Mamiriro acho anodzivirirwa here kana kuti asingadzivisiki?
Ruoko rwune zvinyorwa zvinopfuura 25 izvo zvinonyanya kunetseka nemigumisiro ye rheumatoid arthritis . Ichokwadi, kuoma uye kuvhara kwehuputi nemakumbo zvinowanzova zviratidzo zvekutanga zvechirwere ichi chisinganzwisisiki.
Rheumatoid arthritis inokonzerwa kana masimba ezvirwere zvemusununguko asingakwanise kushanda uye kurwisa zvikamu zvemuviri, zvichikonzera kurwadziwa, kuputika, kuneta, uye kushaya simba.
Nokufamba kwenguva, sezvo chirwere chacho chichifambira mberi, chinogona kutungamirira kukuremara kwakanyanya sekurwadziwa uye kunongororwa kwemafambiro anoita kuti zvive zvakaoma kushanda.
Kana izvi zvikaitika mumaoko, zvinogona kuzarura chirongo pedyo-zvisingaiti uye zvinotungamirira kukuora kwechidiki zvishoma nezvishoma, maoko, uye neminwe.
Zvinokonzera Rhumatoid Hand Deformity
Sezvo kune mamwe masangano mumuviri, mazamu ari muruoko akapoteredzwa nechembera, yakanyatsonakaka inozivikanwa sa synovium . Iyo synovium inobereka synovial fluid , chinhu chakaonda, chinokonzera kusvibisa chinobatsira kugadzirisa kubatana.
Ne rheumatoid arthritis, masimba ezvirwere zvezvirwere anotumira masero matsvuku eropa, anonzi leukocytes, kurwisa hutano hunobatana. Iyo synovium inopindura ichi kurwisa kuburikidza nekugadzirisa pamusoro pemasero matsva e synovial, imwe pane iri kutevera.
Kuunganidzwa kwemashupu aya kunokonzera kukurumidza kupera sezvavanopinda mukati memubatanidzwa uye kunokonzera kusunungurwa kwemapurotini anowedzera kushatisa maronda uye pedo.
Izvi zvakaoma kuchinja kwezvinhu zvipenyu zvinogona kukanganisa iyo yakagadziriswa yesimba, zvichikonzera kukanganisa kwemaitiro uye kusasarudzwa kwemapfupa nemafundo.
Maoko neChiuno Majoka Akabatwa
Rheumatoid arthritis inowanzokura zvishoma, zvinoreva kuti inogona kuchinja ruoko rumwe nerumwe rwakasiyana nerumwe. Inowanzoonekwa mune imwe kana kupfuura yezvikamu zvinotevera muruoko:
- Majoka emasacarpophalangeal (mahombekombe makuru apo minwe uye chigunwe zvinosangana noruoko)
- Iyo inonzi proximal interphalangeal joints (pakati pemakumbo)
- Majoo ehwende akabatanidza joint joint carpometacarpal, joint midcarpal, joint joint radiocarpal, uye zvinyorwa zvepakati
Izvozvo zvinoshandiswa pakati pezverinhembere (maruti ekupedzisira eminwe nemagunwe) hazviwanzobatwa kusvikira chirwere ichi chasvika uye mamwe mazamu atove akanganiswa.
Chimwe chezviratidzo zvinowanzoonekwa zvepamusoro rheumatoid arthritis ndechimwe chiitiko chinozivikanwa sekutsauka kweminye . Apa ndipo apo minwe inotanga kuenderera kune iyo pinky nekuda kwekuparara kwemaitiro emunharaunda. Panguva imwecheteyo, tsvimbo inotanga kutamira kune rumwe rutivi rwechigunwe chechiko chako.
Kurapa Kunokonzera Kusagadzikana muRheumatoid Arthritis
Kana kuora kwemaoko kuchiitika, hakugone kuchinjwa nemishonga. Kuvhiya kunogona kubatsira kusimbisa ruoko uye kudzorera zvimwe zvekufamba uye basa. Icho hachisi chirwere chakareruka kuita uye kazhinji chinoda nguva yakareba yekudzikinura nechirwere chepanyama.
Pakupedzisira, kurapwa kwekutanga ndiyo nzira yakanakisisa yekudzikisa kukanganisa uye kunonoka kufambira mberi kwerheumatoid arthritis. Mishonga inofananidzwa nechikamu chechirwere ichi:
- Mukutanga kana runyamu rheumatoid arthritis, zvirwere-kuchinja anti-rheumatic drugs ( DMARD ) saPaquenil (hydroxychloroquine) uye Azulfidine (sulfasalazine) inogona kubatsira.
- Kuenzanisa kune zvakanyanya rheumatoid arthritis zvinoda kuti DMARD inowedzera simba kusanganisira methotrexate uye Arava (leflunomide). Imwe kirasi yemishonga, inonzi TNF blockers, inogona kubatsira kudzivirira masimba ezvirwere kuburikidza nekudzivisa puroteni inoputika inozivikanwa se tumor necrosis factor (TNF).
> Kwakabva:
> Chung, K. uye Pushman, A. "Current Concepts in the Management of Rheumatoid Hand." J Hand Surgery Am . 2011; 36 (4): 736-47. DOI: 10.1016 / j.jhsa.2011.01.019.