I ka manawa hea ka pau ʻana o ka maʻi ʻāʻī i ka lolo, a hiki ke alakaʻi i ka make?

ʻO ka maʻi ʻo Rheumatoid kahi maʻi ʻeha mau e pili ana i nā hui o nā lima, nā wāwae, nā kuli, nā pūhaka a me nā poʻohiwi.

Inā hoʻomau kēia maʻi no ka manawa lōʻihi, hiki ke hōʻeha mau i nā tendons, ligaments a me cartilage, a me ka deformation o nā iwi a me nā hono.

ʻAʻohe kumu i ʻike ʻia o ka maʻi, akā he genetic paha ia, a pili paha i ke ʻano o ka hana ʻana o ka ʻōnaehana pale. No ka laʻana, ʻoi aku ka nui o ka poʻe e lawe ana i ka gene HLA-DR i ka maʻi ma mua o nā poʻe ʻē aʻe.

Nā hōʻailona o ka maʻi

ʻO ka maʻi Rheumatoid kahi maʻi holomua, hōʻailona e alakaʻi i ka pōʻino hui mau e ʻoi aku ka nui o ka manawa, a pēlā e alakaʻi ai i ka hoʻohaʻahaʻa a me ka hana. Ma waena o nā hōʻailona hōʻailona o ka rheumatoid arthritis; ʻO ka ʻoʻoleʻa hui, maʻamau i nā hola kakahiaka, ka pehu ami e pili ana i kekahi ami, akā ʻo ka hapa nui o nā hui liʻiliʻi o nā lima a me nā wāwae symmetrically, ka luhi, ke kuni, ke kaumaha a me ke kaumaha. Hoʻopili pū ʻia ka ʻāʻī ʻo Rheumatoid me kekahi mau maʻi koʻikoʻi ʻē aʻe, e like me ka pōʻino hui mau i hiki ke alakaʻi i ka hiki ʻole ke hana, a me ka piʻi nui ʻana o ka maʻi aʻa coronary a me ka maʻi. Hoʻopilikia ka maʻi maʻi Rheumatoid ma kahi o 1% o nā pākeke ma ka honua holoʻokoʻa.

ʻO ka nui o nā wāhine i loaʻa i ka maʻi he pālua ka nui o nā kāne. Hiki ke loaʻa kēia maʻi i kēlā me kēia makahiki, akā ʻo ka hapa pinepine ma waena o nā kanahā a me kanahiku.

