I-Untangling Confusing Terminology
I-polyarthritis, i-arthritis yokuvuvukala, kanye nesifo samathambo esiyisifo sofuba siyisibonelo sokudumala kwegama lesidakamizwa sezokwelapha. Amagama avame ukusetshenziselwa ngokungahambisani, kodwa ingabe ayafana ngempela noma ayibhekisela ezinhlotsheni ezintathu ezihlukene ze-arthritis? Ake sicabangele ngamunye ngokwehlukana ukuze uqonde ngokugcwele ukuthi la magama ahlobene kanjani nokuthi asho ukuthini uma uwabona ezingxoxweni ze-arthritis.
I-Polyarthritis
I-polyarthritis ibhekisela ku-arthritis echaphazela amalunga angaphezu kwamane. I-polyarthritis ivame ukuphumela ku-polyarthralgia, echazwe njengobuhlungu ezingxenyeni ezingaphezu kwezine. Ngakho-ke, i-polyarthritis ichaza indlela yokubandakanyeka ngokuhlanganyela, kodwa akuyona uhlobo oluthile lwe-arthritis. I-arthritis ye-rheumatoid ingadluliselwa ngokuthi uhlobo lwe-polyarthritis lapho kuhileleka amalunga amane noma ngaphezulu. Ezinye izimo ezingakhipha i-polyarthritis zihlanganisa i- psoriatic arthritis , i- amyloidosis , i- lupus , i- scleroderma , i- juvenile idiopathic arthritis , izifo ze-alphaviral. Kungaba futhi uphawu oluphuthumayo njengengxenye yokugula okunzima njenge- rheumatic fever .
I-Arthritis Yokuvuvukala
I-arthritis yokuvuvukala ngokuvamile ithinta amalunga amaningana kuwo wonke umzimba ngesikhathi esisodwa. Kubangelwa yisifo esizimele esisodwa lapho isimiso somzimba sokuzivikela esingaphezu kwamandla omzimba sihlasela izicubu zomzimba. Lesi senzo sibangela ukuvuvukala okuhlangene.
I-arthritis ebangelwa ukuvuvukala ivame ukuhlotshaniswa nobuhlungu obuhlangene nokuqina, ikakhulukazi emva kwezinkathi zokuphumula noma ukungasebenzi, njengobunzima bokusa . Kukhona ukuvuvukala, ubomvu, nokufudumala ezungeze amalunga afintekile.
I-arthritis yokuvuvukala ingase ihlobaniswe nemiphumela yesistimu .
I-arthritis ye-rheumatoid, i- psoriatic arthritis , ne- ankylosing spondylitis yizinhlobo zesifo samathambo esivuvukala. Kulula nje, libhekisela ezinhlotsheni zamathambo ezihlobene nokuvuvukala kanye ne- synovitis esebenzayo.
Umgomo wokwelashwa kwezifo ezivuthayo zamathambo ukuletha ukuvuvukala ngaphansi kokulawula nokuvimbela umonakalo ohlanganyelwe ohlangene. Indlela yokwelapha izinhlobo zokwehla kwesifo samathambo ishintshe ukuba ibe nobudlova kunokuba nje kuphela eminyakeni emibili noma emithathu edlule. Izidakamizwa eziguqula izifo ezithathelwanayo nezifo (DMARD) kanye nezidakamizwa ze-biologic manje seziyingxenye yomuthi wokwelapha ngezinhlobo zokuphefumula zamathambo. I-Methotrexate yi-DMARD ejwayelekile kunazo zonke, futhi ingasetshenziswa ngokubambisana namanye ama-DMARD (isb., Ukwelapha kathathu ) noma ngezidakamizwa ze-biologic. I-TNF blockers , enye yezinhlobo zezidakamizwa ze-biologic, iyanciphisa ngempumelelo ukuvuvukala okungapheli kubantu abane-arthritis ye-rheumatoid, ukunciphisa ukushona nokunciphisa ingozi yemicimbi ye-cardiovascular.
I-rheumatoid Arthritis
I-arthritis ye-rheumatoid yisifo esithile futhi yiluhlobo lokuvuvukala kwe-polyarthritis, ngakho-ke wonke amagama amathathu asebenza kuso. I-arthritis ye-Rheumatoid yisifo esizimele ngokuzenzakalelayo esihilela amalunga amaningi ngokulinganisa, okuthinta ukuhlanganiswa okufanayo ezinhlangothini zombili zomzimba.
I-arthritis ye-rheumatoid ingase ihlobaniswe nemiphumela yesistimu. Ukwelashwa kwasekuqaleni nokufutheka kwesifo samathambo kungasiza ekuvimbeleni ukulimala okuhlangene ukuvuvukala.
Okuhlobene Kodwa Akunamagama afanayo
Amagama afanayo alingana nencazelo. Ngokususelwa kuleso ncazelo, i-polyarthritis, i-arthritis evuvukalayo, nesifo samathambo asihambisani-kodwa sihlobene ngokuqondile. Yonke imigomo emithathu ingasetshenziswa ngokufanele ukuchaza izici zesifo samathambo esiyingozi.
> Imithombo:
> I-Arthritis Yokuvuvukala. Isibhedlela Sokuhlinzwa Okukhethekile. https://www.hss.edu/condition-list_inflammatory-arthritis.asp.
> Klippel JH. I-Primer kuma-Rheumatic Diseases . ENew York, NY: i-Springer; 2008.
> I-Raza K, i-Filer A. IWindows Window of Opportunity in Rheumatoid Arthritis: Ingabe Iseduze? Ama-Annal of the Rheumatic Diseases . 2015; 74 (5): 793-794. i-doi: 10.1136 / i-annrheumdis-2014-206993.