Munyori: Clyde Lopez
Zuva Rekusika: 17 Chikunguru 2021
Gadziridza Zuva: 18 Mbudzi 2024
Anonim
Understanding Reactive Arthritis
Vhidhiyo: Understanding Reactive Arthritis

Reactive arthritis rudzi rweArthritis inotevera hutachiona. Izvo zvinogona zvakare kukonzera kuzvimba kwemaziso, ganda uye weti uye genital masystem.

Icho chaicho chinokonzera chirwere cheArthritis hachizivikanwe. Nekudaro, inowanzo tevera hutachiona, asi mubatanidzwa pachawo hauna hutachiona. Reactive arthritis inowanikwa kazhinji muvarume vadiki pane zera rechina, kunyangwe dzimwe nguva ichikanganisa vakadzi. Inogona kutevera hutachiona murethra mushure mekuita bonde risina kuzvidzivirira. Utachiona hwakajairika hunokonzera hutachiona hwakadai hunonzi Chlamydia trachomatis. Reactive arthritis inogona zvakare kutevera chirwere chemudumbu (senge chikafu chepfu). Inosvika hafu yehafu yevanhu vanofungidzirwa kuti vane chirwere cheArthritis, panogona kunge pasina hutachiona. Izvo zvinokwanisika kuti makesi akadaro chimiro che spondyloarthritis.

Mamwe majeni anogona kukuita iwe mukana wekuwana mamiriro aya.

Dambudziko iri harishoma muvana vadiki, asi rinogona kuitika kune vachiri kuyaruka. Reactive arthritis inogona kuitika muvana vane makore matanhatu kusvika gumi nemana mushure Clostridium difficile zvirwere zvemudumbu.


Urinary zviratidzo zvichaonekwa mukati memazuva kana mavhiki ehutachiona. Zviratidzo izvi zvinogona kusanganisira:

  • Kusvira paunenge uchiita weti
  • Fluid inodonha kubva murethra (kubuda)
  • Zvinetso kutanga kana kuenderera kwerwizi rwizi
  • Inoda kuita weti kakawanda kupfuura zvakajairwa

Fivha yakaderera pamwe nekubuda kwemaziso, kutsva, kana kutsvuka (conjunctivitis kana "pink ziso") inogona kukura mukati memavhiki anotevera.

Zvirwere muura zvinogona kukonzera manyoka uye kurwadziwa nemudumbu. Manyoka anogona kunge ane mvura kana ropa.

Marwadzo akabatana uye kuomarara zvinotanga panguva ino yenguva. Arthritis inogona kunge iri nyoro kana yakaoma. Arthritis zviratidzo zvinogona kusanganisira:

  • Kutambudzika kwechitsitsinho kana kurwadziwa muAchilles tendon
  • Marwadzo muhudyu, mabvi, ankle, uye yakaderera kumashure
  • Marwadzo uye kuzvimba kunokanganisa imwe kana akawanda majoini

Zviratidzo zvinogona kusanganisira maronda eganda pazvanza nematsoka anoita kunge psoriasis. Panogona zvakare kuve nemaronda madiki, asingarwadzi mumuromo, rurimi, uye nhengo yemurume.


Anopa hutano hwako anozoongorora mamiriro acho zvichienderana nezviratidzo zvako. Kuongorora kwepanyama kunogona kuratidza zviratidzo zveconjunctivitis kana maronda eganda. Zviratidzo zvese zvinogona kunge zvisingaonekwe panguva imwe chete, saka panogona kuve nekunonoka kuwana kuongororwa.

Unogona kuve nemiedzo inotevera:

  • HLA-B27 antigen
  • Yakabatana x-ray
  • Ropa bvunzo kutonga kunze mamwe marudzi eArthritis senge rheumatoid arthritis, gout, kana systemic lupus erythematosus
  • Erythrocyte sedimentation chiyero (ESR)
  • Kuongorora urinal
  • Tsika yechigaro kana uine manyoka
  • Weti miedzo yebhakitiriya DNA senge Chlamydia trachomatis
  • Kufemerwa kwekubatana kwakazvimba

Chinangwa chekurapa ndechekubvisa zviratidzo uye kurapa hutachiona huri kukonzera mamiriro aya.

