Sidee Ayay U Noqon Doonaan?
Rheumatoid arthritis waa dhibaato. Inta badan dadka qaba rheumatoid arthritis-ku waxay kuu sheegi doonaan in mar uun la soo maray ka hor intaan la siin cillad la hubo. Xitaa haddii dhakhtarkooda looga shakiyo rheumatoid arthritis-ka hore, ma jiro baaritaan ama hal cad oo caddaynaya xaqiijinta cudurka. Natiijooyinka baadhitaanka jirka, taariikhda caafimaadka, imtixaanada shaybaarka, iyo daraasadaha sawir-qaadista waa in dhammaantood la tixgeliyaa.
Ma aha oo kaliya waxyaallo kooban oo cudurro ah oo la xiriira rheumatoid arthritis-ka, bukaannada ayaa leh muuqaalo kala duwan oo cudurka ah. Inta badan dadka qaba rheumatoid arthritis-ka, bilawga calaamadaha cudurka ayaa si tartiib tartiib ah u dhaca waxayna si fiican u dhisan yihiin ka hor inta aan la aqoonsan. Jarjirowga " polyarthritis" wuxuu caadi ahaan ku lug leeyahay qaybaha yaryar ee gacmaha iyo cagaha ka hor intaadan u dhaqaaqin qaybo badan. Laakiin waxaa jira siyaabo kale oo loo yaqaan 'rheumatoid arthritis-ka' oo ka dhigta mid aan caadi ahayn: palindromic (xanuunka oo soo noqnoqonaya xanuunka iyo adkaysiga, oo saameeya hal ama dhowr jibbaar, ka dibna noqda mid joogto ah); Polymyalgic (badanaa bukaanka waayeelka leh cabashada asaasiga ah ee qallafsan, inta badan garbaha ama miskaha); nidaamyo (aan muuqaal ahayn, sida qandho, xajin , miisaan lumis); monoarthritis joogto ah (arthritis ee hal dhinac oo weyn oo sii jiraya).
Arthritis-ka hore ee rheumatoid-ka wuxuu ka duwanaan karaa waxa aan u maleyneyno sida rheumatoid arthritis-ka caadiga ah.
Bukaanno badani waxay leeyihiin calaamado caadi ah marka ugu horeysa ee ay dhakhtar la tashadaan astaamaha astaamaha ah. Dad badan ayaa leh raajo caadi ah. Maxay noqon kartaa mid aad u jahwareersan dhakhtar, sidaas darteed bukaanku, waa in ay jiraan xaalado dhowr ah oo lagu gartey polyarthritis kaas oo leh astaamo caadi ahaan la xiriira rheumatoid arthritis.
Sababtoo ah xaaladahani waxay qabaan xanuunka 'rheumatoid arthritis', waa in la tixgeliyaa, ka dibna laga reebo, kahor baaritaanka rheumatoid arthritis-ka si kalsooni leh loo dhisi karo. Waa kuwan qaar ka mid ah shuruudaha kala duwan ee rneumatoid arthritis:
Dhiig-Jir-Xanuun ka dib
Caabuqyada fayraska ah ee ba'an iyo kuwa daba-dheeraaday waxay keeni karaan polyarthritis-ka kaas oo u muuqda sida rheumatoid arthritis-klinik ahaan. Caabuqyada fayraska ah ee ba'an, sida parvovirus B19, ayaa badanaa lagu kala sooci karaa taariikhda soo-gaadhista, finan, iyo xaqiiqda ah in calaamaduhu ay sii socdaan wakhti gaar ah. Waxaa muhiim u ah dhakhtarka in uu ka reebo infekshanka cagaarshow joogtada ah ama fayraska jirka ee difaaca jirka, gaar ahaan haddii daaweynta la socota difaaca jirka.
