Samathambo: izimbangela, ukwelashwa

Rheumatoid arthritis izimbangela izingxabano ngokuvamile ezingasizi ukusabela sokuhlasela kwamasosha omzimba ezithile umzimba ezithathelwanayo izakhiwo kuyinto eziyinkimbinkimbi letindzala zezinzwa izicubu isifo, ephelezelwa izilonda sokuvuvukala kwamalunga. Ngokuvamile kwenzeka ngohlobo okuqhubekayo ezingamahlalakhona sokuqaqamba kwamalunga elimazayo. 10% kuphela rheumatoid umsebenzi isifo sokuqaqamba kwamalunga is phetho oligo- noma monoarthritis. syndrome Articular, okuyinto ngesisekelo isithombe yomtholampilo, ngokuvamile libhekene ukubandakanywa emalungeni encane. Lesi sifo ivame ukuba izilonda ziyalingana ezinyawo nezandla.

Njengezinye izifo, i-rheumatoid arthritis, i-izimbangela zazo bengayiqondi ngokugcwele, it has izimpawu yayo sokuqala. I ngaphambili lesi sifo lutholwa, kulapho ufeze kube ukwelashwa kwakhe. Izimpawu zokuqala we-rheumatoid arthritis: ukuvuvukala; artlagii (ubuhlungu ngesikhathi ukunyakaza, bese uphumule); ukuqina ekuseni; ukwephulwa esandleni umsebenzi; ukusonteka amalunga; Ukwenyela; ankylosis; contracture. Kukhona izimpawu ezivamile sifo, okuhlanganisa: ukudakwa, imfiva, vasculitis samathambo lymph node kweNdikimba isibindi, ubende, ukulimala kwezinso, inhliziyo, amaphaphu, amehlo, ukuntuleka kwegazi emzimbeni. Izimpawu eshiwo ngenhla ungaboniswa ngezindlela ezingafani.

Yini enye engingabuye emangalisayo samathambo? Izimbangela lesi sifo zihlukile, ngakho odokotela seropositive isehlane (ezahlukene omuhle isici samathambo libhekene antiglobulin amasosha omzimba / immunoglobulin, ayisiza) seronegative futhi uhlobo lwesifo. Amasosha omzimba ezitholakele the serum. Noma yiziphi izinguquko radiographic lesi sifo kuthiwa imisiwe kuqhathaniswa umtholampilo.

aphathe i-rheumatoid arthritis kanjani? Emlandweni wezifo esigulini ngasinye sika uqinisekisa ukuthi oyifunayo nomphumela oqabulayo bungatholakala kusaqalwa lesi sifo. Kulesi sigaba, isiguli wenziwa ultrasound, scintigraphy, la mandla kazibuthe yokwelapha resonance. Ezigabeni zokuqala zokwelashwa ebekiwe nonsteroidal eqeda ukuvuvukala izidakamizwa, corticosteroids (ngomjovo intraarticular). Iziguli rheumatoid vasculitis corticosteroids esimisiwe ingaphakathi. Nge ukuqhubeka kwesifo ebekiwe imithi "Penicillamine" futhi "Hingamin"; immunosuppressants; amalungiselelo igolide; Physiotherapy. Ezimweni ezimbi kakhulu, kokungenela kuhlinzwa inikezwa (synovectomy - efanele usaqala lesi sifo, ukuhlinzwa reconstructive futhi Ukushintshwa kwamajoyinti omzimba - emazingeni kamuva).

Abanye abantu babe yofuzo yilesi sifo. Isifo samathambo, izimbangela okuyinto ezimweni eziningi futhi ngaso sonke isikhathi ucaciswa, abesifazane hit izikhathi 3 kaningi kunabantu. Ngokuvamile, ukuqhubeka kwesifo iqala 25 futhi ihlala kufika eminyakeni engu-50, nakuba kuye kwaba nezenzakalo nesenzakalo yayo kwenye ubudala. Ukwelashwa lesi sifo 75% eziguli kuholela ukuncipha ukuziyisa phambili izimpawu. Ngo-10% weziguli ne-rheumatoid arthritis uphela abakhubazekile.