Unyango olulondolozo lwe-rheumatoid arthritis

I-rheumatoid arthritis yimizimba ye-systemic yezicubu ezinxibelelwano kunye nokutshatyalaliswa kwamalungu amancinci emida. Inkqubela phambili engapheliyo yesifo idinga unyango olude kunye neenkqubo. Unyango olulondolozo lwe- rheumatoid arthritis lwenziwa kwezi zikhokelo ezilandelayo:

- ukupheliswa okanye ukunciphisa intlungu yesifo;

- Ukunciphisa inkqubo yokuvuvukala kwi-membrane synovial yamalungu, ukuthintela ukubhujiswa kwethambo, izitho zangaphakathi kunye ne-ankylosis;

Ukuthintelwa kweengxaki ezihlangeneyo;

- ukulungiswa kwezigulana ngokomzimba nangokwengqondo.

Ngokweqhinga elibukhali unyango lwe-rheumatoid arthritis luqala ngokutyunjwa kombhede okanye ukugwema i-regimen, ukuchithwa kwamathambo okuchaphazelekayo, amayeza aphikisayo kunye nama-analgesic.

Ulwaphulo oluchasayo

Ii-NSAID ezineziyobisi ezisisiseko zisetyenziselwa ukunyanga iimpawu ezibonakalayo zesifo, njengoko kuxhasayo unyango oluchasayo kwiziganeko zokukhula kwe-arthritis ngokukhawuleza. Ngendlela yamafutha kunye nama-creams, ii-NSAID zisetyenziselwa unyango lwengingqi. Ii-NSAID, nangona zinemiphumo emihle kunye ne-anti-inflammatory effects, ayichaphazeli inkqubo yesi sifo kwaye ayithinteli ukutshatyalaliswa kweengqungquthela zemihlaba ye-articular. Leli qela leziyobisi xa litsalwa licaphukisa i-mucosa yesisu, esinokukhokelela ekuphuhliseni i-gastritis yezokwelapha kunye nezilonda.

Amalungiselelo ayisiseko

Isiseko sonyango lwemithi yesifo se-rheumatoid arthritis yizilwanyana ezisisiseko. Ezi zi yobisi ziguqula ukuphuhliswa kwesifo, isiphumo sazo siphuthuma. Izidakamizwa ezisisiseko ziquka i-cytostatic immunosuppressors - i-salts egolide, aminoquinoline amalungiselelo, i-D-penicillamine. Enye yezidakamizwa eziqhelekileyo ezivela kweli qela - i-methotrexate, ne-rheumatoid arthritis inomsindo ochasayo wokuvuvukala, iyancipha ukuphuhliswa kokuqhubeka kwesi sifo, ikhusela izicubu ezinqabileyo.

Izidakamizwa ezisisiseko zimiselwe ngaphaya kweenyanga ezi-3 emva kokuqala kwonyango kuzo zonke izigulane ezine- arthritis esebenzayo ngokungabikho kwemiphumo ye-NSAID. Ukuba ukusetyenziswa kwezidakamizwa ezisisiseko akuniki isiphumo sokuthintela iziphumo ezinyangeni ezimbini ukuya kweenyanga ezintathu, i-corticosteroids eyongezelelweyo iyadingeka.

Corticosteroids

I-Corticosteroids imiselwe umsebenzi ophezulu wokuvuvukala, ukubonakaliswa kwenkqubo ye-rheumatoid arthritis kunye nokubandakanyeka kwezitho zangaphakathi, ngokungabikho komphumo kwonyango lwe-NSAID kunye neziyobisi ezisisiseko.

I-Corticosteroids, ngokuxhomekeka kobunzima beprogram yokuvuvukala, imiselwe kwisantya se-10 ukuya kwi-40 mg ngosuku (elilingana ne-prednisolone). Le dosi isetyenziselwa ukuba ukuxolelwa okuzinzile kulandelelwe, kulandelwa ukuhla kweyonyuka kwezilwanyana ze-hormonal kunye nokulawulwa kwangaphandle kwe-NSAID.

Unyango lwe-arthritis ye-rheumatoid ene-corticosteroids inika umphumo wokukhawuleza, kodwa unokukhokelela ekuphuhlisweni kweengxaki. Ngako oko, unyango olunjalo lufanele lwenziwe phantsi kolawulo lwemiqathango enyanzelekileyo.

Ngokumalunga namayeza, i-rheumatoid arthritis iphathwa ngeendlela ezibonakalayo. Ukusetyenziswa ngokufanelekileyo kwe-hemosorption, i-plasmaphoresis, i-lympho- kunye ne-immunosorption, i-phonophoresis, i-magnetotherapy, i-laser therapy. Unyango lwengingqi lubandakanya ukulawulwa kwe-intra-articular yezidakamizwa ezichasayo kunye ne-corticosteroids, eyenziwa kwii-rheumatological departments.

Kwinqanaba lokuxolelwa, izigulane zichongiwe unyango lwezonyango usebenzisa izidakamizwa zonyango, izicelo ze-ozokeritic kunye neenkqubo ze-balneological.

Sihlolisise i- rheumatoid arthritis, iimpawu, unyango lwesi sifo kuxhomekeke kwisigaba. Ukunyanga okwaneleyo kwe-arthritis kuya kuncipha ukuqhubela phambili kunye nophuhliso lweengxaki.