Lokacin da ciwon haɗin gwiwa ya faru, 90% na marasa lafiya suna gaggawar zuwa Intanet don ilimi maimakon ga likitan rheumatologist. Irin wannan sha'awar neman ilimin kai abin yabawa ne matukar bai haifar da tantancewa ba. Tun da cututtukan cututtuka na cututtuka daban-daban da arthrosis suna da irin abubuwan da suka faru na faruwa, bayyanar cututtuka da kuma irin wannan wuri, sau da yawa suna rikicewa. Amma bayan maganin kai, korafe-korafen ba kawai ba su tafi ba, har ma suna kara tsananta. Gaskiyar ita ce, bambancin dake tsakanin arthritis da arthrosis ya ta'allaka ne kawai a cikin nau'i-nau'i daban-daban (inda "-itis" yana nufin m, ba zato ba tsammani da kuma ci gaba da kumburi da sauri, kuma "-oz" yana nufin ciwo mai tsanani, sannu a hankali girma).
Shin yanayin cututtukan arthritis da arthrosis iri ɗaya ne ko daban?
Arthritis wani tsari ne mai kumburi, mafi yawan lokuta yana hade da cututtuka na autoimmune, cututtuka na baya, rashin daidaituwa na hormonal da abubuwan da ke faruwa na rayuwa wanda ke shafar yanayin jiki gaba ɗaya. A wannan yanayin, pathological canje-canje faruwa a cikin hadin gwiwa ruwa (alhãli kuwa tare da arthrosis akwai kasa samar da shi) da connective nama.
Kumburi yawanci yana bayyana kansa a kan bangon rheumatoid amosanin gabbai, farawa daga shekaru 25-30, ko genitourinary, cututtuka na ƙwayoyin cuta na hanji. Canje-canjen sun fi shafar membrane synovial na haɗin gwiwa, inda aka tattara tasoshin jini.
Arthritis sau da yawa yana haifar da rikitarwa a cikin zuciya, koda da hanta, ba'a iyakance ga lalacewa ga gidajen abinci ba.
Osteoarthritis cuta ce mara kumburi, cuta mai lalacewa ta hanyar lalacewa da tsagewar saman haɗin gwiwa. Za a iya haifar da raguwar ƙwayar guringuntsi ta hanyar nauyi mai yawa, canje-canje a cikin matakan hormonal, canje-canje masu alaka da shekaru a jikin majiyyaci, da kuma rashin lafiyar axial load (alal misali, saboda curvature na matsayi ko rashin warkar da raunuka).
Osteoarthritis yana tare da raguwar motsi a cikin haɗin gwiwa da samuwar osteophytes. Ba kamar cututtukan fata ba, yana haifar da nakasar injina na gida na capsule na haɗin gwiwa da kasusuwa, amma baya shafar sauran gabobin da tsarin. Cutar ta kai hari ga dukan guringuntsi. Tare da arthrosis, ana iya lura da matakai masu kumburi, amma ba su dawwama kuma yawanci suna faruwa a cikin matakai na biyu da na uku na cutar.
Inda bambanci tsakanin ciwon huhu da arthrosis ya fi dacewa shine shekarun farkon cutar. Yawan masu fama da ciwon osteoarthritis suna cikin shekaru 65 ko fiye, amma ana iya ganin alamun farko a shekaru 45. Arthritis yana shafar matasa, masu karfin jiki a kasa da shekaru 55 kuma yana iya faruwa a cikin yara da matasa.
Alamomi: ta yaya arthritis ya bambanta da arthrosis a cikin jin dadi?
Bambance-bambancen da ke tsakanin ciwon huhu da arthrosis shine arthritis yana farawa da kumburin haɗin gwiwa, erythema (jajaye da dumin fata) da kuma zafi mai tsanani wanda ba shi da alaka da tsananin motsi. Hanyoyi masu raɗaɗi na iya ƙara ƙaruwa da dare (yayin da arthrosis "ya rage" bayan hutawa). Sau da yawa babu raguwa a cikin arthritis. A pathological yanayin yawanci tsokane ta danniya, gajiya, mura, ciwon makogwaro, cystitis da sauransu.
Hanyar wani mummunan lamari na iya kasancewa tare da:
- yawan zafin jiki;
- zazzaɓi;
- haɓaka haɗin gwiwa saboda kumburi;
- asarar ƙarfi, ƙara gajiya;
- asarar nauyi.
