Kuzindikira Arthritis

Matenda a Arthritis

Kuzindikira nyamakazi kungakhale kosokoneza komanso kovuta. Ndi mitundu yoposa 100 ya nyamakazi ndi matenda a rheumatic , zizindikiro-makamaka zizindikiro zoyambirira -zimatha kuwonjezereka, zimapangitsa kuti zikhale zovuta kusiyanitsa pakati pa mitundu yosiyanasiyana. Monga gawo la njira yothandizira, dokotala wanu ayang'ana zizindikiro, zizindikiro, ndi matenda. Dokotala wanu adzakambiranso mbiri yanu ya zamankhwala, kuunika kwa thupi, kuyesa magazi, ndi kufufuza zojambulapo pamene akuletsa matenda ndi zochitika zina-ndipo pamapeto pake amalamulira pamapeto pake.

Kufufuza bwino ndi kofunika kuti pakhale ndondomeko yoyenera ya chithandizo. Kulipeza bwino n'kofunika.

Mbiri ya Zamankhwala ndi Zizindikiro Zamakono

Mbiri yanu yachipatala imalumikizanitsa zokhudzana ndi zochitika zachipatala zakale ndi matenda anu omwe akudwala. Kuti mupeze mbiri yanu ya zamankhwala, mwinamwake mudzafunsidwa kuti mudzaze mafunso olembedwa pa nthawi yanu yoyamba, ngati simunayambe kusankhidwa.

• Kodi Mumachita Chiyani Ngati Mukuganiza Kuti Mukhoza Kukhala ndi Matenda a Nyamakazi?

• Kuzindikira Kwambiri Matenda a Arthritis Ndikofunikira kuti Tipewe Matenda

Muyenera kukhala wokonzeka kupereka mbiri yanu yachipatala pokonzekera pasadakhale mfundo zotsatirazi: mndandanda wa mankhwala wamakono, mndandanda wa zowawa, mndandanda wa zochitika zonse zachipatala zomwe zikuchitiridwa, mankhwala omwe munapatsidwa kale, Dzina la dokotala wanu wamkulu ndi akatswiri ena, pamodzi ndi mauthenga awo.

Ngati mumasunga diary ya zizindikiro, zidzakhala zosavuta kubwezeretsanso mbiri yanu yachipatala ndikusunga zochitika zenizeni zokhudza matenda anu ndi kusintha pamene zikuchitika. Ndizolemba, mumakonda kupereka dokotala chithunzi chabwino cha zizindikiro zomwe mukukumana nazo.

Ngati mulibe diary ya chizindikiro, sikuchedwa kwambiri kuyamba. Kupita patsogolo, zidzakuthandizira kupitiriza chisamaliro. Musadalire kukumbukira kwanu kuti muzitsatira ndondomeko, makamaka ngati zikuchitika kwa miyezi ingapo kuti mupite pakati pa dokotala.

Kusanthula thupi

Pomwe mukuyamba kufunsa, dokotala wanu adzifufuza kuti ayang'ane zizindikiro zomwe zimayambitsa matenda a nyamakazi. Dokotala wanu adzafufuza:

• Kufiira / kutentha pambali palimodzi (ie, kuvuta )
• kuumitsa pamodzi kapena chifundo
• madzi ophatikiza kapena kutupa
• Mphuno kapena mitsempha (mwachitsanzo, mitsempha ya mafupa , zizindikiro za Heberden, nambala za Bouchard )
• ndondomeko ya ziwalo zogwira mtima (mwachitsanzo, zofanana kapena zochepa)
• zochepa zoyendayenda
• malungo
• kutopa

Mayesero a Laboratory

Pambuyo pa mbiri yachipatala ndi kuunika kwa thupi kwatha, dokotala wanu adzafuna zambiri. Mayeso a magazi angapereke chidziwitso chodziŵika bwino ndipo nthawi zambiri amatsimikizira zomwe adokotala akuganiza kuti ndizopezeka. Kuyezetsa magazi kumagwiritsidwanso ntchito poyang'anira matenda ndi ntchito yothandizira pakatha kukhazikitsidwa.

Pa ulendo wanu woyamba, dokotala wanu adzakonza zochepa za mayesowa, malinga ndi mbiri yanu ya zamankhwala ndi kafukufuku.

