Arthritis Diagnosis
Kuongorora chirwere cheArthritis kunogona kuvhiringidza uye kwakaoma. Ne marudzi anopfuura zana eArthritis uye zvirwere zveRheumatic , zviratidzo-kunyanya zviratidzo zvekare- zvinogona kuitika, zvichiita kuti zvive zvakaoma kusiyanisa pakati pemhando dzakasiyana-siyana. Sechikamu chekuongorora chirwere, chiremba wako achatsvaga zviratidzo zvakananga, zviratidzo, uye zvirwere zvirwere. Chiremba wako achaongorora zvakare nhoroondo yako yezvechiremba, kuongorora mumuviri, kuongororwa kweropa, uye kuongorora zvidzidzo sezvaanotonga zvimwe zvirwere nemamiriro ezvinhu-uye pakupedzisira anotonga mukupedzisira kuongororwa.
Chirwere chakarurama chinonyanya kukosha kuitira kuti chirongwa chakakodzera chekurapa chinogona kuumbwa. Kuzviwana zvakarurama kunokosha.
History Medical uye Zviratidzo Zviratidzo
Nhoroondo yako yezvechiremba inogadzirisa ruzivo pamusoro pemamiriro ekurapa akapfuura uye yako yehutano mamiriro ezvinhu. Kuti uwane nhoroondo yako yezvokurapa, iwe ungangodaro wakabvunzwa kuti uzadze mubvunzo wakanyorwa mubasa rako rokutanga, kana zvisati zvaitika musati wasvika.
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Iwe Unoitei Kana Iwe Uchifunga Iwe Unogona Kuva neArthritis?
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Kutanga Kuongorora Arthritis Kunokosha Kuti Uwane Kutarisa Kwezvirwere
Iwe unofanirwa kuva wakagadzirira kupa urwere hwehutano hwako nekuronga mberi kwekutaurwa kwemashoko anotevera: maurirwo manyorerwo emishonga, urongwa hwehutachiona, urongwa hwehutano hwose huri kuporeswa ikozvino, mararamiro awakarapwa pane kare, zita rekutanga dhigirii nevamwe vadzidzisi, pamwe chete nemashoko avo ekukurukura.
Kana iwe uchichengeta diary yezviratidzo, zvingava nyore kudzokazve zvakare nhoroondo yako yezvokurapa uye kuchengetedza zvinyatsokosha nezvehutano hwako uye kuchinja sezvavari kuitika. Ne diary, iwe unowedzera kupira chiremba wako mufananidzo wakanaka wezviratidzo zvaunosangana nawo.
Kana iwe usina dhiari yezviratidzo, hazvina kunonoka kutanga. Kufambira mberi, zvichabatsira nekuenderera kwekutarisira. Usavimba neyekuyeuka kwako kuti uone zvinhu zvakanyanya, kunyanya apo inowanzoita kwemwedzi yakawanda kuti iende pakati pechiremba kugadzwa.
Kuongorora Kwepanyama
Pakutaurirana kwako kwokutanga, chiremba wako achaita chiongorori chemuviri kuti aone zviratidzo zvinoratidzika uye zviratidzo zvinoratidza arthritis. Chiremba wako achaongorora:
- kubwinya / kushambidzika kumativi ose akabatanidzwa (kureva, kupisa )
- kubatana kwakasimba kana unyoro
- kubatana kwemvura kana kupfugama
- mazamu kana majeeti (semuenzaniso, rheumatoid nodules , node dzeHeberden, node dzaBouchard )
- chimiro chezvikwata zvakagadziriswa (semuenzaniso, zvakaenzana kana zvisinganzwisisiki)
- kunokwana huwandu hwekufamba
- fever
- kuneta
Miedzo yebazi
Mushure memakore ekurapa uye kuongorora kwepanyama kwakapedzwa, chiremba wako angangodaro anoda mamwe mashoko. Kuyera ropa kunogona kupa humwe ruzivo rwakanangana uye kazhinji kunoshumira kusimbisa izvo chiremba anokanganisika ndiko kuongororwa. Ropa rekuongorora rinoshandiswawo kuongorora chirwere chekuita uye kushandiswa kwehutano mushure mekunyatsoongorora kwave kuchigadzirwa.
