Rhumatism ya miyendo: zizindikiro ndi mankhwala

Kudziwa koteroko, monga rheumatism m'munsi akutali, sikungadziwike kuti aliyense ali pangozi yathanzi. Komabe, matendawa amatha kuwonongeka kwambiri osati miyendo yokha, koma ngakhale ziwalo zogwirizana za ziwalo zosiyanasiyana, zomwe zimapangitsa kuti zikhale zoopsa kwambiri.

Kuposa kupweteka kwa miyendo n'koopsa

Rhumatism ya ziwalo za miyendo ndi matenda a minofu ya minofu ndipo ikhoza kukhala yopanda kuzindikira. Koma zotsatira zake zingakhale zosavuta. Chofunika kwambiri cha matendawa chachepetsedwa mpaka kuwonongeka kwa minofu yomwe imagwirizanitsa. Nthawi zina mavuto amatha kuwononga ziwalo za mkati. Anthu ambiri amaganiza kuti zizindikiro zala zazing'ono ndi zala za m'munsi zimakhala zazikulu kwa okalamba. Ndipotu, matendawa nthawi zambiri amakhudza zidutswa za ana kuyambira zaka 7 mpaka 15. Pakati pa odwala akulu omwe amakakamizidwa kuti azisamalira, pafupifupi 80% asanakwanitse zaka 40.

Ndikoyenera kudziwa kuti matendawa nthawi zambiri amatchedwa nyamakazi ya nyamakazi, kapena polyarthritis. Izi zili choncho chifukwa chakuti zizindikiro zambiri zimagwirizana ndi ziwalo, ngakhale kuti nyamakazi ingakhudze mitsempha yokhudzana ndi mtima, ziwalo ndi minofu. Nthaŵi zina, ngakhale dongosolo lamanjenje la munthu limakhudzidwa ndi ndondomeko ya matenda.

Nchifukwa chiyani rheumatism zimachitika?

Kawirikawiri matendawa amadziwika mwa anthu omwe achibale awo amavutika ndi ziwalo. Vuto loti pakhale vuto lokhala ndi tizilombo toyambitsa matenda ndilopamwamba komanso ali ndi mapuloteni ochepa a gulu B. Zizindikiro za kupweteka kwa mapazi nthawi zambiri zimakhala zikuwonetsedwa ngati zimakhala zowononga nthawi zonse kapena matenda opatsirana nthawi zonse. Chifukwa china chimene mungamvetsere ngati mukudwala matendawa, ndizomveka kuganizira za matenda a streptococcal. Mfundo yaikulu ndi yakuti zotsatira za matendawa ndi kutupa kwa minofu yolumikizana mu ziwalo ndi ziwalo zosiyanasiyana kuphatikizapo.

Kafukufuku wasonyeza kuti chifuwachi chimasonyeza kuti thupi limapangitsa kuti thupi likhale ndi kachilombo koyambitsa matenda a beta-hemolytic streptococci a gulu A. Matendawa amatha kukhala matenda monga chiwopsezo chofiira, kutsekeseka, chronic pharyngitis, kutupa kwa khutu la pakati (tonsillitis) ndi ena.

Pamene streptococci ikuwonekera mu thupi laumunthu, chitetezo cha chitetezo cha mthupi chimakhala cholimbika, chifukwa mtundu uwu wa mabakiteriya umatanthauzidwa ngati choopsya chachikulu. Chifukwa chake, ma antibodies enieni amapangidwa. Ndikofunika kuzindikira mfundo izi: mamolekyumu omwewo omwe amawombedwa ndi ma antibodies polimbana ndi streptococcus, alipo mwa anthu omwe amatha kudwala matendawa. Kenaka chitetezo cha mthupi chimayambitsa zotsatira zowononga minofu yogwirizana. Izi zingachititse kugonjetsedwa kwa ziwalo ndi ziwalo zosiyanasiyana.

