Uninzi lwazo zonke iimeko zokukhubazeka kwasekuqaleni (malunga no-70%) zivela ngenxa yesifo se-rheumatoid arthritis. Le pathology yenkqubo ichaphazela izicubu ezinxibelelwano, ngokuncinci amanxube amancinci. Iinkqubo ezibhubhisayo zidibaniswa neendlela ezizimeleyo ezizimele, ezibangelwa ukuvuvukala nokutshabalalisa izicubu zomzimba.
Kuze kube ngoku, akukho zizathu ezivusa i-rheumatoid arthritis - ukuxilongwa kweempawu kunye nokunyangwa kwesi sifo kwenziwa ngokuhambelana nomxholo wesigulane esithile. Ingxaki ebalulekileyo yonyango kukuba ukungabikho kwempawu ethile zesifo kunye nokunyuka kwayo okucothayo.
Iimpawu kunye nokuxilongwa kwe-Rheumatoid Arthritis
Ukubonakaliswa kokuqala kwempilo yesifo esichazwe:
- ukukhathala;
- ukuphazamiseka kokutya;
- ukunyuka komzimba;
- buthathaka;
- ukudandatheka;
- ukukhulelwa kwegazi;
- kwanda ukujuluka kwesikhumba seentende kunye neenyawo;
- intloko;
- rhu lumente.
Emva koko iimpawu eziqhelekileyo ze-pathology ziyabonwa:
- ukuvuvukala;
- ukwandiswa ngobukhulu bamalungu;
- ukuphazamiseka kweengqungquthela zengqungquthela kunye neengqumbo;
- ulungiso;
- amaxesha okuxolelwa, alandelwa ukubuyela kwakhona;
- umda wokuhamba;
- intlungu kumalungu kunye nemisipha;
- Ukubomvu kwesikhumba kwindawo echaphazelekayo.
Ukuxilongwa kwe-rheumatoid arthritis kuqulethwe uhlalutyo olupheleleyo lwezikhalazo zesigulane kunye nobukho beempawu ezingentla. Uphando olongezelelweyo lufuneka kwakhona:
- jikelele, ukuhlaziywa kwegazi kunye nokuhlalutya kwegazi;
- i radiography;
- kubalwa kwe-ESR;
- ukufumanisa i-antibody person titer kwi peptide ene-cyclic ene-citrulline;
- nkcazo ye rheumo.
Uphuhliso oluphambili lweempawu kunye nokubonakaliswa kwamalungu e-rheumatoid arthritis
Isifo esikulo mbuzo sifuna unyango olufanelekileyo, njengoko ludla ukuphindaphinda nakwixesha elide kunye nokuqhubekayo lokuxolelwa.
U unyango lwangoku luquka ukusetyenziswa kweziyobisi kumaqela e-4 e-pharmacological:
- iziyobisi ezingekho-steroidal ezichasayo;
- glucocorticosteroids;
- izidakamizwa ezisisiseko ze-antirheumatic;
- immunosuppressants cytostatic.
Ezinye iindlela zokwelapha zikhethwe yi-rheumatologist ngokuhambelana nendawo yokuvuvukala, ubunzima bayo, isimo sempilo, indlela yokuphila kunye neminyaka yesigulane.
Uphawu lweempawu kunye nokonyango lwe-rheumatoid arthritis yamadolo
Ukutshatyalaliswa kwezihlanganisi ezinkulu kunokuthi kukhokelela ekulahlekelweni okukodwa okanye okupheleleyo kokuhamba, amandla okuhamba. Amagqabi aphethwe kakubi, njengokungathi aphendulela ngaphandle. Izigulane zixhatshazwa kakhulu, "ukuxubha" intlungu, ngokukodwa ngokunyamekela ngokwenyama, nangona ncinane.
Kwindlela yokwenza uphando lwe-rheumatoid arthritis kwimeko, i-injatticular injections ye-corticosteroids yongezwa, kunye ne-physiotherapy:
- i-radon ne- hydrogen sulphide zokuhlambela ;
- iparafini, izicelo zodaka;
- irradiation nge ultraviolet;
- mpe mbelelo.
Izimpawu ezikhethekileyo kunye nophando lwe-rheumatoid of foot
Ukongeza kwiimpawu ezibhalwe ngaphambili, ukuba izilungelo zonyawo zonakaliswe, izigulane zivakalelwa:
- ubunzima kwiindawo ezichaphazelekayo ubuncinane kwiyure, ngokuqhelekileyo kusasa;
- intlungu xa uhamba;
- ukuvuvukala okukhulu kweenyawo.
Amanyathelo okwelapha ochazwe ukutshabalala kwendawo azaliswe ngokukhethwa kwamathambo akhethekileyo, ama-massage, i-phonophoresis ene-hydrocortisone.
Kwakhona, ukusebenzisa i-anticytokine kunye ne-antilymphocytic drugs (Remicade, Orencia, Actemra, Mabtera kunye nabanye) Kunconywa.
Unyango kunye neempawu zesifo se-rheumatoid yezandla, i-elbow kunye namalungu ehlombe
Ezi ziqendu zomzimba zihlala zixhomekeke kwiinguqu zentlungu ngenxa ye-rheumatritis. Esinye sezibonakaliso ezibonakalayo zesifo kule meko kubakho ukuhlengahlengiswa kunye nefuthe:
- zihlomelo;
- ukululaza umgca wokudibanisa;
- ankylosis;
- ukwanda kwamalungu ngokukhulu;
- i mvu melwano;
- i-atrophy yezidumbu eziseduze;
- iigununu zamathambo.
Ulwaphulo lwesimo esingapheliyo sesifo kule meko kubandakanya ukusetyenziswa kwazo zonke iindlela ezicetywayo ngaphambili. Ngentuthuko eqhubekayo ye-rheumatoid arthritis, i-injection ye-yttrium okanye igolide kwi-joint joint.