Rheumatoid Arthritis: Zviratidzo, chirwere, kurapwa zvinodhaka mune vana nevakuru

Chirwere kuzvimba connective zvinyama, izvo kunokanganisa majoini anonzi RA chearthritis. Zviratidzo, chirwere uye kurapwa chirwere ichi ichakurukurwa zvinhu ino.

Chii dzinonzi rheumatoid arthritis?

Uyu chaizvo chirwere chakakomba kuti makore mashomanana angapikisana munhu zvachose utano mune simba ndedzenhema. Zvinozivikanwa kuti dzinonzi rheumatoid arthritis muchikwata semunhu autoimmune zvirwere. Akatanga nyore zano. Mhando dzakasiyana ropa masero machena nokuda kuona zvimwe zvinhu vari kutanga kuparadza chaionekwa pachavo mapfundo dzavo. Ivo kuzvimba, uye pashure penguva varipo Kuparara. To muduku pamwero kunokanganisa nemarunda nemarunda. Sam shwashwa rinoparadzwa zvachose.

The zvokurwara kunoratidzwa chisingaperi kunoramba kuzvimba synovial membrane. Kazhinji, izvi zvinoshanda kutsoka, mabvi, hudyu uye zvenguvo maoko. Sezvo chirwere mberi pfupa sei shwashwa uye mapfundo ave akaremara. In zvakakomba systemic kuratidzwa zvinogoneka chete mawa kukundwa tsinga, ganda, tsandanyama uye mwoyo.

nhoroondo mashoko

The chirwere dzinonzi rheumatoid arthritis rave richizivikanwa kubvira munguva dzekare. Rheuma rinoshandurwa kubva muchiGiriki rinoreva "chokubuda". Zvikonzero kushandiswa rokuti, pane shanduro dzakawanda. Vamwe vaongorori vanodavira kuti chirwere chokuita expiry pamusoro madzihwa, izvo zvishoma nezvishoma uchingounganidza muuropi. Vamwe tsanangura nokududzirwa yezvakaita marwadzo, yokuvamba nguva dzose kupiko. Nokufamba kwenguva, zvakava pachena kuti hapana uye hapana hosha yemajoini hakuiti ichiyerera, asi akasarudza kuchengeta zita.

chirwere ichi chinobata zvikuru akachengetedzwa nhengo dzemuviri - mapfupa. Munguva matongo Zvakafukunurwa dzomumisha masayendisiti akawana yo dzinonzi rheumatoid arthritis kunetsa skeletal mapfupa. In zvokurapa mabhuku unogona kuwana zvishoma mazita chirwere: chisingaperi kutapuriranwa rheumatism, hosha yemajoini deformans, Kushatisa chirwere, asi ndiro zita akavanamatira.

Chokutanga, shoko rokuti "dzinonzi rheumatoid arthritis" akanga aronga muna 1858 A. Garro gore. Zvisinei, rondedzero yakatodzama chirwere se mangwanani sezvo 1800 M Augustine Bove. Aiona mumwe mhando gout. Muna 1892, Harry akatanga pachena kusiyana pfungwa mbiri.

The zvinokonzera dzinonzi rheumatoid arthritis

Kana iwe unoziva zvikonzero kukura dzinonzi rheumatoid arthritis, chirwere, kurapwa uye kudzivirira kazhinji haakonzeri vangaomerwa yakawandisa. Uyezve, mashoko aya anogona kutadzisa mamwe kuchiita chirwere vamwe mukana. dziviriro Its, sezvinoita mutemo, inobva kuchaitwa kuitwa afunge zvinokonzera.

