Rheumatoid amosanin gabbai: Bayyanar cututtuka, ganewar asali, magani da kwayoyi a cikin yara da manya

Kullum kumburi daga cikin connective nama, wanda rinjayar da gidajen abinci da aka kira rheumatoid amosanin gabbai. Alamun, bincike da kuma magance wannan cuta da za a tattauna a cikin kayan da wannan labarin.

Mene ne rheumatoid amosanin gabbai?

Wannan shi ne quite wani tsanani cutar da cewa kawai 'yan shekaru iya juya cikakken lafiya mutumin a cikin wani m da inganci. An sani cewa rheumatoid amosanin gabbai category ranked a matsayin autoimmune cututtuka. Ya ɓullo da wani sauki makirci. Daban-daban na farin jini Kwayoyin saboda daukan hotuna zuwa wasu dalilai fara hanzari halakar da masana'anta na nasu gidajen abinci. Su kumbura, kuma bayan wani lokaci akwai yashewa. Don a karami har rinjayar da tendons da jijiyoyin sun hadu. Sam guringuntsi ne gaba daya hallaka.

A Pathology ne halin da kullum m kumburi da synovial membrane. A mafi yawan lokuta, wannan tsari ya shafi ƙafafunsa, gwiwoyi, kwatangwalo da kuma gidajen abinci na hannuwanku. Kamar yadda cutar progresses kashi shafi guringuntsi da gidajen abinci zama maras kyau. A tsanani na tsari bayyananen ne yiwu tare da na lokaci daya shan kashi na jini, fata, tsokoki da kuma zuciya.

tarihi bayanai

Cutar rheumatoid amosanin gabbai da aka sani tun lokacin da. Rheuma fassara daga Girkanci nufin "kwarara". A dalilai na amfani da kalmar, akwai da dama versions. Wasu masu bincike yi imani da cewa cutar hade da ƙarewar na gamsai, wanda a hankali ya tara a kwakwalwa. Wasu bayyana fassararsa na yanayin zafi, abin da ke faruwa duk lokacin da ka kai farmaki. A tsawon lokaci, ya bayyana cewa da kõme, kuma babu inda amosanin gabbai ba daga ƙarƙashinsu, amma ya yanke shawarar ci gaba da sunan.

Wannan cuta rinjayar da mafi kiyaye sassa na jikin mutum - da ƙasũsuwa. A lokacin da archaeological tono daga ƙauyuka masana kimiyya samu halayyar rheumatoid amosanin gabbai iri a kan kwarangwal saura. A likita reference books za ka iya samun 'yan sunayen da cutar: na kullum cututtuka rheumatism, amosanin gabbai deformans, disfiguring cuta, amma shi ne sunan makale.

Da farko, kalmar "rheumatoid amosanin gabbai" da aka samarwa a 1858 A. Garro shekara. Duk da haka, wani cikakken bayanin irin cutar da aka bayyana a matsayin farkon a matsayin 1800 m Augustine Bove. Ya dauke shi daya daga cikin iri na gout. A 1892, Harry gabatar da bambanci a fili tsakanin biyu Concepts.

A Sanadin rheumatoid amosanin gabbai

Idan ka san dalilai domin raya rheumatoid amosanin gabbai, ganewar asali, magani da kuma rigakafin yawanci ba sa da yawa wahala. Bugu da ƙari kuma, wannan bayani zai iya hana kara ci gaban da cutar tare da wasu yiwuwa. Its rigakafin, kamar yadda mai mulkin, ta dogara ne a kan kawar da mataki na sa dalilai.

A etiology da cutar da aka ba da cikakken gane. Masana sun gano wani adadin dalilai, wanda tare iya tsokana da ci gaban cuta. Babban rawa aka buga da hereditary predisposition. Yadda aka saba, leukocytes dole kashe dan hanya abubuwa. Wadannan sun hada da ƙwayoyin cuta, cututtuka ciwon daji Kwayoyin. Idan akwai wani aibi a cikin jikin ta na rigakafi da tsarin a kayyade matakin, da farin jini Kwayoyin rasa hankali da ikon gane "mai kyau" da "mara kyau" abubuwa. A daya hannun, ya canjãwa a cikin kwayoyin halittu da suke da alhakin aiki na wasu iri leukocytes, abu don rushewa daga cell rabo. Wannan zai fara da kumburi tsari da cewa shi ne ba dace Tashoshi da kuma zama na kullum. Kamar haka hankali tasowa rheumatoid amosanin gabbai. Alamun da bincike da kuma magani - 'yan tambayoyi cewa kowa da kowa ya kamata ka sani a mutum a hadarin da ya faru na wannan cuta.

