Osteoarthritis (OA) ndiyo inowanzozivikanwa yeArthritis . Ukuwo rumwe rutivi, rheumatoid arthritis (RA) inozivikanwa sechirwere chinokonzera kana chakaremara cheArthritis. Asi chii chakakosha kusiyana pakati pavo?
Overview
Osteoarthritis inonziwo chirwere chinoputika kana kuti kupfeka-uye-kubvisa arthritis. Inokonzerwa nokuparara kwejoka rejoti, chikwata pakati pemapfupa anogadzira chibatanidzwa.
Cartilage kurasikirwa kunogona kuita kuti pfupa riputike pane rimwe pfupa mubatanidzwa-chirwere chinorwadza zvikuru. Kazhinji, osteoarthritis inotanga musangano rimwechete.
Inobatsira vanhu vanopfuura mamiriyoni 27 muUnited States, osteoarthritis inowanzoonekwa kune vanhu vakwegura kudarika makore 65. Marudzi ose muUnited States anoita seanotarisana zvakaenzana ne osteoarthritis. Maererano neAmerican College of Rheumatology, 70 muzana yevanhu vanopfuura makore makumi manomwe vane x-ray uchapupu hwehasteoarthritis.
Rheumatoid arthritis , kune rumwe rutivi, inogara isingagumi, uye inoratidzika sechirwere chemotokari . Iyo synovium (yakanyatsobatanidzwa pamwe chete) inonyanya kunetseka nehutamuid arthritis, asi nhengo dzomukati wepasi rose dzinogona kuchinjwawo zvakare. Nhengo dzakawanda dzinowanzobatwa neRheumatoid arthritis.
Inenge 1.5 mamiriyoni vanhu muUnited States vane rheumatoid arthritis, uye inenge imwe kusvika zviviri kubva muzana yevanhu venyika inoshushwa nayo.
Inenge 75 muzana yehutukutu hwevarwere varwere ndivo vakadzi. Varume, vakadzi, uye kunyange vana vanogona kuwedzera rheumatoid arthritis, kunyange zvakadaro.
Kazhinji, chirwere chinotangira rheumatoid arthritis chinoitika pakati pemakore makumi matatu nemakumi matanhatu nemakore uye vazhinji havana mhuri yemhuri. Apo inowanikwa mumurume kazhinji inouraya gare gare muupenyu.
Zvinokonzera
Osteoarthritis chirwere chakabatana chinokanganisa maronda. Shanduro dzesayenzi pamusoro pemigumisiro yadzo dzinenge dzichibva kune kungova kupfeka-uye-kusvimha kana zvinokonzerwa nekukwegura. Uyezve, mvura inogadzirwa nekartilage inowedzera inowedzera neasteoarthritis apo mapuroteni anogadzirwa nehututi anowedzera kuwedzera. Zvimwe zviitiko zvinogona kuwedzera mungozi yekuvandudza osteoarthritis zvinosanganisira kubata pamwe chete, kudzokorora kushandiswa kana kushungurudzika kwezvibatanidzwa, kuwedzera kudarika, uye nhoroondo yemhuri / genetics.
Nezve rheumatoid arthritis, vatsvakurudzi vakashanda kwemakore kuti vawane chinokonzera mhinduro dzisina kufanana dzekuzvipira dzakabatana nechirwere. Hapana chikonzero chimwe chete chakawanikwa. Nheyo dzinowirirana dzinongotaura nezvechimiro chechimiro uye chiitiko chinokonzera kana zviitiko.
