Rheumatoid mob caj dab (RA) yog ib tug mob inflammatory kab mob ntawm cov pob qij txha. Hauv lub cev, cov pob qij txha yog cov ntsiab lus uas cov pob txha tuaj ua ke thiab tso cai rau kev txav mus los. Feem ntau ntawm cov pob qij txha - cov hu ua synovial pob qij txha - kuj muab kev poob siab.
RA yog ib qho mob autoimmune, uas koj lub cev tiv thaiv kab mob ua rau cov kab mob ntawm koj cov pob qij txha ua 'txawv teb chaws' thiab tawm tsam thiab ua rau lawv puas tsuaj, ua rau mob thiab mob.
Tus kab mob no feem ntau cuam tshuam rau cov pob qij txha ntawm tes, dab teg, thiab lub hauv caug symmetrically. Tsis muaj kev kho, tab sis RA tuaj yeem tswj tau nrog kev kho kom zoo, raws li Lub Chaw Tiv Thaiv thiab Tiv Thaiv Kab Mob (CDC).
Cov tsos mob thiab cov tsos mob ntawm Rheumatoid Arthritis
Rheumatoid mob caj dab yog ib hom kab mob nyuaj uas tsis nkag siab zoo los ntawm cov kws kho mob lossis cov kws tshawb fawb.
Cov tsos mob ntxov ntxov ntawm tus kab mob, xws li kev sib koom tes o, mob pob qij txha, thiab pob qij txha txhav, feem ntau pib maj mam thiab maj mam, nrog cov tsos mob maj mam tshwm sim nyob rau ib lub lis piam mus rau hli thiab zuj zus zuj zus ntxiv mus. RA feem ntau pib ntawm cov pob txha me ntawm ob txhais tes (tshwj xeeb yog cov hauv paus thiab nruab nrab ntawm cov ntiv tes), lub hauv paus ntawm cov ntiv taw, thiab dab teg. Kev nyuaj siab thaum sawv ntxov uas kav ntev li 30 feeb lossis ntau dua yog lwm cov tsos mob ntawm RA, raws li Lub Koom Haum Mob caj dab.
RA yog ib yam kab mob loj. Thaum tsis kho, qhov mob tuaj yeem pib tshwm sim hauv lwm qhov ntawm lub cev, ua rau muaj ntau yam teeb meem loj uas tuaj yeem cuam tshuam rau lwm yam kabmob, xws li lub plawv, lub ntsws, thiab cov hlab ntsha, thiab tuaj yeem ua rau muaj kev tsis taus mus ntev.
Yog tias koj tab tom ntsib cov tsos mob RA, nws tseem ceeb heev kom kuaj tau sai li sai tau kom koj tuaj yeem tau txais kev kho mob sai.
Ua rau thiab Risk Factors ntawm Rheumatoid Arthritis
RA tsim thaum cov qe ntshav dawb, uas ib txwm tiv thaiv lub cev los ntawm cov neeg txawv teb chaws invaders xws li cov kab mob thiab cov kab mob, nkag mus rau hauv synovium (cov ntaub so ntswg nyias uas ua rau cov pob qij txha synovial). Kev mob tshwm sim - lub synovium thickens, ua rau o, liab, sov, thiab mob nyob rau hauv lub synovial sib koom.
Nyob rau tib lub sijhawm, cov kab mob synovium tuaj yeem ua rau pob txha mos thiab pob txha hauv pob qij txha, nrog rau cov leeg tsis muaj zog, ligaments, thiab tendons.
Cov kws tshawb fawb tsis paub meej tias dab tsi ua rau lub cev tiv thaiv kab mob cuam tshuam rau lub synovium, tab sis nws tau ntseeg tias cov noob caj noob ces thiab ib puag ncig cuam tshuam ua lub luag haujlwm hauv kev txhim kho RA.
Kev tshawb fawb qhia tias cov neeg uas muaj qee yam caj ces, uas yog tib neeg leukocyte antigen (HLA) cov noob, muaj kev pheej hmoo ntau ntxiv ntawm kev tsim RA. HLA gene complex tswj lub cev tiv thaiv kab mob los ntawm kev tsim cov proteins uas pab lub cev tiv thaiv kab mob pom cov proteins los ntawm cov neeg txawv teb chaws invaders.
Ib tug xov tooj ntawm lwm cov noob kuj tshwm sim los cuam tshuam nrog RA susceptibility, suav nrog STAT4, PTPN22, TRAF1-C5, PADI4, CTLA4, thiab lwm yam, raws li tsab ntawv ceeb toom nyob rau hauv phau ntawv journal Rheumatology.
Tab sis tsis yog txhua tus neeg uas muaj cov kab mob sib txawv no tsim RA, thiab cov neeg tsis muaj lawv tseem tuaj yeem txhim kho nws. Yog li, nws zoo li qhov xwm txheej ib puag ncig feem ntau ua rau muaj tus kab mob, tshwj xeeb tshaj yog nyob rau hauv cov neeg uas muaj caj ces pleev uas ua rau lawv muaj kev cuam tshuam rau nws. Cov xwm txheej no suav nrog:
Kab mob thiab kab mob (txawm tias qee yam kab mob yuav txo tau RA, tsawg kawg yog ib ntus)
Poj niam cov tshuaj hormones
Raug rau tej yam plua plav thiab fibers
Raug pa luam yeeb thib ob
Kev rog rog, uas tseem ua rau muaj kev xiam oob qhab rau cov neeg muaj RA. Cov neeg mob rog rog tsawg dua yuav ua tiav RA tshem tawm txawm tias lawv tau txais kev kho mob li cas.