A kusa da dangi da aka daukar kwayar cutar ba da cutar da kanta, da kuma laulayi rushewa daga cikin rigakafi da tsarin kamar yadda aka bayyana a sama. Yana za a iya gane a cikin nau'i na cutar. Yiwuwar faru na rheumatoid amosanin gabbai dogara a kan mataki na kinship, kazalika da tasiri na wasu dalilai cikin rayuwa. A karshen sun hada da:

• Shan taba. A dangane tsakanin wannan buri da amosanin gabbai, masana kimiyya sun lura a cikin 70-ies karni na karshe. Shan taba na kan 25 taba wani yini (shekaru 20) na dogon lokaci na kara hadarin cutar. The aka gyara na taba hayaki shafi na rigakafi Kwayoyin, sakamakon a karshen fara samar da autoantibodies.
• Jinsi da shekaru. An tabbatar da cewa gaskiya da jima'i ne mafi saukin kamuwa zuwa rheumatoid amosanin gabbai. A rashin lafiya na iya bayyana kansu a kowane zamani, amma mafi sau da yawa shi ya auku a kusa da 40-50 shekaru.
• Kamuwa da cuta. Marasa lafiya da rheumatoid amosanin gabbai iya lura worsening da cutar bayan kwanan nan jurewa SARS.
• Hormonal cuta. Masana kimiyya sun nuna cewa baka hana muhimmanci rage da ya faru na rheumatoid amosanin gabbai. Pregnancy a mata tare da wannan ganewar asali sau da yawa yana sa gafarta musu kuma aiki, a maimakon haka, taimakawa ga ƙarin tsanani.

A karkashin mataki na rigakafi da tsarin Kwayoyin bayyana dalilai fara kai farmaki da bawo na hadin gwiwa abubuwa, wanda tsokani kumburi su. Skin a shafa yankin zama zafi, da azaba mai. Illar da na rigakafi da tsarin Kwayoyin kuma ya shafi jini, wanda ya bayyana da karin-articular manifestations da cutar.

asibiti hoto

Tare da sauran pathologies kama hali ba za a iya rikita classic rheumatoid amosanin gabbai. A farko bayyanar cututtuka da cutar fara bayyana a cikin 'yan makonni, har da kumburi ba ya zama na fili. Da farko, cutar rinjayar da index da kuma tsakiyar yatsunsu na hannu. A wannan yanayin, akwai kumburi da kuma a can ne kadan kumburi a cikin metacarpophalangeal gidajen abinci. Suna located a tushe na yatsunsu. A halayyar alama da cuta ne na lokaci daya halakar da gidajen abinci a daya hannun. Pain ciwo zai iya faruwa daga 'yan watanni har zuwa shekara guda. Wannan rashin jin daɗi yakan auku a cikin safe kuma yana har rana tsaka, sa'an nan ke shiga ƙi. Bayan aiki ko motsa jiki da zafi kafa.

A layi daya ga pathological aiwatar da shiga cikin kananan gidajen abinci na ƙafa, wanda aka located a tushe na yatsunsu. Marasa lafiya ruwaito zafi karkashin gammaye lokacin da guga man. Kamar yadda da ci gaban da cutar inflamed duk ya fi girma gidajen abinci (idon, gwiwa da kafada).

Sauran cututtuka sun hada da rheumatoid nodules da safe stiffness ciwo. Marasa lafiya ce cewa rashin jin daɗi bayyana bayan barci. A ake kira rheumatoid nodules aka kafa a yankin kawai a kasa da gwiwar hannu, a kan ƙafãfu da hannuwanku. A cikin mahallin da suka gabatar da wani jari na rigakafi Kwayoyin cewa kewaye da shafin na matattu nama.

A wasu marasa lafiya, da na asibiti hoto ne complemented tabarbarewar da janar yanayin. A zafin jiki ta fito, su barci da kuma ci. Rheumatoid amosanin gabbai na yatsunsu a ci-gaba mataki halin da nakasawa goge. Wannan yanayin yana tare da abin da ake kira ulnar sabawa, da motsi na da gidajen abinci da aka hankali rage. Lokacin da ya koma zuwa ga kumburi tsari vertebral gidajen abinci, haddasa ciwo mai tsanani a cikin wuyansa, kuma nape.

cutar mataki

Gane da dama sharudda da wanda daya zai iya daidai rarraba mataki na rheumatoid amosanin gabbai. A mafi m, sũ ne waɗanda wanda da su ne bisa sakamakon X-haskoki.

