Amanye ama-Virus angabangela i-arthralgia noma i-arthritis
I-arthritis e-viral isifo samathambo esiyingozi esibangelwa ukutheleleka ngegciwane. Ngokusho kwe- Clinical Medicine , cishe amaphesenti ayisishiyagalolunye azo zonke izifo zesifo samathambo esiyingozi ahlotshaniswa ne-agent causative agent. Amagciwane amaningi abikwa ngokuthi imbangela ye-arthritis yegciwane. Kulabo abanesiqalo esibucayi se- polyarthritis , imbangela yegciwane kufanele icatshangelwe.
Ama-virus awakholelwa ukuthi angabangela izinhlobo ezibhubhisayo ezingapheli, izifo eziphefumulayo ze-arthritis , njenge- arthritis ye-rheumatoid . Kodwa amagciwane angaqala izimpawu ze-rheumatic ngokusebenzisa izindlela ezehlukene.
Indlela i-Viral Arthritis eqala ngayo
Ama-virus angakwazi ukuhlasela ngokuqondile ukuhlanganyela okuholela ekutheleleni kwe- synovium noma izicubu ezihlangene ezizungezile. Izinhlayiya eziphilayo (ama-virions aphelele noma ama-antigens anesandulela ngculaza) zingenza njenge-antigen ezinkingeni ze-immune ezithinta ukutheleleka ngegciwane. Ezimweni ezinjalo, ama-immune complexes angafakwa emajoyini. Enye indlela yokusebenza ihilela ukutheleleka kwegciwane lesandulela ngculazi okuholela ekusebenziseni ukuzivikela komzimba nokuziphendulela okungapheli.
Izici ze-Viral Arthritis
Izimpawu ezijwayelekile ezihambisana ne-arthritis egazini zifaka ukubandakanyeka okuhlangene okulinganayo okungahlakulela njenge-arthralgia (ubuhlungu obuhlangene) noma i-arthritis (ukuvuvukala okuhlangene) okulingisa isifo se-rheumatic , ngokuvamile esine-rash character.
Izimpawu ezihlangene zingaphambi noma zihambisane nezimpawu zomtholampilo kanye nezimpawu zokutheleleka ngegciwane.
Ngokujwayelekile, ukubandakanyeka okuhlangene okuhlobene ne-arthritis egazini kuvame uku:
- ukuthuthukisa ngokuzumayo
- kube isikhathi esifushane (okungukuthi, asiphikisi)
- hhayi ukubuyela emuva
Kodwa-ke, ezinye izifo ezithinta igciwane ziqhubeka noma ziphinde zibuye. Noma kunjalo, i-arthritis yegciwane ngokuvamile ayiholeli ku-arthritis ehlala njalo enomzimba ngokubhujiswa okuhlangene-ngaphandle kwe- chikungunya .
Ukuxilongwa kwe-Viral Arthritis
Ukuxilongwa kwe-arthritis ye-viral kungaba yinkimbinkimbi ngoba ayikho isethulo esisodwa sezimpawu ezizocatshangwa ukuthi zijwayelekile. Izimpawu nezimpawu ezivamile-umkhuhlane, ukuqhuma, kanye nobuhlungu obuhlangene-nazo zivame nezinye izifo nemibandela eminingi. Njengoba i-arthritis ingaphambi kwezibonakaliso zokutheleleka kwegciwane, lokho kuyinkimbinkimbi nenqubo yokuxilonga.
Ukuhlolwa kwe-serologic kuyindlela ephumelela kakhulu yokuthola ukuxilongwa kwe-arthritis yegciwane uma kutholakala ukuthi ukutheleleka ngegciwane-noma ukuphazamisa imbangela ye-arthritis noma i-arthralgia yemvelaphi engaziwa kungakhathaliseki. Uma kutholakala ukuthi ukutheleleka ngegciwane, i-serology kufanele yenziwe ngokuphindaphindiwe ngemva kwamasonto amabili kuya kwangu-3.
- Ukuphendula okunamandla kwe-IgM antibody okulandelwa yi-IgG antibodies ngokumelene nesigciwane esithile kuqinisekisa imbangela yegciwane.
- Ukwanda (izikhathi ezine noma ngaphezulu) ku-IgG isikhathi esiphezulu kuhlotshaniswa nokutheleleka kwamanje lapho isampula segazi lokuqala sithathwe kakhulu ukuzobona i-IgM, Kungaba futhi isibonakaliso sokuphindaphinda noma ukuphindaphindiwe.
- Amazinga we-IgG aqinile ayisekeli ukuxilongwa kokutheleleka kwesandulela ngculazi. Kungase kubonise ukutheleleka kwesandulela ngculaza okungahlotshaniswa ne-arthritis eyathuthuka kamuva.
