I-arthritis esebenzayo

I-arthritis esebenzayo uhlobo lwe-arthritis olulandela ukutheleleka. Kungadala nokuvuvukala kwamehlo, isikhumba kanye nezinhlelo zokuchama kanye nezitho zangasese.

Imbangela ngqo yesifo samathambo esisebenzayo ayaziwa. Kodwa-ke, kuvame ukulandela ukutheleleka, kepha ilunga uqobo alinagciwane. Isifo samathambo esisebenzayo senzeka kakhulu emadodeni amancane kuneminyaka yobudala engama-4, yize kwesinye isikhathi sithinta abesifazane. Kungalandela ukutheleleka kwi-urethra ngemuva kocansi olungaphephile. Amagciwane avame kakhulu adala izifo ezinjalo abizwa ngeChlamydia trachomatis. I-arthritis esebenzayo nayo ingalandela ukutheleleka kwamathumbu (njengokufaka ushevu ekudleni). Kuze kube yingxenye eyodwa yabantu abacatshangelwe ukuthi bane-arthritis esebenzayo, kungahle kube khona ukutheleleka. Kungenzeka ukuthi amacala anjalo awuhlobo lwe-spondyloarthritis.

Izinhlobo ezithile zofuzo zingakwenza ube sethubeni lokuthola lesi simo.

Lesi sifo asivamile ezinganeni ezisencane, kepha kungenzeka kwabasakhula. Isifo samathambo esisebenzayo singavela ezinganeni ezineminyaka engama-6 kuya kwengu-14 ngemuva IClostridium difficile izifo zesisu.

Izimpawu zomchamo zizovela kungakapheli izinsuku noma amasonto okuthelelekile. Lezi zimpawu zingafaka:

• Ukushisa lapho uchama
• Ukuvuza koketshezi okuvela ku-urethra (ukuphuma)
• Izinkinga zokuqala noma ukuqhubeka nokusakazwa komchamo
• Ukudinga ukuchama kaningi kunokujwayelekile

Umkhuhlane ophansi kanye nokukhishwa kwamehlo, ukuvutha, noma ukubomvu (i-conjunctivitis noma "iso elibomvana") kungaqala emasontweni ambalwa alandelayo.

Ukutheleleka emathunjini kungadala isifo sohudo nobuhlungu besisu. Uhudo lungaba namanzi noma lunegazi.

Ubuhlungu obuhlangene nokuqina nakho kuqala ngalesi sikhathi. Isifo samathambo singaba mnene noma sibe nzima. Izimpawu ze-arthritis zingafaka:

• Ubuhlungu besithende noma ubuhlungu kuthenda ye-Achilles
• Ubuhlungu okhalweni, emadolweni, eqakaleni nasemhlane
• Ubuhlungu nokuvuvukala okuthinta ilunga elilodwa noma amaningi

Izimpawu zingafaka izilonda zesikhumba ezintendeni zezandla nasematheni abukeka njenge-psoriasis. Kungahle kube nezilonda ezincane ezingenabuhlungu emlonyeni, olimini nasemthondweni.

Umhlinzeki wakho wokunakekelwa kwezempilo uzoxilonga isimo ngokuya ngezimpawu zakho. Ukuhlolwa ngokomzimba kungakhombisa izimpawu zokuhlangana noma izilonda zesikhumba. Zonke izimpawu kungenzeka zingaveli ngasikhathi sinye, ngakho-ke kungahle kube nokubambezeleka kokuthola ukuxilongwa.

Ungaba nokuhlolwa okulandelayo:

• I-antigen ye-HLA-B27
• Ama-x-ray ahlangene
• Ukuhlolwa kwegazi ukukhipha ezinye izinhlobo zesifo samathambo njenge-rheumatoid arthritis, i-gout, noma i-systemic lupus erythematosus
• Izinga le-sedimentation ye-Erythrocyte (ESR)
• Ukuhlolwa komchamo
• Isiko lesitulo uma unesifo sohudo
• Ukuhlolwa komchamo kwe-DNA yebhaktheriya efana I-Chlamydia trachomatis
• Ukufisa ukuhlangana okuvuvukele

Inhloso yokwelashwa ukuqeda izimpawu nokwelapha ukutheleleka okubanga lesi simo.

Izinkinga zamehlo nezilonda zesikhumba azidingi ukwelashwa isikhathi esiningi. Bazohamba bodwa. Uma izinkinga zamehlo ziqhubeka, kufanele uhlolwe nguchwepheshe wezifo zamehlo.

Umhlinzeki wakho uzokunikeza ama-antibiotic uma unesifo. Izidakamizwa ezingezona ukuvuvukala (ama-NSAID) kanye nokunciphisa izinhlungu kungasiza ngobuhlungu obuhlangene. Uma ilunga livuvuke kakhulu isikhathi eside, ungahle ube nomjovo we-corticosteroid ojoyine ilunga.

Uma i-arthritis iqhubeka naphezu kwama-NSAID, i-sulfasalazine noma i-methotrexate ingasiza. Ekugcineni, abantu abangayiphenduli le mithi bangadinga ama-anti-TNF biologic agents afana ne-etanercept (Enbrel) noma i-adalimumab (Humira) ukucindezela amasosha omzimba.

Ukwelashwa ngokomzimba kungasiza ekudambiseni izinhlungu. Kungakusiza futhi ukuthi uhambe kangcono futhi ugcine amandla emisipha.

Isifo samathambo esisebenzayo singaphela emasontweni ambalwa, kodwa singathatha izinyanga ezimbalwa futhi sidinge imithi ngaleso sikhathi. Izimpawu zingabuya esikhathini esiyiminyaka kuze kufike kwengxenye eyodwa yabantu abanalesi simo.

Imvamisa, isimo singaholela esigqi senhliziyo esingajwayelekile noma ezinkingeni nge-aortic heart valve.

Bona umhlinzeki wakho uma uba nezimpawu zalesi simo.

Gwema ukutheleleka okungaletha isifo samathambo esisheshayo ngokwenza ucansi oluphephile nokugwema izinto ezingadala ubuthi ekudleni.

I-Reiter syndrome; I-post-infectious arthritis

• I-arthritis esebenzayo - ukubuka kwezinyawo

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