Rhumatism wa miyendo: zizindikiro

Kawirikawiri, matendawa amayamba patatha masabata 1-3 pambuyo pa matenda a streptococcal a tsamba lopuma (tonsillitis, tonsillitis, pharyngitis). Ndikofunika kudziwa kuti kutali ndi zochitika zonse mawonetseredwe a matenda angathe kutchedwa kuwala. Nthaŵi zina matendawa amadziwika komanso amawopsa - kutupa kwa mmero kuli kosavuta, ndipo kutentha kuli kochepa. Pachifukwa ichi, madokotala ambiri omwe ali ndi zizindikiro zoterezi amadziŵa ARI, osaganizira zolimbana ndi streptococcal chithandizo monga chofunikira kwenikweni. Ndipo kulakwitsa koteroko kungachititse kuti kachilombo ka kachilombo koyambitsa matenda opatsirana chitetezo chiteteze chitetezo cha mthupi chidzapangitse chitukuko cha articular rheumatism.

Zimadziwika (rheumatism) masiku angapo pambuyo pa kachilombo kawiri ndipo zimakhudza ziwalo zazikulu - mawondo, mabotolo, ndi zina. Rheumatism ya miyendo imawoneka mosavuta: kutupa kwa mafupa kumachitika mosiyana, ndipo mbali yomwe ikukhudzidwa imakhala ikuwoneka bwino, ndipo pambali pake imapweteka pamene ikakamizidwa. Mwachitsanzo, choyamba mawondo amawotha, pambuyo pake, masiku angapo pambuyo pake, ndipo nthawi zina maola, kutupa limodzi ndi ululu kumatha, ndipo matendawa amayamba kugunda umodzi, kenako. Izi ndi - kusagwirizana - kugonjetsedwa kwa minofu yosiyanasiyana m'magulu a m'munsi ndipo ndi chizindikiro chodziwikiratu. Kugonjetsa kumodzi pa mgwirizano wapadera kumatenga masiku khumi ndi awiri. Koma zotsatira zake, osati mapazi okhawo akuvutika - kuvulazidwa kwakukulu kumaperekedwa pamtima.

Rheumatism ya miyendo, zomwe zizindikiro zake zimakhala zosawoneka, zimadzimva nthawi zambiri kudzera mwa zofatsa, koma zofooka nthawi zonse mutanyamula katundu wambiri. Maganizo oterewa ali ofanana kwambiri ndi kutopa kwanthawi zonse kumapeto kwa ntchito ya tsiku. Chizindikiro china chosonyeza kuti kutupa kwa minofu yodziwika ndi kutentha kumene kumatuluka mofulumira ndipo imangobwerera mwamsanga, kenako imadumphiranso.

Mutu: "Rheumatism ya miyendo: zizindikiro ndi chithandizo" ndizofunikira kwambiri. Ndipotu, ngati matendawa sali kuchiritsidwa, mukhoza kuthana ndi zotsatira zosasangalatsa monga rheumatic heart disease (kutupa kwa mtima). Pali mosavuta matenda a mtima wa mitsempha yambiri, yowonjezera gawo komanso yamphamvu. Pochita chitukuko chake, mavavu a mtima, nembidzi (pericarditis) ndi mtima wam'mimba (myocarditis) zimakhudzidwa.

Pitirizani kuphunzira momwe mayerere amadziwonetsera, ndikofunika kuzindikira kuti mtundu wofatsa wa rheumacordita nthawi zambiri umakhala wosazindikiritsidwa, koma zizindikiro zimadziwonetsera kudzera mu mtima wambiri wa hypertrophy (ukuwonjezeka mu volume). Motero odwala amamva kupweteka kwa m'mawere, kuphatikizapo dyspnea ndi palpitation yovomerezeka mosavuta kapena mopepuka; kumangirira (kuyenda, kukwera pamakwerero).

Panopa matenda aakulu a mtima, kukula kwa mtima kumawonjezeka kwambiri. Ululu mu chifuwa, kupuma kwafupipafupi ndi kupwetekedwa mtima kwa mtima kumasokoneza ngakhale pogona. Komanso, pamilingo pamakhala kutupa. Ndi mtundu uwu wa rheumatic carditis, pali kuthekera kwakukulu kwa matenda a mtima.

