A Tarisa paRopa Mararamiro Anoratidza Rheumatoid Arthritis
Izvi zvinokwanisika kuva nerheumatoid arthritis (kana zvimwe zvirwere zverheumatic) uye ine basa reropa iro riri mukati mehutano hwakanaka hwekuvhiringidza mavara here? Ndezvipi zvehutachiwana hunoenderana neropa rekuongorora kwekuputika ?
Unoita Zviongororwo Zvirongwa Zvokuongorora Ropa Rule Out Rheumatic Diseases?
Vakawanda varwere vane rheumatoid arthritis (RA) vane chiratidzo chechirwere muropa.
Izvi zvinogona kusanganisira:
- positive rheumatoid factor (RF)
- cyclic citrullinated peptide (CCP) antibody
- yakakwirira zviyero zvekuputika
- yakawedzera erythrocyte sedimentation rate (ESR)
- C-reactive protein (CRP) .
Kune rumwe rutivi, pane dzimwe nguva murwere ane RA anogona kuva nechirwere chinoshandisa uye izvi zvose zviedzo zvinowanzoitika. Muzhinji, avo varwere vasina izvi zvisina kukodzera muropa hazvisi zvishoma kuti vauye pamwe chete. Vanenge vose varwere vane lupus vane maona e- antinuclear antibodies (ANA) kana kuti zvisina kunaka, SSA antibody kana antiphospholipid antibodies (inobatanidza nehuwandu hwehutachiona hwakafanana neropa rekuvhara kana kurohwa kana kupererwa). Kamwezve, kune varwere, kunyange vasina ruzivo, vane vane zvirwere pasinei nematambudziko aya. Vazhinji Sjogren's syndrome varwere vachawanzoratidzira ESR yakakwirira kana kuva neAA, RF, SSA kana anti-SSB dzakanaka muropa ravo.
Zvakakosha kuyeuka kuti kana kuongorora ropa kunobatsira pakutsigira kuongororwa uye kuongororwa kwezvirwere zvechirwere, zvinonyanya kukosha kuti uongorore uye utarise zvichienderana nekutaura kwechirwere chechirwere.
Rheumatoid Arthritis Inowanikwa Sei?
Rheumatoid arthritis inogona kuva yakaoma kufungidzira nokuti zviratidzo zvechirwere ichi zvinogona kuva zvisinganzwisisiki uye zvisingaiti. Semuenzaniso, kusagadzikana kwakabatana uye majoka achinye - kunyanya, mushure mekumuka-kunogona kuonekwa kune marudzi akasiyana ezvirwere.
Pakupedzisira, kuongororwa kwerheumatoid arthritis kunonyanya kuitwa ne rheumatologist .
Rheumatologist ndomudzidzi (kana kuti vanachiremba) uyo anowanazve kudzidziswa mu musculoskeletal uye chirwere chemoto. Kazhinji, munhu achaita musangano pamwe chete nachiremba wake wekugadzirira uyo acharamba achifungidzira arthritides uye anotumira murwere kune rheumatologist kuti awedzere kuongorora. Nyaya, kana iwe uchifungidzira kuti unogona kuva nerheumatoid arthritis, zvakakosha kuchenjerera chiremba wako wekugadzirira kune izvi zvinonetsa.
Kuongororwa kwerheumatoid arthritis kunobva pane zvakasiyana-siyana zvakawanikwa kusanganisira zvinotevera:
- anti-CCP (imwe yakasiyana-siyana yeAnticorpus)
- anemia
- yakakwirira ESR (aisingazivikanwi kuedza kupisa)
- rheumatoid factor (pakupedzisira inowanikwa mu80 muzana yevanhu vane rheumatoid arthritis)
- zvirwere zvekuongororwa zvinosanganisira x-ray, MRI, uye ultrasound
- kudziya, kuzvimba, uye kurwadziwa kwezvibatanidzwa
Zano Rheumatoid Arthritis
Kana iwe kana munhu waunoda achifungidzira rheumatoid arthritis, zvakakosha kuti ugamuchire kurapwa, kuongororwa, uye kurapwa. Rheumatoid arthritis haisi kungoguma nekuremara kwekukurumidza uye kupindira kwehupenyu hwehupenyu asi hunobatanidza kune dzimwe zvirwere zvakakomba zvakadai sehosha yemwoyo.
Kuongororwa kwerheumatoid arthritis kunokosha uye kuchinja upenyu.
Kazhinji, vanhu vanoonekwa kuti vane rheumatoid arthritis vanonzwa vari voga uye vakasuruvara. Iva nechokwadi, zvakadaro, kuti nekurapa kwakanaka uye zvimwe zvirongwa zvinotarisirwa kuwedzera simba remasumbu (kufanana nekufamba uye mamwe maitiro mashoma), vanhu vazhinji vane rheumatoid arthritis vanonzwa zviri nani munguva.
Chinhu
Mhinduro yakapiwa naScott J. Zashin, MD, purofesa mupurezidhendi mudzidzisi paYunivhesiti yeTexas Southwestern Medical School, Division of Rheumatology, muDallas, Texas. Dr. Zashin zvakare ari kuenda kuchiremba muPresbyterian Hospitals yeDallas uye Plano. Iye ishamwari yeAmerican College of Physicians uye American College of Rheumatology uye nhengo yeAmerican Medical Association.