Sun kasu kashi hudu Categories:

• A can farko, da farko discernible ãyõyin a dakushe kashi yawa. Wannan shi ne kawai buɗi na cuta, wanda za a iya ƙaddara da radiographs. Soft tsokoki aka hankali compacted. Wani lokaci da kashi iya bambanta da haske yankunan. Wannan ake kira cysts. Idan hadin gwiwa sarari ne kunkuntar, ba za ka iya magana game da m ci gaba da cutar, kuma nan da nan ya miƙa mulki ga na gaba mataki. A rarrabe da wannan mataki na cutar da ake yi tsawo a wani fili na asibiti ãyõyi. A haƙuri ba lura kiwon lafiya da matsaloli, saboda haka kada ku hanzarta ku je likita.
• A mataki na biyu ne halin da kara ci gaba da na pathological aiwatar da hannu a cikin ƙasusuwansa. A farko zuwa sha a hannun sashi na ga magincirõri, kuma wuyan hannaye. Idan yashewa aka sarrafa kusa da guringuntsi a cikin wannan yanki yana da iyaka motsi. A wannan yanayin, guringuntsi nama kanta iya zama m, amma tsokoki an riga fara atrophy. Bursa zama kumbura, kuma dan kadan inflamed. Marasa lafiya a cikin m yawanci koka aches kuma sha raɗaɗin.
• A rheumatoid amosanin gabbai, da uku mataki a cikin hoto gano tsoka atrophy da nakasawa daga cikin hadin gwiwa. Idan gishiri adibas lura a farko da cutar, akwai fili rarrabe calcification a kan x-ray.
• A karo na hudu mataki zama wani kashi cuta. A cikin X-ray a fili ya nuna osteoporosis, mahara erosions da cysts. The hadin gwiwa ne gaba daya maras kyau da kuma atrophied tsokoki a kusa da shi.

Staging na rheumatoid amosanin gabbai damar don zaɓar mafi tasiri far, kuma su hana yiwu rikitarwa.

Medical jarrabawa

Rheumatoid amosanin gabbai da aka ranked a cikin category na kullum cututtuka na unknown etiology, don haka ta ganewa ne sau da yawa m. A 1997, American College of Rheumatology samarwa da dama sharudda ga ganewar asali na wannan Pathology cewa kasance dacewa da wannan rana. Tare da hudu daga cikin bakwai abubuwa daga jerin cututtuka na ganewar asali za a iya dauke shi abun dogaro.

1. Safe stiffness.
2. Rheumatoid nodules.
3. Kayar fiye da uku gidajen abinci.
4. M rheumatoid factor.
5. Da shan kashi na wuyan hannu.
6. Radiographic canje-canje.
7. Fasali hadin gwiwa cutar.

Abin baƙin ciki, sama da bayyanar cututtuka za a iya gano a baya, saukarwa na cuta ci gaba. Wannan shi ne dalilin da ya sa a cikin hali na safe stiffness da kuma zafi a cikin gidajen abinci bukatar je asibiti. Idan kamu rheumatoid amosanin gabbai, cututtuka, ganewar asali, magani da kuma m matakan da wannan cuta ya kamata a sani ga kowane likita.

Don tabbatar da wani tabbatacce ganewar asali na haƙuri rubũta m x-haskoki na hannuwana da ƙafafuna, wani jini gwajin ga ganewa na rheumatoid factor da kimantawa ESR. Bayan da jarrabawa, da likita ance da ya dace magani. Yawancin lokaci, shi ne hadaddun kuma kunshi dama, saukarwa. A kowane embodiment bayyana a kasa.

asali far

Don kawar da "Dalili na cuta" da aka yi amfani da asali magani daga rheumatoid amosanin gabbai. Kwayoyi wajabta ta likita, kada kawar da ciwo da kuma sauran cututtuka da cutar. Suna tsara don katse kara ci gaba da cutar. A tabbatacce sakamako na kwayoyi ya zama m kawai bayan watanni magani.

Gold shirye-shirye magance cutar da aka yi amfani da kusan shẽkara ɗari. Su mataki ne musamman tasiri a farkon matakai da cutar tare da m sha raɗaɗin a cikin gidajen abinci da kuma rheumatoid nodules. Daga cikin yiwu illa hada da abin da ya faru na "zinariya" dermatitis da mucositis.

Immunosuppressive kwayoyi suna kuma yadu a yi amfani da magani ( "MTX", "Azathioprine"). Wadannan kwayoyi ga rheumatoid amosanin gabbai ana nufin wucin gadi danniya na jiki ta defenses. Saboda gaskiya cewa su aka dauka daga ciwon daji, mutane da yawa sun ji tsoro yi amfani da su. Duk da haka, wannan shi ne ƙarya tsoro. Domin lura da amosanin gabbai ta amfani da ƙananan dosages, don haka illa ne musamman rare.

