Iri na Arthritis Associated Tare da Kumburi
Magungunan ƙwayar ƙwayar cuta na ƙwayoyin cuta na iya ƙila yawan ɗakuna a lokaci guda. Sau da yawa, wani tsari mai mahimmanci ko rashin aiki na rashin lafiya yana haifar da kumburi . Babban alamun bayyanar cututtukan cututtuka na ƙwayoyin ƙwayoyin cutar ciwon zafi suna da zafi da haushi da safe ko bayan lokuta hutawa ko rashin aiki. A cikin marasa lafiya da cututtuka na ƙwayar cuta, lokacin ƙarfin gari ya wuce minti 60.
Ƙusar wuta, jawa, da kuma dumi suna da yawa a ko kusa da gidajen da aka shafa. Harsashin ƙwayar cuta ba wai kawai yana rinjayar mahaɗin ba - wasu sassa na jiki zasu iya shafa, ciki har da fata ko gabobin ciki. Ƙwararrun cututtuka na ƙwayoyin cuta na iya rinjayar mutane daga dukan shekaru daban-daban, amma sau da yawa sukan kashe mutane a fannin rayuwar.
Kusawa ba koyaushe yana faruwa da cututtukan cututtuka ba. Duk da yake wannan yana iya zama ba a gane ba, hakika marasa lafiya na cututtuka na ƙwayar cuta na iya zama ciwo ba tare da kumburi ba, busawa ba tare da ciwo ba, ko rashin ƙarfi na jiki ba tare da ciwo ko kumburi ba.
Iri na cututtukan cututtukan jini
Abubuwa uku na yau da kullum na yau da kullum na cututtukan ƙwayoyin cutar ƙwayoyin cuta sune maganin arthritis , cututtuka na psoriatic , da kuma sparkylitis . Amma, akwai wasu kuma. A cikin marasa lafiya wadanda ke nuna alamun bayyanar cututtukan ƙwayoyin cuta, yanayin haɗari wanda ba shi da haɗin gwiwa ya haɗa da bursitis , tendinitis , ko polymyalgia rheumatica .
Abokan da ke da maki 3 zuwa 3 zasu iya samun mummunar yanayin jini irin su cututtuka na cututtuka , gout, pseudogout , Arthritis da ke gudana , ko ƙwayar cuta na Chlamydial - ko kuma wani mummunan yanayin jini irin su cututtuka na psoriatic, spondyloarthropathy, cututtukan ƙananan yara marasa lafiya, ko cututtuka masu kamuwa da cutar. ya jinkirta warkar.
Magunguna waɗanda ke da kayan aiki 4 ko fiye suna iya samun mummunar yanayin ƙwayoyin cuta irin su cututtukan cututtuka, maganin ƙwaƙwalwar ƙwayoyi, ƙwayoyin cuta na haɗuwa da kututtuka, zazzaɓi na rheumatic , rheumatism na palindromic , ko kuma sake ba da synovite tare da rubutu tare da rubutun (RS3PE) - ko yanayin ƙoshin lafiya na yau da kullum irin su cututtuka na rheumatoid, polyarthritis ba tare da bambanci ba , cututtuka na ƙwayoyin cuta na ƙwayoyin cuta , da ƙwayoyin cuta masu linzami na haɗin gwiwa , lupus , scleroderma , polyarticular ƙananan ƙwayoyin ƙwayar cuta, ko kuma babba Duk da haka cutar.
Ta yaya ake gano cututtukan cututtuka na jini?
Tsayi a cikin magunguna na lokaci mai zurfi suna zama alamun ƙonewa. Duk da yake mafi yawan lokuta da ake amfani dashi, CRP da lalata ƙwayar jiki , suna nuna alamun kumburi, ba su bambanta tsakanin cututtuka na rheumatoid da sauran cututtuka masu ciwon ƙwayar cutar ba. Har ila yau, ba dukkan marasa lafiya da cututtuka masu ciwon kumburi ba za su taso da CRP ko sedimentation a farkon. Wasu marasa lafiya na iya ɗaukar nauyin ƙwayar ferritin, haptoglobin, ceruloplasmin, ko kuma dacewa. Sauran alamomi na nuna irin cututtukan cututtuka na ƙwayoyin cutar jini sune alamun cutar rashin lafiya, kullun da aka ɗora, da ƙananan ƙwayoyin salula.
Akwai gwaje-gwajen maganganu don taimakawa wajen rarraba ganewar asali.
Rheumatoid factor ne yawanci da umarnin a lõkacin da ake zargi da jini arthritis. Amma, ba duk wanda ke dauke da ciwon maganin ƙwayar cuta ba yana da tabbas ga magungunan rheumatoid (sigina). Kimanin kashi 20 cikin 100 na marasa lafiya da aka gano da maganin arthritis na rheumatoid sune mummunan ga factor rheumatoid (seronegative). A farkon cututtuka (bayyanar cututtuka na kasa da shekara guda) halayyar rheumatoid factor shine kimanin 17-59%, in ji Kelley's Textbook of Rheumatology. Gaskiyar ba ta da kyau a farkon kututtuka na rheumatoid, tun da wasu yanayi zasu iya hade da halayen rheumatoid mai kyau (misali, lupus, syndrome Sjogren ).
Ko da kashi 4-5 cikin dari na yawan jama'a yana da tabbas ga matsalar rheumatoid. Sauran gwaje-gwajen maganganu, irin su anti-CCP da ANA na iya samar da ƙarin bayanan bincike, ban da CRP, yawan ƙwaƙwalwar ƙwayar cuta, da kuma ƙwayar rheumatoid.
Gwaje-gwaje ga wasu alamomi na kwayoyin zai iya taimakawa. Alal misali, halayen HLA-B27 yana haɗuwa sosai da spondylitis. Har ila yau, bincike mai tsabta na zamani zai iya ba da bayani game da rufin jini - wanda aka yi amfani da shi a jikin jini wanda yake da ƙananan launin rawaya da kuma rikicewa, tare da farin kwayar halitta yana dauke da sama da 10,000 Kwayoyin / mm, tare da yawancin kashi masu tsaka-tsaki.
Hakanan ana amfani da hoto a matsayin wani ɓangare na tsarin bincike don ƙwayar cutar ciwon jini. Shaidun X-ray na cututtuka na ƙwayoyin cuta na iya haɗawa da mummunan ƙwayar nama, chondrocalcinosis , haɗin gwiwa , osteopenia a kusa da haɗin gwiwa, asarar ƙarancin guringuntsi , sararin haɗin gwiwa ya raguwa , da kuma raguwa.
Sources:
Cibiyar Arthritis na Inflammatory. Asibitin na Musamman na Wajibi.
http://www.hss.edu/inflammatory-arthritis-center.asp#.UzS4Q4VsJ4w.
Kelley's Textbook na Rheumatology. Babi na 42. Arthritic Arrowicular. John J. Cush da Kathryn H. Dao. Tsarin na tara. Elsevier Saunders.
Jagora na Kwararrun Kwararrun Kulawa ga Harkokin Kwayoyin Flammatory Arthritis; Sanin asali. Rheumatology Network. Yuni 2, 2010.
http://www.rheumatologynetwork.com/articles/primary-care-physicians-guide-inflammatory-arthritis-diagnosis.