Mhando dzeArthritis Dzakasangana Nechiremera
Zvirwere zvinokonzera arthritis zvinosanganisira majosi akawanda panguva imwe chete. Kazhinji, zvirwere zvekudzivirira muviri zvisina simba kana kusashanda ndizvo zvinokonzera kuputika . Zvinonyanya zviratidzo zvekuvhiringidza mararamiro emarthritis zvinorwadza nekuoma mukati mambakwedza kana mushure memazuva ekuzorora kana kusakwanisa. Mune varwere vane arthritis inoputika, nguva yekuoma kwemangwanani inowanzopfuura maminitsi 60.
Kuzvimba, kubwinya, nekudziya zvakare zvinowanikwa mukati kana kunenge zvakapoteredza majoini akanganiswa. Inflammatory arthritis haisi kungoita majoini - dzimwe nhengo dzomuviri dzinogona kuchinjwa, kusanganisira ganda kana nhengo dzomukati. Inflammatory arthritis inogona kukanganisa vanhu vemazera ose, asi kazhinji vanoita vanhu muhukuru hwehupenyu.
Kuzvimba hazviiti nguva dzose nekuputika arthritis. Kunyange zvazvo izvo zvingaita sevasingazivi, varwere vanokonzera chirwere chepachirwere vanogona kurwadziwa pasina kuvhara, kuzvimba pasina kuora, kana kupererwa kwepanyama pasina marwadzo kana kupfugama.
Zvinyorwa zveArmritis
Iro mitatu yakawanda zvikuru yehutachiona hwechirwere chechirwere chinonzi rheumatoid arthritis , psoriatic arthritis , uye ankylosing spondylitis . Asi, kune vamwewo zvakare. Muvarwere vanoratidzira zviratidzo zve musculoskeletal, mhirizhonga mamiriro ezvinhu asina kubatana pamwe chete angasanganisira bursitis , tendinitis , kana polymyalgia rheumatica .
Varwere vane chirwere chimwe chete kune zvitatu zvinosanganiswa zvinogona kunge zvine chirwere chinopisa chinokonzera chirwere chinokonzerwa nehutachiona hwehutachiona , gout, pseudogout , Reactive arthritis, kana Chlamydial arthritis - kana chirwere chisingaperi chisingarapiki zvakadai se psoriatic arthritis, spondyloarthropathy, pauciarticular mwana wechirwere arthritis , kana kuti infectious arthritis inononoka kuporesa.
Varwere vane majoka mana kana mamwe akawanda anobatanidzwa anogona kunge ane zvirwere zvakanyanya zvinoputika zvakadai sehutachiona hweArthritis, chirwere chinoshandiswa nemishonga inonzi arthritis, chirwere chekare chinonzi connective tishu, rheumatic fever, palindromic rheumatism , kana kugadzirisa seronegative symmetrical synovitis ne pitting edema (RS3PE) - kana zvirwere zvisingaperi zvakadai se rheumatoid arthritis, undifferentiated polyarthritis , kuputika kwehasteoarthritis , yakavhiringidza zvirwere zvechirwere , lupus , scleroderma , polyarticular vana vane arthritis, kana kuti vanhu vakuru.
Izvozvo Zvakavhiringidza Arthritis Zvakaonekwa Sei?
Kurema kwemukati kwechikamu chemagetsi zvinoshanda sezviratidzo zvekuputika. Kunyange zvazvo iyo mbiri inowanzoshandiswa, CRP uye sedimentation rate , inoratidza kurwisa, haisi kusiyanisa pakati pehurumatoid arthritis nedzimwe zvirwere zvinokonzera arthritis. Uyewo, havasi varwere vose vane arthritis inoputika vangave vakakwira CRP kana kuti sedimentation rate pakutanga. Vamwe varwere vangangodaro vakawedzera huwandu hwe ferritin, haptoglobin, ceruloplasmin, kana kuti kubatsirana. Zvimwe zviratidzo zvinoratidzira zvechirwere chinokonzera arthritis chirwere chekushaya chirwere chisingagumi, maplatelet akakwirira, uye yakachena masero esero.
Iko kune serologic miedzo yekubatsira kubvisa pasi kuongororwa.
Rheumatoid factor inowanzorairwa kana rheumatoid arthritis inofungidzirwa. Asi, havasi vose vane rheumatoid arthritis yakanaka kune rheumatoid factor (seropositive). Inenge 20 muzana yevarwere vakaonekwa kuti vane rheumatoid arthritis haisi yehrumatoid factor (seronegative). Mukutanga kweArthritis (zviratidzo zvishoma kudarika gore) rheumatoid factor senitivity inenge 17-59%, maererano neKelley's Textbook of Rheumatology. Izvozvi hazviziwo zvakanaka munguva yekutanga rheumatoid arthritis, sezvo mamwe mamiriro ezvinhu angave akabatanidzwa nehutachiona hwakakosha (sewe, lupus, Sjogren's syndrome ).
Kunyange 4-5% yehuwandu huwandu hwevanhu hune hutano hwerhumatoid factor. Dzimwe serogiic test, dzakadai se -anti-CCP neAA dzinogona kupa ruzivo rwekuwedzera ruzivo, kuwedzera kuRPP, kutengesa kwechidimbu, uye rheumatoid factor.
Kuedza kwechimwe chimiro chekuberekwa kunogona kubatsira. Somuenzaniso, HLA-B27 positivity inobatanidzwa zvikuru ne ankylosing spondylitis. Uyezve, synovial fluid analysis inogona kupa ruzivo pamusoro pekudzivirira-synovial fluid kubva mujoini inoputika inowanzo yemazuva uye inonetsa, ine white cell inosvika pamusoro gumi nemazana masere / mm, ine chikamu chikuru pane neutrophils.
Kufananidza kunoshandiswawo sechikamu chekuongorora chirwere chekuvhiringidza arthritis. X-ray uchapupu hwekuputika kweArthritis kunogona kusanganisira kutapira mutsvuku, chondrocalcinosis , kubatana kwevhisi , osteopenia pedyo nejoka , kukanganiswa kwemafutikiti , kubatana kwepakati kuderedza , uye bony erosions.
Sources:
Inflammatory Arthritis Center. Chipatara Chekuvhiya Kunokosha.
http://www.hss.edu/inflammatory-arthritis-center.asp#.UzS4Q4VsJ4w.
Kelley's Textbook yeRheumatology. Chitsauko 42. Polyarticular Arthritis. John J. Cush naKatryn H. Dao. Ninth edition. Elsevier Saunders.
Muongorori weChechi yeChechi yeDhiyabhorosi kuMukondombera Arthritis; Kuziva. Rheumatology Network. June 2, 2010.
http://www.rheumatologynetwork.com/articles/primary-care-physicians-guide-inflammatory-arthritis-diagnosis.