Autoimmune arthritis yog ib yam kab mob uas tshwm sim los ntawm cov kab mob uas tshwm sim hauv lub cev tiv thaiv kab mob, thaum tus kheej cov ntaub so ntswg raug pom tias txawv teb chaws. Cov tshuaj tiv thaiv kab mob tiv thaiv lawv pib tsim cov protein tshwj xeeb uas ua rau cov txheej txheem inflammatory hauv lub plhaub ntawm cov pob qij txha, pob txha mos thiab cov hlab ntsha. Muaj ntau hom mob caj dab, ntau yam uas yog autoimmune nyob rau hauv qhov xwm txheej. Kab lus yuav tham txog qhov ua rau, cov tsos mob thiab kev kho mob ntawm tus mob no.
Ua rau kab mob
Kev mob ntawm cov pob qij txha ntawm cov leeg pob txha yog ib qho teeb meem ceev rau cov neeg niaj hnub. Rheumatoid mob caj dab, uas yog ib hom kab mob autoimmune, feem ntau cuam tshuam rau cov neeg muaj hnub nyoog ua haujlwm tom qab plaub caug xyoo, thiab hauv cov poj niam nws tshwm sim tsib zaug ntau dua li cov txiv neej. Cov laj thawj tseem ceeb ntawm kev sib koom ua ke yog suav tias yog:
- Genetic predisposition txuam nrog tsis ncaj ncees lawmtus qauv ntawm chromosomes. Cov txheeb ze ntshav muaj plaub npaug ntau dua los tsim mob caj dab rheumatoid.
- Kab mob - kab mob kis: rubella, herpes, retrovirus, Epstein-Barr. Tag nrho cov ntawm lawv yog ib qho tseem ceeb rau kev txhim kho cov txheej txheem inflammatory hauv cov pob qij txha.
- Ib puag ncig tsis zoo: hluav taws xob hluav taws xob, raug qhov kub tsis tu ncua, tshuaj lom neeg ua paug.
- Cov xwm txheej ntxhov siab, kev xav ntau dhau. Autoimmune mob caj dab nyob rau hauv cov poj niam ib nrab ntawm cov pejxeem feem ntau tshwm sim thaum cev xeeb tub, tom qab yug me nyuam, rho menyuam, thaum cev xeeb tub.
- nrawm nrawm.
- Kev quav cawv thiab haus luam yeeb.
Txhua yam saum toj no ua rau muaj kev txhim kho ntawm cov txheej txheem inflammatory, feem ntau hauv cov pob txha mos ntawm cov pob qij txha.
Symptoms
Nyob rau theem pib, tus kab mob no feem ntau me me, yog li cov neeg mob tsis tuaj yeem nrhiav kev pab kho mob tam sim ntawd. Cov tsos mob ntawm autoimmune mob caj dab yog tsim maj mam, thiab kev loj hlob ntawm tag nrho cov kev kho mob daim duab ntawm tus kab mob yuav siv sij hawm ntau xyoo. Feem ntau, thaum pib ntawm qhov pib ntawm tus kab mob hauv cov neeg laus, cov pob qij txha me raug cuam tshuam, tshwj xeeb tshaj yog ob txhais tes, thiab hauv cov menyuam yaus, ntawm qhov tsis sib xws, loj. Lub sijhawm no, tus neeg mob tsuas muaj cov tsos mob dav dav. Cov no suav nrog:
- tsis muaj zog;
- malaise;
- poob qab los;
- poob phaus;
- subfebrile kub.
Cov cim tseem ceeb ntawm kev mob yog:
- Mob thaum sawv ntxov thiab mob pob qij txha rau ib teev lossis ntau dua.
- mob thiab o.
- Tus yam ntxwv zoo sib xws rau cov pob qij txha ntawm sab xis thiab sab laug.
- Txwv tsis pub muaj nuj nqi vim kev sib koom tes o.
Raws li autoimmune mob caj dab tsim, cov yam ntxwv ntawm cov cim hauv qab no tshwm sim:
- Kev txhais tes thiab ko taw deformity.
- Qhov tshwm sim ntawm kev puas tsuaj rau cov leeg.
- Kev tawg ntawm cov pob qij txha puas, fiber ntau compression.
Nyob rau theem kawg ntawm tus kab mob no ua tau:
- Cov tsos mob ntawm rheumatoid nodules uas tsis ua mob.
- Cov qog nqaij hlav o.
- mob hlab ntsha.
- Pathological txheej txheem hauv ob lub raum, ntsws.
- Heart problems.
- Osteoporosis.
- Kab mob plab hnyuv.
- Neuropathy.
- qhov muag lesions.
