Arthritis rheumatoid - astaamaha iyo daweynta

Dad badan ayaa isagoo jira da'da 20 ilaa 50 sano ay dhibaatadu ka cudurada wadajir ah. The ugu caansan ka mid ah kuwan waa rheumatoid arthritis. In this article, waxaan diiradda saari doonaa waxa ay tahay cudurka, sida in la aqoonsado oo la daweeyo.

nonspecific faafa (ama rheumatoid) arthritis - guuldaradii of nudaha connective nidaamka wadajirka ah. Si ka duwan rheumatoid, rheumatoid foomka cudurka lagu gartaa khasaaro horusocod ah ee laabatooyinka yar baad gacmaha, faraha, lugaha iyo qaar kale, horumarinta xiga ee dhaawac. Wuxuu saameeyaa ma aha oo kaliya meesha dharkiisa, laakiin sidoo kale maqaarka, beeryarada, mergiga iyo kelyaha.

Xaaladaha intooda badan, calaamadaha waxaa muujiyey ka dib markii hypothermia, hargab iyo cudurrada faafa (angina, hargabka, otitis media). Oo cudur si wadajir ah in dumarka dhacdaa 3 jeer ka badan inta labka ah. 15 - 20% ee kiisaska keenaysaa in dheeraad ah naafada. Qaabka uu arthritis socodka rheumatoid wuxuu noqon karaa mid daran ama joogtada.

Rheumatoid arthritis - Astaamaha

bukaanka saameysey ee marxaladda hore jiray koror yar heerkulka (ilaa 37,5 ° C), rabitaanka cuntada oo luma, kiisaska intooda badan - wadno. 1.5 Ka dib - 2 bilood bukaanka bilaabaa in uu si degdeg ah lumiyaan miisaan badan, waxaa barar iyo xanuun kala goysyada saameeyeen, heerkulka jirka - kordhay.

dhaawac Joint symmetrically dhacaan, xanuun dhibaato ma aha oo kaliya marka aad wadid gaari ama socodka, laakiin sidoo kale in complete muddaada. nooca xanuun ku jira laabatooyinka ee - horusocod ah, kaas oo la maqalka ee cimilada xun ama subaxdii. Bilowga xanuunka ku dhaco cudurka, laakiin horumarka dheeraad ah inta badan waa joogto ah. Waqti ka, xubnaha cusub ee ku lug leh hanaanka hadda cudurka.

Calaamad kale waxay tahay qallafsanaan wadajirka ah ee subaxdii. Oo subaxdii dambe, ka dib markii hurdada, bukaanka si dhib leh ka heli karto ka degaysid sariirta, oo kali ah u dhaqaaqin uu burush, gacnta iyo unbend jilbaha iyo faraha. Xaaladani waxay qaadataa meel ka dib markii diiran-up gaaban. Cudurkaan sifo ee marxaladda hore ee arthritis. Oo wax ugu weyn ee halkan - kama maqnaan daqiiqad iyo si degdeg ah raadsataa daryeel caafimaad.

calaamadaha dibadda calaamadeeyay goysyada oo barara adkaysta, casaada yar ee maqaarka, isbeddel ah ee qaab kalagoysyada. The adimada saameeyeen yihiin "farxad ahaato" view of muruqyada - khafiif ah iyo khafiifinta arkay calaamadaha lahayo iyo ciddiyaha debcaan, karbaashyo cad gaadhya kala duwan leh.

At taabashada maqaarka qabow iyo dhidid, goysyada lingaxan yihiin foomka qanjira. qanjira rheumatoid calaamad ugu caan joogitaanka polyarthritis. Haddii calaamado kale, sida barar iyo qallafsanaan ku dhici kara jiritaanka cudurrada kale, joogitaanka kuus kuus - no. qanjira The ku yaalaa maqaarka hoostiisa, ballaciisu yahay ee 2 cm, foomka of xanuun a anfac iyo shaabadihiisa ka badan kala goysyada aagga extensor saameeyeen.

Baadhista xanuunada

Cilad ku salaysan tahay xogta laga x-ray, shaybaarka iyo cilmi-baarista caafimaad oo. hoos sifo in tirada unugyada dhiigga cad, heerka Kimikada erythrocyte kordhay, fiirsashada of sialic acid (kor 0.2) iyo fibrinogen (in ka badan 3 g / l), jawaabta si protein C-Waxyeelo. Bone calcium dhammaaday bukaanka, waxaa jira meel cidhiidhi ah dildilaaca wadajir ah.

Rheumatoid arthritis - Daaweynta

Daaweynta cudurka waa inay qaataan meel iyada oo ay kormeerayaan dhakhtar haddii ay dhacdo dhibaatooyinka waa isbitaal khasab ah. daaweynta Arthritis waa wax dheer oo ka mid ah isticmaalka:

• daroogada antiinflammatory magnyl. Waxay yareeyo bararka, xanuunka, saamayn deg deg ah ficilka. Dhibaatooyinka ay keento - ulceration iyo dyspepsia;
• corticosteroids, taas oo soo saari doonaa bararka, fududeeyo xanuunka iyo calaamadaha kale;
• saleysan daroogada antirheumatic, socodka cudur-bedelayaan (gidrosihlorohin, sulfazalin);
• daawooyinka looga hortago formation of galleeyda buro (adalimumab, infliximab, etanercept) by maamulka subcutant isku duro ama faleebo,
• Daaweynta dabiiciga ah (heerkulka hooseeya, daaweynta ozocerite, therapy magnetic, therapy ultrasound iyo gaaska la shito). Maamula isku dhafan oo therapy daroogada. Waxay caawisaa in ay caadi dheefshiidka, si loo soo celiyo dhiigga ku shubma kala goysyada oo xanuuna, caanuhu hoos u of mass lafaha.

Recently wax ku ool ah ka codsan hanaanka nadiifiskeeda u dhiig (hemosorbtion, plasmapheresis). Xaaladaha qaarkood, xalka ugu fiican noqon lahayd fulinta qalliinka laga saarayo beeryarada.

In la aqoonsado cudurada sida rheumatoid arthritis, daaweynta waa in isla markiiba la fuliyay, ilaa cudurku uu ka hor maray qaab raaga. Ka dibna, waxaa lagama maarmaan ah si looga hortago in daliilka cusub ee cudurka. Si arrintan loo sameeyo, fiiro gaar ah in la bixiyo, in daawaynta cudurada raaga sida pharyngitis, hogaga, qumanka, goiter.