Weli cudur ee dadka waaweyn iyo carruurta: sababaha, calaamadaha, daaweynta

doorka ugu muhiimsan ee lagu daaweeyo cudur dhif ah ciyaaraa cudurka u ogolaanaya in la kala saaro cudurka ka tiro ka mid ah cudurada kale ee caafimaadka. Weli ee daaweynta cudurka waa muddo dheer, laakiin saadaasha ah ee bukaanka in waqti si ay u arkaan takhtar takhasus leh, in kiisaska intooda badan wanaagsan.

Taariikhda cudurka

First bartay oo ku saabsan cudurka ee 1897, dhakhtarka George Steele mahad. Laakiin waqtigaan la joogo cudurka Weli ayaa waxaa la tixgeliyaa kaliya nooc ka mid ah rheumatoid arthritis. Kaliya ee 1971, Erik Bayuoters daabacay waxbarashada in la kala saaro cudurka ka tiro ka mid ah dhibaatooyinka la xiriira cudurka la mid ah.

statistics Medical muujinaya in cudurka xanuunsan dhif awoodo siman wakiilada labada lab iyo dhaddig. Si kastaba ha ahaatee, bukaanada ugu gudbiyo dhakhtar la calaamadaha cudurka Weli iyo helay cudurka rumayn - carruurta ka yar 16 sano jir. Marka la eego da 'yar, inta badan ee dadka bukaanka ah, cudurka waa mid adag sababtoo ah waalidiinta ugu horeysay ogaaday calaamadaha ilmaha, waa ay adag tahay in ay aaminsan yihiin in jiritaanka "da" sida dhibaatada.

Sababaha cudurka

Ilaa iyo hadda, etiology cudurka cadda. Daraasado badan oo loogu talagalay in uu tilmaamo arrimaha ay tahay xanaajiyeen cudurka Weli ee carruurta iyo dadka waaweyn, ayaa ku guuldareysatay. Sida laga soo xigtay la xiqiijiyay in guud ahaan la aqbalay, cudurka waxa u sabab ah saamaynta on jirka ama wakiilada viral faafa, laakiin cadayn si ay u taageeraan caddaynta this, ma.

Dhakhaatiirta isku dayeen in ay la wadaajin cudurka uurka, isticmaalka daawooyinka, oo ay ku jiraan hoormoonada dhaddig, stress iyo arrimo kale. Sida laga soo xigtay ilo ka mid ah oo ay tahayna ay cudurka loola jeedaa cudurada, shalalka. Rasmi ah uu tijaabin kaliya in wajiga firfircoon ee cudurka waxaa lagu gartaa isbeddel ah ee fiirsashada of cytokines. Waxaa laga yaabaa in daawada mustaqbalka ay awoodaan in ay aqoonsadaan sababta cudurka, sidaas darteedna waxaa fududaynta Baadhista iyo dardar-kabashada dadka bukaanka ah u noqon doonaa.

Astaamaha cudurka oo ay tahayna dadka waaweyn

Weli cudurka, kuwaas oo calaamado la mid ah tiro ka mid ah cudurada kale ee laga helaa by dhowr arrimood:

• Fever wuxuu dhacaa marka ay tahayna ee cudurka waxaa lagu gartaa xumad, asalka ah ee tiro ka mid ah cudurada faafa, oo ay inconstancy. Dhaqan ahaan, heerkulka inta lagu jiro maalinta la hayo ee kala duwan ee caadiga ah, laakiin laba jeer maalintii, ilaa 39 digrii oo ka sarreeya. Ugu isla waqti hal-shanaad ee bukaanka hoos of tilmaamayaasha heerkulka iyo hagaajin bukaanka fayo-qabka aan arkay, taas oo si weyn u adkaynaysaa cudurka.
• Ay ugu sarreysey ee heerkul sareeya ee bukaanka muujiyey ee Mandheera maqaarka, bandhigay papules casaan khafiif ah ama macula. Inta badan, finan ku taalla ee jirridda iyo jirka proximal, inta badan ka yar - sawirka muujinaysaa finan wajiga. Mid ka mid ah saddex-meelood meel ka mid ah bukaannada qaba finan ka badatey cover maqaarka, asal ahaan inta badan ee meelaha khilaaf iyo riixo. calaamad noocan oo kale ah waxaa loo yaqaan arrin Koebner. Waxaa had iyo jeer ma Ulasocto firiiric, cuncun, iyo midabka casaan arrin cirro oo ka dhigi waayay wareegsan calaamadaha dismo bukaanka. Dhakhaatiirta ogaado waxa dhabta ah ee bukaanka waa in la hoos geliyey in dhinacada heerkulka, shidaa hadal of finan. Waxaa laga yaabaa in qubeys diiran ama rogida ee dharka diiran. muujinta Atypical cudurka waa: alopecia, nodosum erythema, hemorrhages petechial. Laakiin dhab ahaan, calaamadaha sida waa dhif iyo naadir.

