Seronegative ọrịa ogbu ogbu na nkwonkwo: mgbaàmà, ọgwụgwọ, prognosis

Ọrịa ogbu ogbu na nkwonkwo na-akpọ ihe autoimmune ọrịa nke na-esonyere ọnya nke connective anụ ahụ ọcha na ayarade organism polyarthritis nke na-amaghị etiology. The ọrịa ike na ya N'ezie na atụmatụ nke ọgwụ. Pathology nwere ọtụtụ iche, otu onye nke bụ a seronegative ọrịa ogbu ogbu na nkwonkwo.

E ji mara iche iche na-etolite

The ọrịa na ọbara ọbara nke onye ọrịa na ọrịa ogbu ogbu na nkwonkwo kpọmkwem welara bụ ugbu - na ọrịa ogbu na-akpata. Nke a-alụso ọrịa ọgụ na-emepụta na ya arọ. Lekọtara nēche eke agbụ na abụkwara nke ahu.

Ọrịa ogbu ogbu na nkwonkwo, seronegative ji eziokwu ahụ bụ na ọrịa bụ ndị dị otú ahụ a na-akpata, ma ọ dịghị emetụta progression nke ọrịa. The ọrịa amalite bụghị dị ka jupụtara ebe nile dị ka ndị ọzọ iche-iche, na N'ezie na mgbaàmà ndị na-erughị akpọ.

Malite ngosipụta-amalite na mbibi nke otu ma ọ bụ karịa na nkwonkwo, ma ọ bụghị ahụkarị ha symmetrical. Large nkwonkwo na-aka na usoro na-yikarịrị nkwonkwo mkpịsị - obere.

causation nke ọrịa

Seronegative ọrịa ogbu ogbu na nkwonkwo, nke bụ a ọzọ mma prognosis tụnyere ụdị ndị ọzọ nke ọrịa, na-amalite na mmetụta nke ndị na-esonụ ihe:

• mkpụrụ ndụ ihe nketa pụrụ ịrịa;
• oké njọ gburugburu ebe obibi na ọnọdụ na ọnọdụ ibi ndụ;
• malitere ịrịa ọrịa;
• endocrine ọrịa;
• akpata nchekasị;
• n'ibu mmebi nke ihe nke nweekwa usoro;
• nfụkasị Jeremaya;
• na-efe efe ọrịa;
• hypothermia.

Na n'ihe ize ndụ na-agụnye ndị agadi (40 afọ). Ihe na-akpali uche banyere ogologo oge ara inyom: ara ruo afọ abụọ na-ebelata ohere nke na-emepe emepe ọrịa okpukpu atọ.

adakarị picture

Tụlee otú a seronegative ọrịa ogbu ogbu na nkwonkwo na-aga n'ihu. Mgbaàmà-amalite na, na e nwere ahụ erughị ala na ihe mgbu na mpaghara nke otu n'ime nkwonkwo. Ọrịa mkpesa nke a mmetụta nke nwayọọ isi-ututu, fever, akpata oyi, na adịghị ike.

Ọ bụrụ na ndị mgbochi na-kwupụtara n'ụzọ doro anya na akpa ebe e nwere mmeri nke obere nkwonkwo, nke a na-egosi na ụdị seropositive ọrịa. Seronegative ọrịa ogbu ogbu na nkwonkwo e ji daa ọrịa na nnukwu nkwonkwo, dị ka ikpere ma ọ bụ hip. Pathology nkwonkwo akpọ monoarthritis.

Ke adianade do, a ọrịa na-esonụ mgbaàmà na-kwuru, sị:

• onye na-abawanye nke na mpaghara Lymph;
• arọ ọnwụ;
• muscular atrophy;
• akụrụ ọrịa.

On n'akụkụ nke nkwonkwo na progression nke ala nwere ike kọwaa dị ka ndị a:

• na fibrous ọdịdị nke mgbanwe;
• ọnụnọ nke contractures;
• Ugboro exacerbations nke ọrịa;
• mebiri nke nkwonkwo ọrụ;
• unilateral orunótu nke ọnya n'ime afọ mbụ;
• ekemende, usoro aka obere nkwonkwo.

ogbo nke ọrịa

N'oge a seronegative ọrịa ogbu ogbu na nkwonkwo nwere 4 nzọụkwụ:

Ogbo m - mmepe nke osteoporosis na nkwonkwo. Ọkpụkpụ njupụta mbelata na n'ihu ọnụ ke mineralization.

