Rheumatoid arthritis chirwere chisingaverengeki, chirwere chemoto . Icho chirwere chinoputika cheArthritis chinokanganisa majoini . Chirwere ichocho chinogona kunge chiine utachiona, huchibata dzimwe nhengo dzomuviri.
Zviratidzo zveRheumatoid arthritis zvinosanganisira marwadzo akabatana, kuoma kwekubatana, kubatana kwekubatana uye kubatana kwekubatana. Fever, malaise, kuneta kwakakomba, uye kuoma kwemangwanani kunogara kweawa imwechete zvakare zviratidzo zvinowanzobatanidzwa ne rheumatoid arthritis.
Vanenge makumi mapfumbamwe nezana makumi matatu ehurumende inonzi arthritis varwere vanoedza kuti vawane rhumatoid factor (vakaonekwa neropa rekuongorora). Inenge 20 muzana ye rheumatoid arthritis varwere vanorondedzerwa se "seronegative rheumatoid arthritis" nokuti havakwanisi rheumatoid factor.
Ne rheumatoid arthritis, pane chimiro chakasiyana chezvibatanidza zvakagadzikana. Somuenzaniso, mabvi maviri omurwere anowanzobatwa panzvimbo yebvi rimwe chete.
Knee Joint
Ne rheumatoid arthritis, kuputika kweganda re synovial kunokonzera kupfupa, kurwadziwa, kubwinya, kushuva , uye kuomesera kwekubatana kwakagadzikana. Iyo synovium inotanga kuvhara uye inopisa masero anosunungura masimba enzymes anochera bone uye cartilage. Kuparara pamwe chete uye kukanganiswa kwekubatana kunogona kukonzera kukonzera kufamba kwakanyanya kwekufamba uye kuderera kwebasa rekubatana.
Hip Joint
Chero hupi hupi hupi hunogona kuve nehutachiona hwehutuku. Chirwere chinotyisa chinogona kuderedza mararamiro-e-kufamba kwezvizhinji zvakawanda. Apo masangano ekuremedza anokanganiswa, akadai sehudyu, mabvi, uye maziso, kufamba kunogona kuchinja zvikuru.
Kukura kwekubatana, kunoonekwa pa x-ray, kunogona kuva kwakanyanya uye kunopera. Sezvo kubatana kunoputika uye maronda anowedzera, bone-on-bone kunogona kuva mugumisiro unorwadza. Kuparara kwakanyanya kwekartilage, tendon, ligaments uye bone zvinogona kukonzera nhengo kuti dzive dzisina kugadzikana uye kunyange dzakasvibiswa sezvinoita rheumatoid arthritis inopfuurira.
Maoko
Rheumatoid arthritis inowanzotanga muzvikamu zviduku zveminwe, maoko, uye maziso. Rheumatoid arthritis inogona kukonzera kuparara kwemaoko, zvinetso zvekubatana uye kukuvadza kweminwe, chigunwe, ruoko, uye wundu kusanganisira:
- rheumatoid nodules
- kubatana kubatana
- kubatana kuoma
- ulnar drift / ulnar kupoteredza
- zvibvumirano
- wrist subluxation
Dambudziko reSystem
Rheumatoid arthritis haisi kungoguma majoini. Rheumatoid arthritis chirwere che systemic chinogonawo kukanganisa dzimwe nhengo dzomuviri dzinosanganisira ganda, mapapu, mwoyo, mitsipa, uye kazhinji isinganyi.
Rheumatoid arthritis inowanikwa kune vakadzi kupfuura varume. Zvinofadza kuti chirwere chepachifu chemapapu chinowanzoitika kune varume vane chirongwa cherhumatori, vanove nemagununu, uye chirwere chenguva refu.
Rheumatoid arthritis varwere vanewo njodzi yakanyanya yehutachiona hwemwoyo kupfuura vanhu vari vanhu vakawanda.
Knee Replacement
Kuparara pamwe chete uye kuora mwoyo kunogona kugadziriswa nekuvhiyiwa kwebvi rinotsiviwa , iro rinogona kuderedza marwadzo nekudzorera basa. Izvo zvikamu zvakakanganiswa zvezvikamu zvevakadzi, tibia, uye kneecap zvinogurwa uye zvinomutswa. Chikamu chechikamu chemaviri (kazhinji simbi) chakaiswa.
Hip Kudzokorora
Hip inoshandiswa pakuvhiyiwa inogona kuderedza marwadzo, kudzorera basa, uye kukodzera kubatana kukanganisa nekuora. Chiuno bhora (musoro wevakadzi) nechekete (acetabulum) pamwe chete. Zvose zvinokonzerwa nekuputika zvinosanganisira acetabular chikamu uye shaft yevakadzi inogadziriswa kuti ichinje nzvimbo dzakakanganiswa dzechiuno.
Kushandiswa kwemajoko kune mamwe mazamu zvakare, akadai sefudzi, maziso, uye maziso. Knee uye hip inotsiva zvinowanzoitwa. Maererano neNational Institutes of Arthritis uye Musculoskeletal uye Skin Diseases, vanenge 435 000 vekuAmerica vane hip kana mabvi vakatsiviwa gore negore.
Sources:
Disease Center. Rheumatoid Arthritis. Arthritis Foundation.
http://www.arthritis.org/conditions/diseasecenter/RA/ra_symptoms.asp
Rheumatoid Arthritis. American College of Rheumatology.
http://www.rheumatology.org/public/factsheets/ra_new.asp?aud=pat
Health Topics. Joint Replacement Surgery newe. NIAMS.
http://www.niams.nih.gov/hi/topics/arthritis/jointrep.htm
Anaya, JM. Chirongwa chemapuroni chinobatanidzwa mu rheumatoid arthritis. Seminari muArthritis uye Rhumatism 24 (4) Feb 1995 242-54.
http://dx.doi.org/doi:10.1016/S0049-0172(95)80034-4