Mufambiro weKubatavira Arthritis (Reiter's Syndrome)

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Chii Chinonzi Reactive Arthritis? (Reiter's Syndrome)

Reaction

Reactive arthritis chirwere cheArthritis chinowanzoita "kugadzirisa" kune utachiona kune imwe nzvimbo mumuviri. Kuvhiringidza kunhu hunoita maitiro ehukuvadza kana zvirwere uye inoratidzwa ne:

• kuzvimba
• kubwinya
• kupisa
• kurwadziwa

Kunze kwekuvhiringidzika kwemajoka, reactive arthritis inobatanidza nezvimwe zviratidzo zviviri:

• kubwinya uye kuputika kwemaziso
• kuputika kwemuti wekutsvaira

Zviratidzo izvi zvinogona kuitika zvoga, pamwe chete, kana kwete zvachose.

Reiter's

Reactive arthritis inowanzonziwo Reiter's syndrome, uye chiremba wako angaritaurira seyo saronegative spondyloarthropathy. Iro seronigative spondyloarthropathies iboka rematambudziko rinogona kukonzera kutuka mumuviri wose, kunyanya mumupfu. Mienzaniso yezvimwe zvinetso muboka iri zvinosanganisira:

• psoriatic arthritis
• ankylosing spondylitis

Kurwara

Muzhinji, reactive arthritis inokonzerwa nechirwere chinokonzerwa nehutachiona mumukaka kana urethra, kana, mumadzimai, chirwere chinowanzoparidzirwa kuburikidza nepabonde. Ichi chimiro chechirwere dzimwe nguva chinonzi genitourinary kana urogenital reactive arthritis.

Chimwe chimiro chekuita zvechirwere chetachiona chinokonzerwa nehutachiwana mumatumbo emukaka kubva pakudya zvokudya kana kutakura zvinhu zvakasvibiswa nemaabhakitiriya. Iyi fomu dzimwe nguva inonzi inonzi enteric kana yepamuviri yakagadzirisa arthritis.

Zviratidzo zvehutachiona hwehutachiona hunowanzopedza mwedzi 3 kusvika ku12, kunyange zvazvo zviratidzo zvinogona kudzoka kana kuwedzera kuva chirwere chenguva refu muchikamu chiduku chevanhu.

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Chii Chinokonzera Kushandiswa kweArthritis?

Chlamydia

Akashandura arthritis anowanzotangira masvondo anenge 1 kusvika matatu mushure moutachiona. Bhakitiriya rinowanzobatanidzwa nehutachiona hwehutachiona nderokuti: Chlamydia trachomatis, inowanzonzi chlamydia.

Inowanzowanikwa kuburikidza nehupombwe. Humwe humwe uchapupu hunoratidzawo kuti kuputika kwezvirwere neClamydia pneumoniae kunogona kuita kuti arthritis inogadziriswa ishande.

GI Tract Infections

Utachiona muhutachiwana hunogona kukonzera arthritis inogadziriswa inosanganisira:

• Salmonella
• Shigella
• Yersinia
• Campylobacter

Vanhu vanogona kutapukirwa nemabhakitiriya aya mushure mekudya kana kugadzirisa zvokudya zvisina kukodzera, zvakadai sezvipenyu zvisati zvachengetwa pakushambidzwa kwakakodzera.

HLA B27

Vanachiremba havazivi chaizvo kuti sei vamwe vanhu vakazarurirwa mabhakitiriya aya vachiita zvirwere zvehutano uye vamwe havaiti, asi vakawana chimiro chemazwi, human leukocyte antigen (HLA) B27, iyo inoita kuti mukana wevanhu wekuvandudza arthritis reactive. Inenge 80% yevanhu vane chirwere chekushaya ropa chinogadzirisa chirwere cheHLA-B27. Zvisinei, kuwana nhaka yeHLA-B27 hazvirevi kuti iwe uchawana chirwere chekushaya ropa. Zvikamu zvisere zvevanhu vane hutano vane HLA-B27 geni, uye chete chikamu chimwe chete-chechishanu chavo chichava nekugadzirisa arthritis kana vakabata zvirwere zvinokonzera.

Inopesana Here?