No ka ʻike ʻana i ka maʻi, pono e hana ʻia kekahi mau hoʻokolohua, no ka mea he paʻakikī ke ʻike pololei ʻana, a ʻike ʻia kona mau hōʻailona me ka hala ʻana o ka manawa. Hoʻokumu pinepine ʻia ka hōʻailona ma luna o kekahi mau hōʻailona, ​​​​me ke ʻano o ka maʻi hui i hoʻopili ʻia a me nā hopena o nā X-ray a me nā hoʻāʻo kiʻi, e hōʻike ana i ka pōʻino hui a me kahi kiʻekiʻe o "kahi antibody i kapa ʻia ʻo rheumatoid factor i loko o ke koko" a me anti- kumu kumu CCP. ʻO ka hopena o ka hoʻokele waiwai o ka maʻi rumatika he hopena hoʻokele waiwai i kona poʻe maʻi, ʻoiai ke kiʻekiʻe o nā kumukūʻai kūʻokoʻa e hiki ʻole ai iā lākou ke hoʻokō i kā lākou mau hana i kēlā me kēia lā. Hōʻike nā haʻawina ma ʻEulopa ma waena o 20 a 30 ka nui o nā poʻe maʻi rheumatoid arthritis hiki ʻole ke hana i nā makahiki mua ʻekolu o ka maʻi. Ua hōʻike pū ʻia ka noiʻi ʻana he 66 ka nui o nā mea maʻi rheumatoid arthritis e nalowale i ka awelika o 39 mau lā hana i kēlā me kēia makahiki. Ma ʻEulopa, ua manaʻo ʻia he $21 nā kumukūʻai o ka 'hiki ʻole i ka hana' a me nā kumu kūʻai ʻole i ke kaiāulu he $70 i kēlā me kēia makahiki. ʻO ka hopena o ka hiki ʻole o ke kanaka ke hana a launa pū me ke kaiāulu hiki ke hoʻonui i ka pilikia o ke kaumaha a me ka hopohopo. Hoʻomaʻamaʻa mua Hiki ke hōʻeha koke ʻia ka pōʻino hui i ka wā mua o ka maʻi rheumatoid arthritis, a ʻike ʻia ka pōʻino hui ma XNUMX% o nā hoʻokolohua X-ray i nā maʻi i ka makahiki mua a me ka lua o ka maʻi. Hōʻike pū ka MRI i nā loli i ke ʻano o nā hui i hoʻohālikelike ʻia me nā mahina ʻelua ma hope o ka hoʻomaka ʻana o ka maʻi. No ka hikiwawe o ka poino hui i ka hoomaka ana o ka ma'i, aia paha he pono koke e hoomaka i ka lapaau maikai ma hope o ka ikeia ana, a ma mua o ka hiki ana mai o ka poino hui nui, e hiki ole ai ke ola mai ka ho'i i ka ma'i. kūlana ʻeha. Ua hoʻololi nui ʻia ka mālama ʻana i ka maʻi rumatika i nā makahiki he ʻumi i hala aku nei, no ka mea, ua neʻe ka mālama ʻana mai ke ʻano conservative e kuhikuhi ana i ka hoʻomalu ʻana i nā hōʻailona lapaʻau i kahi ʻano holomua i hoʻolālā ʻia e hōʻemi i ka pōʻino hui a me ke kīnā.

ʻO ka pahuhopu nui o ka mālama ʻana i ka maʻi rumatika, ʻo ia ka pale ʻana i ka ulu ʻana o ka maʻi, a i ʻole ka mea i ʻike ʻia ma kahi ʻano ʻē aʻe e like me ka hōʻemi ʻana i ka maʻi. ʻO ka mōʻaukala, ua mālama ʻia ka maʻi rheumatoid me nā lāʻau anti-inflammatory non-steroidal e like me ka ibuprofen a i ʻole nā ​​analgesics maʻalahi e hoʻomaha ai i ka ʻeha a me nā hōʻailona. Eia nō naʻe, ke hoʻololi ʻia nei kēia mau lāʻau lapaʻau e kēlā mau lāʻau anti-rheumatoid i hoʻololi ʻia i loaʻa ka hopena hoʻoponopono i ke kino a pale i ka pōʻino lōʻihi i ka hale hui. ʻO Biologics Ua hoʻomohala ʻia kahi ʻano lapaʻau hou i kapa ʻia ʻo biologics no ka mālama ʻana i ka maʻi o ka rumatika, i hana ʻia mai nā protein ola kanaka a me nā holoholona. ʻOiai he hopena koʻikoʻi kekahi mau lāʻau ʻē aʻe i ka ʻōnaehana pale, ua hoʻolālā ʻia nā biologics e kuhikuhi i nā mea waena i manaʻoʻiʻo ʻia e pili ana i ka hana inflammatory. A ke kāohi nei kekahi mau mea olaola i ka hana o nā protein kūlohelohe i loko o ke kino. Ua hōʻike nā hōʻike i nā lāʻau olaola e kaupalena i ka ulu ʻana o ka pōʻino hui, pale i ka maʻi mai ka piʻi ʻana o ka maʻi, a ʻae i nā mea maʻi e hōʻemi i ka paʻakikī o ka maʻi, e like me nā hopena o nā kukui X, i loiloi ʻia e nā radiographs a me nā hoʻokolokolo resonance magnetic. ʻO ka hoʻomaʻamaʻa mua ʻana ʻaʻole e hōʻemi wale i ka maʻi a i ʻole e hoʻōki i ka holomua o ka maʻi, akā hoʻomaikaʻi ia i ka maikaʻi o ke ola, a hoʻemi pū i nā kumukūʻai pili kanaka.