Ma Virusi Ena Amatha Kupangitsa Arthralgia kapena Arthritis
Matenda a chiwindi ndi amthempha omwe amayamba chifukwa cha matenda a tizilombo. Malingana ndi Clinical Medicine , pafupifupi 1 peresenti ya matenda onse a nyamakazi amawoneka ndi tizilombo toyambitsa matenda. Mavairasi ambiri atchulidwa kuti ndi omwe amayambitsa matenda a tizilombo. Kwa omwe ali ndi vuto loyamba la polyarthritis , vuto la tizilombo liyenera kuganiziridwa.
Tizilombo toyambitsa matenda sitikhulupirira kuti timayambitsa matenda a nyamakazi , omwe amachititsa kutupa nyamakazi , monga nyamakazi ya nyamakazi . Koma mavairasi akhoza kuyamba zizindikiro za zizindikiro mwa njira zosiyanasiyana.
Mmene Virin Arthritis Amakhalira
Mavairasi amatha kulowa mwachindunji chomwe chimayambitsa matenda a synovium kapena zida zozungulira. Tizilombo toyambitsa matenda tizilombo toyambitsa matenda (anti virions kapena antigen antigens) zingakhale ngati antigen m'thupi lomwe limakhala ndi matenda a tizilombo. Zikatero, maseŵera a chitetezo cha mthupi angapangidwe m'magulu. Njira ina yochitapo kanthu imaphatikizapo matenda opatsirana opatsirana omwe amachititsa kuti matenda a chitetezo cha m'thupi asamayende bwino.
Zizindikiro za Viral Arthritis
Zizindikiro zomwe zimagwirizanitsidwa ndi matenda a nyamakazi zimaphatikizapo kutengapo mbali kotchedwa arthralgia (kupweteka pamodzi) kapena nyamakazi (yotupa) yomwe imatsanzira matenda opatsirana , omwe nthawi zambiri amakhala ndi chiphuphu.
Zizindikiro za mgwirizano zimatha kutsogolo kapena kugwirizana ndi zizindikiro za matenda a tizilombo.
Kawirikawiri, kugwirizanitsa pamodzi komwe kumagwirizanitsidwa ndi nyamakazi yamatenda kumakhala:
- khalani mwadzidzidzi
- khalani ndi nthawi yochepa (mwachitsanzo, sichikupitirira)
- musabwererenso
Komabe, matenda ena a tizilombo amapitirira kapena kubwereranso. Ngakhale zili choncho, nyamakazi ya majeremusi kawirikawiri sichimayambitsa matenda a nyamakazi omwe amatha kuwonongeka-kupatulapo chikungunya .
Kuzindikira kwa Viral Arthritis
Kuzindikira matenda a nyamakazi kungakhale kovuta kwambiri chifukwa palibe chizindikiro chimodzi chokha cha zizindikiro zomwe zingaganizidwe ngati zowoneka. Zizindikiro zomwe zimakhalapo-malungo, kuthamanga, ndi kupweteka pamodzi-zimakhalanso zofala ku matenda ena ambiri. Popeza matenda a nyamakazi angayambitse zizindikiro za matenda a tizilombo, izo zimaphatikizapo njira yothandizira.
Kuyeza kwa serologic ndiyo njira yabwino kwambiri yothetsera matenda a tizilombo pamene tizilombo toyambitsa matenda timaganiziridwa-kapena kutsegula chifukwa cha nyamakazi kapena arthralgia yosadziwika kuchokera pachiyambi. Ngati tizilombo toyambitsa tizilombo timakayikira, serology iyenera kuchitidwa mobwerezabwereza masabata awiri kapena atatu.
- Kuyankha kwachilombo koopsa kwa IgM kutsatiridwa ndi majeremusi a IgG motsutsana ndi kachilombo kamene kamatsimikizira kuti zimayambitsa matendawa.
- Kuwonjezeka (nthawi zinayi kapena kuposerapo) mu nthawi ya IgG kumagwirizanitsidwa ndi matenda omwe posachedwapa amachititsa kuti magazi ayambe kuchedwa kuti azindikire IgM, Ichi chingakhalenso chizindikiro cha kubwezeretsedwa kapena kubwereza.
- Maseŵera olimbitsa thupi a IgG sagwirizana ndi matenda a vutolo. Zitha kukhala zizindikiro za matenda a tizilombo akale omwe sagwirizana ndi matenda a nyamakazi omwe adayambanso.
Mayesero a magazi amauzidwa kawirikawiri poyesera kuthetsa zifukwa zina zomwe zingayambitse zizindikiro za mgwirizano.