Pakushanya kwako kokutanga, chiremba wako angangodaro akaronga zvishomanana zvezviedzo izvi, zvichienderana nenyaya yako yezvechiremba nekuongorora.
- Rheumatoid Factor - Rheumatoid chinhu chinonzi antibody kana kuti immunoglobulin inowanikwa munenge 70 kusvika ku80 muzana yevanhu vakuru vane rheumatoid arthritis.
- Erythrocyte Sedimentation Rate - Inonzi erythrocyte sedimentation rate (ESR), inozivikanwa se sedimentation rate kana sedrate, inoratidza kuti kuvapo kwechirwere chisingaiti. Kuputika kwemazuva ose kunoreva kuti kuputika kune imwe nzvimbo mumuviri, asi kuedza hakutsanisi chikonzero.
- C-reactive Protein (CRP) - C-reactive protein ndiyo protein inokonzerwa nechiropa ichikuvara nekukuvara. Plasma nhengo dzeRPP dzinokurumidza nekukurumidza pashure penguva yekuputika kwakanyanya kana utachiona, zvichiita kuti kuedzwa uku kuve chiratidzo chinonyatsoratidzwa chechirwere chinopfurikidza nekuderera kwechirwere chinoshandura zvishoma nezvishoma.
- Anti-Cyclic Citrullinated Peptide Antibody Test (anti-CCP) - Anti-CCP chirwere cheropa chinowanzotumwa kana rheumatoid arthritis ichifungidzirwa. Kuenzanisa kwepamusoro kweanopesana neCCP muropa zvinonyanya kusimbisa kuongororwa mukati memunhu ane zviratidzo zvekurapa kwehutamuidhi arthritis. Muongorori weAn anti-CCP unonyatsotsanangurwa kupfuura muedzo we rheumatoid factor. Muchipatara chiitiko, zvose rheumatoid factor test uye anti-CCP yekuongorora inofanira kurongedzwa pamwechete.
- Antinuclear Antibodies (ANA) - Antichenuclear antibodies (ANA) anoshamisa autoantibodies (immunoglobulins pamusoro pezvinhu zvenyukireya zvechiremera chevanhu). Chiyero chacho chinobva pane zvisina kufanira immunofluorescence. Mumiririri wepamusoro kune antinuclear nyanzvi yevanhu vanongoratidzira zvirwere zvisingagoneki . Positive antinuclear antibody miedzo inowanikwa muzana rinopfuura 95 muzana ye systemic lupus erythematosus varwere, 60 kusvika ku80 muzana ye scleroderma varwere, 40 kusvika ku70 muzana yevarwere vane Sjogren's syndrome , uye 30 kusvika ku50 muzana yevarwere vemahaematoid arthritis , pakati pevamwe.
- Kuzara kweAvhareji yeAIDS - Izvo zvakakwana kuverenga ropa zvinosarudza WBC (nyemba yeropa rekuverengera kuverengwa), RBC (tsvuku yeropa rekuverengera), hemoglobin, hematocrit, dzimwe nhamba dzvuku dzese dzeropa, uye platelet count. Yakawanda yeropa reyero yakawanda yeropa inoratidza kuti inogona kuva nehutachiona hwehutachiona. Varwere vanotora corticosteroids vangave neWBC yakakwirira nekuda kwemishonga. Kurwara kusingaperi kunogona kukonzera kusvibiswa kwemasero matsvuku emuropa. Low hemoglobin uye hematocrit inogona kuratidza kushaya ropa kunokonzerwa nechirwere chisingagumi kana kuti kunogona kubuda ropa kunokonzerwa nemishonga. The platelet count inowanzove yakakwirira muhurongwa hwehutamuidha arthritis, asi dzimwe mishonga yakasimba yemarthritis inogona kuita kuti maplatelets ave akaderera.
