Kuchiza Zolinga Kutentha Kophatikizidwa ndi Synovitis
Synovitis ndilo lingaliro lachipatala chifukwa cha kutupa kwa chigawo cha mgwirizano (mwachitsanzo, synovium) . Zizindikiro zogwirizana ndi synovitis zimaphatikizapo kupweteka pamodzi, kupumphura pamodzi, kufiira, ndi kutentha .
Anthu abwinobwino, chifukwa cha synovitis nthawi zambiri amagwiritsidwa ntchito mopitirira muyeso. Synovitis nayenso ndi chizindikiro chachikulu cha mitundu yambiri ya kutupa nyamakazi . Ndi nyamakazi yotupa, zizindikiro za synovitis nthawi zambiri zimawoneka panthawi yamafufuzidwe.
Synovitis yamagulu
Magulu otchedwa syclinic synovitis amatanthauzira ngati kutupa kwa chikhomo cha mgwirizano chomwe sichipezeka panthawi yamafufuzidwe. Magulu a synclinic synovitis amatha kupezeka pogwiritsa ntchito MRI (kujambula kwa maginito). Malinga ndi katswiri wa mafupa a zinyama, Scott J. Zashin, MD, "Pazochitika zanga monga rheumatologist, odwala okhala ndi subclinical synovitis ndi miyezo yowonongeka m'magazi, monga mtengo wambiri wa erythrocyte sedimentation kapena C-reactive protein (CRP), sitingathe kukhazikitsa kuwonongana kwa mgwirizano komwe kumawoneka pazing'onozing'ono x-ray, ngakhale sindikudziŵa maphunziro aliwonse ofalitsidwa pa nkhaniyi. "
Ngakhale kuti MRI ndi njira yopindulitsa kwambiri yophunzirira zofewa, zimakhala zodula komanso nthawi yambiri. Musculoskeletal ultrasound ikuthandizidwa ndipo yadziwika ngati yotchipa komanso yogwira ntchito monga MRI pozindikira synovitis.
Synovitis yogwira ntchito
Panthawi yomwe zizindikiro za synovitis zimawonekera kapena zimawonekera pamene akuyesa kupima thupi, pali kutupa kokhazikika kumene kumachitika kale pamodzi wokhudzidwa.
Synovitis yogwira ntchito ingayambitse kuwonongeka kosatha. Izi ndizofunikira kwambiri pamene synovitis ikudziwika komanso chifukwa chake matenda oyambitsa matenda a nyamakazi oyambirira amatsindika.
Synovitis siingangowonongeka ndi mgwirizano, koma ikhoza kumakhudza zozungulira, monga tendons . Gulu lowonongeka kwambiri likhoza kukhala lopunduka kapena losakanikirana palimodzi, kupanga mawonekedwe abwino ndi kugwira ntchito zovuta, ngati sizingatheke.
Symptomatic Synovitis
Synovitis ndi Rumumidem Arthritis
Pa masabata angapo oyamba a nyamakazi yodwala nyamakazi , nthawi zina pamakhala maselo oyera a mzungu kapena minofu yamtundu wambiri kusiyana ndi kuyembekezera ndi kutupa, koma chiwopsezo nthawi zambiri chimasonyeza mawonekedwe a ma selo omwe ali ndi matenda apamwamba. Anthu omwe ali ndi "nyamakazi yoyamba ya nyamakazi" angathe kukhala ndi matenda omwe amayamba kutsogolo kwa zizindikiro. Maantiantibodies (antibodies against the body's own tissues) amaganiziridwa kuti amapangidwa kwa anthu omwe ali ndi matenda a nyamakazi zaka zisanachitike. Izi zikutanthauza gawo loyambitsa matenda omwe angakhalepo chisanafike chizindikiro cha synovitis.
Synovitis ndi Monoarthritis
Nthawi ina synovitis imadziwika ngati chifukwa cha kupweteka kwa pamodzi, kutupa, kufiira, kapena kutentha, chifukwa cha kutupa kotsekedwa kumafunika kutsimikiziridwa. M'mawu ena, kodi matenda kapena chikhalidwe choyambirira chikugwirizana ndi kutupa kotani? Ngati munthu ali ndi monoarthritis (mwachitsanzo, zizindikiro za nyamakazi zomwe zimakhudza mgwirizano umodzi), cholinga chofunikira kwambiri pakuyezetsa thupi ndiko kukhazikitsa kukhalapo kapena kupezeka kwa mgwirizanowu kapena synovitis. Kukhalapo kwa synovitis kumachepetsa kusiyana kwa matenda omwe amachititsa kutupa kwa nyamakazi, nyamakazi yodwala matenda, ndi matenda a rheumatic.
Kumayambiriro koyambirira, nyamakazi ya nyamakazi ingayambe ngati monoarthritis. Pamene ikupitirira, nyamakazi ya nyamakazi imakhala yosiyana kwambiri ya polyarthritis, kutanthauza kuti ziwalo zambiri zimagwiridwa kumbali zonse ziwiri za thupi.
Kuchiza Symptomatic Synovitis
Ndi matenda oyenera, mankhwala oyenera angayambe. Mankhwala otsutsana ndi kutupa (nonsteroidal anti-inflammatory drugs (NSAIDs) amadziwika nthawi yomweyo kuti achepetse kutupa. Mu matenda a nyamakazi, mankhwala osokoneza bongo (DMARDs) ndi mankhwala osokoneza bongo amawonjezeredwa ngati mbali ya mankhwala ochizira matendawa kuti athetse vutoli.
> Chitsime:
> Kelley's Textbook of Rheumatology. Kusindikiza kwachisanu ndi chinayi. Elsevier. Etiology ndi Pathogenesis ya Matenda a Nyamakazi. Mutu 69.
> Synovitis. Chipatala cha Opaleshoni Yapadera.
> Helfgott, Simon M. MD. Chidule cha Monoarthritis mu Akuluakulu. Zaposachedwa. Yatsimikizidwanso Yachiwiri 2017.