Kubatanidza kamuti kamwe panguva
Monoarthritis inotsanangurwa seArthritis inobatanidza chibatanidzwa chimwe panguva. Pane zvinokonzera zvinokonzera monoarthritis kana monoarticular arthritis sezvo inonziwo, kusanganisira utachiona, zvisingaoneki zvekuvhiringidza, mararamiro ekudzivirira, marwadzo, neoplasm, uye zvirwere zvemuviri.
Kutanga kwemonoarthritis inowanzoerekana ichikurumidza uye yakasimba nefivha, kurwadziwa pamwe chete , uye kubatana kwekubatana.
Iyo mharidzo yezviratidzo zvakadaro inoda kukurumidza kuongororwa uye kurapwa kunodzivirira kuparadza pamwe. Muongorori anofanira kushandisa nhoroondo yezvechiremba, kurapwa kwepanyama, x-rays, kuongorora ropa, uye test synovial fluid kuziva chikonzero chemonoarticular zviratidzo. Kunyange zvazvo monoarthritis inowanzobatanidzwa nemamiriro ezvinhu akaoma, inogonawo kuva chiratidzo chekutanga chezvinowedzera mu polyarthritis kana chirwere chisingaperi chine arthritis. Iyo inogonawo kukonzerwa nekusagadzikana kwekubatana kwemamiriro ezvinhu, periarticular condition (kureva, kumativi ose akabatanidzwa), bone mafupa, kana chirwere chinotapira.
Zviratidzo Zvokutanga Zvipa Mazano Akakosha
Kutambudza, kuputsika, kana muviri usina kukanganisika unofungidzirwa apo monoarthritis inokurumidza kuitika. Monoarthritis inokura zvishoma nezvishoma, kwemazuva maviri kana maviri, inowanzobatanidzwa nekuputika, utachiona, kana kuti crystal deposition. Njodzi iyo, pakutanga, isingazivikanwi asi inowedzera zvishoma nezvishoma kwemazuva kusvika kumavhiki, inogona kunge yakakonzerwa nehutachiona kana hutachiona husingaiti, osteoarthritis , kana tumarara.
Kazhinji, kana pane kuoma kwemangwanani , pamwe nekurwadziwa kwejoko uye kusununguka kunofambisa, chirwere chinoputika cheArthritis chinenge chafungidzirwa. Njodzi inowanikwa munharaunda inowanikwa nguva nenguva inowanzobatana nechirwere chisina kumira. Kana monoarthritis isingagumi, kazhinji inowirirana nehutano hwepakutanga huripo.
Asi, musati monoarthritis isarudzwa seisingagumi, zvinokonzera monoarthritis yakaoma inofanira kufungwa uye kutongwa kunze. Ngationgororei mienzaniso mishomanana yemamiriro ezvinhu anogona kukonzera marwadzo akabatana kana kuti periarticular, maererano neKelley's Textbook of Rheumatology :
Kazhinji Acute Monoarthritis
- Septic arthritis (gonococcal kana kuti kwete gonococcal)
- Crystal arthritis (gout, pseudogout )
- Reactive arthritis
- Chirwere cheRyme
- Dyara minzwa synovitis
- Zvimwe zvirwere
Trauma kana mukati Derangement
- Kushungurudzika kuputsika
- Loose body
- Ischemic necrosis
- Hemarthrosis
Acute Monoarthritis Yakabatana neChitori Polyarthritis
- Psoriatic arthritis
- Enteropathic arthritis
- Rheumatoid arthritis
- Palindromic rheumatism
- Juvenile arthritis
Monoarthritis Yakabatana Nezvirwere Zvisina Kuzvidzivirira
- Osteoarthritis
- Charcot joints
- Zvirwere zvekuchengetedza, zvakadai seHemochromatosis (iron disorder)
Synovial Diseases
- Reflex anonzwira tsitsi dystrophy
- Sarcoidosis
- Amyloidosis
- Pigmented villonodular synovitis
- Lipoma arborescens
Acute Monoarthritis yeMagetsi eSystemic
- Systemic lupus erythematosus
- Vasculitis
- Chirwere cheBehcet
- Bacterial endocarditis
- Kudzokorora polychondritis
- Yakajairika Mediterranean Fever
Acute Monoarthritis yePofu Diseases
- Paget's disease
- Osteomyelitis
- Metastatic disease
- Pulmonary hypertrophic osteoarthropathy
Kuongororwa Kuongororwa
Dambudziko reRopa
Kuongorora ropa kunogona kubudisa zvakakosha zvinyorwa. Kuvhiringidza, septic, kana cristal-arthritis zvinowanzobatanidzwa nechepamusoro-soro sedimentation , CRP yakakwirira, uye kuchena kwechiropa ropa. Utachiona hwehutachiona hunowanzogadziriswa neropa rekuongorora rinosangana nekushanda kwetsvo, chiropa, bone, uye musuru. Rheumatoid factor , anti-CCP , antinuclear antibody test , protein electrophoresis, serme chirwere chechirwere, uyewo akaurayiwa nedzimwe zviratidzo zveropa, zvinogona kugovera mhinduro dzinobatsira kugadzirisa kuonekwa.
Imaging Studies
Nzira x-rays inogona kuratidza kuvapo kwezvinyama zvinyoro zvinyoro, kubata, mazamu asina kuchena, nzvimbo inowanikwa mumapfupa, uye uchapupu hwekuparadzwa pamwe chete.
CT zvinyorwa zvinogona kurongerwa kana mamwe mashoko akadikanwa. MRI ndiyo nzira yakanakisisa yekufungidzira kana chirwere chisina kumira chikafungidzirwa. MRI inogonawo kuongorora huwandu hwekuvhiringidza uye kubatana kwekugoverana, kunyange kana kusingazivi. Arthrography uye mapfupa emapfupawo maitiro ekufungidzira. Uyewo, ultrasound ndiyo inowanzojairika yekufungidzira mafungiro anoshandiswa mumakiriniki kuti aongorore zvinyoro zvishoma uye arthritic.
Synovial Fluid Analysis
Iko test synovial fluid inonzi ndiyo inonyanya kukosha kuongororwa kwemonoarthritis yakaoma. Synovial fluid inoongororwa nokuda kwomuvara wayo uye degree ye cloudiness. Mucherecheche weropa rekuyera rinotsanangurwa kusiyanisa pakati pezvokuvhiringidza uye zvisingaiti zvinokonzera. A synovial fluid white cell count count iyo inopfuura 2,000 WBC / mm3 inowanzobatanidzwa nechirwere chinopisa. Synovial fluid ne white white cell count iyo inopfuura 2,000 WBC / mm3 inowanzo isiri kupisa.
Iyo synovial fluid inofanira kukurudzirwa uye tsvina yegiramu inoitwa kutarisa kuvapo kwebhakitiriya microscopically. Uric acid kana CPPD makristasi anogona kuonekwa, kana aripo, achishandisa microscopy chiedza chechiedza. Synovial fluid inogonawo kuongerwa glucose, protein, uye lactic dehydrogenase.
Sources:
Acute Monoarthritis. Max Field. Kelley's Textbook yeRheumatology. Ninth edition. Peji 577.
Kuongorora Monoarthritis Yakanyanya Muvanhu Vakawanda: Nzira Yakakosha yeMudhi Mhuri. American Family Physician. Siva et al. July 2003.
http://www.aafp.org/afp/2003/0701/p83.html