Mwachitsanzo, chifuwa chachikulu cha mankhwala , anti-CCP , sed sed , ndi CRP chikhoza kulamulidwa.
Ma Virusi Omwe Amagwirizanitsidwa ndi Viral Arthritis
Mavairasi ambiri omwe amathandizidwa ndi arthralgia kapena nyamakazi amapezeka:
- Parvovirus - zizindikiro zovomerezeka zimapezeka 60 peresenti ya anthu akuluakulu odwala
- Hepatitis B - 10 mpaka 25 peresenti imakhala ndi nyamakazi
- Hepatitis C - 2 mpaka 20 peresenti imakhala ndi nyamakazi
- Rubella - vuto la nyamakazi ndi 30 peresenti ya akazi omwe ali ndi kachilomboka komanso 6 peresenti ya amuna
- Alphaviruses - mavairasi a RNA opangidwa ndi udzudzu omwe amapezeka kwambiri paulendo kupita kumadera ozungulira
- Vuto la Epstein-Barr - lofala kwa odwala omwe amagwiritsa ntchito mankhwala osokoneza bongo
Chifukwa cha kupezeka kwa katemera wathanzi (mwachitsanzo, mitsempha) kapena chitukuko cha mankhwala opatsirana pogonana (mwachitsanzo, kwa HIV), sichizoloŵera kwambiri kuona nyamakazi yokhudzana ndi mavairasi ena. Mavairasi ena omwe angathenso kukhala odwala nyamakazi, koma osachepera, amapezeka ndi Hepatitis E, anthu omwe ali ndi T-lymphotrophic virus-1, enterovirus, ndi virusi ya dengue.
Chikungunya kachilombo, alphavirus yomwe yachititsa matenda ku Africa ndi Asia makamaka, imafalikira ndi udzudzu wa Aedes. Kawirikawiri chikungunya imakhalapo kwa sabata imodzi, koma imagwirizanitsa ndi nyamakazi yomwe imapitirira kwa miyezi 36. Kawirikawiri nyamakazi yosiyana kwambiri ya chikungunya imakhudza zala, mikondo, mawondo, ndi mabotolo. Kubwezeretsa ndi kubwezeretsa zizindikiro kumachitika 60 mpaka 80 peresenti ya omwe akudwala, malinga ndi Clinical Medicine . Kuyamba kwa chikungunya zomwe zachitika ku Caribbean zikhoza kuonjezera kuchuluka kwa mtundu uwu wa nyamakazi yochokera ku mavairasi chifukwa ndi malo otentha kwa oyenda.
Chithandizo cha Viral Arthritis
Chithandizo cha nyamakazi yodwala matenda a tizilombo chimayang'ana pa chithandizo cha mankhwala, komanso kusunga ntchito yogwirizana. Mankhwala osokoneza bongo komanso antisteroidal anti-inflammatory (NSAIDs) angapangidwe. Corticosteroids kawirikawiri imapewa, makamaka popeza imatha kusokoneza kapena kuwononga kwambiri matendawa. Thandizo la thupi ndi chithandizo cha ntchito zingathandize kusunga ntchito yogwirizana. Tiyenera kukumbukira ngakhale kuti matenda ambiri a nyamakazi ndi omwe amadziletsa okha (mwachitsanzo, akukhazikitsa popanda mankhwala).
Mawu Ochokera
Ndibwino kuti mutenge zizindikiro zoyambirira kwa dokotala wanu kuti mudziwe bwinobwino. Ndikofunika kudziwa mtundu wa nyamakazi kuti ikhale yosamaliridwa bwino. Pankhani ya nyamakazi yodwala nyamakazi, DMARD (mankhwala osokoneza bongo) angayambidwe monga momwe nthawi zambiri zimakhalira ndi matenda a nyamakazi kapena mitundu ina yotupa ya nyamakazi. Mfundo yaikulu-dziwani zizindikiro zoyambirira ndipo funsani dokotala wanu.
> Zotsatira:
> Marks, M. ndi Marks, JL Viral Arthritis. Clinical Medicine. April 2016.
> Moore, Terry L. MD. Pathogenesis ndi Kuzindikira kwa Virat Arthritis. Zaposachedwa. Kusinthidwa pa 18 April, 2017.
> Moore, Terry L. MD ndi Syed, MD Reema. Ma Virusi Odziwika Omwe Amayambitsa Arthritis Kukwera. Kusinthidwa pa March 3, 2016.
> Vyas, Jatin M. MD, PhD et al. Viral Arthritis. MedlinePlus. Inakambirananso 12/10/2015.