Reactive arthritis: chii zvazviri, kurapwa, zviratidzo uye zvikonzero

Zvemukati

• Zvinokonzera reactive arthritis
• Zviratidzo zveakaitika arthritis
• Kuongororwa kwechirwere chearthritis
• Kurapwa kunoitwa sei
• Mishonga yekugadzirisa arthritis
• Physiotherapy yeakagwinya arthritis

Reactive arthritis, yaimbozivikanwawo seReiter's Syndrome, chirwere chinoputika chinokura munguva pfupi yapfuura kana panguva yehutachiona hwehutachiona, kazhinji kana mudumbu. Nekuda kwekuti zvinoitika semhedzisiro yehutachiona, rudzi urwu rweArthritis runonzi reactive.

Reactive arthritis inoumbwa neyechipatara chetatu: post-inotapukira arthritis, urethritis uye conjunctivitis. Ichi chirwere chinowanzoitika kune vechidiki vane nhoroondo yekutapukirwa mumavhiki mana apfuura.

Muzviitiko zvakawanda, vanhu vanoonekwa kuti vane chirwere cheArthritis, vanova nani mushure memwedzi mishoma pasina kudiwa kwekurapwa, zvisinei pane mikana yekuti zviitike zvakare. Mushonga werudzi urwu rweArthritis unosimbiswa nachiremba kana rheumatologist zvinoenderana nezviratidzo zvinoratidzwa nemurwere uye chinokonzera chirwere ichi, uye kushandiswa kwemaanti-inflammatories, analgesics, corticosteroids kana maantibhakitiriya anogona kukurudzirwa.

Zvinokonzera reactive arthritis

Reactive arthritis inowanzo simuka semhedzisiro yeurogenital kana hutumbu hutachiona hutachiona. Panyaya yehutachiona hwehutachiona, zvinogona kunge zvichikonzerwa nezvirwere zvinopfuudzwa pabonde, senge chlamydia, semuenzaniso, iyo inokonzerwa nehutachiona. Chlamydia trachomatis. Kana zvichikonzerwa nehutachiona hutachiona, zvinogona kunge zvichikonzerwa nehutachiona na Campylobacter sp, Shigella sp kana Salmonella sp, Semuyenzaniso.

Utachiona uhwu hunogona kuitika nekuda kwekusabatana kwakadzivirirwa, mune chirwere chepabonde (STIs), chinosanganisirwa nererethritis kana cervicitis, iyo inogona kunge isingaite, kunyangwe muzviitiko zvakawanda inotungamira mukurwadziwa nekupisa mumuti weti, kuwedzera kune urethral kana kusangana nekutsi kwemukadzi kubuda, kana nekuda kwechikafu chepfu, mune chirwere chemuviri chehutachiona hutachiona. Uye zvakare, reactive arthritis inogona kukonzerwa nehutachiona hutachiona. Kune zvakare mishumo yeakagwinya arthritis mushure mekuzvidzivirira kwechirwere chegomarara redundira

Zviratidzo zveakaitika arthritis

Reactive arthritis inozivikanwa netatu yezviratidzo (arthritis, urethritis uye conjunctivitis), ndiko kuti, chirwere chinoratidza zviratidzo zvehutachiona, kuzvimba kwemajoini uye matambudziko eziso. Nekudaro, iyo mikuru zviratidzo uye zviratidzo zvine chekuita neyakagwinya arthritis ndeaya:

• Zviratidzo zvehutachiona:

  • Polyuria, inova kugadzirwa kwehuwandu hwakawanda weti mukati mezuva;
  • Kurwadziwa uye kupisa paunenge uchiita weti;
  • Kuvapo kweropa mumurini;
  • Chido chekukurumidza kuita weti;
  • Zviratidzo nezviratidzo zvine chekuita neprostatitis muvarume, senge kunetsekana kuchengetedza erection, kurwadziwa kana kubuda uye kuvapo kweropa mune urume;
  • Zviratidzo nezviratidzo zvine chekuita necervicitis, salpingitis kana vulvovaginitis muvakadzi.
• Joint zviratidzoiyo inogona kusiyanisa kubva pane inopfuura monoarthritis kuenda kune polyarthritis, ndiko kuti, panogona kuve nekubatanidzwa kweimwe kana akawanda majoini:
  • Joint kurwadziwa;
  • Zvakaoma kufambisa zvakabatana;
  • Kurwadziwa muzasi kwemusana;
  • Kuzvimba mumajoini;
  • Kuzvimba kwetendon uye mitsipa inosanganisirwa nejojo.
• Zviratidzo zvemaziso:
  • Kutsvuka mumaziso;
  • Kubvarura zvakanyanya;
  • Kurwadziwa kana kupisa mumapfupa;
  • Kuzvimba;
  • Kupisa maziso;
  • Kuwedzera kunzwisisika kuchiedza, kunonzi photophobia.

