Rheumatoid likitocin cututtukan likita suna nufin zuwa cututtukan cututtuka na yau da kullum, wanda ƙananan kwakwalwa suke sha wahala. An yi imani cewa cutar ita ce ta jiki - jiki yana lalata kayan jikinsa saboda rashin aiki a tsarin sa.
Sanadin cututtuka na rheumatoid
Bincike akan abubuwan da ke haifar da cututtuka na rheumatoid da likitocin sun gudanar da su a shekarun da suka gabata. Akwai hanyoyi masu yawa da suka tabbatar da cutar ta cutar:
- farafi da kuma farawa;
- suma;
- karuwa a zazzabi;
- kumburi na ƙananan lymph nodes.
Daga wani ra'ayi, dalilai da dama sun nuna cewa cutar arthritis mai cututtuka ba cuta bane:
- yana faruwa ba tare da dogara ga yanayi ba (ko da yake akwai haɗi tare da yanayin);
- Babu wasu lokuta da ake watsawa ta hanyar jini da kuma suturar kwayoyin halitta;
- Babu cigaba a farfado da maganin rigakafin kwayoyi da antiviral.
Dalilin da aka bayyana a sama ya nuna likitoci cewa abubuwan da suke magana game da cututtukan cututtuka suna shaida wa gwagwarmaya ta rigakafi da jikin mutum. Tsarin tsari yana lalata kayan aiki na haɗin gwaninta da wasu gabobin, yana gane su a matsayin baƙo. An tabbatar da cewa yawancin cututtukan cututtuka na iya ƙara haɓakar ƙwayar cututtuka na rheumatoid, daga cikinsu;
- Rubul ;
- herpes;
- Epstein-Barr cutar ;
- hepatitis B da sauransu.
Halittar kwayoyin halitta sune gaskiyar cewa cututtuka na rheumatoid zai faru a cikin wani mutum ƙananan, amma a yanzu. Masana kimiyya sun riga sun gano nau'o'i na musamman, kamar, misali, DRB1, wanda ke canza masu karɓa a saman sassan cell membranes. Saboda wannan, tsarin rigakafi ba ya gane kwayoyin jikinsu ba kuma yana neman hallaka su.
A cikin magani, akwai ka'idar rheumatoid factor. Wannan shi ne irin kwayoyin da ke da nasaba da nasu immunoglobulin G. Wannan immunoglobulin ne ya samar da kwayoyin halitta wanda ke rufe jikin ciki na haɗin gwiwa. Magunguna tare da immunoglobulin G na haifar da hadaddun da ke haifar da kumburi da zai lalata haɗin gwiwa. Kasancewar matsalar rheumatoid a cikin jiki na iya nunawa ba kawai ga arthritis na rheumatoid ba, har ma da cewa mutum ya kamu da cututtuka a kwanan nan.
Wasu dalilai da ke haifar da bayyanar cututtuka na rheumatoid:
- Tsarin hannu;
- raunin da ya faru;
- sanyi;
- damuwa;
- guba;
- ciki, lactation, menopause;
- abincin abinci.
Yaduwar cututtuka na yara ya zama nau'i na cutar da ke cikin yara da matasa. Irin wannan cututtukan almara yana nuna cewa ƙananan ƙwayoyin katako ba kawai ba ne kawai, amma har da wasu gabobin ciki - kodan, zuciya, huhu. Harshen rashin lafiya mai tsanani zai iya haifar da dalilai masu yawa:
- ya sha wahala mai tsanani;
- ciwo;
- supercooling;
- injections na shirye-shiryen collagen;
- jigilar kwayoyin halitta;
- balaga ko kuma samun rashin daidaituwa.
