Reactive Arthritis
Zvemukati
- Ndezvipi zvikonzero zveactive arthritis?
- Ndezvipi zviratidzo zveactive arthritis?
- Musculoskeletal system
- Urinary system
- Maziso uye ganda
- Reactive arthritis inoonekwa sei?
- Ndeapi marapirwo eacactive arthritis?
- Mishonga
- Rovedza muviri
- Ndeupi mutarisiro wenguva refu?
Chii chinonzi reactive arthritis?
Reactive arthritis rudzi rweArthritis iyo hutachiona mumuviri hunogona kukonzeresa. Kazhinji kazhinji, hutachiona hunopfuudzwa pabonde kana hutachiona hutachiona mumatumbu hunokonzeresa kukura kweyakagwinya arthritis.
Inofungidzirwa sechirwere chekuzvidzivirira chega cheboka re spondyloarthritis. Arthritis kazhinji haina kukura kusvika mushure mekunge hutachiona hwanyatsorapwa.
Vanhu vane chirwere cheArthritis chinowanzoitika vanowanzoona zviratidzo mumajoini akakura ezasi ekumucheto. Reactive arthritis yaimbozivikanwa seReiter's syndrome, utatu hweArthritis, kuzvimba kwemaziso (conjunctivitis), uye Urinary turakiti kuzvimba (urethritis).
Mamiriro acho aimbofungidzirwa kuti haana kujairika. Sekureva kweNational Institute of Arthritis uye Musculoskeletal uye Skin Zvirwere (NIAMS), varume vanogadzirisa chirwere cheArthritis kazhinji kupfuura vakadzi, asi kuongororwa kwakanyanya kunetsa mumadzimai. Avhareji zera rekutanga ane makore makumi matatu ekuberekwa. Varume vanowanzo kuve nekurwadziwa kwakanyanya kwemajoini kupfuura vakadzi.
Ndezvipi zvikonzero zveactive arthritis?
Hutachiona hwehutachiona hweurineni kana ura ndicho chinonyanya kukonzera chirwere cheArthritis. Bhakitiriya yakajairika inosanganisirwa neyakagadziriswa arthritis ndiyo Chlamydia trachomatis (iyo inokonzeresa chlamydia hutachiona). Iyi bhakitiriya inowanzopararira kuburikidza nekusangana pabonde.
Hutachiona hunokonzera chikafu chepfu hunogona zvakare kuburitsa inoshanda arthritis zviratidzo. Mienzaniso yebhakitiriya iyi inosanganisira Shigella uye Salmonella.
Genetics inogona kunge iri chikonzero chekuti iwe kana kwete iwe unovandudza reactive arthritis. Zvinoenderana neNIAMS, vanhu vane geni HLA B27 zvinowanzoita kuti iite chirwere cheArthritis. Nekudaro, havazi vese vane iyo HLA B27 geni inozovandudza chirwere cheArthritis kana vawana hutachiona.
Ndezvipi zviratidzo zveactive arthritis?
Kune matatu akasarudzika maseti ezviratidzo zvinosanganisirwa neyakagadziriswa arthritis.
Musculoskeletal system
Musculoskeletal zviratidzo zvinosanganisira kurwadziwa pamwe uye kuzvimba. Reactive arthritis kazhinji inokanganisa majoini mumabvi ako, makumbo, uye majoini esacroiliac emapapiro ako. Iwe unogona zvakare kunzwa kurwadziwa pamwe chete, kuomarara, uye kuzvimba muminwe yako, musana, magaro (sacroiliac majoini), kana zvitsitsinho (Achilles tendon nzvimbo).
Urinary system
Mamiriro anonzi urethritis anokonzera weti zviratidzo. Iyo urethrais iyo chubhu inotakura weti kubva padundira rako kuenda kunze kwemuviri wako. Urethritis ndiko kuzvimba kweiyi chubhu. Zviratidzo zvinogona kusanganisira kurwadziwa kana kupisa nekuita weti uye kugara uchikurudzira kuita weti.
Varume vanogona kukura prostatitis sechikamu chezvekuita arthritis. Prostatitis ndiko kuzvimba kweprostate gland. Cervicitis ndiko kuzvimba kwechibereko chechibereko muvakadzi. Inogona zvakare kuve chiratidzo cheyakangoita arthritis.
