Dzinonzi rheumatoid arthritis - Zviratidzo uye kurapwa

Vanhu vazhinji pazera kubva 20 kusvika 50 makore kutambura pamwe nezvirwere. Vakawanda izvi dzinonzi rheumatoid arthritis. Munyaya ino, tichakurukura chii chirwere, sei kuziva uye kurapa.

Zvirwere nonspecific (kana RA) yemajoini - kukundwa of connective zvinyama ari pamwe ino. Kusiyana RA, RA chimiro chirwere inozivikanwa mberi kurasikirwa mapfundo diki maoko, minwe, tsoka uye vamwe, pamwe haizopereri kukura epfungwa. Zvinokanganisawo kwete chete Hudyu asiwo ganda, chirwatata, node nodes neitsvo.

Kazhinji, zviratidzo zvinozarurwa pashure hypothermia, chikosoro uye zvirwere (angina, yokuSpain, otitis nhau). Vadyi chirwere vakadzi rinowanika ka3 kakawanda kupfuura varume. 15 - 20% nyaya kunotungamirira mberi vakaremara. Maumbirwe kuerera dzinonzi rheumatoid arthritis kunogona kuva chakasimba kana chirwere.

Dzinonzi rheumatoid arthritis - Zviratidzo

varwere munguva kutanga kwekupwanyiwa yakanga zvishomanana tembiricha kuwedzera (kusvika 37,5 ° C), kurasikirwa kudya, kazhinji - palpitations. Pashure 1.5 - 2 months murwere anotanga nokukurumidza uremu, pane ari kuzvimba uye marwadzo ari sei mapfundo, muviri tembiricha - zvawanzwa.

Joint zvakakanganisika kuitika symmetrically, marwadzo kutambudzirei kwete chete kana uchityaira kana muchifamba, asi kutadza kufamba zvachose. Mhando kurwadziwa majoini - mberi, riri yakakura mune ekunze akaipa kana mangwanani. Pakutanga kwokurwadziwa chirwere kupfuura, asi mberi kunoita kazhinji haiperi. Nokufamba kwenguva, zvipfundo itsva zvinobatanidzwa munyaya kuitika muitiro chirwere.

Chimwe chiratidzo ndiyo vagari kuomarara mangwanani. Mangwanani, pashure akarara, murwere vaisagona kumuka, kwangopera zvinofamba brushes ake, vanobwembura uye unbend mabvi ako uye minwe. Izvi ezvinhu zvinoitika pashure pfupi inodziya-up. Izvi maitiro chiratidzo pakutanga Danho ehosha. Uye chikuru chinhu pano - haina kurasikirwa nguva uye nokukurumidza kwachiremba.

External zviratidzo Kunoonekwa nemishonga kuzvimba kwemajoini, zvishomanana Hwakatsvuka ganda, kuchinja Maumbirwe mapfundo. The zvakakanganisa Mbabvu vari "hwakanaka" maonero tsandanyama - dzakaonda uye rive dete vakachengeta deformation uye pfava zvipikiri, pamwe akasiyana namavanga longitudinal chena.

Panguva Kumubata ganda chando uye ndakatota, zvipfundo chisimbiso dziri nodules. Rheumatoid nodules ndivo kupfuura maitiro chiratidzo pamberi polyarthritis. Kana zvimwe zviratidzo, zvakadai kuzvimba uye kuomarara munogona pamberi zvimwe zvirwere, kuvapo change - kwete. The nodules iri pasi ganda, ane dhayamita 2 cm mune muchimiro whitish nyarara uye zvisimbiso pamusoro extensor munharaunda kwakakanganisa majoini.

Diagnostics

Chirwere kunobva mashoko kubva X-ray, rabhoritari uye sokuora tsvakurudzo. Mamirire zvinoderedza chena muropa muchitokisi count, vakawedzera erythrocyte sedimentation zvazvingava, wevasungwa pamusoro sialic asidhi (pamusoro 0.2) uye fibrinogen (anopfuura 3 g / l), kuti mhinduro C-reactive mapuroteni. Bone karusiyamu kwezvinoshandiswa varwere, pane aienda rwakashodoka makatsemuka.

Dzinonzi rheumatoid arthritis - Treatment

Pakurapa chirwere anofanira kutora nzvimbo pasi pokudzora mumwe chiremba kana yematambudziko ari fanira muchipatara. Arthritis kurapwa hwakareba chaizvo uye inosanganisira kushandiswa:

• nonsteroidal antiinflammatory zvinodhaka. Ivo kuderedza kuzvimba, marwadzo, vane nokukurumidza mugumisiro nezvezvakaitwa. Marwadzo - ulceration uye dyspepsia;
• corticosteroids, izvo achabvisa kuzvimba, zviite marwadzo uye zvimwe zviratidzo;
• hwaro antirheumatic zvinodhaka, kubuda chirwere-kunatsiridza (gidrosihlorohin, sulfazalin);
• zvinodhaka kuti kutadzisa paumbwe bundu necrosis (adalimumab, infliximab, etanercept) kuburikidza kutungamirira injectable subcutaneously kana nomutsinga;
• Physiotherapy (cryotherapy, ozocerite kurapwa, rinobva kurapa, Ultrasound kurapa uye Paraffin). Raitongwa akabatana zvinodhaka mishonga. Anobatsira kuti normalize kuti muviri, kuti adzorere ropa riyerere kuti vachirwadziwa mapfundo, DZEMUNHU DZINODZORA ari rutapudzo repfupa vakawanda.

Recently zvinobudirira kushandisa nzira kuti yokunatsa ropa (hemosorbtion, plasmapheresis). Mune zvimwe zviitiko, yakanakisisa yokupedza yaizova kuita kuvhiyiwa kubvisa chirwatata.

Panoongororwa zvirwere zvakadai dzinonzi rheumatoid arthritis, mishonga yaifanira pakarepo, kusvikira chirwere kwapfuura mune chirwere chimiro. Naizvozvo, zvinokosha kuti kudzivisa kuratidzwa mutsva chirwere. Kuti aite izvi, vainyatsotarisirwa inofanira kubhadharwa kuti kurapwa echirwere zvirwere zvakadai pharyngitis, sinusitis, tonsillitis, goiter.