Rheumatoid Arthritis - Zvinokonzera uye Kurapa Kwekubatana Kwakaitwa

Rheumatoid arthritis vanachiremba vanotarisa zvirwere zvisingagadziriswi zvemuitiro, umo maitiro mashoma masangano anotambura. Zvinotendwa kuti chirwere chacho chiri autoimmune - muviri unoparadza hutachiona hwahwo hunoenderana nekusavhiringidzika mukati mekudzivirira kwayo.

Zvinokonzera rheumatoid arthritis

Kutsvaga zvikonzero zvinokonzera rheumatoid arthritis zvave zvichiitwa nachiremba kwemakumi emakore. Pane zviratidzo zvakawanda zvinoratidza hutachiona hwechirwere ichi:

• chinopinza uye chinotyisa chekutanga;
• sweating;
• kuwedzera mukushisa;
• kurira kwemaitiro emakirini.

Kubva pane imwe pfungwa, zvinhu zvakawanda zvinoratidza kuti rheumatoid arthritis haisi chirwere chinotapukira:

• inoitika pasina nguva yekuchengetedza (kunyange zvazvo kune kubatana nemamiriro okunze);
• kune zviitiko zvekutapura kuburikidza neropa uye nhengo yekugadziriswa;
• Hapana huri nani mukurapa nemishonga inorwisa mabhakitiriya uye mishonga yemishonga inorwisa mishonga.

Zvikonzero zvinotsanangurwa pamusoro apa zvinonyengetedza vanachiremba kuti zvinhu zvinotaura nezvehutachiona hwechirwere zvinopupurira kurwisa kwekuzvidzivirira nemunhu. Nzira yekudzivirira inoparadza zviputi zvinoshandiswa zvezvibatanidzwa uye dzimwe nhengo, vachizviona sevatorwa. Yakaratidza kuti zvirwere zvakasiyana-siyana zvinotapukira zvinogona kuwedzera kuwedzerwa kweropa re arthritis, pakati pavo;

• rubella ;
• herpes;
• Epstein-Barr virus ;
• hepatitis B uye vamwe.

Izvozvo zvinokonzerwa nemafungiro ekuti rhumatoid arthritis ichaitika kune mumwe munhu muduku, asi iripo. Masayendisiti ave atowana magetsi anokosha, akadai, semuenzaniso, DRB1, iyo inoshandura zvakagadziriswa pamakona emagetsi. Nemhaka yeizvi, maitiro ezvirwere zvemuviri haana kuziva masero emuviri wawo uye anoedza kuaparadza.

Muchirapa, pane pfungwa ye rhumamuidhi chinhu. Iyi ndiyo mhando yezvirwisana zvinopesana nema immunoglobulin G. Iyi immunoglobulin inobudiswa nemasero akaisa mukati mukati memubatanidzwa. Zvirwere zvepachiviri pamwe pamwe ne immunoglobulin G zvinoumba zvinotyisa zvinokonzera kutuka kunokuvadza majoka akabatanidzwa. Kuvapo kwerhumatoid inhengo mumuviri kunogona kuratidza kwete kwete rheumatoid arthritis, asiwo yekuti munhu munguva pfupi yapfuura akatambura nechirwere chinotapukira.

Zvimwe zvikonzero zvinokonzera kuonekwa kwerhumatoid arthritis:

• kupindira kwekuvhiya;
• kukuvadzwa;
• kutonhora;
• kushungurudzika;
• poisoning;
• pamuviri, lactation, kumurume;
• zvokudya zvekudya.

Juvenile rheumatoid arthritis chiratidzo chechirwere chinowanikwa muvana nevechiri kuyaruka. Urwu hutachiona hunokonzerwa nekuti kwete zviduku chete asiwo majoka makuru anotambura, pamwe chete nedzimwe nhengo dzomukati - tsitsi, mwoyo, mapapu. Kubuda kwechirwere chakakomba kunogona kukuvadza zvinhu zvakawanda:

• vakatambura noutachiona;
• dambudziko;
• supercooling;
• jekisi yegrogengen kugadzirira;
• genetic predisposition;
• kuberekwa kana kuwana immunodeficiency.