The etiology chirwere haisi aizvinzwisisa. Nyanzvi akataura zvinhu zvinoverengeka, iyo pamwe chete anogona kutsamwisa kukura chirwere. Huru basa iri reDare enhaka kubatwa. Kazhinji, leukocytes richavauraya mutorwa okunze. Izvi zvinosanganisira utachiona, nemavhairasi, kenza. Kana pane akaremara mumuviri zvirwere panguva nemagene pachiyero, varungu masero eropa zvishoma nezvishoma havachakwanisi kuziva "zvakanaka" uye "akaipa" zvinhu. Ukuwo, muupenyu kwemajini ari kukonzera nokushanda mamwe leukocytes, zvichitungamirira nokuvhiringidzirwa muchitokisi reshiyo. Izvi achatanga kushoma kuti haisi nenguva ichimbomira uye anova chisingaperi. Saka zvishoma nezvishoma kuva dzinonzi rheumatoid arthritis. Zviratidzo, chirwere uye kurapwa - mibvunzo mishoma kuti munhu wose anofanira kuziva munhu pangozi panowanikwa chirwere ichi.

Panopera hama iri inoparadzirwa haisi chirwere pacharo, uye susceptibility kuti nokuvhiringidzirwa dziviriro yezvirwere mumuviri sokurondedzerwa pamusoro. Inogona akaziva muchimiro chacho. The ndingangokuvara panowanikwa dzinonzi rheumatoid arthritis kunoenderana dhigirii ukama, uyewo matambudziko zvimwe zvinhu muupenyu. Ekupedzisira dzinosanganisira:

• Kusvuta. Kubatana pakati muropa ichi uye arthritis, masayendisiti akacherechedza muna 70-ies wekupedzisira remakore. Kusvuta fodya pamusoro 25 pazuva (makore 20) kwenguva yakareba nguva kunowedzera mukana chirwere. The zvinoumba fodya utsi sei masoja masero, zvichiguma okupedzisira kutanga kubereka autoantibodies.
• Gender uye zera. Zvinonzi kwakaratidza kuti wakanaka pabonde vari vade kuita dzinonzi rheumatoid arthritis. Chirwere unogona kutaura pachavo chero zera, asi kazhinji zvinoitika makore 40-50 kumativi.
• Chirwere. Varwere dzinonzi rheumatoid arthritis ungacherechedza kuwedzera zvirwere pashure vachangobva kuwana SARS.
• Hormone zvirwere. Masayendisiti dzakaratidza kuti mukanwa nhumbu yekudyidzana akazoita kuitika dzinonzi rheumatoid arthritis. Pregnancy vakadzi vane chirwere ichi kunowanzokonzera kuregererwa uye basa, nekusiyana, inobatsira kuti kusembura.

Under Zvakaitwa zvirwere masero kurondedzerwa zvinoita kutanga kurwisa anoshongwa ari pamwe zvinhu, izvo chinokurwadzai chokutsva navo. Skin Munzvimbo dzapisa, uye kurwadza. Migumisiro yacho zvirwere masero zvinoshandawo midziyo ropa, iro rinotsanangura mamwe-articular zvinoratidza chirwere.

zvekuchipatara mufananidzo

Nevamwe pathologies zvakafanana zvisikwa haagoni kunyonganiswa ainakidza dzinonzi rheumatoid arthritis. Zviratidzo chirwere wokutanga vanotanga kuonekwa mukati pemavhiki mashomanana, kusvikira chokutsva hauzoti pachena. Pakutanga, chirwere rinokanganisa indekisi uye pakati minwe muruoko. Muchiitiko chino, pane kuzvimba uye pane zvishomanana kuzvimba iri metacarpophalangeal mapfundo. Vari chiri mujinga minwe. A maitiro chiratidzo hosha ndiko kuparadzwa mawa pakati mapfundo Ukuwo. Marwadzo chirwere chinogona kuitika kubva mishomanana kusvikira gore rimwe. Izvi kusagadzikana Kazhinji rinowanikwa mangwanani uye runogara kusvikira masikati, uye ipapo achienda kuderera. Pashure basa kana muviri marwadzo pemipata.

In akaererana pathological muitiro kubatana duku Hudyu tsoka, izvo riri mujinga minwe. Varwere yakashuma marwadzo pasi Mapedhi kana achingomutambudza. Sezvo kuchiita hosha rirwadze majoini ose makuru (neketani, ibvi nepfudzi).

