Kodi Amasiyana Bwanji?
Matenda a nyamakazi ndi ovuta. Anthu ambiri omwe ali ndi nyamakazi amatha kukuuzani kuti nthawi inadutsa asanatululidwe. Ngakhale adokotala akuganiza kuti matenda a nyamakazi amayamba msanga, palibe chiyeso chimodzi kapena umboni wina womwe umatsimikiziranso kuti ali ndi matendawa. Zomwe zimapezeka kuchokera ku zochitika za wodwalayo, mbiri ya zachipatala, kuyesa ma laboratory, ndi kufufuza zojambula ziyenera kuganiziridwa.
Sikuti kokha pali matenda ochepa okhudza matenda a nyamakazi, odwala omwe ali ndi maonekedwe osiyanasiyana a matendawa. M'magulu ambiri a nyamakazi a nyamakazi, kuyambira kwa zizindikiro kumapezeka pang'onopang'ono ndipo kumakhazikitsidwa bwino musanazindikiridwe. Chipangizo cha polyarthritis chimaphatikizapo zigawo zing'onozing'ono za manja ndi mapazi musanasunthire ku ziwalo zazikulu. Koma palinso njira zina za matenda a nyamakazi zomwe zimadziwika zokhazokha: palindromic (zowawa zochepa zakumva kupweteka ndi kuuma, zomwe zimakhudza chiwalo chimodzi kapena zingapo, kenako zimakhala zolimba); (Nthawi zambiri wokalamba wodwalayo akudandaula za kuuma, nthawi zambiri mapewa kapena chiuno); machitidwe (osadziwika, monga fever, malaise , kulemera); msoarthritis wotsalira (nyamakazi mu mgwirizano umodzi umodzi umene umapitiriza).
Matenda a nyamakazi oyambirira amatha kusiyana ndi zomwe timaganiza ngati momwe amachitira nyamakazi.
Odwala ambiri amakhala ndi zizindikiro zozizira kwambiri pamene akuyamba kufunsa dokotala za zizindikiro zawo zoyambirira. Ambiri ali ndi x-rays yachibadwa. Chomwe chingakhale chosokoneza kwambiri kwa wodwalayo, choncho kwa wodwala, ndikuti pali zinthu zina zambiri zomwe zimadziwika ndi aparthritis omwe ali ndi zizindikiro zomwe zimakhudzana ndi nyamakazi.
Chifukwa chakuti mikhalidwe imeneyi imakhala ngati nyamakazi, imayenera kuganiziridwa, kenako imatulutsidwa, musanayambe kudziwa kuti nyamakazi imakhala yodalirika. Nazi zina mwazimene zimatsanzira nyamakazi ya nyamakazi:
Post-Viral Arthritis
Matenda opatsirana komanso omwe amatha kukhala ndi matendawa angayambitse polyarthritis yomwe imawoneka ngati nyamakazi yodwala nyamakazi. Matenda opatsirana kwambiri, monga parvovirus B19, kawirikawiri amatha kusiyanitsa ndi mbiri yakale, kuthamanga, komanso kuti zizindikiro zimatha nthawi yaitali. Ndikofunika kuti katswiriyu asatenge kachilombo koyambitsa matenda a shuga kapena kachilombo koyambitsa matenda a munthu, makamaka ngati mankhwala omwe ali ndi matendawa amatengedwa.
Siponomiya ya Spondyloarthritis
Matenda a Psoriatic akhoza kukhala ovuta kusiyanitsa ndi nyamakazi ya nyamakazi, makamaka ngati palibe mphukira. Kuphatikizidwa kwa ziwalo za sacroiliac kapena mbali zosiyana za interphalangeal za manja zimachepetsanso matenda a psoriatic nyamakazi. Mankhwala ena a spondyloarthropathies ( nyamakazi yogwira mtima , ankylosing spondylitis , matenda opatsirana amagazi omwe amagwirizanitsa matenda) amatha kuyerekezera nyamakazi ya nyamakazi. "Kuphatikizana kwapadera, kusowa kwa matenda ochepa, maonekedwe a soseji ofiira, ndi kugwirizanitsa kwa msana wa lumbosacral onse amavomereza nyamakazi yowonongeka", malingana ndi Cleveland Clinic.
Lupus
Mankhwala a lupus erythematosus angathe kugwirizanitsidwa ndi mgwirizano wotsatizana womwe umatsanzira nyamakazi, koma lupus imasiyana ndi kawirikawiri kukhala matenda oopsa. Ndi matenda a lupus, amatha kukhala ngati ofanana ndi nyamakazi ya nyamakazi - kusiyana kwake chifukwa ndi chifukwa cha tendon ndi ligament osakaniza ndi lupus, osati chiwonongeko chophatikizana.
Scleroderma
Kuwerengera kwa magazi, kapangidwe ka mankhwala, komanso maphunziro a serologic (mwachitsanzo, antinuclear, antiticentromere, ndi antiitopoisomerase antibodies) amalamulidwa ngati wodwala akuganiza kuti ali ndi scleroderma . Miyeso ya Creatine kinase, mlingo wa dothi la erythrocyte, ndi kuchuluka kwa mapuloteni a C-zowonjezereka zingakhale zothandiza pamene matendawa athandizidwa.
"Zotsatira zowonjezereka zikusonyeza myositis, vasculitis, malignancy, kapena kudwala matenda enaake, ndi matenda ena," malinga ndi AAFP.
