mob caj dab yog ib qho mob ntawm ib leeg, thiab yog tias peb tham txog kev swb ntawm ob peb, ces muaj cov kab mob xws li polyarthritis. Nws cov tsos mob txawv thiab nyob ntawm seb qhov mob hnyav ntawm tus kab mob, yog li txhua tus neeg mob sau tseg qhov tshwm sim ntawm polyarthritis.
cov ntaub ntawv dav dav
Ntau qhov laj thawj tuaj yeem ua rau muaj mob, pib nrog kev mob metabolic hauv lub cev, kev tsis haum tshuaj, kev raug mob, xaus nrog qhov tshwm sim ntawm cov kab mob sib kis. Nws yuav tsum tau muab sau tseg tias daim nyias nyias thiab cov ntaub so ntswg nyob ib ncig ntawm lub pob qij txha nws tus kheej muaj ib tug lossis loj tus naj npawb ntawm cov hlab ntsha xaus thiab cov hlab ntsha. Vim li no, lawv tam sim teb nyob rau hauv daim ntawv ntawm o mus rau qhov cuam tshuam ntawm kev tsis zoo sab nraud los yog sab hauv.
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Nyob ntawm yam uas ua rau cov tsos mob ntawm polyarthritis, cov txheej txheem pathological txawv. Nyob ntawm seb hom kab mob twg, txoj kev kho yog muab.
Los ntawm hom kawm, ob hom kab mob sib txawv:
- mob tshwm sim - ua li casfeem ntau pib poob nthav, nrog rau cov tsos mob classic, uas tsuas yog tus yam ntxwv ntawm tus kab mob;
- chav kawm mob - txhim kho maj mam thiab maj mam. Qee lub sij hawm, tus kab mob no tshwm sim hauv daim ntawv latent, tsis muaj tsos mob tshwm sim. Periodic exacerbations yog hloov los ntawm remissions. Thaum lub sij hawm exacerbations, cov neeg mob tsim mob cov tsos mob ntawm tus txheej txheem mob.
Nyob ntawm qhov ua rau muaj qhov tshwm sim, cov hauv qab no ntawm polyarthritis tuaj yeem paub qhov txawv:
- Gouty - tshwm sim vim qhov tso tawm ntawm urates (cov ntsev ntawm uric acid) hauv cov pob qij txha. Tus kab mob pib nrog lub sij hawm exacerbations - mob thiab khaus khaus ntawm pob qij txha. Thaum lub sij hawm tshem tawm, cov tsos mob ntawm polyarthritis ntawm cov ntiv tes los yog lwm yam ceg yuav ploj mus.
- Psoriatic - tshwm sim nrog psoriasis thiab yog yam ntxwv ntawm daim tawv nqaij tshwm sim. Qee zaum cov teeb meem sib koom ua ke ua ntej kev hloov ntawm daim tawv nqaij.
- Kev kis mob - yog tsim los ntawm kev noj cov kab mob ntawm txhua yam. Feem ntau, tus kab mob no cuam tshuam rau cov pob qij txha ntawm keeb kwm ntawm cov kab mob genitourinary lossis kab mob hauv plab.
- mob caj dab Rheumatoid. Cov tsos mob ntawm tus kab mob no muaj yeeb yuj heev, raws li nws yog ib tug kab mob autoimmune, vim qhov deformation ntawm cov pob qij txha pib. Tus kab mob symmetrically cuam tshuam cov pob qij txha ntawm ko taw thiab tes.
- Bekhterev's syndrome yog polyarthritis uas cuam tshuam cov pob qij txha hauv qaum. Yog tsis muaj kev kho mob txaus, tus kab mob no ua rau immobilization ntawm nraub qaum.
Cov tsos mob ntawm polyarthritis ntawm pob qij txha
Txawm hais tias muaj ntau ntau yam ntawm polyarthritis, muajCov cim qhia uas nrog txhua yam mob:
- kev hloov pauv hauv lub cev kub;
- mob pob qij txha;
- deformity hauv cov pob qij txha cuam tshuam;
- txwv kev txav mus los thiab kev ua si;
- liab ntawm daim tawv nqaij ntawm qhov chaw mob.
