Indlela i-Cricoarytenoid Joint ethinteka ngayo ku-Rheumatoid Arthritis
Amalunga angama-cricoarytenoid eduze nomoya wakho wokuphefumula angathinteka uma une- arthritis ye-rheumatoid , okwenza kube nzima ukuphefumula. Amalungu angama-cricoarytenoid aphakathi kwama-cartilages angama-cricoid nama-pair ahlangene ngemuva kodonga lwe-larynx. Amalunga ase-cricoarytenoid asiza ukuvula, ukuvala, nokuqinisa izintambo zamagama ngesikhathi sokukhuluma nokuphefumula.
I-rthmayid Arthritis ye-Joint Cricoarytenoid
Isihlanganisi se-cricoarytenoid singumhlanganiso we-diarthrodial, okusho ukuthi uhlangene luzungezwe i-capsule ehlangene futhi i-synovial fluid igcoba ukuphakama kwamathambo. I-arthritis ye-rheumatoid ithinta ukujoyina ngokubangela ukuvuvukala kwendwangu ye-synovial. Lokhu kusakazeka emaceleni emathambo, okwenza i-fibrosis. Lokhu kungase kugcine kubangele ukuqina nokunamathela, okubizwa ngokuthi i-ankylosis. Le nqubo ibangela ukuhamba okunciphise futhi kusebenze ngokuhlanganyela. Endabeni ye-joint cricoarytenoid, akakwazi ukuhambisa izintambo zezwi noma ukusiza ekuphefumuleni.
Ukungahleleki kokuhlanganiswa kwe-cricoarytenoid okutholakala ngombono akufani kahle nezinga lezibonakaliso isiguli esinalo. Izinguquko ekuhlanganyeleni zingenzeka ngaphambi noma ngemva kokuba umuntu enezimpawu.
Ukukhula kwe-arthritis ye-Joint Cricoarytenoid
I-arthritis ye-Cricoarytenoid ivame kakhulu ezigulini ze-arthritis ye-rheumatoid, kodwa ingenzeka nakwezinye izimo, kufaka phakathi i- scleroderma , i-gout, i- lupus , izifo ezingaphezulu zokuphefumula, izicubu zomculo zomsindo, nesifo se-Tietze .
I-arthritis ye-rheumatoid yacatshangwa ukuthi ayithinti neze amajoyina amakhemikhali, nakuba izincazelo zomlando zesimo zibika ukuthi ziyabonakala njengezibonakaliso. Kodwa-ke, ucwaningo oluqhubekayo ngawo-1960 lwathola ukuthi umuntu oyedwa kubantu abathathu abane-arthritis ye-rheumatoid wayene-arthritis ye-cricoarytenoid.
Ukuhlanganiswa kokuhlanganiswa kwe-cricoarytenoid, ukuhlanganiswa kwe-cricothyroid, ukuhlanganiswa kwe-temporomandibular, kanye nezinhlaka ezihambisanayo ku-larynx zitholakala ngamaphesenti angu-90 abantu abane-arthritis ye-rheumatoid ngemuva kokuhlolwa kwe-post-mortem.
Okwenza abanye abantu babe nokubandakanyeka okuningi futhi izimpawu eziningi kanti abanye abaziwa.
Izimpawu
Izimpawu zifaka okulandelayo:
- Ukuthuthumela
- Ubuhlungu lapho ugwinya (odynophagia)
- Ukuzwela kokuthile okunamathele emqaleni wakho
- Ubuhlungu lapho ukhuluma noma ukhwehlela
- Ukuphefumula (dyspnea)
Uma unayo lezi zimpawu, ungazidluli njengento encane. Uma izimpawu zakho ziqhubeka, buza udokotela wakho. Kwesinye isikhathi imiphumela yokuphazamiseka nokuphefumula yizona zibonakaliso kuphela ukuthi umuntu une-arthritis ye-rheumatoid.
Ukwelapha
Izimpawu ezincane zivame ukwelashwa nge-high-dose systemic corticosteroids . Uma lokho kungasebenzi, umjovo we-corticosteroids engxenyeni ye-cricoarytenoid ingadingeka. Uma kungekho muthi osebenzayo, ukuhlinzwa kungenziwa. Izinqubo zingabandakanya i-tracheostomy, i-arytenoidectomy (ukususwa kwe-cartilage ngemuva kwe-larynx lapho izintambo zamagama zikhonjisiwe khona), noma i-arytenoidopexy (ukulungiswa kokuhlinzwa kwe-cartilage ngemuva kwelarynx).
Ukuba ne-arthritis ezinhlanganisweni ze-cricoarytenoid kuwukukhathazeka uma isiguli sidinga ukusizwa futhi izixwayiso zidinga ukuthathwa ukuze zingabangeli umonakalo owengeziwe.
Imithombo:
> Feraco P, Bazzocchi A, Righi S, Zampogna G, Savastio G, Salizzoni E. Ukuhlanganiswa kwama-Cricoarytenoid Joints e-Rheumatoid Arthritis. I-JCR: Journal of Clinical Rheumatology . 2009; 15 (5): 264. doi: 10.1097 / rhu.0b013e3181b2a965.
> Hamdan AL, Sarieddine D. Laryngeal Ukubonakaliswa kwe-Arthritis ye-Rheumatoid. Izifo ezizenzakalelayo . 2013; 2013: 1-6. I-doi: 10.1155 / 2013/103081.
> Amanani RN, Venables PJW. Ulwazi lwesineke: Izimpawu ze-arthritis ze-Rheumatoid kanye nokuxilongwa. Kusesikhathini.