Kufanotaura kuti Ndiani Angawana Kuregererwa
Pasina nguva mushure mekunge maonekwa kuti mune chirwere cheArthritis , zvichida wakanzwa nezve "arthritis remission" sechinangwa chikuru chokurapa kweArthritis. Iwe pamwe wakanga uine mibvunzo shomanana yakaoma. Chii chokuregererwa? Inguva yakareba sei kukanganwirwa kungaguma? Unonyanya kushandisa varthritis varwere kuregererwa here? Ndeipi mikana yako?
Rheumatologist Inotsanangura Kuregererwa
Takanyorera rubatsiro rwerheumatologist, Scott J.
Zashin, MD, kuti apindure mibvunzo yedu pamusoro pekuregererwa kweArthritis. Mhinduro dzake dzinobatsira kujekesa chirevo uye kukubatsira iwe kuziva kana iwe wakagamuchira kuregererwa. Chirwere chechipiriniki chinonyanya kutaura nezverhumatoid arthritis , chirwere chinoputika, autoimmune, chinokonzera chirwere cheArthritis chinokanganisa vanhu vanenge mamiriyoni mashanu muUnited States
Takabvunza Dr. Zashin zvinorevei kuregererwa kwechokwadi mu rheumatoid arthritis varwere? Ko chiremba anogona kufanotaura kana murwere achizoenda mukuregererwa kana kuti ruregerero ruchapera kwenguva yakareba sei? Pane huwandu hwehupi huwandu huwandu hwerheumatoid arthritis vakambosvika pakuregererwa? Chii chinogona kuita rheumatoid arthritis murwere kuita izvo zvichavapa mukana wakanakisisa wekukwanisa kuregererwa?
Maererano naDkt. Zashin, kunyange pasina chirwere chinonzi rheumatoid arthritis, kusvika 30% yevarwere vanogona "kunzwa kuti vanorapwa" chechirwere chavo. Zvinoratidzirwa nevarwere ava ndeyekliniki yekuregererwa.
Kuregererwa mu rheumatoid arthritis kwave kwenguva refu ichitsanangurwa sekuti kusavapo kwemakiriniki ezviratidzo zvekuputika . Kunyange zvazvo chikamu chiduku chevarwere vanogona kukwanisa kurapa mishonga yemajoka , vanopfuura 95% vanofanira kuramba vari pamishonga yavo kuti varambe vari mukuregererwa.
IAmerican College of Rheumatology (ACR) inyanzvi yekugadzirisa (1981) yekutsanangurira kuregererwa kwekliniki inosanganisira:
- kuoma kwemangwanani kusingana kana kuenzana nemaminitsi gumi nemashanu
- kwete kuneta
- kwete marwadzo akabatana
- kwete kuwirirana pamwe kana kurwadziwa pakufamba
- hapana mhando dzakapfava dzichidzikira muzvibatanidza kana tendon sheaths
- erythrocyte sedimentation rate (kuongorora ropa kunoyera kurwiswa) pasi kana kuenzana ne30 muvakadzi uye 20 muvarume
Dr. Zashin akatsanangura zvakare kuti kunyange zvazvo pasina nzira yekuziva kuti ndiani achawana kuregererwa nekurapa, varwere vane chirwere chisina kunaka cherheumatoid neCCP antibody , pamwe chete neprotini yeC-reactive , vanoita sevari nani. Mukuwedzera, varwere vanotora mushonga wokubatanidza (semuenzaniso, methotrexate uye TNF inhibitor ) vane mikana yekuwana kuregererwa kupfuura avo vanotora zvinodhaka chete. Zvisinei, varwere vari mu monotherapy (imwe chirwere chete) vachiri kugona kuwana chiremba chekuregererwa. Iyo yakareba iyo chirwere ichi chinoramba chichiri mukuregererwa, zvishoma zvishoma ndezvekushanda zvakare.
Kugadziriswa Tsanangudzo yekuregererwa
Muna 2011, makore anopfuura gumi mushure mokunge chirongwa chokutanga chebiologic chichibvumirwa kuti chirape rheumatoid arthritis, yakave ichizivikanwa kuti tsanangudzo yekuregererwa mu rheumatoid arthritis inofanira kuvandudzwa . IAmerican College yeRheumatology neEuropean Against Against Rheumatism yakaongorora dhigirii rekuongorora dhigirii uye nhengo dzekomiti dzakaongororwa, saka dzakagadzirisa tsanangudzo mbiri dzerheumatoid arthritis remission iyo yakawanda inoshandiswa mumakiriniki epirini.
Tsanangudzo dzinogona kuonekwa mumakiriniki pamwe chete.
Zvakakosha kuziva kuti kuregererwa kungave kusingagumi kwenguva refu. Kuisa mishonga yako kunogona kukonzera kudzoka. Kunyangwe nekuenderera mberi kwemishonga, mishonga inomira kushanda inogona kukonzera kudzoka zvakare.
(Scott J. Zashin, MD, chiremba wepiriniki mubatsiri weYunivhesiti yeTexas Southwestern Medical School, Division of Rheumatology, muDallas, Texas; chiremba ari kuenda kuPresbyterian Hospitals ye Dallas uye Plano; mumwe weAmerican College of Physicians uye iyo American College yeRheumatology uye nhengo yeAmerican Medical Association.)
> Sources:
> Rheumatoid Arthritis Vakatsvakurudza Vanodzikinura Ruregerero. American College of Rheumatology. February 3, 2011.
> Mazano ekutanga okurapa kwechipatara muArthritis. Arthritis uye Rheumatism. Pinals RS et al., October 1981.