Kuphatikiza umodzi umodzi pa nthawi
Monoarthritis amatchulidwa ngati nyamakazi yokhala ndi mgwirizano umodzi panthawi. Pali zifukwa zingapo zomwe zimayambitsa monoarthritis kapena monoarticular nyamakazi monga momwe imatchulidwanso, kuphatikizapo matenda, zosautsa kwenikweni, kutsekemera kwa kristalo, kupwetekedwa mtima, kutsekemera, ndi maumunthu.
Kuyamba kwa monoarthritis kawirikawiri kumakhala koopsa ndi kutentha thupi, kupweteka pamodzi , ndi kutupa pamodzi.
Kufotokozera zizindikiro zotere kumafuna kuti munthu apeze matenda komanso kuti athe kuchipatala kuti asamawonongeke. Katswiriyu ayenera kugwiritsa ntchito mbiri yachipatala, kuyezetsa thupi, ma-ray, kuyezetsa magazi, ndi mayeso a synovial fluid kudziwa chomwe chimayambitsa zizindikiro za monoarticular. Ngakhale kuti monoarthritis nthawi zambiri imagwirizanitsidwa ndi matenda aakulu, imakhalanso chizindikiro choyamba cha zomwe zimayamba ku polyarthritis kapena matenda a nyamakazi. Zikhozanso kuyambitsa matenda osakanikirana, nthawi zina (mwachitsanzo, kuzungulira palimodzi), matenda a mafupa, kapena matenda ofewa .
Zizindikiro Zoyamba Zimapereka Mfundo Zofunika Kwambiri
Kukhumudwa, kupasuka, kapena thupi lotayirira kumaganiziridwa pamene monoarthritis imayamba mwadzidzidzi. Monoarthritis yomwe imafalikira pang'onopang'ono, pa masiku amodzi kapena awiri, nthawi zambiri imagwirizanitsidwa ndi kutupa, matenda, kapena crystal deposition. Ululu umene poyamba sudziwika koma umadutsitsa pang'onopang'ono kwa masiku mpaka masabata, ukhoza kukhala chifukwa cha matenda opatsirana kapena amadzimadzi, osteoarthritis , kapena chotupa.
Kawirikawiri, ngati pali kuuma kwa m'maŵa , komanso ululu wamphongo ndi kayendetsedwe ka kayendedwe ka nyamakazi, akuganiza kuti nyamakazi imakhala yotupa. Ululu umene umapezeka m'madera ozungulira nthawi zambiri umakhala wokhudzana ndi vuto lofewa. Ngati monoarthritis ndi yachilendo, nthawi zambiri imakhudzana ndi matenda omwe alipo kale.
Koma, monoarthritis isanayambe kukhala yachilendo, zifukwa za monoarthritis yovuta ziyenera kuganiziridwa ndi kuwonetsedwa kunja. Tiyeni tikambirane zitsanzo zochepa za mikhalidwe yomwe ingayambitse ululu woopsa kapena wosakanikirana, malinga ndi Kelley's Textbook of Rheumatology :
Matenda Omwe Amagwira Monoarthritis
- Nyamakazi ya Septic (gonococcal kapena non-gonococcal)
- Matenda a Crystal (gout, pseudogout )
- Matenda a nyamakazi
- Matenda a Lyme
- Chomera chitsamba chaminga
- Matenda ena
Zoopsa kapena Derang
- Kusokonezeka maganizo
- Thupi losauka
- Ischemic necrosis
- Hemarthrosis
Monoarthritis Yophatikizana Yophatikizidwa ndi Zotsatira za Polyarthritis
- Psoriatic nyamakazi
- Nyamakazi yotchedwa entopathic
- Matenda a nyamakazi
- Palindromic rheumatism
- Matenda a nyamakazi
Monoarthritis Yophatikizidwa ndi Matenda Osati Opunduka
- Osteoarthritis
- Makhalidwe a Charcot
- Matenda osungirako, monga Hemochromatosis (matenda a chitsulo)
