Qhov Tseem Ceeb Qhov txawv - Polymyalgia Rheumatica vs Rheumatoid Arthritis
Polymyalgia rheumatica thiab rheumatoid mob caj dab yog ob yam kab mob uas muaj kev nthuav qhia zoo sib xws. Polymyalgia rheumatica (PMR) yog ib qho kab mob ntawm cov neeg laus uas muaj feem xyuam nrog kev tshawb pom ntawm cov kab mob loj heev ntawm lub cev nqaij daim tawv nqaij. Ntawm qhov tod tes, rheumatoid mob caj dab yog ib hom kev mob caj dab uas ua rau mob synovial. Tawm ntawm ob yam mob no, tus kab mob loj heev tuaj yeem pom tsuas yog hauv polymyalgia rheumatica. Qhov no yog qhov sib txawv tseem ceeb uas cais cov kab mob no.
Polymyalgia Rheumatica yog dab tsi?
Polymyalgia rheumatica (PMR) yog ib qho kab mob ntawm cov neeg laus cuam tshuam nrog kev tshawb pom ntawm cov kab mob loj heev ntawm cov hlab ntsha ntawm lub cev nqaij daim tawv nqaij.
Tshuaj Kho Mob
- Sudden tshwm sim ntawm qhov mob hnyav thiab txhav ntawm lub xub pwg nyom, caj dab, lub duav thiab lumbar qaum.
- Qhov mob feem ntau hnyav zuj zus thaum sawv ntxov thiab tuaj yeem kav ntev li ob peb teev.
- Nyob
- poob qis
- Kev nyuaj siab
Nyob zoo ib tsoom niam txiv kwv tij phooj ywg sawv daws
Kev tshawb nrhiav
- CRP thiab ESR qib tau nce siab
- Normochromic normocytic anemia tuaj yeem txheeb xyuas tau los ntawm cov ntshav suav thiab cov ntshav
- Temporal artery biopsy
Kev tswj hwm
Kev siv cov tshuaj corticosteroids zoo dua hauv kev kho PMR dua li NSAIDS. Thaum tsis muaj kev txhim kho ntawm tus neeg mob txawm tias tom qab kev tswj hwm ntawm corticosteroids lwm txoj hauv kev rau cov tsos mob xws li malignancy yuav tsum tau nrhiav.
Rheumatoid Arthritis yog dab tsi?
Rheumatoid mob caj dab yog ib hom mob caj dab uas ua rau mob synovial. Nws tshwm sim nrog inflammatory symmetrical polyarthritis. Rheumatoid mob caj dab yog ib hom kab mob autoimmune uas nws pib cov tshuaj tiv thaiv kab mob tsim tawm tsam IgG thiab citrullinated cyclic peptide.
Qhov kev nthuav qhia ib txwm ntawm rheumatoid mob caj dab suav nrog kev nce qib, sib luag, peripheral polyarthritis uas tshwm sim dhau ob peb lub lis piam lossis ntau hli hauv cov neeg mob hnub nyoog 30 thiab 50 xyoo. Feem ntau ntawm cov neeg mob yws yws ntawm qhov mob thiab nruj ntawm cov pob qij txha me ntawm ob txhais tes (metatarsophalangeal, proximal interphalangeal) thiab ko taw (metatarsophalangeal) uas ua rau thaum sawv ntxov. Distal interphalangeal pob qij txha feem ntau yog tseg. Cov pob qij txha cuam tshuam yog sov, sib tw thiab o.
Nonarticular Manifestations
- Scleritis lossis scleromalacia
- Qhov muag qhuav thiab qhov ncauj qhuav
- Pericarditis
- YLymphadenopathy
- pleural effusion
- Bursitis
- Tendon sheath o
- Anemia
- Tenosynovitis
- Carpal qhov syndrome
- Splenomegaly
- YPolyneuropathy
Vasculitis
Kev nyuaj siab
- Ruptured tendons
- Ruptured joints
- kab mob sib kis
- Ntsuab qaum compression
- Amyloidosis
Kev tshawb nrhiav
Kev kuaj mob RA tuaj yeem ua raws li kev soj ntsuam soj ntsuam. Qhov kev ua xyem xyav kho mob tuaj yeem txhawb nqa los ntawm kev tshawb nrhiav hauv qab no
- ntshav suav uas tuaj yeem qhia pom muaj tus kabmob normochromic, normocytic anemia
- ESR thiab CRP ntsuas.
- ACPA qib tau nce thaum lub sijhawm pib.
- X-rays qhia cov nqaij mos o.
- Kev sib koom tes thaum muaj kev sib koom ua ke.
- Doppler Ultrasound tuaj yeem siv rau kev txheeb xyuas ntawm synovitis.
Daim duab 02: Ib txhais tes nrog Rheumatoid Arthritis thiab Swan Neck Deformity.
Kev tswj hwm
NSAIDs thiab tshuaj loog yog siv los tswj cov tsos mob. Yog tias synovitis tshwm sim dhau rau lub lis piam, sim ua kom tshem tawm cov tshuaj intramuscular depot methylprednisolone 80-120mg. Yog hais tias synovitis rov tshwm sim, kev tswj hwm ntawm Kab Mob Hloov Kho Cov Tshuaj Tiv Thaiv Rheumatic (DMARDs) yuav tsum raug txiav txim siab.
