Ukuhlolwa kwegazi kusetshenziselwa ukuxilonga i-arthritis nokuqapha umsebenzi wesifo
Kubaluleke kangakanani ukuhlolwa kwegazi ekutholeni i-arthritis ? Yikuphi ukuhlolwa kwegazi okuvunywa ngokujwayelekile nokuthi yiluphi ulwazi abalunikezayo mayelana nesiguli ngasinye?
Futhi, uma isiguli sinemiphumela emibi yokuhlolwa kwegazi ngezibonakaliso ezivamile zamathambo, kodwa zinezimpawu zomtholampilo ezifana nobuhlungu, ubomvu, ukufudumala, ukuvuvukala, nokuqina kohlangothini lwabo - ingabe ama-labs angalungile avimbela ukuxilongwa kwe-arthritis?
I-Rheumatologists (odokotela abasebenza ngokukhethekile e-arthritis nezimo ezihlobene) ngokuvamile bahlela ukuhlolwa kwegazi ukusiza ukuqinisekisa noma ukukhipha ukuxilongwa kwemitholampilo. Isibonelo, cabanga ngesiguli esinomlando wezinyanga ezi-3 wokuqina kosuku olude oluhambisana nobuhlungu nokuvuvukala kwama-wrists noma isandla. Kulesi siguli, ukuhlolwa kwegazi okulandelayo kungahle kulandelwe ukusiza ukuqinisekisa ukuxilongwa kwe- arthritis ye- rheumatoid :
- Isici se-rheumatoid
- Anti-cyclic citrullinated peptide antibody
- Isilinganiso sedimentation se-Erythrocyte
- Iprotheyini esebenzayo e-C
Ukutholakala kwesifo esihle somzimba noma i-CCP antibody kule siguli kungasiza ukuqinisekisa ukuxilongwa kwe-arthritis ye-rheumatoid. Ngakolunye uhlangothi, iziguli ezingafinyelela ku-30% ezine-arthritis ye-rheumatoid zingenalo la ma-antibodies, ikakhulukazi ekuqaleni kwesifo sabo. Ngaphezu kwalokho, ukutholakala kwesifo sofuba , ikakhulukazi ezingeni eliphansi, akuvamile kumagciwane angenawo futhi angeke ahlakulele isifo samathambo.
I-anti-CCP i-anti-CCP cishe ihlotshaniswa ne-arthritis ye-rheumatoid, ngakho-ke uma isiguli sinesisindo esiphakeme, isiguli esingenalo ukubonakaliswa kwesifo samathambo esifubeni singase sikwazi ukuthuthukisa lesi sifo.
Ezinye izivivinyo ezimbili zegazi ezikhulunywa ngazo yizinga lokuguguquka kwesidumbu kanye ne-CRP. Lezi zivivinyo zegazi zilinganisa ukuvuvukala futhi zivame ukuphakanyiswa ezigulini ezine-arthritis esebenzayo.
Amazinga avamile awawubhubhisi i-arthritis ye-rhumum, kepha lezo ziguli zingase zingabi nengozi yokuthuthukisa umonakalo ohlangene uma kuqhathaniswa neziguli ezinamazinga aphezulu okuvuvukala. Lokhu kuyiqiniso ikakhulukazi kwi-CRP ephakeme.
Ukuhlolwa kwe- Antinuclear Antibody (ANA) kubalulekile esibonelweni sethu isiguli ukuhlola nge-systemic lupus erythematosus noma i-SLE. Ngenkathi amazinga aphansi e-ANA ejwayelekile kwi-arthritis ye-rheumatoid, amazinga aphezulu e-ANA kusibonelo sesiguli asikisela ukuthi kungenzeka i-lupus, ikakhulukazi uma i-anti-CCP ne- rheumatoid factor is negative.
Ngokuvakashelwa okulandelayo, uma isifo se-rheumatoid noma i-anti-CCP sinembile, ngokuvamile ayinakuhlelwa kabusha. I-sedimentation rate ne-CRP, noma kunjalo, ziyalwa njalo ngoba zingasiza ukuqinisekisa (ngaphezu komlando wesiguli kanye nokuhlolwa) ngabe i-arthritis isebenza noma kuxoxwa .
UScott J. Zashin, MD, uprofesa wothisha owelashwa eYunivesithi yaseTexas Southwestern Medical School, Division of Rheumatology, eDallas, eTexas. UDkt. Zashin naye uyidokotela ozoya esibhedlela sasePresbyterian yaseDallas nasePlano. Ungumunye we-American College of Physicians kanye ne-American College of Rheumatology kanye nelungu le-American Medical Association. UDkt. Zashin ungumbhali we- Arthritis Without Pain - The Miracle of Anti-TNF Blockers kanye nombhali we-Natural Arthritis Treatment.