Zvimwe zviratidzo zvinosanganisira RA nodules uye mangwanani kuomarara syndrome. Varwere vanoti kusagadzikana rinowanika pashure hope. Vanonzi nodules RA vari akaumba munzvimbo chete pazasi kugokora, pamakumbo uye maoko. In akapoteredza vari akapa vane kuunganidza masero masoja kuti vakombe nzvimbo akafa tishu.

Mune vamwe varwere, ari kurapwa mufananidzo nechimwe chinonzi Kushatiswa zvavo ezvinhu. Tembiricha inokwira, hope dzavo uye havi. Dzinonzi rheumatoid arthritis of minwe panguva azara hwokuratidza deformation brushes. Ichi chirwere achabatsirwa inonzi ulnar kutsauka, ari kufamba pamusoro mapfundo iri zvishoma nezvishoma shoma. Kana akabatana kushoma vertebral majoini, kukonzera kurwadziwa zvikuru mumutsipa uye nape.

chirwere rwakazara

Ziva nzira dzakawanda naro mumwe anogona zvakarurama patsanura padariro dzinonzi rheumatoid arthritis. Chinonyanya zvakwo ndivo avo izvo kwakavakirwa migumisiro X-ray.

Ivo vanokamurwa muzvikamu zvina:

• Panguva kutanga kwekupwanyiwa, wokutanga kuoneka zviratidzo nokuderera pfupa arambe achirema. Ndiyo chete nokuratidzwa chirwere, iyo inogona tsunga ne radiographs. Soft nyama dziri zvishoma nekuumbanidzwa. Dzimwe pfupa nekusiyanisa chiedza nzvimbo. Izvi zvinonzi cysts. Kana vagari dzezvimwe vari yakatetepa, unogona kutaura pamusoro nokukurumidza kukura chirwere, uye nokukurumidza sanduko yake inotevera pachikuva. A pachena kuchiitwa Danho iri hosha kuripo nokuti hakuna kunotoda zviratidzo pachena. Murwere angasaona zvoutano, saka regai kukurumidza kuenda kwachiremba.
• Danho rechipiri kunoratidzwa ne mberi kusimudzira pathological kwacho uye kubatanidzwa pamafupa ake. Wokutanga kutambura pamaoko mapazi ose emaoko uye pamaoko. Kana kwevhu iri mupasi pedyo shwashwa munzvimbo iyi zvava kundiomera kufambisa muviri. Panyaya iyi, shwashwa rinenge pachayo anogona kuramba chakamira, asi tsandanyama vanenge vatotanga ku atrophy. Bursa kuzvimba uye zvishoma zvomoto. Varwere vari chenjera kazhinji chokunyunyuta pamusoro marwadzo.
• In dzinonzi rheumatoid arthritis, chikuva wechitatu pamufananidzo kurondwa tsandanyama atrophy uye deformation pamusoro pejoinhi. Kana munyu deposits vakachengeta panguva kutanga pavaipfuura chirwere, zviri pachena distinguishable calcification pamusoro X-ray.
• In pachikuva chechina inova pfupa zvirwere. On the X-ray kunoratidza zvakajeka osteoporosis, erosions vakawanda uye cysts. The vagari iri zvachose akaremara uye atrophied tsandanyama akapoteredza.

Inoshandiswa pakutsigira okuremadzwa chearthritis kunoita kusarudza inonyatsobudirira kurapa, uye kudzivisa zvichibvira matambudziko.

Medical ongororo

Dzinonzi rheumatoid arthritis iri rakava muboka echirwere zvirwere vasingazivikanwi etiology, saka kwayo vasabatwa kunowanzoomera. Muna 1997, American College of Rheumatology zvinganaka anoverengeka dzekuziva nadzo nechirwere pamusoro zvokurwara ichi kuti varambe kushanda nanhasi. With mana nomwe zvinhu mazita zviratidzo nechirwere anogona kunzi hwakavimbika.

1. Morning kuomarara.
2. Rheumatoid nodules.
3. Kukunda majoini anopfuura matatu.
4. Positive RA chikonzero.
5. The kukundwa zvemaoko.
6. Radiographic kuchinja.
7. Symmetric joini chirwere.