Reactive arthritis haina kupararira; kureva kuti, munhu ane chirwere haagoni kupedza arthritis kune mumwe munhu. Zvisinei, mabhakitiriya anogona kukonzera arthritis anoshanda anogona kudarika kubva kumunhu kusvika kumunhu.

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Ndezvipi Zviratidzo zveAkaita Arthritis?

Zviratidzo

Pasi pose, varume pakati pemakore makumi maviri nemakumi mana vanowanzova nehutachiona hwehutachiona. Zvisinei, uchapupu hunoratidza kuti kunyange zvazvo varume vane zvipfumbamwe zvakanyanya kupfuura vakadzi kuti vave nehutachiona hwehutachiona hunokonzerwa nehutachiwana hwehutachiwana hwehutachiwana, vakadzi nevarume vanogonawo kuwedzera arthritis yakagadziriswa semagumisiro ezvirwere zvinotakura zvokudya. Vakadzi vane arthritis reakagadzikana vanowanzove nezviratidzo zvakasimba kupfuura varume.

Reactive arthritis inowanzokonzerwa nekuputika kwe:

• urogenital tract
• joints
• meso

Pasina Zviratidzo Zvichienderana

Zviratidzo zvishoma zvinowanzova muromo wemakumbo uye mapundu emucheka. Zvose zvezviratidzo izvi zvingave zvinyoro zvokuti varwere havazvioni. Vanowanzouya uye vanopfuura kwemavhiki mashoma kusvika kumwedzi yakawanda.

Urogenital Tract

Reactive arthritis inowanzokonzera rutivi rwehurogenital, kusanganisira i:

• prostate kana urethra muvarume
• urethra, chibereko, kana mukadzi muvakadzi

Varume vanogona kucherechedza kudiwa kwakanyanya kuti urinate, kunzwa kunopisa kana uchikwira, kurwadziwa kwepeni uye kusununguka kwemvura kunobva peni. Vamwe varume vane chirwere chinokonzerwa nehutachiona vanoita prostatitis. Zviratidzo zve prostatitis zvinogona kusanganisira fever uye chills, uyewo kuwedzera kwekudiwa kuti urinate uye chinotisa chinotyisa kana uchikwira.

Vakadzi vane hutachiona hwehutachiona vanogona kuunza matambudziko mumugwagwa wurogenital, zvakadai se cervicitis kana urethritis, iyo inogona kukonzera kutsva kupisa panguva yekuzorora. Mukuwedzera, vamwe vakadziwo vanovaka salpingitis kana vulvovaginitis. Izvi zvinogona kana kuti hazvigoni kuita chero zviratidzo zveArthritic.

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Zvakadini NeArthritis, Joint Pain, Zvimwe Zviratidzo?

Joint Pain

Zviratidzo zvehutano zvakagadzikana zvehutachiona hwehutachiona zvinowanzobatanidza marwadzo uye kuzvimba mukati:

• mabvi
• ankles
• tsoka

Huru, zvigunwe, uye mamwe majoini zvinoshungurudzwa kazhinji. Vanhu vane hutachiona hwehutachiona vanowanzokudza tendinitis . Muzhinji vane remagadzirirwo arthritis, izvi zvinoguma mukurwadziwa kwemakumbo kana Achilles tendinitis. Vamwe vane chirwere chinokonzerwa nehutachiona chekare vanoitawo kukura kwechitsinho, izvo zvinokonzera kukura musitsitsinho izvo zvinogona kukonzera kusagadzikana kwepamuviri marwadzo. Inenge hafu yevanhu vane reactive arthritis mushumo mushure mekupedzisira uye kurwadziwa kwehutu.

Reactive arthritis zvakare inogona kukonzera spondylitis kana sacroiliitis. Vanhu vane chirwere chinokonzerwa nehutachiona hwemazuva ano vane HLA-B27 geni vane mikana yakawanda yekuita spondylitis uye / kana sacroiliitis.

Eyes

Conjunctivitis, kuputika kwemukati mutsara inobatanidza bhora reziso uye maziso, rinowedzera inenge hafu yevanhu vane chirwere chinokonzerwa nehutachiona. Vamwe vanhu vanogona kukura uveitis. Conjunctivitis uye uveitis zvinogona kukonzera:

• kubwinya kwemaziso
• kurwadziwa kweziso uye kutsamwa
• zvakashata

Kubatanidzwa kwemaziso kunowanzoitika pakutanga kwemaitiro ekugadzirisa arthritis, uye zviratidzo zvinogona kuuya nekuenda.

