He aha ke ʻano o ke kuʻuna e loaʻa iā ʻoe?
Anter
- Osteoarthritis (OA)
- Rheumatoid arthritis (RA)
- Kānāwai RA
- ʻŌpio ʻōpio (JA)
- ʻO Spondyloarthropathies
- Lupus erythematosus
- Goute
- Infectious a me ka reactive arthritis
- Psoriatic arthritis (PsA)
- Nā kūlana ʻē aʻe a me ka ʻeha pū
100 ʻano o ka ʻeha pū
ʻO ke kuʻi koko kahi mumū o nā hono e hiki ai ke hoʻonāukiuki i ka ʻeha hui. Aia ma mua o 100 mau ʻano like ʻole o ka arthritis a me nā kūlana pili.
ʻOi aku ka nui o ka maʻi o ka aritis ma mua o 50 miliona mau mākua a me 300,000 mau keiki ma ʻAmelika, e like me ka mea i hōʻike ʻia e ka Arthritis Foundation. ʻO nā kumu a me nā koho lapaʻau i loaʻa mai ʻano ʻē aʻe o kekahi ʻano o ka arthritis i kekahi.
No ka loaʻa ʻana o ka laʻana maikaʻi loa a me nā hoʻolālā hoʻokele, he mea nui e hoʻoholo i ke ʻano o ka maʻi pākī āu. E heluhelu e aʻo e pili ana i nā ʻano a me nā ʻano like ʻole.
Osteoarthritis (OA)
ʻO Osteoarthritis (OA), i kapa ʻia hoʻi ʻo ka degenerative arthritis, ʻo ia ka ʻano maʻamau o ka arthritis. Hoʻopili ia ma kahi o 27 miliona mau kānaka ma ʻAmelika Hui Pū ʻIa, e like me ka hōʻike ʻana o ka Arthritis Foundation.
Me ka OA, haki ka cartilage i loko o kou mau hui, a laila e ʻānai pū ana kou mau iwi a puhi ʻia i kou mau hui me ka ʻeha ma hope, ka ʻeha iwi, a me ka hoʻokumu iwi.
Hiki paha ia i hoʻokahi a ʻelua paha hui, ma kekahi ʻaoʻao o ke kino. ʻO ka makahiki, ka momona, nā ʻeha, ka mōʻaukala ʻohana, a me ka hoʻohana pū ʻana i hiki ke hāpai i kou makaʻu i ka hoʻomohala ʻana iā ia. ʻO nā ʻōuli maʻamau ka:
- ʻehaʻeha hui
- ʻoʻoleʻa kakahiaka
- nele i ka hoʻohui ʻana
- hoʻonui kīnā ʻana
E aʻo inā loaʻa iā ʻoe ka OA, e lawe kāu kauka i kāu mōʻaukala olakino a alakaʻi i kahi hoʻokolohua kino. Hiki iā lākou ke kauoha i nā kukuna X a me nā hoʻokolohua kiʻi ʻē aʻe. Hiki paha iā lākou ke ʻimi i kahi hui i hoʻopili ʻia, e lawe ana i kahi laʻana o ka wai mai loko mai e nānā no ka maʻi.
Rheumatoid arthritis (RA)
ʻO Rheumatoid arthritis (RA) kahi ʻano o ka maʻi autoimmune kahi e hoʻouka ai kou kino i nāʻiʻo hui maikaʻi. Ua kuhi ka Arthritis Foundation ma kahi o 1.5 miliona mau mākua ma ʻAmelika Hui Pū ʻIa i loaʻa RA. Ma kahi kokoke i ʻekolu mau manawa i loaʻa i nā wahine he RA ma mua o nā kāne.
ʻO nā ʻōuli maʻamau o RA me ka ʻāʻī o ke kakahiaka a me ka ʻeha pū, ʻo ka maʻa mau o ka hui like ma nā ʻaoʻao ʻelua o kou kino. Hiki i nā deformities hui pū ke ulu.