Ib tug kab mob autoimmune (mob caj dab) ua rau muaj kev puas tsuaj rau tag nrho cov kabmob thiab kev puas tsuaj rau cov pob qij txha me ntawm cov ceg. Vim qhov tseeb tias ib tus neeg yuav tsis muaj mob pob qij txha ntev ntev, nws tuaj txog ntawm tus kws kho mob lub chaw haujlwm thaum muaj kev hloov pauv tseem ceeb hauv pob txha mos thiab pob qij txha, uas ua rau nyuaj rau kev kho mob.
Diagnosis
Thaum xub thawj, exacerbations tshwm sim nyob rau hauv daim ntawv ntawm feeb tawm tsam, thiab qee zaum kav ob peb hnub. Tab sis kev hloov pauv txawv txav hauv lub cev tiv thaiv kab mob pib tshwm sim ntev ua ntej cov tsos mob tshwm sim. Nws yog ib qho tseem ceeb heev uas thaum pib cov tsos mob ntawm tus kab mob tshwm sim, tsis txhob nco lawv thiabsij hawm mus ntsib kws kho mob. Feem ntau, cov neeg mob nug - pob qij txha raug mob, kuv yuav tsum hu rau tus kws kho mob twg? Yog tias koj tsis paub tus kws kho mob twg yuav mus ntsib, koj tuaj yeem nug txog nws ntawm qhov chaw txais tos lossis mus ntsib tus kws kho mob uas yuav kuaj xyuas koj thiab muab kev xa mus rau cov kws kho mob uas tsim nyog: kws kho mob hlwb, rheumatologist, orthopedist thiab kws phais.. Kev kuaj pom tus kab mob raws sij hawm ua rau nws muaj peev xwm ua kom qeeb nws txoj kev loj hlob thiab txhim kho lub neej zoo ntawm tus neeg mob. Thaum mus ntsib kws kho mob nrog tus neeg mob:
- kev sib tham thaum lub sijhawm tsis txaus siab, lub sijhawm thiab tus yam ntxwv ntawm tus kabmob tau qhia meej;
- kuaj sab nraud thiab palpation tiav;
- ua tiav keeb kwm noj.
Tom qab ntawd, cov kev sim hauv qab no tau ua los kuaj mob autoimmune mob caj dab:
- kuaj ntshav kuaj - tus yam ntxwv tshwj xeeb yog nce erythrocyte sedimentation tus nqi, nrog rau kev loj hlob ntawm tus kab mob, qhov txo qis hauv hemoglobin tshwm sim.
- kuaj ntshav biochemical - kuaj pom cov khoom pov tseg nitrogen, kev ua haujlwm ntawm daim siab, txiav txiav, ntsuas carbohydrate metabolism, kuaj ntshav txhaws.
- Kev kuaj ntshav rau cov tshuaj tiv thaiv - kuaj pom lawv qhov muaj thiab qhov siab.
- C-reactive protein qhia txog kev txhim kho cov txheej txheem inflammatory.
Ntxiv rau, cov kev tshawb fawb kho vajtse hauv qab no tau sau los ua qhov tseeb ntawm kev mob caj dab autoimmune:
X-ray yog ib qho tseem ceeb ntawm txoj kev kuaj mob: nws txiav txim siab qhov muaj kev puas tsuaj ntawm kev raug mob; kev hloov pauv ntsig txogmob; sib koom deformity; proliferation ntawm pob txha cov ntaub so ntswg; hloov pauv hauv kab noj sib koom ua ke
- Ultrasound - ntau zaus siv los tsim kev hloov pauv hauv cov pob qij txha loj.
- CT - tso cai rau koj pom cov ntaub so ntswg mos.
- MRI - dav siv los saib xyuas kev hloov pauv hauv ligaments, intervertebral discs, cov leeg nqaij.
- Scintigraphy - txoj kev no feem ntau siv los kuaj mob caj dab (ICD-10 code M05-M99) thiab tuaj yeem kuaj pom tus kab mob thaum ntxov.
- Arthroscopy - feem ntau ua rau ntawm lub hauv caug.
- Puncture - ua kom noj cov kua dej synovial rau lub hom phiaj ntawm nws txoj kev kawm tom ntej.
Tom qab cov txiaj ntsig ntawm tag nrho cov kev tshawb fawb tau npaj tiav, kev sab laj nrog cov kws tshwj xeeb nqaim, kev kuaj mob kom raug thiab kho kom raug.
Txoj Kev Kho Mob
Cov haujlwm tseem ceeb tshaj plaws hauv kev kho mob caj dab yog:
- Txo qhov mob hauv thaj chaw synovial kom tswj tau thiab ua kom muaj peev xwm sib koom ua ke zoo.
- Tiv thaiv kev txhim kho ntawm kev puas tsuaj.
Txoj kev kho mob autoimmune mob caj dab suav nrog ntau yam kev ua ub no:
- Txoj kev mob tshwm sim - feem ntau koj yuav tsum ua rau mob siab. Lawv raug tshem tawm zoo los ntawm NSAIDs.
