ʻO ka Rheumatoid arthritis (RA) he maʻi ʻeha mau o nā hono.I loko o ke kino, ʻo nā ami nā wahi e hui ai nā iwi a hiki ke neʻe.ʻO ka hapa nui o kēia mau hui - nā mea i kapa ʻia ʻo synovial joints - hāʻawi pū kekahi i ka haʻalulu.
He maʻi autoimmune ka RA, kahi i kuhi hewa ai kou ʻōnaehana pale i nā ʻili o kou mau ami me he 'haole' a hoʻouka a hoʻopōʻino iā lākou, e hopena i ka ʻeha a me ka ʻeha.
Hoʻopili pinepine kēia maʻi i nā hui o nā lima, nā pulima, a me nā kuli.ʻAʻohe lāʻau lapaʻau, akā hiki ke mālama ʻia ka RA me ka mālama maikaʻi ʻana, e like me ka Centers for Disease Control and Prevention (CDC).
Nā hōʻailona a me nā hōʻailona o ka Rheumatoid Arthritis
ʻO ka maʻi Rheumatoid kahi maʻi paʻakikī i hoʻomaopopo ʻole ʻia e nā kauka a i ʻole nā mea noiʻi.
ʻO nā hōʻailona mua o ka maʻi, e like me ka pehu ʻana o ka hui, ka ʻeha hui, a me ka ʻoʻoleʻa hui, hoʻomaka ma ke ʻano mālie a maʻalahi, me ka ulu mālie ʻana o nā hōʻailona ma kahi o nā hebedoma a hiki i nā mahina a ʻoi aku ka ʻino i ka wā.Hoʻomaka ka RA ma nā iwi liʻiliʻi o nā lima (ʻoi loa ma ke kumu a me ka waena o nā manamana lima), ke kumu o nā manamana wāwae, a me nā pulima lima.ʻO ka ʻoʻoleʻa kakahiaka e mau ana no 30 mau minuke a ʻoi aʻe kekahi hōʻailona hōʻailona o RA, no ka Arthritis Foundation.
He maʻi holomua ka RA.Ke waiho ʻole ʻia, hiki ke hoʻomaka ka mumū ma nā ʻāpana ʻē aʻe o ke kino, e hoʻopiʻi ana i nā pilikia koʻikoʻi e hiki ke hoʻopilikia i nā ʻāpana ʻē aʻe, e like me ka puʻuwai, nā māmā, a me nā aʻalolo, a hiki ke hoʻopilikia i ka wā lōʻihi.
Inā ʻike ʻoe i nā hōʻailona RA, he mea koʻikoʻi ia e ʻike koke ʻia i hiki iā ʻoe ke loaʻa ka lāʻau lapaʻau.
ʻO nā kumu a me nā mea pilikia o ka Rheumatoid Arthritis
Hoʻokumu ʻia ka RA i ka wā e komo ai nā sela koko keʻokeʻo, ka mea maʻamau e pale aku i ke kino mai nā mea hōʻeuʻeu ʻē e like me ka bacteria a me nā maʻi maʻi, i loko o ka synovium (ka ʻiʻo lahilahi e laina ana i nā hui synovial).Hoʻomaka ka hū - mānoanoa ka synovium, hoʻoulu, ʻulaʻula, wela, a me ka ʻeha o ka hui synovial.
I ka wā lōʻihi, hiki i ka synovium inflamed ke hōʻino i ka cartilage a me ka iwi i loko o ka hui, a me ka hoʻonāwaliwali i nā ʻiʻo kākoʻo, nā ligaments, a me nā tendons.
ʻAʻole ʻike maopopo ka poʻe noiʻi i ke kumu e komo ai ka ʻōnaehana immune i ka synovium, akā manaʻoʻiʻo ʻia he kuleana ko nā genes a me nā mea kaiapuni i ka ulu ʻana o RA.
Hōʻike ka noiʻi i ka poʻe me kekahi mau genetics, ʻo ia hoʻi nā genes leukocyte antigen (HLA) kanaka, ua piʻi nui ka pilikia o ka hoʻomohala ʻana i ka RA.Mālama ka HLA gene complex i nā pane kūlohelohe ma o ka hana ʻana i nā pūmua e kōkua i ka ʻōnaehana pale e ʻike i nā protein mai nā malihini ʻē aʻe.
Ua ʻike ʻia kekahi mau genes ʻē aʻe e pili pū ana me ka RA susceptibility, me STAT4, PTPN22, TRAF1-C5, PADI4, CTLA4, a me nā mea ʻē aʻe, e like me ka hōʻike ma ka puke pai Rheumatology.
Akā ʻaʻole hiki i nā poʻe āpau me kēia mau ʻano gene ke hoʻomohala i ka RA, a hiki i ka poʻe me ka ʻole o lākou ke hoʻomohala.No laila, ʻo nā kumu kaiapuni paha ka mea e hoʻoulu pinepine ai i ka maʻi, ʻo ia hoʻi i nā poʻe me ka genetic makeup e maʻalahi ai lākou iā ia.Aia kēia mau kumu:
ʻO nā maʻi maʻi a me nā maʻi bacteria (ʻoiai hiki i kekahi mau maʻi ke hōʻemi i ka pilikia RA, ma kahi liʻiliʻi loa)
Nā hormones wahine
ʻO ka ʻike ʻana i kekahi ʻano lepo a me nā pulu
Ka ʻike ʻana i ka uahi lua
ʻO ka momona, kahi e hoʻonui ai i ka holomua o ke kīnā no ka poʻe me RA.ʻAʻole hiki i nā poʻe maʻi obese ke loaʻa ke kala ʻana o RA me ka nānā ʻole i ka mālama ʻana iā lākou.