Zviratidzo
Osteoarthritis inonyanya kubata majoini. Zviratidzo zvinowanzosanganisira:
- Huru muhutano hwakakanganiswa mushure mekudzokorora kushandiswa kana basa
- Kushushikana kwamangwanani kunopedza hafu yeawa kana kuti pasi
- Kurwadziwa pamwe chete kunowanzoipisisa zvakare muzuva
- Kutamba, kupisa, uye kuomesera kwekubatana kwakagadziriswa mushure mokunge usingaiti
- Bhubu rinoputika, bony kuwedzerwa ( node dzaHeberden uye node dzaBuchard mumaoko), uye zvishoma zvishoma kufamba
Rheumatoid arthritis zviratidzo zvinosanganisira:
- Joint pain
- Kubatana kwekudzivirira kana kupisa
- Unyoro huri pamwe
- Runyoro uye / kana kushambidza pedyo nejoka
- Yakarongedzwa rwendo rwekufamba
- Kushushikana kwamangwanani kunogara kwenguva refu kupfuura awa
- Kubatanidzwa kwezvikamu zviduku zvemaoko nemakumbo
- Kunyanya kuneta
- Rheumatoid nodules
- Kubatanidzwa kweSimmetrical (mabvi maviri ose, kwete chete)
- Chiremera, tsvete, kana kushanda kwemoyo
Kuziva
Apa ndipo pane zvimwe zvakafanana zvinoitika. X-ray yezvibatanidza zvinogona kuratidza kukanganiswa kwekubatana kunobatanidza neosteoarthritis kana rheumatoid arthritis. Arthrocentesis , kubatanidza kusanganiswa kwemvura, uye kuongororwa kwehutachiwana zvinogona kuitwa zvinogona kuongorora osteoarthritis kana rheumatoid arthritis.
Migumisiro yacho inosiyanisa rudzi rwechirwere chinokonzerwa.
Kuyera ropa hakugone kujekesa osteoarthritis, asi inogona kushandiswa kutonga kunze kwemamwe mamiriro ezvinhu, kusanganisira rheumatoid arthritis. Mibairo yekuedzwa, kuongorora kwepanyama, uye nhoroondo yezvechiremba wehutano pamwe chete inogona kubatsira kugona kuongororwa.
Kuongororwa kwebhizinesi iyo inowanzorairwa kuti ibatsire kuongorora rheumatoid arthritis inosanganisira:
Mishonga
Kurapa kweansteoarthritis inotarisa pakununurwa kwehurwa uye kudzorera basa kumubatanidzwa akabatanidzwa. Mishonga inowanzoshandiswa kurapa osteoarthritis. Nonsteroidal anti-inflammatory drugs (NSAIDs), analgesics , uyewo steroid injections , zvinoshandiswa kurapa marwadzo nekuputika.
Chirwere chepanyama chinonyanya kuisa maitiro ekusimbisa nekusimudzira kubatana, kutsigirwa / kubhadhara , kupisa, kuzorora, uye kuderedza kuyerwa zvose zvinokosha pakubudirira kwehutano hwehutano hwehutano. Zvimwe zvirwere zvinoshandiswawo zvinoshandiswawo, zvakadai sokurapa kurapa uye kugadziriswa .
Chirwere chikuru cherheumatoid arthritis mishonga. Kune zvikamu zvishanu zvemishonga inowanzoshandiswa kurapa rheumatoid arthritis, kusanganisira:
- Biologics, dzakadai seEnbrel (etanercept), Remicade (infliximab), Humira (adalimumab), Rituxan (rituximab), uye Orencia (abatacept)
- DMARDs (chirwere-chinorwisa anti-rheumatic drugs), chakadai se methotrexate
- Corticosteroids , yakadai sa prednisone uye hydrocortisone
- NSAIDs, dzakadai seCelebrex (celecoxib) uye naproxen
- Analgesics (painkillers)
Pamwe pamwe nemishonga, mamwe maitiro ezvimwe zvinowanikwa uye anowirirana maitiro kana steroid emunharaunda inogona kubatsira kubvisa marwadzo ehurumende yeArthritis.
Pamusoro pese rheumatoid arthritis uye osteoarthritis, yekupedzisira-kushandiswa kurapa chirongwa ndiko kuvhiyiwa. Izvi zvinosanganisira arthroscopy , arthrodesis (fusion), uye arthroplasty (kubatana kushandiswa).
> Sources:
> Arthritis Foundation. Kunzwisisa Arthritis: Osteoarthritis.
> Arthritis Foundation. Kunzwisisa Arthritis: Rheumatoid Arthritis.