Njira ya chitukuko cha matenda

Monga tafotokozera pamwambapa, nthenda imodzi yokha imakhudzidwa kwambiri - zowawa zimasintha nthawi zonse. Pachifukwa ichi, malinga ndi madokotala, chifuwa chachikulu cha miyendo chimakhudza makamaka ziwalo zomwe zowonjezeredwa. Komanso, ziwalo zomwe poyamba zinkakhala zowonongeka, kupweteka, kupsyinjika kwa nthawi yaitali ndi zotsatira zina zoopsa zili pangozi. Ngati mumagwiritsa ntchito mankhwala osamalidwa bwino, ndiye kuti pali mwayi wonse kuti mugonjetse matenda mkati mwa masabata awiri. Nthaŵi zina, njira yotupa imatha pambuyo pa tsiku lachitatu la mankhwala.

Ndikoyenera kudziwa kuti chifuwachi sichitha kuwononga kwambiri minofu yogwirizana. Si zachilendo kwa odwala, ngakhale atakhala ndi kutupa kachiwiri, kuti akhalebe olimba komanso osamva ululu.

Zofufuza

Kuwongolera kumutu wakuti: "Rhumatism ya miyendo: zizindikiro ndi chithandizo", ndikofunikira kumvetsera njira zodziwira matenda. Chifukwa cha matendawa ndi ma laboratory ndi zizindikiro zambiri zomwe zimapangitsa kuti ziwalo zigonjetsedwe.

Kuti mudziwe zotsatira zovulaza za kutupa pamtima, m'pofunika kuti mukhale ndi ultrasound kapena ECG. Sizomwe zimapangitsa kuti munthu asagwiritsidwe ntchito mosiyana ndi matenda ena opatsirana pogonana, chifuwa chachikulu, chifuwa chachikulu, matenda enaake komanso matenda ena.

M'pofunikanso kuzindikira kuti ngati chitukuko chachikulu cha rheumatism chidzapangidwe, neutrophilic leukocytosis idzawonedwa m'magazi. N'zotheka kuchepetsa mlingo wa hemoglobini m'masiku oyambirira a kutupa kotentha. Pankhani ya kubwerera mobwerezabwereza, pali chiopsezo chokhala ndi magazi m'thupi.

Matenda a ana a miyendo: zizindikiro ndi matenda

Ngati tikulankhula za zizindikiro za rheumatism kwa ana, ndi bwino kunena kuti ali ofanana ndi omwe aperekedwa pamwambapa: malungo ndi chitukuko cha polyarthritis (ululu woopsa) m'magulu okhudzidwa.

Rheumatic polyarthritis ikhoza kukhala ndi zodziwika:

- Makanda amayamba kutukumuka kwa ziwalo zazikulu mofulumira, nthawi zina ngakhale maola angapo. Kenaka khungu pamalo amodzi okhudzidwa amakhala ofiira, otentha mpaka kumakhudza ndi kutupa.

- Nthawi zina, ziwalo zingapo zikuluzikulu zingathe kutenthetsa nthawi imodzi, mwachitsanzo, mawondo onse awiri.

- Rheumatic polyarthritis kwa ana imatenga masiku 4-5.

- Mwanayo akumva ululu waukulu, zomwe zimamulepheretsa kusuntha momasuka. Nthawi zambiri ana omwe ali ndi matenda a rheumatic fever sangathe kudzuka pabedi.

Matenda a ana a miyendo, monga akuluakulu, amatha kuwonetseredwa kupweteka pamtima, kupuma kwa mpweya, kuwonjezeka kwa mtima, kufooka ndi kugwidwa mtima kwa mtima. Pazizindikiro zoyambirira za mwana wa mwana, amayenera kufufuza mtima ndikupereka chithandizo choyenera. Ngati matendawa ayambitsidwa, ndiye kuti n'zotheka kukhala ndi vuto lalikulu la mtima, lomwe m'tsogolomu lingasinthe mtima.