Nā hanana kaumaha loa
Nā meaʻai
He mea koʻikoʻi ka puhi paka a me ka moʻolelo ʻohana o RA i ka hoʻonui ʻana i ka pilikia o ke kanaka e hoʻomohala i kēia maʻi.
ʻO nā keiki a hiki i ka makahiki 16 e ʻike i ka pehu lōʻihi a i ʻole nā hui ʻeha ma nā wahi āpau o ke kino, ʻike pinepine ʻia lākou me ka juvenile idiopathic arthritis (JIA).
Pehea e ʻike ʻia ai ka Rheumatoid Arthritis?
ʻOiai ʻaʻohe hoʻāʻo hoʻokahi e hiki ke hōʻoia i ka RA, noʻonoʻo nā kauka i nā kumu he nui i ka loiloi ʻana i ke kanaka no ka maʻi rumatika.
Hoʻomaka maʻamau ke kaʻina hana diagnostic ke loaʻa i ke kauka kāu mōʻaukala olakino a hana i kahi hoʻokolohua kino.E nīnau lākou iā ʻoe e pili ana i kāu mau hōʻailona e ʻimi ai i nā hōʻailona o RA, ʻo ia hoʻi nā mea e like me ka pehu hui lōʻihi a me ka ʻoʻoleʻa kakahiaka i hala ma kahi o ka hapalua hola ma hope o kou ala ʻana.
A laila, e kauoha kāu kauka i nā hoʻāʻo koko e ʻike i ka rheumatoid factor (RF) a me nā anti-citrullinated protein antibodies (ACPAs), hiki ke lilo i mau māka kikoʻī no RA a hiki ke kuhikuhi iā RA.Hiki iā ʻoe ke loaʻa i ka maʻi maʻi ʻaʻai symmetrical me ka ʻole a i ʻole nā hōʻailona ʻōnaehana o ka mumū.
Hiki ke hoʻohana ʻia nā hoʻāʻo kiʻi e like me ka X-ray, ultrasound, a me nā kiʻi kiʻi magnetic resonance e kōkua i ke kauka e hoʻoholo inā ua poino kou mau ami a i ʻole e ʻike i ka ʻāʻī ʻana o ka hui, erosion, a me ke kūkulu ʻana i ka wai.
I ka wā e hiki mai ana, hiki i nā kauka ke ʻike i ka RA me ka hoʻohana ʻana i ke kukui infrared (noninvasive).
Nā ʻano like ʻole o ka Rheumatoid Arthritis
Hoʻokaʻawale ʻia ʻo Rheumatoid arthritis ma ke ʻano he seropositive a i ʻole seronegative.
Loaʻa i ka poʻe me ka RA seropositive nā ACPA, i kapa ʻia ʻo anti-cyclic citrullinated peptides, i loaʻa i kā lākou hoʻāʻo koko.Hoʻouka kēia mau antibodies i nā hui synovial a hana i nā hōʻailona o RA.
Ma kahi o 60 a 80 pakeneka o ka poʻe i ʻike ʻia me ka RA he ACPA, a no nā poʻe he nui, ʻo nā antibodies ma mua o nā hōʻailona o RA ma 5 a 10 mau makahiki, wahi a ka Arthritis Foundation.
Loaʻa i ka poʻe me ka RA seronegative ka maʻi me ka loaʻa ʻole o nā antibodies a i ʻole RF i ko lākou koko.
Ka lōʻihi o ka Rheumatoid Arthritis
ʻO ka RA he maʻi holomua a mau loa.ʻO ka pōʻino o nā iwi hui i ka hoʻomaka ʻana o ka maʻi, maʻamau i loko o nā makahiki ʻelua mua, e like me ka Johns Hopkins Arthritis Center.ʻO ia ke kumu he mea nui ka mālama mua ʻana.
Me ka hoʻomaʻamaʻa mua ʻana, hiki i ka hapa nui o ka poʻe me RA ke ola e like me ka mea maʻamau, a hiki i nā poʻe he nui ke loaʻa ke kala ʻia o nā hōʻailona.ʻAʻole kēia manaʻo ua ola ʻoe akā ua hoʻopau ʻia kou mau hōʻailona a hiki i kahi e hiki ai iā ʻoe ke hana me ka piha loa a ʻaʻole e pōʻino hou ʻia kou mau ami e RA.Hiki nō hoʻi ke loaʻa ke kala ʻana a laila hoʻi hou, a i ʻole e hoʻi mai kāu mau hōʻailona.
Akā ʻaʻole hiki ke kala ʻia no kēlā me kēia kanaka, a no ka loli ʻana o ka ʻeha a me nā hōʻailona ʻē aʻe o RA i ka wā lōʻihi, hiki i ka hoʻoponopono ʻeha ke lilo i mea hopohopo mau.Ma waho aʻe o nā lāʻau ʻeha e like me nā lāʻau anti-inflammatory nonsteroidal a me nā corticosteroids, nui nā koho no ka hoʻomaha ʻeha no ka poʻe e noho ana me RA.ʻO kēia mau mea, ma waena o kekahi:
Pākuʻi aila iʻa
Hana wela a anu
Hoʻoikaika kino a neʻe
Nā ʻano hana noʻonoʻo-kino e like me ka hoʻohaʻahaʻa ʻana i ke koʻikoʻi e pili ana i ka noʻonoʻo a me ka ʻae ʻana a me ka hoʻokō ʻana
Biofeedback