Sezvineiwo, apa zviratidzo zvinogona chete kuonekwa panguva dzinouya zvokukura chirwere kukura. Ndokusaka nyaya mangwanani kuomarara uye marwadzo majoini vanofanira kuenda kuchipatara. Kana chirwere dzinonzi rheumatoid arthritis, zviratidzo, chirwere, kurapwa uye matanho chirwere ichi zvinofanira kuzivikanwa kuti chiremba ose.

Kusimbisa zvachose chirwere murwere aisirwe fanira maekisirei maoko nemakumbo, muedzo kuti vasabatwa okuremadzwa chinhu uye kunyatsoongorora ESR ropa. Pashure pokuongororwa kwacho, chiremba anosarudza zvakakodzera kurapwa. Kazhinji, ndizvo kunzwisisa uye ine nzendo dzakawanda. On mumwe musimboti zvinorondedzera pazasi.

chikuru kurapa

Kubvisa "Panobva chirwere" rinoshandiswa chikuru mishonga dzinonzi rheumatoid arthritis. Zvinodhaka ushandiswe nachiremba, regai kubvisa kurwadziwa uye zvimwe zviratidzo zviri chirwere. Vari zvakagadzirirwa zvakamboda kukanganisa pakuzadzisa chirwere. Mugumisiro zvinodhaka zvava kuoneka chete pashure pemwedzi kurapwa.

Gold gadziriro kurwisa chirwere zvave kwerinenge zana nemakore. Chiito yavo abudirire mukutanga nzendo chirwere pamwe kurwadziwa kwazvo mapfundo RA nodules. Pakati zvingakonzerwa nemishonga zvinosanganisira panowanikwa "yendarama" dermatitis uye mucositis.

zvinodhaka Immunosuppressive dziri kushandiswa chaizvo kurapa ( "MTX", "Azathioprine"). mishonga izvi nokuti dzinonzi rheumatoid arthritis chinangwa chakagadzirwa kudzvinyirira muviri dzokuzvidzivirira. Nokuda kuti vabatwa nekenza, vakawanda vanotya kuzvishandisa. Zvisinei, iri kutya venhema. Nokuti kurapa yemajoini kushandisa ezasi dosages, saka marwadzo vari apo neapo.

Mune zvimwe zviitiko, varwere vari ndishandise sulfonamides. Izvi mishonga antibacterial, izvo tunodzivisa kukura pathogenic zvipenyu. The ndingangokuvara panowanikwa yaivhuvhuta zviitiko yakaderera chaizvo. kunyatsoshanda ravo zvishoma kudzika tichienzanisa zvinodhaka immunosuppressive uye goridhe. Positive emuchina of mishonga pavarwere vane chirwere kuti "dzinonzi rheumatoid arthritis pamusoro minwe," akacherechedza chete pashure pemwedzi kurapwa kwakadaro matanhatu.

Anti-anogumbura zvinodhaka

Nonsteroidal Anti-anogumbura zvinodhaka (NSAIDs) vane marwadzo uye antipyretic mugumisiro ( "meloxicam" "Diclofenac"). Vari nachiremba kurwadziwa majoini. zvinodhaka izvi yekudyidzana kuvandudza mamiriro murwere. Zvakakosha kunwa kwavari somunhu chirwere pakarepo akadzoka. NSAIDs havagoni kukurira zvachose chirwere, ivo chete kubvisa hachifadzi zviratidzo. Anenge mishonga zvose vane contraindications, saka vasati kutanga nzira yokurapa inokurudzirwa kuti chiremba.

Kusarudza zvinodhaka nokuti dzinonzi rheumatoid arthritis anoshandiswa kudaro kare. Iri ishoko idzva ano okurapa. mishonga yakadaro yakagadzirirwa kuderedza uwandu nemishonga, nokuti unoshanda chete ari kuzvimba nzvimbo uye regai kukanganisa dzimwe nhengo dzawo. zvinodhaka Kusarudza zvokusarudza tunodzivisa kugadzirwa anogumbura vamiririri iri kwemajoini shwashwa. Drugs vari nyore kushandisa. Possible zvinokanganiswa zvinofanira kucherechedzwa nezvainoita kuwedzera kweropa. Izviwo, zvinogona kukonzera mwoyo kurwisa kana sitiroko.