Vasculitis
Polymyalgia rheumatica (PMR) ndi giant cell arteritis (GCA) ikhoza kuchitika mofanana ndi polyarthritis. Kawirikawiri, mbiri yakale yokhudza zachipatala kuchokera kwa odwalawa ingathandize kusiyanitsa PMR kapena GCA (mwachitsanzo, kupweteka mutu, limodzi ndi ululu ndi mapiko). Nthaŵi zina, matendawa amatha kudalira matendawa panthawi yake. Mwa kuyankhula kwina, mavuto aakulu angapangidwe pakapita nthawi yomwe ikukhudzana ndi vasculitide. Vasculitis yowonongeka ikhoza kuwonetsanso ndi maryarthritis. Granulomatosis ya Wegener ikhoza kukhala nthenda ya chifuwa chachikulu.
Osteoarthritis
Kupezeka kwa zizindikiro ndi zizindikiro za kutupa kwa thupi, kumayamba msinkhu wokalamba, ndipo chitsanzo cha kugwirizanitsa pamodzi (nthawi zambiri) nthawi zambiri zimasiyanitsa osteoarthritis ku nyamakazi ya nyamakazi. " Mankhwala oopsa a osteoarthritis amatha kuoneka ngati akutupa, koma amayamba kuphatikizapo ziwalo za PIP makamaka, osati zowonjezera synovitis, osati RF (rheumatoid factor), ndipo amawonetsera maonekedwe osiyana siyana," akutero Cleveland Clinic.
Gout
Kawirikawiri gout amatha kugwiritsidwa ntchito ndi kutupa kwa monoarticular kapena oligoarticular kutupa ndi nyamakazi, yokhala masiku 3 mpaka 10. Koma, ziwopsezo zimatha kukhala mobwerezabwereza, nthawi yotalikirapo, ndipo sizikhoza kuthetsa, zomwe zimayambitsa matenda aakulu. Zovuta kugwiritsira ntchito nyamakazi zingayambitse mavuto komanso kuwonongeka. Amasiyanitsa ndi nyamakazi ya nyamakazi chifukwa cha kuchepa kwa malo ophatikizira ndi kuchepa kwa periarticular osteopenia , malinga ndi Cleveland Clinic.
Pseudogout
Matenda a crystal deposition (matenda a deposition) amagwirizana ndi machitidwe ambiri a chipatala. Zingakhale zozizwitsa, zozizira ngati (pseudogout), matenda a nyamakazi, kapena osteoarthritis. Pseudogout imasiyanitsidwa ndi kuukira kwakukulu kwa synovitis komwe kumatsanzira gout. Kusanthula kwa mankhwala a synovial kumagwiritsidwa ntchito pa kusiyana kwa matenda.
Sjogren's Syndrome
Matenda a Sjogren ndi matenda opweteka. Ikhoza kukhala ngati chikhalidwe chachikulu chomwe palibe matenda ena a rheumatic kapena ngati chikhalidwe chachiwiri pamodzi ndi vuto lina la chifuwa chachikulu. Matenda a Primary Sjogren akhoza kutsanzira nyamakazi ya nyamakazi. Pafupifupi 60 mpaka 70 peresenti ya odwala oyambirira a Sjogren ali ndi vuto la chifuwa chachikulu. Kumeneko palinso kupweteka, kuuma, ndi kupweteka kwa ziwalo. Kuyeza kwapadera kungathandize kusiyanitsa pakati pa matenda a Sjogren ndi matenda a nyamakazi.
Sarcoidosis
Sarcoidosis ikhoza kuwonetsa ndi synovitis m'magulu angapo ndipo ikhoza kukhala ndi matenda a chifuwa chachikulu. Koma, makhalidwe ena amathandiza kusiyanitsa ndi nyamakazi ya nyamakazi. Nthawi zina, zimakhala zofunikira kuti mupeze matenda.
Fibromyalgia
Fibromyalgia ikhoza kukhala ndi maonekedwe a symmetrical arthralgias ndi kuuma kwa mpumulo, koma kusakhala kwa synovitis, kusowa kwa ululu pakuyenda, ndi kafukufuku wopangidwa ndi ma laboratory ndi masewero olimbitsa thupi amachititsa kuti matenda a fibromyalgia azindikiridwe, kuwasiyanitsa ndi nyamakazi ya nyamakazi, malinga ndi Cleveland Clinic.
Mfundo Yofunika Kwambiri
Pali zinthu zomwe zimafanana ndi nyamakazi, makamaka kumayambiriro kwa matendawa. Chikhalidwe chofala kwambiri ndi polyarthritis. Mbiri ya zachipatala, kuyerekezera zizindikiro ndi kuwonetsa matenda pa nthawi, komanso thandizo loyezetsa matenda owonjezera kumvetsa kusiyana kwa matenda a nyamakazi.
Zotsatira:
Gout ndi Pseudogout. Feyrouz Al-Ashkar. Clinical Cleveland.
http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/rheumatology/gout-and-pseudogout/
Chifuwa chachikulu cha nyamakazi. William S. Wilke. Clinical Cleveland.
http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/rheumatology/rheumatoid-arthritis/
Systemic Sclerosis / Scleroderma: Matenda Ochiritsidwa a Multisystem System. Monique Hinchcliff, MD ndi John Varga, MD American Family Physician. October 15, 2008.
http://www.aafp.org/afp/2008/1015/p961.html
Kuzindikira kwa Matenda Oyamba a Matenda a Khunyu: Zimene Osati Amaphunziro Akufunikira Kudziwa. E Suresh, MD MRCP. Journal ya Royal Society ya Mankhwala. September 2004.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1079582/