Dangane da ilimin etiology:
- conjunctivitis;
- zafi a cikin urinary fili;
- mummunan bayyanar cututtuka daga gabobin da ke da jini mai aiki (zuciya, huhu, kodan, hanta).
Alamar farko ta arthrosis yawanci rashin jin daɗi na tsoka ne, tashin hankali, da bayyanar sautin murɗaɗi mai raɗaɗi a cikin gidajen abinci. Ƙunƙarar safiya da sauran alamun na iya bayyana da yawa daga baya. Alamun ci gaba a hankali, cutar tana da halin jinkirin yanayi - wannan shine babban abin da ke bambanta arthrosis daga arthritis. Yayin da yake ci gaba, mai zuwa yana bayyana:
- raguwa a cikin kewayon motsi;
- canza yanayin haɗin gwiwa;
- ciwon da ke kara tsananta bayan motsa jiki.
Jajayen fata da halayen paroxysmal ba su da alaƙa ga arthrosis sai dai idan yana da rikitarwa ta arthritis.
Yanayin jin daɗi a lokacin arthritis da arthrosis na iya zama iri ɗaya, amma hanyoyin su sun bambanta sosai. Don haka, alamun bayyanar cututtuka na arthritis (ƙumburi, zafi, jajayen fata) an samo su ne saboda zubar da jini na synovial wanda membrane na haɗin gwiwa ya haifar a lokacin kumburi. Alamun cututtuka na arthritis suna hade da lalacewar injiniya zuwa ga articular surface da kashi, da samuwar kashi spurs rarraba decompensated lodi.
Localization: menene bambanci tsakanin arthritis da arthrosis?
Dukansu cututtuka na iya shafar kowane haɗin gwiwa, amma a mafi yawan lokuta wurin da pathology zai iya nuna yanayinsa a kaikaice. Don haka, alal misali, amosanin gabbai yana da abin da ake kira "haɗaɗɗen haɗin gwiwa" da "ban da haɗin gwiwa" - dangane da yaduwar cutar.
Arthritis da farko yana rinjayar:
- wuyan hannu da metacarpophalangeal gidajen abinci;
- interphalangeal gidajen abinci na kusa;
- gwiwa da idon kafa;
- metatarsophalangeal (musamman mahaɗin manyan yatsun kafa);
- gwiwar hannu.
Launuka na iya zama ko dai na simmetric (rheumatoid arthritis) ko asymmetrical (psoriatic da sauran nau'ikan).
Arthrosis yana zaɓar haɗin gwiwa masu ɗaukar kaya, waɗanda ke fuskantar babban nauyi ta jiki. Waɗannan sun haɗa da:
- gwiwa;
- metacarpophalangeal haɗin gwiwa na manyan yatsa;
- mahaɗin yatsa mai nisa;
- hip;
- idon kafa;
- intervertebral.
Ta yaya arthritis ya bambanta da arthrosis na gidajen abinci lokacin da aka gano?
Babban ganewar asali na ciwon huhu da arthrosis ya ƙunshi nazarin gani da kuma ƙwanƙwasa haɗin gwiwa wanda ya zama tushen gunaguni. Cututtuka da raunin da suka gabata na iya ba da ma'ana.
Cikakken gwajin jini da na fitsari zai iya tantance bambanci tsakanin cututtukan fata da arthrosis. Zai iya ƙayyade kasancewar ƙwayoyin cuta na ƙwayoyin cuta, haɓakar ƙwayoyin farin jini, saurin erythrocyte sedimentation, da sauran alamomi na kumburi (alal misali, rheumatoid factor. Idan sakamakon ya kasance "tsabta," an ba da wasu gwaje-gwaje.
Hoton x-ray don arthrosis yana nuna raguwar sararin haɗin gwiwa, raguwar ƙwayar guringuntsi, da kuma, dangane da mataki na cutar, kasancewar osteophytes. Tare da arthritis, ba a lura da canje-canje masu gani ba.
Binciken bincike na iya amfani da hanyoyin bincike na kayan aiki (ultrasound, CT, MRI) da ƙananan ƙwayoyin cuta (arthroscopy).
Mene ne bambanci tsakanin maganin arthritis da arthrosis?
Bari mu fara da hasashen. Arthrosis ko da yaushe ba zai iya warkewa - cuta ce ta yau da kullun kuma ana iya ƙunshe da ita kawai. Arthritis na iya zama na kullum (rheumatoid, idiopathic, psoriatic) ko na wucin gadi (mai kamuwa da cuta).