Tseem muaj cov tsos mob tshwj xeeb ntawm polyarthritis, uas yog tus yam ntxwv ntawm qee yam kab mob. Lawv yog tshwm sim los ntawm tej yam uas provoke qhov pib ntawm tus kab mob.
Txau polyarthritis tshwm sim vim kev ua txhaum ntawm cov txheej txheem metabolic hauv lub cev. Daim ntawv no ntawm malaise yog manifested los ntawm ib tug es pronounced inflammatory txheej txheem, uas yog concentrated nyob rau hauv lub site ntawm qhov sib koom lesion. Hom kab mob no yog tus cwj pwm los ntawm qhov mob hnyav nyob rau hauv kev sib koom ua ke, uas ploj tom qab ob peb hnub. Kuj tseem muaj hyperemia thiab o. Tus kab mob no muaj kev kawm ntev nrog 1-3 exacerbations nyob rau hauv ib lub hlis.
Polyarthritis deformans tsim vim muaj lub cev tsis muaj zog lossis cov kab mob autoimmune. Tus kab mob no yog tus cwj pwm los ntawm kev kawm ntev. Thaum exacerbations, cov neeg mob yws yws ntawm cov tsos mob ntawm polyarthritis. Daim duab ntawm cov txheej txheem kuaj mob muaj nyob hauv qab no.
Yog li, cov tsos mob tseem ceeb:
- mob pob qij txha;
- muscular atrophy;
- kev qaug zog, qaug zog, tsis ua haujlwm;
- kev sib koom ua ke tsis muaj zog (qhov no tshwj xeeb tshaj tawm thaum sawv ntxov);
- kho deformity;
- liab ntawm daim tawv nqaij ntawm thaj chaw cuam tshuam;
- qhov loj ntawm qhov sib koom ua ke.
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Reactive polyarthritis tshwm sim vim yav dhau los inflammatory los yog kis kab mob. Thawj cov tsos mob tsis yog tshwj xeeb. Muaj kev qaug zog ntxiv, qhov kub nce me ntsis, cov qog ntshav nce ntxiv. Raws li tus kab mob loj tuaj, cov tsos mob hauv qab no ntawm polyarthritis ntawm tes thiab ko taw tshwm:
- daim tawv nqaij;
- mob leeg thiab pob qij txha hauv nqua;
- hloov daim tawv nqaij;
- fever Syndrome.
Yog vim li cas
Muaj ntau yam uas ua rau muaj tus kabmob. Ntawm lawv yog cov feem ntau hypothermia, metabolic ntshawv siab, banal genetic predisposition.
Rau tus kab mob polyarthritis, cov hauv paus ntsiab lus yuav yog cov kab mob sib kis yav dhau los (gonorrhea, kab mob siab, kab mob plab).
Lwm hom polyarthritis tshwm sim los ntawm kev ua txhaum ntawm lub cev cov txheej txheem metabolic.
Post-traumatic mob caj dab yog tsim los ntawm kev raug mob hauv zos lossis kev tsis haum tshuaj hnyav.
Raws li cov tsos mob ntawm tus mob rheumatoid mob caj dab, tam sim no tsis muaj kev pom zoo ntawm cov kws kho mob tshwj xeeb txog lawv.
Danger of disease
Polyarthritis hauv daim ntawv tsis saib xyuas tuaj yeem ua rau muaj kev phom sij rau lub cev, vim tias tus kab mob cuam tshuam rau tus neeg mob lub cev muaj zog, deforms cov pob qij txha thiab cuam tshuam yuav luag tag nrho.kab mob. Polyarthritis yog qhov txaus ntshai tshwj xeeb yog tias tsis muaj kev kho mob txaus thiab sijhawm. Raws li cov kws tshaj lij, cov kab mob no tuaj yeem ua rau muaj kev loj hlob ntawm cov kab mob hauv qab no:
- mob plawv;
- vasculitis;
- hloov hauv qhov pom kev ua haujlwm;
- ntshav qab zib;
- pericarditis;
- Yglomerulonephritis;
- ntshav siab;
- cov txheej txheem fibrotic;
- neuritis.
