwa Basic iqondiswa kungakadluli 3 izinyanga yokwelapha zonke iziguli ezine-asebenzayo samathambo kungekho kusukela ukusetshenziswa ama-NSAID. Uma ukusetshenziswa kwezidakamizwa eziyisisekelo akukuniki wayefisa imiphumela zokwelapha ngaphakathi kwezinyanga ezimbili kuya kwezintathu, zidinga ukwelashwa okwengeziwe ngama-corticosteroid.

corticosteroids

Corticosteroids kuyabekwa kuwo umsebenzi eliphezulu ukuvuvukala, i-rheumatoid arthritis, ukubonakaliswa letindzala kanye ukubandakanywa izitho zangaphakathi nge akunamthelela ekwelapheni ama-NSAID futhi DMARDs.

Corticosteroids, kuye ngobucayi ukuvuvukala iqondiswa e umthamo kusuka mg ngelanga (prednisolone okulingana) 10 kuya kwengu-40. Lokhu umthamo sisetshenziswa kuzuzwe ukuthethelelwa esitebeleni kulandele ukwehla kancane kancane imithi ama-hormone ukuqokwa ngesikhathi esisodwa NSAID.

Samathambo, isifo sokuqaqamba kwamalunga Ukwelashwa nge corticosteroids inikeza okusheshayo yi omuhle, kodwa kungaholela ukuxakeka. Ngakho-ke, ukwelashwa okunjalo kufanele kube ngaphansi kokulawulwa kumele Dispensary.

Kanye ukwelashwa imithi ye-rheumatoid arthritis Kwenziwa izindlela ngokomzimba. Ngokuphumelelayo zisebenzisa hemosorption, plasmapheresis, izindlala zamanzi kanye immunoadsorption, phonophoresis, ukwelashwa kazibuthe, ukwelashwa laser. ukwelashwa Local Umjovo intraarticular izidakamizwa eqeda ukuvuvukala kanye corticosteroids, okuyinto eyenziwa eminyangweni ekhethekile Rheumatology.

Iziguli ukuthethelelwa uqoke ukwelashwa kulesi sibhedlela ngodaka zokwelapha, izinqubo ozocerite futhi izicelo spa.

Sibukeze rheumatoid arthritis, izimpawu, ukwelapha lesi sifo kuncike esigabeni. ukwelashwa okufanele arthritis wehlisa inchubekelembili okwengeziwe nokuthuthukiswa yezinkinga.