- Kev kho mob yooj yim - nws pib tam sim tom qab kuaj pom tus kab mob. Nrog rau cov tshuaj kho kom raug, nws muaj peev xwm txo tau qhov mob thiab ua tiav kev tshem tawm mus ntev. Tshwj xeeb yog siv tauCov tshuaj thawj kab xws li methotrexate, cov tshuaj thib ob tsis zoo thiab siv rau kev tsis haum rau yav dhau los.
- kho mob - txhuam nrog tshuaj pleev thiab lwm yam txhais tau tias, piv txwv li, compresses rau pob qij txha nrog Dimexide.
- Cov txheej txheem Physiotherapeutic - tshem tawm qhov mob, txo qhov mob. Siv nyob rau ntau theem ntawm tus kab mob.
- Kev cuam tshuam phais - siv tsis tshua muaj tshwm sim thaum tsis muaj txiaj ntsig ntawm kev kho mob.
- Cov tshuaj kho neeg pej xeem - tsuas yog siv tom qab sab laj nrog kws kho mob. Feem ntau cov kws kho mob pom zoo kom burdock thiab nplooj nplooj.
- Kev noj zaub mov noj yog ib qho kev hloov pauv tsis tau rau kev tiv thaiv kev mob caj dab.
Drug therapy
Cov tshuaj hauv qab no yog siv los kho cov kab mob autoimmune articular:
- Cov tseem ceeb - pab kom qeeb cov txheej txheem kev puas tsuaj hauv cov pob qij txha: "Chlorbutin", "Cyclophosphan", "Plaquenil". Txhawm rau tiv thaiv qhov tsis ua haujlwm autoimmune, cov tshuaj raug xaiv los ntawm tus kws kho mob. Lawv pab kho cov txheej txheem tiv thaiv kab mob.
- Local - tshuaj siv rau kev siv sab nraud. Lawv txo qhov mob, o, txo qhov mob hauv qhov sib koom ua ke. Rau qhov no, compresses nrog Dimexide tau sau rau cov pob qij txha cuam tshuam los ntawm kev mob caj dab, nrog rau Hydrocortisone, Novocaine.
- Symptomatic - cov tshuaj uas tsis yog tshuaj steroidal uas muaj cov tshuaj tiv thaiv kab mob thiab tshuaj tua kab mob. Cov no suav nrog:Ibuprofen, Voltaren, Ketonal.
Kev kho mob yuav tsum tau siv cov tshuaj mus ntev uas muaj kev phiv loj heev. Yog li ntawd, kev soj ntsuam tas li ntawm lawv cov kev cuam tshuam thiab kev tshawb nrhiav cov kev mob tshwm sim raws sij hawm yog qhov tsim nyog. Yuav kom ua tiav txoj kev vam meej, nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li tag nrho cov lus pom zoo ntawm tus kws kho mob thiab kho nws nrog kev ntseeg siab.
Physiotherapy
Physiotherapy yog ib feem tseem ceeb ntawm txoj kev kho mob rau kev mob caj dab (ICD-10 code M05-M99) ntawm cov pob qij txha. Ib txhia ntawm lawv yog siv nyob rau hauv lub sij hawm mob ntawm tus kab mob. Kev kho mob rau pob qij txha:
- electrophoresis nrog glucocorticoids;
- hluav taws xob ultraviolet.
Lawv txo qhov mob thiab mob.
Nyob rau lwm theem ntawm tus kab mob, tshuaj:
- magnetotherapy;
- laser irradiation;
- kev kho lub teeb siv lub teeb;
- massage and self-massage;
- muag da dej;
- Yhydrotherapy.
Kho gymnastics tseem ceeb heev rau cov pob qij txha puas. Nws pab txhim kho lawv txoj kev txav mus los, tiv thaiv kev tsim ntawm adhesions. Tus neeg mob yuav tsum tau ua ib ce txhua hnub txij thaum pib ntawm kev kuaj mob, tsis suav nrog lub sij hawm ntawm exacerbation ntawm tus kab mob. Tsis tas li ntawd, cov neeg mob uas muaj mob caj dab ntawm qhov xwm txheej autoimmune yuav tsum tau txais kev kho mob txhua xyoo, thiab kev siv tshuaj tseem ceeb tsis raug tso tseg.
Kev noj haus rau mob caj dab
Nws tseem ceeb heev uas yuav tsum tau saib xyuas thaum twgautoimmune ntshawv siab, txwv tsis pub noj zaub mov, tsis tsuas yog thaum lub sij hawm exacerbation ntawm tus kab mob, tab sis kuj thaum lub sij hawm tshem tawm. Kev noj zaub mov noj tsis suav nrog cov khoom noj uas muaj rog thiab kib los ntawm cov nqaij thiab ntses, cov nqaij muaj zog, cov zaub mov hauv kaus poom thiab cov khoom ua tiav los ntawm cov khoom noj. Nws yog ib qho tsim nyog los txo qhov noj ntsev thiab qab zib. Tsis txhob noj pob kws, tag nrho cov khoom siv mis nyuj, nplej porridge thiab rye qhob cij.