Rheumatoid arthritis - bayyanar cututtuka
Idan akai la'akari da alamun cutar maganin jini, ya kamata a rika la'akari da cewa ba kawai gidajen kwakwalwa ba, amma kuma dukkanin tsarin tsarin kwayoyin zai iya shafa. Babban bayyanar cututtuka na ciwo ne a cikin gidajen abinci, muryarsa ta fito ne daga sharuɗɗa zuwa kara, m ko kuma lokaci-lokaci. Cutar ta fara tare da haɗin hannayensu, ƙafafun, gwiwoyi, yatsun kafa, babba da yawa ya sha wuya sau da yawa. Bugu da ƙari ga ciwon haɗin gwiwa, akwai ƙonewa, wanda ya rage tare da amfani da kwayoyi masu ƙin ƙwayoyin cuta. A cikin mummunan cututtuka, ɗakunan suna kumbura, raye, da deform. Da safe, mai haƙuri yana ƙuntata motsi.
Ƙunƙasar ƙwayar yara ta fara da ƙumburi da kumburi na manyan kwakwalwa - gwiwa, hip, takalma. Haka kuma cutar zazzaɓi ta kasance tare da ciwon zazzaɓi, ƙwayar cuta ta polymorphous (a lokacin zazzaɓi), ciwo na hepatolienna, lymphadenopathy, gabobin ciki. Waƙoƙin da aka haɗa zuwa ga gidajen kwakwalwar da ake cike da ƙwayar cuta. Fatar jiki a yankunan gidan wuta ya zama mai zurfi. Ƙananan kasusuwan kasusuwa zasu iya hade da kuma gina tsari mai tsabta, wannan abu ne ake kira ankylosis.
Tare da lalacewar koda tare da ƙwayar ƙwayar cutar ƙanana, amyloidosis tasowa, wadda take haifar da gazawar koda. Sakamakon cutar lalacewa shine gina jiki a cikin fitsari, busawa, tara a cikin tsokoki na urea. Idan cutar ta shafi zuciya, ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar cuta tana da rikitarwa ta hanyar myocarditis ko pericarditis . A lokacin da yatsun huhu ya fara faruwa ko kuma sclerosing alveolitis. Ciwon jijiyar hepatolienal yana ƙaddara ta karuwa a cikin hanta da kuma yada. Tare da lymphadenopathy, lymph nodes a game da haɗin gwiwa haɗuwa.
Rheumatoid arthritis - na farko bayyanar cututtuka
A cikin kashi 90% na shari'o'in, ɗakunan hannuwan suna da fari. Lokacin da aka gano maganin ƙwaƙwalwar jini na hannayensu, bayyanar bayyanar cututtukan farko shine mafi kusantar a cikin sanyi. A cikin kwanan baya, har zuwa hoto mai kyau game da kumburi, raunana, sutura, asarar nauyi, zafi mai tsoka, tsaka-tsakin zafin jiki zuwa ƙananan sigogi an lura a cikin marasa lafiya.
Rheumatoid arthritis na yatsunsu - na farko bayyanar cututtuka:
- An keta motsi motsi, jin dadi na jin dadi yana bayyana, tsabtace kullun da kumburi, yanayin zafi a cikin haɗin gwiwar zumunta na kusa yana ƙaruwa;
- bayyanar cututtuka suna bayyana a cikin kwakwalwan kwakwalwa, sa'an nan a cikin wuyan hannu;
- masu haƙuri ba za su iya kama hannunsa a cikin yatsan hannu ba;
- fara farawa da tendon muscle.
Rheumatoid arthritis - digiri
A cikin magani na asibiti, darasi hudu ko matakai na arthritis na rheumatoid sun bambanta:
- Na farko shine halin da ake ciki da kasusuwa a cikin haɗin gwiwar, lalacewar haɗin hannayensu, gyaran gwanin haɗin gwiwa da kuma mataki na farko na osteoporosis na periarticular, a wannan lokacin da tsinkayen kwayoyin halitta suka fara farawa, cutar ta kasance sau da yawa ko kuma tare da alamar bayyanar.
- Abu na biyu shine ci gaba da yaduwa na nama, ƙananan kayan motsi sun fara lalata, motsi daga wasu manyan haɗin gwiwar, edema da redness suna fitowa a wuraren da aka shafa, ciwo mai ciwo ya zama sananne.