• Matenda a Chifuwa Choyambitsa Matenda - Chifuwa chachikulu chotchedwa Rheumatoid ndi anti anti-immunoglobulin yomwe ilipo pafupifupi 70 mpaka 80 peresenti ya anthu akuluakulu omwe ali ndi nyamakazi.

• Mlingo wa Erythrocyte Wowonongeka - Mlingo wa erythrocyte sedimentation (ESR), womwe umatchedwanso sedimentation mlingo kapena sedrate, ndi chizindikiro cha kukhalapo kwa kutukumula kosasangalatsa. Kutupa kosaneneka kumatanthauza kuti kutupa kulipo kwinakwake m'thupi, koma mayesero samadziwa chifukwa chake.

• Mapuloteni a C-reactive (CRP) - Puloteni wothandizidwa ndi C ndi mapuloteni omwe amapangidwa ndi chiwindi pambuyo povulala. Maseŵera a Plasma a CRP akukwera mofulumira pakapita nthawi kuphulika kapena matenda, poyesa kuti chiwonetserochi chikhale chisonyezero chokwanira cha matenda kusiyana ndi kukula kwa dothi komwe kumasintha pang'onopang'ono.

• Test anti-Cyclic Citrullinated Antibody Test Test (anti-CCP) - Anti-CCP ndi mayeso a magazi omwe amalamulidwa kawirikawiri ngati akuganiza kuti nyamakazi imayambitsa matenda a nyamakazi. Kuchuluka kwapadera kwa anti-CCP m'magazi kwenikweni kumatsimikizira kuti munthu ali ndi matenda a nyamakazi. Kuyesa anti-CCP ndizovuta kwambiri kusiyana ndi mayeso a chifuwa chachikulu. Muzochitika zamakono, mayesero a kachirombo ka HIV ndi anti-CCP ayenera kulamulidwa palimodzi.

• Antinuclear Antibodies (ANA) - Matenda a antiinuclear (ANA) ndi amadzimadzi otchedwa autoantibodies (immunoglobulins motsutsana ndi zida za nyukiliya za selo laumunthu). Chiyesocho chimachokera kuchinthu chosadziwika bwino chachangu. Zomwe zimakhala zotsutsana ndi antitinuclear anti-nucleus zimapangitsa kuti thupi likhale ndi matenda okhaokha . Zizindikiro zabwino za antitinuclear antibody zimapezeka m'magulu oposa 95 peresenti ya odwala a systemic lupus erythematosus, 60 mpaka 80 peresenti ya odwala scleroderma , 40 mpaka 70 peresenti ya odwala omwe ali ndi matenda a Sjogren , ndipo 30 mpaka 50 peresenti ya odwala nyamakazi ya nyamakazi , pakati pawo.

• Kuwerengera kwa Magazi Okwanira - Kuwerengera kwathunthu kwa magazi kumapanga WBC (kuchuluka kwa maselo oyera a magazi), RBC (red blood cell count), hemoglobin, hematocrit, ziwerengero zingapo za maselo ofiira a magazi, ndi chiwerengero cha platelet. Selo loyera la magazi loyera limasonyeza kuti n'zotheka kukhala ndi kachilombo ka HIV. Odwala omwe amatenga corticosteroids akhoza kukhala ndi WBC yokwera chifukwa cha mankhwala. Kutupa kosatha kungayambitse kuchepetsa maselo ofiira a magazi. Mankhwala otchedwa hemoglobin ndi hematocrit angasonyeze kuti akudwala magazi odwala matenda osapatsirana kapena omwe angathenso kutuluka magazi chifukwa cha mankhwala. Chiwerengero cha platelet nthawi zambiri chimakhala chachikulu m'magulu a nyamakazi, pamene mankhwala ena amphamvu amachititsa kuti mapuloteni akhale otsika.

