Kungani i-arthritis inamanye amajoyina amane aqondene
I-polyarthritis (eyaziwa nangokuthi i-polyarticular arthritis) ichazwa ngokuthi i- arthritis echaphazela amalunga amahlanu noma ngaphezulu ngesikhathi esisodwa. I-polyarthritis ivame ukuhlotshaniswa nezifo ezizimele futhi ibhekwa njengokukhathazeka njengoba ijwayele ukuqhubekela phambili kwamanye amajoyina ngokuhamba kwesikhathi.
Izimbangela
I-polyarthritis ivame ukubangelwa yi-disorder autoimmune lapho isimiso somzimba somzimba sokuzivikela komzimba sihlasela kabi ngamangqamuzana namasculi awo.
Izimbangela ze-autoimmune sifo aziqondi kahle kodwa zikholelwa kakhulu ezihlotshaniswa nezakhi zofuzo, imvelo, kanye nokwehliswa konke okuvela emisebeni yombuso kuya emathunjini.
Ngenxa yokuthi izifo ezizimele zivame ukususa impendulo yomzimba wonke, lezo ezihilela amalunga ngeke zivele zihlukaniswe njengoba zingase zibe ne- osteoarthritis (i-aka "i-arthritis yokugqoka nokulala").
Izifo ezizimele ezivame ukuhambisana ne-polyarthritis zifaka:
- I-rheumatoid arthritis
- I-arthritis yengqondo
- Ama-Amyloidosis
- Lupus
- Scleroderma
- I-juvenile idiopathic arthritis
I-polyarthritis ingabuye ibangelwe yizifo ezithile okuthiwa i- alphaviral, kuhlanganise ne- chikungunya virus kanye ne- Mayaro virus .
Ngenkathi sijwayele ukuhambisana ne-polyarthritis ngesifo esiphuthumayo, esingenakuguqulwa, singase senzeke njengengxenye yokugula okunzima njenge- rheumatic fever lapho ukuvuvukala kungase kube khona okwesikhashana futhi kuhambe phakathi kwamalungu amaningi.
Ukuxilongwa
Nakuba i-polyarthritis ivame ukuhlotshaniswa nesifo sokuzimela, leli gama ngokwayo lichaza nje inani lamalungu ahilelekile futhi aluthola lutho. Njengalokhu, ingasetshenziselwa ukuchaza noma yiliphi inani lemibandela, elihlala njalo noma elidlulayo, lapho kunamalungu amanengi angathinteka khona.
Kuze kube sekugcineni, udokotela uzoqala ukuphenya ngokubheka izimbangela ezimbili ezenzeka kakhulu ze-polyarthritis: i-rheumatoid arthritis (RA) ne-osteoarthritis (OA).
Kunezinkomba eziningana ezingasiza ukuhlukanisa phakathi kwezimo:
- Nge-OA, izimpawu ngokuvamile ziqala ohlangothini olulodwa lomzimba futhi zisakaze kwenye. Ngama-RA, uphawu lungathuthuka kalula ezinhlangothini zombili.
- Nge-OA, izimpawu zivame ukuqala ngehlanganiso eyodwa futhi zisakaze ngaphandle ukuze zibandakanye amanye amalunga afanele. Nge-RA, izimpawu zingathuthuka ezinhlanganisweni ezincane noma ezinkulu ezingenaso iphethini ebonakalayo.
- Izimpawu ze-OA zivame ukukhula kancane kancane. I-RA ingashaya ngokushesha futhi ngokuzumayo.
- I-OA ngeke ngokuvamile ibe nezimpawu zesistimu (yonke umzimba). I-RA izovame ukuhambisana nokukhathala okuqhubekayo kanye nomuzwa ojwayelekile wokungahlali kahle.
- Nge-OA, amajoyina angase aphuze futhi abe nethenda kodwa angenalo ukuvuvukala okuncane noma akukho. Ngama-RA, amalunga ayoba nobuhlungu, avuvuke futhi aqinile.
Kuye ngokuthi imbangela esolwayo, i-X ray, i-ultrasound, ukuhlolwa kwegazi, nokuhlaziywa kwamanzi okuhlangene (okubizwa nangokuthi i- arthrocentesis ) kungalawulwa .
Ku-RA ngokuqondile, ukuhlolwa kwegazi ezimbili okubizwa ngokuthi i- rheumatoid test test kanye ne- anti-cyclic citrullinated peptide (anti-CCP) test antibody kungasiza ukuqinisekisa ukuxilongwa.
Ngokuphambene, akukho ukuhlolwa kwegazi ukuqinisekisa i-OS. Ukuxilongwa kuxhomeke ekuhloleni ngokomzimba, ekuhlolweni kokucabanga, nasekuhlolweni kwegazi kanye noketshezi okuhlanganyelwe ukukhipha i-RA nazo zonke ezinye izimbangela.
> Imithombo:
> Ledingham, J. "Ukuxilongwa nokuphathwa kokuqala kwe-arthritis evuthayo." BMJ. 2017; 358: j3248. I-DOI: 10.1136 / bmj / j3248.
> Pujalte, G. kanye ne-Albano-Aluquin, S. "Ukuhlonza okuhlukile kwe-Polyarticular Arthritis." Am Fam Physician. 2015; 92 (1): 35-41.