Kurapa Target Kurwisa Kunosangana neSynovitis
Synovitis ndiro izwi rezvokurapa rekuputika kwebato rekubatana (kureva., The synovium) . Zviratidzo zvinosangana ne synovitis zvinosanganisira kurwadziwa pamwe chete, kubatana kwekubatana, kubwinya, nekudziya .
Muvanhu vane hutano, mhaka ye synovitis inowanzoshandiswa kwekubatana. Synovitis zvakare ndiyo inonyanya kuratidzwa nemhando dzakasiyana-siyana dzechirwere chinoputika . Nekuvhiringidza arthritis, zviratidzo zve synovitis zvinowanzoonekwa panguva yekuongorora.
Subclinical Synovitis
Subclinical synovitis inotsanangurwa sekuvhiringidza kwebhande rekubatana risingawaniki panguva yekuongorora kwepanyama. Subclinical synovitis inogona kuonekwa ichishandisa MRI (magnetic resonance imaging) asi kukosha kwayo kuri mubvunzo. Maererano neRheumatologist Scott J. Zashin, MD, "Muhupenyu hwangu se rheumatologist, varwere vane subclinical synovitis uye zviyero zvekuvhiringidza muropa, zvakadai sedare rinowanzoitwa sederytyrote sedimentation kana C-reactive protein (CRP), hazviitike kukudziridza pamwe chete kukanganisa kunooneka pazvinhu zvekutanga x-rays, kunyange ini ndisingazivi chero zvipi zvidzidzo zvakabudiswa panyaya iyi. "
Kunyange zvazvo MRI isinganzwisisi nzira yakanakisisa yokufungidzira yezvidzidzo zvinyoro zvishoma, inodhura uye inopedza nguva. Musculoskeletal ultrasound iri kuwana ruzivo uye yakaratidzwa sechitsigiti uye yakaenzana seyakashanda seMRI yekuona synoviti.
Active Synovitis
Nenguva iyo zviratidzo zve synovitis zvinoratidzika kana kuonekwa panguva yekuongororwa kwepanyama, kune kuvhiringidza kushanda kunenge kuchiitika pane zvakakanganiswa.
Kushanda synovitis kunogona kutungamirira kumusana wekusingaperi. Icho ndicho kunyanya kunetseka apo synovitis inowanikwa uye kuti nei kunyanya kuongororwa uye kurapwa kweArthritis kunosimbiswa.
Synovitis haigoni kukuvadza chete chibatanidza, asi inogona kuchinja zvivako zvakapoteredza, zvakadai sematoni . Sangano rinokuvadza zvakanyanya ringasvibiswa kana kusanganiswa pamwe chete, zvichiita kufamba kwemazuva ose uye kushanda zvakaoma, kana zvisingaitiki.
Symptomatic Synovitis
Synovitis uye Rheumatoid Arthritis
Pakati pemavhiki mashomanana ekuratidza rheumatoid arthritis , pane dzimwe nguva zvingava masero masero eropa kana mhuka dzedema pane zvinotarisirwa nekuputika, asi biopsy inowanzoonesa maitiro ekuonekwa kwezvirwere zvakanyanya. Vanhu vane "rheumatoid arthritis" vangangodaro vane chirwere chinotangira chinotangira kutanga kwezviratidzo. Autoantibodies (zvirwere zvinopesana nemuviri maviri) zvinofungidzirwa kuti zvinobudiswa kune vanhu vane rheumatoid arthritis makore zvisati zvaitika zviratidzo zvemakiriniki. Izvi zvinoratidza chikwata chekutanga-chipatara chinogona kuitika zvisati zvaitika zviratidzo zve synovitis zvinowedzera.
Synovitis uye Monoarthritis
Imwe synovitis inoratidzirwa sechikonzero chekutambudzika kwekubatana, kupfupa, kubwinya, kana kushambidzika, chikonzero chekuvhiringidzika kwekubatana kunoda kutsanangurwa. Mune mamwe mazwi, chii chinonzi chirwere chinenge chiripo kana chiitiko chinosangana nekuputika kunoramba kuripo? Kana munhu aine monoarthritis (kureva, zviratidzo zveArthritis zvinosangana nejoka rimwe chete), chinangwa chakakosha chekuongorora kwepanyama ndechekusimbisa kuvapo kana kusavapo kwekubatanidza effusion kana synovitis. Kuvapo kwe synovitis kunogadzirisa kusiyana kwekusiyanisa kwezvirwere zvechirwere, chirwere chetachiona chinopararira, uye zvirwere zvehurmatic systemic.
Muchikamu chayo chekutanga, rheumatoid arthritis inogona kupa se monoarthritis. Sezvo richifambira mberi, rheumatoid arthritis inowanzova yakaenzana neparyarthritis, zvinoreva kuti majosi akawanda anowanikwa kumativi ose maviri emuviri.
Kurapa Symptomatic Synovitis
Nekuongororwa kwakakodzera, kurapa kwakakodzera kunotanga. Nonsteroidal anti-inflammatory drugs (NSAIDs) inowanzomirirwa pakarepo kuti inopedze kuvhunika . Mu rheumatoid arthritis, chirwere-chinoshandisa anti-rheumatic drugs (DMARD) uye biologic zvinodhaka zvinowanzowedzerwa sechikamu chemurapa wokurapa kuunza synovitis pasi pekutonga, kudzivirira kukanganisa pamwe, nekuderedza kuwedzera kwezvirwere.
> Kwakabva:
> Kelley's Textbook of Rheumatology. Ninth edition. Elsevier. Etiology uye Pathogenesis yeRheumatoid Arthritis. Chitsauko 69.
> Synovitis. Chipatara Chekuvhiya Kunokosha.
> Helfgott, Simon M. MD. Maonero eMonoarthritis muVakuru. Kusvika pari zvino. Yakagadziridzwa munaJanuary 2017.