Vakasiyana Sei?
Rheumatoid arthritis yakaoma. Vanhu vazhinji vane rheumatoid arthritis vachakutaurira kuti imwe nguva yakapfuura vasati vapiwa kugadzirisa kutsvaga. Kunyange kana chiremba wavo achifungidzirwa rhumatoid arthritis kutanga, hapana chiyero chimwe chete kana chikamu cheuchapupu chinosimbisa kuongororwa. Zvitsva kubva kuongororwa kwemuviri wehutano, nhoroondo yezvokurapa, kuongororwa kwe laboratori, nekuongorora kwekufungidzirwa kunofanira kufungwa.
Kwete chete kune vashomanana zvirwere-zvakananga zvinosanganisira rheumatoid arthritis, varwere varipo nezviratidzo zvakasiyana-siyana zvechirwere. Muzhinji rheumatoid arthritis varwere, kutanga kwezviratidzo kunoitika zvishoma nezvishoma uye kwakanyatsogadziriswa kusati kwave kuonekwa. Iyo chirwere cheparyarthritis chinowanzobatanidza zviduku zviduku zvemaoko netsoka zvisati zvaenda kune mafundo makuru. Asi kune dzimwe nzira nzira yehutamu inonzi arthritis inozviratidza iyo isingawanzozivikanwa: palindromic (maitiro mashomanana ekurwadziwa kazhinji uye kuoma, kunopisa rimwechete kana kuti mamwe masangano, mushure mekuramba uchiramba); Mapolymyalgic (kazhinji murwere akwegura ane kunyunyuta kunetseka kwekuoma, kazhinji mafudzi kana mahudyu); systemic (kwete-maziso anoonekwa, akadai fevha, malaise , kurasikirwa); zvinoramba zvichiri monoarthritis (arthritis mune rimwe sangano guru rinopfuurira).
Kutanga rheumatoid arthritis kunogona kusiyanisa pane zvatinofunga nezvechirwere chepachirwere chinonzi rheumatoid arthritis.
Varwere vazhinji vane zvirwere zvinowanzoputika apo vanotanga kubvunza chiremba pamusoro pezviratidzo zvavo zvekutanga. Vakawanda vane tsika dzakanaka x-rays. Chingave chinotonyanya kuvhiringidza kune chiongorori, uye naizvozvo kumurwere, ndeyekuti pane zvimwe zviitiko zvakawanda zvinoratidzwa nepolyarthritis ine zvigadziro zvinowanzobatanidzwa ne rheumatoid arthritis.
Nemhaka yokuti iyo mamiriro ezvinhu anoita rheumatoid arthritis, inofanirwa kutaridzirwa, ikasarudzwa, vasati vaona kuti rheumatoid arthritis inogona kugadziriswa. Heano mamwe emamiriro ezvinhu anoshandura rheumatoid arthritis:
Post-Viral Arthritis
Zvirwere zvakanyanya uye zvisingaperi zvehutachiona zvinogona kukonzera chirwere cheparyarthritis chinoratidzika semarheumatoid arthritis kuchipatara. Zvirwere zvinokonzerwa nehutachiona, zvakadai separvovirus B19, kazhinji inogona kusiyaniswa nehuwandu hwemashoko, kukwikwidza, uye kuti zviratidzo zvinopedza nguva yakatarwa yenguva. Zvakakosha kuti chiongorori ichi chisabvise chirwere chehutachiona hwehutachiona hwehutachiona kana hutachiona hwehutachiona hwevanhu, kunyanya kana kurapwa nemaine immunosuppressant kuri kuonekwa.
Seronegative Spondyloarthritis
Psoriatic arthritis inogona kuva yakaoma kusiyanisa kubva ku rheumatoid arthritis, kunyanya kana pasina ruswa iripo. Kubatanidzwa kwezvijovo zve sacroiliac kana kuti mapapiro ekuparadzana emukati emaoko anogona kuderedza kufungidzirwa kune psoriatic arthritis. Rimwe saronegative spondyloarthropathies ( reactive arthritis , ankylosing spondylitis , chirwere chinoputika chirwere-chinokonzerwa neArthropathy) chinogonawo kutevedzera rheumatoid arthritis. "Kubatanidzwa kwemajoini, kusabatwa kwechidiki-chibatanho, kutarisa-kufanana-kutaridzika kwemavara, nekubatanidzwa kwe lumbosacral musana wose unofarira arthropathies seronegative", maererano neCleveland Clinic.
Lupus
Systemic lupus erythematosus inogona kubatanidzwa nekubatanidzwa kwekubatanidza kunoshandisa mafungiro ehurumende, asi lupus yakasiyana nekusava nechirwere chinokonzera. Ne lupus, kukuvadza kunogona kukura iyo yakafanana neyo yakabatana ne rheumatoid arthritis - musiyano sezvo uri nekuda kwetendon uye ligament yexity ne lupus, kwete kubatana kwekuparadzwa.
Scleroderma
Nhamba yakazara yeropa, yakazara chemistry panel, uye masayenzi e-serologic (semuenzaniso, antinuclear, anticentromere, uye antitopoisomerase antibodies) inowanzorairwa apo murwere anokanganiswa kuti ane scleroderma . Zvisikwa kinase zviyero, erythrocyte sedimentation rate, uye C-reactive protein zviyero zvinogonawo kubatsira sezvo kuongororwa kwakagadzirwa.
"Zvikamu zvakakonzera zvinoreva myositis, vasculitis, kuuraya, kana kuwirirana kwe systemic sclerosis nemumwe chirwere chinotapukira," maererano neAAFP.