Corticosteroids ( "prednisolone", "Dexamethasone") anoshandiswa kurwa dzinonzi rheumatoid arthritis. mishonga iyi hormone akagadzirirwa kuderedza marwadzo uye mangwanani kuomarara majoini. Nhamba vanachiremba mubvunzo tishandise corticosteroids zvakawanda. Vamwe vanowanzotaura kushandiswa kurapa zvirwere mahormone, vamwe - pamusoro. Recent tsanangura maonero avo akasiyana-siyana nemishonga. Makemikari, kuwedzera kune zvinonyatsorehwa kukanganisa muviri, unogona kuwedzera ropa shuga yomuropa, kuderedza zvirwere, kukonzera cheBP. Ndokusaka pamberi varwere kurapwa, chiremba totarisa "zvayakanakira" uye "nezvayakaipira."

Local nokurapa dzinonzi rheumatoid arthritis

The gadziriro pamusoro apa hazvisi akakodzera varwere vose. Mune dzimwe pane idiosyncrasy munhu chikamu zvinoriumba, vamwe havana kuchengeta yakanaka kuchirapa kushanda. Naizvozvo, dzimwe nguva, vanachiremba vari kutendeukira kuna kukamura uchishandisa kurapwa.

Panguva chirwere uchishandisa Laser irradiation. mushonga uyu unopa runyoro Anti-anogumbura mugumisiro. Vanenge 80% wevarwere akacherechedza uvandudze vakawanda ezvinhu.

Chimwe kurapwa nzira iri cryotherapy. Munguva nzira, nyanzvi kunokanganisa kutonhora njodzi mapfundo yakadzika. Cryotherapy zirokwazvo chisingakuvadzi uye asina contraindications.

Kushandisa ekuzora uye mumakenduru-siyana zvinopa chete vambotibatsirwei. The ndechokuti ganda asingadi kupotsa zvinopfuura 7% of unorapa. Izvi hazvina kukwana kuwana yakagadzikana kuchirapa kushanda. Pasinei siyana zvinobatsira kurapwa pamwe okuzora, rubatsiro yavo asina ezvinhu.

physiotherapy

Pashure nokubviswa rikwanise chimiro chirwere chinogona kushandiswa masaja uyewo dzimwe nzira physiotherapy. The ndechokuti kurapwa ichi kunobatsira uye kunobatsira kuderedza yomunharaunda kuzvimba. dzokurapa idzi kuvandudza ropa riyerere kune njodzi mapfundo panguva vawedzere mufambo yavo. In okurapa nhasi ari kushingaira kushandiswa Paraffin, UHF, phonophoresis, uyewo michini nemwaranzi.

kudya zvinovaka muviri

Kuteerera nekudya kwakasimba kunoratidzwa kune varwere vane chirwere cherheumatoid arthritis. Zviratidzo, kuongororwa uye chirwere chechirwere ichi chinogona kugadzirisa chikonzero chacho. Zvisinei, pasinei nezvikonzero izvi, kuchinja kwezvokudya kunopiwa kuvarwere vose.

Vanachiremba vanodavira kuti zvimwe zvigadzirwa zvinobatsira pakuvandudzwa kwezvirwere zvinoputika mumatumbu. Izvi zvinosanganisira nyama yenguruve, macroviramu, gorosi uye rye, michero yemiti, pamwe chete nezviyo. Vanachiremba vanokurudzira kudya dzimwe hove, pearl bhari uye peji ye buckwheat, mazai ehuku. Nzvimbo inokosha muzvokudya inofanira kuva yezvibereko nemiriwo yakazara mavitamini. Kwenguva yose yekurapa, inokurudzirwa kusabvisa mafuta nemafuta zvakabikwa. Zvokudya zvinofanira kuve zvakanyanyisa, uye kazhinji zvinodya mune zvikamu zviduku. Pamwe pamwe nemishonga inodhaka, kuchinja mune chikafu chekudya kunobatsira zvikuru pamasimba ekuvandudza.

