Ukubandakanya umhlanganiso owodwa ngesikhathi
I-monoarthritis ichazwa njenge-arthritis ehlanganisa ukuhlangana okulodwa ngesikhathi. Kunezimbangela eziningana zezimbangela ze-monoarthritis noma i-monoarticular arthritis njengoba ebizwa nangokuthi, kufaka phakathi ukutheleleka, izimo ezingekho emthethweni, ukukhishwa kwe-crystal, ukuhlukumezeka, i-neoplasm, nezimo ze-immunologic.
Ukuqala kwe-monoarthritis kuvame ukuzuma futhi kukhulu kakhulu ngomkhuhlane, ubuhlungu obuhlangene , nokuvuvukala okuhlangene.
Isethulo sezimpawu ezinjalo sidinga ukuxilongwa okusheshayo kanye nokwelashwa ukuvimbela ukubhujiswa ngokuhlanganyela. Umshuwalense kumele asebenzise umlando wezokwelapha isiguli, ukuhlolwa ngokomzimba, ama-x-ray, ukuhlolwa kwegazi, nokuhlola kwe-synovial fluid ukucacisa imbangela yempawu ze-monoarticular. Nakuba i-monoarthritis ivame ukuhlotshaniswa nesimo esiyingozi, ingaba uphawu lokuqala lwalokho okuqhubekayo ku-polyarthritis noma uhlobo olungapheli lwe-arthritis. Futhi kungabangelwa isimo esingenasibindi sokubambisana, isimo sesikhathi esisodwa (okungukuthi, nxazonke ezihlangene), isifo samathambo, noma isifo sofuba.
Okokuqala Izimpawu Zokunikezela Izinkomba Ezibalulekile
Ukuhlukunyezwa, ukuphuka, noma umzimba ovulekile kuyasolakala lapho i-monoarthritis iqala ngokuzumayo. I-monoarthritis ekhula kancane kancane, ngaphezu kweyodwa noma kwezinsuku ezimbili, ivame ukuhlotshaniswa nokuvuvukala, ukutheleleka, noma i-crystal deposition. Ubuhlungu bokuthi, ekuqaleni, bungaqapheli kepha bubuhlungu kancane kancane kwezinsuku kuya kwamasonto, kungenzeka ngenxa yokutheleleka kwe-indolent noma okungajwayelekile, i- osteoarthritis , noma isisu.
Ngokujwayelekile, uma kunzima ukusa , kanye nobuhlungu obuhlangene nokunyakaza okuvinjiwe, kusolakala ukuthi uhlobo lokuvuvukala lwe-arthritis. Ubuhlungu obuvela esifundeni se-periarticular ngokuvamile buhlobene nesifo esithambile se-tissue. Uma i-monoarthritis ingavamile, ngokuvamile ihlotshaniswa nesifo esihlangene esivele sikhona.
Kodwa, ngaphambi kokuthi i-monoarthritis ihlukaniswe njengeyigugu, izimbangela ze-monoarthritis enzima kufanele zicatshangelwe futhi zikhishwe ngaphandle. Ake sicabangele izibonelo ezimbalwa zezimo ezingabangela ubuhlungu obuhlangene noma obuhambisana nesikhathi, ngokusho kukaKelley's Textbook of Rheumatology :
I-Monoarthritis Ejwayelekile Ejwayelekile
- I-arthritis ye-Septic (i-gonococcal noma engeyona i-gonococcal)
- I-Crystal arthritis (i-gout, i- pseudogout )
- I-arthritis esebenzayo
- Isifo se-Lyme
- Plant thorn synovitis
- Ezinye izifo
I-Trauma noma i-Derangement yangaphakathi
- Ukucindezeleka ukuphuka
- Umzimba olahlekile
- I-Ischemic necrosis
- I-Hemarthrosis
I-Monoarthritis Eyinkimbinkimbi Ehlotshaniswa Ne-Polythritis Yokugcina
- I-arthritis yengqondo
- I-arthritis ye-enteropathic
- I-rheumatoid arthritis
- I-rheumatism ye-Palindromic
- I-arthritis yezingane
I-Monoarthritis Ehlotshaniswa Nezifo ezingezona Ukuvuvukala
- I-osteoarthritis
- Amalungu e-Charcot
- Izifo zesitoreji, njenge-Hemochromatosis (i-iron disorder)
