Ujeedooyinka Daaweynta Inflammation Associated With Synovitis
Cudurka loo yaqaan 'synovitis' waa ereyga caafimaad ee caabuqa ah ee isku xirka isku xirka (ie., Synovium) . Calaamadaha la xidhiidha synovitis waxaa ka mid ah xanuunka lafaha, bararka wadajirka ah, casaanka, iyo diirimaadka .
Dadka caafimaadka qaba, sababta keentay synovitis ayaa badanaa si weyn u isticmaala wadajir. Synovitis sidoo kale waa astaamaha asaasiga ah ee noocyada kala duwan ee arthritis-ka bararka . Iyada oo la xariira xanuunka arthritis-ka, calaamadaha synovitis waxaa badanaa la ogaadaa inta lagu jiro baaritaanka jirka.
Synovitis subagari ahaan
Cinjirka subagga ee 'subtical' waxaa lagu qeexaa sida caabuqa maqaarka ee wadada aan la helin inta lagu jiro baaritaanka jirka. Cudurka 'subinical' waa la ogaan karaa iyada oo la adeegsanayo MRI (sawirka maasjilaadda) laakiin muhiimaddiisu waa su'aasha. Sida laga soo xigtay Scott J. Zashin, MD, "Markaan waayo aragnimadayda sida rheumatologistka, bukaanka qaba jajabinta subklinikada iyo tallaabooyinka caadiga ah ee caabuqa dhiigga, sida heerka qanjirada caadiga ah ee lakabka ama C-reactive protein (CRP), uma badna horumarinta dhaawacyada wadajirka ah ee ka muuqda raajada aasaasiga ah, inkastoo aanan ka warqabin daraasado la daabacay oo ku saabsan mawduucan.
Iyadoo MRI ay si cad ujirto habka ugu wanaagsan ee loogu talagalay barashada maqaarka, waa qaali iyo waqti-qaadasho. Ultrasoundka musquloskeletal waxaa lagu helaa raallin waxaana loo aqoonsan yahay inay jaban tahay isla markaana si siman waxtar u leh MRI si loo ogaado cilad-celinta.
Synovitis Active
Marka la eego astaamaha synovitis ayaa la arki karaa ama la arki karaa inta lagu jiro baadhista jireed, waxaa jira barar firfircoon oo horeyba uga dhacey isku-xirnaanta saameysey.
Cinjirka firfircoon ee firfircoon wuxuu keeni karaa dhaawac joogta ah oo wadajir ah Taasina waa arrin walaac leh marka synovitis la ogaado iyo sida saxda ah ee sababta loo ogaado baaritaanka hore iyo daaweynta arthritis-ka.
Synovitis ma aha oo kaliya dhaawici kara wadajir, laakiin waxay saameyn kartaa dhismayaasha ku xeeran, sida jilicsanaanta . Dhibaato aad u daran ayaa laga yaabaa inay noqoto mid loola jeedo ama layskugu duubo, dhaqdhaqaaq caadi ah oo shaqeynaya, haddii aan macquul ahayn.
Calaamadaha loo yaqaan 'Symptomatic Synovitis'
Synovitis iyo Rheumatoid Arthritis
Inta lagu jiro todobaadyada ugu horeeya ee arthritis- ka ee astaamaha, waxaa laga yaabaa inay mararka qaar noqdaan kuwo unugyada dhiigga cad ama nudaha unugyada ka badan inta la filayo inay qabaan, laakiin biopsy badanaa waxay muujinaysaa muuqaalka muuqaalka ee muuqaalka cudurrada salka ah. Dadka qaba "arthritis-ka hore" waxay dhab ahaantii leeyihiin habka cudur ee socda oo ka horeysa bilawga calaamadaha. Awood-samaynta (ka hortagga unugyada jidhka) ayaa loo maleynayaa in lagu soo saaro dadka qaba rheumatoid arthritis-ka ka hor inta aan calaamadaha calaamadaha muuqan. Tani waxay soo jeedineysaa wejigii hore ee daaweynta oo dhici karta kahor intaan la helin cinjirrada xasaasiyadda 'symptomatic'.
Synovitis iyo Monoarthritis
Marka synovitis la ogaado sababta keentay xanuunka wadarta, bararka, guduudka, ama diirimaadka, sababta keentay xanuunka wadaaga ayaa loo baahan yahay in la go'aamiyo. Si kale haddii loo dhigo, waa maxay cudurada hoosta ku dhaca ama xaalad la xiriirta bararka joogtada ah? Haddii qofku keeno monoarthritis (ie, astaamaha arthritis ee saameynaya hal wadaag), ujeedada ugu muhiimsan ee baaritaanka jireed waa in la dhiso joogitaanka ama maqnaashaha eeyaha ama isku celcelinta synovitis. Jiritaanka synovitis wuxuu xaddidaa ogaanshaha nooca kala duwan ee noocyada xanuunka arthritis, infekshanka infekshanka, iyo cudurrada rheumatiska ee nidaamka.
Marxaladaha hore, rheumatoid arthritis waxay u keeni kartaa sidii monoarthritis. Marka uu sii socdo, rheumatoid arthritis ayaa sida caadiga ah u noqda polyarthritis symmetrical, taasoo macnaheedu yahay in kala-gooyooyin badan oo ku lug leh labada dhinac ee jirka.
Daaweynta Calaamadaha Calaamadaha Calaamadaha
Iyadoo lagu ogaanayo cilad ku habboon, daaweyn habboon ayaa bilaabi karta. Daawooyinka nonsteroid anti-inflammatory (NSAIDs) ayaa sida caadiga ah loo qoraa isla markiiba si loo yareeyo caabuqa. Xanuunka rheumatoid-ka, cudurka-beddelidda daawooyinka ladagaallanka rheumatiska (DMARDs) iyo daroogada bayoolajiga ayaa inta badan lagu daraa qeyb ka mid ah habka daaweynta si loo keeno synovitis si loo xakameeyo, si looga hortago waxyeellada wadajir ah, iyo in la yareeyo socodka cudurka.
> Isha:
> Kelley ee buugta qoraalka ee Rheumatology. Qoraalka sagaalaad. Elsevier. Etiology iyo Pathogenesis ee Rheumatoid Arthritis. Cutubka 69aad.
> Iskudhicid. Isbitaalka Qalitaanka Gaarka ah.
> Helfgott, Simon M. MD. Warbixin ku saabsan Monoarrritis ee Dadka Waaweyn. UpToDate. Ugu danbeyntii Janaayo 2017.