Masonda

Inenge 25% yevarume vane chirwere chinokonzerwa nehutachiona hwemazuva ano vanoita zviduku, zvisingatauriki, zvisingarwadziwi maronda pamugumo wepenisi. Chikamu chiduku chevarume nevakadzi chinokura mahara kana zviduku, zvakaoma mumashonga pamakumbo etsoka, uye, kazhinji, pazvanza zvemaoko avo kana kune imwe nzvimbo. Vamwe vane chirwere chinokonzerwa nehutachiona vanoita muromo wemakumbo anouya uye anoenda, kune vamwe, izvi zvipembenene hazvinzwisisiki uye zvinongoramba zvisingaoneki.

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Ndeupi rudzi rwechiremba rinogona kurapa nekuona ruzivo rwechirwere cheArthritis?

Mune madhactor

Munhu ane chirwere chinokonzerwa nehutachiona hunogona kunge achida kuwona marudzi akasiyana-siyana echiremba nokuti chirwere chetachiona chinokanganisa chinokanganisa zvikamu zvakasiyana zvemuviri. Zvisinei, zvinogona kubatsira kune vanachiremba uye murwere kune chiremba mumwe, kazhinji rheumatologist (chiremba anonyanya kuongorora arthritis), kutarisira chirongwa chakakwana chekurapa. Uyu chiremba anogona kurongedza kurapwa uye kuongorora migumisiro yechirwere kubva kumishonga yakasiyana-siyana murwere angatora. Nyanzvi dzinotevera dzinobata zvimwe zvinhu zvinopinda zvikamu zvakasiyana zvemuviri.

• Ophthalmologist (anobata chirwere cheziso)
• Gynecologist (anobata zviratidzo zvepabonde kuvakadzi)
• Urologist (anobata zviratidzo zvepabonde mune varume nevakadzi)
• Dermatologist (anobata zviratidzo zveganda)
• Orthopaedist (anoita chirurudzo pazvikamu zvakakuvadzwa zvakanyanya)
• Physiatrist (anotarisa maitiro emitambo)

Kuongorora

Pakutanga kwekuongorora, chiremba angangotora nhoroondo yakakwana yezvokurapa uye nyora zviratidzo zvemazuva ano uye chero matambudziko ose apfuura ezvehutano kana zvirwere. Mushure mokunge mushure mokuona chiremba, dzimwe nguva kunobatsira murwere kuchengetedza rekodhi yezviratidzo zvinoitika, kana zvikaitika, uye nguva yakareba sei. Zvinonyanya kukosha kurondedzera chero zviratidzo zvakadai sezvirwere, zvakadai se:

• fever
• kurutsa
• chirwere

Zviratidzo izvi zvinogona kuva uchapupu hwehutachiona hwehutachiona. Vanachiremba dzimwe nguva vanoona zvakaoma kufungidzira kurwara kweArthritis nokuti haina humwe hutano hwemabara hunosimbisa kuti munhu ane chirwere chinokonzera arthritis.

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Ko Reactive Arthritis Inozivikanwa Sei?

Kuziva

Vanachiremba vanogona kuraira kuongororwa kweropa kwechibereko chechiHLA-B27, asi mhinduro yakanaka hairevi nguva dzose kuti munhu ane chirwere.

Vanachiremba vanogona kuraira dzimwe kuongorora ropa kuti vabatsire kutonga kunze kwemamwe mamiriro ezvinhu uye kusimbisa kuongororwa. Rheumatoid chikonzero kana antinuclear nyanzvi yekuedza inogona kubatsira kubvisa kunze kwechirwere chetachiona. Vakawanda vane chirwere chekushaya ropa chinokonzera matambudziko vachava nemigumisiro yakaipa pamatambudziko aya. Kana zviyamu zvinowanikwa zvakanaka, iwe unogona kunge uine imwe mhando yeArthritis, yakadai seyi:

• rheumatoid arthritis
• lupus

Vanachiremba vanogona kuedzawo erythrocyte sedimentation rate. Ipamusoro "sed sed rate" inowanzoratidza kurwisana kune imwe nzvimbo mumuviri. Kazhinji, vanhu vane zvirwere zverheumatic vane chikwata chapamusoro.

