Qhov txawv ntawm Lupus thiab Rheumatoid Arthritis

Qhov txawv ntawm Lupus thiab Rheumatoid Arthritis
Qhov txawv ntawm Lupus thiab Rheumatoid Arthritis

Video: Qhov txawv ntawm Lupus thiab Rheumatoid Arthritis

Video: Qhov txawv ntawm Lupus thiab Rheumatoid Arthritis
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YLupus vs Rheumatoid Mob caj dab

Ob leeg mob caj dab rheumatoid thiab mob caj dab lupus cuam tshuam rau cov pob qij txha. Ob leeg tam sim no nrog mob, o, thiab txhav, thiab ob leeg mob caj dab muaj cov kab mob tshwm sim. Txawm hais tias lawv muaj cov tsos mob zoo sib xws, kev kho mob rheumatoid mob caj dab thiab lupus txawv. Kab lus no yuav tham txog ob qho tib si rheumatoid mob caj dab thiab lupus thiab qhov sib txawv ntawm lawv hauv kev nthuav dav, qhia txog lawv qhov chaw kho mob, cov tsos mob, kev tshawb nrhiav thiab kev kuaj mob, kev kuaj mob, thiab kev kho mob / kev tswj lawv xav tau.

Rheumatoid mob caj dab

Rheumatoid mob caj dab yog ib qho mob, deforming caj dab. Nws feem ntau cuam tshuam rau ob sab ib zaug. (Piv txwv: rheumatoid mob caj dab ntawm ob lub dab teg). Feem ntau nws muaj cov pob qij txha ntawm lub cev sab. (Piv txwv: ntiv tes, ntiv taw, pob taws thiab dab teg). Rheumatoid mob caj dab tshwm sim feem ntau nyob rau hauv lub thib tsib caug xyoo. Nws cuam tshuam rau poj niam ntau dua li txiv neej. Cov neeg haus luam yeeb muaj kev pheej hmoo siab ntawm kev mob caj dab rheumatoid. Nws feem ntau tshwm sim nrog o, mob, tawv tes thiab ko taw. Cov tsos mob ntawm tus mob rheumatoid mob zuj zus tuaj thaum sawv ntxov. Qee zaum rheumatoid mob caj dab cuam tshuam cov pob qij txha loj dua. Sib nrug los ntawm qhov kev nthuav qhia no, muaj qee qhov kev nthuav qhia atypical, ib yam nkaus.

Rheumatoid mob caj dab tuaj yeem tsis tshua muaj tshwm sim los ntawm polyarthritis ntawm ntau yam pob qij txha, mob mono-mob caj dab, kab mob hauv lub cev nrog cov teeb meem sib koom ua ke tsawg, qhov mob tsis meej pem hauv caug, thiab mob caj dab tam sim ntawd. Muaj peb yam kev sib koom ua ke deformities nyob rau hauv tsim rheumatoid mob caj dab. Lawv yog Boutonniere qhov deformity, swan caj dab deformity, thiab Z ntiv tes xoo deformity. Kev sib xyaw ua ke ntawm hyper flexed proximal inter-phalangeal sib koom ua ke nrog kev sib koom ua ke ntawm hyper-extended inter-phalangeal joint yog hu ua Boutonniere's deformity. Qhov no tuaj yeem tshwm sim hauv 2nd rau 5th ntiv tes. Kev sib xyaw ua ke ntawm kev sib koom ua ke ntawm kev sib koom ua ke ntawm kev sib txuas ntawm phalangeal nrog hyper flexed distal inter-phalangeal sib koom yog hu ua swan neck deformity. Kev sib xyaw ua ke ntawm hyper flexed carpo-metacarpal sib koom ua ke, hyper flexed metacarpo-phalangeal sib koom nrog hyper ncua inter-phalangeal sib koom ntawm tus ntiv tes xoo yog hu ua Z ntiv tes. Sib nrug los ntawm kev sib koom ua ke muaj peev xwm ua tau qis hemoglobin, me me nodules nyob rau hauv daim tawv nqaij, lymph node o, carpal tunnel syndrome, qis ntshav dawb suav, poob phaus, mob qhov muag liab, qhov muag qhuav, ua pa nyuaj, mob hauv siab, pob txha tsis muaj zog, thiab nquag pob txha hauv rheumatoid mob caj dab.

X-rays ntawm cov pob qij txha qhia qhov xoob ntawm pob qij txha thiab pob txha erosions. Kev tawm dag zog tsis tu ncua yog qhov tseem ceeb kom sov cov pob qij txha thiab txo qhov mob. Joint splints tshem tawm cov pob qij txha. Kev txhaj tshuaj steroid txo cov leeg mob. NSAIDs txo cov leeg mob, thiab. Kab mob hloov kho tshuaj xws li sulfasalazine, methotrexate, thiab ciclosporin cuam tshuam nrog cov txheej txheem kab mob thiab ua rau qeeb ntawm kev mob.

Lupus mob caj dab

Systemic lupus erythematosus yog ib qho kev tsis sib haum xeeb. Cov neeg raug tsim txom tsim cov tshuaj tiv thaiv tiv thaiv tus kheej-molecules. Yog li ntawd, cov ntaub so ntswg thoob plaws lub cev qhia cov tsos mob ntawm o. Kev mob caj dab hauv lub cev lupus erythematosus tsis yog-erosive. Kev mob caj dab tsis rhuav tshem cov pob txha pob txha thiab cov pob txha pob txha. Feem ntau, tus kab mob no muaj ob lossis ntau dua pob qij txha. Lawv yog cov mos mos, mob thiab tawv. Cov kua dej tuaj yeem sib sau ua ke hauv qhov chaw sib koom ua ke ua rau effusion. 90% ntawm cov neeg mob uas muaj kab mob lupus erythematosus qhia kev sib koom tes. Kev sib koom ua ke tuaj yeem tau xoob (subluxation). Qhov no tuaj yeem deform qhov sib koom ua ke. Qhov no yog hu ua Jaccoud's arthropathy. Cov pob txha nyob ze cov pob qij txha tuaj yeem tuag (aseptic necrosis).

Qhov txawv ntawm Lupus thiab Rheumatoid Arthritis yog dab tsi?

• Lupus mob caj dab (LA) tsis tshua muaj, tab sis mob caj dab rheumatoid (RA) muaj ntau.

• Lupus mob caj dab tsis rhuav tshem cov pob qij txha thaum mob rheumatoid ua.

• Lupus mob caj dab tej zaum yuav nyob ib leeg thaum rheumatoid mob caj dab yog ob sab.

• Cov tsos mob ntawm mob caj dab mob hnyav zuj zus thaum sawv ntxov thaum cov tsos mob Lupus mob caj dab ntau dua thoob plaws hnub.

• Txhua tus neeg mob lupus erythematosus tsis mob caj dab, tab sis txhua tus neeg mob rheumatoid mob caj dab muaj kev koom tes.

• Cov neeg mob Lupus mob caj dab kuaj pom zoo rau cov tshuaj tiv thaiv nuclear thaum cov neeg mob rheumatoid tsis ua.

• Txhua tus neeg mob rheumatoid mob caj dab yog rheumatoid yam zoo thaum tsuas yog 40% ntawm cov kab mob lupus erythematosus yog rheumatoid yam zoo.

Koj kuj tseem xav nyeem:

1. Qhov txawv ntawm Gout thiab mob caj dab

2. Qhov txawv ntawm Osteoarthritis thiab Osteoporosis

3. Qhov txawv ntawm Osteoarthritis thiab Rheumatoid Arthritis

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