I-rheumatoid iparththritis - iimpawu kunye nonyango

Uninzi lwabantu abaneminyaka engama-20 ukuya kweyama-50 abanenkxwaleko yezifo ezihlangene. Okuqhelekileyo kwezi zi-rheumatoid polyarthritis. Kule nqaku siza kuthetha malunga nesi sifo, indlela yokuyijonga kwaye siyiphathe.

I-infyarthritis engathandabuzekiyo (okanye i-rheumatoid) iyilonda yeethambo ezixhumeneyo kwinkqubo edibeneyo. Ngokuchasene ne- rheumatic, ifom ye- rheumatoid yesi sifo ibonakaliswe yilonda eqhubekayo yezandla ezincinci zezandla, iminwe, inyawo kunye nabanye kunye nophuhliso olulandelayo lwe-deformation. Amajoyina kuphela awachaphazelekayo, kodwa kunye nolusu, i-pleen, i-lymph nodes kunye neentso.

Kwiimeko ezininzi, iimpawu zesifo zibonakaliswa emva kwe-hypothermia, ezibandayo kunye nezifo ezithathelwanayo (umqala, umkhuhlane, i-otitis). Ngaphezu koko, umonakalo odibeneyo kwabasetyhini ugcinwa kathathu ngokuphindaphindiweyo kunamadoda. I-15 - 20% yamatyala ibangela ukukhubazeka okuqhubekayo. Ngokwefom ye-rheumatoid polyarthritis ingaba nzima kwaye ingapheliyo.

I-rheumatoid i-polyarthritis - iimpawu

Kwizigulane ezigulayo kwisigaba sokuqala kukho ukunyuka okuncinci kumbindi (ukuya kwi-37.5 ° C), ukunciphisa ukutya, kwiimeko ezininzi - izinga lentliziyo elikhawulezayo. Emva kweenyanga ezili-1,5 ukuya kwezi-2 isigulane siqala ukulahlekelwa isisindo ngokukhawuleza, kukho ukuvuvukala kunye nentlungu kwindawo yokuchaphazeleka kwamalungu, ukushisa komzimba - ukuphakanyiswa.

Izilonda zamalungu zilingana, iintlungu aziphazamiseki nje ngokunyakaza okanye ukuhamba, kodwa kunye nokungahambi ngokupheleleyo. Ubume beentlungu ezinxulumene neyona nkqubelayo, eqinisa umoya wezulu okanye ekuseni. Ekuqaleni kwesi sifo, intlungu iyadlula, kodwa ngokuqhubela phambili kuqhubekeka kunomntu ongunaphakade. Ngokuhamba kwexesha, amajoyina amatsha abandakanyeka kwinkqubo eqhubekayo yesifo.

Esinye isibonakaliso ukuqina okuhlangeneyo ekuseni. Ekuseni, emva kwephupha, isigulane singakhange siphume ebhedeni, sithatha ngezandla, sigoba kwaye siguqule amadolo neminwe. Eli lizwe lidlula emva kokufudumala. Esi sibonakaliso sibonakaliso kwisigaba sokuqala se-polyarthritis. Kwaye nantsi into ephambili ayifuni ukuphosa umzuzu kwaye udibane nodokotela ngexesha elifanelekileyo.

Izibonakaliso zangaphandle ziboniswa ukuvuvukala kwamalungu, ukuhlengahlengiswa kancinane kwesikhumba, utshintsho kwiinkcazo zamalungu. Iimpawu ezithintekayo zinembonakalo "enobungqingili", izihlunu - zincinci kwaye zincinci, zidibanisa kwaye zinyanzeliswa kwezipikili, zichazwe ngamacwecwe amhlophe.

Kwinqumla, ulusu lubandayo kwaye lukhuni, kummandla wamajoyina anesigxina kwiifom. Iigulane ze-Rheumatoid yiyona nto ibonakalisa ukuba khona kwe-polyarthritis. Ukuba iimpawu eziseleyo, umzekelo, ukuvuvukala nokuqina, kuya kwenzeka phambi kwezinye izifo, ngoko ubukho beentloko - hayi. Iimodyuli zifumaneka phantsi kwesikhumba, zifike kwi-2 cm ububanzi, ngendlela yezimpawu ezinamhlophe ezingenabuhlungu ngaphezu kwendawo yokucima amajoyina athintekileyo.

Diagnostics

Ukuxilongwa kusekelwe kwi-X-ray, i-laboratory kunye nedatha yeklinikhi. Ngokuqhelekileyo, ukuncipha kwe-leukocytes egazini, ukwanda kwe-ESR, ukuxinwa kwe-asialic acid (ngaphezulu kwe-0.2) kunye ne-fibrinogen (ngaphezu kwe-3 g / l), ukusabela kwiprotheni e-C. Amathambo wezigulane aswelekile nge-calcium, amajoyina amanyeneyo athathaka.

I-rheumatoid polyarthritis - unyango

Ukunyangwa kwesifo kufuneka kuqhutywe phantsi kolawulo lwezonyango, kwiimeko zeengxaki, ukulaliswa esibhedlele okufunekayo kuboniswe. Unyango lwe-polyarthritis lude kakhulu kwaye luquka ukusetyenziswa kwe:

• Iziyobisi ezingekho-steroid ezichasayo. Ziyakuthintela ukuvuvukala, intlungu, ibe nefuthe elikhawulezayo lezenzo. Imiphumo emibi - ukwakheka kwezilonda kunye nokunyanzelisa;
• I-Corticosteroids eyanciphisa ukuvuvukala, ukunciphisa intlungu kunye nezinye iimpawu;
• Izidakamizwa ezisisiseko ze-antirheumatic eziguqula inkqubo yesifo (hydrosychlorohin, sulfasalin);
• Iziyobisi ezikhusela ukubunjwa kwe-tumor necrosis (adalimumab, infliximab, etanercept) ngejoyiki ngaphantsi okanye nge-intravenously;
• I-Physiotherapy (cryotherapy, unyango lwe-ozocerite, unyango olumandla, i-ultrasound kunye neyeza leparafini). Inqunywe ngokubambisana neyeza elonyango. Kuya kunceda ukulungelelanisa i-metabolism, ukubuyisela ukugeleza kwegazi kumalungu angagulayo, kuthintela inkqubo yokunciphisa ubunzima bamathambo.

Kungekudala, iinkqubo zokuhlanjululwa kwegazi (i-hemosorption, plasmapheresis) ziye zasebenza. Kwezinye iimeko, isisombululo esona siphumo sobungqina bokutyhulwa kwepeni.

Ukuba isifo sifana nesifo se-rheumatoid polyarthritis, sonyango kufuneka senziwe ngokukhawuleza, de kube eso sifo sibe sisigxina. Kule ndlela kubaluleke kakhulu ukuba ungavumeli ukubonakaliswa okutsha kwesi sifo. Ukwenza oku, kunikwe ingqalelo ekhethekileyo kunyango lwezifo ezingapheliyo ezifana ne-pharyngitis, sinusitis, tonsillitis, dysbiosis.