Izifo ze-synovial
- I-dlexstrophy ye-Reflex enozwela
- I-Sarcoidosis
- Ama-Amyloidosis
- I-villonodular synovitis ene-pigmented
- Lipoma arborescens
I-Monoarthritis Eyinkimbinkimbi Yezifo Ezivamile
- I-Systemic lupus erythematosus
- I-Vasculitis
- Isifo sikaBehcet
- Endocarditis yebhaktheriya
- Ukubuyiselwa kabusha kwe-polychondritis
- I-Fever yaseMediterranean ejwayelekile
I-Monoarthritis enamandla yezifo ze-Bone
- Isifo sikaPaget
- Osteomyelitis
- Izifo ze-Metastatic
- I-epulmonary hypertrophic osteoarthropathy
Ukuhlolwa kokuxilongwa
Izivivinyo zegazi
Ukuhlolwa kwegazi kungabonisa izici ezibalulekile. Izifo ezivuthayo, izimpande, noma i-cristal ngokuvamile zihlotshaniswa nesilinganiso esiphakeme se- sedimentation , i- CRP ephakanyisiwe, nokubalwa kwegazi elimhlophe. Ukubandakanyeka kwesifo sohlelo ngokuvamile kuvunywa ukuhlolwa kwegazi okuvivinya umsebenzi wezinso, isibindi, amathambo, kanye nemisipha. Isici se-rheumatoid , i- anti-CCP , i- antinuclear anti-test test , i-protein electrophoresis, i-serme yesifo se-serme, kanye nokubulawa kwesinye ukuhlolwa kwegazi, kungabangela imiphumela esiza ukudala ukuxilongwa.
Ukucatshangelwa Ukuhlola
Ama-x-rays aphansi angabonisa ukutholakala kwezicubu ezithambile zokuvuvukala, i-calcium ezihlakalweni ze-periarticular, ukuphuka, izidumbu ezifayo, isifo se-bones localized kanye nobufakazi bokubhujiswa okuhlangene.
Izikrini ze-CT zingalawulwa uma kunesidingo esengeziwe. I-MRI iyona ndlela enhle kakhulu yokucabanga ngesikhala lapho kutholakala khona isifo sofuba. I-MRI nayo ingakwazi ukuhlola ubukhulu bokuvuvukala kanye nokulimala okuhlangene, ngisho noma kungabonakali. I-arthrography ne- bone scans nazo zindlela zokucabanga. Futhi, i-ultrasound iyindlela evamile yokucabanga ye-imaging esetshenziswe emtholampilo ukuze ihlolwe izicubu ezithambile nezimo ze-arthritic.
Synovial Fluid Analysis
Ukuhlolwa kwe- synovial fluid kubhekwa ukuhlolwa okuwusizo kakhulu ekuhloleni i-monoarthritis elula. I-Synovial fluid ihlaziywa ngombala wayo kanye nezinga lokufiphaza. Isibalo segazi elimhlophe sinqunywe ukuhlukanisa phakathi kwezimbangela zokuvuvukala nokungezona ukuvuvukala. Ukubalwa kwamangqamuzana egazi e-synovial amhlophe okwedlula kuka-2,000 WBC / mm3 ngokuvamile kuhlotshaniswa nesimo sokuvuvukala. I-Synovial fluid ene-white cell count count engaphansi kuka-2,000 i-WBC / mm3 ngokuvamile ayilona ukuvuvukala.
I-synovial fluid kufanele ikhuliswe futhi i-gram stain eyenziwa ukuze ihlolwe ukuba khona kwama-bacteria amancane. Amakristalu e-Uric noma ama-CPPD angabonwa, uma ekhona, usebenzisa i-microscopy ekhanyayo ekhanyisiwe. I-Synovial fluid nayo ingahlolwa i-glucose, amaprotheni, ne-lactic dehydrogenase.
Imithombo:
I-Monoarthritis enamandla. I-Max Field. I-Kelley's Bookbook of Rheumatology. Umagazini wesishiyagalolunye. Ikhasi 577.
Ukuqaphela i-Monoarthritis enamandla kubantu abadala: Indlela eSebenzayo yoMhlengikazi Womndeni. I-American Family Physician. Siva et al. July 2003.
http://www.aafp.org/afp/2003/0701/p83.html