Ruruhisang Ramatiki: bakang, kalafo

Ramatiki bakang tseo hangata li itšoare autoimmune itseng a tšoaetsanoang phelang mehahong ke rarahaneng systemic connective dinama tse nyenyane tse lefu, a tsamaea le diso hlabang la manonyeletso. Hangata ka ho fetisisa e le hlaha ka mofuta oa bo tsoelang pele e sa foleng senyang ramatiki. % 10 feela tsa ruruhisang mosebetsi lefu ramatiki ke lebaka la oligo- kapa monoarthritis. Articular lefu, e leng motheo wa setshwantsho ea tleleniki, hangata tšoauoa ka ho kenya letsoho la manonyeletso e nyenyane. lefu lena atisa ho ba diso ditshwani ea maoto le matsoho.

Joaloka lefu le leng, e ruruhisang ramatiki, lisosa tsa tse sa utloisise ka ho feletseng, ho na le matšoao a lona ka lekhetlo la pele. The pele ho moo lefu lena le o lemoha, ho hamolemo ho feta ba phekolo ea hae. matšoao a pele ea ramatiki: ruruha; artlagii (bohloko nakong eo ke sisinyehang, ebe phomotse); satalla hoseng; boo tsa mosebetsi ka letsoho; deformation manonyello; sprains; ankylosis; contracture. Ho na le matšoao a tloaelehileng a lefu lena le, e leng kenyeletsa: botahoa, feberu, ruruhisang vasculitis, lisele tsa mmele noute kholiso ea sebete, spleen, tšenyo liphio, pelo, matšoafo, mahlo, khaello ea mali. Matšoao tse boletsoeng ka holimo le ka ho bontšoa ka likhato sa tšoaneng.

Ke eng hape e ke ka tsela e hlollang e ruruhisang ramatiki? Lisosa tsa lefu lena ke fapaneng, kahoo lingaka thōko seropositive (fapaneng-positive ruruhisang Ntlha e, tšoauoa antiglobulin lisireletsi / immunoglobulins) seronegative le mofuta oa lefu. The lisireletsi lemoha ka serum ka. Leha e le liphetoho radiographic tsa lefu li lieha bapisoa le tleliniking.

Joang ho tšoara ramatiki? Histori ea lefu e mong le mokuli e tiisa hore ho lakatsa e le hantle phekolo ka finyelloang ka mekhahlelo ea pele ea lefu lena. Mothating ona, mamello e phethahatsoa ultrasound scintigraphy, matla a khoheli gomoso phekolo. Ka mekhahlelo ea pele ea kalafo e beuweng nonsteroidal-ba khahlanong le a hlabang lithethefatsi, corticosteroids (by ente intraarticular). Bakuli ba corticosteroids ruruhisang vasculitis e behiloeng hare-hare. Le letotong la lefu e balletsweng ya meriana "Penicillamine" le "Hingamin"; immunosuppressants; litokisetso khauta; ea physiotherapy. Maemong a feteletseng, ho kenella ha ho buoa e ka abeloa (synovectomy - a sa le sethaleng pele tsa lefu lena le, reconstructive ho buuoa le kopanetsoeng Phetolo - ka mekhahlelo hamorao).

Batho ba bang ba na le predisposition liphatsa tsa lefutso ho lefu lena. Ruruhisang ramatiki, lisosa tse maemong a mangata le ho ba linako tse ling ha hlakisoa, basali otla makhetlo a 3 hangata ho feta banna. Hangata ka ho fetisisa, letotong la lefu lena le e qala ka 25 'me a nka ho fihlela ho lilemo tse 50, le hoja ho' nile ha maemo a ho ketsahalo e sa lona ka lilemo e 'ngoe. Kalafo ya lefu ka 75% ea bakuli isang ho fokotseha ha matla a matšoao. Ka 10% ea bakuli le ramatiki e fella ka bokooa.