Ndirini apo arthritis inoguma mukuoma mitezo, uye inogona kutungamirira kurufu?

Rheumatoid arthritis chirwere chisingaperi chinowanzobata majoini emaoko, tsoka, mabvi, mahudyu nemapfudzi.Chirwere ichi chinokanganisa majoini akaiswa ne synovial membrane.

Kana chirwere ichi chikaramba chiripo kwenguva yakareba, chinogona kukonzera kukanganisa zvachose kune tendon, ligaments uye cartilage, uye deformation yemapfupa nemajoini.

Hapana zvinozivikanwa zvikonzero zvechirwere ichi, asi chinogona kunge chiri genetic, uye chinogona kukanganisa nzira iyo immune system inoshanda. Semuenzaniso, vanhu vanotakura HLA-DR gene vanowanzoita chirwere ichi kupfuura vamwe vanhu.

Zviratidzo zvechirwere

Rheumatoid arthritis chirwere chinofambira mberi, chechiratidzo chinotungamira mukukuvadzwa kwechigarire chejoint iyo inowedzera nekufamba kwenguva, uye nokudaro inotungamira mukuderera kwemagariro uye kushanda. Pakati pezviratidzo zvekiriniki zve rheumatoid arthritis ndezvi; Kuoma kwemajoini, kazhinji mumaawa emangwanani, kuzvimba kwemajoini kunogona kukanganisa chero mubatanidzwa, asi kazhinji majoini madiki emaoko netsoka akaenzana, kuneta, fivha, kuonda uye kuora mwoyo. Rheumatoid arthritis inosanganiswawo nemamwe mamiriro akakomba, akadai sekukuvara kwechigarire pamwe chete izvo zvinogona kutungamirira mukusakwanisa kushanda, uye kuwedzera kwengozi yekonary artery chirwere uye hutachiona. Kuwanda kwechirwere ichi Rheumatoid arthritis inobata 1% yevanhu vakuru pasi rose.

Huwandu hwevakadzi vari kubatwa nechirwere ichi hwakapetwa kaviri nhamba yevarume. Chirwere ichi chinogona kuitika chero zera, asi kazhinji zvinoitika pakati pemakumi mana nemakumi manomwe.

Kuti uone chirwere chacho, miedzo yakawanda inofanira kuitwa, sezvo zvakaoma kuiongorora zvakarurama, uye zviratidzo zvayo zvinoonekwa chete nekufamba kwenguva. Kuongororwa kunowanzoenderana nezviratidzo zvakati wandei, kusanganisira rudzi rwechirwere chejoints chakakanganisika uye mhedzisiro yeX-rays uye ma imaging test, izvo zvinoratidza kukuvadzwa kwemajoini uye huwandu hwepamusoro hwe "antibody inonzi rheumatoid factor muropa" uye anti- CCP factor. Kukanganisa kwehupfumi hweRA kune kukanganisa kwehupfumi kune varwere vayo, sezvo mitengo yakakwira yemitengo isina kunanga inoita kuti vatadze kuita mabasa avo ezuva nezuva. Zvidzidzo muEurope zvinoratidza kuti pakati pe20 kusvika 30 muzana yevarwere vane rheumatoid arthritis vanotadza kushanda mumakore matatu ekutanga ehutachiona. Tsvagiridzo yakaratidzawo kuti 66 muzana yevarwere vane rheumatoid arthritis vanorasikirwa neavhareji yemazuva makumi matatu nemapfumbamwe ekushanda gore rega rega. MuEurope, mutengo wakananga 'wokusakwanisa kushanda' uye zvisina kunanga 'kutarisira kurapwa' kunharaunda kunofungidzirwa kuva $39 pamurwere pagore. Mhedzisiro yekusakwanisa kwemunhu kushanda nekudyidzana nenharaunda inogona kuwedzera njodzi yekuora mwoyo uye kufunganya. Kurumidza kurapwa Majoini kukuvadzwa kunogona kuitika nekukurumidza mumatanho ekutanga erheumatoid arthritis, uye kukuvadzwa kwemajoini kunowanikwa mu21% yeX-ray bvunzo kune varwere vekutanga uye rechipiri makore ehutachiona. MRI inoratidzawo kuchinja kwehutano hwemajoini kuenzaniswa nezvavaive mwedzi miviri mushure mekutanga kwechirwere. Nemhaka yokuti kukuvadzwa kwemajoini kunogona kuitika nokukurumidza pakutanga kwechirwere, panogona kunge kune chido chekukurumidza kutanga kurapwa kunobudirira mushure mokunge yaonekwa, uye kusati kwaitika kukanganisa kwakakomba kwekubatana kunogona kuitika, zvichiita kuti kusakwanisa kupora kubva pakudzoka ku-pre- kukuvara mamiriro. Kurapa kwe rheumatoid arthritis kwakachinja zvikuru mumakore gumi apfuura, sezvo kurapwa kwakabva kune nzira inochengetedza ine chinangwa chekudzora zviratidzo zvechipatara kune imwe nzira yepamusoro yakagadzirirwa kuderedza kukuvadzwa kwemajoini nekuremara.

Chinangwa chikuru chekurapa rheumatoid arthritis ndechekudzivirira kukura kwechirwere, kana izvo zvinozivikanwa mune imwe mamiriro ekuderedza chirwere. Nhoroondo, rheumatoid arthritis yairapwa neasiri-steroidal anti-inflammatory drugs senge ibuprofen kana kuti analgesics akareruka anobvisa marwadzo nezviratidzo. Zvisinei, mishonga iyi ikozvino inotsiviwa neiyo yakagadziridzwa anti-rheumatoid mishonga ine simba rekugadzirisa pamuviri uye inodzivirira kuparara kwenguva refu kune chimiro chekubatana. Biologics Kirasi nyowani yekurapa inonzi biologics yekurapa rheumatoid arthritis ichangobva kugadzirwa, yakagadzirwa kubva kumapuroteni emunhu nemhuka mhenyu. Nepo mamwe mimwe mishonga ine simba rakakosha pa immune system, biologics yakanyatso gadzirirwa kunanga varipakati vanotendwa kuti vane chekuita mukuzvimba. Uye zvimwe zvipenyu zvipenyu zvinovharira basa remapuroteni echisikigo mumuviri. Ongororo iyi yakaratidza kuti mishonga yebiology inoderedza kukura kwekukuvadzwa kwemajoini, inodzivirira kuti chirwere ichi chisanyanya kuipa, uye inobvumira varwere kuderedza kuoma kwechirwere ichi, maererano nemhedzisiro yeX-rays, iyo yakaongororwa neradiographs uye magineti resonance bvunzo. Kubudirira kwekutanga kurapwa hakungodzikisi chirwere kana kutomisa kufambira mberi kwehutachiona, asi kunovandudza hupenyu hwehupenyu, uye kunoderedzawo mari yemagariro.