Thaum tsis muaj sijhawm kho thiab kho kom raug, kev mob caj dab ntawm tus ntiv tes tuaj yeem ua rau muaj teeb meem loj hauv tus neeg, suav nrog kev tsis taus. Progressive pathology tuaj yeem tsim txhua lub hnub nyoog. Cov kab mob no tau nkag siab tias yog kab mob inflammatory uas tshwm sim hauv cov pob qij txha. Cov neeg sawv cev ntawm kev sib deev tsis muaj zog yog qhov muaj feem cuam tshuam rau nws.
Yuav ua rau muaj mob
Kev kho mob ntawm cov ntiv tes yuav tsum ua ntej los ntawm kev tshawb nrhiav cov laj thawj uas nws tau tsim, tab sis qhov no tsis yog ib txwm ua tau, tab sis lawv yuav tsum paub. Yog li, cov no yog:
- tus cwj pwm phem;
- overweight;
- genetic predisposition;
- kev raug mob thiab nqaij tawv ntawm pob qij txha, kev phais kev phais ua rau lawv, hypothermia;
- kab mob sib kis: qhua pias, kab mob herpes, kab mob Botkin, mumps, uas ua raurheumatoid mob caj dab;
- ua los ntawm tus kab mob strepto- thiab staphylococci, brucellosis, scarlet fever, influenza, kab mob sib deev, tuberculosis, dysentery, chlamydia;
- kab mob autoimmune, psoriasis, metabolic ntshawv siab, gout.
Thaum tseem hluas, etiology tseem tsis meej. Txawm li cas los xij, cov no yog tag nrho cov laj thawj xav tau. Qhov tseeb tseem tsis tau meej.
Signs
Tus yam ntxwv ntawm tus kheej cov tsos mob ntawm kev mob caj dab ntawm tus ntiv tes. Kev kho mob yuav tsum yog txhawm rau tshem tawm lawv:
- mob mob - qhov cim tshwj xeeb tshaj plaws ntawm kev mob caj dab rau ib qho laj thawj ntawm nws qhov tshwm sim - nws maj mam nce, txav ntawm cov pob qij txha mus rau tag nrho tes;
- hloov pauv hauv cov pob qij txha cuam tshuam - ntau yam thickenings, bulges, contractures, nrog rheumatoid mob caj dab, qhov kev sib koom ua ke tuaj yeem siv cov spindle lossis swan - qhov tom kawg qhia txog qhov kev mob ntev thiab tsis rov qab los;
- kab mob sib luag nrog palpation ntawm subcutaneous rheumatoid nodes nyob ntawm cov pob txha, tus yam ntxwv ntawm mob caj dab;
- txwv kev sib koom ua ke vim yog kev puas tsuaj ntawm lawv qhov chaw, qhov tshwm sim ntawm cov txheej txheem inflammatory, kev txo qis hauv cov kua dej, tom qab txuas ntxiv / flexion ntawm cov pob qij txha yog nrog lub suab nrov nrov;
- nce hauv lub cev kub;
- faus;
- malaise.
Rheumatoid mob caj dab yog tus cwj pwm los ntawm cov hnab looj tes nruj thiab mob thaum sawv ntxov. Pom zooluv nqi kom nce ntau ntawm cov lus tsa suab.
Diagnosis
Ua ntej koj pib kho mob caj dab thiab mob caj dab ntawm cov ntiv tes, koj yuav tsum tau mus ntsib kws kho mob kom kuaj tau qhov tseeb. Nws sau ib qho anamnesis, mloog tus neeg mob cov lus tsis txaus siab. Hauv qhov no, cov kev xeem hauv qab no tuaj yeem raug sau:
- MRI;
- CT;
- x-ray of hands;
- kev tshawb fawb serological hauv rheumatoid mob caj dab (anti-ACCP antibodies, rheumatoid factor);
- cov ntshav suav dav dav (ntaus cov leukocytes thiab nce ESR).
Drug therapy
Yog tus kab mob yog qhov ua rau, ces muab tshuaj tua kab mob los kho mob caj dab ntawm tus ntiv tes.
txhawm rau thaiv cov ntsiab lus tseem ceeb ntawm kev mob, siv tshuaj ("Adalimubab", "Infliximab"), uas tso tseg cov txheej txheem ntawm kev puas tsuaj ntawm cov ntaub so ntswg, ua rau kom ruaj khov.
