Namanje kungcono isifo abadala nezingane: izimbangela, izimpawu, ukwelashwa

Indima ebaluleke kunazo zonke ekwelapheni isifo ezingavamile udlala ukuxilongwa evumela ukuhlukanisa yilesi sifo nezinye izindawo eziningana lapho nokuphazamiseka kwempilo. Namanje sika ukwelashwa isifo lide, kodwa onalesi sifo iziguli ngesikhathi ukuze ubone onguchwepheshe, ezimweni eziningi ezinhle.

Umlando isifo

Beqala ukuzwa lesi sifo ngo-1897, sibonga udokotela George Steele. Kodwa ngalesi sikhathi yesifo Namanje sika lalibhekwa kuphela uhlobo rheumatoid arthritis. Kuphela ngo-1971, u-Erik Bayuoters eshicilelwe izifundo ukuthi ukuhlukanisa yilesi sifo eziningi izinkinga nge nezimpawu ezifanayo.

izibalo kwezokwelapha kubonisa ukuthi isifo esingelapheki ezingavamile can ngokulinganayo abameleli kokubili iduna nensikazi. Nokho, iziguli eziningi okukhulunywe udokotela nge ngezimpawu zesifo Namanje futhi wathola ukuxilongwa eqinisekisa - izingane ezingaphansi kweminyaka engu-16. Kunikezwe esemncane ezinjalo, iningi leziguli, uphethwe luyindida ngoba abazali Okokuqala ngaphawula izimpawu wengane, kunzima ukukholelwa ukuba khona kwalezi "yobudala" yenkinga.

Izimbangela isifo

Kuze kube manje, etiology yesifo alucacile. Ukuhlola okuhlukahlukene zihlose ukuthola zezici sokucasuka isifo Namanje sika ezinganeni nakubantu abadala, zehlulekile. Ngokusho umbono owamukelwa, lesi sifo singumbulali umphumela imiphumela emzimbeni noma izinto ezithwala izifo ezibangelwa amagciwane, kodwa ubufakazi ukusekela ngalokhu kugomela, akukho.

Odokotela bazama ukuhlobanisa isifo nokukhulelwa, ukusetshenziswa kwemithi, kubandakanya hormone zesifazane, ukucindezeleka nezinye izinto. Ngokusho kweminye imithombo Namanje kungcono isifo libhekisela iziyaluyalu sokuhlasela kwamasosha omzimba. Evumelana ikhomba kuphela ukuthi isigaba asebenzayo lesi sifo libhekene izinguquko lokuhlushwa cytokines. Mhlawumbe esikhathini imithi esizayo uzokwazi ukuthola ukuthi kubangelwa yini lesi sifo, kanjalo lula ukuhlola yayo futhi kuyashesha yokutakula iziguli.

Izimpawu zesifo Still in abadala

Namanje kungcono isifo, ogama izimpawu zifana eziningi ezinye izifo uxilongwe nge izici eziningana:

• Fever kwenzeka uma isifo Namanje sika libhekene imfiva, esivela eziningi izifo ezithathelwanayo, inconstancy yabo. Ngokwesiko, izinga lokushisa emini igcinwe uhla evamile, kodwa kabili ngosuku, njengoba ephakama 39 degrees nangaphezulu. Ngesikhathi esifanayo eyodwa nanhlanu iziguli ukwehlisa izinga lokushisa izinkomba futhi sithuthukise lesiguli inhlalakahle is hhayi waphawula, okuyinto kakhulu inkimbinkimbi uphethwe.
• Sesinamandla ekuphakameni lokushisa isiguli wabonakaliswa isikhumba kuqhume intabamlilo, okwethulwa pink papules noma macula. Ngokuvamile, ukuqubuka elise esiqwini futhi emikhawulweni proximal, kancane kaningi - isithombe sikhombisa ukuqubuka ebusweni. Okukodwa kweziguli ukuqubuka kunqoba ikhava isikhumba, evela ikakhulukazi ezindaweni ukungezwani kokucindezelwa. uphawu okunjalo kwezinkolo kubizwa ngokuthi Koebner mkhuba. It is hhayi ngaso sonke isikhathi sihambisana ukuqubuka, ukulunywa, futhi ngempela okhanyayo pink umbala waso ukwenza ukunyamalala zesikhathi izimpawu imperceptible esigulini. Odokotela wenze ukusazi ngokunembile isifo esikuphethe isiguli kufanele babe sesimeni lokushisa ukweqisa, oyenza ukubonakaliswa ngamawala. Kungaba eshaweni efudumele noma ukunqunywa izindwangu efudumele. ukubonakaliswa atypical lesi sifo yilezi: Alopecia, erythema nodosum, nokopha petechial. Kodwa umkhuba, izimpawu ezinjalo awavamile.