- Na uku - kashin nama yana da zurfi sosai, ci gaba da nau'in haɗin gwanon yana kara, motsi na mahaɗin yana iyakance, kuma gishiri gishiri ya bayyana.
- Hudu , mai tsanani na osteoporosis yana tasowa, mai yawa da yaduwa da tsirrai suna lura da ƙashi na nama, ankylosis na gwiwa, kafada, kwakwalwa na kwance yana faruwa, tsokoki suna tsallewa kuma nauyin haɗin haɗin haɗuwa ya cika.
Rheumatoid arthritis - ganewar asali
Don yin nazari a kan ƙwayar cututtuka na rheumatoid zai fara da nazarin kwayoyin halitta da biochemical na jini wanda ya nuna hoton bunkasa fasalin ƙwayar cuta:
- ragewan haemoglobin (al'ada 120-160 g / l), ƙãra yawan adadin leukocytes (4000-9000 da ml na jini) da ESR (2-15 mm / h);
- haɓaka a fibrinogen (2-4 g / l), Furotin mai cin hanci da rashawa (kasa da 5 MG / l), sialic acid (620-730 mg / l ko 2-2.36 mmol / l), haptoglobin (0.44-3 , 03 g / l).
Idan an wajabta maganin arthritis da ake zaton shine:
- bincike na rheumatoid factor na jini;
- nazarin ruwan sanyi na synovial (abinda ke ciki a cikin rami na haɗin gwiwa);
- arthroscopy - haɗin gwiwa tare da yin amfani da na'urar kayan aiki;
- rediyo, scintigraphy , hoton fuska mai haske, duban dan tayi na haɗin haɗin.
ACCP a cikin rheumatoid arthritis ne na kullum
Citrulin ne amino acid wanda yake nuna alamar ƙonewa. Jiki ya gane sunadarai da siffofin kwayoyin cutar da ke haifar da matakai na autoimmune. Binciken da aka samu game da maganin anti-citrulline - ATSTSP da cututtuka na rheumatoid - yana daya daga cikin mafi mahimmanci a matakin farko. Tare da ganewar asalin cutar ta farko, jarrabawar gaskiya ce a kashi 90-98. Tsarin al'ada na ATSTSP - 3,0-3,1 U / ml, ƙananan canji yana yiwuwa dangane da shekaru da jima'i.
Rheumatoid arthritis
Kimanin kashi 20 cikin 100 na marasa lafiya ana bincikar su tare da cututtukan cututtuka na rheumatoid (seronegative) tare da magungunan rheumatoid korau na 25-30 IU ta milliliter na jini. Irin wannan cutar yana da kyakkyawar tsinkaya, amma yana da mummunan magani, wanda ya buƙatar likita ya zaɓi magunguna ɗaya. Tun lokacin da aka samu gwajin gwagwarmaya ba daidai ba, ana buƙatar ɗaukar shi sau da yawa.
Rheumatoid amosanin gabbai
A cikin mafi yawan lokuta, cutar cututtuka na rheumatoid yana tare da alamar gwargwadon matsalar rheumatoid - fiye da 25 IU ta milliliter na jini. Irin wannan cututtuka ne mai rikitarwa. Mafi girma da alamar, mafi yawan rashin ganewa a cikin cutar. Ci gaba da dalilin zai iya haifarwa ba kawai ta hanyar maganin cututtuka ba, amma har ma ta hanyar cututtuka, saboda haka dole ne a la'akari da wasu ka'idoji.
Rheumatoid arthritis - magani
Daga iyawar likita wanda zai yanke shawarar yadda za a bi da maganin wariyar launin fata, yanayin rayuwa mai rai da tsawon rayuwarsa. Hanyar cutar ta buƙatar mai haƙuri ba tare da la'akari da ciwo ba kuma neman taimakon likita a wuri-wuri, kuma daga likita don gudanar da bincike mai zurfi don gano yanayin cutar da magani mai dacewa.
