Rheumatoid Arthritis iyo Dhimasho
Maalintii kale, waxaan maqlay qof oo dhahaya, "Hagaag, rheumatoid arthritis ma ku dilaan adiga." Ma doonayo in aan galo waqti dheer, wada-hadal ku lug leh wakhtigaa, waxaan u maleynayaa inaan si daacadnimo ah u dhicin, "Run ahaantii, way ka sii adag tahay tan."
Rheumatoid arthritis ma aha mid guud ahaan loo tixgeliyo cudur halis ah ama jirro. Xaqiiqdii, waxaa caadi ahaan loo yaqaanaa cudur dabadheeraad ah, taas oo macnaheedu yahay inaad ku haysato muddada noloshaada.
Cudurku wuxuu ku xiran yahay khatar sare oo ah dhibaatooyin keeni kara dhimasho.
Rheumatoid arthritis-ku wuxuu ku xiran yahay rajada nolosha dhimista , qayb ahaanna waxaa sabab u ah dhibaatooyinka soo koraya. Waxaa lagu qiyaasay in rajada nolosha la gooyo qiyaastii 10 sano dadka qaba rheumatoid arthritis. Xanuunka nidaamsan ee la xiriirta rheumatoid arthritis waxaa loo maleynayaa in si aan toos aheyn loo gaabiyo noloshooda soo gaabin, iyo sidoo kale kaalin ka qaadashada kor u qaadida khatarta caabuqyada halista ah, cudurada wadnaha, atherosclerosis, iyo cudurada dheef-
Cudurka wadnaha
Xidhiidhka ka dhexeeya rheumatoid arthritis iyo cudurrada wadnaha oo kordhaya ayaa si fiican loo darsay wuxuuna sii ahaanayaa diirada cilmi baarista. Cudurada wadnaha iyo xididdada wadnaha waa sababta ugu weyn ee keenta dhimashada ragga leh rheumatoid arthritis. Qiyaastii boqolkiiba 40 dhimashada rheumatoid arthritis waxaa loo aaneynayaa dhacdooyinka wadnaha.
Dadka qaba rheumatoid arthritis waxay leeyihiin laba-laab halista kordhinta wadnaha iyo istaroogga marka loo eego dadka aan lahayn rheumatoid arthritis. Khatartu waxay u koraysaa ku dhawaad saddex laab laab dadka qaba rheumatoid arthritis muddo 10 sano ah ama ka badan.
Waxaa xiiso leh inkasta, arimaha khatarta ee cudurada wadnaha aanad sharaxin sawirka oo dhan dadka qaba rheumatoid arthritis.
Waxaa jira habab kale oo loo yaqaan 'pathogenic (cudur-keena') oo ciyaaraya, oo badanaa la xiriira infakshanka nidaamka. Farsamooyinka noocan oo kale ah waxaa ku jiri kara dyslipidemia (daaweyn aan caadi aheyn oo dufanka dhiigga ku jira), adkaysiga insulin, saadaalinta xinjiraha dhiigga, heerarka sare ee homocysteine ee dhiiga, iyo hawlaha difaaca qaarkood, sida hawlgalka T-cell.
Hase yeeshee, bukaannada kale ee rheumatoid arthritis-ku waxay u badantahay in ay soo sheegaan xanuunka feedhaha marka loo eego kuwa aan lahayn rheumatoid arthritis. Waxay kufilan yihiin in ay la kulmaan infekshan aan la ogaan karin (wadno xanuun) ama geerida wadnaha oo degdeg ah.
Cudurka Metabolic
Cudurka Metabolic , oo ah arrimo ku saabsan ciladaha khatarta ah ee wadnaha iyo xididada, oo ay ku jiraan hypertension, buurnaanta, sonkorta dhiiga, iyo dyslipidemia ayaa aad ugu badan dadka qaba rheumatoid arthritis. Calaamadaha sarreeya iyo isticmaalka glucocorticoids waxaa loo tixgeliyaa saadaalaha muujinta jiritaanka dheef-shiid kiimikaad ah kuwa qaba rheumatoid arthritis.