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Synovial Fluid Analysis Inogona Kuva Kuongororwa Kuongororwa Kunokosha
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CRP Test Test Rakaitwa Murairo Apo Arthritis Inotarisirwa
- HLA Tissue Typing - Human Leukocyte Antigens (HLA) ndiwo mapuroteni ari pamusoro pemasero. Zvimwe zvinokonzerwa neHLA mapuroteni zviratidzo zvezvisikwa zveimwe zvirwere zverheumatic. Kuedza kunogona kusarudza kana vamwe vanogadzira mazamu varipo. HLA-B27 yakabatanidzwa ne ankylosing spondylitis uye dzimwe spondyloarthropathies . Rheumatoid arthritis inobatanidza neHLA-DR4.
- Uric Acid - High mazinga euric acid muropa (inozivikanwa se hyperuricemia ) inogona kukonzera makristori kuti aumbe ayo akaiswa muzvibatanidzi nemasukisi. Kuderera kweweric acid crystals kunogona kukonzera gout inorwadza. Uric acid ndiyo yekupedzisira ye purine metabolism kuvanhu.
Kune dzimwe mhando dzezvirwere zvehurmatic systemic, zvipo zvezvikamu zvakati zvingapa hutu hunokosha hwekuongorora ruzivo. Uyezve, kuwirirana kwehuwandu hwemvura kunogona kupa chiremba nezvimwe zvakawanda nezvehutano hwekubatana kwemunhu.
Medical Imaging
Kuongorora kufungidzira kunoshandiswawo kubatsira kubatsira kugadziriswa. Chiremba wako anogona kurayira x-rays (radiographs), iyo inopa mifananidzo yemapfupa nemapfundo ako. X-rays inogona kuratidza kuora uye kusakanganiswa kwemapfupa nemajoini. X-rays hairatidzi huti, mushu, uye mitsipa, zvisinei.
MRIs, kana Magnetic Resonance Imaging scans, inobatanidza mifananidzo yepamusoro-kati yemuviri wako uchishandiswa magnetic field uye mafungu eredhiyo. Mashoko akajeka pamusoro pemapfupa, mafundo, uye mavara anonyorera anopiwa neMRI mifananidzo. Kuchinja kuduku mumuviri kunogona kuonekwa kushandiswa kweMRI.
Shoko Rinobva
Chiratidzo chimwe chete kana chimwe chikonzero chekuedza hachina kukwana kuti uongorore rudzi rwehutano hweArthritis kana rheumatic. Zvimwe zviratidzo zvirongwa uye miedzo zvinosanganiswa kuti zvibvise zvimwe zvirwere uye kutonga mukujekesa kuongorora. Inogona kuonekwa senzira inonetsa kana iwe uchida mhinduro dzinokurumidza. Kushivirira kwako kunodiwa sezvo chiremba wako akaisa zvikamu zvepuzzles pamwechete.
Kuita kuti zvive zvakanyanya kuoma ndezvekana yekuti uve nechirwere chinodarika cherheumatic panguva imwe chete. Funga nezvenyaya iyi yezvirwere gumi nematanhatu zvinoratidzira rheumatoid arthritis semuenzaniso wezvinetso zvakabatana nekuongororwa kweArthritis. Iwe une chirwere chimwe cherheumatic here? Iwe une chirwere chinopfuura rheumatic imwe here? Iwe une zviratidzo zvinoputika izvo zvinokonzera kuongororwa here?
Pasina mubvunzo, apo iwe unopinda kuburikidza nekugadzirisa chirongwa, iwe uchava neshoko risingazivikanwe remashoko ekurapa rakakandwa mumutungamiri wako. Pano, isu takatsunga kukubatsira kunzwisisa izwi uye zvakare matanho ari munzira inoenda kujekesa yako. Kunyange zvakadaro, kuongororwa kwacho ndiko kungova kutanga kwekudzidza kubata chirwere chako. Tinopa ruzivo pamusoro pezvinotevera matanho zvakare, zvakadai sekunzwisisa mararamiro ako , kuratidza mararamiro ako ekurapa arthritis , kutarisira marwadzo eArthritis , kuvandudza mararamiro ako ehupenyu , nezvimwe.
Sources:
Arthritis Diagnosis. Health Encyclopedia. University of Rochester Medical Centre. Yakadzokororwa naHanhan naHorowitz.
Arthritis Diagnosis. Arthritis Foundation.
Kelley's Textbook yeRheumatology. Ninth edition. Elsevier.