Kho cov tsos mob ntawm mob caj dab rheumatoid thiab nws lwm yam tshwm sim yuav tsum tau pib thaum ntxov ntawm cov txheej txheem pathological. Nyob rau hauv rooj plaub no, thaum muaj kev kho mob txaus thiab ua raws li tag nrho cov lus qhia txog kev kho mob, kev kho mob ruaj khov tuaj yeem ua tiav, thiab vim li ntawd, kev tsim cov teeb meem saum toj no tuaj yeem zam tau.
Diagnosis
Txhua qhov kev kuaj mob rau tus kab mob no pib tom qab kawm cov duab kho mob. Tsis tas li ntawd, txhawm rau txhawm rau kuaj xyuas kom raug thiab txiav txim siab hom kab mob, tus neeg mob yuav tsum tau kuaj xyuas cov hauv qab no:
- kuaj mob rheumatoid;
- kuaj ntshav thiab zis;
- x-ray;
- arthroography;
- xam thiab sib nqus resonance duab;
- histological kuaj mob.
Tsuas yog raws li cov txiaj ntsig ntawm kev ntsuas nyuaj, tus kws kho mob tau sau cov kev kho mob tsim nyog rau tus neeg mob.
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Kev kho mob ntawm cov tsos mob ntawm polyarthritis thiab kev kuaj mob ntawm tus neeg mob yog thawj qhov chaw ntawm cov kws kho mob. Tus kab mob no cojntau yam tsis kaj siab, uas yuav piav qhia meej tom qab hauv kab lus.
Los ntawm daim duab thiab cov tsos mob tau piav qhia saum toj no, nws pom tseeb tias cov neeg mob cuam tshuam los ntawm tus kab mob no tsis tuaj yeem tau txais tag nrho cov txiaj ntsig ntawm lub neej uas muaj rau cov neeg muaj pob qij txha noj qab haus huv. Polyarthritis tsis ploj mus ntawm nws tus kheej, koj yuav tsum nrhiav kev pab kho mob.
Kuv yuav hu rau leej twg?
Cov lus teb tsis txaus ntseeg rau cov lus nug: "Thaum kho cov tsos mob ntawm polyarthritis, kuv yuav tsum hu rau tus kws kho mob twg kom tau txais kev pab tsim nyog?" Tsis yog, vim muaj ntau hom kab mob thiab cov cim qhia ntawm lawv cov tsos, thiab txhua tus kws kho mob tsuas yog lub luag haujlwm rau nws qhov tshwj xeeb nqaim xwb.
Qhov ua rau tus kab mob tuaj yeem muaj ntau yam - ntau yam kab mob, kev hloov pauv pathological thiab raug mob. Nyob ntawm cov tsos mob, tus neeg mob raug xa mus rau tus kws kho mob orthopedist, rheumatologist lossis traumatologist. Hauv cov chaw kho mob loj nrog cov neeg ua haujlwm loj, koj tuaj yeem tau txais lus qhia los ntawm tus kws kho mob caj dab.
Ib txoj hauv kev kuj tseem suav tias muaj txiaj ntsig thaum txhua tus kws tshaj lij koom nrog kev kho mob ntawm qee theem. Piv txwv li:
- kws phais - tshuaj xyuas cov ntaub so ntswg;
- tus kws kho mob rheumatologist - feem ntau nws yog nws tus kws kho mob tseem ceeb thiab saib xyuas cov kab mob;
- tus kws kho mob traumatologist - yuav muab tswv yim thiab sau tshuaj kho yog tias ua rau cov tsos mob ntawm polyarthritis ntawm ob txhais tes thiab ko taw yog kev raug mob qub.
Ntau tus kws tshaj lij tuaj yeem koom nrog kev kho mob. Yog li ntawd, thawj zaug koj yuav tsum tau mus rau tus kws kho mob, thiab nws yuav qhia rau koj seb tus kws kho mob hu rau yog tias muaj. Cov tsos mob ntawm polyarthritis thiab sau tag nrho cov kev ntsuam xyuas tsim nyog.
