Rheumatoid vascularitis ne mai wuya, mai tsanani rikitarwa na rheumatoid arthritis wanda zai iya zama yiwuwar zama barazanar rai. A cikin rheumatoid vascularitis, kumburi yada zuwa kananan ko matsakaici girman jini a cikin jiki. Yawancin lokaci, arteries suna da hannu, amma suma suna iya zama. Yawancin jini yana da wuya.
Ganuwar jinin jinin ƙura ya zama ƙuƙasa kuma kamar yadda lumen ruwan jini ya shafa, zai iya zama kusan katange.
Za a iya yin amfani da jini zuwa ga kwayar halitta, idan ba a hana shi ba. Rheumatoid vascularitis zai iya ƙunsar kwayoyin halitta, ciki har da fata, idanu, jijiyoyi, zuciya, huhu, kwakwalwa, koda, ko gastrointestinal tract. Amma, akwai labarai mai kyau. Ƙananan marasa lafiya marasa cututtuka na arthritis suna bunkasa kwayar cutar rheumatoid, mai yiwuwa saboda wasu kwayoyi masu mahimmanci wanda aka bunkasa da kuma kasuwa a cikin shekaru goma da suka wuce ko haka (watau kwayoyin halitta ).
Yanayi da kuma Hadarin Rheumatoid Vasculitis
Yayinda yawancin kwayoyin cutar rukuni ya bayyana yana raguwa, an kiyasta cewa ƙasa da kashi 5 zuwa 5% na yawan marasa lafiya marasa lafiya na rheumatoid yana bunkasa rheumatoid vasculitis. Duk da haka, binciken autopsy ya ruwaito 15-31%. Rashin ƙwayar cuta da ƙwayoyin mace-mace da ke haɗuwa da ciwon sukari suna da mahimmanci tare da mutuwar shekaru 5 a cikin kashi 30-50% tare da mahimman ƙananan ƙwayoyin cutar da aka danganta da cutar rikitarwa ko maganin guba.
Wadannan dalilai suna kara yawan haɗarin tasowa daga rheumatoid vasculitis:
- Kyakkyawan don matsalar rheumatoid
- Kyakkyawan don anti-CCP
- Mace (1 a cikin 9 maza da cututtukan arthritis na rheumatoid vasculitis)
- Shan taba
- Gabar rheumatoid nodules
- Tsofaffi a cikin cututtuka na farko ko tsawon lokaci na arthritis na rheumatoid (fiye da shekaru 10)
Cutar cututtuka da kuma bayyane na Rheumatoid Vasculitis
Duk wani kwaya na jiki zai iya rinjayar rheumatoid vascularitis. Fatar jiki da jijiyoyin jiki sun fi yawanci. Duk da yake an sanya gagarumar gudummawar kwayoyin halitta ba ta da kowa, ana danganta shi da mummunar cututtuka da mutuwa.
Aiwatar da fata zai iya hada da purpura, nodules, ulcers, da kuma ƙananan kwayoyin halitta, musamman ma yatsa. Livedo reticularis ne sananne na kowa. Aiwatar da cututtukan fata don neman ƙarin bincike game da wani ɓangare na kwayoyin halitta. Scleritis , pleuritis , ko pericarditis su ne misalai na abin da zai iya ci gaba. Idan fatar jiki ya shiga ba tare da wani haɗin kai ba, toshe yafi kyau.
Tare da tsarin jiki na jiki, ƙananan neuropathies na iya bunkasa, kamar misal magidanci mai kwakwalwa, ƙananan motsa jiki ko haɗuwa da neuropathy, ko monoperite multiplex. Lokacin da vascularitis ya lalata jijiyoyi. za a iya samun numfashi, tingling, asarar abin mamaki, rauni, da asarar aiki a hannu ko ƙafa. Ƙarin bayyanar cututtuka na iya faruwa, kamar zazzabi, asarar nauyi, hasara na ci, da asarar makamashi.
Sanin asalin Rheumatoid Vasculitis
Duk da yake alamun bayyanar cututtuka na iya haifar da likita don tsammanin ƙwayoyin cuta da kuma gwajin gwaje-gwaje na iya bayar da shaida na goyan baya don ganewar asali, ana bukatar biopsy don ganewar asali.
Zaman fata yana iya zama biopsied, kazalika da tsoka ko jiji a cikin yankin da ya shafi, ko kuma kwayar da ta shafi.
Yayinda gwaje-gwaje na jini don factor factor da anti-CCP yawanci an dauke su a rheumatoid vascularitis, sakamakon ba ƙayyadaddun ba ne. Wadannan kwayoyin guda biyu kuma suna cike da jini a cikin arthritis na rheumatoid ba tare da vasculitis ba. Anti-neutrophil cytoplasmic antibodies (ANCA) da kuma alaka anti-myeloperoxidase da anti-proteinase-3 ne yawanci korau a cikin rheumatoid vasculitis.
Jiyya na Rheumatoid Vasculitis
Jiyya na rheumatoid vascularitis ne mafi yawan ƙaddara da abin da gabobin da hannu.
Har ila yau, ya kamata a yi amfani da maganin arthritis ta hanyar amfani da DMARDs ko kwayoyin halittu, irin su masu cajin TNF . Gudanar da ƙumburi a duka gidajen abinci da cikin jini yana da muhimmanci.
Hanya na farko na magani ga ciwon daji na rheumatoid ya shafi yin amfani da corticosteroids (yawancin lokaci). Prednisone za a iya haɗuwa da methotrexate ko azathioprine. Tare da cikewar bayyanar cututtuka da ɓarna mai tsanani, ƙari ga ƙoƙarin gaggawa don maganin rigakafi na iya haifar da cyclophosphamide tare da ƙananan asali. Rituxan (rituximab) yana fitowa ne a matsayin farfadowa na farko don rheumatoid vasculitis. Bisa rahoton da aka bayar a Arthritis Care and Research (2012), wani bincike na bayanai daga Autoimmunity da Rituximab rajista ya bayyana cewa an samu remission a cikin 12 na 17 marasa lafiya vascularitis marasa lafiya tare da rituximab. Wadanda suka kamu da cutar sun iya rage yawan nauyin su.
Sources:
Rheumatoid Vasculitis. Johns Hopkins Vasculitis Center.
http://www.hopkinsvasculitis.org/types-vasculitis/rheumatoid-vasculitis/
Rheumatoid Vasculitis. Cleveland Clinic.
http://my.clevelandclinic.org/services/orthopaedics-rheumatology/diseases-conditions/hic-rheumatoid-vasculitis
Rheumatoid Vasculitis. Asusun Vasculitis. Satumba 2012.
http://www.vasculitisfoundation.org/education/forms/rheumatoid-vasculitis/
Rheumatoid Vasculitis: Racewa ko Target don Sabbin Jiyya? Bartels da Bridges. Rheumatology Reports. Disamba 2010.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2950222/
Rituximab farfasawa don maganin tsabtace jiki da ke hade da maganin arthritis na rheumatoid: Sakamako daga Asusun Autoimmunity da Rituximab. Puechal X et al. Arthritis Care and Research. Maris 2012.
http://www.ncbi.nlm.nih.gov/pubmed/22076726