Reactive arthritis: he aha ia, lapaʻau, hōʻailona a me nā kumu

Anter

• Nā kumu o ka arthritis reactive
• Nā ʻōuli o ka arthritis reactive
• ʻIʻike o ka arthritis reactive
• Pehea e hana ai i ka lāʻau
• ʻO nā mea lapaʻau no ka arthritis reactive
• Physiotherapy no ka reactive arthritis

ʻO ka reactive arthritis, ka mea i kapa ʻia ʻo Reiter's Syndrome, he maʻi hōʻino ia e ulu koke ana ma hope a i ʻole i kahi maʻi bacteria, maʻamau a gastrointestinal paha. Ma muli o ka hopena o ka hopena ma ke ʻano he maʻi, ua kapa ʻia kēia ʻano arthritis ʻo reactive.

Hoʻokomo ʻia ʻo ka arthritis reactive o ka triad clinical: post-infectious arthritis, urethritis and conjunctivitis. ʻOi aku ka maʻi o kēia maʻi i ka poʻe ʻōpio me ka moʻolelo o ka maʻi i nā pule he 4 i hala.

I ka hapanui o nā hihia, ʻoi aku ka maikaʻi o ka poʻe i ʻike ʻia me ka arthritis reactive ma hope o kekahi mau mahina me ka ʻole o ka pono o ka lāʻau. Hoʻokumu ʻia ka lapaʻau ʻana no kēia ʻano arthritis e ka loio maʻamau a i ʻole ka rheumatologist e like me nā ʻōuli i hōʻike ʻia e ka mea maʻi a me ke kumu o ka maʻi, a me ka hoʻohana ʻana i nā anti-inflammatories, analgesics, corticosteroids a i ʻole nā ​​antibiotic e paipai ʻia.

Nā kumu o ka arthritis reactive

Kū pinepine ka reactive arthritis ma ke ʻano he hopena o ka maʻi urogenital a i ʻole ka maʻi bacteria. I ke kumu o ka maʻi urogenital, ma muli paha o nā maʻi i lawe ʻia i ka moekolohe, e like me chlamydia, no ka laʻana, i kumu ʻia e nā bacteria. Chlamydia trachomatis. Ke hiki i nā maʻi ʻōpū, no ka maʻi nō paha ia Campylobacter sp, ʻO Shigella sp a i ʻole Salmonella sp, o kahi laʻana.

Hiki i kēia mau maʻi ke hana ma muli o ka pili pili ʻole i pale ʻole ʻia, i ke ʻano o nā maʻi i lawe ʻia i nā moekolohe (STI), e pili pū me ka urethritis a i ʻole ka cervicitis, i hiki ke asymptomat, ʻoiai ma ka hapanui o nā hihia e alakaʻi i ka ʻeha a me ke ahi i ka mimi, me ka hoʻohui. urethral a i ʻole hemo puka, a i ʻole ma muli o ka lāʻau make, i ke ʻano o nā maʻi bacteria. Hoʻohui ʻia, hiki i ka maʻi hōʻeuʻeu ke kumu ʻia e ka maʻi viral. Aia kekahi mau moʻolelo o ka reactive arthritis ma hope o ka immunotherapy no ka maʻi ʻaʻa maʻi.

Nā ʻōuli o ka arthritis reactive

Hoʻohālikelike ʻia ka arthritis reactive e kahi triad o nā ʻōuli (arthritis, urethritis and conjunctivitis), ʻo ia hoʻi, hōʻike ka maʻi i nā hōʻailona o ka maʻi, ka pehu ʻana o nā hono a me nā pilikia o ka maka. No laila, nā hōʻailona nui a me nā ʻōuli e pili ana i ka arthritis reactive ʻo:

• Nā maʻi maʻi maʻi:

  • ʻO Polyuria, kahi e hana ai i ka nui o ka mimi i ka lā;
  • ʻEha a ʻā hoʻi i ka wā e mimi ai;
  • Loaʻa ke koko i ka mimi;
  • Makemake nui e mimiki;
  • Nā hōʻailona a me nā hōʻailona e pili ana i ka prostatitis i nā kāne, e like me ka paʻakikī o ka mālama ʻana i ke kūkulu ʻana, ka ʻeha ke ejaculate a me ke kū ʻana o ke koko i ka papa;
  • ʻO nā hōʻailona a me nā hōʻailona e pili ana i ka cervicitis, salpingitis a i ʻole vulvovaginitis i nā wahine.
• Nā hōʻailona hui, i hiki ke loli mai ka monoarthritis transient i ka polyarthritis, ʻo ia hoʻi, aia paha ke komo ʻana i hoʻokahi a ʻoi paha nā hono.
  • ʻEha hui;
  • Ka paʻakikī e neʻe ana i ka ami i hoʻopili ʻia;
  • ʻEha ma lalo o ke kua;
  • ʻO ka pehu i nā hono;
  • ʻO ka hoʻohaunaele o nā olonā a me nā ligament e pili ana i ka ami.
• Nā ʻōuli o ka maka:
  • ʻUlaʻula i nā maka;
  • Haehae nui loa;
  • ʻEha a ʻā paha i nā iwi;
  • Pehu;
  • ʻ eyeslapa maka;
  • Hoʻonui i ka ʻike i ka mālam, i kapa ʻia photophobia.

