Dhibaatooyinka Sambabka waxaa ku dhici kara Rheumatoid Arthritis
Cudurka sambabada ee rheumatoid , sida magaciisu soo jeediyo, wuxuu la xiriiraa rheumatoid arthritis . 1.5 milyan oo Maraykan ah oo leh rheumatoid arthritis, ku dhawaad kala badh ayaa leh hawlo sambabeed oo aan caadi ahayn. Ilaa afar meelood hal meel waxaa laga yaabaa inay ku dhacdo cudur sambabada ah.
Calaamadaha Cudurka Sambabada Cudurka
Astaamaha caadiga ah ee arthritic waxaa ka mid ah xanuunka laabatooyinka, bararka wadajirka ah, qallafsanaanta wadnaha , iyo noduleska .
Calaamadaha dheeraadka ah ee la xiriira cudurrada sambabada ee rheumatoid waxaa ka mid ah:
- Neefsasho gaabis ah
- Qufac
- Xanuunka laabta
- Qandho
- Dhawaaqyada dhawaaqa marka dhageysiga sambabada leh stethoscope (dhawaaqa neefta oo yaraaday ama dhawaaqa neefta caadiga ah ayaa suurta gal ah)
Ciladeynta iyo Daaweynta Cudurka Sambabada Sambabka
Nidaamka loo isticmaalo in lagu caawiyo baaritaanka xaaladda waxaa ka mid ah:
- Raajo Xabad
- Baadhitaanka la socda (CT) ee xabadka
- Echocardiogram
- Burcad-badeed
- Bronchoscopy
Cudurka sambabada ee rheumatoid, qoryaha hawada ama alveoli ee sanbabada iyo qaababka taageeradooda waxay noqdaan kuwo waxyeello u geysta caabuqa , taas oo keenta shaqeyn sambabeed oo daciif ah. Waqtigan xaadirka ah, ma jiraan wax daaweyn ah oo la xaqiijiyey ee cudurka rheumatoid sambabada, laakiin corticosteroids iyo immunosuppressants ayaa inta badan lagu taliyaa.
Xanuunnada Thoracic iyo Pulmonary-ku-Xanuunada oo lala xiriiriyo Cudurka Sambabka ee Rheumatoid
Cudurka wadnaha iyo sambabaha ee la xariira cudurrada sambabada ee rheumatoid waxaa ka mid ah:
- Dhaqan xumo
- Dheecaannada dhejiska
- Fayruska sambabada
- Nnrobiotic nodules
- Boogaha Bronchiolitis ee abaabulka oof-wareen (BOOP)
- Bronchiectasis
- Beereytiyanka Bronchiolitis
- Cudurka Pneumonitis
- Qufac laf-dhabarka
Cudurrada Sambabka Sambabka iyo Rheumatoid Arthritis
Calaamadaha ugu caansan ee cudurada sambabada ee rheumatoid arthritis waa cudur sambabeed oo dhexdhexaad ah.
Bukaan-socodka qaba xanuunka 'rheumatoid arthritis' ee daran waxay u badan tahay inuu ku dhaco cudurka rheumatoid ee xannuun-wadareedka sanbabada. Warbixin faahfaahsan oo ay soo saartay Dr. Jeffrey T. Chapman oo ka socda Xarunta Cleveland Clinic Foundation ayaa faahfaahin ka bixinaya baahsanaanta, calaamadaha iyo astaamaha, ogaanshaha, iyo daaweynta cudurrada sambabada.
Mayo Clinic cilmi-baarayaashu waxay soo jeediyeen in cudurada sambabada ee rheumatoidku ay si ka duwan u kala duwan yihiin noocyada kale ee sambabada sanbabada waxaana suurtogal ah in si haboon loo daaweeyo. Horumarinta falanqaynta muuqaalka kombuyuutarka ayaa ka dhigtay suurtogalnimada in lagu ogaado cudurka rheumatoid sambabada horay uuna u daweeynaa sidii cudur ahaan habka difaaca jirka. Sidoo kale, cilmi-baarista Mayo Clinic ayaa muujisay fara badan oo ah nooca T-ga, oo loo yaqaanno CD4 T unugyada, raajo-nudaha unugga rheumatoid-ka.
Noocyada ugu badan ee cudurada sanbabada ee isu tallowga ah ayaa ah oof-wareen caadi ah oo isdaba-joog ah iyo oof-wareen aan caadi aheyn. Soo bandhigid kale ayaa isku daraya fayraska sambabada iyo emphysema.
Sigaar cabid, halis ku salaysan halista arthritis-ka, ayaa sidoo kale door ka qaadan karta rheumatoid arthritis-la xiriirta cudurada sambabaha ee la xiriira, oo ay weheliyaan hababka hidde iyo habka difaaca jirka. Waxaa sidoo kale lagu soo jeediyay in daawooyinka rheumatoid-ka arthritis ay suurtogal u tahay inay horseedi karaan cudurada sambabada ee daroogada keena, xaaladaha qaarkood.
Daaweynta Rheumatoid Arthritis iyo Cudurrada Sambabka
Daawada methotrexate waa daaweynta caadiga ah ee loo yaqaan 'rheumatoid arthritis'. Hase yeeshee, methotrexate ayaa sidoo kale lagu soo jeediyey inuu yahay wakiilka keena cudurada sanbabada ee dhexdhexaadka ah. Cilmi-baadhayaashu waxay qiimeeyeen halista qulqulka cudurka sanbabada ee rheumatoid arthritis-ka ee lagu daaweeyay methotrexate. Daraasadu waxay soo gabagabeyneysaa in kor u kaca halista cudurka sambabada ee bukaanka rheumatoid arthritis-ka lagu daaweeyo daawada methotrexate marka la barbar dhigo daawooyinka kale ee daaweynta ladagaallanka rimeemka (DMARDs) iyo daawooyinka bayoolajiga .
Bishii Janaayo 2016, natiijooyinka daraasadda ayaa lagu daabacay Jareeriyada Rheumatology oo qiimeyn ku yeeshay khatarta cudurka sambabada ee ka midka ah bukaanka rheumatoid arthritis-ku lagu daweeyo Arava (leflunomide) .
Ma jirto caddaymo muujinaya dhacdooyinka neefta ee sii kordhaya ayaa laga helay randomized, tijaabada kontaroolka ee bukaanka rheumatoid arthritis-ku lagu daweeyo leflunomide.
> Ilo:
> Conway R. et al. Leflunomide Isticmaalka iyo Khatarta Cudurka Sambabka ee Rheumatoid Arthritis: Dib-u-eegis Qoraal Edbiyadeed iyo Metanalysis ee Dacwooyinka Kala-Xakameysan. Wargeyska Rheumatology . March 15, 2016. Epub ka hor daabacaadda.
> Conway R. et al. Methotrexate iyo cudurada sambab ee rheumatoid arthritis: falanqaynta maadada ee tijaabooyinka la xakameeyey. Arthritis & Rheumatology . 2014 Apr; 66 (4): 803-12.
> Froidevaux-Janin S. et al. Cudurka sambabada ee laf-dhabarka ee rheumatoid arthritis. Dib uga noqo daawada Suisse . 2011 Nov 23; 7 (318): 2272-7.
> Kim EJ, Collard HR, King TE. Cudurka Rheumatoid Arthritis-Associated Interstitial Cudurka Sambabka. Laabta . 2009; 136 (5): 1397-1405. doi: 10.1378 / chest.09-0444.