Rheumatoid arthritis - zviratidzo

Tichifunga nezvezviratidzo zve rheumatoid arthritis, inofanira kufungwa kuti kwete chete majoini, asiwo maitiro ese ehupenyu anogona kuchinjwa. Chiratidzo chikuru chechirwere chinorwadza muzvibatanidza, ruvara rwacho runobva pamheremhere kusvika kune yakaoma, nguva dzose kana nguva. Chirwere ichi chinotanga nemajoka ezvanza, tsoka, mabvi, zvikwereti, zvakakura zvisingatauri zvishoma. Mukuwedzera kune marwadzo akabatana, pane kuvhiringidza, izvo kunoderera nekushandiswa kwezvirwere zvinopesana nemishonga. Muchirwere chakakomba, majoini anodzima, aine mavara, uye anopera. Mambakwedza, murwere anenge asingakwanisi kufamba.

Rubhishopi rwechidiki runotanga nokuputika uye kurira kwezvikamu zvikuru - mabvi, chiuno, chikwama. Chirwere chacho chinoperekedzwa nefivha, kuputika kwepolymorphous (munguva yefivha), hepatolienna syndrome, lymphadenopathy, nhengo dzomukati. Misungo yakaiswa kumakumbo ane chirwere inosvibiswa. Ganda iri munzvimbo yezvikamu zvinoputika zvinova zvishoma. Izvo zvisikwa zvemafupa zvinogona kuwirirana nekugadzira zvakasimbiswa, izvi zvinonzi ankylosis.

Aine utsi hwekuvhiringidzika nevana vechirwere, amyloidosis inokura, iyo inotungamirira kumagetsi kukanganisa. Chirwere chekukuvara kwepvo chiprotini mumuguta, kupfugama, kuunganidza mumisumbu ye urea. Kana chirwere ichi chinokanganisa mwoyo, vana vechirwere rheumatoid arthritis yakaoma ne myocarditis kana pericarditis . Apo mapapu emapapu anoitika pleurisy kana sclerosing alveolitis. Hepatolienal syndrome inotsanangurwa nekuwedzera muropa uye spleen. Ne lymphadenopathy, lymph nodes munzvimbo yechirwere ichi chakawedzerwa.

Rheumatoid arthritis - yekutanga zviratidzo

Mune mapfumbamwe makumi matatu ematatu, majoini emaoko anotanga kuwedzera. Paanoongororwa rheumatoid arthritis yemaoko, kuonekwa kwezviratidzo zvekutanga kunowanzoitika munguva yechando. Mune nguva yakaderera, kusvika pane zvakajeka zvekuvhiringidza kwezvibatanidza, kushaya simba, kutuka, kuora kurasikirwa, kurwadziwa kwepamuviri, kusagadzikana kwemafivha kune zvinyorwa zvisinganzwisisiki zvinowanikwa mune varwere.

Rheumatoid arthritis yeminwe - yekutanga zviratidzo:

• kufamba kunoputsika, kunzwa kunorwadza kunowonekwa, kubwinya uye kuputika zvinowanikwa, kutonhora mumagungano anonyanya kuwirirana interphalangeal;
• zviratidzo zvinowanikwa mumasangano e metacarpophalangeal, zvino mumakumbo emadzimai;
• murwere haagoni kuvhara ruoko rwake muchibhakera;
• inotanga kuzvimba kwemasisoni tendon.

Rheumatoid arthritis - dhigirii

Mumakiriniki emakiriniki, madhigirii mana kana zvikamu zve rheumatoid arthritis vanosiyaniswa:

1. Yokutanga inoratidzira kuponda kwemapfupa ari munharaunda yakabatana, kukuvadza kwezvibatanidzwa zvemaoko, kunyorera kwemajoini akabatanidzwa uye danho rokutanga re periarticular osteoporosis, munguva ino cysts mu bone tissue inotanga kuumbwa, chirwere chinowanzoitika chisingaiti kana kuti zviratidzo zvishoma.
2. Yechipiri ndiyo kukura kwehutachiona hwemapfupa, hutachiona hunotanga kupera, kuchinja kweimwe hutano hukuru kunoderera, edema uye kubwinya kunowanikwa munzvimbo dzakakanganiswa, chirwere chinorwadza chinogona kuchinjwa.
3. Chechitatu - mapfupa emapfupa akanyanya kudonha, kukura kwezvigunwe zvinoshandiswa zvinowedzera, kufamba kwezvibatanidzwa zvisingakwanisi, uye munyu inowanikwa.
4. Chechina , chirwere chakanyanya osteoporosis chinowedzera, zvakawanda zvekushongedza uye majekiti anoonekwa mumapfupa emapfupa, ankylosis emabvi, mafudzi, zviputi zvechiuno zvinowanikwa, mishonga inoputika uye zvinyoro zvinyoro zvayo zvakanyatsopera.

Rheumatoid arthritis - kuongororwa

Kupfuurira kuongororwa pamusoro pesarudzo inonzi arthritis inotanga neruzhinji uye kuongorora kwehupenyu hweropa iro rinoratidza mufananidzo wekukura kwekuvhiringidza:

• kuderedza hemoglobin (rumiriri 120-160 g / l), kuwedzerwa kuwanda kweeukocytes (4000-9000 per ml yeropa) uye ESR (2-15 mm / h);
• kuwedzera mu fibrinogen (2-4 g / l), C-reactive protein (pasi pe5 mg / l), sialic acids (620-730 mg / l kana 2-2.36 mmol / l), haptoglobin (0.44-3 , 03 g / l).

Kana munhu akafungidzirwa rheumatoid arthritis inorayirwa:

• tsvakurudzo ye rheumatoid chinhu cheropa;
• kuongororwa kwe synovial fluid (zviri mukati memubatanidzwa cavity);
• arthroscopy - kuongororwa pamwe chete vachishandisa chimbo chekuona;
• radiography, scintigraphy , magnetic resonance imaging, ultrasound yemubatanidzwa wemurwere.

ACCP mu rheumatoid arthritis ndiyo inowanzo

Citrulin is amino acid inoratidza kuve nekuputika. Mutumbi unoziva mapuroteni uye inoumba zvirwere zvinokonzera maitiro emoto. Chidzidzo chekuvapo kwe-anti-citrulline antibodies - ATSTSP ne rheumatoid arthritis - chimwe chezvinhu zvinonyanya kuratidza pachikwata chekutanga. Nekutarisa kwepakutanga kwechirwere ichi, muedzo wacho ndeyechokwadi pa90-98 muzana. Izvo zvinowanzoenderana neAtSPSP - 3,0-3,1 U / ml, kuchinja kuduku kunogona kuitika zvichienderana nezera uye zvepabonde.

Seronegative rheumatoid arthritis

Inenge 20 muzana yevarwere vanoonekwa kuti vane rheumatoid arthritis (seronegative) ine nheyo yechirwere yakaipa ye 25-30 IU per milliliter yeropa. Urwu hutachiwana hunofanotaura zvakanaka, asi hunochinja zvakanyanya kuhutano hwekutanga, hunoda kuti chiremba asarudze mishonga yemunhu mumwe nomumwe. Sezvo manyepo-asina kunaka mhinduro dzinowanzosangana nazvo, inofanirwa kuitora kakawanda.

Seropositive rheumatoid arthritis

Muhuwandu hwezviitiko, chirwere cherheumatoid arthritis chinoperekedzwa nenhamba yakanaka ye rhumumidhi factor - inopfuura 25 IU per milliliter yeropa. Iro rudzi rwechirwere ruri kushanda. Iyo yakakwirira iyo nhamba, iyo inonyanya kusagadzikana kufungidzira mune chirwere. Kukura kwechikamu chacho kunogona kukonzerwa kwete chete nerheumatoid arthritis, asiwo nechirwere chinotapukira, saka zvakakosha kufunga nezvimwe zviyero.

Rheumatoid arthritis - kurapa

Kubva pane unyanzvi hwechiremba uyo achasarudza nzira yekurapa rheumatoid arthritis, hutano hwehutano hwehutano uye huwandu hwaro hunoenderana. Kukosha kwechirwere kunoda murwere kuti asapfuurire kurwadziwa uye kutsvaga rubatsiro rwechiremba nokukurumidza, uye kubva kuna chiremba kuti aite chidzidzo chakazara kuti aone danho rechirwere uye kurapa kwakakodzera.