Mid ka mid ah daraasaddan, oo lagu daabacay Jariidada Janaayo 2011 ee Xogta Rheumatology ayaa la tixgeliyay in bukaanka rheumatoid arthritis-ka aan lahayn calaamadaha muuqda ee cudurrada wadnaha iyo xididdada cudurrada wadnaha lagu yaqaan 'metabolic syndrome'.
Gabagabadu waxay ahayd in dadka qaba rheumatoid arthritis-ka ay ku badan yihiin cudurada dheef-shiid kiimikaadka.
Atherosclerosis
Dadka qaba rheumatoid arthritis-ku waxay leeyihiin barar badan ee atherosclerosis marka loo eego kuwa aan lahayn rheumatoid arthritis. Cudurka Atherosclerosis iyo rheumatoid arthritis ayaa laga yaabaa inay wadaagaan dhowr farsamo oo wadnaha ah, iyo infakshanka nidaamku waxay u badan tahay inay ka mid yihiin. Waxaa sidoo kale jiri kara hababka hidda-socodka. Nidaamka maadada 'autoimmune' ayaa suurtogal ah in uu door ka qaato labada rheumatoid arthritis iyo atherosclerosis labadaba.
Cudurada Daran
Bukaanada rheumatoid arthritis-ka ayaa lagu muujiyey in ay yeeshaan khatar sii kordheysa ee caabuqa.
Marka la eego hal daraasad, oo lagu daabacay Sentember 2002 ee Arthritis iyo Rheumatism , oo qiimeeyay saadaaliyayasha cudurka ee rheumatoid arthritis, da 'weynaaday, muujin dheeraad ah oo muujinaysa rheumatoid arthritis (sida, calaamadaha aan aheyn ka qaybgalka wadajirka), isdhexgalka , iyo isticmaalka Corticosteroids waxay ahaayeen kuwa saadaaliyay cudurka. Arrin xiiso leh, sida ku cad natiijada daraasaddan ee May 2013 ee Rheumatology , heerka cudurka halista ah ee rheumatoid arthritis-ka ayaa hoos u dhacay sanadihii la soo dhaafay.
Dhabarka Dhibcaha
Sabab kale oo suurtagal ah ee dhimashada la xiriirta cudurka rheumatoid arthritis waa dhadhanka caloosha . Waa wax aan caadi ahayn, laakiin dhacdo halis ah marka uu dhaco. Dadka lagu daaweeyo glucocorticoids, daawooyinka nonsteroid anti-inflammatory (NSAIDS) ama leh taariikh taariikheed ee diverticulitis waxay halis weyn u tahay dhibaatooyinka caloosha.
> Ilo:
> Dhawan SS et al. Rheumatoid arthritis iyo cudurada wadnaha. Warbixinta Atheroclerosis ee hadda. 2008 Apr; 10 (2): 128-33.
> Rosom S et. al. BMC Cudurrada Musqulaha: Cudurka Metabolic ee Rheumatoid Arthritis: Daraasad koontaroolidda kiisaska. Abriil 26, 2013.
> Crowson CS et al. Kordhay cudurrada dheef-shiid kiimikaadka ah ee la xidhiidha rheumatoid arthritis-ka ee bukaan-socodka oo aan lahayn cudurada wadnaha. Wargeyska Rheumatology Jan. 2011.
> Cavagna l et al. Cudurka Atherosclerosis iyo Rheumatoid Arthritis: wax ka badan urur fudud. Dhexdhexaadiyeyaasha Caabuqa. 2012: 147354. Sebtember 13, 2012.
> Ni Mhuircheartaigh et al. Isbedelka infekshanada daran ee rheumatoid arthritis. Wargeyska Rheumatology. May 2013.
> Doran MF et al. Saadaaliyaasha cudurka ee rheumatoid arthritis. Arthritis & Rheumatism. Sebtembar 2002.
> Curtis JR et al. Dhacdooyinka guntimaha mindhicirka ee ku dhaca bukaanka rheumatoid arthritis. Arthritis & Rheumatism. February 2011.