A wasu lokuta, marasa lafiya ne wajabta sulfonamides. Wannan antibacterial kwayoyi, wanda hana ci gaban na pathogenic kwayoyin. Yiwuwar faru na m events ne ragu. Su yadda ya dace shi ne dan kadan ƙananan idan aka kwatanta da immunosuppressive kwayoyi, da zinariya. M ƙarfafa muhimmancin warkewa a marasa lafiya tare da ganewar asali "rheumatoid amosanin gabbai na yatsunsu," lura kawai, bayan watanni shida na wannan magani.

anti-kumburi kwayoyi

Nonsteroidal anti-kumburi kwayoyi (NSAIDs) da analgesic da antipyretic sakamako ( "meloxicam" "Diclofenac"). Suna wajabta m zafi a cikin gidajen abinci. Wadannan kwayoyi muhimmanci inganta da yanayin haƙuri. Wajibi ne a dakatar da shan su a matsayin wata cuta nan da nan mayar da ku. NSAIDs ba su iya gaba daya shawo kan cutar, su ne kawai kashe m bayyanar cututtuka. Kusan dukkan magunguna da contraindications, don haka kafin fara wani hanya na far bada shawarar tuntubar likita.

Zababben kwayoyi don rheumatoid amosanin gabbai ana amfani ba haka ba da dadewa. Wannan shi ne wani sabon kalma a cikin zamani likita yi. Irin wannan kwayoyi aka tsara don rage yawan illa, saboda su yi aiki na musamman a cikin kumburi site kuma ba zai shafi wasu sashin jiki tsarin. Zababben kwayoyi selectively hana samar da kumburi jamiái a hadin gwiwa guringuntsi. Kwayoyi ne dace don amfani. Zai yiwu shortcomings kamata a lura da tasiri a kan karuwa a jini clotting. Wannan, bi da bi, zai iya sa a zuciya ko bugun jini.

Corticosteroids ( "prednisolone", "Dexamethasone") ana amfani da su yãƙi rheumatoid amosanin gabbai. Wannan hormonal kwayoyi don rage zafi da safe stiffness a gidajen abinci. A rabo daga likitoci da tambaya da yin amfani da corticosteroids shubuha. Wasu sukan yi amfani da su bi da cututtuka hormones, wasu - da. Recent bayyana ra'ayoyi iri-iri na illa. Hormones, a Bugu da kari da sauran tasiri a jiki, za a iya kara jini sugar matakan, rage tsarin na rigakafi, sa hawan jini. Wannan shi ne dalilin da ya sa kafin danganci magani, likita ku auna nauyi da "ribobi" da "fursunoni."

Local magani daga rheumatoid amosanin gabbai

A shirye-shirye aka bayyana a sama ba su dace domin dukan marasa lafiya. A wasu akwai idiosyncrasy na wani ɓangare na gyara, wasu ba su yi dũbi ba tabbatacce warkewa sakamako. Saboda haka, a wasu lokuta, likitoci suna juya zuwa Topical jiyya.

A lokacin da kullum cutar ta amfani da Laser sakawa a iska mai guba. Wannan far bada m anti-mai kumburi sakamako. Aƙalla 80% da marasa lafiya lura kyautata a general yanayin.

Wani magani zaɓi ne cryotherapy. A lokacin hanya, wani gwani rinjayar zurfin sanyaya na shafa gidajen abinci. Cryotherapy shi ne cikakken m, kuma yana da babu contraindications.

Amfani da man shafawa da kuma creams na daban-daban na samar da kawai wucin gadi taimako. The abu ne cewa fata ba miss fiye da 7% na aiki sinadaran. Wannan bai isa ya samu a barga warkewa sakamako. Duk da fadi da kewayon amfanin magani da man shafawa, domin su taimako a cikin lalura.

physiotherapy

Bayan kau da m nau'i na cutar za a iya amfani da tausa kazalika da sauran hanyoyin da physiotherapy. The abu ne cewa, wannan magani yana da wani stimulating sakamako da kuma taimaka wajen rage gida kumburi. Wadannan hanyoyin kwantar da hankali inganta jini ya kwarara zuwa shafa gidajen abinci da kuma lokaci guda kara da motsi. A likita yi a yau ne rayayye amfani paraffin, UHF, phonophoresis, kazalika da infrared radiation.

dace abinci mai gina jiki

Riko da wani m rage cin abinci nuna ga marasa lafiya da ganewar asali "rheumatoid amosanin gabbai". Alamun da bincike da kuma hanya da cutar zai iya gano dalilin da ya faru. Duk da haka, ko da kuwa wadannan dalilai, rage cin abinci da sabawa bayar da dukan marasa lafiya.

