Mkpụrụ Anụ Ahụ Ọkụ Nwere ike Ime na Ọrịa Ogbu na nkwonkwo
Ọrịa Rhumanid, dị ka aha ya na-atụ aro, ejikọtara ya na ọrịa ogbu na nkwonkwo nke ọrịa rheumatoid . N'ime nde ndị America 1.5 bụ ndị nwere ọrịa ogbu na nkwonkwo, ihe fọrọ nke nta ka ọ bụrụ ọkara nwere arụ ọrụ na-adịghị mma. Ihe ruru otu ụzọ n'ụzọ anọ nke ha nwere ike ịmalite ọrịa ọrịa nchịkwa.
Mgbaàmà nke Ọrịa Rheumatoid Mkpụrụ Ọrịa
Mgbaàmà ọrịa ogbu na nkwonkwo na-agụnye ihe mgbu nkwonkwo, nkwonkwo njikọ , nkwonkwo nkwonkwo , na nodules .
Ihe mgbaàmà ndị ọzọ metụtara ọrịa ọrịa nchịkwa na-agụnye:
- Obere ume
- Nsogbu
- Ihe mgbochi akpụ
- Ahụhụ
- Igwe egwu na-ada ụda mgbe ị na-ege ntị na ngụgụ nke nwere stethoscope (ụda ume ume ma ọ bụ ụda ume iku ume)
Nchoputa na Ọgwụgwọ Ọrịa Rheumatoid Ọkụ
Usoro eji enyere aka ịchọpụta ọnọdụ ahụ gụnyere:
- Ekpuchi X-ray
- Igwe ihe omumu ajuju (CT) iṅomi nke obi
- Echocardiogram
- Oke ihe
- Bronchoscopy
Na ọrịa nchịkwa ọbara, akpa ikuku ma ọ bụ alveoli nke ngụgụ na ebe ha na-akwado na-ada ụfụ site na mbufụt , na-akpata arụ ọrụ anụ ọkụ. Ka ọ dị ugbu a, a dịghị egosi ọgwụgwọ a na-egosi na ọrịa ọnya rheumatoid, ma corticosteroids na immunosuppressants na-atụ aro.
Nsogbu Thoracic na Ahụhụ Pulmonary Ejikọtara na Ọrịa Rheumatoid Mkpụrụ Ọrịa
Ihe ọjọọ na ọrịa na-egbu egbu na-ejikọta:
- Mgbaghara nke ihe
- Ugbo ogwu
- Pulmonary fibrosis
- Necrobiotic nodules
- Bronchiolitis na-ekpochapụ ndị na-ahazi na oyi baa (BỤ)
- Bronchiectasis
- Bronchiolitis na-ekpochapụ ndị mmadụ
- Pneumonitis interstitial
- Mbara ọbara mgbatị
Ọrịa na-egbuke egbuke Interstitial na Arthritis Rheumatoid
Ngosipụta kachasị nke ọrịa ọrịa na-efe efe na ọrịa ogbu na nkwonkwo bụ ọrịa interstitial.
Ndị ọrịa na-arịa ọrịa ogbu na nkwonkwo siri ike na-enwekarị ike ịmalite ọrịa ọrịa interstitial ọrịa na-akpata ọrịa ogbu na nkwonkwo. Otu akụkọ nke Dr Jeffrey T. Chapman si n'aka Cleveland Clinic Foundation kwupụtara njedebe, ihe ịrịba ama na mgbaàmà, nyocha, na ọgwụgwọ maka ọrịa nkwonkwo nkwonkwo.
Ndị nchọpụta na Mayo na-atụ aro na ọrịa nchịkwa na-akpata ọrịa nwere ike ịbụ nke dị iche na ụdị ọrịa mgbochi ọzọ ma eleghị anya, a ga-emeso ya n'ụzọ dị iche. Ọganihu na ntinye aka na ntinye aka na kọmputa emeela ka ọ nwee ike ịchọpụta ọrịa ahụ na-akpata ọrịa rheumatoid n'oge gara aga ma mesoo ya ike dika ọrịa nke usoro ahụ ji alụso ọrịa ọgụ. Ọzọkwa, nnyocha Mayo Clinic kpughere ọtụtụ ụdị T cell, nke a maara dịka CD4 T cell, n'ime ụdị ọrịa anụ ahụ.