Matambudziko eziso uye maronda eganda haadi kurapwa kazhinji. Vachaenda vega. Kana matambudziko emaziso achiramba, iwe unofanirwa kuongororwa nehunyanzvi mune chirwere cheziso.

Mupiki wako anozopa mishonga inorwisa mabhakitiriya kana uine hutachiona. Nonsteroidal anti-inflammatory drugs (NSAIDs) uye zvinodzora marwadzo zvinogona kubatsira nemarwadzo akabatana. Kana mubatanidzwa wakazvimba kwenguva yakareba, unogona kunge uine mushonga wecorticosteroid wakajowa mubatanidzwa.


Kana arthritis ichienderera mberi kunyangwe maNSAID, sulfasalazine kana methotrexate inogona kubatsira. Chekupedzisira, vanhu vasingateereri mishonga iyi vangangoda anti-TNF biologic vamiririri senge etanercept (Enbrel) kana adalimumab (Humira) kudzvinyirira immune system.

Kurapa kwepanyama kunogona kubatsira kudzikamisa marwadzo. Inogona zvakare kubatsira iwe kufamba zviri nani uye chengetedza mhasuru simba.

Reactive arthritis inogona kuenda mumavhiki mashoma, asi inogona kutora kwemwedzi mishoma uye inoda mishonga panguva iyoyo. Zviratidzo zvinogona kudzoka mukati memakore emakore kusvika pahafu yehafu yevanhu vane mamiriro aya.

Kazhinji, mamiriro acho anogona kutungamira kune isina kujairika moyo mutinhimira kana matambudziko neaortic moyo vharuvhu.

Ona mupiki wako kana iwe ukaita zviratidzo zveichi chiitiko.

Dzivisa hutachiona hunogona kuunza pane inoshanda arthritis kuburikidza nekuita bonde rakachengeteka uye kudzivirira zvinhu zvinogona kukonzeresa kudya muchetura.

Reiter chirwere; Post-inotapukira arthritis

  • Reactive arthritis - kuona kwetsoka

Augenbraun MH, McCormack WM. Urethritis. Mune: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, uye Bennett's Principles uye Practice yeInfectious Diseases, Yakagadziridzwa Edhisheni. 8th ed. Philadelphia, PA: Elsevier Saunders; 2015: chits. 109.

Carter JD, Hudson AP. Asina kusarudzika spondyloarthritis. Mune: Firestein GS, Budd RC, Gabriel SE, McInnes IB, O'Dell JR, eds. Kelley uye Firestein's Bhuku reRheumatology. 10th ed. Philadelphia, PA: Elsevier; 2017: chits. 76.

Horton DB, Strom BL, Putt ME, Rose CD, Sherry DD, Sammons JS. Epidemiology ye clostridium difficile hutachiona-inosanganisirwa reactive arthritis muvana: isingazivikanwe, inogona kutyisa mamiriro. JAMA Pediatr. 2016; 170 (7): e160217. PMID: 27182697 www.ncbi.nlm.nih.gov/pubmed/27182697.

Batanidza RE, Rosen T. Zvirwere zvepakati zveiyo yekunze genitalia. Mune: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016: chits.

Misra R, Gupta L. Epidemiology: nguva yekudzokororazve pfungwa yeakagwinya arthritis. Nat Rev Rheumatol. 2017; 13 (6): 327-328. PMID: 28490789 www.ncbi.nlm.nih.gov/pubmed/28490789.

Okamoto H. Kuwanda kwechlamydia-inosanganisirwa reactive arthritis. Scand J Rheumatol. 2017; 46 (5): 415-416. PMID: 28067600 www.ncbi.nlm.nih.gov/pubmed/28067600.

Schmitt SK. Reactive arthritis. Infect Dis Dis North Am. 2017; 31 (2): 265-277. PMID: 28292540 www.ncbi.nlm.nih.gov/pubmed/28292540.

Weiss PF, Colbert RA. Reactive uye postinfectious arthritis. Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chap 182.

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