Chifukwa chiyani Arthritis Ali ndi Zambiri Zinayi Ndizochita
Polyarthritis (yemwenso imatchedwa nyamakazi yamatenda) imatchedwa nyamakazi imene imakhudza ziwalo zisanu kapena zingapo panthaŵi imodzimodziyo. Polyarthritis nthawi zambiri imagwirizanitsidwa ndi matenda omwe amadzimadzimadzimadzimodzi ndipo amaonedwa kuti ndi opweteka kwambiri chifukwa zimakhala zopitilira kumalo ena.
Zimayambitsa
Polyarthritis kawirikawiri imayambitsidwa ndi matenda omwe amachititsa kuti chitetezo cha munthu chiteteze chitetezo chake ndi maselo ake.
Zomwe zimayambitsa matenda osadziwika bwino sizimveka bwino koma zimakhulupirira kuti zimakhudzana kwambiri ndi majini, chilengedwe, ndi chiwonongeko ku chirichonse kuchokera ku maizoni mpaka poizoni.
Chifukwa chakuti matenda omwe amadzimadzimadzi amadzimadzi amayamba kuchititsa kuti thupi liziyankhidwa, ziwalozi zimagwiritsidwa ntchito mosiyana monga momwe zimakhalira ndi matenda a osteoarthritis (aka "nyamakazi").
Matenda omwe amadziwika nawo kwambiri omwe amagwirizanitsidwa ndi polyarthritis ndi awa:
Polyarthritis ikhozanso kuyambitsa matenda ena omwe amatchedwa alphaviral, kuphatikizapo chikungunya kachilombo komanso Mayaro .
Ngakhale kuti timakonda kugonana ndi darthritis ndi matenda opitirira, osatembenuzidwanso, imatha kuchitika ngati matenda oopsa monga rheumatic fever momwe kutupa kungakhale kosakhalitsa ndi kusuntha pakati pa ziwalo zingapo.
Kudziwa
Ngakhale kuti nyamakazi yambiri imagwirizanitsa ndi matenda omwe amadzimva okha, mawuwo enieniwo amangosonyeza chiwerengero cha ziwalo zomwe zikukhudzidwa ndipo palibe china. Momwemo, angagwiritsidwe ntchito kufotokoza chiwerengero chilichonse chokhazikika, chokhalitsa kapena chosakhalitsa, chomwe chimakhalapo ndi ziwalo zinayi.
Pofuna kuthetsa izi, dokotala adzayamba kufufuza poyang'ana pazifukwa ziwiri zomwe zimayambitsa nyamakazi: nyamakazi yamatenda (RA) ndi osteoarthritis (OA).
Pali zizindikiro zingapo zomwe zingathandize kusiyanitsa pakati pa zikhalidwe:
- Ndi OA, zizindikirozo zimayambira kumbali imodzi ya thupi ndi kufalikira kwa chimzake. Ndi RA, chizindikirochi chingapangidwe mosavuta kumbali zonse ziwiri.
- Ndi OA, zizindikiro zimayambira ndi umodzi umodzi ndi kufalitsa kunja kuti ziphatikize ziwalo zina zapafupi. Ndi RA, zizindikiro zimatha kukhala pamagulu ang'onoang'ono kapena akuluakulu opanda mawonekedwe.
- Zizindikiro za OA zimayamba kukula pang'onopang'ono. RA akhoza kugunda mofulumira.
- OA nthawi zambiri sichidzakhala ndi zizindikiro za thupi (thupi lonse). RA nthawi zambiri amatsagana ndi kutopa kosalekeza komanso kumverera kosauka.
- Ndi OA, ziwalozo zimatha kupweteka komanso zimakhala zokoma koma zimakhala zochepa. Ndi RA, ziwalozo zidzakhala zowawa, zotupa, ndi zolimba.
Malinga ndi chifukwa chimene akuganiza, X-rays, ultrasound, mayesero a magazi, komanso kusanthula madzi amodzi (omwe amadziwika kuti arthrocentesis ) akhoza kulamulidwa.
Kwa RA mwachindunji, mayeso awiri a magazi omwe amadziwika kuti matenda a chifuwa chachikulu komanso mankhwala oletsa anti-cyclic citrullinated anti-CCP (anti-CCP) akhoza kuthandizira kutsimikizira.
Mosiyana, palibe mayeso a magazi kutsimikizira OS. Matendawa ali pamaziko a kuyezetsa thupi, kuyesa zojambula, ndi kuyesa magazi ndi madzi ophatikizana kuti athetse RA ndi zifukwa zina zonse.
> Zotsatira:
> Ledingham, J. "Kusanthula ndi kuyang'anira mwamsanga matenda a kutupa nyamakazi." BMJ. 2017; 358: j3248. DOI: 10.1136 / bmj / j3248.
> Pujalte, G. ndi Albano-Aluquin, S. "Kusanthula Kwambiri kwa Matenda a Arthritis." Am Phys Physician. 2015; 92 (1): 35-41.