Spondyloarthritis-Seronegative
Jirrada xanuunka 'psoriatic arthritis' way adkaan kartaa in la kala saaro rheumatoid arthritis-ka, gaar ahaan haddii aysan jirin finan. Ka qayb qaadashada xuubka xajinta ama qaybaha isdhexgalka ee isdhexgalka ee gacmaha ayaa ciriiri kara calaamadaha cudurka psoriasis ee arthritis. Cudurka qanjidh -bararka ee kale ( arthritis reactive , spolitylitis ankylosing , inflammatory bowel-associated arthropathy) wuxuu sidoo kale ku dhici karaa rheumatoid arthritis. "Iskuduwaha wadajirka ah ee maqnaanshaha, maqnaanshaha cudurka yar-yar ee isku-dhafan, muuqaalka sausage-ka ee lambarrada, iyo ka-qaybgalka lumbosacral laf-dhabarka oo dhan wuxuu u roonaadaa xannibaadaha xannuunka", sida laga soo xigtay Cleveland Clinic.
Lupus
Cudurka lipus erythematosus wuxuu la xiriiri karaa ka qaybqaadashada wadajirka ah ee ku haboon rheumatoid arthritis, laakiin lupus way kala duwan tahay adigoo ah cudur aan sanqad lahayn. Iyada oo lupus, isbeddelladu waxay u kicin karaan kuwa la mid ah kuwa la xariira rheumatoid arthritis - farqiga udhaxeeya lafaha iyo lakabka lupus, ma aha burbur wadaag ah.
Cudurka 'Scleroderma'
Tirada dhiigga ee buuxa, baaritaanka kiimiko dhamaystiran, iyo daraasado xeel dheer (sida, antiinuclear, anticentromere, iyo antitopoisomerase antibodies) ayaa sida caadiga ah lagu amraa marka bukaanka laga shakiyo inuu qabo scleroderma . Qiyaasaha qadarinta kinase, heerka qulqulka lakoroosiga, iyo cabbiraadda borotiinka C-reactive ayaa sidoo kale laga yaabaa inay noqoto mid waxtar leh maadaama la ogaado nooca cudurka.
"Natiijooyinka sarreeya waxay soo jeedinayaan miyiriska, vaskulitis, malignancy, ama isku dhejisid cillad maskaxda ah oo leh cudur kale oo cusboneysiin ah," sida laga soo xigtay AAFP.
Vasculitis
Polymyalgia rheumatica (PMR) iyo xididka weyn ee unugyada gacanta (GCA) ayaa ku dhici kara polyarthritis symmetrical. Inta badan, taariikhda caafimaadka ee bukaankan ayaa ka caawin kara kala duwanaanshaha PMR ama GCA (sida, madax-xanuun, iyo garabka iyo suuxdinta xanuunka). Xaaladaha qaarkood, cudurka waxaa laga yaabaa inay ku xiran tahay fiirsashada cudurka muddo waqti ah. Si kale haddii loo dhigo, dhibaatooyinka halista ahi waxay kicin karaan wakhti go'an oo tilmaamaya vasculitide. Cudurka ' vasculitis' wuxuu sidoo kale ka muuqan karaa polarthritis. Gogol-xummada Wegener wuxuu noqon karaa natiijada rheumatoid.
Osteoarthritis
Maqnaanshaha calaamadaha iyo astaamaha caabuqa nidaamka, bilawga dhalashada qaangaarka ah, iyo qaabka ka qayb qaadashada wadajirka ah (asymmetric) ayaa badanaa ku filan inay kala saaraan osteoarthritis- ka rheumatoid arthritis. " Cudurka osteoarthritis-ku wuxuu noqon karaa muuqaal muuqaal ah oo lagu baaro, laakiin waxa uu ku lug leeyahay kala-qaadista PIP-ta inta badan, maaha mid la xiriirta synovitis proliferative, ma aha RF (rheumatoid factor) positive, oo leh muuqaal shucaac ah", ayaa sheegay in Cleveland Clinic.