Rheumatoid arthritis - kurapa, zvinodhaka

Kugadzirira rheumatoid arthritis kuita mabasa maviri:

• pachikamu chakaoma - simisa chirwere;
• mushure mekudzikinura kuwedzera - kunotsigira.

Apo kurapwa kwe rheumatoid arthritis kunoitwa, itsva-chizvarwa chemishonga inoderedza zviratidzo uye kubatsira kubvisa chirwere chacho:

• anti-inflammatory (nonsteroidal) - Ibuprofen, Diclofenac , Meloxicam - inorongedzerwa mumutambo wakaoma kuderedza chirwere chinorwadza, kuoma;
• glucocorticoids - Prednisolone , Methylprednisolone - kubvisa kuvhiringidzika uye kurwadziwa, kuderedza hutano hwehutano muhutano;
• antimetabolites - Azathioprine, Methotrexate - inononoka kuderedza zvinoparadza mumusana unonzi rheumatoid arthritis;
• immunosuppressants - Ciclosporin, Penicillamine - chirwere cherheumatoid arthritis inoshandiswa pakusanganiswa kweradio ne antimetabolite.

Rheumatoid arthritis - kurapwa nemishonga yevanhu

Kuongororwa kwerheumatoid arthritis yeminwe uye mamwe majoini kunoda kushandiswa kwete chete kwehutachiona hwemishonga inorapwa, inofadza uye kushandiswa kwemishonga yevanhu inobatsira kuderedza marwadzo nekuputika.

1. Kugadzirisa kwakaitwa newaini tsvuku. Waini inofanira kupisa, yakanyorowa nejerize uye ikamanikidzana pamubatanidzwa kwemaminitsi gumi nemashanu.
2. Mucheka wemuorivhi. Mupuni wehupukisi inofanira kubikwa mu 200 ml wemvura kwemaminitsi gumi, muto unofanirwa kuiswa mumaawa masere. Inwa 70 ml katatu pazuva musati wadya.
3. Mafuta kubva mufudzi yemasitadhi. Bhatanidzai masayadhi omufudzi, mafuta emiriwo nouchi zvakaenzana nekuwanda kweunifomu. Isa mafuta kujoka uye kuuputira.

Chikafu cherumatoid arthritis

Zvokudya zvakaoma zve rheumatoid arthritis zvinodiwa kuti zvishoma nezvishoma kuwedzera kwechirwere chacho. Mazano evanhu vane chikafu mune chirwere ichi:

1. Kunyoresa muzvokudya zvehove dzehove dzemvura, iyo inowedzera nemafuta amino acids, inoderedza kupera kwemajoini.
2. Kuti udye rizi yakabikwa - rinobvisa minyuchi yakanyanya uye zvimwe zvinhu zvinokuvadza.
3. Deredza kuwanda kwemakinhydrates, zvinonhuwira, zvakabikwa, mafuta emhuka, zvokudya zvekakini - izvi zvichabatsira kuderedza uremu, chingwa chinobva muzvokudya zvose zvinotenderwa.
4. Deredza mhepo, kuitira kuti isanyanya kuiswa mumuviri.
5. Wedzera huwandu hwemichero nemichero matsva (kunze kwemazambatete, eggplants), kunyanya carotenoids - karoti, chibage, machero, apricots.

Rheumatoid arthritis - kufungidzira

Kana iwe ukatevera mazano echiremba, tevera kudya uye uchengetedze mararamiro ane hutano - chirevo chokuti murwere angave akanaka. Hongu, rheumatoid arthritis yerutsoka, maoko uye mamwe masangano achaenderera mberi kuaparadza, asi ndeyechokwadi kugona kuregererwa. Zvakakosha kuti usakanganise utano hwako, saka unoda:

1. Rega doro uye nicotine.
2. Kuti uremerwe uremu.
3. Dzivisa zvirwere zvinotapukira uye hypothermia.
4. Nguva yokuzorora panguva.
5. Kufamba, gymnastics, kufamba.