II nzọụkwụ - ejikọta a ibelata nke nkwonkwo ohere.

Ogbo III - ọkpụkpụ erosions kpuchie.

Ogbo IV - nkwonkwo ọrịa na-aga n'ihu ruo mgbe zuru ezu Immobilization.

ụzọ nke nchoputa

Mgbe nnyocha dọkịta edepụta a nkịtị na-adakarị ule. Analysis nke elu ọbara na-achọpụta rụọ ọnụnọ nke ihe ịrịba ama nke mbufụt ke ahu: ihe mụbara erythrocyte sedimentation ọnụego, na leukocytosis. The leucocyte ọnụ ahụrụ abawanye ego nke ima neutrophils.

Mmeghachi omume Vaaler-Rose - kpọmkwem usoro nke Ịchọpụta Otú Nsogbu ọnụnọ nke ọrịa ogbu na-akpata. Enweghị ikpeazụ ọbara-egosi seronegative ọrịa ogbu ogbu na nkwonkwo.

Ọzọ, onye ọrịa a rụrụ radiography, nke na-akọwa na-esonụ pathologies:

• nta deformation nke nkwụsị;
• ankilozirovaniya predominance;
• osteoporosis;
• mbụ mgbanwe nkwojiaka.

ọgwụ Atụmatụ

Ọgwụgwọ seronegative ọrịa ogbu ogbu na nkwonkwo ga-mgbagwoju na iso nke ọgwụ, nri, ọgwụgwọ anụ ahụ na ihe omumu ọgwụ.

Drug ọgwụgwọ na-ewe ebe nkebi abụọ. Iji malite, wepụ ihe mgbaàmà. Ọ bụrụ na onye ọrịa na-ata ahụhụ ahụ ọkụ na akpata oyi, dọkịta na-edepụta antipyretics. The kasị mma nhọrọ ga-abụ a ọnụ ọgụgụ nke ibuprofen nke ọ bụghị nanị suppresses okpomọkụ, ma na-nwere mgbochi mkpali edinam.

Ndị so ná ndị mgbochi mkpali ọgwụ ọjọọ na-eme ka o kwe iji kpochapụ ihe mgbu na ahụ erughị ala. Ha na-eji a mbadamba ụdị na ointments, gels maka mpụga ngwa. Of otu a, na-eji:

• "Ibuprofen".
• "Movalis".
• "Dikloberl".
• "Revmoksikam".

Soreness enyemaka njide na ot analgesics ( "Analgin" "Deksalgin"), na adịghị ike nke ndị na ìgwè abụọ na-eji mmiri ọgwụ elekọta mmadụ ( "hydrocortisone", "Dexamethasone").

Cytotoxic mmadụ - ọzọ ìgwè nke ọgwụ ọjọọ ji na-emeso ọrịa ogbu ogbu na nkwonkwo, Otú ọ dị, ihe ndị a ọgwụ ọ bụghị mgbe niile ihe amamihe, ya mere ha na kenyere n'otu n'otu ọ bụla na-adakarị ikpe. Representatives - "Methotrexate", "Cyclophosphamide".

Bụrụ na nke ọdịda nke usoro ọgwụgwọ regimens nye iwu na ojiji nke kpọmkwem-alụso ọrịa ọgụ. Usoro a bụ otutu na ubi nke ọgwụgwọ nke autoimmune ọrịa. Ndinọ alụso ọrịa ọgụ ịgbagha mmepe nke-arụ ọrụ bekee na eji mmepe nke mkpali Jeremaya mere.

Ọgwụgwọ anụ ahụ na ihe omumu ọgwụ

Ke ukem na usoro ọgwụ eji physiotherapy usoro:

• igba okpukpu;
• laser ọgwụgwọ;
• magnetik ọgwụ;
• cryotherapy.