Kev cuam tshuam kho mob
Txhua yam kev kho mob yuav tsum ua kom tiav cov txiaj ntsig zoo hauv qab no:
- tiv thaiv kev sib koom ua ke ntxiv;
- tso tseg o;
- nres cov txheej txheem ntawm kev puas tsuaj ntawm pob txha mos thiab cov ntaub so ntswg;
- kev kho cov ntshav ncig hauv cov ntaub so ntswg;
- ua kom cov ntaub so ntswg rov tsim dua tshiab thiab rov ua dua tshiab.
Txhawm rau ua tiav tag nrho cov hom phiaj no, cov kws tshaj lij niaj hnub siv lub cev kho mob, noj zaub mov thiab tshuaj.
Qee zaum, tshwj xeeb yog cov xwm txheej nyuaj, yuav tsum muaj kev phais mob txhawm rau txhim kho tus neeg mob.
Kev kho mob nrog tshuaj
Rau kev kho mob rheumatoid mob caj dab thiab nws lwm hom, siv ntau yam tshuaj. Nov yog qee qhov ntawm lawv:
- Non-steroidal anti-inflammatory tshuaj (NSAIDs) - lawv qhov kev ua yog tsom txo qhov mob thiab thaiv cov haujlwm ntawm prostaglandins, vim tias lawv ua lub luag haujlwm tseem ceeb hauv cov txheej txheem inflammatory. NSAIDs txo qhov mob me mus rau nruab nrab. Cov tshuaj no ua sai sai, tab sis muaj ntau yam kev phiv. Cov tshuaj no suav nrog Diclofenac, Ibuprofen, Indomethacin thiab Ketoprofen.
- Corticosteroids txo qhov mob thiab ua haujlwm txhawm rau txhawm rau ua haujlwm ntawm lub cev tiv thaiv kab mob. Lawv pab txo qhov mob, thiab tiv nrog cov tsos mob ntawm polyarthritis sai dua li lwm cov tshuaj. Cov no suav nrog: "Dexamethasone", "Prednisolone",Triamcinolone thiab Methioprednisolone.
- Cov tshuaj tiv thaiv kab mob tseem ceeb (DMARDs). Lawv siv yog tsom rau kev tshem tawm cov ua rau polyarthritis. Feem ntau cov tshuaj "Methotrexate" raug sau tseg, tab sis nws tuaj yeem ua mob rau daim siab, yog li kev kuaj ntshav tas li yuav tsum tau ua thaum noj tshuaj. Cov ntsiab lus ntawm pawg no kuj yog "Hydroxychloroquine" thiab "Sulfasalazine".
- Cov tshuaj tiv thaiv TNF muaj cov tshuaj uas thaiv cov qog nqaij hlav necrosis. Feem ntau cov tshuaj yog Infliximab, Etanercept, los yog Adalimumab, muab intravenously los yog intramuscularly.
Kev kho cov tsos mob ntawm tus mob rheumatoid mob caj dab yuav tsum tau ua tsis tu ncua, vim nws tsis tuaj yeem tshem tawm cov tsos mob ntawm tus kab mob. Los ntawm kev kho mob, tus neeg mob tuaj yeem rov qab mus rau kev noj qab haus huv thiab kev ua haujlwm ib txwm muaj.
Kev kho lub cev
Cov hau kev no tso cai rau koj kom tsis txhob mob qhov mob, nrog rau nres qhov kev txhim kho ntawm cov txheej txheem pathological thiab nce qhov ntsuas ntawm articular mus. Cov txheej txheem hauv qab no zoo heev rau lub hom phiaj no:
- kev tawm dag zog;
- massage;
- kho mob ultrasound;
- cryotherapy;
- daim ntawv thov paraffin;
- magnetotherapy;
- barotherapy;
- phonophoresis;
- ozocerite applications.
