I-rheumatoid arthritis njengenye yembonakalo ye-rheumatism

Phakathi kwezifo zesisombululo ezixhamlayo ezinesigxina sokuvuvukala, i-rheumatism ixhaphake kakhulu. I-rheumatoid arthritis ngenye yezibonakaliso zayo ezibonakalayo. I-arthritis ngokudibanisa nekhadiyiti yimiqondiso ebalulekileyo ye-rheumatism.

Izizathu zesifo kunye noshintsho lwezifo olwenzeka emzimbeni

Isizathu esibalulekileyo sesi sifo yi- beta-hemolytic streptococcus kwiqela A. Kukho idatha malunga nemiphumo yegciwane. Kodwa emva koko, abaninzi abantu banezifo zentsholongwane kunye nezifo ezithathelwanayo, kwaye azivelisi izifo zesistim. Ngoko ke, kunokugqitywa ukuba i-rheumatism kunye ne-rheumatoid arthritis nayo ivela kunye nempembelelo kwezinye izinto. Impembelelo yelifa liye labonakaliswa, sekude kuphawulwe ukuba kwezinye iintsapho iintsholongwane zenkqubo zivela rhoqo. Akukho xabiso lokugqibela linikezelwa ukungaphumeleli ekukhuselweni. Ama-anti-infectious agents, antigens okanye iintsholongwane zikhokelela ekubonakaleni kwe-immune inflammation entliziyweni, ngoko-ke i-autoantigens ibonakala kwaye inkqubo yokuzimela iyasebenza .

Ukuphendula ngendlela yokuvuvukala emzimbeni kubangela utshintsho kwizicubu ezinxibelelwano. Zenzeka kwiinqanaba eziliqela, ngokuqala ukukhukhumeza kwe-mucoid, okubangelwa ukulibaziseka kwamanzi e-mucopolysaccharides, kunye nokuphela kwe-necrosis ye-fibrinoid. Kukho ukuqokelela kwe-hyaluronic acid kunye ne-chondroetin sulfate. Ukongezelela, ukugcinwa kwe-fibrinoid kwizinto eziphambili kunye neendonga zayo zethambo. Isigaba esilandelayo kukusasazeka kweeseli, eziyi-fibroblast, iiseli ze-plasma, njl. Isigaba sokugqibela sisiteji seenguqulelo ze-sclerotic.

Ixesha le- rheumatoid arthritis likhula nini? Iimpawu zesifo

Icala leklasi kukuphuhliswa kwesi sifo kungekudala emva kwesifo somqala (malunga nenyanga). Ukuba i-rheumatoid arthritis ayihlaseli okokuqala, ke eli xesha lifutshane. Kukho imeko xa i-arthritis ibonakala ngokukhawuleza emva kwe-hypothermia okanye kwizigaba zokuqala zesifo esithathelwanayo. Ukukhushulwa kungacatshulwa ezinye izifo, ukusebenza ngokugqithiseleyo, ukunyanzelisa umzimba, kunye nokunye.

Ubonakaliso obuninzi besifo sesi sifo kukhangeleka kakhulu, kufumaneka ukuvuvukala kwamalungu amaninzi. Olu tshintsho luya kubuyiselwa. Ukubonakala kokuvuvukala kwamalungu kudibene nekhadi eliqinileyo. Esi sifo siqala ngokucacileyo. I-phenomena ye-polyarthritis iqhubela phambili ngokukhawuleza, ihamba kunye neqondo lokushisa, yandisa ukujuluka. I-Chills, njengomthetho, ayigcinwanga.

I-rheumatoid arthritis ibonakalisa intlungu enzima kumalungu, ekhuliswayo nangeminyango encinane. Ukuxhamla okudibeneyo okuxubileyo, isixa esikhulu sophumlo sivela kuso. Isikhumba esikuyo ndawo kule ndawo i-hypermic, ishushu kwi-touch. Ukuhamba ngokubambiseneyo kusemandleni. Ngokuqhelekileyo, lesi sifo sichaphazela amanyathelo ahlukeneyo. I-rheumatoid arthritis ibizwa ngokuba "yinyanzeliso" ngenxa yokuqala kwayo ngokukhawuleza kwamanye amanqanaba kunye nokuxhaswa ngokukhawuleza ngokukhawuleza kwentlungu kwabanye. Emva kweveki ezimbini ukuya kwezine, intlungu iyadlula, nokuba ingaba ayiphathwa. Amayeza anamhlanje, aphethe izidakamizwa zanamhlanje, aphelise intlungu ebonakalayo kwiintsuku zokuqala. I-rheumatism ebonakalayo ibonakaliswe yi-syndrome ehlangeneyo kwiimeko ezininzi.

Diagnostics

Ukubambisana kwesi sifo kunye ne-angina yakutshanje kunye nemiboniso yeklasi ye-rheumatoid arthritis ayibangeli ubunzima bokuxilongwa. Ngokukodwa ukuba akusilo ukuhlaselwa kokuqala. Ekuhlolweni kwegazi, unokubona i-leukocytosis ye-neutrophilic neutrophilic. Iintsholongwane ze-anti-streptococcal antibodies zanda. Iprotheni esebenzayo e-C ibonakala egazini, i- ESR eyengeziwe kunye ne-fibrinogen.

Unyango

Ukuba i- rheumatoid arthritis ifunyanwe , unyango lwenziwa kwiprogram yokwelapha okanye yeprogram ye-rheumatological yesibhedlele. Kubalulekile ukukhusela isiguli ukusuka ekuziphatheni komzimba nokuthobela ukuphumla kombhede. Nika izidakamizwa ze-hormonal (prednisolone), iziyobisi ezingekho ze-hormonal ezingezona-steroidal. Umyinge ukhethwa ngugqirha ngokuqwalasela iimpawu zomntu ngamnye kunye nomsebenzi wenkqubo. Ulwaphulo lwe-antibacterial ye-penicillin uchungechunge, apho i-streptococcus iyanqabile, imiselwe. Ulwaphulo lwe-Symptomatic, i-physiotherapy yezihlanganisi ezichaphazelekayo, kunye nokunyango kwindlu yokuhlaliswa kwezilwanyana.

Ukuthintela kwesi sifo kuncitshiswa ukuba kuhlolwe rhoqo kwaye unyango lwentsholongwane engapheliyo.