Juvenile rheumatoid arthritis

Zviratidzo, kurapwa, kuongororwa kwevana vechirwere ichi zvinowanzosiyana nedzidzo uye kurapa mune varwere vakuru. Rheumatoid arthritis yerudzi rwevana inoratidzwa nekukurumidza kukura. Kune vana mazana mapfumbamwe izvi chirwere ichi chinoitika kune vese vane vatanhatu.

Chirwere ichi chinowanikwa kunyanya kusvika makore gumi nematanhatu uye chinogona kupera kwemakore akawanda. Kubudirira kwaro kunowanzoguma nemigumisiro yakasiyana-siyana, kubva pahutachiwana hwehutachiona uye kuguma nekuwedzerwa kunzwisiswa kune zvimwe zviitiko zvezvakatipoteredza.

Chiratidzo chikuru cherhumatori arthritis muvana chirwere chirwere mune rimwe kana panguva imwechete majoini akawanda. Pamusoro pekuongororwa, maitiro avo anocherechedzwa, ayo anotanga kuzviratidza muhutano hwekudzimba. Zvishoma nezvishoma, kushanda kwemasangano kunopera. Mune zvimwe zviitiko, mudiki vaduku, lymph nodes inowedzera, kutonhora kunowedzera.

Utachiona hunosanganisira kushandiswa kweNSAIDs ("Orthofen", "Brufen") pamwe chete negoridhe salts uye immunosuppressants. Muchikamu chisina kushanda chechirwere, chirongwa chekurapa chinokurudzirwa vana, uko kuburikidza nenzira dzehutano hwakasiyana-siyana zvinokwanisika kusimudzira motokari basa.

Juvenile rheumatoid arthritis haifaniri kuregererwa. Zviratidzo, kurapwa, kuongororwa kwechirwere ichi muvarwere vaduku kunoda nzira yakakodzera. Kana iwe ukatora matanho ese anodiwa ekurapa kubvisa chirwere ichi, unogona kudzivisa kukura kwezvinetso zvakakomba. Mukuwedzera, kurapwa kwakanaka pamatanho ekutanga hakubatsiri hupenyu hwomunguva yerwere.

Kudzivirira

Varwere vakawanda vanofarira nzira yekurapa rheumatoid arthritis. Kuongorora kunonzwika kunoshamisa, asi haufaniri kutyisa. Zvinosuruvarisa, hapana chirongwa chechirwere ichi. Iyi inzira isingagumi inowanzoda kurapwa kweupenyu hwose. Chinhu chinonyanya kukosha ndechokuti uchitange pakarepo.

Nhasi, nyanzvi dzinobva kumativi ose enyika dziri kuramba dzichitsvaga nzira itsva dzekurapa dzisingatevedzeri nemigumisiro. Iyi nyaya inonyanya kukosha kune vakadzi mumamiriro ezvinhu anotambura ne rheumatoid arthritis. Pashure pezvose, munyaya iyi, kutora mishonga yakawanda inorambidzwa.

Vakawanda vachabvumirana kuti kurapa kwakanakisisa kwehupi hupi huri kurwara ndehukudzivirira panguva yakakodzera. Kuti ave nechokwadi chekudzivirirwa kwemasangano, vanachiremba vanokurudzira mararamiro akanaka. Zvinoreva kubviswa kwemitemo yose yakaipa, kudya kwakakwana, muviri wakakwana. Kwete basa rekupedzisira nderokusimbisa kwehutachiona uye kurwisana nehuwandu hwehutano hwemuviri.

Iye zvino unoziva kuti zviratidzo zvinosangana ne rheumatoid arthritis. Zviratidzo, kuongororwa, kurapwa kwechirwere ndezvezviitiko zvakasiyana-siyana zvinobatana zvinoda nzira inoshamisa yakakodzera. Rheumatoid arthritis inorondedzerwa sechirwere chisina kunaka. Kana iwe uchitora matanho ose ekubvisa chirwere chekuvhiringidza panguva yakakodzera, tevera mazano achiremba zvakajeka, unogona kutamisa hutachiwana muhupenyu husingaperi.