Rau kev kho mob ntawm cov tsos mob ntawm polyarthritis ntawm ob txhais ceg thiab ob txhais tes, nws yog feem ntau pom zoo kom mus ntsib dispensaries thiab sanatoriums.
Kev noj haus
Nyob rau hauv kev tawm tsam tus kab mob, loj heevKev noj zaub mov kom raug thiab sib npaug yog qhov tseem ceeb. Nws yog ib qho tseem ceeb uas txhua yam tsim nyog cov vitamins thiab microelements nkag mus rau tus neeg mob lub cev nrog zaub mov. Qhov no yog qhov tsim nyog rau normalization ntawm cov txheej txheem metabolic.
Nws pom zoo kom cov neeg mob noj zaub mov me me, tab sis noj ntau zaus kom tsis txhob rog rog, uas ua rau muaj kev cuam tshuam tsis zoo ntawm cov ntaub so ntswg.
Txhawm rau tiv thaiv cov tsos mob ntawm lub xub pwg nyom thiab polyarthritis ntawm lwm qhov hauv lub cev, ntxiv cov zaub mov hauv qab no rau koj cov zaub mov:
- jelly;
- zaub tshiab thiab txiv hmab txiv ntoo;
- fermented mis nyuj khoom;
- ntses thiab nqaij ntshiv;
- jelly;
- sorrel;
- rice;
- blueberries;
- dej qab zib los ntawm ntau yam txiv ntoo.
Thiab ntawm no yog ib daim ntawv teev cov khoom noj thiab cov tais diav uas zoo dua kom tsis txhob:
- tea;
- sweets;
- txiv lws suav;
- qos;
- khoom ci;
- Kuv qab ntsev, zaub mov ntsim;
- cawv;
- legumes;
- dej haus muaj caffeine;
Surgery
Kev phais mob hauv kev kho cov tsos mob ntawm rheumatic polyarthritis thiab nws lwm hom yog siv rau hauv qhov xwm txheej hnyav tshaj plaws thiab tsis saib xyuas, tom qab theem ntawm cov txheej txheem pathological, nrog rau thaum lwm hom kev kho mob tsis zoo.. Nyob rau hauv cov ntaub ntawv ntawm kev puas tsuaj loj txaus ntawm cov pob qij txha, kev ua haujlwm tsuas yog kev xaiv los normalize tus neeg mob tus mob thiab rov qab tag nrho cov xim rau nws.life.
Kev cuam tshuam kev phais, tsis hais hom twg, yog tsom rau kev tshem tawm tag nrho ntawm qhov mob thiab normalization ntawm kev ua haujlwm ntawm cov pob qij txha. Nyob ntawm cov yam ntxwv ntawm cov txheej txheem pathological thiab ntawm tus kheej cov kev qhia, cov kev phais hauv qab no yog siv los tawm tsam cov tsos mob ntawm polyarthritis ntawm lub xub pwg sib koom lossis lwm qhov ntawm tus neeg mob:
- Prosthetics ntawm cov khoom sib koom ua puas tsuaj lossis nws qhov hloov ib nrab.
- Tshuaj immobilization ntawm articulation ntawm kev sib koom tes los qhib cov txheej txheem ntawm cov pob txha fusion.
- Kev phais tshem tawm cov khoom puas ntawm cov pob qij txha thiab synovial daim nyias nyias. Cov kev kho mob zoo li no yog siv los tiv thaiv kev sib kis ntawm cov txheej txheem o mus rau thaj tsam ntawm cov pob txha pob txha nyob ze.
Hom kev pom zoo ntawm kev phais mob yog xaiv los ntawm tus kws phais mob tom qab kuaj xyuas qhov tseeb, txiav txim siab qhov kev puas tsuaj ntawm kev sib koom tes. Lub xub ntiag ntawm contraindications rau kev phais thiab kev noj qab haus huv ntawm ib tug neeg mob yog coj mus rau hauv tus account.