Rheumatoid arthritis - magani, kwayoyi
Shirye-shiryen maganin arthritis na rheumatoid sunyi ayyuka biyu:
- a babban mataki - dakatar da cutar;
- bayan da za a sauya aikin ƙwaƙwalwa - sami sakamako mai goyan baya.
Lokacin da aka yi amfani da maganin maganin arthritis, kwayoyin ƙarni na zamani suna taimakawa bayyanar cututtuka kuma zasu taimaka wajen dakatar da cutar:
- anti-inflammatory (nonsteroidal) - Ibuprofen, Diclofenac , Meloxicam - an umarce su a cikin wani mataki mai zurfi don rage ciwo mai tsanani, haɗari;
- glucocorticoids - Prednisolone , Methylprednisolone - sauya kumburi da ciwo, rage matakan bincike a cikin gidajen abinci;
- antimetabolites - Azathioprine, Methotrexate - jinkirta matakai masu lalata a cikin rheumatoid arthritis;
- immunosuppressants - Ciclosporin, Penicillamine - maganin warkar da cututtuka na rheumatoid ana amfani dasu don maganin maganin antimetabolites.
Rheumatoid arthritis - magani tare da magunguna magani
Sakamakon ganewar asibiti na yatsun yatsun yatsunsu da sauran kayan aiki yana buƙatar yin amfani ba kawai da maganin maganin miyagun ƙwayoyi ba, yana da kyawawa da kuma amfani da magungunan gargajiya waɗanda ke taimakawa wajen rage ciwo da kumburi.
- Rubutun da aka yi da jan giya. Ya kamata a warke ruwan inabi, toshe shi da gauze da kuma matsawa a kan haɗin gwiwa na mintina 15.
- Broth na laurel. Dole a buƙafa cakulan albarkatun kasa a cikin lita 200 na ruwa na mintina 10, dole a jigilar broth don tsawon sa'o'i 8. Sha 70 ml sau uku a rana kafin abinci.
- Maganin shafawa daga mustard foda. Mix da mustard foda, kayan lambu mai da zuma a daidai wannan rabbai zuwa uniform uniform. Aiwatar maganin shafawa a haɗin gwiwa kuma kunsa shi.
Gina na gina jiki don rheumatoid arthritis
Kyakkyawan abinci ga cututtuka na rheumatoid ya zama dole don rage jinkirin cigaban cutar. Ƙungiyoyin masu aikin gina jiki a wannan cuta:
- Don haɗawa a cikin kifi mai cin gashin abincin mai cin abinci, abin da yake satura da amino acid mai yawan gaske, ya rage ragewar mahalli.
- Don cin shinkafa shinkafa - yana kawar da sauran salts da wasu abubuwa masu cutarwa.
- Rage adadin carbohydrates, kayan yaji, soyayyen abinci, dabbobin dabba, abincin gwangwani - wannan zai taimaka wajen rage nauyin, gurasa daga gurasar gurasar da aka yarda.
- Yi iyakacin gishiri, saboda haka an kasa ajiye shi cikin jiki.
- Ƙara yawan sabbin kayan lambu da 'ya'yan itatuwa (sai dankali, eggplants), musamman carotenoids - karas, masara, lemu, apricots.
Rheumatoid arthritis - prognosis
Idan kun bi shawarwarin likita, ku bi abincin da za ku ci gaba da rayuwa mai kyau - ƙwarewa ga mai haƙuri zai kasance mai kyau. Haka ne, maganin arthritis na ƙafa, hannayensu da sauran kayan aiki zai ci gaba da hallaka su, amma yana da tabbas don samun gafara. Yana da mahimmanci kada ku rage lafiyarku, don haka kuna buƙatar:
- Karyata barasa da nicotine.
- Don rasa nauyi.
- Ka guje wa cututtuka da cututtuka.
- Lokacin hutu.
- Yi iyo, gymnastics, tafiya.