Kaikōiwi: take, maimoatanga

take kaikōiwi i maha he tauhohe autoimmune ki etahi complexes kaiao hopuhopu ko te mate kiko tūhonohono nahanaha matatini, tahi e te pāpaka inflammatory o te hononga iho. Nuinga o ngā wā puta ai i runga i te momo o ahu whakamua rumati haamou ma'i. 10 anake% o rheumatoid mahi mate kaiponapona ko te putanga o oligo- monoarthritis ranei. syndrome Articular, e ko te pūtake o te pikitia haumanu, maha āhuatanga e te whai wāhitanga o te hononga iti. whangai ana tenei mate ki te hei pāpaka hangarite o ringa waewae, me te.

Ka rite ki atu mate, kaikōiwi, e kore e matau tino nga take o nei, kua reira ona tohu tuatahi. Ko te mua kitea te mate te, te atu hua hei tona therapy. tohumate tuatahi o te kaikōiwi: huamo; artlagii (mamae i roto i te kaupapa, a ka whai okiokinga); pakeke i roto i te ata; pakaru o te mahi ringa; deformation o hononga; te takoki; ankylosis; contracture. He tohu noa o te mate, e ngā: haurangi, kirika, vasculitis rheumatoid, waitinana kōpuku whakarahi o te ate, kōateate, kino tākihi, ngakau, pūkahukahu, kanohi, anemia. Ka taea te faaite i te tohu whakahuatia i runga ake i roto i rerekē nekehanga.

He aha atu te mea faahiahia kaikōiwi? He rerekē nga take o tenei mate, na rata seropositive taratahi (rerekē pai take rheumatoid, āhuatanga antiglobulin paturopi / immunoglobulins) seronegative me momo o te mate. Ko te paturopi kitea i roto i te serum. E roa Tetahi huringa radiographic o te mate whakaritea ki te whare hauora.

Pehea e taea hamani kaikōiwi? Ko te hītori o te mate o ia manawanui haapapu e te pānga haumanu hiahiatia taea te tutuki i roto i te tīmatanga o te mate. I tenei wā, kawea te manawanui kei roto i ultrasound, scintigraphy, therapy te kōwarotanga autō. I roto i te wāhanga tuatahi o te maimoatanga whakaritea nonsteroidal anti-inflammatory taero, corticosteroids (na werohia intraarticular). Tūroro ki corticosteroids vasculitis rheumatoid i whakaritea roto. Ki te ahunga whakamua o te mate whakaritea rongoā "Penicillamine" me "Hingamin"; immunosuppressants; taka koura; i tua. I roto i te wā tino, whakaritea wawaotanga hāparapara te (synovectomy - i te wā wawe o te mate, tapuraa reconstructive me te whakakapinga tahi - i ngā wāhanga i muri mai).

E ētahi iwi he predisposition ira ki te mate. Rheumatoid rumati, te take i roto i te nuinga o te wā, me te kore e haamaramaramahia tonu, patua wahine 3 ngā wā atu pinepine atu i te tangata. Nuinga o ngā wā, te ahunga whakamua o te mate haamata ki 25, me pumau ki runga ki te 50 nga tau, ahakoa i reira kua take o tona tupu i roto i tetahi atu tau. Treatment o te mate i roto i 75% o tūroro arata'i ki te whakaiti i roto i te kaha o ngā tohu. I roto i te 10% o te tūroro ki te kaikōiwi mutu hauātanga.