• Kusanthula Zamadzimadzi Zowonongeka Kungakhale Chitsanzo Choyesera Chakumvetsa

• Kuyezetsa Magazi a CRP Kawirikawiri Amalamulidwa Pamene Arthritis Akudandaula

• Matenda a HLA - Mankhwala a Leukocyte (HLA) ndi mapuloteni pamwamba pa maselo. Mapuloteni enieni a HLA ali ndi zizindikiro za majeremusi pa matenda ena a rheumatic. Kuyesera kungathe kudziwa ngati ena opanga majini alipo. HLA-B27 yakhala ikugwirizana ndi ankylosing spondylitis ndi zina spondyloarthropathies . Matenda a nyamakazi amatenga HLA-DR4.

• Mafuta a Uric - Maseŵera apamwamba a uric acid m'magazi (omwe amadziwika kuti hyperuricemia ) amachititsa kuti makina apangidwe omwe amaikidwa m'magulu ndi ziphuphu. Kuchokera kwa uric acid crystals kungayambitse kupweteka kwa gout. Uric acid ndi mankhwala otsiriza a purine metabolism kwa anthu.

Kwa mitundu yambiri ya matenda a rheumatic, ziwalo zina za ziwalo zina zingapereke zambiri zofunika zogonana. Komanso, kufufuza kwa madzimadzi kumathandiza dokotala kudziwa zambiri za thanzi la munthu.

Kujambula Zamankhwala

Maphunziro ojambula amagwiritsidwanso ntchito kuti athandizidwe. Dokotala wanu akhoza kulamula ma radi-ray (radiographs), omwe amapereka zithunzi za mafupa ndi ziwalo zanu. X-rays akhoza kuwulula zolakwika ndi zolakwika za mafupa ndi ziwalo. X-rays samawonetsa mtembo, minofu, ndi mitsempha, komabe.

Mapulogalamu a MRIs, kapena Magnetic Resonance Imagings, amachititsa zithunzi zosiyana siyana za thupi lanu pogwiritsa ntchito maginito ndi mafunde a wailesi. Zambiri zokhudza mafupa, ziwalo, ndi zofewa zimaperekedwa ndi zithunzi za MRI. Kusintha kwakukulu kwa thupi kumatha kupezeka pogwiritsira ntchito MRI.

Mawu Ochokera

Chizindikiro chimodzi kapena chotsatira chimodzi choyesa sichikwanira kupeza mtundu wina wa nyamakazi kapena matenda a rheumatic. Zizindikiro zina zamakono ndi mayesero amagwirizanitsidwa kuti athetse matenda ena ndi kulamulira mwachindunji. Zingakuwone ngati njira yovuta pamene mukufuna mayankho ofulumira. Kuleza mtima kwanu kumafunika ngati dokotala akuyika pamodzi zidutswazo.

Kuzipangitsa kuti zikhale zovuta kwambiri ndizotheka kukhala ndi matenda oposa a rheumatic nthawi yomweyo. Taganizirani mndandanda wa matenda odwala matenda a nyamakazi 11 omwe amatsanzira nyamakazi ya nyamakazi monga chitsanzo cha zovuta zomwe zimagwirizana ndi matenda a nyamakazi. Kodi muli ndi matenda amodzi a rheumatic? Kodi muli ndi matenda oposa a rheumatic? Kodi muli ndi zizindikiro zowonongeka zomwe zimapangitsa kuti muzindikire?

Mosakayikitsa, pamene mukudutsa njira yothandizira, mudzakhala ndi mawu osadziwika azachipatala omwe mumagwiritsidwa ntchito. Tikadzipereka, tidzakuthandizani kumvetsetsa mawuwa komanso ndondomeko yoyendetsera matenda anu. Ngakhale zili choncho, matendawa ndi malo oyamba ophunzirira kusamalira matenda anu. Timapereka chidziwitso pazinthu zotsatirazi, monga kumvetsetsa mtundu wa matenda a nyamakazi , kumvetsa mmene mungapezere matenda a nyamakazi , kuyamwitsa ululu wa nyamakazi , kuwongolera umoyo wanu , ndi zina zambiri.

_Zotsatira:

_{Matenda a Arthritis. Health Encyclopedia. University of Rochester Medical Center. Yofotokozedwa ndi Hanrahan ndi Horowitz.}

_{Matenda a Arthritis. Arthritis Foundation.}

_{Kelley's Textbook ya Rheumatology. Kusindikiza kwachisanu ndi chinayi. Elsevier.}