Kho ntawm ob txhais ceg: mob caj dab thiab lwm yam kab mob

2024 Tus sau: Curtis Blomfield | [email protected]. Kawg hloov kho: 2023-12-16 21:10

Kev mob caj dab ntawm ko taw yog cov txheej txheem inflammatory uas cuam tshuam rau cov pob qij txha ntawm ob txhais ceg thiab tshwm sim los ntawm qhov mob, o thiab maj mam txo qis hauv kev sib koom ua ke. Kev mob caj dab tau muab faib ua ob pawg:

- Kev mob caj dab thaum pib yog suav tias yog ib qho kev ywj pheej nosological uas tuaj yeem tshwm sim hauv lub cev noj qab haus huv.

- Kev mob caj dab thib ob cuam tshuam rau cov pob qij txha ntawm ob txhais ceg, qhov tshwm sim yog vim muaj lwm yam kab mob thiab tej zaum yuav yog ib qho ntawm nws cov tsos mob.

Ua rau mob caj dab:

• Cov txheej txheem autoimmune, thaum lub cev tsim cov tshuaj tiv thaiv tawm tsam nws cov ntaub so ntswg. Tej zaum yuav tshwm sim hauv scleroderma, mob rheumatic kub taub hau, kab mob lupus erythematosus.
• Cov kab mob kis tau: txhim kho tom qab kis kab mob lossis thaum cov kab mob nkag mus rau hauv cov ntaub so ntswg ntawm cov pob qij txha.
• Kev raug mob: mob pob qij txha, uas ua rau o ntawm cov pob qij txha ntawm ob txhais ceg, tuaj yeem nrog pob txha lossis nqaij tawv, thiab mob ntev - nrog kev ntxhov siab tas li ntawm qhov sib koom ua ke.
• Cov kab mob tshwj xeeb: nrog cov kab mob metabolic, mob caj dab tuaj yeem tshwm sim, cuam tshuam rau cov pob qij txha ntawm ob txhais ceg (nrog gout, psoriatic mob caj dab).

Hauv txhua kis, qhov tshwm sim ntawm kev mob caj dab ntawm cov pob qij txha zoo sib xws. Tab sis tib lub sij hawm sawv tawmCov tsos mob tshwj xeeb, tus yam ntxwv tsuas yog rau cov kab mob tshwj xeeb lossis pab pawg kab mob, thiab tsis yog tshwj xeeb, tshwm sim hauv ib qho kev mob caj dab cuam tshuam rau cov pob qij txha ntawm ob txhais ceg.

Cov tsos mob tsis tshwj xeeb:

• mob;

• hloov pauv qhov sib koom ua ke;

• dysfunction;

• crunching hauv pob qij txha;

• symmetrical lesion;

• kev puas tsuaj rau lub cev tag nrho.

Cov tsos mob tshwj xeeb:

• sawv ntxov tawv;

• ntau qhov txhab;

• sib koom deformity;

• tawv nqaij syndrome.

Kev kuaj mob ntawm cov pob qij txha ntawm ko taw tsis yooj yim heev vim yog mob mob uas tib neeg tig mus rau tus kws kho mob tshwj xeeb. Nws yog qhov nyuaj dua los txheeb xyuas qhov laj thawj uas ua rau nws. Kev kuaj mob ko taw muaj xws li:

• 

  Anamnesis, uas yog, ua tau ua ntej qhov pib ntawm tus kab mob tau qhia meej.

• Kev tshawb fawb ntawm cov kua dej synovial thiab ntshav.
• Kev kuaj mob rheumatoid, serology, kuaj zis thiab ntshav. Raws li kev tshawb fawb tshwj xeeb tshwj xeeb rau ib tus kab mob.
• X-ray yog siv los txiav txim qhov mob thiab qhov hnyav.

Yuav ua li cas kho ob txhais ceg

Kev kho tus kheej nruj me ntsis rau txhua kis, feem ntau yog tsom rau kev tshem tawm qhov tshwm sim etiological. Rau kev mob caj dab siv:

1. Anti-inflammatory nonsteroidal kho kom tsis txhob mob thiab cuam tshuam rau lub cev tiv thaiv kab mob. Muaj tshuaj pleev ib ce, los ntawm kev txhaj tshuaj lossis los ntawm qhov ncauj.
2. tshuaj maj.
3. Tshuaj kho mob (Methotrexate, Infliximab, Azathioprine, thiab lwm yam).
4. Kev kho Hormonal siv Prednisolone, Dexamethasone.
5. Kev kho mob tshwj xeeb nyob ntawm qhov ua rau tus kab mob. Immunomodulatory thiab antiviral therapy, chondroprotectors, cytostatics, tshuaj tua kab mob yog siv.
6. Kev kho tsis yog tshuaj muaj lub sijhawm los kho kev ua neej thiab kev noj haus, suav nrog kev kho mob thiab kev kawm lub cev, kho lub cev, nrog rau kev siv cov tswv yim tshuaj.