Ọrịa ogbu ogbu na nkwonkwo - mgbaàmà na ọgwụgwọ

A ọtụtụ ndị na afọ site 20 ruo afọ 50 na-ata ahụhụ site na nkwonkwo ọrịa. Kacha nkịtị ndị a bụ ọrịa ogbu ogbu na nkwonkwo. N'isiokwu a, anyị ga-elekwasị anya na ihe bụ ọrịa, otú e si amata ma na-emeso.

Infectious nonspecific (ma ọ bụ ọrịa ogbu) ogbu na nkwonkwo - meriri nke connective anụ ahụ na nkwonkwo usoro. N'adịghị ka ọrịa ogbu, ọrịa n'ụdị nke ọrịa ji nwayọọ nwayọọ na-ọnwụ nke obere nkwonkwo aka, mkpịsị aka, ụkwụ na ndị ọzọ, na ụdi mmepe nke nje. Ọ na-emetụta ọ bụghị nanị nkwonkwo kamakwa akpụkpọ, splin, Lymph na akụrụ.

N'ọnọdụ ka ukwuu, ihe mgbaàmà na-egosipụta mgbe hypothermia, na oyi na-efe efe (rịaworo, influenza, otitis media). Na nkwonkwo na ọrịa na ndị inyom emee 3 ugboro karịa ụmụ nwoke. 15 - 20% nke ikpe na-eduga ná n'ihu nkwarụ. The udi nke eruba ọrịa ogbu ogbu na nkwonkwo nwere ike ịbụ nnukwu ma ọ bụ ala ala.

Ọrịa ogbu ogbu na nkwonkwo - Mgbaàmà

Otụk ọrịa na mbụ ogbo bụ a nta okpomọkụ abawanye (ruo 37,5 Celsius C), ọnwụ nke agụụ, na ọtụtụ ikpe - palpitations. Mgbe 1.5 - 2 ọnwa ọrịa amalite ngwa ngwa hapụ arọ, e nwere ozizi na ihe mgbu na-emetụta nkwonkwo, ahu okpomọkụ - ụba.

Joint mmebi ime symmetrically, ihe mgbu nsogbu ọ bụghị naanị mgbe ụgbọala ma ọ bụ na-eje ije, ma zuru ịnọrọ. Ọdịdị nke ihe mgbu na nkwonkwo - a na-aga n'ihu, nke na-adịkwu na ọjọọ ihu igwe ma ọ bụ nke ụtụtụ. Ná mmalite nke ihe mgbu nke ọrịa agafe, ma n'ihu progression mgbe bụ na-adịgide adịgide. N'ime oge ahụ, ọhụrụ nkwonkwo na-aka na nke ugbu a usoro nke ọrịa.

Ịrịba ama ọzọ bụ na nkwonkwo isi ụtụtụ. Ụtụtụ, mgbe na-ehi ụra, onye ọrịa nwere ike na o siri ike ga-esi n'ime bed, sonso-akpụ akpụ ya brushes, gbagọrọ agbagọ na unbend gị na ikpere na mkpịsị aka. Nke a ọnọdụ ewe ebe ke a obere na-ekpo ọkụ-elu. Nke a ji mara mgbaàmà na n'oge ogbo nke ogbu na nkwonkwo. Na isi ihe ebe a - ọ na-adịghị na-atụ uche oge na ngwa ngwa-achọ ọgwụ anya.

Mpụga ịrịba ama akara eguzogide ọzịza nkwonkwo, a nta reddening nke anụ ahụ, mgbanwe udi nke nkwonkwo. Na-emetụta aka na ụkwụ na-"Rosy" anya nke uru ahụ - mkpa na thinning hụrụ deformation na kenkuwa mbọ, na isio longitudinal ọcha n'ọnyá.

Na na aka nke anụ ahụ oyi na clammy, nkwonkwo na-anọkwasị n'ụdị nodules. Ọrịa ogbu nodules ndị kasị mara ihe ịrịba ama nke ọnụnọ nke polyarthritis. Ọ bụrụ na mgbaàmà ndị ọzọ, dị ka ọkọ na isi nwere ike ime na ọnụnọ nke ọrịa ndị ọzọ, ọnụnọ nke mara akpụ - dịghị. The nodules dị n'okpuru anụ, na a dayameta nke 2 cm, na ụdị nke a whitish enweghi mgbu na akàrà n'elu mgbatị ebe emetụta nkwonkwo.

nchọpụta nsogbu

Diagnosis dabeere data si x-ray, laabu na-adakarị nnyocha. E ji mara Mbelata ke ọbara ọcha cell ọnụ, mụbara erythrocyte sedimentation ọnụego, ịta nke sialic acid (n'elu 0,2) na fibrinogen (karịa 3 g / l), na omume C-reactive protein. Ọkpụkpụ calcium depleted ọrịa, e nwere a ibelata nke nkwonkwo cracks.

Ọrịa ogbu ogbu na nkwonkwo - Ọgwụgwọ

Ọgwụgwọ nke ọrịa ga-ewere ọnọdụ n'okpuru nlekọta nke a dọkịta na ikpe nke na nsogbu bụ a amanyere bụ iwu ụlọ ọgwụ. Ogbu ọgwụgwọ bụ nnọọ ogologo oge na-agụnye iji ihe:

• ndị so ná ndị antiinflammatory ọgwụ ọjọọ. Ha belata mbufụt, ihe mgbu, nwere a ngwa ngwa mmetụta nke edinam. Mmetụta - mmerụ ahụ na dyspepsia;
• corticosteroids, nke ga-ewepụ mbufụt, ikwado mgbu na mgbaàmà ndị ọzọ;
• ndabere antirheumatic ọgwụ ọjọọ, ọrịa na-modifying eruba (gidrosihlorohin, sulfazalin);
• ọgwụ ọjọọ na gbochie kpụworo akpụ necrosis (adalimumab, infliximab, etanercept) site anamde ibọ injectable subcutaneously ma ọ bụ intravenously;
• Physiotherapy (cryotherapy, ozocerite ọgwụgwọ, magnetik ọgwụ, ultrasound ọgwụ na paraffin). Ndinọ na Nchikota na-aṅụ ọgwụ. Na-enyere aka normalize na metabolism, iji weghachi ọbara na igbu mgbu nkwonkwo, slows Mbelata nke ọkpụkpụ uka.

Nso nso irè itinye usoro ọbara ọcha (hemosorbtion, plasmapheresis). Mgbe ụfọdụ, ihe ngwọta kasị mma ga-abụ waa ya ahụ iji wepụ splin.

Na-akọwapụta ọrịa ndị dị ka ọrịa ogbu ogbu na nkwonkwo, na ọgwụgwọ ga-rụrụ ozugbo, ruo mgbe ọrịa mechaa na-adịghị ala ala ụdị. Mgbe e mesịrị, o dikwa oke mkpa iji gbochie ọhụrụ ngosipụta nke ọrịa. Iji mee nke a, uche pụrụ iche na a ga-akwụ ụgwọ iji ọgwụgwọ nke ala ala ọrịa ndị dị ka pharyngitis, Sinusitis, tonsillitis, goiter.