Kev kho mob rheumatoid mob caj dab ntawm cov ntiv tes yog ua nrog cov tshuaj tiv thaiv kab mob yooj yim (Methotrexate, Sulfasalazine, Leflunomide), kws kho mob tau sau tseg, rau lub sijhawm tsawg kawg 3 lub hlis, thiab tejzaum nws mus rau txoj sia. Lawv cov txiaj ntsig kho mob yog txhawm rau txhawm rau txhawm rau ua haujlwm ntawm lub cev tiv thaiv kab mob kom nres cov txheej txheem pathological tau ntev txawm tias tom qab txiav cov tshuaj.
txhawm rau txhawm rau ua kom cov txiaj ntsig ntawm cov tshuaj no, cov tshuaj glucocorticosteroids ("Methylprednisolone", "Prednisolone").
Rau kev tiv thaiv kab mob osteoporosis, vitamin D tau sau ua ke nrogKev npaj ntawm calcium thiab phosphorus.
Qee zaum kev kho mob yog sau nrog kev siv tshuaj tua kab mob hauv kev kho mob caj dab ntawm cov pob qij txha ntawm cov ntiv tes thiab cov tshuaj sedatives. NSAIDs tau siv dav (Diclofenac, Ibuprofen, Celecoxib).
Surgery
Qee zaum qhov deformity ntawm cov pob qij txha ua irreversible. Hauv qhov no, nws tsis muaj txiaj ntsig los siv cov tshuaj kho mob hauv kev kho mob caj dab ntawm cov ntiv tes. Kev phais yog siv, uas tso cai rau koj pib ua haujlwm theem pib nrog kev pab ntawm cov ceg tawv. Tib lub sijhawm, cov phalanges ntawm cov ntiv tes nrog cov pob qij txha cuam tshuam tau raug kho dua.
Physiotherapy
Zoo li txoj kev dhau los, nws tsis siv tau hauv tsev. Txawm li cas los xij, nws pom nws siv tom qab tshem tawm qhov mob, thaum tus neeg mob twb tuaj yeem txav mus rau hauv tsev kho mob.
Cov txheej txheem tseem ceeb tau muab rau tus neeg mob yog:
- electrophoresis;
- raug rau qhov tsis tshua muaj hluav taws xob hluav taws xob;
- magnetotherapy;
- UHF;
- mud applications;
- hydrotherapy;
- ultrasound.
khoom noj muaj txiaj ntsig
Rau kev kho mob caj dab ntawm cov ntiv tes hauv tsev, nkag mus rau hauv kev noj haus:
- polyunsaturated fatty acids;
- fruit;
- zaub.
Nyob rau hauv tus kab mob no, nws yog ib qhov tsim nyog los siv ib tug sib tov ntawm beetroot, dib thiab zaub ntug hauv paus kua txiv, kua txiv beetroot cais (tom qab nyem nws muab tso rau hauv lub tub yees li 2-3 teev kom tshem tawm cov toxicants),hiav txwv buckthorn, currants, cherries, txiv apples, sorrel, plums, blueberries, eggplants, qej, chokeberry, grapefruit.
Cov tais diav hauv qab no yuav tsum raug cais tawm ntawm kev noj haus:
- coffee;
- cawv;
- fried ntses;
- khoom noj khoom haus;
- legumes;
Nyob rau hauv exacerbations, ib zaug txhua 3 lub hlis, koj tuaj yeem ua cov zaub mov nyoos thaum tsis muaj contraindications rau ib lub lis piam. Hauv qhov no, kev noj zaub mov tsuas yog cov txiv hmab txiv ntoo thiab zaub xwb.
kho mob qoj ib ce
Kev tawm dag zog, uas yog npaj rau cov neeg mob hauv kev zam txim, tuaj yeem ua tau zoo hauv tsev. Lawv tsis tuaj yeem ua thaum exacerbations. Nrog lawv cov kev pab, qhov ntim ntawm kev txav uas yog cov yam ntxwv ua ntej rov qab los, lub innervation ntawm cov hlab ntsha thiab lawv cov ntshav tau zoo. Txhua qhov kev tawm dag zog tau koom tes nrog tus kws kho mob ua kev kho mob zoo. Ua lawv 4-5 zaug ntawm qhov chaw zaum lossis sawv ntsug. Yog tias mob pob qij txha tshwm sim, kev tawm dag zog yuav tsum cuam tshuam.
