Noocyada Arthritis-ka Ku Xiran Yareen
Noocyada infakshanka arthritis-ka waxaa laga yaabaa inay ku lug yeeshaan marxalado kala duwan. Badanaa, nidaamka difaaca jirka ee aan xadidneyn ama habdhiska difaaca ayaa sabab u ah infakshan . Astaamaha asaasiga ah ee noocyada xanuunka hargabka ee arthritis waa xanuunka iyo adkaanta subaxa ama ka dib nasashada nasashada ama dhaqdhaqaaq la'aanta. Bukaannada qaba infakshanka arthritis-ka, muddada subaxda qulqulka caadi ahaan waxay ka badan tahay 60 daqiiqo.
Barar, casaan, iyo diirimaadku sidoo kale waxay ku badan yihiin gudaha ama hareeraha isku-dhafka la xameeyey. Caabuqyo xannuunsanaantu ma saameynayaan oo kaliya meelaha kala goysyada - qaybaha kale ee jidhka ayaa la saari karaa, oo ay ku jiraan maqaarka ama xubnaha gudaha. Xiiq-xummo ayaa saameyn karta dadka da 'kasta, laakiin badanaa waxay ku dhibaateeyaan dadka ugu muhiimsan nolosha.
Bararku marwalba ma dhaco neefsiga bararka. Iyadoo laga yaabo inay u muuqato cilad-darro, dhab ahaantii barar ku dhaca bararka aragga waxaa laga yaabaa inay qabaan xanuun aan barar lahayn, barar aan lahayn xanuun, ama xaddidaad jidheed iyada oo aan xanuun ama barar.
Noocyada Caga-bararka xiiq-dheerta (Inflammatory Arthritis)
Saddexda nooc ee ugu caamsan xanuunka arthritis- gu waa rheumatoid arthritis , psoriatic arthritis , iyo antkylosing spondylitis . Laakiin, waxaa jira dad kale. Bukaanjiifka muujiya calaamadaha muruqyada, xaaladaha barar ee aan laheyn ka-qaybgal wadajir ah waxaa ka mid ah bursitis , tendinitis , ama polymyalgia rheumatica .
Bukaanjiifka leh hal ilaa 3 xinjir oo ku lug leh waxaa laga yaabaa in uu ku dhaco xaalad halis ah sida infakshanka arthritis , gout, pseudogout , Arthritis Reactritis, ama Chlamydial arthritis - ama xaalad barar ah sida cudurka psoriatic arthritis, spondyloarthropathy, pauciarticular juvenile arthritis , ama infekshan infakshanka ayaa si gaabis ah u bogsanaya.
Bukaan-socodka leh 4 ama wax ka badan oo isku-xirmo ah waxay yeelan karaan xaalado daran oo barar ah sida cudurka viral arthritis, arthritis daroogo ah, cudurada xubinta taranka ee hore, qandhada rheumatic , rheumatism palindromic , ama qaadidda cinjirka xuubka 'symmetrical symmetrical with polymer (RS3PE) - ama xaaladaha dabaysha sida rheumatoid arthritis, polarthritis aan kala sooc lahayn , osteoarthritis inflammatory , cudurada isku-dhafan ee isku dhafan , lupus , scleroderma , cagaarshow yar-yar ee xuubka, ama qaan-gaar ah Wali waa cudur.
Sidee Ayuu Caabuq u Jiraa Xanuun Ba'an?
Sare u qaadidda fal-celin-celin-celin ficil ah waxay u adeegtaa sida tilmaamayaasha caabuqa. Inkastoo labadii jeer ee la isticmaalay, heerka CRP iyo qulqulatooyinka , waxay muujinayaan caabuq, ma kala soocaan rheumatoid arthritis iyo noocyada kaladuwan ee xanuunka arthritis. Sidoo kale, ma aha dhammaan dadka bukaanka qaba xanuunka barar-xannuunku (inflammatory arthritis) ay yeelan karaan heerka sare ee CRP ama sicir-bararka marka hore. Qaar ka mid ah bukaannada ayaa laga yaabaa inay bedelaan heerarka sare ee ferritin, haptoglobin, ceruloplasmin, ama dhammeystirid. Calaamadaha kale ee muujinaya nooca caabuqa ee arthritis-ka waa dhiig-yaraanta, cudurada joogtada ah, xajmiga unugyada sare, iyo tirade unugyada cad oo sareeya.
Waxaa jira baaritaanno macluul ah si ay u caawiyaan sidii loo xakameyn lahaa cudurka.
Cilladda rheumatoidka ayaa badanaa lagu amraa marka la shakiyo rheumatoid arthritis. Hase yeeshee, ma aha qof kasta oo qaba rheumatoid arthritis-ku inuu ku dhaco astaamaha rheumatoid (seropositive). Qiyaastii 20% bukaannada laga helay cudurka rheumatoid arthritis ayaa ah kuwa xun ee rheumatoid (seronegative). Marka hore arthritis (calaamadaha sanad ka yar) dareenka rheumatoid waa qiyaastii 17-59%, sida uu qabo Kelley "Textbook of Rheumatology". Taas macneheedu maaha mid wanaagsan oo ku salaysan rheumatoid arthritis-ka hore, sababtoo ah xaalado kale ayaa lala xiriiri karaa astaamo rheumatoid ah (tusaale, lupus, Sjogren's syndrome ).
Xitaa 4-5% dadka guud waxay u fiican tahay rheumatoid. Baaritaanno kale oo dheellitiran, sida anti-CCP iyo ANA waxay bixin karaan macluumaad dheeri ah oo lagu ogaanayo, marka lagu daro CRP, sicirka sare, iyo rheumatoid factor.
Tijaabinta calaamadaha hiddaha qaarkood ayaa caawin kara. Tusaale ahaan, HLA-B27 wax -ku-oolnimada waxay si aad ah ula xiriirtaa antimilosing spondylitis. Sidoo kale, falanqaynta dheecaanka synovial ayaa ku siin kara macluumaad ku saabsan inflammaton - dheecaanka synovial ka soo biiray bararka sida caadiga ah jaalaha ah iyo qallafsan, oo leh unug cadaan ah tirin karo 10,000 unug / mm, iyada oo boqolkiiba ugu weyn tahay nutrophils.
Sawirka waxaa sidoo kale loo isticmaalaa qayb ka mid ah habka ogaanshaha nooca cudurka arthritis-ka. Calaamadaha raajada ee xanuunka infekshanka ayaa ku jiri kara barar jilicsan, bararka la yiraahdo, dheecaan wadajir ah , osteopenia oo u dhow laf dhabarka , lumista maskaxda , cirridka wadajirka ah , iyo lafaha lafaha.
Ilaha:
Xarunta Xuubka "Inflammatory Arthritis Center". Isbitaalka Qalitaanka Gaarka ah.
http://www.hss.edu/inflammatory-arthritis-center.asp#.UzS4Q4VsJ4w.
Kelley ee buugta qoraalka ee Rheumatology. Cutubka 42aad. Arthritis Polyarticular. John J. Cush iyo Kathryn H. Dao. Qoraalka sagaalaad. Elsevier Saunders.
Tilmaamaha Dhakhtarka Daryeelka Aasaasiga ah ee Xiiq-xummad-darrada; Ciladeynta. Shabakadda Rheumatology. Juun 2, 2010.
http://www.rheumatologynetwork.com/articles/primary-care-physicians-guide-inflammatory-arthritis-diagnosis.