Vasculitis
Polymyalgia rheumatica (PMR) uye giant cell arteritis (GCA) inogona kuitika neyakataridzika polyarthritis. Kazhinji kazhinji, nhoroondo yakazara yezvokurapa kubva kuvarwere izvi inogona kubatsira kusiyanisa PMR kana GCA (semuenzaniso, musoro, pamwe nehuputi nehuputi hwehuputi). Mune zvimwe zviitiko, kuongororwa kunogona kuvimba nekucherechedza chirwere ichi kupfuura nguva. Mune mamwe mazwi, zvinetso zvakakomba zvinogona kukura nekufamba kwenguva izvo zvinongotaura kune vasculitide. Systemic vasculitis inogona kuratidzawo nepolyarthritis. Wegener's granulomatosis inogona kuva rhumatoid chinhu chakanaka.
Osteoarthritis
Kusavapo kwezviratidzo uye zviratidzo zvekushongedzwa kwemaitiro, kunotanga mukukwegura kwakakura, uye muenzaniso wekubatana pamwe chete (kusina kukwana) inowanzokwanisa kusiyanisa osteoarthritis kubva muhutemaid arthritis. " Kuora mahara esteoarthritis kunogona kuve nekuputira kuonekwa kuongororwa, asi kunowanzobatanidza majosi ePIP zvikuru, haasanganiswi neproliferative synovitis, haisi iyo RF (rheumatoid factor) yakanaka, uye ine maitiro akajeka ekuonekwa kwemavara", inodaro Cleveland Clinic.
Gout
Gout yakawanda kazhinji inosanganiswa neymymartic monoarticular kana oligoarticular kuvhiringidzika uye arthritis, inogara kwemazuva matatu kusvika kune gumi. Asi, gout kurwisa kunogona kuwedzera nguva refu, kupera kwenguva refu, uye hakugoni kugadzirisa, zvichiita kuti isingarapiki gouty arthropathy. Gouty arthropathy inogona kukonzera kukanganisa nekubatana pamwe chete. Iyo yakasiyana kubva kune rheumatoid arthritis nekusavapo kwekubatana kwepakati kuderedza nekusavapo kwe periarticular osteopenia , maererano neCleveland Clinic.
Pseudogout
CPPD kristal deposition disease yakabatanidzwa kune dzakawanda zvechipatara zviratidzo. Inogona kunge inofungidzira, gout-like (pseudogout), rheumatoid arthritis-like, kana osteoarthritis-so. Pseudogout inoratidzwa nekurwisa kwakanyanya kwe synovitis iyo inoita gout. Synovial fluid analysis inoshandiswa pakusiyanisa kuongorora.
Sjogren's Syndrome
Sjogren's syndrome is autoimmune, chirwere chinopisa. Izvo zvinogona kuitika semamiriro ekutanga asina chimwe chirwere cherheumatic kana sechipiri chechipiri pamwe chete nedzimwe rheumatic condition. Primary Sjogren's syndrome inogona kutevedzera rheumatoid arthritis. Inenge 60 kusvika ku70 muzana yevadzidzi vekutanga veSjogren vane chirongwa cherhumatori. Ikokowo kazhinji inorwadza, kuomesera, uye kunyorova kwemajoini. Kunyanya kuongororwa kunogona kubatsira kusiyanisa pakati peSjogren's syndrome uye rheumatoid arthritis.
Sarcoidosis
Sarcoidosis inogona kuratidza ne synovitis muzvikamu zvakasiyana uye inogona kuva nedhumatoid chinhu chakanaka. Asi, mamwe maitiro anobatsira kusiyanisa kubva ku rheumatoid arthritis. Mune zvimwe zviitiko, biopsy yemaviri inogona kudikanwa kuti iise hutachiona.
Fibromyalgia
Fibromyalgia inogona kuve yakaratidzwa nehutachiona hwemagetsi arthralgias uye kuoma kwekuzorora, asi kusavapo kwe synovitis, kusava nekurwadziwa pakufamba, uye zvidzidzo zvekare zvekuongorora uye kufungidzira zvinokonzera kuongororwa kwe fibromyalgia, kurisanidza kubva muhutachi hutemiti, maererano neCleveland Clinic.
The Bottom Line
Pane mamiriro ezvinhu anofananidza rheumatoid arthritis, kunyanya kutanga munguva yechirwere. Chinhu chikuru chinowanzozivikanwa ndecheparyarthritis. Nhoroondo yezvokurapa kwevarwere, kuongorora zviratidzo uye zvirwere zvinoratidzwa kwenguva, uye kuwedzera kuongororwa kwekubatsira kubatsira kusiyanisa mamiriro ezvinhu kubva ku rheumatoid arthritis.
Sources:
Gout uye Pseudogout. Feyrouz Al-Ashkar. Cleveland Clinic.
http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/rheumatology/gout-and-pseudogout/
Rheumatoid Arthritis. William S. Wilke. Cleveland Clinic.
http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/rheumatology/rheumatoid-arthritis/
Systemic Sclerosis / Scleroderma: Kurapa Multisystem Disease. Monique Hinchcliff, MD naJohn Varga, MD American Family Physician. October 15, 2008.
http://www.aafp.org/afp/2008/1015/p961.html
Kuongororwa Kwepakutanga Rhumatoriyamu Arthritis: Chii chisingazivikanwi Neasingazivi. E Suresh, MD MRCP. Nhoroondo yeRoyal Society of Medicine. September 2004.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1079582/