Txoj kev ua neeg zoo
Kev kho mob ntawm cov tsos mob ntawm polyarthritis los ntawm pej xeem txoj kev yog siv nyob rau hauv cov ntaub ntawv uas tus kab mob tau kuaj pom thaum ntxov. Polyarthritis yog kho nrog ntau yam tshuaj ntsuab. Tab sis ua ntej siv txoj kev no, nws yuav tsum tau sab laj nrog koj tus kws kho mob kom tsis txhob ua mob rau lub cev.
Recipes:
- Koj yuav tsum tau noj ib qho sib npaug ntawm inflorescences ntawm blackthorn paj, dub elderberry, nettle thiab warty birch nplooj los ua tshuaj yej los ntawm no sau. Rau qhov no, 2 tbsp. l. Sau yog nchuav nrog 500 ml ntawm dej kub. Qhov sib tov yog brewed rau 10 feeb. Haus 2 khob ib hnub.
- St. John's wort, calamus cag, sage thiab bearberry raug coj los sib npaug. Ob dia ntawm qhov sib tov yuav tsum tau nchuav nrog 1 khob dej npau thiab brewed rau 15 feeb. Haus no decoction 500 ml ib hnub twg.
- Lub decoction yog npaj raws li daim ntawv qhia dhau los, tsuas yog rau nws koj yuav xav tau tshuaj ntsuab xws li hernia, buckthorn bark, juniper berries thiab horsetail.
- Nws tseem pom zoo kom npaj cov khoom ntawm teb steelwort, soapwort thiab willow bark. 1.5 tsp sau yog nchuav nrog ib khob ntawm boiling dej thiab infused rau 10 feeb. Tom qab koj yuav tsum boil lub broth rau 10 feeb. Lub decoction yuav tsum tau haus 3 zaug hauv ib hnub.
Kev Tiv Thaiv
Vim tias muaj ntau qhov laj thawj tuaj yeem ua rau muaj kev txhim kho polyarthritis, raws li kev tiv thaiv kev tiv thaiv, koj yuav tsum sim tiv thaiv lawv lub zog ntawm nws lub cev. Namely, koj xav tau:
- noj zaub mov kom zoo thiab noj qab nyob zoo;
- ua neej noj qab nyob zoo;
- pib kho cov kab mob, raug mob thiab lwm yam mob raws sijhawm thiab tiv thaiv kom tsis txhob mob ntev;
- zam kev puas tsuaj;
- tsis txhob tso cov pob qij txha nrog cov khoom hnyav;
- tsis txhob txias.
Cov neeg uas muaj keeb kwm yav dhau los rau kev tsim tus kabmob yuav tsum tau muaj tom qab 45 xyoos ntawm txhua rau lub hlis raws li kev tiv thaiv mus ntsib kws kho mob thiab kuaj txhua yam tsim nyog.
Cov Lus Qhia
polyarthritis yogmob hnyav articular pathology. Tus kab mob no cuam tshuam rau ob peb pob qij txha ib zaug. Cov laj thawj rau qhov teeb meem no muaj ntau haiv neeg thiab ntau heev. Txij li thaum tus kab mob yog fraught nrog tsim ntawm ib tug loj tus naj npawb ntawm cov teeb meem thiab, nyob rau hauv tsis muaj kev kho mob, ua rau muaj kev tsis taus, nws raug nquahu kom pib tawm tsam nws thaum ntxov tshaj plaws ntawm cov kab mob.
Kev kho lub cev, tshuaj thiab khoom noj kom zoo tau ua pov thawj lawv tus kheej raws li kev ntsuas kho. Tsuas yog thaum siv qhov kev sib xyaw ua ke no tsuas yog muaj qhov ua tau zoo ntawm kev ua tiav cov txiaj ntsig zoo thiab kav ntev. Nrog rau cov ntaub ntawv siab tshaj ntawm tus kab mob, cov txheej txheem zoo li no yuav tsis pab ntxiv lawm; tsuas yog kev phais mob tsuas yog siv los ua kev kho mob xwb.
Yuav kom tiv thaiv tau cov teeb meem kev noj qab haus huv hnyav, peb qhia koj kom ua raws li kev tiv thaiv tus kab mob, kom tom qab koj tsis tas yuav nrhiav txoj hauv kev kho nws.
