Uhlobo Oluvuvukalayo, Luhlobo Lwe-Arthritis
I-arthritis ye-rheumatoid iyimithi engapheli, evuthayo yamathambo . I-arthritis ye-rheumatoid iphinde ibekwe njengesifo esizimele (amasosha omzimba ahlasela izicubu zomzimba eziphilile). Amalunga aphethwe ngokuyinhloko yi-arthritis ye-rheumatoid, kodwa kungaba nemiphumela yesistimu (okungukuthi, izitho).
Izimbangela ze-Rheumatoid Arthritis
Abacwaningi basebenzele iminyaka ukuthola umphumela wempendulo engavamile ye-autoimmune ehlobene ne-arthritis ye-rheumatoid.
Asikho isizathu esisodwa esitholiwe. Izinkolelo ezivamile zikhomba ukuthi izakhi zofuzo zikhona kanye nomcimbi oshukumisayo.
Izimpawu Ezihlobene Ne-Rheumatoid Arthritis
Izimpawu eziyinhloko ezihambisana ne-rheumatoid arthritis zifaka:
- ubuhlungu obuhlangene
- ukuvuvukala ngokuhlanganyela noma ukuxuba
- ukuqina okuhlangene
- ubomvu kanye / noma imfudumalo eduze kwehlangene
- ibanga lokuvinjelwa elikhawulelwe
Ukuqina kobusika okuhlala isikhathi eside ngaphezu kwehora, ukubandakanyeka kwamathambo amancane ezandla nezinyawo, ukukhathala okwedlulele, ama-nodules we-rheumatoid , nokubamba iqhaza okuhlangene (isib., Amabini womabili angesigodlo esisodwa) zonke izici zesifo samathambo.
Ukuxilongwa kwe-Rheumatoid Arthritis
Ayikho i-laboratory test noma i-x-ray engakwazi ukuthola ukuthi i-arthritis ye-rheumatoid. Ukuhlanganiswa kwemiphumela yokuhlolwa, ukuhlolwa ngokomzimba, kanye nomlando wezokwelapha ngesiguli ndawonye kungasiza ekutholeni ukuxilongwa kwe-arthritis ye-rheumatoid.
Ukuhlola i-Laboratory okuvame ukulalelwa ukusiza ukuxilongwa kwesifo samathambo kuhlanganisa:
- isifo se-rheumatoid
- isilinganiso se-erythrocyte sedimentation
- Iprotheyini esebenzayo e-C
- ukuhlolwa kwe-anti-CCP
Ama-X-ray kanye nama-MRIs nawo ayalelwa ukuba asize ngenqubo yokuxilonga, futhi kuyo yonke inkinga yesifo ukuqapha ukusebenza kahle kokwelashwa. Umgomo wokuxilongwa kokuqala kanye nokwelashwa kokuqala ukuvimbela ukulimala okuhlanganyelwe okuhlala njalo.
Ukwelashwa kwe-Rheumatoid Arthritis
Imithi ye-arthritis yinkambo eyinhloko yokwelashwa kwendabuko ye-arthritis ye-rheumatoid. Isiguli ngasinye sihlolwe yi- rheumatologist futhi kuphakanyiswa uhlelo lwezokwelapha. Kanye nemithi, ezinye izinhlobo zokwelashwa okuhambisanayo noma ukujova kwendawo kungasiza ekunciphiseni ubuhlungu.
Imithi esetshenziselwa i-rheumatoid arthritis ingafaka:
- I-Biologics, njenge- Enbrel (etanercept) , i- Remicade (i-infliximab) , i- Huma (i-adalimumab) , (i-Simponi (golimumab) , i- Cimzia (i-certolizumab pegol), i- Rituxan (rituximab) , i- Orencia (i-abatacept)
- I-DMARD (isifo sokuguqula izidakamizwa eziphikisayo), njenge methotrexate , i- Plaquenil (i-hydroxychloroquine) , i- Azulfidine (i-sulfasalazine)
- I-Corticosteroids (njenge- prednisone )
- Ama-NSAID (izidakamizwa ezingezona ukuvuvukala okungezona izifo ezifana ne- Celebrex (celecoxib) ne- Naproxen (i-Naprosyn)
- Ama-analgesics (ama-painkillers)
Ukusabalala kwe-Arthritis ye-Rheumatoid
Cishe abantu abayizigidi ezingu-1.5 e-United States bane-arthritis ye-rhumum kanye namaphesenti angu-1-2 womhlaba wonke abathinteka isifo samathambo. Abesifazane bathinteke kakhulu kunamadoda. Amaphesenti angaba ngu-75 weziguli zesifo sofuba se-rheumatoid kukhona abesifazane. Amadoda, abesifazane kanye nezingane zingathuthuka isifo samathambo.
Ngokujwayelekile, isifo se-arthritis se-rheumatoid senyuke phakathi kuka-30 no-60 ubudala.
Amaphuzu Okuthandwa Ngama-Rheumatoid Arthritis
- Abantu abangamaphesenti angama-20 abanesifo se-rheumatoid arthritis negative ngenxa yesifo se-rheumatoid. Lezi ziguli zihlukaniswa ngokuthi " isifo samathambo esiyisifo sofuba ". Ngokuvamile kucatshangwa ukuthi iziguli ze-seronegative zinenkinga encane kakhulu ye-arthritis ye-rheumatoid kanye nokukhubazeka okuncane, kodwa lokho akunjalo ngaso sonke isikhathi.
- I-arthritis ye-rheumatoid iye yahlotshaniswa nobungozi obukhulu bokufa , ingozi enkulu yesifo senhliziyo, futhi ingozi enkulu ye- lymphoma kunabantu abaningi.
- Esinye isithakazelo ukuthi ukubhema kubonwe njengengozi engozini yokuthuthukisa isifo samathambo .
Imithombo:
I-rheumatoid Arthritis. I-American College of Rheumatology. Kubuyekezwe u-Agasti 2013.
http://www.rheumatology.org/I-Am-A/Patient-Caregiver/Diseases-Conditions/Rheumatoid-Arthritis
I-Kelley's Bookbook of Rheumatology. Umagazini wesishiyagalolunye. Elsevier. Isahluko 69. I-Arthritis ye-Rheumatoid.