Pākuʻi reactive

ʻO ka arthritis reactive kahi ʻano o ka arthritis e ukali i kahi maʻi. Hiki paha iā ia ke hoʻoulu i nā maka, kaʻili a me ka urinary a me nā ʻōnaehana genital.

ʻAʻole ʻike ʻia ke kumu kūpono o ka arthritis reactive. Eia nō naʻe, ukali pinepine ia i kahi maʻi, akā ʻaʻole maʻi ka ami ponoʻī. Kū pinepine pinepine ka reactive arthritis i nā kāne ʻōpio ma mua o 4 mau makahiki, ʻoiai e pili i kekahi manawa i nā wahine. Hiki iā ia ke ukali i kahi maʻi i ka urethra ma hope o ka moekolohe ʻole ʻia. ʻO ke koʻohune ʻoi loa i hoʻokumu i kēlā ʻano maʻi i kapa ʻia ʻo Chlamydia trachomatis. Hiki i ka arthritis reactable ke ukali i kahi maʻi gastrointestinal (e like me ka lāʻau make). I loko o hoʻokahi hapalua o ka poʻe i manaʻo he arthritis reactive, ʻaʻohe paha maʻi. Hiki i kēlā mau hihia ke ʻano o spondyloarthritis.

Hiki i kekahi mau genes ke hoʻokau iā ʻoe i loaʻa i kēia ʻano.

Kūleʻa ka maʻi i nā keiki ʻōpio, akā hiki i nā ʻōpio. Hiki ke hana i ka arthritis react i nā keiki mai 6 a 14 mau makahiki ma hope Difficile Clostridium maʻi maʻi gastrointestinal.

E ʻike ʻia nā hōʻailona urinary i loko o nā lā a i ʻole he mau pule o ka maʻi. Pākuʻi ʻia paha kēia mau ʻōuli:

• Puhi ke ʻino
• Kahe kahe mai ka urethra (hoʻokuʻu)
• Hoʻomaka a hoʻomau paha nā pilikia i kahi kahawai mimi
• Pono i ka mimi ʻoi aku ka nui ma mua o ka maʻamau

Hiki ke hoʻomohala i kahi kuni haʻahaʻa me ka hoʻokuʻu ʻana o ka maka, ke ahi, a me ka ʻulaʻula (conjunctivitis a i ʻole "maka ʻākala") i nā pule he nui e hiki mai ana.

ʻO nā maʻi i loko o ka ʻōpū ke kumu i ka maʻi diarrhea a me ka ʻeha o ka ʻōpū. He wai a koko paha ka diarrhea.

Hoʻomaka pū ka ʻeha hui a me ka ʻoʻoleʻa i kēia wā. Māmā a koʻikoʻi paha ka maʻi kōpaʻa. Pākuʻi ʻia paha nā ʻōuli o ke kuʻuna:

• ʻEha kuʻikuʻi a ʻeha paha i ka tendon Achilles
• ʻEha ma ka uha, kuli, kuʻekuʻe wāwae, a me ke kua haʻahaʻa
• ʻO ka ʻeha a me ka pehu e pili ana i hoʻokahi a ʻoi paha o nā hono

Pākuʻi ʻia paha nā ʻōuli me ka ʻeha o ka ʻili ma nā poho lima a me nā kapuwaʻi e like me ka psoriasis. Aia paha he mau puʻupuʻu liʻiliʻi ʻole ʻeha ma ka waha, alelo, a me ka peni.

E hōʻoia kāu mea mālama ola i ke ʻano ma muli o kāu mau ʻōuli. Hōʻike paha kahi hoʻokolohua kino i nā hōʻailona o ka conjunctivitis a i ʻole nā ​​ʻeha o ka ʻili. ʻAʻole ʻike ʻia nā ʻōuli āpau i ka manawa like, no laila lohi paha ka loaʻa ʻana o kahi hōʻailona.

Loaʻa paha iā ʻoe nā hōʻike aʻe:

• Antigen HLA-B27
• Pākuʻi x-kukuna
• ʻO nā hoʻokolohua koko e kāpae i nā ʻano ʻē aʻe o ke ākea e like me rheumatoid arthritis, gout, a me systemic lupus erythematosus
• Ka helu sedimentation ʻErythrocyte (ESR)
• Urinalysis
• ʻO ka moʻomeheu o ka noho inā loaʻa ʻoe i ka palahī
• ʻImi nā hoʻokolohua no ka DNA koʻohune e like me Chlamydia trachomatis
• Aspiration of a swollen ami

ʻO ka pahuhopu o ka mālama ʻana e hōʻoluʻolu i nā ʻōuli a mālama i ka maʻi i loaʻa i kēia maʻi.