Izivivinyo zegazi zivame ukuhlelwa ngomzamo wokulawula ezinye izimbangela ezibangelwa izimpawu ezihlangene.
Isibonelo, isici se-rheumatoid , i- anti-CCP , isilinganiso sed , ne- CRP iyovunywa ngokujwayelekile.
AmaVirus Ajwayelekile Ahambisana Ne-Viral Arthritis
Ama-virus ajwayelekile kakhulu ahlanganiswe ne-arthralgia noma i-arthritis afaka:
- I-Parvovirus - izimpawu ezihlangene zenzeka ngamaphesenti angu-60 abantu abadala abanegciwane
- I-hepatitis B - amaphesenti angu-10 kuya kwangu-25 akhula amandla e-arthritis
- I-Hepatitis C - 2 kuya kwezingu-20 ngamaphesenti athuthukisa i-arthritis
- I-Rubella - isifo se-arthritis singamaphesenti angaba ngu-30 abesifazane abathintekayo namaphesenti angu-6 wabesilisa
- I-alphaviruses - ama-virus e-RNA aphethwe umiyane ovame ukujwayela abantu abahamba ngezindawo
- I-Epstein-Barr virus - evamile kwiziguli ezithatha izidakamizwa ze-biologic
Ngenxa yokutholakala kwemishanguzo ethile (isib., Ama-mumps) noma ukuthuthukiswa kwemithi yokulwa negciwane lesandulela ngculazi (isb., Nge-HIV), sekungeyona into ejwayelekile ukubona i-arthritis egazini ehambisana namagciwane athile. Amanye ama-virus angase ahlotshaniswe ne-arthritis e-viral, kodwa engavamile, afaka i-Hepatitis E, i-T-lymphotrophic virus type-1, i-enterovirus, ne-dengue virus.
I-chikungunya virus, i-alphavirus ebangele isifo e-Afrika nase-Asia ngokuyinhloko, isakazwa yizinyosi ze-Aedes. I-chikungunya ejwayelekile ihlala isikhathi eside kuze kube ngesonto, kodwa ihlotshaniswa ne-arthritis ephikelela izinyanga ezingu-36. Ngokuvamile i-arthritis ehambisana ne-chikungunya iyathinteka iminwe, izigqoko, amadolo nezinyawo. Ukubuyiselwa futhi ukubuyisela izimpawu kubangelwa ngamaphesenti angu-60 kuya kwangu-80 alabo abathintekayo, ngokusho kwe- Clinical Medicine . Ukungqubuzana kwe-chikungunya okwenzekile eCaribbean kungenzeka ukwandise ukusabalalisa kwaloluhlobo oluthile lwe-arthritis yegciwane ngoba kuyindawo eshisayo yabashayeli.
Ukwelapha I-Viral Arthritis
Ukwelashwa kwe-arthritis egazini kugxile ekuhluleni kwesifo, kanye nokugcina umsebenzi ohlangene. Ama-analgesics nezidakamizwa ezingezona ukuvuvukala (ama-NSAID) angahle anqunywe. I-Corticosteroids ivame ukugwema, ikakhulukazi ngoba ingakwazi ukugubha noma igweme isifo segciwane lesandulela ngculaza. Ukwelapha ngokomzimba kanye nokwelashwa komsebenzi kungasiza ukulondoloza umsebenzi ohlangene. Kumele kuqashelwe ukuthi izimo eziningi ze-arthritis yegciwane zizithiba (okungukuthi, zixazulula ngaphandle kokwelashwa).
Izwi elivela
Kungcono kakhulu ukuthatha izibonakaliso zakuqala kudokotela wakho ukuze uthole ukuxilongwa okufanele futhi okunembile. Kubalulekile ukunquma uhlobo lwe-arthritis ukuze lilawulwe kahle. Endabeni ye-arthritis yegciwane, i- DMARD (isifo-modifying anti-rheumatic drug) ngeke iqaliswe njengoba ngokuvamile kuvame ukwelapha isifo samathambo noma ezinye izinhlobo zokuvuvukala kwe-arthritis. Ngezansi-qaphela izimpawu zakuqala bese uxhumana nodokotela wakho.
> Imithombo:
> Marks, M. kanye Marks, JL Viral Arthritis. Imithi yokwelapha. April 2016.
> Moore, uTerry L. MD. I-Pathogenesis ne-Diagnosis ye-Viral Arthritis. Kusesikhathini. Kubuyekezwe ngo-Ephreli 18, 2017.
> Moore, uTerry L. MD noSyed, MD Reema. Ama-Virus Specific Okubangela I-Arthritis UpToDate. Kubuyekezwe ngomhla ka-3 Mashi, 2016.
> Vyas, Jatin M. MD, PhD et al. I-Viral Arthritis. I-MedlinePlus. Ibuyekezwe ngo-12/10/2015.