Cov kev tawm dag zog suav nrog:
- ncab cov ceg tawv sab sauv ntawm koj xub ntiag, yam tsis muaj straining, pib txav txav ntawm lub voj voog ntawm lub dab teg - ua ntej ntawm ib qho kev taw qhia, tom qab ntawd nyob rau lwm qhov;
- squeeze-unclench ntiv tes;
- khoov lub caj dab sab sauv ntawm lub luj tshib, rub lub xib teg rau pem hauv ntej, khoov ob txhais tes rau sab laug thiab sab xis ntawm lub dab teg;
- repeat the first exercise;
- xov koj txhais tes.
Kev kho mob caj dab ntawm cov ntiv tes nrog cov tshuaj pej xeem
Txawm hais tias zoo li tsis muaj teeb meem ntawm phytotherapeutic txoj kev kho, nws yuav tsum tau sab laj nrog koj tus kws kho mob txog kev siv.
Txhawm rau muab kev pabcuam sai hauv kev kho mob caj dab thiab mob caj dab ntawm cov ntiv tes, cov tshuaj hauv qab no yog siv los txo qhov mob lossis txo qis ntawm lawv qhov tshwm sim:
- qos;
- zaub compress;
- thiab kuj nrog zib ntab thiab mustard.
Rau cov qos yaj ywm kho mob, noj cov zaub ntsuab uas tsis tau muab tshem tawm, crushed kom txog thaum tau txais cov slurry homogeneous. Tom qab ntawd, nws yog diluted nrog dej kub thiab rhuab mus rau ib tug kub ntawm 38 ° C. Ib txheej tuab ntawm gruel yog siv rau cov pob qij txha, tom qab uas nws yog tsau nrog ib daim ntaub qhwv. Khaws txhua hmo, uas pab ua kom sov cov pob qij txha thiab tshem tawm qhov mob.
Kev kho mob caj dab ntawm cov ntiv tes nrog cov tshuaj pej xeem suav nrog kev siv cov zaub compress. Nws yog npaj los ntawm cov nroj tsuag hauv qab no, coj nyob rau hauv sib npaug proportions:
- beets;
- radish;
- parsley;
- ramson.
Lawv, zoo li qos yaj ywm, raug crushed thiab npaj rau hauv ib qho gruel ntawm homogeneous sib xws. Nws yog siv rau mob pob qij txha.
Kho mob caj dab ntawm tus ntiv tes xoo thiab lwm yam kab mob no, koj tuaj yeem ua rau cov zib ntab thiab mustard. Cov roj txiv roj yog coj mus rau cov khoom no hauv tib tus nqi. Lawv sib xyaw thiab siv kom txog thaum cov tsos mob raug tshem tawm,siv 1 teev rau ib txoj kev.
Koj tuaj yeem siv cov carrots grated uas ob peb tee ntawm turpentine lossis roj zaub ntxiv. Qhov sib tov yog muab tso rau ntawm cov pob qij txha mob thiab kho nrog ib daim ntaub qhwv.
kho nrog da dej
Txhawm rau tshem tawm qhov tsis xis nyob uas tshwm sim hauv cov ntiv tes, cov hauv qab no tuaj yeem siv hauv tsev:
- rubbing;
- compresses;
- baths.
Cov tom kawg pab ua kom sov ntawm cov pob qij txha, yog li lawv cov txiaj ntsig tau loj heev. Cov dej yuav tsum tsis txhob txias, yog li nws yog ib qho tsim nyog yuav tsum tau ntxiv cov kua dej kub ib ntus. Lub sijhawm ntawm cov txheej txheem yog peb lub hlis twg ntawm ib teev. Rau nws txoj kev siv, cov ntiv tes mob yog muab tso rau hauv ib lub thawv nrog cov kua saum toj no. Tshuaj ntsuab ntxiv rau da dej:
- calendula;
- eucalyptus;
- koob koob;
- chamomile;
- birch nplooj.
Kev kho mob nrog rubbing
Kho mob caj dab ntawm cov ntiv tes hauv tsev, koj tuaj yeem siv:
- ntoo thuv lossis spruce koob;
- Kalanchoe;
- txiv pos nphuab.