Chizindikiro china cha nthenda ya ubongo mu ana ndi mawonekedwe a chiphuphu chofiira, chomwe chimatchedwa kanseri ya erythema.

Ponena za matendawa, ndiye ngati mukuganiza kuti chifuwa chachikulu ndi chofunika kwambiri.

- Kuyeza magazi kwa magazi;

- kafukufuku wamba kapena wamba wa magazi;

- Ultrasound ya mtima ;

- kuyesa magazi kwa mlingo wa ASL-O;

- electrocardiography, ndi ECG.

Kudziwa bwino sikuyenera kunyalanyaza, kotero kuti pamapeto pake sichilimbana ndi mavuto.

Kuchiza kwa rheumatism

Poyesa kupeza yankho la funso la momwe angaperekere vuto la mitsempha, choyamba choyamba ayenera kuzindikira kufunikira koti azipita kwa dokotala mwamsanga ndi kukayikira koyamba kwa matendawa. Izi ndizofunika chifukwa chakuti nthawi zina matendawa amasiyana, zomwe zimatanthauza kufunika kwa njira ya munthu payekha komanso njira zamankhwala.

Njira zotsatirazi zimagwiritsidwa ntchito:

- kugwiritsa ntchito glucocorticoids, komanso ma immunosuppressants kuti apereke ntchito zoteteza thupi;

- kugwiritsa ntchito mankhwala opha tizilombo (Amikacin, Sumamed, etc.) ndi mankhwala osagwira ntchito (anti-inflammatory drugs) (Ketoprofen, Movalis, Diclofenac - ayenera kutengedwa mpaka chifuwa chisatulukire kwathunthu);

- mavitamini ambiri kuti athetsere mankhwalawa ("Supradin", "Oligovit", "Vitrum", "Centrum");

- Pambuyo pochotsa zizindikiro zovuta, mitundu yosiyanasiyana ya thupi (paraffin applications, UHF, electrophoresis ndi kutentha kwa magetsi) zimagwiritsidwa ntchito kuti athetse;

- Ngati mankhwala achizolowezi samathandiza kuchepetsa zizindikiro za matenda a rheumatism, ndiye madokotala amapereka plasmapheresis - kuyeretsedwa kwa magazi kuchokera ku ma antibodies ndi poizoni.

Madokotala ena amalangiza kuti pakhale njira yowonjezera yothandizira kuti achepetse zakudya zamagulupu ndi kuonjezera kuchuluka kwa mapuloteni mu zakudya. Mulimonsemo, chithandizo chiyenera kukhala chokwanira.

Ngati ndondomeko yogonjetsa matendayo yatsimikiziridwa molondola, ndipo wodwala atsatira malingaliro onse a dokotala, ndiye kuti kuchira kwathunthu kumachitika pakatha masabata awiri. Pazochitikazi, pamene ulendowu kwa dokotala unali mwamsanga, njira yobwezeretsa idzatenga masiku owerengeka chabe.

Momwe mungachitire matenda a chifuwa chachikulu kunyumba

Imodzi mwa mfundo zazikuluzikulu zokhudzana ndi matendawa zingathe kudziŵika ndi zakudya zoyenera komanso phytotherapy. Koma za maphikidwe osiyanasiyana a broths, pakadali pano ndibwino kuwonana ndi madokotala omwe adzatha kuganizira zonse zomwe zimachitika mu maphunzirowa.

Chakudya chiyenera kukonzedwa mwakuti chakudya chonse sichikhala ndi mchere. Kugwiritsiridwa ntchito kwa zokolola kudzakhalanso kochepa. Izi ndizofunikira chifukwa chakuti panthawi ya chiwonongeko cha rheumatic pali matenda osokoneza bongo.

Poyankha funso lokhudza momwe mungaperekere mitsempha kunyumba, nkofunika kumvetsera zotsatira za zotsatira za mbale zomwe zimakhala ndi zinthu zina (masamba ndi zamasamba zamphamvu za nyama, komanso broths). About soups of kukonzekera mwamsanga ndi msuzi osiyanasiyana msuzi kwa nthawi ya chithandizo ndikofunika kuiwala. Monga tafotokozera pamwambapa, kuti tipeze msanga, m'pofunika kuchepetsa kudya zakudya zomwe zimachokera ku zakudya zam'madzi (uchi, shuga, kupanikizana, kupanikizana ndi zokometsera).