• Quiz: Unogona Kuva neLupus?

Zvirwere

Vanachiremba vangangodaro vaongorore zvirwere zvinogona kuenzaniswa nehutachiona hwehutachiona. Varwere kazhinji vanoongororwa chirwere cheClamydia (tsvakurudzo dzakaratidza kuti kurapwa kweKlamydia-induced reactive arthritis kunogona kuderedza kufambira mberi kwezvirwere). Sero sampuli inogona kutorwa kubva pamutsipa, urethra mumarume kana chirwere mumadzimai. Urine uye stool samples zvakare inogona kuongororwa. Muenzaniso we synovial fluid unogona kubviswa mujoka reArthritic. Zvidzidzo zve synovial fluid zvinogona kubatsira kubvisa hutachiwana muhutano.

X Rays

Vanachiremba dzimwe nguva vanoshandisa x ray kuti vabatsire kuongorora zvirwere zvehutano zvekare uye kutonga kunze kwezvimwe zvinokonzera arthritis. X mazai anogona kuona dzimwe zviratidzo zvinosanganisira:

• spondylitis
• sacroiliitis
• zvinyoro zvinyoro zvinyoro
• kukanganisa karoti uye manhengo
• calcium deposits

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Ko Reagate Arthritis Inoitwa Sei?

Zvinodhaka Zvinodhaka

Kunyange zvazvo pasina mushonga wekushandura arthritis, dzimwe mishonga inoderedza zviratidzo zvechirwere.

NSAIDs

Nonsteroidal anti-inflammatory drugs (NSAIDs) inoderedza kuputika kwekubatana uye inowanzoshandiswa kurapa varwere vane chirwere chekushaya ropa. Dzimwe NSAID dzinowanikwa pasina mushonga wakadai se:

• aspirin
• ibuprofen

Dzimwe NSAIDs dzinowanzoshanda zvakanyanya pakugadzirisa arthritis dzinofanira kurongerwa nachiremba akadai se:

• indomethacin
• tolmetin

Corticosteroid Shots

Kune avo vane kurwisana kukuru, majekiseni e corticosteroids zvakananga mumubatanidzwa akabatwa anogona kuderedza kupisa.

Topical Corticosteroids

Aya corticosteroids anouya mune kamuki kana kuchena uye anogona kushandiswa zvakananga pamaperembudzi eganda, zvakadai sesonda, rinosanganiswa nehutachiona hwehutachiona. Nyaya dzepamusoro corticosteroids dzinoderedza kupisa uye kukurudzira kuporesa.

Antibiotics

Mishonga inorwisa mabhakitiriya inobatsira kubvisa zvirwere zvebhakitiriya izvo zvinoita kuti arthritis inoshanda. Mishonga inorwisa mabhakitiriya inotarisirwa inobva kune rudzi rwehutachiona huripo. Vamwe vanachiremba vanogona kukurudzira munhu ane chirwere chinokonzerwa nehutachiona arthritis anotora antibiotics kwenguva yakareba (kusvika pamwedzi 3). Kutsvakurudza kunoratidza kuti pane dzimwe nguva, tsika iyi inokosha.

Immunosuppressants / DMARDs

DMARD dzakadai se methotrexate kana sulfasalzine inogona kubatsira kudzora zviratidzo zvakanyanya izvo zvisingagoni kudzorwa nemimwe mishonga.

TNF Blockers

TNF blockers, dzakadai seEnbrel (etanercept) uye Remicade (infliximab) , inogona kuva yakakosha yehutachiona hwehutachiona uye dzimwe spondyloarthropathies .

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Unogona Kurovedza Kuvandudza Maitiro Akashanda Arthritis?

Ita maitiro eReactive Arthritis

Usati watanga chirongwa chekuvhiya, varwere vanofanira kutaura kune unyanzvi hwehutano anokwanisa kukurudzira maitiro akafanira.

Kurovedza muviri, kana uchitaurirwa zvishoma nezvishoma, kunogona kubatsira kubatsirana pamwe basa. Kunyanya, kusimbisa uye huwandu hwekufamba-shanduka huchachengeta kana kuvandudza basa pamwe chete.