Matenda a Synovial
- Kukhumudwa kwachisoni kumvetsa chisoni
- Sarcoidosis
- Amyloidosis
- Pigmented villonodular synovitis
- Lipoma arborescens
Masoarthritis Ovuta a Matenda Oopsa
- Mapulaneti lupus erythematosus
- Vasculitis
- Matenda a Behcet
- Bakiteriya endocarditis
- Kubwezeretsanso polychondritis
- Chiwopsezo chodziwika bwino cha Mediterranean
Monoarthritis Yambiri ya Matenda a Matenda
- Matenda a Paget
- Osteomyelitis
- Matenda a Metastatic
- Pulmonary hypertrophic osteoarthropathy
Kuyesa Kuzindikira
Mayesero a Magazi
Mayeso a magazi amatha kuzindikira zinthu zofunika kwambiri. Zokwiya, zotupa, kapena khungu la nyamakazi zambiri zimagwirizanitsidwa ndi mlingo wokwezeka wa sedimentation , CRP yapamwamba, ndi kuchuluka kwa magazi oyera. Kuphatikizika kwachilombo kawirikawiri kumayesedwa ndi mayeso a magazi omwe amayesa ntchito ya impso, chiwindi, fupa, ndi minofu. Matenda a chifuwa chachikulu , anti-CCP , mayeso a antitinuclear antibody , protein electrophoresis, serme matenda opatsirana matenda a Lyme, komanso kufala kwa mayesero ena a magazi, angapereke zotsatira zomwe zimathandiza kuti adziwe matendawa.
Zojambula Zoganizira
Mbalame zowonongeka zimatha kuwonetsa kukhalapo kwa minofu yofewa, kutukuka m'matumbo, kupasuka, matupi, matupi a mafupa, komanso umboni wa chiwonongeko.
Mapepala a CT akhoza kulamulidwa pamene pakufunika zambiri. MRI ndi njira yabwino kwambiri yojambula ngati matenda akuwoneka bwino. MRI imatha kuyesa kuchuluka kwa kutupa ndi kuwonongeka kwa mgwirizano, ngakhale kutaya thupi. Kujambula zithunzi ndi fupa la fupa ndizomwe mungasankhe. Komanso, ultrasound ndi njira yowonongeka yojambula imagwiritsidwa ntchito kuchipatala kuti ipeze minofu yofewa ndi nyamakazi.
Synovial Fluid Analysis
Kuyesedwa kwa madzi a synovial kumayesedwa kuti ndiwothandiza kwambiri poyesa msoarthritis wovuta. Synovial madzi amafufuzidwa chifukwa cha mtundu wake ndi digiri ya kutaya. Nambala yoyera ya magazi imatsimikiziranso kusiyanitsa pakati pa kutupa ndi zosapsa. Chiwerengero cha maselo oyera a m'magazi omwe amaposa 2,000 WBC / mm3 kawirikawiri amagwirizanitsidwa ndi chifuwa chachikulu. Madzi a Synovial ndi chiwerengero cha maselo oyera a m'magazi omwe ali osachepera 2,000 WBC / mm3 kawirikawiri sali otupa.
Madzi a synovial ayenera kukulirakulira ndi matope a gram omwe amayenera kuyang'ana kukhalapo kwa mabakiteriya mosavuta. Mafuta a Uric acid kapena CPPD akhoza kuwonedwa, ngati alipo, pogwiritsa ntchito microscopy kuwala. Synovial madzimadzi akhoza kuyesedwa kwa shuga, mapuloteni, ndi lactic dehydrogenase.
Zotsatira:
Monoarthritis. Max Field. Kelley's Textbook ya Rheumatology. Kusindikiza kwachisanu ndi chinayi. Tsamba 577.
Kuzindikira Monoarthritis Yambiri mwa Achikulire: Njira Yothandiza kwa Dokotala wa Banja. American Family Physician. Siva et al. July 2003.
http://www.aafp.org/afp/2003/0701/p83.html