Kuchokera pa zakudya za wodwala, nkofunikanso kupatula zakudya za nyemba, bowa, sipinachi, sorelo ndi nandolo. Koma mphesa yamphesa ndi mphesa palokha zingathe kudyedwa. Masamba ayenera kuphika, ndipo nyama ndi nsomba zimakhala zowonjezera kapena zophika pang'ono.

Ngati mukuyang'ana mutu wakuti: "Rhumatism: Zizindikiro ndi chithandizo cha miyendo" kuchokera kuchipatala, tiyenera kuzindikira kuti, malinga ndi madokotala, mchenga ukhoza kuthandizira polimbana ndi kutupa. Kuti tichite zimenezi, iyenera kutsukidwa ndi kudulidwa kupyolera mu sieve, makamaka osaya. Njira yoyenera kwambiri ndiyo mchenga wa m'nyanja. Pambuyo pakufesa ndikofunikira kutenthetsa mpaka madigiri 50 ndikuwatsanulira mu thumba labwino. Ndi thumba la mchenga wotentha umene umagwiritsidwa ntchito pamalo omwe ululu umamvekera. Koma njirayi sayenera kugwiritsidwa ntchito ndi anthu amene apezeka ndi khungu ndi mtima, chifuwa chachikulu, kusoŵa zakudya m'thupi ndi zotupa.

Njira ina imene aliyense wokondwerera mutuwo ayenera kudziwa za: "Rheumatism: Zizindikiro ndi chithandizo cha miyendo" ndi dongo. Ikhoza kugwiritsidwa ntchito mwa mawonekedwe a compresses ndi wraps. Dongo, lomwe lili ndi matenda opatsirana, limatha kuthetsa ululu ndi kuchepetsa kutupa.

Kupewa

Pofuna kupewa kupititsa patsogolo chifuwa cha mimba, nkofunika kuika maganizo pa zifukwa ziwiri: kuteteza thupi ku matenda atsopano ndi matenda a streptococcal komanso kulimbikitsa chitetezo cha mthupi. Ndipo izi zikutanthawuza kuti, ngati n'kotheka, aliyense amene ali ndi vutoli ayenera kupita kukaona malo ovomerezeka apadera.

Pambuyo pa njira zowonzetsera, nkofunikira kuti musayende malo ena a nyengo kwa zaka 1-2, ndikupuma m'mayiko awo. Popeza chifuwa cha mapazi chimaphatikizapo mankhwala ovuta, zinthu zonse zomwe zingapangitse zinthu zabwino kuti chitukuko chikhale chonchi chiyenera kuwerengedwa. Ngati patapita zaka zingapo chiwonongeko chikafika ku malo ena a nyengo, muyenera kuyang'anizana ndi vutoli, zomwe zingachititse mavuto ena.

Anthu omwe adakumana ndi zida zosavuta kusamba sayenera kusamba m'madzi ozizira komanso nthawi yaitali yotentha. Ntchito zochita masewera olimbitsa thupi ndizosafunika chifukwa mtima womwe umafooka chifukwa cha matendawa sungakhale wokonzeka kugwira ntchito yovuta. Koma maphunziro apamwamba ndi othandiza, komanso kuumitsa kuwerenga. Pankhaniyi, pakuwonjezeka kwa zilonda 120 ndi maonekedwe a dyspnea, m'pofunika kuti muime.

Zotsatira

Rhumatism imatha kukhala ndi matenda omwe amafunikira chidwi chenicheni chifukwa cha chiopsezo chachikulu. Choncho, monga momwe zilili ndi matenda aakulu, ngati zizindikiro za kutupa kwa minofu zimagwira ntchito mwamsanga - pitani kwa dokotala ndikuyamba mankhwala. Ndipo, ndithudi, nthawi zonse ndi bwino kukumbukira za kupewa.