Physiotherapy omume ekwe enyemaka nanị mgbe nnukwu ogbo nke ọrịa, mgbe e nwere ike mgbu. LFK Ẹnịm onwe ma ọ bụ na a otu nke ọrịa na a yiri ọnọdụ.

Jiri ndị na-esonụ mmega iji weghachi furu efu ọrụ nke nkwonkwo:

1. Rotational nkwojiaka ije, na-agbatịnụ ogwe aka gị na clenched a aka.
2. Movement nke mkpịsị aka a kwụ ma ọ bụ vetikal ntule.
3. The isi mkpịsị aka na-emetụ ndị ọzọ na mkpịsị aka na aka.
4. Obere na-apụta na obi ụtọ na piakota dị n'ọbụ aka gị.
5. Flexor ndọtị ije na n'ikpere aka na ikpere nkwonkwo.
6. The rotational ije ubu na hip nkwonkwo.
7. Mahi ụkwụ.
8. Squats.
9. Na-eje ije na kpebisiri ụkwụ.

Omenala ụzọ nke ọgwụgwọ

The nanị ojiji nke na-ewu ewu ụzọ nke ọgwụgwọ a ga-adịghị anya n'ihi. Ọ bụrụ na anyị na-enwe ndidi kpebiri iji ointments na ndị ọzọ na-esi n'ụlọ nri, ọ dị mkpa ka ikpokọta ha na ahịa ọgwụ ọgwụ kenyere gị dọkịta.

E nwere ọtụtụ irè prescriptions na aka belata ihe mgbu na belata ọrịa na-arịa:

1. Abụọ akụrụ lilac iko, wụsa a iko vodka ma ọ bụ ọkara diluted mmanya. Inye n'ihi na 10 ụbọchị a ọchịchịrị jụụ ebe. Ihe infusion ụlọ akwụkwọ ji agwụ enweghị nchịkwa ebe ugboro abụọ n'ụbọchị ọ dịkarịa ala izu 2.
2. Kasị karọt saa, peeled na ụlọ akwụkwọ ji agwụ on a mma grater. E kwukwara thereto na turpentine mmanụ (5 tụlee ọ bụla). Ihe uka na-etinyere ka a fere fere na fix ndị nke ka na-emetụta ebe n'ụdị a mpikota onu. Igosi na usoro n'abalị na-erughị ugboro 10. Ọ nwere ike alternated na compresses na ngwa si ihe ọṅụṅụ nke aloe epupụta.
3. Tablespoon akọrọ inwe wụsa a liter nke esi mmiri, obụpde maka ọkara otu awa na obere okpomọkụ na igbapu. Ihe efere na-agbakwunyere na mmiri maka ọgwụgwọ baths.

nri

Ọgwụgwọ nke seronegative ọrịa ogbu ogbu na nkwonkwo, reviews nke mesie mma amụma kwesịrị ịgụnye nri mgbazi. Ọrịa ga-ekwe omume na-amachi ndị na-esonụ na ngwaahịa:

• abụba;
• sweet;
• na-ese siga;
• na-agbanwe ụtọ;
• citrus;
• Mmiri ara ehi;
• ezi.

Ihe oriri kwesịrị ịnwe zuru ezu ichekwa azụ na Erimeri, ọhụrụ na akwụkwọ nri na mkpụrụ osisi, àkwá, ọka.

Dị mwute ikwu na, kpamkpam gwọọ ọrịa ogbu ogbu na nkwonkwo seronegative agaghị ekwe omume. Ọrịa ruo mgbe ọgwụgwụ nke ndụ na-alụso ọrịa. Otú ọ dị, nnabata na ọkachamara ndụmọdụ, họrọ ọgwụgwọ Usoro, nri na-enye ohere jiri ndị progression nke ọrịa na ike ọnọdụ n'ihi na a zuru ndụ.

Isi ihe bụ ozugbo ọgwụgwọ na nlekọta ahụ ike na mwube ozugbo mbụ mgbaàmà na-enweghị nchịkwa na ngosipụta nke akụkụ nke locomotor usoro.