Gout
Xiddiga xanuunka badanaa wuxuu la xiriiraa monoarticular asymmetric or inflammation ostearticular iyo arthritis, oo soconaya 3 ilaa 10 maalmood. Hase yeeshe, weerarrada gawaarida waxay noqon karaan kuwa soo noqnoqonaya, oo muddo dheer soconaya, oo aanay xallin Karin, taasoo horseedaysa arthropathy cirridka ah. Arthropathy Gouty wuxuu keeni karaa burbur iyo burbur wadaag ah. Waxaa laga soocaa rheumatoid arthritis iyada oo maqnaanshaha meel bannaanka ah iyo maqnaansho osteopenia periarticular, sida ay sheegtay Cleveland Clinic.
Pseudogout
Cudurka macdanta "CPPD" wuxuu ku xiran yahay waxyaabo ay ka mid yihiin astaamaha cudurka. Waxay noqon kartaa asymptomatic, gout-like (pseudogout), rheumatoid arthritis-sida, ama osteoarthritis-sida. Pseudogout waxaa lagu kala soocaa weerarada ba'an ee synovitis kuwaas oo la jaan qaadayo. Falanqaynta dheecaanka synovial ayaa loo isticmaalaa baadhitaanka kala duwan.
Sjogren's Syndrome
Cudurka xanuunka 'Sjogren's syndrome' waa cudur aan bini-aadmin ahayn, cudurka bararka leh. Waxay u dhici kartaa xaalad asaasi ah oo aan lahayn cudur kale oo rheumatic ah ama xaalad labaad oo ay la socoto xaalad kale oo rheumatic ah. Cudurka 'Sjogren' ee xanuunka 'Sjogren' ayaa calaamad u noqon kara cudurka rheumatoid arthritis. Qiyaas ahaan 60 ilaa 70 boqolkiiba bukaanka Sjogren ee aasaasiga ah ayaa ku habboon ciladda rheumatoid. Waxaa sidoo kale jira xannuun, qallaf, iyo barar yar oo ku dhaca xubnaha. Baaritaan khaas ah ayaa kaa caawin kara kala soocida Sjogren's syndrome iyo rheumatoid arthritis.
Sarcoidosis
Sarcoidosis ayaa ka muuqan kara synovitis dhowr meelood oo kala duwan waxayna noqon kartaa natiijada rheumatoid. Hase yeeshe, astaamaha kale waxay ka caawisaa kala soocista rheumatoid arthritis. Xaaladaha qaar, waxaa laga yaabaa in laga saaro cad ka-soo-bixinta unugyada si loo ogaado cudurka.
Fibromyalgia
Fibromyalgia waxaa lagu gartaa cillad jilicsan iyo xajin xoog leh, laakiin maqnaanshaha synovitis, maqaarka xanuun la'aanta, iyo daraasadaha caadiga ah ee shaybaarada iyo sawir-qaadista ayaa ka tarjumaya ciladda fibromyalgia, taas oo kala soocaysa rheumatoid arthritis, sida uu qabo Cleveland Clinic.
Khadadka hoose
Waxaa jira shuruudo la xidhiidha rheumatoid arthritis, gaar ahaan xilliga hore ee cudurka. Astaamaha asaasiga ah ee caadiga ah waa polyarthritis. Taariikhda caafimaadka ee bukaan-socodka, kormeerka calaamadaha iyo muujinta cudurada wakhti ka dambeeya, iyo baaritaano dheeri ah oo dheeri ah ayaa caawimaya xaaladaha laga helo rheumatoid arthritis.
Ilaha:
Gout iyo Pseudogout. Feyrouz Al-Ashkar. Cleveland Clinic.
http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/rheumatology/gout-and-pseudogout/
Rheumatoid Arthritis. William S. Wilke. Cleveland Clinic.
http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/rheumatology/rheumatoid-arthritis/
Cudurka Sclerosis / Scleroderma: Cudurada lagu daweeyo cudurada kala duwan. Monique Hinchcliff, MD iyo John Varga, MD Dhakhtarka Qoyska Maraykanka. Oktoobar 15, 2008.
http://www.aafp.org/afp/2008/1015/p961.html
Ciladeynta Arthritis-Early Early: Waa maxay Baahida Khaaska ah ee Baahan in Lagu Ogaado. E Suresh, MD MRCP. Wargeyska Jaamacadda Royal ee Daawada. Sebtember 2004.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1079582/