Dab tsi yog qhov sib xws ntawm Polymyalgia Rheumatica thiab Rheumatoid Arthritis?
Ob qho xwm txheej feem ntau cuam tshuam rau cov neeg laus
Qhov txawv ntawm Polymyalgia Rheumatica thiab Rheumatoid Arthritis yog dab tsi?
polymyalgia Rheumatica vs Rheumatoid mob caj dab |
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| Polymyalgia rheumatica (PMR) yog ib qho kab mob ntawm cov neeg laus cuam tshuam nrog kev tshawb pom ntawm cov kab mob loj heev ntawm cov hlab ntsha ntawm lub cev nqaij daim tawv nqaij. | Rheumatoid mob caj dab yog hom mob caj dab uas ua rau cov kab mob synovial. |
| Giant Cell Arteritis | |
| Muaj cov kab mob loj heev hauv cov hlab ntsha ntawm lub cev | Tsis muaj kev cuam tshuam loj heev ntawm cell arteritis. |
| Tshuaj kho mob | |
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Cov yam ntxwv ntawm PMR yog, · Tam sim ntawd tshwm sim ntawm qhov mob hnyav thiab tawv nqaij ntawm lub xub pwg nyom, caj dab, lub duav thiab lumbar qaum. · Qhov mob feem ntau tshwm sim thaum sawv ntxov thiab tuaj yeem kav ntev li ob peb teev. · Fatigue · Kub · poob ceeb thawj · Kev nyuaj siab · Ncua tawm hws |
Nyob zoo ib tsoom niam txiv kwv tij neej tsas sawv daws Feem ntau ntawm cov neeg mob yws yws ntawm qhov mob thiab tawv nqaij ntawm cov pob qij txha me (metatarsophalangeal, proximal interphalangeal) thiab ko taw (metatarsophalangeal) uas hnyav zuj zus thaum sawv ntxov. Distal interphalangeal pob qij txha feem ntau yog tseg. Cov pob qij txha cuam tshuam yog sov, sib tw thiab o. Nonarticular manifestations · Scleritis lossis scleromalacia · Qhov muag qhuav thiab qhov ncauj qhuav · Pericarditis · Lymphadenopathy · Pleural effusion · Bursitis · Tendon sheath swelling · Anemia · Tenosynovitis · Carpal tunnel syndrome · Vasculitis · Splenomegaly · polyneuropathy · Leg ulcers |
| Kev kuaj mob | |
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Kev tshawb nrhiav ua rau kev kuaj mob · CRP thiab ESR qib tau nce siab · Tus kab mob normochromic normocytic anemia tuaj yeem txheeb xyuas tau los ntawm cov ntshav suav thiab cov ntshav · Temporal artery biopsy |
Kev kuaj mob RA tuaj yeem ua raws li kev soj ntsuam soj ntsuam. Qhov kev ua xyem xyav kho mob tuaj yeem txhawb nqa los ntawm kev tshawb nrhiav hauv qab no · Cov ntshav suav uas tuaj yeem pom muaj cov kab mob normochromic, normocytic anemia · ESR thiab CRP ntsuas · ACPA qib tau nce thaum lub sijhawm ntxov · X-rays qhia cov nqaij mos o · Kev sib koom tes thaum muaj kev sib koom ua ke · Doppler Ultrasound tuaj yeem siv rau kev txheeb xyuas cov kab mob synovitis. |
| Kev siv cov tshuaj corticosteroids zoo dua hauv kev kho PMR dua li NSAIDS. Thaum tsis muaj kev txhim kho ntawm tus neeg mob txawm tias tom qab kev tswj hwm ntawm corticosteroids lwm txoj hauv kev rau cov tsos mob xws li malignancy yuav tsum tau nrhiav. | NSAIDs thiab tshuaj loog yog siv los tswj cov tsos mob. Yog tias synovitis tshwm sim dhau rau lub lis piam, sim ua kom tshem tawm cov tshuaj intramuscular depot methylprednisolone 80-120mg. Yog tias synovitis rov tshwm sim, kev tswj hwm ntawm Kab Mob Hloov Kho Cov Tshuaj Tiv Thaiv Kab Mob Rheumatic (DMARDs) yuav tsum raug txiav txim siab. |
Summary – Polymyalgia Rheumatica vs Rheumatoid Mob caj dab
NSAIDs thiab tshuaj loog yog siv los tswj cov tsos mob. Yog tias synovitis tshwm sim dhau rau lub lis piam, sim ua kom tshem tawm cov tshuaj intramuscular depot methylprednisolone 80-120mg. Yog tias synovitis rov tshwm sim, kev tswj hwm ntawm Kab Mob Hloov Kho Cov Tshuaj Tiv Thaiv Kab Mob Rheumatic (DMARDs) yuav tsum raug txiav txim siab.
Download the PDF Version of Polymyalgia Rheumatica vs Rheumatoid Mob caj dab
Koj tuaj yeem rub tawm PDF version ntawm kab lus no thiab siv nws rau offline hom phiaj raws li daim ntawv ceeb toom. Thov download PDF version ntawm no Qhov txawv Ntawm Polymyalgia Rheumatica thiab Rheumatoid Arthritis
