Iningi lazo zonke izimo zokukhubazeka okuqala (cishe ngo-70%) zenzeka ngenxa ye-arthritis ye-rheumatoid. Le pathology esebenzayo isithinta izicubu ezixhunyiwe, ikakhulukazi amalunga amancane. Izinqubo ezibhubhisayo zihlangene nezinqubo eziyinkimbinkimbi ze-autoimmune, okuholela ekubhubhiseni nasekubhujisweni kwezicubu zomzimba.
Kuze kube manje, azikho izimbangela ezidambisa isifo samathambo - ukuxilongwa kwezimpawu kanye nokwelashwa kwalesi sifo kwenziwa ngokuvumelana nomlando ozithobayo wesiguli esithile. Inselele enkulu yokwelapha kungabikho kwezibonakaliso ezithile zesifo nokuqhubekela phambili kwayo kancane kancane.
Izimpawu nokuxilongwa kwe-Rheumatoid Arthritis
Ukubonakaliswa kokuqala kwemitholampilo yesifo esichazwe:
- ukukhathala;
- ukuwohloka kwesifiso;
- isisindo somzimba esinciphile;
- ubuthakathaka;
- ukucindezeleka;
- i-anemia;
- ukujuluka okukhulu esikhumbeni sezintendeni nezinyawo;
- ikhanda;
- isimo se-febrile.
Khona-ke izimpawu ezijwayelekile ze-pathology ziyabonakala:
- ukuvuvukala;
- ukwanda ngobukhulu bamalunga;
- ukuphazamiseka kwezigulane ezinamahloni kanye nezilonda;
- i-deformation;
- izinkathi zokuxolelwa, okulandelwa ukubuyela emuva;
- umkhawulo wokuhamba;
- ubuhlungu emajoyini nasemisipha;
- ukubomvu kwesikhumba endaweni ethintekile.
Ukuxilongwa kwe-arthritis ye-rheumatoid kuqukethe ukuhlaziywa okuphelele kwezikhalazo zesiguli kanye nokuba khona kwezibonakaliso ezingenhla. Ucwaningo olwengeziwe luyadingeka:
- jikelele, i-biochemical kanye nokuhlaziywa kwama-immunological kwegazi;
- i-radiography;
- ukubalwa kwe-ESR;
- ukutholakala kwe-antibody titer kuya peptide ene-cyclic citrulline;
- incazelo ye-rheumo factor.
Ukwelashwa okuyinhloko kwezimpawu kanye nokubonakaliswa kwamajoyina e-rheumatoid arthritis
Lesi sifo esibuzwa sidinga ukwelashwa okuhlelekile, njengoba kuhloswe ukuphindaphinda ngisho nasezikhathini ezide futhi eziphikisayo zokukhululwa.
Ukwelashwa kwanamuhla kufaka ukusetshenziswa kwezidakamizwa ezivela kumaqembu amane omuthi:
- izidakamizwa ezingekho-steroidal anti-inflammatory;
- glucocorticosteroids;
- izidakamizwa eziyisisekelo zokulwa ne-antirheumatic;
- ama-immunosuppressants e-cytostatic.
Ezinye izinyathelo zokwelapha zikhethwe yi-rheumatologist ngokuhambisana nokwenziwa kwendawo yokuvuvukala, ubunzima bayo, isimo sempilo, indlela yokuphila kanye nobudala besiguli.
Izimpawu zesimo kanye nokwelashwa kwesifo samathambo esifubeni sehlangothini
Ukunqotshwa kwamalungu amakhulu kangaka kungaholela ekulahlekelweni okuncane noma okuphelele kokukwazi ukuhamba, ikhono lokuhamba. Amaqhubu asuke ekhubazekile kakhulu, njengokungathi aphendulela ngaphandle. Iziguli zihlushwa ngokucindezela okukhulu, "ukugaya" ubuhlungu, ikakhulukazi ngokuzikhandla ngokomzimba, ngisho nezincane.
Ukuze ukwelashwa okuyisisekelo kwe-arthritis ye-rheumatoid kulesi simo, ukufakwa kwe-corticosteroids kwangaphakathi kwe-intraarticular, kanye ne-physiotherapy:
- ama-radon ne- hydrogen sulphide okugeza ;
- iparafini, izicelo zodaka;
- i-irradiation ne-ultraviolet;
- ithonya le-ultrasonic.
Izimpawu ezicacile kanye nokwelashwa kwesifo samathambo enyawo
Ngaphandle kwezibonakaliso ezibalwe ngaphambilini, uma amalunga enyawo ewonakele, iziguli zizwa:
- ubunzima ezindaweni ezithintekile okungenani ihora elilodwa, ngokuvamile ekuseni;
- ubuhlungu lapho uhamba;
- ukuvuvukala okuqinile kwezinyawo.
Izinyathelo zokwelapha zendawo echazwe ukuvuvukala zihambisana nokukhethwa kwe-insoles ekhethekile yama-orthopedic, massage, i-phonophoresis ne-hydrocortisone.
Futhi, ukusetshenziswa kwezidakamizwa ze-anticytokine kanye ne-antilymphocytic (Remicade, Orencia, Actemra, Mabtera nabanye) Kunconywa.
Ukwelapha kanye nezimpawu zesifo samathambo esifubeni sezandla, i-elbow kanye namalungu ehlombe
Lezi zitho zomzimba zivame ukwenziwa izinguquko ezincane ngenxa ye-rheumatritis. Esinye sezibonakaliso ezicacile zesifo kulokhu kungukuthi kube khona ukuhlanzwa nokuchazwa:
- iziphakamiso;
- shenxisa umjikelezo ohlangene;
- i-ankylosis;
- amalunga engeziwe atshini;
- izivumelwano;
- i-atrophy yemisipha eseduze;
- ama-nodules we-rheumatoid.
Ukwelashwa kwesimo esingapheli sesifo kuleso simo kuhilela ukusebenzisa wonke amasu ahlongozwa ngaphambilini. Ngokuthuthukiswa okuqhubekayo kwesifo samathambo, ama-injection ye-yttrium noma i-gold engxenyeni ehlanganisiwe ayimisiwe.