Calaamadaha digniinta ee arthritis
Calaamadaha digniinta ugu horreeya ee arthritis-ku waxaa ka mid noqon kara xanuunka wadnaha , xoojinta wadajirka, bararka wadajirka, iyo diirimaadka. Iskuduwaha kuleylka ama kuleylka ah ayaa dhab ahaantii loola jeedaa wadajir oo diirada saaraya taabashada. Waxaa jira xaalado dhowr ah oo la xidhiidha iskudhaf diiran, qaar ka mid ah kuwaa waa kuwo halis ah. Waa inaad la tashatid dhakhtarkaaga si loo ogaado baaritaanka saxda ah. Waa maxay fursadaha?
Guud ahaan, diirimaadku waa calaamad muujinaysa barar firfircoon.
Waxaa jira xaalado dhowr ah oo laga yaabo in lala xiriiriyo wadaag diiran, oo ay ka mid yihiin:
- Noocyo faafa ee arthritis (sida, rheumatoid arthritis)
- Arthritis Septic
- Arthritis Reactive
- Gout ama pseudogout
- Cudurka Lyme
- Dhaawaca
Aqoonsiga Iskuduwaha Kuleylka ah
Si loo kala saaro xaaladahaas, dhakhtarkaagu wuxuu sameyn doonaa baaritaan jireed. La socosho kulul, dhakhtarkaagu wuxuu baari doonaa isbitaalladaada calaamadaha barar, casaan, iyo jilicsanaan. Haddii uu jiro guduudasho, oo ay weheliso diirimaad diimeed, dhakhtarkaaga ayaa laga yaabaa inuu shaki kaaga jiro dhiig-arooriyeyaasha (septic arthritis) Bararka ayaa caadi ahaan muujinaya firfircooni firfircoon ama dillaac wadajir ah . Haddii uu qandho ku dhaco, waxaa laga yaabaa inuu tilmaamayo bursitis ama dhaawac muruqa ah. Dhaqdhaqaaqa kala duwan ayaa loo qiimeeyn doonaa si wadajir ah (takhtarku wuxuu u guurayaa saameynta ay saameysey) oo si firfircoon (aad u guurto iskudhafkaaga). Cudurka 'septic arthritis' wuxuu la xiriiraa dhaqdhaqaaqa aadka u yareeya, inta badan si lama filaan ah ayuu u dhacaa.
Baaritaanka waxaa laga yaabaa inuu muujiyo calaamadaha kale ee muuqda ee cudurka, sida calaamadaha cudurka rheumatoid ama ciridka . Finan-yare, oo loo yaqaan 'migrants irregular', ayaa badanaa la socda cudurka Lyme waana sifooyinka aasaasiga ah. Finanku waxay ku dhici karaan arthritis illaa bilooyin ama sannado.
Dhakhtarkaaga ayaa sidoo kale qaadan doona inuu ogaanayo in isku-dhafka kaliya uu saameeyo ama kala-goysyo badan.
Marka wadajir halis ah loo saameeyo, waxaa lagu magacaabaa monoarthritis , septican-septican ah iyo turjubaanka sida caadiga ah looga shakisan yahay. Marka wax ka badan hal isku-dhaf ayaa la saameeyaa, arthritis-ka iyo firfircoonida rheumatoid-ka ayaa ah kuwa ugu wayn ee tuhmanayaasha ah.
Inkasta oo dhammaan calaamadaha muuqda ee la ururiyey inta lagu jiro baaritaanka jireed ay muhiim yihiin ayna caawiyaan sameynta baaritaan, dhakhtarkaagu wuxuu u badan tahay inuu u baahan yahay inuu sameeyo ujeeddo wadajir ah si uu u helo macluumaad dheeraad ah. Dareeraha isku-jirka ah waxaa lagu baari karaa shaybaar. Aragga muuqaalka dareeraha wadajirka ah, baaritaanka microscopic (raadinta kristentaroolka iyo bakteeriyada), iyo falanqaynta kiimikada ayaa muujin karta.
Baaritaannada kale ee shaybaarka ayaa laga yaabaa in lagu dalbado, sida xisaabinta dhiig ee buuxa, heerka masiibada , CRP , uric acid , rheumatoid factor . Marka la eego baaritaannada dhiigga ee kor ku qoran, dhakhtarkaagu wuxuu codsan karaa daraasado sawir ah ee isku-dhafka saameynaya, sida raajada, MRI, CT scan, ama ultrasound.
Daaweynta Iskuduwaha Dheecaanka ah
Inkastoo wadaag diirran uusan aheyn raadin aan caadi ahayn, sababtu waa inay noqotaa mid hoos u dhigeysa xaaladaha halista ah. Cudurrada "septic arthritis", sababta ugu daran ee kuleylka diirran ama kuleylka ah iyo welwelka ugu weyn, waxay la xiriirtaa dhimashada ilaa 11%. Saddex meelood hal meel oo ka mid ah bukaan-socodka arthritis (septic arthritis) waxay horumariyaan dhaawaca joogtada ah.
Ka dib marka la isku daro wadajirka iyo aqoonsiga wakiilka infakshanka, daaweynta antibiyootiggu waxay muhiim u tahay daaweynta guuleysiga ee arthritis-ka. Haddii bedelka laysku qaadsiiyo laysku qaadsiiyo, waa in la tashado dhakhtar qalliinka ah. Ma jirto waqti lagu qashqasho marka la go'aaminayo sababta keentay wadaag diiran iyo xitaa wakhti yar oo qashin ah marka sababtu tahay infakshan.
Khadadka hoose
Ciladda saxda ah iyo daaweyn haboon oo loogu talagalay iskudhaf diiran ayaa lagama maarmaan ah. Isku darka diirran waa in aan la iska indhatirin, gaar ahaan haddii uu si lama filaan ah u yimid oo uu si weyn u saameeyey dhaqdhaqaaqa kala duwan ama awoodda aad u leedahay inaad miisaan ku dhigto.
Ilaha:
Tilmaan-bixinta Maareynta Isku-dhafka Is-beddelka ah ee Qanjidhada ee Dadka Qaan-Gaarka ah Fikrad Gaar ah oo ku Saleysan Arthritis. Joornaalka Kiimiko-kiimiko (Antimicrobial Chemotherapy). Weston iyo Coakley. Julaay 19, 2006.
https://academic.oup.com/jac/article/58/3/492/748748/Guideline-for-the-management-of-the-hot-swollen
Hal-kulka kaliya ee kulul. Calin A. iyo Fries J. Bulshada Maraykanka ee Daawada iyo Qalliinka Cusub. Oktoobar 1976.
http://www.ncbi.nlm.nih.gov/pubmed/975758
Wareegyada kulul ee kulul. Patient.co.uk. Dr. Laurence Knott. 3/22/2010.
https://patient.info/doctor/hot-swollen-coints