Doctors yi imani da cewa wani abinci da taimako zuwa kumburi a kyallen takarda. Wadannan sun hada da naman alade, duk 'ya'yan itatuwa Citrus, alkama da hatsin rai, kiwo kayayyakin, kazalika da masara. Doctors bayar da shawarar cin abinci fiye da kifi, da sha'ir, da buckwheat, qwai. A musamman wuri a cikin ganyayyaki dole ne ya kasance a cikin 'ya'yan itatuwa da kayan lambu mai arziki a cikin bitamin. Ga dukan hanya na far bada shawarar a ware m da soyayyen abinci. Products ya kamata a steamed, da kuma ci kananan, m abinci. Tare da miyagun ƙwayoyi far canji a cin halaye yana da kyau sakamako a kan muhimmancin da dawo.

Na yara rheumatoid amosanin gabbai

Alamun, magani, ganewar asali da wannan cuta a cikin 'ya'yanku ba su bambanta ba daga hanya, kuma far a adult marasa lafiya. Rheumatoid amosanin gabbai na yara irin halin da m ci gaba. 100 dubu yara da wannan cuta ya auku a kowane 15 marasa lafiya.

Haka kuma cutar na faruwa yawanci a karkashin shekaru 16 da haihuwa da kuma iya ci gaba da dama da shekaru. Its ci gaba ne yawanci sakamakon wani iri-iri na tsoma, jere daga kwayar cututtuka da kuma kammala da wani heightened ji na ƙwarai to wasu muhalli dalilai.

Babban alama na rheumatoid amosanin gabbai a yara ne zafi a daya ko fiye gidajen abinci a lokaci guda. Lokacin da kyan gani da su daga nakasawa lura da cewa da farko bayyana kanta a matsayin kumburi. A hankali, da ayyuka na gidajen abinci da aka rage. A wasu lokuta a cikin matasa marasa lafiya ya karu Lymph nodes, zazzabi.

A far shafi yin amfani da NSAIDs ( "Ortofen" "Brufen") a hade tare da zinariya salts da immunosuppressants. Lokacin da m mataki cuta sanatorium magani bada shawarar ga yara, inda ta hanyar daban-daban kiwon lafiya matakan kasa normalize locomotor aiki.

Kada ka bar ba tare da hankali ga yara rheumatoid amosanin gabbai. Alamun, magani, ganewar asali da wannan cuta a cikin matasa marasa lafiya na bukatar gwani m. Idan lokaci ya dauki dukan zama dole warkewa matakan kawar da wannan cuta, shi ne zai yiwu a kauce wa ci gaban tsanani da rikitarwa. Bugu da kari, high quality-jiyya a farkon matakai ba zai tasiri a rayuwa a nan gaba na matasa haƙuri.

rigakafin

Mutane da yawa marasa lafiya suna mamaki yadda za a warkar da rheumatoid amosanin gabbai. Ganewar asali sauti ban tsoro, amma ba lallai ba ne su ji tsoro na. Abin baƙin ciki, da magani domin wannan cuta ba ya wanzu. Yana da wani kullum aiwatar da cewa sau da yawa na bukatar lifelong far. Abu mafi muhimmanci - to nan da nan fara shi.

Yau, masana daga ko'ina cikin duniya suna a cikin m search na sabon warkewa hanyoyin da ba su tare da illa. Musamman muhimmanci shi ne wannan batu na mata a matsayi na fama da rheumatoid amosanin gabbai. Lalle ne, a cikin irin wannan yanayin, liyafar da yawa kwayoyi da aka haramta.

Mutane da yawa da zai yarda da cewa mafi magani ga wani rashin lafiya - shi ne ta dace rigakafin. Don kare gidajen abinci likitoci bayar da shawarar don kula da lafiya salon. Yana nufin kebe da miyagun halaye, a daidaita cin abincin nasu, isassun motsa jiki. Ba na karshe rawar da aka buga ta da tabbatarwa daga tsarin na rigakafi da kuma yaƙi da kiba.

Yanzu da ka san abin da ãyõyin tare da rheumatoid amosanin gabbai. Alamun da bincike da kuma lura da cuta - 'yan m al'amurran da suka shafi cewa bukatar exceptionally gwani m. Rheumatoid amosanin gabbai ake category na cututtuka da matalauta hangen nesa. Idan lokaci ya dauki dukan matakai don kawar da kumburi tsari, tsananin bi likita ta shawarwari, za ka iya fassara da Pathology na kullum.