Siv tau rau kev mob caj dab, suav nrog cov khoom cog, dej hiav txwv muaj roj tsawg thiab cov ntses dej, ntshiv nqaij qaib, luav thiab calf. Rau haus, siv infusions ntawm qus sawv thiab tshuaj ntsuab, txiv hmab txiv ntoo haus los ntawm berries, ntsuab tshuaj yej, me ntsis ntxhia dej tsis muaj roj.
tshuaj ntsuab
Yog tias koj cov pob qij txha deformed thiab koj mob hnyav, koj tuaj yeem sab laj nrog kws kho mob thiab sim siv cov tshuaj pej xeem tib lub sijhawm thaum noj tshuaj. Muaj ntau yam zaub mov txawv, ntawm no yog ob peb:
- Chop lub hauv paus burdock, noj ib teaspoon thiab ncuav ib nrab ib liter ntawm boiling dej. Qhwv lub thawv thiab insist rau ib hnub. Haus me me rau hnub tom qab. Txuas ntxiv kev kho mob rau ib lub lim tiam.
- 50 g ntawm crushed burdock nplooj nyob rau hauv ib tug nqaij grinder ncuav ib nrab ib liter ntawm vodka, co thiab muab tso rau hauv ib qhov chaw txias. Thaum tsaus ntuj, ua tshuaj pleev rau ntawm cov pob qij txha. Qhov mob maj mam txo.
- 100 g ntawm cinquefoil nyom insist ob lub lis piam nyob rau hauv ib liter ntawm vodka. Co cov ntsiab lus tsis tu ncua. Nyem tawm cov tincture tiav thiab noj 30 g ib teev ua ntej noj mov.
- Txhob bay nplooj. Ncuav ib tablespoon ntawm hmoov nrog ib liter ntawm boiling dej, tuav on tsawg tshav kub rau 10 feeb, tshem tawm thiab tawm rau yim teev. Lim lub resulting broth thiab noj 30 ml peb zaug ib hnub twg ua ntej noj mov.
- Los ntawm cov qos yaj ywm tshiab, ua kom lub ntsej muag rau ntawm kev puas tsuaj thaum hmo ntuj.
Txhua cov txheej txheem yuav tsum tau ua nrog kev tso cai los ntawm kws kho mob.
kho mob phais
Cov kws tshaj lij ua haujlwm rau kev phais mob caj dab nkaus xwb thaum txhua txoj hauv kev ntawm kev kho mob tau sim. Hauv kev cuam tshuam kev phais, kev siv ob txoj kev yog qhov tseem ceeb tshaj plaws:
- synovectomy - tshem tawm ntawm articular synovium;
- tag nrho kev sib koom tes hloov nrog endoprosthesis.
Kev txiav txim siab los hloov qhov sib koom tes yog coj los ntawm tus kws kho mob orthopedist ua ke nrog tus kws kho mob rheumatologist. Kev ua haujlwm yog ua thaum sib koom ua ke yog deformed heev thiab poob nws lub cev muaj zog. Thiab qhov tseem ceeb tshaj plaws yog qhov xav tau ntawm tus neeg mob kom muaj kev ua haujlwm. Hauv qhov no, lub sijhawm postoperative muaj kev vam meej ntau dua. Cov khoom siv dag zog tuaj yeem siv sijhawm li 5 txog 15 xyoos. Tus neeg mob yuav tsum tau saib xyuas qhov sib koom ua ke tshiab thiab txwv tsis pub txav mus los.
Zaj lus
Kab mob ntev ntawm cov ntaub so ntswg, uas tom qab ntes cov pob txha mos thiab pob txha pob txha, yog ib yam kab mob hnyav heev. Thaum tsis muaj kev kho kom raug, nws nce mus tas li thiab ua rau muaj kev tsis taus. Tsuas yog kev kho mob nyuaj thiab kev ua raws li tus neeg mob ua raws li txhua tus kws kho mob cov lus pom zoo ua rau kev tshem tawm. Tam sim no koj paub yog pob qij txha mob, mustus kws kho mob hu rau. Tsis txhob ncua sijhawm mus ntsib kws kho mob. Kev noj tshuaj rau tus kheej, nrog rau kev tshem tawm cov tshuaj tsis raug tso cai, yog qhov tsim nyog rau tus kab mob no. Lawv yuav ua rau muaj kev tsis zoo ntawm kev noj qab haus huv thiab kev loj hlob ntawm tus kab mob.