Cov xwm txheej ntxhov siab heev
Khoom noj khoom haus
Qhov tseem ceeb sib npaug yog kev haus luam yeeb thiab tsev neeg keeb kwm ntawm RA hauv kev ua rau tus neeg muaj kev pheej hmoo ntawm kev tsim tus mob.
Cov menyuam yaus txog hnub nyoog 16 xyoo uas muaj qhov mob ntev lossis mob pob qij txha nyob txhua qhov chaw hauv lub cev feem ntau raug kuaj pom tias muaj menyuam yaus idiopathic mob caj dab (JIA).
Yuav kuaj mob Rheumatoid Arthritis li cas?
Txawm hais tias tsis muaj ib qho kev ntsuam xyuas tuaj yeem txheeb xyuas tau RA, cov kws kho mob xav txog ntau yam thaum ntsuas tus neeg mob rau mob caj dab rheumatoid.
Cov txheej txheem kuaj mob feem ntau pib thaum tus kws kho mob tau txais koj li keeb kwm kev kho mob thiab kuaj lub cev. Lawv yuav nug koj txog koj cov tsos mob los nrhiav cov tsos mob ntawm RA, tshwj xeeb tshaj yog tej yam xws li kev sib koom ua ke ntev o thiab thaum sawv ntxov khov uas kav ntev li ib nrab teev tom qab koj sawv.
Tom ntej no, koj tus kws kho mob yuav xaj kom kuaj ntshav txhawm rau txhawm rau kuaj mob rheumatoid (RF) thiab cov tshuaj tiv thaiv citrullinated protein antibodies (ACPAs), uas tuaj yeem yog cov cim tshwj xeeb rau RA thiab tuaj yeem qhia RA. Koj tseem tuaj yeem muaj symmetrical inflammatory arthritis nrog lossis tsis muaj cov cim ntawm qhov mob.
Imaging tests such as X-ray, ultrasound, and magnetic resonance imagery scans may be used to help a doctor determine if your joints have been damaged or to detect joint inflammation, erosion, and fluid buildup.
Yav tom ntej, cov kws kho mob tuaj yeem kuaj xyuas RA siv (noninvasive) infrared teeb.
Qhov txawv ntawm Rheumatoid Arthritis
Rheumatoid mob caj dab yog cais raws li seropositive los yog seronegative.
Cov neeg uas muaj seropositive RA muaj ACPAs, tseem hu ua anti-cyclic citrullinated peptides, pom nyob rau hauv lawv cov ntshav kuaj. Cov tshuaj tiv thaiv no tawm tsam cov pob qij txha synovial thiab tsim cov tsos mob ntawm RA.
Kwv yees li 60 txog 80 feem pua ntawm cov neeg kuaj mob RA muaj ACPAs, thiab rau ntau tus neeg, cov tshuaj tiv thaiv ua ntej cov tsos mob ntawm RA los ntawm 5 mus rau 10 xyoo, sau tseg rau Arthritis Foundation.
Cov neeg uas muaj tus kab mob RA muaj tus kab mob tsis muaj cov tshuaj tiv thaiv kab mob lossis RF hauv lawv cov ntshav.
Duration ntawm Rheumatoid Arthritis
RA yog ib qho mob hnyav thiab mob ntev. Kev puas tsuaj rau cov pob txha pob txha tshwm sim thaum ntxov ntawm kev kis tus kab mob, feem ntau hauv thawj ob xyoos, raws li Johns Hopkins Arthritis Center. Yog li ntawd, kev kho mob thaum ntxov tseem ceeb heev.
Nrog rau kev siv tau zoo, kev kho mob ntxov, feem ntau cov neeg mob RA tuaj yeem ua neej nyob raws li lawv ib txwm xav tau, thiab ntau tus neeg tuaj yeem ua tiav cov tsos mob. Qhov no tsis tau txhais hais tias koj kho tau tab sis yog tias koj cov tsos mob tau txo qis mus rau qhov chaw uas koj tuaj yeem ua haujlwm tau zoo tshaj plaws thiab koj cov pob qij txha tsis raug puas tsuaj ntxiv los ntawm RA. Nws kuj tseem ua tau kom ua tiav qhov kev tshem tawm thiab rov qab ua dua, lossis kom koj cov tsos mob rov qab los.
Tab sis kev zam txim tsis tshwm sim rau txhua tus, thiab vim tias qhov mob thiab lwm yam tsos mob ntawm RA tuaj yeem hloov pauv lub sijhawm, kev tswj qhov mob tuaj yeem yog qhov kev txhawj xeeb tsis tu ncua. Ntxiv rau cov tshuaj kho mob xws li cov tshuaj nonsteroidal anti-inflammatory thiab corticosteroids, muaj ntau yam kev xaiv rau kev kho mob rau cov neeg nyob nrog RA. Cov no suav nrog, ntawm lwm tus:
Ntses roj ntxiv
Kev kho kub thiab txias
Kev tawm dag zog thiab kev txav mus los
Lub siab-lub cev qauv xws li kev nco qab-raws li kev ntxhov siab txo qis thiab kev lees txais thiab kev cog lus kho
Biofeedback
