Ukungahambi kahle Kwemfucumfucu Kungase Kuvele Nesifo Se-Rheumatoid Arthritis
Isifo se-rheumatoid lung, njengoba igama layo siphakamisa, sihlotshaniswa ne- arthritis ye-rheumatoid . Kulaba bantu baseMelika abayizigidi ezingu-1.5 abanesifo samathambo, cishe isigamu sinomsebenzi ongavamile wephunga. Kuze kube yiyodwa-yesine kubo bangase bathuthukise isifo se-rheumatoid lung lung.
Izimpawu Zesifo Sengculazi Isifo Sengculaza
Izimpawu zesifo samathambo zihlanganisa ubuhlungu obuhlangene, ukuvuvukala okuhlangene , ukuqina okuhlangene , kanye nama- nodules .
Izimpawu ezengeziwe ezihambisana nesifo se-rheumatoid lungabandakanya:
- Ukuphelelwa umoya
- Isikhukhula
- Ubuhlungu besifuba
- Fever
- I-crackle izwakalisa uma ulalela amaphaphu nge-stethoscope (ukunciphisa imisindo yokuphefumula noma umsindo ovamile womsindo nakho kungenzeka)
Ukuxilongwa Nokunakekelwa Kwezifo Zama-Lung Acne
Izinqubo ezisetshenziswa ukusiza ukuxilonga lesi simo zihlanganisa:
- I-X-ray yamahlombe
- Iskena se-computed tomography (CT) sesifuba
- I-Echocardiogram
- Thoracentesis
- I-bronchoscopy
Esifweni sesifo se-lungs, izikhwama zomoya noma i-alveoli yamaphaphu nezakhiwo zazo ezisekelayo ziyabonakala ngenxa yokuvuvukala , okuholela ekusebenzeni kwamaphaphu aphelelwe amandla. Njengamanje, ayikho imithi yokwelashwa yesifo se-rheumatoid lung, kodwa i- corticosteroids kanye nama-immunosuppressants avame ukuphakanyiswa.
Izifo ezimbi zamaThropiki nezamaPulmonary ezihambisana nezifo ze-Lung Disease
Ukukhubazeka kwe-thoracic kanye ne-pulmonary okuhlobene nesifo se-rheumatoid lungaphawula:
- Ukususwa kwe-Pleural
- Ukuqina kwe-Pleural
- I-pulmonary fibrosis
- I-Necrobiotic nodules
- I-Bronchiolitis obliterans ihlela ukuphefumula kwe-pneumonia (BOOP)
- Bronchiectasis
- Bronchiolitis obliterans
- I-pneumonitis yangaphakathi
- Umfutho wegazi ophezulu we-pulmonary
Isifo Sengculaza Esesibhedlela kanye ne-Rheumatoid Arthritis
Ukubonakaliswa okuvame kakhulu kwesifo se-pulmonary kwi-rheumatoid arthritis kungukugula kwesifo samaphaphu.
Iziguli ezine-arthritis enesifo esiyingozi kakhulu zingaphakamisela isifo se-lungthrough-cornetic-associated associated lung disease. Umbiko ophelele kaDkt. Jeffrey T. Chapman waseCleveland Clinic Foundation uchaza ukusabalalisa, izimpawu, izimpawu, ukuxilongwa, kanye nokwelashwa kwezifo zamaphaphu.
Abacwaningi beMayo Clinic baphakamise ukuthi isifo se-rheumatoid lungase sihluke ngokuphelele kwezinye izinhlobo zezifo zamaphaphu futhi mhlawumbe kufanele siphathwe ngendlela ehlukile. Ukuthuthukiswa kokuhlaziywa kwezithombe ezenziwe ngekhompiyutha kwenzeke ukuthi kutholakale ukuthi isifo se-rheumatoid lungaphambilini futhi siyiphathe kabi njengesifo samasosha omzimba. Futhi, ukucwaninga kweMayo Clinic kwembise inqwaba yehlobo T, elaziwa ngokuthi i-CD4 T cell, emasampula amathishu amathumba e-rheumatoid.
Izindlela ezivame ukwedlula zonke izifo zesifo samaphaphu ziyi-pneumonia yesikhashana evamile kanye ne-pneumonia engenazo zonke izinhlangothi. Esinye isethulo sihlanganisa i-fibrosis ye-pulmonary ne-emphysema.
Ukubhema, into eyaziwayo engozini ye-arthritis ye-rheumatoid, ingase idale nendima ekuguleni kwesifo samathambo ehambisana ne-rheumatoid, kanye nezindlela ze-genetic kanye ne-immunologic. Kuye kwaphakanyiswa ukuthi imishanguzo ye-arthritis ye-rheumatoid ingase iholele ekufakeni izidakamizwa ezibangelwa izidakamizwa, kwezinye izimo.
I-Rheumatoid Arthritis Treatment kanye nezifo zengculazi
I-Methotrexate iyindlela yokwelapha ejwayelekile yegolide yesifo se-rheumatoid arthritis. Kodwa, i-methotrexate iphinde iphakanyiswe njenge-agent causative ku-interstitial lung disease. Abacwaningi bahlola ingozi ehambisanayo yesifo se-pulmonary phakathi kweziguli zesifo se-rheumatoid arthritis esaphathwa nge-methotrexate. Ucwaningo luphetha ngokuthi kunomkhuhlane omncane kodwa ophawulekayo engozini yezifo zamaphaphu ezigulini ze-rheumatoid arthritis eziphathwe nge-methotrexate uma kuqhathaniswa nezinye izidakamizwa eziguqula izifo ezithathelisayo (DMARD) nezidakamizwa ze-biologic .
NgoJanuwari 2016, imiphumela yokutadisha yanyatheliswa kuyi-Journal of Rheumatology eyahlola ingozi ehambisanayo yesifo se-pulmonary phakathi kweziguli zesifo se-rheumatoid arthritis esiphathwa nge- Arava (leflunomide) .
Akukho bufakazi bokukhula kwezenzakalo ezimbi zokuphefumula ezitholakala ekuhlolweni okungahleliwe nokulawulwa kweziguli zesifo sofuba se-rheumatoid esiphathwe nge-leflunomide.
> Imithombo:
> Conway R. et al. I-Leflunomide Ukusetshenziswa Neengozi Yezifo Zengculazi Ku-Arthritis Ye-Rheumatoid: Ukubuyekezwa Kwezincwadi Zesistimu kanye ne-Metaanalysis Yezilingo Ezilawulwe Ngokungahleliwe. Journal of Rheumatology . Mashi 15, 2016. I-Epub ngaphambi kokuphrinta.
> Conway R. et al. I-Methotrexate nesifo se-lungs ku-arthritis ye-rheumatoid: ukuhlaziywa kwemeta yezilingo ezilawulwa ngokungahleliwe. I-arthritis ne-Rheumatology . 2014 Ngo-Ephreli; 66 (4): 803-12.
> Froidevaux-Janin S. et al. Isifo sesifo samaphaphu esifubeni se-rheumatoid arthritis. I-Revue Medicale Suisse . 2011 Nov 23; 7 (318): 2272-7.
> Kim EJ, Collard HR, iNkosi TE. I-Rheumatoid-Ihlanganiswe Nezifo Zengculazi Ehlanganisiwe. Isifuba . 2009; 136 (5): 1397-1405. i-doi: 10.1378 / i-chest.09-0444.