E hoʻomohala pū kekahi nā hōʻailona hou aʻe i nā ʻāpana ʻē aʻe o kou kino e like me ka puʻuwai, nā mumū, nā maka, a me nā ʻili. Kū pinepine ka maʻi Sjögren me RA. ʻO kēia kumu ke kumu o nā maka maloʻo a me ka waha maloʻo loa.
ʻO nā ʻōuli ʻē aʻe a me nā pilikia me:
- pilikia pilikia hiamoe
- rheumatoid nodules ma lalo o ka ʻili a kokoke i nā hono, e like me ke kuʻe lima, paʻa paʻa i ka hoʻopā a me nā ʻāpala i hoʻāʻo ʻia.
- numbness, mehana, wela, a me ke kani ʻana i kou mau lima a me kou mau wāwae
Kānāwai RA
ʻAʻole hiki i kāu kauka ke hoʻohana i kekahi hoʻokolohua hoʻokahi e hoʻoholo inā loaʻa iā RA. E hoʻomohala i kahi kuhi, e lawe paha lākou i ka mōʻaukala olakino, alakaʻi i kahi hoʻokolohua kino, a kauoha i nā kukuna X a i ʻole nā hōʻike kiʻi ʻē aʻe.
E kauoha paha kāu kauka i:
- hoʻāʻo rheumatoid factor
- hoʻāʻo peptide citrullined anti-cyclic
- helu piha koko
- Hōʻike protein C-reactive
- ka helu sedimentation erythrocyte
Hiki i kēia mau hoʻāʻo ke kōkua i kāu kauka e aʻo inā loaʻa iā ʻoe kahi hopena autoimmune a me ka ʻōnaehana ʻōnaehana.
ʻŌpio ʻōpio (JA)
Hoʻopili ka ʻōpio ʻōpio (JA) ma kahi o 300,000 mau keiki i ʻAmelika Hui Pū ʻIa i loaʻa iā JA, e like me ka mea i hōʻike ʻia e ka Arthritis Foundation.
ʻO JA kahi manawa umbrella no kekahi ʻano o ke kahe e hoʻopili i nā keiki. ʻO ka maʻa maʻamau ka ʻōpio idiopathic arthritis (JIA), i ʻike ʻia ma mua he ʻōpio ʻōpio ʻōpio. ʻO kēia kahi hui o nā maʻi autoimmune i hiki ke hoʻopili i nā hono o nā keiki.
Hoʻomaka ʻo JIA e hoʻomaka i nā keiki ma mua o 16 mau makahiki. Hiki iā ia ke kumu:
- ʻeleʻele a me nā mea palupalu e hoʻopaʻa
- iwi e hee
- nā lau ulu e loli
- nā ami e hoʻopili hewa
ʻO nā mahina o ka ʻeha ʻana o nā hono, ka pehu ʻana, ka ʻoʻoleʻa, ka luhi, a me nā fiva e hōʻike ai i ka ʻōpio idiopathic arthritis.
ʻO nā ʻano ʻē aʻe o ka JA liʻiliʻi e pili ana i:
- dermatomyositis ʻōpio
- lupus ʻōpio
- scleroderma ʻōpio
- Maʻi ʻo Kawasaki
- maʻi maʻi hoʻopili
ʻO Spondyloarthropathies
ʻO Ankylosing spondylitis (AS) a me nā ʻano ʻē aʻe nā kūlana autoimmune i hiki ke hoʻouka i nā wahi kahi e hoʻopili ai nā iwi a me nā ligament i kou iwi. Pākuʻi ʻia nā ʻōuli me ka ʻeha a me ka ʻoʻoleʻa, keu hoʻi i kou ʻaoʻao haʻahaʻa.