• Kusimbisa maitiro kunomutsa mashutu akavhara musangano kuti atsigire zviri nani.
• Misungo-kusimbisa maitiro asingatauri majoini chero upi zvake anogona kuitwa kunyange kana munhu aine kuvhiringidza uye kurwadziwa.
• Range-of-kufamba maitiro anovandudza kufamba uye kuchinja uye kunoderedza kusagadzikana mubatanidzwa.
• Kudzidzira muviri: Essential Treatment yeArthritis
• Nzira Yokudzidzira Kudzidzisa Kana Une Arthritis

Dzorera Kuita Basa reReactive Arthritis

Kudzidzira kutambanudza uye kuderedza musana kunogona kubatsira zvikuru mukudzivirira kukora kwenguva refu kwevarwere vane kurwadziwa kwepfungwa kana kuputika.

Mvura Kudzidzira Kubatsira Reactive Arthritis

Zvokudya zvegungwa zvekare zvinogona kubatsira pakugadzirisa arthritis. Mvura inotyisa inoderedza kunetseka kwemajoini ako, zvichiita kuti zvive nyore kuita zvido zvinodiwa zvekufambisa muviri.

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Ndezvipi Zvinoratidzirwa Kune Vanhu Vachiita Zvechigarire Arthritis?

Prognosis

Vanhu vakawanda vane chirwere chekushaya ropa chinogadzirisa zvizere kubva pakutanga kwezviratidzo uye vanogona kudzokera kune mabasa anowanzogara 2 kusvika kumwedzi mitanhatu mushure mekunge zviratidzo zvekutanga zvikaonekwa. Mumamiriro ezvinhu akadaro, zviratidzo zveArthritis zvinogona kupedza mwedzi 12, kunyange zvazvo izvi zvinowanzova zvinyoro uye hazvipindirani nemabasa ezuva nezuva.

Chronic Arthritis

Vanenge makumi maviri kubva muzana yevanhu vane chirwere chinokonzera chirwere chetachiona chinokonzera chirwere chichave chisingaperi (kwenguva refu) arthritis, iyo inowanzonyorova.

Zvidzidzo zvinoratidza kuti pakati pe15 ne50 muzana yevarwere vacharamba vaine zviratidzo zvekare imwe nguva mushure mekunge mararamiro okutanga apera. Zvinokwanisika kuti kudzoka kwakadai kunogona kunge kuripo nekuda kwekudzokorora zvakare. Kurwara shure uye arthritis zviratidzo zvinowanzoonekwazve.

Chikamu chiduku chevarwere chichava nechirwere chisingaverengeki, chirwere chakanyanya kuoma chinorambidza kudzora nekurapa uye chinogona kukonzera kuparara kwekubatana.

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Chii Chinotsvakurudzwa Nevanotsvakurudza Nezvekushanda KweArthritis?

Reactive Arthritis Research

Vanotsvakurudza vanoramba vachiongorora zvinokonzera kushandiswa kwechirwere chearthritis uye kurapwa kwekudzidza kwechiitiko chacho. Semuyenzaniso:

• Vanotsvakurudza vari kuedza kunzwisisa zviri nani ukama huri pakati pehutachiona uye hutachiona hwehutachiona. Kunyanya, vari kuedza kutarisa kuti nei utachiona hunokonzera arthritis uye kuti nei vamwe vanhu vanoita zvirwere vanopinda muropa rehutano asi vamwe vasingaiti. Masayendisitiwo ari kudzidza kuti sei vanhu vane genetic HLA-B27 vari mungozi kupfuura vamwe.
• Vatsvakurudzi vari kuwedzera nzira kuti vaone nzvimbo yebhakitiriya inokonzera mumuviri. Mamwe masayendisiti anofungidzira kuti mushure mokunge mabhakitiriya apinda mumuviri, anotakurwa kuenda kumatanho, kwaanogona kugara mune zviduku zvisingagumi.
• Vatsvakurudzi vari kuedza kuongororwa kusanganiswa kwehutachiona hwehutachiona. Kunyanya, vari kuedza kushandiswa kwemishonga inorwisa mabhakitiriya pamwe chete neTNF inhibitor uye nemamwe mishonga inofanirwa kugadziriswa, sezvakaita methotrexate uye sulfasalazine.

_{Chitubu: NIH Publication Nha. 02-5039}