Izinjongo zokuphulukiswa Ukuvuvukala Okuhlobene Ne-Synovitis
I-Synovitis yigama lezokwelapha lokuvuvukala kwendwangu yokuhlanganiswa (isib., I- synovium) . Izimpawu ezihambisana ne-synovitis zihlanganisa ubuhlungu obuhlangene, ukuvuvukala okuhlangene, ubomvu, nokufudumala .
Kubantu abanempilo, imbangela ye-synovitis ivame ukusetshenziswa kabi ngokuhlanganyela. I-Synovitis nayo iyisici esiyinhloko sezinhlobo ezihlukahlukene ze- arthritis evuthayo . Nge-arthritis evuthayo, izimpawu ze-synovitis zivame ukubonakala ngesikhathi sokuhlolwa komzimba.
I-Subclinical Synovitis
I-subclinical synovitis ichazwa ngokuthi ukuvuvukala kwendwangu yokuhlanganiswa engatholakali ngesikhathi sokuhlolwa komzimba. I-subclinical synovitis ingatholakala ngokusebenzisa i-MRI (imaging magnontic resonance) kodwa kubaluleka kwayo kubalulekile. Ngokwe-rheumatologist uScott J. Zashin, MD, "Ekuhlangenwe nakho kwami njenge-rheumatologist, iziguli ezine-subclinical synovitis nezinyathelo ezijwayelekile zokuvuvukala egazini, njengezinga elijwayelekile le- sedimentation e-erythrocyte noma amaprotheni asebenzayo e-C (CRP), akunakwenzeka ukuba ukuhlakulela umonakalo ohlangene obonakalayo kuma-x-rays ayisisekelo, nakuba ngingayazi noma yiziphi izifundo ezishicilelwe kule ndaba. "
Ngenkathi i-MRI ingenakuphika indlela yokucabangela engcono kakhulu yezifundo ezithintekayo zezicubu, kuyabiza futhi kudla isikhathi. I-ultrasound yama-Musculoskeletal ithola umusa futhi ibonwe njengabizi futhi iphumelela ngokulinganayo njenge-MRI yokuthola i-synovitis.
I-Synovitis esebenzayo
Ngesikhathi izimpawu ze-synovitis zibonakala noma zibonakala ngesikhathi sokuhlolwa komzimba, kukhona ukuvuvukala okusebenzayo okwenzeka kakade ekuhlanganyeleni okuthintekile.
I-synovitis esebenzayo ingabangela ukulimala okuhlangene okuhlala njalo. Yilokho ukukhathazeka lapho i-synovitis itholakele nokuthi kungani ukuxilongwa okusheshayo nokuphathwa kwe-arthritis kugcizelelwe.
I-Synovitis ayikwazi ukulimaza kuphela ukujoyina, kepha ingathinta izakhiwo ezizungezile, njengezintambo. Isihlanganisi esibi kakhulu singase siphume noma sihlangane ndawonye, okwenza ukuhamba okujwayelekile nokusebenza kube nzima, uma kungenakwenzeka.
Synovptatic Synovitis
I-Synovitis ne-Rheumatoid Arthritis
Phakathi namasonto ambalwa okuqala we- arthritis ephawulekayo yesifo sofuba , ngezinye izikhathi kungase kube namaseli amhlophe egazi amancane noma ama-tema e-edema kunalokho okulindelwe ngokuvuvukala, kodwa i-biopsy ivame ukuveza isici sokubukeka kweselula sezifo eziphambili. Abantu abane-arthritis "yokuqala ye-rheumatoid" bangase babe nenqubo yesifo esandulela ukuqala kwezimpawu. Ama-autoantibodies (ama-antibodies ngokumelene nezicubu zomzimba) acatshangwa ukuthi akhiqizwa kubantu abane-arthritis iminyaka eminingi ngaphambi kokuba kuvele izimpawu zomtholampilo. Lokhu kusikisela isigaba esandulela imitholampilo esingase senzeke ngaphambi kokuba i-symptomatic synovitis ikhule.
I-Synovitis ne-Monoarthritis
Uma i-synovitis ibonakala njengesizathu sobuhlungu obuhlangene, ukuvuvukala, ubomvu, noma imfudumalo, imbangela yokuvuvukala okuhlangene kudingeka izimisele. Ngamanye amazwi, siyini isifo esibucayi noma isimo esihambisana nokuvuvukala okuqhubekayo? Uma umuntu eveza i- monoarthritis (okungukuthi, izimpawu ze-arthritis ezithinta ukujoyina okulodwa), umgomo obaluleke kakhulu wokuhlola ngokomzimba ukubeka ukutholakala noma ukungabikho kwe- effusion ehlangene noma synovitis. Ukuba khona kwe-synovitis kunciphisa ukuxilongwa kokuhlukana kwezifo ezivuthayo zesifo samathambo, isifo samathambo esithathelwanayo, nezifo zesifo se-rheumatic.
Ezikhathini zayo zakuqala, isifo samathambo singabonisa njenge-monoarthritis. Njengoba iqhubeka, i-arthritis ye-rheumatoid iphenduka i-polyarthritis ehambisanayo, okusho ukuthi kuhlangene amanxeba amaningi zombili zomzimba.
Ukuphatha Synovitis Synovitis
Uma uphethwe kahle, ukwelashwa okufanele kungaqala. Izidakamizwa eziphikisana nezidakamizwa (ama-NSAID) ngokuvamile zibekwe ngokuqondile ukuze kunciphise ukuvuvukala. Ku-arthritis ye-rheumatoid, izidakamizwa eziphikisana nezifo eziphikisana nezifo (DMARD) nezidakamizwa ze-biologic zivame ukufakwa njengengxenye yesimiso sokwelapha ukuletha i-synovitis ngaphansi kokulawula, ukuvimbela ukulimala kokuhlanganyela, nokunciphisa ukuqhuma kwesifo.
> Umthombo:
> Kelley's Bookbook of Rheumatology. Umagazini wesishiyagalolunye. Elsevier. I-Etiology ne-Pathogenesis ye-Rheumatoid Arthritis. Isahluko 69.
> Synovitis. Isibhedlela Sokuhlinzwa Okukhethekile.
> Helfgott, Simon M. MD. Sibutsetelo se-Monoarthritis kubantu abadala. Kusesikhathini. Kugcine ukubuyekezwa ngoJanuwari 2017.