E loli paha ka nui o kou iwi kuamoʻo, ʻoiai ʻo AS ka mea maʻamau o kēia mau kūlana. Hoʻopili pinepine ia i ka iwi kuamoʻo a me ke pelvis akā hiki ke hoʻopili i nā hono ʻē aʻe i ke kino.
Hiki i nā spondyloarthropathies ʻē aʻe ke hoʻouka i nā hono ākea, e like me nā mea i kou mau lima a me kou mau wāwae. I ka AS, hiki ke hoʻohui ʻia ka iwi iwi, e hoʻohoihoi ai i kou kuamoʻo a me ka hana ʻole o kou poʻohiwi a me kou pūhaka.
Ka hoʻoilina hoʻoilina ka Ankylosing spondylitis. Loaʻa ka hapanui o ka poʻe e hoʻomohala AS HLA-B27 ʻāpana Loaʻa paha kēia ʻāpana iā ʻoe inā loaʻa iā AS a ʻo ʻoe ʻo Caucasian. ʻOi aku ka maʻamau i nā kāne ma mua o ka wahine.
Pili pū kekahi nā maʻi spondyloarthritic i ka HLA-B27 ʻāpana, me:
- ʻo ka reactive arthritis, ka mea i kapa ʻia ʻo Reiter's Syndrome
- arthritis psoriatic
- enteropathic arthropathy, pili me ka gastrointestinal tract
- uveitis mua loa
- spondylitis ʻōpio ʻōpio
Lupus erythematosus
ʻO systemic lupus erythematosus (SLE) kekahi maʻi autoimmune i hiki ke hoʻopili i kou mau ami a me nā ʻano o nā mea hoʻopili i kou kino. Hiki iā ia ke hōʻino i nā mea ʻē aʻe, e like me kāu:
- ʻili
- māmā
- nā puʻupaʻa
- Puʻuwai
- lolo
ʻOi aku ka maʻamau o SLE i waena o nā wahine, ʻo ia hoʻi me nā kūpuna ʻApelika a me ʻAsia paha. ʻO nā hōʻailona maʻamau e pili ana i ka ʻeha hui a me ka pehu.
ʻO nā ʻōuli ʻē aʻe e like me:
- ʻeha ka umauma
- luhi
- fiva
- pioloke
- poho lauoho
- ʻeha nā waha
- ʻeleʻele ʻili alo
- ʻike maka i ka lā
- pehu lymph node
E ʻike paha ʻoe i nā hopena ʻoi aku ka hewa i ka holo ʻana o ka maʻi. Hoʻololi ʻo SLE i nā poʻe ʻokoʻa, akā e hoʻomaka ana i ka lāʻau e hoʻāʻo e mālama iā ia i ka hiki ke hiki a me ka hana pū ʻana me kāu kauka hiki ke kōkua iā ʻoe e mālama i kēia ʻano.
Goute
ʻO Gout kahi ʻano o ka arthritis i hoʻokumu ʻia e ka hōʻiliʻili ʻana o nā aniani urate ma loko o kou mau hui. ʻO nā pae kiʻekiʻe o ka uric acid i kou koko e hoʻokau iā ʻoe i ka gout.
Kuhi ʻia he gout - ʻo ia ka 5.9 pakeneka o nā kāne ʻAmelika a me 2 pākēneka o nā wahine ʻAmelika. Hiki i ka makahiki, kaʻai, ka hoʻohana ʻona ʻana, a me ka mōʻaukala ʻohana ke hoʻopili i kou makaʻu i ka ulu ʻana o ka gout.
Hiki ke ʻehaʻeha loa ka gout. Hiki ke hoʻopili ʻia kahi ami ma ke kumu o kou manamana nui, ʻoiai hiki ke hoʻopili i nā hono ʻē aʻe. Hiki iā ʻoe ke ʻike i ka ʻula, ka pehu, a me ka ʻeha nui i kāu:
- manamana wāwae
- wawae
- kuʻekuʻe wāwae
- nā kuli
- lima
- nā kūpeʻe lima
Hiki ke hele a hōʻeha nui i ka gout i loko o kekahi mau hola i ka holo ʻana o kahi lā, akā hiki i ka ʻeha ke noho mau no kekahi mau lā i mau pule. Hiki ke ʻoi aku ke koʻikoʻi o ka gout ma mua o ka manawa. E aʻo hou aʻe e pili ana i nā ʻōuli o ka gout.
