Hada hadin gwiwa a lokaci daya
Monoarthritis an bayyana shi azaman maganin wariyar launin fata wanda ya hada da haɗin haɗe ɗaya a lokaci guda. Akwai dalilai masu yawa na monoarthritis ko ƙananan jini kamar yadda ake kira, ciki har da kamuwa da cuta, yanayi marar ƙyama, ƙyamar shaida, cututtuka, neoplasm, da yanayin immunologic.
Sakamakon farko na ƙwayar ƙwayoyin ƙwayoyin cuta ne sau da yawa kwatsam da tsanani tare da zazzabi, haɗin gwiwa , da haɗuwa da haɗin gwiwa.
Samun irin wadannan cututtuka yana buƙatar ganewar asali da magani don hana haɗuwa ta haɗin gwiwa. Dole ne likitan ya yi amfani da tarihin likita, binciken jiki, x-haskoki, gwaje-gwajen jini, da jarrabawar tsabta ta tsabta don gano dalilin da ya faru na alamar alamar ta daya. Duk da yake yawan ƙwayar ƙwayoyin ƙwayar ƙwayar cuta tana haɗuwa da mummunan yanayin, shi ma zai iya zama farkon alamar abin da ke tasowa cikin polyarthritis ko kuma irin na ciwon maganin ƙwayar cuta. Hakanan za'a iya haifar da shi ta hanyar haɗin gwiwa marar ƙin jini, yanayin lalacewa (watau, kewaye da haɗin gwiwa), cututtuka, ko cuta mai laushi .
Ƙararren cututtukan cututtuka na ba da mahimmanci alamomi
Cutar, raunuka, ko jiki mai kwakwalwa yana da tsammanin idan monoarthritis tasowa ba zato ba tsammani. Monoarthritis da ke tasowa da hankali, a cikin kwanaki ɗaya ko biyu, yawanci ana haɗuwa da ƙonewa, kamuwa da cuta, ko shaida mai kwance. Abin baƙin ciki wanda, a farko, ba a san shi ba amma yana ci gaba da hankali a cikin kwanaki zuwa makonni, na iya zama saboda rashin jin daɗi ko kamuwa da asymptomatic, osteoarthritis , ko tumo.
Yawancin lokaci, idan akwai ƙarfin asuba , kazalika da ciwon haɗin gwiwa da kuma ƙaddamar da motsi, an yi la'akari da irin ƙwayar cututtuka. Pain da ke faruwa a cikin yankin periarticular yana da alaka da rashin tausayi mai laushi. Idan magunguna guda ɗaya ne na yau da kullum, yawanci yana da alaka da cututtuka da aka haɗuwa.
Amma, kafin a ƙayyade kashi ɗaya daga cikin ƙwayoyin ƙwayoyin cuta guda ɗaya, dole ne a yi la'akari da dalilin da ya haifar da ƙananan ƙwayoyin ƙwayar cuta. Bari muyi la'akari da wasu misalai na yanayin da zai iya haifar da haɗuwa mai haɗari ko kuma ciwo mai launi, kamar yadda Kelley's Textbook of Rheumatology ya ce :
Monoarthritun Maɗaukaki
- Magungunan asibiti (gonococcal ko non-gonococcal)
- Crystal arthritis (gout, damuwa )
- Rashin maganin arthritis
- Cutar Lyme
- Shuka ƙaya synovitis
- Sauran cututtuka
Cutar ko Cikin Ciki
- Ƙara damuwa
- Sako jiki
- Ischemic necrosis
- Hemarthrosis
Monoarthritis mai mahimmanci da aka haɗa tare da ƙwayar maganin ƙwayoyin maganin ƙwayoyin cuta
- Psoriatic arthritis
- Interopathic arthritis
- Rheumatoid arthritis
- Rheumatism Palindromic
- Harsashin yara
Monoarthritis da ke hade da cutar marasa lafiya
- Osteoarthritis
- Ƙungiyar Charcot