Bari mu dubi fasali da bambance-bambance na asali a cikin maganin waɗannan cututtuka.
Maganin Arthritis
Kuna iya kawar da cututtukan cututtuka masu kamuwa da cuta kafin farawar canje-canje masu lalacewa a cikin haɗin gwiwa tare da jiyya na lokaci tare da maganin rigakafi. Ana taka muhimmiyar rawa ta hanyar zaɓin magani daidai (don haka kuna iya ɗaukar antibiogram). A wannan yanayin, saboda maganin kai, zaka iya rasa lokaci mai mahimmanci.
Rheumatoid arthritis yana buƙatar magani na tsawon rai tare da corticosteroids, magungunan cytotoxic da NSAIDs. Amfani da su yana buƙatar shawarwari na yau da kullum tare da likita saboda mummunan tasiri a jiki (musamman idan ba a lura da sashi da tsawon lokacin karatun ba). Sabbin samfuran halitta suna nuna babban inganci - suna rage tsananin alamun cutar (zafi da kumburi).
Idan ya cancanta, an wajabta maganin analgesics - tsarin ko na gida. Har ila yau, hadadden magani ya haɗa da abinci, physiotherapy, da motsa jiki na warkewa. Idan cutar ta shafi wasu gabobin, ya zama dole a sami shawara daga kwararru na musamman.
Maganin arthrosis
A farkon matakai na arthrosis, kwayoyi da fasaha na physiotherapeutic suna da matukar tasiri, wanda ke inganta farfadowa, abinci mai gina jiki da kuma samar da danshi ga ƙwayar guringuntsi. Yin amfani da chondroprotectors na yau da kullun na iya haɓaka ingancin rayuwa sosai a duk matakan cutar, sai na ƙarshe.
Magungunan anti-inflammatory marasa steroidal da corticosteroids an wajabta su ta hanyar alama don rage kumburi da fara magani na asali. Ana kuma amfani da analgesics bisa ga ka'ida ɗaya - yawanci na gida, a cikin nau'i na gels da creams. Kamar yadda yake tare da ciwon huhu, ana nuna jiyya ta jiki da ilimin motsa jiki, amma dabarun zasu bambanta. Mafi kyawun zaɓi: electrophoresis, Magnetic far, laka far da sauransu.
Menene bambanci tsakanin maganin arthrosis da arthrosis? Babban mahimmanci shine a kan "maidowa" na guringuntsi capsule. Duk da haka, a cikin lokuta masu tasowa, ana iya buƙatar magani na tiyata, gami da maye gurbin haɗin gwiwa.
Shin waɗannan cututtuka guda biyu suna da alaƙa?
Alamun cututtukan cututtuka da arthrosis sau da yawa suna faruwa tare, wanda ke damun ganewar asali. Kumburi na iya faruwa a sakamakon arthrosis, amma arthrosis kuma na iya tasowa saboda ciwon huhu (misali, lokacin da ƙwayar guringuntsi ta lalace ta hanyar uric acid crystals).
Sau da yawa bambancin dake tsakanin arthritis da arthrosis yana da duhu, don haka ana amfani da ma'anar matasan a cikin ganewar asali: osteoarthritis. Yana nufin cutar da ke haɗuwa da alamun lalacewa da kumburi (ba sa bayyana a lokaci guda). Wannan yanayin yana da mahimmanci ga matakai na biyu ko fiye na osteoarthritis, lokacin da rushewar tsarin cartilaginous na tsarin musculoskeletal ya haifar da kumburi na gida.
Rigakafin arthrosis da arthritis sun haɗa da barin halaye marasa kyau, kiyaye tsarin lafiya na orthopedic da abinci. Nauyi yana ƙarƙashin iko. Ya kamata a yi wasanni akai-akai, amma ba tare da yin nauyi ba, tare da mikewa na farko. Takalma, matashin kai, wurin aiki ya kamata ya zama mai dadi. A cikin rigakafin cututtuka na arthritis, rigakafin lokaci, maganin cututtuka, kula da lafiyar hakori da babban rigakafi suna da mahimmanci. Guji hypothermia, damuwa da kitse na jiki!
Muna fatan wannan bayanin ya taimaka muku fahimtar bambanci tsakanin arthritis da arthrosis!