Izinhlobo ze-arthritis ezihambisana nokuvuvukala
Izinhlobo zokuvuvukala kwe-arthritis zingabandakanya amajoyina amaningi ngesikhathi esisodwa. Ngokuvamile, isimiso somzimba sokuzivikela esingasebenzi ngokweqile noma esingasebenzi kahle kuyimbangela yokuvuvukala . Izimpawu eziyinhloko zokwehla kwesifo samarthritis kukhona ubuhlungu nokuqina ekuseni noma emva kwesikhathi sokuphumula noma ukungasebenzi. Kuziguli ezine-arthritis evuvukalayo, inkathi yokuqina kosuku ngokuvamile idlula imizuzu engama-60.
Ukuvuvukala, ubomvu nokufudumala nakho kuvamile noma kuzungeze amalunga afintekile. I-arthritis yokuvuvukala ayithinti kuphela amalunga - ezinye izingxenye zomzimba zingathinteka, kufaka phakathi isikhumba noma izitho zangaphakathi. I-arthritis yokuvuvukala ingathinta abantu bazo zonke ubudala, kodwa ngokuvamile ivame abantu ekutholeni kokuphila.
Ukuvuvukala akuhlali njalo nge-arthritis evuthayo. Nakuba lokho kungase kubonakale kungenakuphikisa, iziguli ezigulisayo zingaba nobuhlungu ngaphandle kokuvuvukala, ukuvuvukala ngaphandle kobuhlungu, noma ukulinganiselwa ngokomzimba ngaphandle kokubuhlungu noma ukuvuvukala.
Izinhlobo ze-Arthritis evuthayo
Izinhlobo ezintathu ezivame kakhulu ze-arthritis engavamile yokuvuvukala isifo samathambo , i- psoriatic arthritis , ne- anondlosing spondylitis . Kodwa, kukhona abanye futhi. Ezigulini ezibonisa izimpawu ze-musculoskeletal, izimo ezivuthayo ezingenayo ukubandakanyeka ngokuhlanganyela zingabandakanya i- bursitis , tendinitis , noma i- polymyalgia rheumatica .
Iziguli ezinezixhumo ezilodwa ezibandakanyekayo zingase zibe nesimo esinzima sokuvuvukala, isifo samagciwane , igciwane, isibalo , isifo samathambo, noma isifo samathambo - noma isifo esingavamile esingokomzimba njenge-psoriatic arthritis, i-spondyloarthropathy, i-pauciarticular ye- arthritis yezingane , noma i-arthritis esithathelwanayo Iphuza ukuphulukisa.
Iziguli ezinezinhlaka ezine noma ngaphezulu ezibandakanyekayo zingase zibe nezimo ezinzima zokuvutha njenge-arthritis ye-viral, i-arthritis eyenziwe yizidakamizwa, isifo sokuqala se-tishu, i-rheumatic fever, i- palindromic rheumatism , noma ukubuyisela i-synovitis ehambisanayo ye-seronegative ne-edema edema (i-RS3PE) - noma izimo ezingavamile zokuvuvukala ezifana ne-rheumatoid arthritis, i -polyarthritis engafaneleki , i- osteoarthritis evuvukalayo , isifo soxhumano oluxubene nezifo , i- lupus , i- scleroderma , i-polyarticular ye-arthritis yezingane, noma isidala Isifo sesisodwa.
I-Arthritis Yokuvuvukala Iyaboniswa Kanjani?
Ukuphakama kwezigaba zesisombululo esiyinkimbinkimbi kubonakala njengezinkomba zokuvuvukala. Ngenkathi lezi zibili ezivame ukusetshenziswa, i- CRP kanye nesilinganiso se-sedimentation , kubonisa ukuvuvukala, azihlukanisi phakathi kwesifo samathambo kanye nezinye izinhlobo zokuvuvukala kwamathambo. Futhi, akuzona zonke iziguli ezine-arthritis evuvukalayo eziyobe seziphakanyisiwe ekuqaleni kweRPP noma izinga lokudabuka. Ezinye iziguli zingase ziphakanyise amazinga we-ferritin, haptoglobin, ceruloplasmin, noma i-complement. Ezinye izimpawu ezibonisa uhlobo oluvuthayo lwe-arthritis yi-anemia yezifo ezingapheliyo, amaplatelet aphakanyisiwe, nokubalwa kwamaseli amhlophe.
Kukhona ukuhlolwa kwe-serologic ukusiza ukuphawula ukuxilongwa.
I-rheumatoid factor iyalwe ngokujwayelekile uma kutholakala ukuthi i-rheumatoid arthritis. Kodwa, akuwona wonke umuntu one-arthritis yesifo se-rheumatoid esifanele kwisisindo se-rheumatoid (enesisindo). Iziguli ezingaba ngu-20% ezitholakalayo ezine-arthritis ye-rheumatoid azifani nezezici zesifo se-rheumatoid (i-seronegative). Ekuqaleni kwe-arthritis (izimpawu ezingaphansi konyaka) isifo somzimba sesisindo somzwelo siba ngu-17-59%, ngokusho kukaKelley's Textbook of Rheumatology. Okucacile akuyona into enhle ye-rheumatoid arthritis, ngoba ezinye izimo zingase zihlotshaniswe nesisindo esihle se-rheumatoid (isb., I-lupus, isifo se-Sjogren's ).
Ngisho no-4-5% wabantu abaningi banomqondo omuhle we-rheumatoid factor. Ezinye izivivinyo ze-serologic, ezifana ne- anti-CCP ne- ANA zinganikeza ulwazi oluthe xaxa lokuxilonga, ngaphezu kwe-CRP, izinga lokunciphisa, kanye nesici se-rheumatoid.
Ukuvivinya ezinye izimpawu zofuzo kungasiza. Isibonelo, ubuhle be-HLA-B27 buhlotshaniswa kakhulu ne-ankylosing spondylitis. Futhi, ukuhlaziywa kwe-synovial fluid kunganikela ngolwazi oluphathelene ne-inflammaton - synovial fluid kusuka ekuhlanganyeleni okuvuthayo ngokuvamile okuphuzi nokuvuthayo, okubalwa kwamangqamuzana amhlophe angaphezu kuka-10,000 amaselula / mm, nephesenti enkulu kakhulu yi-neutrophils.
Ukucatshangelwa kusetshenziswa futhi njengengxenye yenqubo yokuxilonga ye-arthritis evuthayo. Ubufakazi be-X-ray ye-arthritis evuvukalayo ingabandakanya ukuvuvukala kwezicubu ezincane, i- chondrocalcinosis , i- effusion ehlangene , i- osteopenia eduze kokuhlanganiswa, ukulahlekelwa komzimba we-cartilage , indawo ehlangene yokunciphisa , nokukhungatheka kwemibono.
Imithombo:
Isikhungo se-Arthritis esivuthayo. Isibhedlela Sokuhlinzwa Okukhethekile.
http://www.hss.edu/inflammatory-arthritis-center.asp#.UzS4Q4VsJ4w.
I-Kelley's Bookbook of Rheumatology. Isahluko 42. I-Arthritis ye-Polyarticular. UJohn J. Cush noK Kathryn H. Dao. Umagazini wesishiyagalolunye. U-Elsevier Saunders.
Umhlahlandlela Wabahlengikazi Oyinhloko Kumdlavuza Wokuvuvukala; Ukuxilongwa. I-Rheumatology Network. Juni 2, 2010.
http://www.rheumatologynetwork.com/articles/primary-care-physicians-guide-flammatory-arthritis-diagnosis.