Kuonekwa uye kukosha kwerumatoid nodules
Kana uine rheumatoid arthritis, unogona kushamisika kana kuwedzera rheumatoid nodules hazvidziviriki. Rheumatoid nodules inowanikwa kusvika 35 muzana yevanhu vane rheumatoid arthritis . Sechikamu chehutachiona hwehutachiona, hwakasimba, husati hunyoro, hutachiona hutsva hunosimbiswa pazvinomanikidzwa, majoini, uye kunyange nhengo dzomukati. Dzidza zvakawanda pamusoro pekukosha kwavo uye kana pane mushonga unoshanda.
Kubatana uye Kukosha
Rheumatoid nodules inonzi inowanikwa yakawanda (yeganda) kuratidzwa kwerhumatoid arthritis. Pakutanga mharidzo, apo vanhu vanotanga kuongororwa ne rheumatoid arthritis nachiremba, anenge 7 muzana yeavo anowanikwa ane marpable, subcutaneous rheumatoid nodules.
Rheumatoid nodules inowanzobatanidzwa nekubatana kwekubatana uye kuratidzwa kwakanyanya kwezvakawanda zverheumatoid arthritis, iyo inogona kusanganisira kubatanidzwa kwemapapu kana maziso . Mavhungumu acho anogona kusiyanisa muhukuru panguva yekufamba kwechirwere ichi. Vanogona kunge vachibatanidzwa nezvinetso, kusanganisira kukanganisa kushamwaridzana, kuora mwoyo, fistula maitiro, uye utachiona.
Inenge 75 muzana yevanhu vane Felty's syndrome (chirwere chakaoma che rheumatoid arthritis) ine rheumatoid nodules. Rheumatoid arthritis varwere vane mutsvuku zvinowanzoita kuti vagadzire vasculitis . Kazhinji, inofungidzirwa kuti avo vane mazamu ehurumatoid vane chirwere chakakomba chirwere ne rheumatoid arthritis uye kukurumidza kukurumidza kuwirirana pamwe chete.
Zviratidzo nezviratidzo
Rheumatoid nodules inogona kuva isina kusimba, isina kurwadziwa. Inowanzoyera pakati pemamilimita maviri uye 5 masentimita. Iyo mikoko, iyo inogona kuonekwa semusero mumwe chete kana seboka rezviputi, inowanzokura apo rhumuminiyamu arthritis inoshanda. Maitiro emagetsi anowanzofambisa uye ane ruzha rwekunzwa.
Vamwe vakasungirirwa ku periosteum (bone) uye zvino vanonzwa vakasimba kana kuti vakaoma kumibata.
Nzvimbo dzakajairika dzehutatoid nodules dzinosanganisira muromo, kumashure kwegwenzi, foreacalpophalangeal joints (knuckles) , tendlles Achilles, uye extensor tendons.
Rheumatoid nodules haigoni kuwanikwa pamusoro pe sacrum, occiput (kumashure kwemusoro), mazwi ezwi, mapurmonary parenchyma, pleura, pericardium, myocardium, kana leptomeninges yepakati yenheyo-asi zvinogoneka. Izvo zvinokwanisikawo kuti rheumatoid nodules kuve mukati memitezo yechipfuva.
Nodular masses haisi kungoita rheumatoid arthritis. Mashoma evanhu anogona kuitika ne gout (inonzi gout tophi ), rheumatic fever , xanthomatosis, uye sarcoidosis , pakati pemamwe mamiriro ezvinhu. Chimwe chekusiyanisa humwe pakati pehurumatoid nodules uye gout tophi ndechokuti rhumumineid nodules haisati iri ulcerate kana kuti inouya kuburikidza neganda rakanyanyisa. Panewo kuwirirana kunonyanya kuzivikanwa pakati pemaruleti echirumatoid uye huwandu hwakanyanya hwehupfuhu hunokonzerwa nekuongorora ropa.
Kurapa
Intranodular steroid injection inogona kuderedza ukuru hwegununu. Kurapa neDMARD kana TNF blockers kunogona kana kuti hakugoni kubvisa mishonga yehurumatoid sezvo rhumumato yemaarthritis inotungamirirwa. Zvinofadza kuti vamwe vanhu vanobatwa ne methotrexate chiitiko chinowedzera kuvharidzira, kunyange kana zvimwe zvikamu zvechirwere zvinoratidzika zvakanaka.
Kushandiswa kwekuvhiya inzira, asi mutsvuku inowanzodzoka zvakare sezvishoma semwedzi mishomanana, kunyanya kana iripo pane imwe nzvimbo inowanzoshungurudzika. Kazhinji, nokuda kwechikonzero ichocho, chirwere chinodzwa mwoyo.
> Sources:
> Cush JJ, Weinblatt ME, Kavanaugh A. Rheumatoid Arthritis: Kuziva uye Kurapa . West Islip, NY: Professional Communications; 2014.
> Davis JM. Rheumatoid Nodules. Kusvika pari zvino.
> Firestein GS, Kelley WN. Kelleys Textbook of Rheumatology . Philadelphia, PA: Elsevier / Saunders; 2013.