Hauv thawj kis, cov txheej txheem inflammatory tshwm sim los ntawm tus kab mob raug tshem tawm. Cov koob yuav tsum tau npaj ua ntej nyob rau hauv tus nqi ntawm 4 tbsp. l. Nws yog ntxiv rau lub taub ntim uas muaj ib khob dej, tom qab ntawd nws yog boiled rau 30 feeb. Tom qab ntawd ib daim ntaub huv yog dipped rau hauv nws, uas yog siv rau cov mob pob qij txha. Cov sib tov yuav tsum tau txias rau chav tsev kub.
Kalanchoe (nplooj) yog ib nrab ntim rau hauv ib lub thawv me me, thiab tom qab ntawd muab dej cawv. Thaumlub lis piam, cov tshuaj yog infused, tom qab uas nws yog siv raws li ib tug rubbing. Nws tau ua 1 zaug hauv ib hnub txhua hnub.
Infusions ntawm txiv ntseej lossis lilac blossoms kuj yog cov tshuaj zoo rau kev mob caj dab. 2/3 ntawm lub thawv ntim nrog ib qho ntawm cov khoom no, tom qab ntawd nws tau ntim nrog cawv, uas muaj zog ntxiv piv rau vodka (50-60 °). Cov sib tov yog insisted rau peb lub lis piam, tej zaum co lub hub. Tom qab muab tshuaj txhuam, ntiv tes yuav tsum muab qhwv rau hauv daim ntaub sov.
Decoctions thiab tinctures rau kev kho mob caj dab
Ib qho ntawm cov tshuaj zoo tshaj plaws yog dandelion tincture. Rau nws cov kev npaj, cov hauv paus hniav thiab nplooj yog sau nyob rau hauv tus nqi ntawm 1 tbsp. l. Kev tsim khoom yog ua raws li hauv qab no:
- ntxiv cov khoom xyaw sau rau hauv ib khob dej npau thiab infuse rau 1 teev;
- filter;
- noj 30 feeb ua ntej noj mov;
- koob tshuaj ib zaug - ib lub khob khob.
Tsis tas li, qej tincture tuaj yeem siv los kho mob caj dab ntawm tus ntiv tes. Cov tshuaj no pab txo cov ntshav siab, yog li nws tsis pom zoo rau cov neeg mob hypotension.
ua noj ua haus yog ua raws li hauv qab no:
- 5 cloves ntawm qej ntxiv ib nrab ib liter ntawm cawv;
- ntxhiab yog ua tau ib xyoo caum, ntuav lub thawv;
- reception - 1 tsp ua ntej noj mov;
- qej irritates lub plab, yog li txhawm rau tiv thaiv qhov tshwm sim tsis zoo, cov tshuaj ntxuav tes yog ntxuav.kua mis.
Ntxiv rau, cov cuab yeej hauv qab no tuaj yeem siv tau:
- kub sequence;
- daisies;
- apple cider vinegar.
Ib tug ntawm cov nyiaj ntawm 1 teaspoon yog ntxiv rau 1 khob dej. Siv 4 zaug ib hnub twg. Yog hais tias muaj teeb meem nrog lub plab zom mov, cov koob tshuaj txo qis ib nrab. Kev kho mob yog 2-5 lub lis piam.
Nyob hauv kaw
Kev kho tus ntiv tes mob caj dab hauv ntau kis tuaj yeem ua tau tom tsev. Hauv particular, nws muaj peev xwm ua tau los kho cov tshuaj, da dej, decoctions, infusions raws li kev ntsuas ntawm kev kho mob nrog pej xeem tshuaj. Tsis tas li ntawd, tom qab kev pom zoo nrog tus kws kho mob, nyob hauv tsev, koj tuaj yeem ua ib txheej ntawm kev kho mob qoj ib ce txhawm rau rov ua haujlwm ntawm cov pob qij txha. Nws tuaj yeem siv cov tshuaj txhuam tshwj xeeb, uas kuj txo tus neeg mob tus mob. Thaum nyob hauv tsev thaum lub sijhawm zam txim, raws li kev teem sijhawm ntawm tus kws kho mob tuaj koom, koj tuaj yeem mus ntsib chav kho mob lub cev. Hauv cov mob hnyav heev, nws tsis tuaj yeem kho tus kab mob no hauv tsev, thiab yog li tsim nyog yuav tsum ua haujlwm.