Ụdị nkwonkwo na-emekarị nke ọnyá interstitial bụ nkwonkwo interstitial na nkwonkwo interstitial na-adịghị ahụkebe. Nkwupụta ọzọ na-ejikọta fibrosis na emphysema.
Ịṅụ sịga, ihe kpatara nsogbu nke ọrịa ogbu na nkwonkwo, nwere ike na-ekerekwa òkè na ọrịa ọrịa interstitial ọrịa na-akpata ọrịa ogbu na nkwonkwo, tinyere usoro mkpụrụ ndụ na usoro ọgwụgwọ. A na-atụ aro na ọgwụgwọ ọrịa ogbu na nkwonkwo nwere ike ibute ọrịa nkwonkwo nkwonkwo interstitial, nke ụfọdụ, na ụfọdụ.
Ọrịa Arthritis Rheumatoid na Ọkụ
Methotrexate bụ ọgwụgwọ edo edo maka ọgwụ ogbu na nkwonkwo. Ma, a na-atụlekwa ụkpụrụ dị ka onye na-emepụta ihe na-akpata ọrịa na-eme ka ọrịa na-egbu egbu. Ndị nchọpụta nyochara ihe ize ndụ nke ọrịa ọrịa na-efe efe n'etiti ọrịa ndị na-arịa ọrịa ogbu na nkwonkwo bụ ndị a na-emeso ya. Nyocha a kwubiri na e nwere obere mmụba dị ịrịba ama n'ihe ize ndụ nke ọrịa nchịkwa na ọrịa ndị na-arịa ọrịa ogbu na nkwonkwo na-emeso ndị na-agwọ ọrịa na-eji ọgwụ ndị ọzọ na-eme ihe ike na-agwọ ọrịa (DMARD) na ọgwụ ọjọọ .
Na January 2016, e bipụtara nsonaazụ akwụkwọ na Journal of Rheumatology nke nyochara ihe ize ndụ nke ọrịa ọrịa na-efe efe n'etiti ọrịa ndị na-arịa ọrịa ogbu na nkwonkwo na-emeso Arava (leflunomide) .
Enweghi ihe akaebe nke mmebi ihe na-ekpo ume na-eme ka ọ ghara ịdị na-achịkwa, na-achịkwa ule nke ọrịa ọrịa ogbu na nkwonkwo nke na-emeso ya na leflunomide.
> Isi mmalite:
> Conway R. et al. Ejiri Okpukpo Nyocha na Mmetụta nke Mkpụrụ Ọrịa Ọrịa na Arthritis Rheumatoid: Nyocha akwụkwọ na usoro ihe omimi nke Nlereanya nke a na-achịkwa ahazi. Journal of Rheumatology . March 15, 2016. Epub tupu ebipụta ya.
> Conway R. et al. Mkpụrụ Methotrexate na ọrịa nchịkwa n'ime ọrịa ogbu na nkwonkwo: a na-atụle nyocha dị iche iche nke a na-achịkwa. Arthritis & Rheumatology . 2014 Apr 66 (4): 803-12.
> Froidevaux-Janin S. et al. Ọrịa nkwonkwo nke nkwonkwo na-arịa ọrịa ogbu na nkwonkwo. Revue Medicale Switzerland . 2011 Ọktoba 23; 7 (318): 2272-7.
> Kim EJ, Collard HR, Eze TE. Ọrịa Ogbu na nkwonkwo nke Arthritis-Ejikọtara Ọrịa Na-akpata Adịgboroja. Igbe . 2009; 136 (5): 1397-1405. Echiche: 10.1378 / chest.09-0444.