Nyamakazi - zizindikiro ndi mankhwala

Anthu ambiri ali ndi zaka kuchokera zaka 20 mpaka 50 amadwala matenda olowa. Ambiri mwa imeneyi ndi nyamakazi. M'nkhaniyi, tiona zomwe ndi matenda, mmene tingadziwire ndi kuchitira.

Opatsirana nonspecific (kapena rheumatoid) nyamakazi - kugonjetsedwa kwa minofu connective mu dongosolo olowa. Mosiyana rheumatoid, rheumatoid mawonekedwe a matenda yodziwika ndi imfa kupita patsogolo mfundo ka manja, zala, mapazi, ndi ena, ndi chitukuko wotsatira wa kupsyinjika. Zingamvekere osati mfundo komanso khungu, ndulu, lymph mfundo ndi impso.

Nthawi zambiri, zizindikiro ndi kuwonetseredwa pambuyo hypothermia, chimfine ndi matenda opatsirana (angina, fuluwenza, otitis TV). Ndipo matenda olowa mu akazi limapezeka nthawi 3 zambiri kuposa amuna. 15 - 20% milandu kumabweretsa popititsa chilema. Mawonekedwe a otaya nyamakazi ingakhale yopweteka kwambiri kapena yokhalitsa.

Nyamakazi - Zizindikiro

odwala zinkakhala pa siteji koyamba anali pang'ono kutentha kuwonjezeka (kwa 37,5 ° C), kusafuna kudya, nthawi zambiri - palpitations. Pambuyo 1.5 - 2 miyezi wodwala akuyamba mofulumira kuonda, pali kutupa ndi ululu molumikiza kukhudzidwa, thupi kutentha - kuchuluka.

kuwonongeka olowa zimachitika symmetrically, ululu Musiyeni osati pamene galimoto kapena kuyenda, komanso kulephera kuyenda wathunthu. Chikhalidwe cha ululu malo - ndi mwapang'onopang'ono, amene nakweza mu nyengo yoipa kapena m'mawa. Pa chiyambi cha zowawa za kuyendetsa matenda, koma kupitilira zina zambiri okhazikika. M'kupita kwa nthawi, mfundo zatsopano nawo ndondomeko atsopano a matenda.

Chizindikiro china ndi stiffness olowa m'mawa. M'mawa, pambuyo akugona, wodwalayo ankadabwa kudzuka pabedi, sadzachitanso kusuntha maburashi wake, unakhota ndi unbend maondo anu ndi zala. chikhalidwe ichi chikuchitika patapita zachidule zochangamutsa. Izi chizindikiro khalidwe mu gawo oyambirira nyamakazi. Ndipo chinthu chachikulu apa - zilibe musaphonye mphindi mwamsanga kuchipatala.

zizindikiro kunja amalembedwa kugonjetsedwa mfundo kutupa, pang'ono reddening wa khungu, kusintha mawonekedwe a malo. Nthambi anakhudzidwa ndi "duwa" view minofu - woonda ndi kupatulira anati mapindikidwe ndi misomali Chimaona, ndi osiyana kotenga mikwingwirima woyera.

Pa zowawa za khungu ozizira ndi clammy, malo munasindikizidwa mu mawonekedwe a tinatake tozungulira. tinatake tozungulira Rheumatoid ndi chizindikiro kwambiri khalidwe la kukhalapo kwa polyarthritis. Ngati zizindikiro zina, monga kutupa ndi stiffness angayambe pamaso pa matenda ena, pamaso pa mfundo - palibe. The tinatake tozungulira ili pansi pa khungu, ndi awiri a masentimita 2, mu mawonekedwe a sabweretsa chisoni yochitidwa ndi zisindikizo pa mfundo extensor malo anakhudzidwa.

diagnostics

Matendawa zachokera kafukufuku x-ray, zasayansi ndi kafukufuku matenda. Khalidwe kuchepetsa woyera achiyesa maselo a magazi, kuchuluka mlingo erythrocyte sedimentation, ndende asidi sialic (pamwamba 0.2) ndi fibrinogen (oposa 3 g / l), anthu amalabadira C-zotakasika mapuloteni. Bone kashiamu zatha odwala, pali kuchepetsa wa ming'alu olowa.

Nyamakazi - Chithandizo

Chithandizo cha matendawa chiyenera kutenga malo kuyang'aniridwa ndi dokotala vuto la mavuto ndi hospitalization kuvomerezedwa. Nyamakazi chithandizo ndi wautali ndipo zikuphatikizapo ntchito:

• nonsteroidal antiinflammatory mankhwala. Kumachepetsa kutupa, ululu, amathandiza mwamsanga kanthu. Zotsatira zoyipa za mankhwalawa - ulceration ndi dyspepsia;
• corticosteroids umene udzachotsa kutupa, atsogolere ululu ndi zizindikiro zina;
• maziko mankhwala antirheumatic, otaya matenda wokonzedwanso mwamakono (gidrosihlorohin, sulfazalin);
• mankhwala kuteteza mapangidwe chotupa necrosis (adalimumab, infliximab, etanercept) ndi kugwiritsira injectable subcutaneously kapena m'nsinga;
• Physiotherapy (cryotherapy, ozocerite mankhwala mankhwala maginito, ultrasound mankhwala ndi paraffin). Kutumikiridwa mu osakaniza mankhwala. Amatithandiza kuteteza matenda a kagayidwe, kubwezeretsa otaya magazi kwa mafupa kupweteka, kubweza kuchepetsa mafupa.

Posachedwapa mogwira ntchito ndondomeko kuyeretsedwa magazi (hemosorbtion, plasmapheresis). Nthawi zina, njira yabwino adzakhala opaleshoni kuchotsa ndulu.

Kudziwa matenda monga nyamakazi, mankhwala ayenera kuchitidwa mwamsanga, mpaka matenda wadutsa mu mawonekedwe aakulu. Kenako, m'pofunika kuteteza mawonetseredwe latsopano la matenda. Kuti tichite zimenezi, mwapadera ayenera linaperekedwa kwa chithandizo cha matenda aakulu monga pharyngitis, sinusitis, zilonda zapakhosi, Chotupa chija.