ʻAʻole pono e mālama ʻia nā pilikia o ka maka a me nā ʻeha i ka hapanui o ka manawa. E hele lākou ma kā lākou iho. Inā mau ka pilikia o ka maka, pono e loiloi ʻia ʻoe e kahi loea i ka maʻi o ka maka.

E kauoha aku kāu mea hāʻawi i nā lāʻau antibiotic inā loaʻa ʻoe i kahi maʻi. Hiki ke kōkua i nā lāʻau anti-inflammatory Nonsteroidal (NSAIDs) a me nā mea hōʻeha ʻeha me ka ʻeha pū. Inā pehu nui kahi hui no kahi lōʻihi o ka manawa, loaʻa paha iā ʻoe ka lāʻau corticosteroid i hoʻokomo ʻia i loko o ka ami.

Inā hoʻomau ka maʻi ʻōlapa i loko o nā NSAID, kōkua paha ka sulfasalazine a i ʻole ka methotrexate. ʻO ka mea hope loa, pono ka poʻe e pane ʻole i kēia mau lāʻau e pono ai i nā mea biologic anti-TNF e like me etanercept (Enbrel) a i ʻole adalimumab (Humira) e kāohi i ka ʻōnaehana pale.

Hiki i ke olakino kino ke kōkua i ka ʻeha. Hiki iā ia ke kōkua iā ʻoe e neʻe maikaʻi a mālama i ka ikaika o nā mākala.

E hele aku paha ka arthritis react i loko o kekahi mau pule, akā hiki ke mau no kekahi mau mahina a koi aku i nā lāʻau i kēlā manawa. E hoʻi paha nā ʻōuli ma kahi o nā makahiki i loko o ka hapalua o ka poʻe i loaʻa kēia ʻano.

Kākaʻikahi, hiki i ke ʻano ke alakaʻi i ka puʻuwai puʻuwai abnormal a i ʻole nā ​​pilikia me ka valves puʻuwai aortic.

E ʻike i kāu mea hāʻawi inā hoʻomōhala ʻoe i nā ʻōuli o kēia ʻano.

Hōʻalo i nā maʻi i hiki ke lawe mai i ka arthritis reactive ma o ka hoʻomaʻamaʻa ʻana i ka moekolohe palekana a me ka hōʻalo ʻana i nā mea e hiki ai ke hōʻona i ka meaʻai.

Reiter maʻi maʻi; ʻO ka maʻi o hope

• Reactive arthritis - ka nānā ʻana o nā wāwae

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ʻO Carter JD, Hudson AP. Spondyloarthritis undifferentiated. I: Firestein GS, Budd RC, Gabriel SE, McInnes IB, O'Dell JR, nā hua. ʻO Kelley lāua ʻo Firestein's Bookbook of Rheumatology. 10 o ka lā. Piladelapia, PA: Elsevier; 2017: chap 76.

Horton DB, Strom BL, Putt ME, Rose CD, Sherry DD, Sammons JS. Epidemiology o clostridium difficile maʻiʻaʻai-pili reactive arthritis i nā keiki: he underdiagnosed, paha morbid kūlana. JAMA Pediatr. 2016; 170 (7): e160217. PMID: 27182697 www.ncbi.nlm.nih.gov/pubmed/27182697.

Loulou RE, Rosen T. Nā maʻi maʻi o ka genitalia kūwaho. I: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th hua. Piladelapia, PA: Elsevier; 2016: chap 16.

Misra R, Gupta L. Epidemiology: manawa e nānā hou ai i ka manaʻo o ka arthritis reactive. Nat Rev Rheumatol. 2017; 13 (6): 327-328. PMID: 28490789 www.ncbi.nlm.nih.gov/pubmed/28490789.

ʻO Okamoto H. Prevalence o chlamydia-pili reactive arthritis. Scand J Rheumatol. 2017; 46 (5): 415-416. PMID: 28067600 www.ncbi.nlm.nih.gov/pubmed/28067600.

ʻO Schmitt SK. Pākuʻi reactive. Maʻi kīnā ʻole Dis Clin North Am. 2017; 31 (2): 265-277. PMID: 28292540 www.ncbi.nlm.nih.gov/pubmed/28292540.

Weiss PF, Colbert RA. Pāhoʻi a postinfectious arthritis. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 182.