Infectious a me ka reactive arthritis
ʻO ka maʻi maʻi Infectious kahi maʻi i loko o kekahi o kou mau ami e hōʻeha i ka ʻeha a i ʻole ka pehu. Hiki ke hōʻeha ʻia ka maʻi e nā bacteria, nā mea hoʻomaʻi, nā parasites, a i ʻole nā fungi. Hiki iā ia ke hoʻomaka i kekahi ʻāpana o kou kino a hohola i kou mau ami. Hele pinepine ʻia kēia ʻano ʻeha me ke kuni a me ka haʻalulu.
Hiki ke hana i ke kuʻi hope i ka wā e loaʻa ai kahi maʻi i hoʻokahi ʻāpana o kou kino i ka hana ʻole o ka ʻōnaehana pale a me ka mumū i kahi hui ma kahi o kou kino. Kū pinepine ka maʻi i kāu gastrointestinal tract, bladder, a i ʻole nā ʻano moekolohe.
No ke kuhi ʻana i kēia mau ʻano, hiki i kāu kauka ke kauoha i nā hoʻokolohua ma nā laʻana o kou koko, mimi, a me ka wai mai loko mai o kahi ami i hoʻopili ʻia.
Psoriatic arthritis (PsA)
Hiki i ka 30 pākēneka o ka poʻe me psoriasis e loaʻa pū i ka psoriatic arthritis (PsA). ʻO ka maʻamau, e ʻike ʻoe i ka psoriasis ma mua o ka hoʻokumu ʻana o PsA.
Hoʻopili pinepine ʻia nā manamana lima, akā pili kēia ʻano ʻeha i nā hono ʻē aʻe. ʻO nā manamana lima ʻulaʻula e hōʻike ana i ka sausagelike a me ke kiki ʻana a me ka hoʻohaʻahaʻa ʻana o nā manamana lima e kū pū kekahi.
Holomua paha ka maʻi e hoʻopili i kou kuamoʻo, e hōʻino ai e like me ka ankylosing spondylitis.
Inā loaʻa iā ʻoe ka psoriasis, aia kahi manawa hiki iā ʻoe ke hoʻomohala iā PsA. Inā hoʻomaka ka hōʻailona o PsA i loko, makemake ʻoe e ʻike i kāu kauka e mālama i kēia i ka wā hiki.
Nā kūlana ʻē aʻe a me ka ʻeha pū
Hiki i nā ʻano ʻē aʻe he nui o ka arthritis a me nā kūlana ʻē aʻe ke kumu i ka ʻeha pū. Aia kekahi mau laʻana:
- fibromyalgia syndrome, kahi ʻano a kou lolo e hana ai i ka ʻeha ma kou mau mākala a me nā hono i kahi ala e hoʻonui ai i kou ʻike i ka ʻeha.
- scleroderma, kahi ʻano autoimmune kahi e hiki ai i ka mumū a me ka paʻakikī i kou ʻili nā mea hoʻopili ke alakaʻi i ka hōʻino kino a me ka ʻeha pū.
Inā ʻoe e ʻeha nei i ka ʻeha hui, ʻoʻoleʻa, a i ʻole nā hōʻailona ʻē aʻe, e kamaʻilio me kāu kauka. Hiki iā lākou ke kōkua i ke kuhi ʻana i ke kumu o kāu mau hōʻailona a hōʻoia i kahi papa hana. I kēia manawa, e loaʻa ka hoʻomaha mai ka ʻehaʻeha o ka maʻi maʻamau.