• Marxaladda u horreysa ee cudurka Weli ayaa waxa lagu gartaa muuqashada myalgia iyo arthralgia. In this marka hore waxa waxyeelo si wadajir ah mid ka mid ah oo kaliya. Waqti ka, cudurka daboolayaa goysyada kale, qaadashada nooca polyarthritis. Ugu horrayn saamayn ku kala goysyada jilibka, canqowga, curcurka, hip, temporal, metatarsophalangeal. Laakiin feature cudurka, ugu caadiga ah ee inta badan dacwadaha, waa horumarinta arthritis oo ka mid ah kala-goysyada interphalangeal distal gacmaha. Tani waa waxa noo ogolaadaa in la kala saaro cudurka Weli ayaa ka qandho rheumatic, lupus systemic cas ama rheumatoid arthritis.
• In 65% ee kiisaska cudurka dhacdaa on asalka ah ee Lymphadenopathy. Half of bukaanka kordhay qanjirada dhuunta ilmogaleenka. Isla mar ahaantaana, xaaladaha qaarkood, necrotizing lymphadenitis qaadataa qof.
• Bilowga cudurka, bukaanka sheegay wayn ee cunaha, gubashadii taas oo joogto ah.
• Waayo, weli cudurka lagu gartaa iyo daliilka wadnaha sambabada sida pneumonitis aseptic, tamponade wadnaha, vegetations valvular neefsigu syndrome.
• In bukaanka qaba xanuunada calaamadeysan iyo indhaha. Tani cataract adag, xumaanshaha corneal daryaa iridocyclitis isha Ribbon.

Weli cudur ee carruurta

Symptomatology cudurka carruurta waa ka dadka waaweyn oo kala duwan. Si kastaba ha ahaatee, daliilka Weli ka cudur ee carruurta la lubricated kara, taasoo keentay in cudurka dib u daaweyn iyo dib u. Mararka qaarkood arthritis ee carruurnimada keenaysaa in naafada. Si looga hor, waalidiinta u baahan tahay in aad u digtoon, xaalladda jireed ee ilmaha. Oo markii koowaad ee lagu garto cudurka tixraac farsamada ee xirfad leh. Launched Weli ay cudur ku keeni karaa caruurta koror ku munaasab ahayn in jirka ah oo u baahan qalliin.

ogaanshaha cudurka

Tan iyo ficil ahaan wax calaamado gaar ah oo cudurka, cudurka waa ay adag tahay. Xaalad kasta, kii labaatanaadna Weli ka cudur waxaa lagu daaweeyaa sida qandho ee dabiiciga ah oo aan la garaneyn. Xaaladaha qaarkood, cudurka waa "sepsis". Waxa ay ahayd oo kaliya ka dib markii taxane ah oo koorsooyinka lagu guulaysan daaweynta antibiotic iyo tiro ka mid ah oo dheeraad ah lafaguraa dhakhaatiirta ayaa soo gaarnay heer ah in ay tahay cudur ka mid ah dadka waaweyn oo ay tahayna ay. Daaweynta iyo dayactirka - waqtiga daaweynta u baahan kormeer caafimaad joogto ah. Isla sidaas u dhaqmaan carruurta.

At cudurka diiwaan kale waxyaabaha calaamadaha u ah sida qandho, barar goysyada, sii kordhaya qanjidhada ah lymph iyo barar cunaha, iyo arrimo kale oo laga heli isticmaalaya echocardiography, si raajito loogu xisaabiyaa iyo ultrasound. Qasab iyo baaritaan dhiig oo muujinaysa heerarka platelets iyo unugyada dhiiga cad. At Weli ee cudurka bukaanka waxa lagu gartaa hoos u dhac ku heerka unugyada dhiigga cas. In bukaanada qaangaarka ah, protein C-Waxyeelo kacsantahay iyo birta. Sayidka assays unugyada anti-nuclear iyo factor rheumatoid inta badan waa negative.

Daaweynta inta lagu guda jiro dembidhaafka

daaweynta Complex iyo joojinayaa waa la fuliyay in marxaladda firfircoon ee cudurka, ama dembidhaafka. Xaaladda hore, habka sameeyaa isbitaal, labaad - bukaanka qaadanaya daawada loo baahan yahay, halka bukaan-socod ama sanatoria iyo jiga caafimaadka. Daaweynta waxaa ka mid ah daawo, daaweynta dabiiciga ah, daaweynta jimicsi iyo duugis.

Daaweynta inta lagu guda jiro cudurka ba'an

Inta lagu guda jiro bukaan sii daridda qaadashada NSAIDs, immunosuppressants, glucocorticoids. Daaweynta had iyo jeer waa muddo dheer. Tani waa sababta u yihiin in bukaanka iyo qoyskiisa u baahan tahay inaad oolin dose badan oo samir. Weli cudur ee dadka waaweyn iyo carruurta - cudur halis ah oo wax looga qabto la noqon karaa oo kaliya ogaanshaha waqtiga iyo daaweynta qoray si sax ah.

Odoroska

Daawaynta ka dib, saddex foomamka suurtogal ah ee cudurka. The ugu fiican iyaga - soo kabashada lama filaan ah lagu arkay mid ka mid saddexaad ee bukaanka qaba cudurka dhif ah. Waxa kale oo ka mid ah saddex-meelood meel dadka bukaanka ah waxay leeyihiin qaab noqoshada ah ee cudurka xilliyo. Doorashada ugu adag - cudur joogto ah ee dadka waaweyn oo ay tahayna ay. Daaweynta, soo kabashada iyo dayactirka kiiskan ka mid noqon kara ma therapy kaliya dhaqanka, laakiin arthroplasty, jidaynayey si loo soo celiyo cudurka halaagnay wadajir ah.