• Esigabeni sokuqala isifo Namanje sika libhekene ukubukeka myalgia futhi arthralgia. Kulesi lokuqala abathintekayo ngokuhlanganyela eyodwa kuphela. Ngokuhamba kwesikhathi, lesi sifo ihlanganisa nezinye amalunga omzimba, ukuthatha uhlobo polyarthritis. Ngokuyinhloko kuthinta emalungeni amadolo, iqakala, isihlakala, hip, temporomandibular, metatarsophalangeal. Kodwa isici lesi sifo, nemiculo kakhulu iningi amacala, ukuthuthukiswa sokuqaqamba kwamalunga we distal interphalangeal emalungeni ngezandla. Yilokhu kusivumela ukuhlukanisa isifo Namanje kusuka imfiva ye-rheumatism, obomvu lupus letindzala noma i-rheumatoid arthritis.
• Ngo-65% amacala lesi sifo kwenzeka phezu zangokwasemuva zezinhlelo lymphadenopathy. Isigamu iziguli anda wesibeletho zamanzi. Ngesikhathi esifanayo, futhi kwezinye izimo, necrotizing lymphadenitis kuthatha uhlamvu.
• Ekuqaleni lesi sifo, weziguli wabika wawubona esivuthayo emphinjeni, okuyinto unomphela.
• Ukuze Namanje ukuthi isifo Lubonakala futhi ukubonakaliswa cardio-yamaphaphu ezifana pneumonitis aseptic, tamponade inhliziyo, valvular vegetations ukucindezeleka zokuphefumula syndrome.
• Ngo iziguli ezinokuphazamiseka wawubona futhi amehlo. Lokhu cataract eziyinkimbinkimbi, ukonakala corneal ihlangana Iribhoni iso iridocyclitis.

Namanje kungcono isifo ezinganeni

Symptomatology lesi sifo izingane kuhlukile abadala. Nokho, izenzo Namanje ukuthi isifo ezinganeni kungenziwa nivame, okuholela ukuxilongwa sekwephuzile futhi ukwelashwa imisiwe. Ngezinye izikhathi sokuqaqamba kwamalunga ebuntwaneni kuholela ukukhubazeka. Ukuze ugweme lokhu, abazali kudingeka ukuba anake kakhulu isimo somzimba wengane. Futhi lapho izimpawu zokuqala yesifo ubheke ingcweti onekhono. Yethulwe Namanje kungcono isifo ezinganeni kungabangela ukwanda ongalingani e emikhawulweni ezidinga kokungenela kuhlinzwa.

sitholakele isifo

Njengoba cishe kungekho othize izimpawu isifo uphethwe nzima. Esimweni ngasinye, amabili Namanje kungcono isifo iphathwa njengendlela imfiva bemvelo engaziwa. Kwezinye izimo, lo uphethwe "sepsis". Kwaba ngemva uchungechunge izifundo akuphumelelanga yokwelapha ngemithi elwa namagciwane kanye nenombolo ye ezengeziwe ihlaziya odokotela baye bafinyelela esiphethweni ukuthi isifo omdala Namanje kungcono. Ukwelashwa nokuhlunyeleliswa - isikhathi sokwelashwa futhi zidinga kweso lwezokwelapha njalo. Kuyefana nasendleleni izingane.

Ngezinye uphethwe embhalweni izimpawu fever, ukuvuvukala emalungeni, okwandisa-lymph nomphimbo ukuvuvukala, nezinye izinto etholwe usebenzisa echocardiography, tomography ngekhompyutha kanye ultrasound. Okuphoqelekile kanye ukuhlolwa igazi ezibonisa amazinga zegazi kanye amangqamuzana amhlophe egazi. isifo Ngesikhathi kunjalo, labo abafunda ngokubuka nesineke libhekene ukwehla izinga kwamangqamuzana egazi abomvu. In iziguli omdala, ephakeme protein ne ferritin C-esisheshayo. Ngakho assays amasotsha omzimba elwisana enuzi kanye rheumatoid isici ngokuvamile omubi.

Ukwelashwa ngesikhathi ukuthethelelwa

ukwelashwa Complex futhi ikhishiwe Kwenziwa esigabeni asebenzayo lesi sifo, noma ukuthethelelwa. Esimweni sokuqala, inqubo eyenziwa lapho esibhedlela, okwesibili - iziguli zithola ukwelashwa kudingekile, kuyilapho esibhedlela noma sanatoria kanye zokungcebeleka impilo. Ukwelashwa kuhlanganisa imithi, Physiotherapy, umsebenzi yokwelapha kanye massage.

Ukwelashwa phakathi nokugula acute

Phakathi kweziguli exacerbation ukuthatha ama-NSAID, immunosuppressants, glucocorticoids. Ukwelashwa uhlale isikhathi eside. Lena kungani kokubili isiguli nomkhaya wakhe ababezidinga isitoko umthamo enkulu ukubekezela. Namanje kungcono isifo abadala kanye nezingane - ukugula okungathí sina futhi zokubhekana nayo kungaba uphethwe ngesikhathi esifanele kanye nokwelashwa ebekiwe ngendlela efanele.

ukuba nombono ongafani ngeke

Ngemva ukwelashwa, izinhlobo ezintathu kungenzeka lesi sifo. Okuhamba phambili kwe-kubo - yokutakula nokuguqulwa ebonwe ingxenye eyodwa kweziguli ukuxilongwa ezingavamile. Enye ingxenye eyodwa kwezintathu iziguli ifomu relapsing lesi sifo ngezinye izikhathi. Inketho nzima kakhulu - isifo esingelapheki e omdala Namanje kungcono. Ukwelashwa, kokusimama nokuhlunyeleliswa kulesi simo zingase zihlanganise hhayi ukwelashwa bendabuko kuphela, kodwa arthroplasty, okuvumela ukubuyisela wabhubhisa isifo ngokuhlanganyela.