Kuremara Kunokanganisa Kunogona Kuitika Nehurumatoid Arthritis
Rheumatoid lung disease, sezvinonzi zita rayo rinoratidzira, rinosanganiswa ne rheumatoid arthritis . Pakati pevaAmerica vane mamiriyoni 1,5 vane rheumatoid arthritis, inenge hafu ine mamwe mapfupa asina kukodzera. Kusvikira kune chechina-chechina chavo chinogona kuwedzera rheumatoid lung disease.
Zviratidzo zveRumatoid Lung Disease
Zviratidzo zveArthritic zvinosanganisira kurwadziwa pamwe chete, kubatana kwekubatana, kuoma kwekubatana , uye nodules .
Zvimwe zviratidzo zvinosanganisira rheumatoid lung disease zvinosanganisira:
- Kupfupika kwemhepo
- Kukosora
- Chipfuva chepfu
- Fever
- Crackle inonzwika painoteerera mapapu ne stethoscope (kuderera kwemhepo inonzwika kana kufema kufema kunogonawo kuitika)
Kuongororwa uye Kurapwa kweRheumatoid Lung Disease
Nzira dzinoshandiswa kubatsira kubatsira kuongorora mamiriro acho ezvinhu dzinosanganisira:
- Chifukidzo X-rays
- Computed tomography (CT) scan yebhokisi
- Echocardiogram
- Thoracentesis
- Bronchoscopy
Muchirwere chemapapu, chirwere chemhepo kana alveoli yemapapu uye zvigadziro zvavo zvinosvibiswa nekuputika , zvichiita kuti mapofu asaremara basa. Pari zvino, hapana maitiro ekuratidza kuti ane chirwere chemapapu, asi corticosteroids uye zvirwere zvekudzivirira muviri zvinowanzokurudzirwa.
Zvinyengeri uye Pulmonary Zvakaipa Zvichibatanidzwa neRumatoid Lung Disease
Izvozvo zvinokanganisa uye zvipembenene zvinokonzerwa neRhumatoid lung disease zvinosanganisira:
- Pleural effusion
- Pleural thickening
- Pulmonary fibrosis
- Necrobiotic nodules
- Bronchiolitis obliterans kuronga pneumonia (BOOP)
- Bronchiectasis
- Bronchiolitis obliterans
- Zvinyorwa zvepneumonitis
- Pulmonary hypertension
Zvirwere Zvirwere Zvirwere uye Rheumatoid Arthritis
Chiratidziro chinowanzoonekwa chepermonary chirwere mu rheumatoid arthritis is interstitial lung disease.
Varwere vane rheumatoid arthritis yakawanda vanowanzoita rheumatoid arthritis-inosanganisira interstitial lung disease. Mharidzo yakakwana yaDean Jeffrey T. Chapman kubva kuCleveland Clinic Foundation inotaura nezvehuwandu hwezvirwere, zviratidzo uye zviratidzo, kuongororwa, uye kurapwa kwepakati pemapapu chirwere.
Mayo Clinic vatsvakurudzi vakaratidza kuti chirwere chepachimapu chinokonzerwa nemapapu chinogona kunge chakasiyana zvakasiyana nedzimwe mhando dzepapu chirwere uye zvichida chinofanira kurapwa zvakasiyana. Kufambira mberi kwekombiyuta-kubatsirwa kuongorora mifananidzo kwakaita kuti zvikwanise kuongororwa zvirwere zvepachirwere chepachirwere zvakapfuura uye kuraramisa zvakashata sechirwere chemuviri wechirwere chemuviri. Uyewo, kuongorora kweMayo Clinic kwakaratidza kuwanda kwechirudzi cheT cell, inozivikanwa seCD4 T cell, mu rheumatoid lung disease tissue samples.
Nzira dzinowanzoitika dzepakati pemapapu zvirwere zvinowanikwa mukati mekushaya pneumonia uye nonspecific interstitial pneumonia. Imwe mharidzo inosanganisira pulmonary fibrosis uye emphysema.
Kusvuta, inozivikanwa pangozi yehrumatoid arthritis, inogonawo kuita basa rerheumatoid arthritis-inobatanidza interstitial lung disease, pamwe chete nemararamiro uye maitiro ekudzivirira zvirwere. Izvo zvakare zvakave zvichinzi kuti rhumatoid arthritis mishonga inogona kutungamirira kune zvinodhaka-induced interstitial lung disease, pane dzimwe nguva.
Rheumatoid Arthritis Zvirwere uye Mafungiro Emakumbo
Methotrexate ndiyo yegoridhe yakarapwa yakakwana yehutamuidhi arthritis. Asi, methotrexate zvakare yave ichinzi seanorwisa causative mu interstitial lung disease. Vatsvakurudzi vakaongorora huwandu hwehutachiona hwemapupa pakati pevarwere vemahara ehurmatoid avo vairapwa ne methotrexate. Chimwe chekudzidza chakagumisa kuti kuwedzera kwechirwere chepapu mumuviri wehumatoid arthritis vanorapwa ne methotrexate vachienzanisa nezvimwe zvirwere zvinoshandiswa pakurwisa-rheumatic drugs (DMARD) uye biologic zvinodhaka .
MunaJanuary 2016, zviitiko zvekudzidza zvakabudiswa mu Journal of Rheumatology iyo yakaongorora dambudziko rehutachiona hwemaperembudzi pakati pevarume vemahara rheumatoid varapwa neArava (leflunomide) .
Hapana uchapupu hwekuwedzera kuputika kwezviitiko zvakashata zvakawanikwa mumatambudziko asina kuongororwa, anorongedzwa ehurumende yemapurisa arthritis inobatwa neflunomide.
> Sources:
> Conway R. et al. Leflunomide Kushandisa uye Ngozi dzeMapfupa Akaremara muRumatoid Arthritis: Ongororo Yezvinyorwa Zvesangano uye Metaanalysis yeRandomized Controled Trials. Nyaya yeRheumatology . March 15, 2016. Epub mberi kwekunyora.
> Conway R. et al. Methotrexate uye mapapu chirwere mu rheumatoid arthritis: meta-kuongororwa kwemiedzo yakarongedzwa. Arthritis & Rheumatology . 2014 Apr; 66 (4): 803-12.
> Froidevaux-Janin S. et al. Interstitial lung disease mu rheumatoid arthritis. Revue Medicale Switzerland . 2011 Nov 23; 7 (318): 2272-7.
> Kim EJ, Collard HR, King TE. Rheumatoid Arthritis-Yakabatanidzwa Nechirwere Chepembenene Chirwere. Chest . 2009; 136 (5): 1397-1405. doi: 10.1378 / chest.09-0444.