Uye zvakare, zvimwe zviratidzo zvakajairika zvinogona kuoneka, sekukaneta zvakanyanya, kurwadziwa musana, kupisa muviri kupfuura 38ºC, kuonda, thrush, kurwadziwa mudumbu kana manyoka, semuenzaniso. Kana izvi zviratidzo zvikaonekwa, zvinokurudzirwa kubvunza chiremba mukuru kuti aongorore dambudziko uye kuratidza kudiwa kwekubvunza kuna rheumatologist kuti atange kurapwa kwakakodzera.

Kuongororwa kwechirwere chearthritis

Iko kuongororwa kweanoshanda eArthritis ndiko kwakanyanya kiriniki, umo chiremba anoongorora kana paine zviratidzo nezviratidzo zvehutatu, ndiko kuti, kuvapo kwezviratidzo nezviratidzo zvine chekuita nehutachiona, kuzvimba kwemajoini uye matambudziko eziso.

Uye zvakare, chiremba anogona kukumbira kuti kuongororwa kwemajini kuitwe kuti aone HLA-B27, iyo inogona kutaridzirwa seyakanaka kune varwere vane chirwere cheArthritis. Mukuzvimiririra, HLA-B27 ine hushoma hwekuongorora kukosha uye haina kuratidzwa mukuchengetedza kwevarwere ava.

Kurapwa kunoitwa sei

Mushonga wekurapa chirwere cheArthritis unoitwa zvichienderana nezviratidzo zvinoratidzwa nemunhu uye chinokonzera chirwere ichi, uye kushandiswa kwemishonga inorwisa-kuzvimba uye analgesic, senge Paracetamol kana Ibuprofen, inowanzo kuratidzwa neiyo rheumatologist. Mune zvimwe zviitiko, kushandiswa kwecorticosteroids, senge Prednisolone, inogona zvakare kukurudzirwa kudzikisa kuzvimba munzvimbo dzakasiyana dzemuviri uye kubvisa zviratidzo.

Rheumatologist inogona zvakare kuratidza kushandiswa kwemishonga inorwisa mabhakitiriya, kana iyo inoshanda arthritis ichikonzerwa nehutachiona hutachiona uye muviri usingakwanise kubvisa hutachiona, zvisinei kushandiswa kwemishonga inorwisa mabhakitiriya hakune chekuita nekukura kwechirwere. Uye zvakare, mune kesi panobatwa majoini, kurapwa kwemuviri kunogona kuratidzwa, kunoitwa nemitambo yekurovedza muviri iyo inobatsira kudzosera kufamba kwemaoko uye kubvisa marwadzo.

Nekudaro, hazviwanzo kuitika kuti ubvise zvachose zviratidzo zvehutachiona hwearthritis, kukudziridza chirwere chisingaperi chinokonzera kuti zviratidzo zvidzokezve kwemavhiki mashoma.

Mishonga yekugadzirisa arthritis

Muzviitiko zvakawanda zveakagwinya arthritis, chiremba anokurudzira kushandiswa kweasina-steroidal anti-anogumbura madhiragi (NSAIDs) kuitira kubvisa zviratidzo, uye kushandiswa kweIbuprofen kana Diclofenac kunogona kukurudzirwa kudzikisa marwadzo uye kufambisa kubatana kubatana. Kana zvikaitika kuti kushandiswa kweNSAID hakuna kukwana, kushandiswa kwemimwe mishonga, yakadai se:

• Corticosteroids, senge Prednisolone kana Betamethasone, kudzikisa zviratidzo zvekuputika apo mishonga yekurwisa-kuzvimba haina kukwana;
• Mishonga inorwisa mabhakitiriya, iyo inosiyana zvichienderana neanotapukira mumiririri anokonzeresa hutachiona uye nehunhu hwekunzwa kweiyo microorganism.

Kurapa kweakagwinya arthritis kazhinji kunotora kwemwedzi mitanhatu, asi mune zvimwe zviitiko inogona kusvika makore 1 zvichienderana nekuomarara kwezviratidzo uye mhinduro yemunhu pakurapwa.

Physiotherapy yeakagwinya arthritis

Physiotherapy kurapwa kwakakosha pakurapa kwerudzi urwu rweArthritis kudzivirira kuomesa kwemajoini. Nekudaro, kurapwa kwemuviri kunoratidza uye kunoita mamwe maekisesaizi kubvisa zviratidzo zvekubatana, kuwedzera kuwanda kwekufamba uye kudzivirira kusagadzikana kunogona kuitika nekuda kwechirwere.

Tarisa uone vhidhiyo inotevera yeimwe arthritis maitiro.