Kusokoneza Chisokonezo Chonchi
Polyarthritis, nyamakazi yotupa, ndi nyamakazi ya nyamakazi ndi chitsanzo cha mankhwala osokoneza bongo. Mawuwa amagwiritsidwa ntchito mosasinthasintha, koma kodi ndi ofanana kwenikweni kapena kodi amatchula mitundu itatu ya nyamakazi? Tiyeni tiganizire aliyense payekha kuti muthe kumvetsetsa momwe mawuwa akugwirizanirana ndi zomwe akutanthauza pamene muwawona pazokambirana za nyamakazi.
Polyarthritis
Polyarthritis amatanthauza nyamakazi imene imakhudza ziwalo zoposa zinayi. Polyarthritis nthawi zambiri amachititsa polyarthralgia, yomwe imatchedwa kupweteka m'magulu angapo. Choncho, polyarthritis imalongosola njira yodziphatikizira pamodzi, koma si mtundu wodwala wa nyamakazi. Matenda a nyamakazi amatha kutchulidwa ngati mtundu wa polyarthritis pamene pali ziwalo zinayi kapena zingapo. Mavuto ena omwe angapangitse nyamakazi ndi a psoriatic nyamakazi , amyloidosis , lupus , scleroderma , matenda a mwana wodwalayo, matenda a alphaviral. Kungakhalenso chizindikiro chotha msanga ngati mbali ya matenda aakulu monga rheumatic fever .
Kutupa kwa Arthritis
Nyamakazi yotupa imakhudza ziwalo zingapo thupi lonse panthawi yomweyo. Zimayambitsidwa ndi matenda omwe amachititsa kuti thupi lawo lisagwire ntchito kwambiri. Zotsatirazi zimapangitsa kutupa limodzi.
Matenda a nyamakazi chifukwa cha kutupa nthawi zambiri amagwirizanitsidwa ndi ululu wamphwa ndi kuuma, makamaka panthawi yopumula kapena kusachita, monga kuuma kwa m'mawa . Pakhoza kukhala kutupa, kufiira, ndi kutentha kuzungulira ziwalo zomwe zakhudzidwa.
Matenda a kutupa nyamakazi angathenso kugwirizanitsidwa ndi njira zowonongeka .
Matenda a nyamakazi, nyamakazi ya psoriatic , ndi ankylosing spondylitis ndi mitundu ya kutupa nyamakazi. Mwachidule, ilo limatanthawuza mitundu ya nyamakazi yomwe imakhudzana ndi kutupa ndi synovitis yogwira ntchito.
Cholinga cha chithandizo cha kutupa kwa nyamakazi ndiko kubweretsa kutupa pansi ndikuletsa kutayika kosatha. Njira yothandizira matenda opatsirana a nyamakazi yasintha kwambiri kuti ikhale yaukali kusiyana ndi zaka ziwiri kapena zitatu zapitazo. Mankhwala odana ndi nthendayi (DMARD) ndi mankhwala osokoneza bongo tsopano ali mbali ya mankhwala opatsirana a kutupa nyamakazi. Methotrexate ndi DMARD yomwe imatchulidwa kawirikawiri, ndipo ingagwiritsidwe ntchito pamodzi ndi zina za DMARD (mwachitsanzo, mankhwala atatu ) kapena mankhwala osokoneza bongo. Mankhwala a TNF , amodzi mwa mitundu ya mankhwala osokoneza bongo, amachepetsa kwambiri kutupa kosaneneka kwa anthu omwe ali ndi matenda a nyamakazi, kuchepetsa kufa, komanso kuchepetsa ngozi za zochitika za mtima.
Chifuwa chachikulu cha nyamakazi
Matenda a kutupa nyamakazi ndi matenda enaake ndipo ndi mtundu wa kutupa polyarthritis, choncho zonse zitatuzi zimagwiritsidwa ntchito. Matenda a kutupa nyamakazi ndi matenda omwe amachititsa kuti thupi likhale lofanana, ndipo limakhudza mbali imodzi kumbali zonse ziwiri za thupi.
Matenda a nyamakazi angathenso kugwirizanitsidwa ndi systemic zotsatira. Matenda oyambirira ndi oopsa a nyamakazi ya nyamakazi ingathandize kupewa kuwonongeka pamodzi ndi kutupa.
Zolumikizana Koma Osagwirizana Maganizo Ofanana
Mawu ofanana ndi ofanana ndi ofunika. Malingana ndi tanthawuzo limeneli, nyamakazi, kutupa nyamakazi, ndi nyamakazi ya nyamakazi sizinagwirizane-koma zimakhala zogwirizana ndithu. Mawu atatu onsewa angagwiritsidwe ntchito pofotokozera zizindikiro za nyamakazi.
> Zotsatira:
> Kutupa kwa Arthritis. Chipatala cha Opaleshoni Yapadera. https://www.hss.edu/condition-list_inflammatory-arthritis.asp.
> Klippel JH. Choyamba pa Rheumatic Diseases . New York, NY: Springer; 2008.
> Kudzala K, Kapepala A. Mankhwala Ochiritsira a Mwayi pa Chifuwa cha Nyamakazi: Kodi Zidzakhala Zovuta Kwambiri? Annals wa Rheumatic Diseases . 2015; 74 (5): 793-794. lembani: 10.1136 / annrheumdis-2014-206993.