Zviratidzo Zvinowanzobatanidzwa Nezvinetso Zvepabonde
Enteropathic arthritis chirwere chinoputika chinokonzera musana uye mamwe mazamu anowanzoitika muzvirwere zvechirwere zvinokonzera - Crohn's disease uye ulcerative colitis. Izvo zvinokonzera chirwere chinonzi inflammatory arthritis chinosangana nedzimwe zvirwere zvinopinda mumuviri, zvakadai sehosha yechiliac uye chirwere chaWopple, hachisiwo chinowanikwa mu "enteropathic arthritis".
Enteropathic arthritis inorondedzerwa seimwe yepondyloarthropathies . Zvimwe spondyloarthropathies dzinosanganisira ankylosing spondylitis , psoriatic arthritis , uye reactive arthritis . "Kusagadzikana" kunoreva chero chirwere chinokonzerwa nemukumbo.
Kuvandudza Enteropathic Arthritis
Arthritis inowanikwa kusvika kusvika 20 kubva muzana yevanhu vane chirwere chinoputika chirwere, uye kupararira kwakanyanya pakati pevaya vane chirwere cheCrohn vachienzaniswa nevaya vane ulcerative colitis. Mu enteropathic arthritis, zviratidzo zveArthritis zvinogona kutangira zviratidzo zvepamuviri kwenguva refu.
Kusvikira zviratidzo zvepamuviri zviri pachena, arthritis inowanzonzi seUndifferentiated Spondyloarthritis. Vanhu vakawanda vane enteropathic arthritis, zvisinei, vakatoonekwa kuti vane imwe yezvirwere zvechirwere chinoputika.
Zvidzidzo zvidzidzo zvakabudiswa muChitalical Rheumatology zvakaratidza kuti IL-23, biomarker, yakakwirira kune vanhu vane zvirwere zvechirwere chinoputira, zvikurukuru chirwere cheCrohn, uye chakakwirira kune avo vane mhirizhonga uye / kana axial arthritis kana vachienzaniswa nemitemo.
Zvimwe zvidzidzo zvinodiwa, asi zvinogona kunge zvakakosha kuwana izvo zvinogona kutungamirira kune chinangwa chekurapa.
Zviratidzo
Enteropathic arthritis inogona kuitika se axial arthritis, peripheral arthritis, kana yakakanganiswa. Sezvo axial arthritis, zviratidzo zvekumurwadziwa shure uye kuoma kunofanana ne-ankylosing spondylitis uye inogona kutangira zviratidzo zvepachiviri.
Sezvinoripira arthritis, pane kazhinji muenzaniso we pauciarticular (majoka mana kana mashoma anobatanidzwa) uye asymmetric arthritis (masangano anokanganisa haasi kune rumwe rutivi rwemuviri). Zvinetso zvematumbu zvinogona kuitika panguva imwechete iyo arthritis kana arthritis inogona kuitika musati mafupa ezvirwere.
Kuziva
Kukurukurirana kwakasununguka uye kutendeseka nachiremba wako pamusoro pezviratidzo zvako yese ndiyo nzvimbo yaunotanga. Kazhinji vanachiremba vanoedza kuongorora:
- anemia
- yakakwirira CRP uye ESR chiratidzo chekuputika
- kushayikwa kwekuchinja kwakanyanya pane x-ray yenhengo dzomumativi
- sacroiliac uye masikati x-rays akafanana ankylosing spondylitis
Chimwe chidzidzo, chakabudiswa muAuto Selfmmunity Reviews, chakaongororwa kushanda kweGastrointestinal uye Rheumatologic Clinic. Kuongorora kwakaratidza kuti vanhu vane spondylitis vaiva nehuwandu hwehuwandu hwezvimwe zviratidzo zvekuwedzera mumatumbo uye vakagamuchira mamwe maitiro neTF blockers kupfuura vanhu vane chirwere chinoputira chirwere.
Vaya vaiva nechiratidzo chinotangira enteropathic spondylitis mumakore gumi pakati pe1980 kusvika 1990 uye 1991 kusvika muna 2001 vakaona kunonoka kwekucherechedza. Yakavandudza zvikuru.
Vanhu vane chirwere chinotanga kupinda enteropathic spondylitis pakati pegore ra2002 kusvika 2012 chakanga chiri kuderedza kunonoka pakuongororwa.
Zvinoratidzika pachena kuti makiriniki ane nzira yakasiyana-siyana, achitarisa zvose zviratidzo zvekubatana uye zviratidzo zvepamuviri, zvakakosha kune izvi zvakanyanya kuongororwa.
Kurapa
Enteropathic arthritis inorapwa zvakangofanana nedzimwe svondyloarthropathies yezviratidzo zvekubatana. Dambudziko nderokuti zvose zviri zviviri zvinofanirwa kutarisirwa-arthritis pamwe nechirwere chepachifu-asi sezvo NSAID dzingabata zvakasimba arthritis, zvinodhaka zvinogona kuita kuti zvirwere zvive zvirwere zvakanyanya.
TNF inhibitors, iyo inosanganisira Remicade (infliximab), Humira (adalimumab) uye Cimzia (certolizumab pegol) yakashandiswa zvakanakisisa kubata chirwere chinoputira chirwere.
Izvo zvinoshandawo pakuvhiringidza arthritis.
Shoko Rinobva
Maererano neSpondylitis Association of America, maitiro uye kuoma kwe enteropathic arthritis zvinokonzerwa nomunhu nemunhu. Kunyange zvazvo zvirwere zvinouraya mu enteropathic arthritis zvinowanzova kuzvidzora uye kuzvidzora mushure memavhiki matanhatu, kudzokorora kunowanzoitika. Uye, chikamu cheArthritis che enteropathic arthritis chinogona kuva chisingagumi uye chinogona kubatanidzwa nekubatana kwekubatana. Ikoko hakuna mushonga unozivikanwa we enteropathic arthritis, asi mishonga inobatsira kutarisira zvose bowel uye arthritic zvimwe zve enteropathic arthritis.
> Sources:
> Enteropathic Spondyloarthritis. Primer paRheumatic Diseases. Yegumi nemitatu edition. Yakabudiswa neArthritis Foundation.
> Gheita, TA. Kubatanidzwa kweI-23 mu enteropathic arthritis varwere vane chirwere chinoputira chirwere chekutanga: zvibereko zvekutanga. Clinical Rheumatology. 2014 May; 33 (5): 713-7.
> Conigliaro P., et al. Migumisiro yehutano hwakasiyana-siyana mu enteropathic spondyloarthritis varwere. Autoimmunity Reviews. 2016 Feb; 15 (2): 184-90.
> Nyaya yeIngopathic Arthritis / Arthritis Inobatanidza Nehutachiona hweHuwel Disease. Spondylitis Association of America.