Rheumatoid Arthritis: zvinokonzera, kurapwa

Dzinonzi rheumatoid arthritis zvikonzero izvo kazhinji ndivo autoimmune aite mimwe kutapuriranwa muviri zvivako chinhu chisinganzwisisiki systemic connective zvinyama chirwere, achiperekedzwa anogumbura maronda ose mapfundo. Kakawanda richiwanika pamusoro mhando mberi chirwere rinoparadza chearthritis. 10 chete% okuremadzwa basa yemajoini chirwere iri migumisiro oligo- kana monoarthritis. Articular urwere, inova hwaro kunotoda mufananidzo, kazhinji dzinoratidzwa kunobatanidza majoini duku. chirwere ichi kunoita kuti zvakafanana, ichibata maronda tsoka uye maoko.

Kufanana nevamwe chirwere, dzinonzi rheumatoid arthritis, zvinokonzera izvo zvisina ainyatsonzwisisa, ine kutanga zviratidzo. Kwokutanga maperembudzi dzakaonekwa, zvikuru pundutso kuva kurapa yake. Initial zviratidzo dzinonzi rheumatoid arthritis: bundu; artlagii (marwadzo panguva kufamba, uye ipapo ndakazorora); kuomarara mangwanani; pakakuvara ruoko basa; deformation mapfundo; sprains; ankylosis; contracture. Kune zvakafanana zviratidzo nehosha, izvo zvinosanganisira: kudhaka, fivha, RA vasculitis, node raiva pedyo nebundu akawedzera chiropa, chirwatata, kukuvara itsvo, mwoyo, mapapu, maziso, kupererwa neropa. Yekunwa Zviratidzo kungaratidzwa pakawanda.

Chiizve chinoshamisa dzinonzi rheumatoid arthritis? The zvinokonzera chirwere ichi vakasiyana, saka n'anga with seropositive (akasiyana yakanaka RA chinhu, inozivikanwa antiglobulin antibodies / immunoglobulins) seronegative uye mhando zvirwere. The antibodies dzakaonekwa mu ari serum. Chero radiographic kuchinja chirwere vari kunonoka zvichienzaniswa kukiriniki.

Sei kubata dzinonzi rheumatoid arthritis? Nhoroondo nomumwe murwere chirwere zvinopupurira kuti aida kuchirapa zvinogona kuitwa mukutanga nzendo chirwere. Panguva iyi, murwere rinoitwa Ultrasound, scintigraphy, rinobva resonance kurapa. In kwokutanga nzendo kurapwa ushandiswe nonsteroidal Anti-anogumbura zvinodhaka, corticosteroids (by intraarticular jekiseni). Varwere RA vasculitis corticosteroids yakatarwa menyika. With kuchiita chirwere waakaudzwa mishonga "Penicillamine" uye "Hingamin"; immunosuppressants; gadziriro goridhe; physiotherapy. Muzviitiko, kuvhiya kupindira iri basa (synovectomy - vachiri pavaipfuura chirwere, reconstructive oparesheni uye vadyi yokutsiva - panguva akazotevera mumatanho).

Vamwe vanhu vane majini kubatwa kuti chirwere. RA chearthritis, zvinokonzera izvo kakawanda uye hakusi akajekeswa, vakadzi yakarova ka3 kakawanda kupfuura vanhu. Kakawanda, kuchiita hosha kunotanga 25 uye kunotora makore 50, kunyange zvazvo kwave zviitiko chiitiko yayo imwe zera. Pakurapa chirwere muna 75% wevarwere kunotungamirira zvinoderedza kuchinyanya zviratidzo. Muna 10% varwere dzinonzi rheumatoid arthritis rinoguma urema.