- Magunguna, kamar Hemochromatosis (baƙin ƙarfe)
Cututtuka na Synovial
- Reflex m dystrophy
- Sarcoidosis
- Amyloidosis
- Sigidin villonodular synovitis
- Lipoma arborescens
Monoarthritus Mute na Cututtuka na Kwayoyin cuta
- Tsarin lupus erythematosus
- Vasculitis
- Ciwon Behcet
- Na kwayar cutar endocarditis
- Komawa polychondritis
- Gida na Yammacin Bahar Rum
Monoarthritis Mute na Cututtuka
- Paget ta cutar
- Osteomyelitis
- Magungunan ƙwayar cuta
- Hanyoyin hypertrophic na yau da kullum na osteoarthropathy
Gwajin gwaji
Gwajin jini
Yin gwagwarmayar jini zai iya bayyana muhimman alamu. Flammatory, septic, ko iri-iri na arthritis yawanci suna hade da tayin ƙwaƙwalwar ƙwayar cuta, CRP mai tsanani, da ƙimar jini mai girma. Yin amfani da cututtuka na zamani yana ƙaddara yawancin gwaje-gwajen jini waɗanda zasu gwada aikin kodan, hanta, kashi, da tsoka. Rheumatoid factor , anti-CCP , gwagwarmaya ta maganin antunic acid , electrophoresis na kimiyya, cututtuka na Lyme, da kuma kashe wasu gwaje-gwaje na jini, na iya haifar da sakamakon da zai taimaka wajen samar da ganewar asali.
Nazarin Hoto
Ra'ayoyin x-rayuka na iya bayyana bayyanar mummunan nama, ƙwayoyin calcium a cikin launi na jiki, rarrabe, jikin jiki, gano cutar kasuwa, da kuma shaidar haɗuwa ta haɗin gwiwa.
Za a iya yin cajin CT idan an buƙaci ƙarin bayani. MRI shine mafi kyawun zabin hoto lokacin da ake zargi da cutar cututtuka. MRI kuma zai iya tantance irin ƙananan kumburi da haɗuwa da haɗuwa, koda kuwa inymptomatic. Arthrography da zane-zane ne kuma zaɓuɓɓukan hoto. Har ila yau, duban dan tayi shine karamin yanayin da ake amfani dasu a cikin asibiti don tantance jikin mai taushi da yanayin arthritic.
Ƙwararren Lafiya ta Gida
An gwada jarrabawar nazarin ruwan sanyi ta hanyar amfani da gwaji don amfani da gwagwarmayar ƙwayar cuta guda daya. An bincikar ruwa mai gina jiki saboda launi da digiri na girgije. An ƙaddara yawan ƙwayar jinin jini don bambanta tsakanin mummunan kumburi da wadanda basu da kumburi. Wani ƙwayar jini mai tsabta mai tsabta wanda yake da fiye da 2,000 WBC / mm3 yana da dangantaka da yanayin ƙwayar cuta. Hanyoyin gyara tare da ƙwayar jini mai ƙananan jini wanda yake kasa da 2,000 WBC / mm3 shi ne yawanci ba mai kumburi ba.
Ya kamata a yi amfani da ruwa mai tsabta don zama mai ladabi da tsararren girar da aka yi domin neman kwayoyin kwayoyin halitta ta hanyar microscopically. Ust acid ko crystals CPPD za'a iya kiyaye su, idan akwai, ta yin amfani da microscopy haske. Har ila yau ana iya gwada ruwa mai tsabta don glucose, furotin, da lactic dehydrogenase.
Sources:
Monoarthritus m. Max Field. Kelley's Textbook na Rheumatology. Tsarin na tara. Page 577.
Binciken Monoarthritis Mai Muni a cikin Manya: Hanyar Kwarewa ga Kwararren Iyali. Aminiya na Yammacin Amirka. Siva et al. Yuli 2003.
http://www.aafp.org/afp/2003/0701/p83.html