Maziso uye ganda
Kuvhiringidzika kwemaziso ndicho chimwe chezviratidzo zvikuru zveakaitika arthritis. Reactive arthritis inogona zvakare kusanganisira ganda rako nemuromo. Conjunctivitis ndiko kuzvimba kwemaziso eziso. Zviratidzo zvinosanganisira kurwadziwa, kuchenesa, uye kubuda.
Kuputika kweganda, kusanganisira keratoma blennorrhagica (madiki pustules patsoka dzetsoka), zvinogona zvakare kuitika. Maronda emumuromo haana kujairika. Nekudaro, ivo vanogona kuperekedza zvimwe zviratidzo zveyakagwinya arthritis.
Reactive arthritis inoonekwa sei?
Chiremba wako anoongorora nhoroondo yako yekurapa, kuongorora muviri zviratidzo zvako, uye kumhanyisa kuongororwa kweropa kuti utarise hutachiona kana kuzvimba. Kuongororwa kweropa kunogona zvakare kuona kana iwe uchitakura iyo HLA B27 geni rinowedzera mukana wako wekuvandudza chirwere cheArthritis.
Chiremba wako anogona kumhanyisa bvunzo kuti atonge kunze kwehutachiona hwepabonde kana zviratidzo zvako zvichiratidza utachiona hwechlamydia. Chiremba wako anozobvarura urethra muvarume uye achaita bvunzo dzechiuno uye remuromo wechibereko pavakadzi. Chiremba wako anogona zvakare kuita arthrocentesis, iyo inosanganisira kubvisa iyo fluid mumubatanidzwa wako netsono. Miedzo inozoitwa pane ino mvura.
Ndeapi marapirwo eacactive arthritis?
Kurapa kweakagwinya arthritis kunoenderana nechikonzero chemamiriro acho. Chiremba wako anokupa mishonga inorwisa mabhakitiriya kuti ubate hutachiona. Vanogona kupa mimwe mishonga ye conjunctivitis, maronda emumuromo, kana kuputika kweganda kana zvichidikanwa.
Mishonga
Chinangwa chekurapa kana iko kuri pasi pehutachiona kuri pasi pekutendeuka kuchinjira pakurwadziwa kwekutambudzika uye manejimendi Nonsteroidal anti-inflammatory drugs (NSAIDs) senge ibuprofen (Advil) uye naproxen (Aleve) inobatsira kubvisa marwadzo uye kudzikisa kuzvimba.
Chiremba wako anogona kunyorera akasimba anti-inflammatories kana mishonga yemu-rekita isingarerutse marwadzo ako. Corticosteroids mishonga inogadzirwa nevanhu inotevedzera cortisol, kemikari inogadzirwa nemuviri wako zvakasikwa. Iyi mishonga inoshanda nekudzvinyirira zvakanyanya kuzvimba mumuviri.
Iwe unogona kutora corticosteroidsorally kana kuisa jekiseni zvakananga muzvikamu zvakakanganiswa. Pane imwe nguva apo izvi zvisingabatsire, maunomomodulatory agents, sa sulfasalazine (Azulfidine), inogona kudikanwa. Doxycycline (Acticlate, Doryx) yave ichishandiswawo pakurapa, ichipiwa ayo anodzivirira kuzvimba. Muzviitiko zvakakomba izvo zvisiri kupindura kune zvakajairika kurapwa, TNF inhibitors (biologics) inogona kushanda.
Rovedza muviri
Sanganisa kurovedza muviri muitiro wako wezuva nezuva kusimudzira hutano hwakabatana. Kurovedza muviri kunoita kuti majoini ako achinjike uye zvinobatsira kuti uchengete mafambiro ako. Range rekufamba ndiyo nzira iyo iwe yaunogona kuchinjika uye kuwedzera majoini ako.
Taura nachiremba wako kana kuomarara uye marwadzo zvichikwanisa kuwanda kwekufamba kwako. Ivo vanogona kukuendesa iwe kune wepanyama murapi. Kurapa kwemuviri inzira yekurapa zvishoma nezvishoma. Chinangwa ndechekudzokera kune yako hutano nhanho yekufamba pasina kurwadziwa.
Ndeupi mutarisiro wenguva refu?
Maonero evanhu vane reactive arthritis akanaka. Vazhinji vanoita kupora kuzere. Nekudaro, nguva yekudzoreredza inogona kutangira pamwedzi mishoma kusvika pagore mune zvimwe zviitiko. Sekureva kweNIAMS, pakati pegumi neshanu kusvika makumi mashanu muzana yevanhu vane chirwere cheArthritis chinoitika chinodzokazve pazviratidzo mushure mekurapwa kwekutanga.