Hoʻohui ʻia, ʻike ʻia kekahi mau hōʻailona ʻoi aku ka nui, e like me ka luhi nui, ʻeha o ke kua, ke kuni ma luna o 38 lossC, ka pohō kaumaha, thrush, ʻeha o ka ʻōpū a i ʻole ka diarrhea. Ke kū mai kēia mau ʻōuli, pono e nīnau aku i ka loio no ka loiloi ʻana i ka pilikia a hōʻike i ka pono e nīnau aku i ka rheumatologist e hoʻomaka i ka lapaʻau kūpono.

ʻIʻike o ka arthritis reactive

ʻO ke kuhi ʻana o ka arthritis reactive ka maʻi maʻamau, kahi a ke kauka e nānā ai inā aia he mau hōʻailona a me nā ʻōuli ʻano o ka triad, ʻo ia hoʻi, ke kū ʻana o nā hōʻailona a me nā ʻōuli e pili ana i ka maʻi, ka mumū o nā hono a me nā pilikia o ka maka.

Eia hou, hiki i ke kauka ke noi e hana i kahi hoʻokolohua kūlohelohe i mea e ʻike ai iā HLA-B27, kahi hiki ke noʻonoʻo ʻia he māka maikaʻi i nā mea maʻi me ka arthritis reactive. I kahi kaʻawale, ʻaʻohe waiwai liʻiliʻi o HLA-B27 a ʻaʻole hōʻike ʻia i ka mālama maʻamau o kēia mau maʻi.

Pehea e hana ai i ka lāʻau

Hana ʻia ka lapaʻau ʻana no ka arthritis reactive e like me nā ʻōuli i hōʻike ʻia e ke kanaka a me ke kumu o ka maʻi, a me ka hoʻohana ʻana i nā lāʻau anti-inflammatory a analgesic, e like me Paracetamol a i ʻole Ibuprofen, hōʻike pinepine ʻia e ka rheumatologist. I kekahi mau hihia, ʻo ka hoʻohana ʻana i nā corticosteroids, e like me Prednisolone, e ʻōlelo ʻia paha e hōʻemi i ka līlū ma nā wahi like ʻole o ke kino a hoʻomaha i nā hōʻailona.

Hiki i ke rheumatologist ke kuhikuhi i ka hoʻohana ʻana i nā lāʻau ʻaloʻalo, inā hana ʻia ka maʻi kōpaʻa e ka maʻi koʻohune a ʻaʻole hiki i ke kino ke hoʻopau i nā koʻohune, akā ʻaʻohe hopena o ka hoʻohana ʻana i nā lāʻau antibiotic e pili ana i ka ulu ʻana o ka maʻi. Eia hou, i ka hihia kahi e hoʻopili ai i nā hono, hiki ke hōʻike ʻia i ka hoʻōla kino, i hana ʻia me nā hana e kōkua ai i ka hoʻihoʻi ʻana i ka neʻe o nā lālā a hoʻomaha i ka ʻeha.

Eia nō naʻe, ʻaʻole hiki ke hoʻomaha loa i nā ʻōuli a pau o ka reactive arthritis, ke hoʻomohala nei i kahi maʻi maʻi e hoʻoulu hou i nā ʻōuli no kekahi mau pule.

ʻO nā mea lapaʻau no ka arthritis reactive

I ka hapanui o nā hihia o ka reactive arthritis, paipai ke kauka i ka hoʻohana ʻana o nā lāʻau anti-inflammatory non-steroidal (NSAIDs) i mea e hōʻoluʻolu ai i nā ʻōuli, a koi ʻia paha ka Ibuprofen a i ʻole Diclofenac e hōʻemi i ka ʻeha a kōkua i ka neʻe ʻana o ka hui. Inā lawa ʻole ka hoʻohana ʻana i nā NSAID, ka hoʻohana ʻana i nā lāʻau ʻē aʻe, e like me:

• Corticosteroids, e like me Prednisolone a i ʻole Betamethasone, e hoʻēmi i nā ʻōuli o ka mumuna ke lawa ʻole nā ​​lāʻau anti-inflammatory;
• Nā Antibiotics, ka mea i loli e like me ka maʻi infectious i kuleana no ka maʻi a me ka ʻike pilikino o ka microorganism.

ʻO ka mālama ʻana i ka arthritis reactive maʻamau ma kahi o 6 mau mahina, akā i kekahi mau manawa hiki i 1 mau makahiki ke kaukaʻi ʻia i ke koʻikoʻi o nā ʻōuli a me ka pane a ke kanaka i ka lapaʻau.

Physiotherapy no ka reactive arthritis

He mea nui ka hoʻomaʻamaʻa Physiotherapy i ka mālama ʻana i kēia ʻano arthritis e hōʻalo i ka paʻakikī o ka ami. No laila, hōʻike a hana i ke olakino kino i kekahi mau hana e hoʻomaha ai nā hōʻailona hui, hoʻonui i ka pae o ka neʻe a pale i nā deformation e hiki ke hopena ma muli o ka maʻi.

E nānā i ka wikiō e hiki mai ana no kekahi mau hana rumati: