Boholo ba linyeoe tsohle tsa bokooa ba pele (hoo e ka bang 70%) li etsahala ka lebaka la ramatiki ea ramatiki. Ts'oaetso ena ea ts'ebetso e ama metsoako e kopanyang, haholo-holo manonyeletso. Mekhoa e senyang e kopanngoa le mekhoa e rarahaneng ea autoimmune, e bakoang ke ho ruruha le ho timetsoa ha moriana oa lefuba.
Ho fihlela joale, ha ho na lisosa tse bakang ramatiki ea mafu a mafu - ho hlahlojoa ha matšoao le ho phekoloa ha lefu lena ho etsoa tumellanong le histori e ikhethang ea mokuli. Bothata bo ka sehloohong ba phekolo ke ho ba sieo ha matšoao a khethehileng a lefu le tsoelo-pele ea eona e liehang.
Matšoao le Tlhahlobo ea Ramatiki ea Ramatiki
Litšoantšiso tsa pele tsa tlhokomelo ea bongaka ea lefu lena le hlalositsoeng:
- mokhathala;
- ho senyeha ha takatso ea lijo;
- boima ba 'mele bo theohile;
- bofokoli;
- ho tepella maikutlo;
- khaello ea mali;
- ho ruruha ho eketsehileng letlalong la liatla le maotong;
- hlooho ea hlooho;
- boemo ba febrile.
Joale matšoao a tloaelehileng a lefu lena a hlokomeloa:
- ho ruruha;
- eketseha ka boholo ba manonyeletso;
- litseko tsa litšoelesa tsa salivary le tse bohloko;
- ho fetoha;
- linako tsa tšoarelo, ho lateloa ke ho khutlela morao;
- ho fokotsa ho tsamaea;
- bohloko ho manonyeletso le mesifa;
- khubelu ea letlalo sebakeng se amehileng.
Tlhahlobo ea ramatiki ea lefu la masapo e na le ho hlahloba ka ho feletseng litletlebo tsa mokuli le boteng ba lipontšo tse ka holimo. Lipatlisiso tse ling hape li hlokoa:
- kakaretso, likokoana-hloko le tlhahlobo ea immunolose ea mali;
- radiography;
- palo ea ESR;
- ho fumanoa ka li-antibody titer ho peptide e nang le citric-citrulline;
- tlhaloso ea rheumo factor.
Phekolo ea mantlha bakeng sa matšoao le matšoao a manonyeletso a ramatiki a lefu la rumatoid
Lefu lena le potsoeng le hloka phekolo e hlophisehileng, kaha e atisa ho khutla esita le nakong ea nako e telele le e sa khaotseng ea phekolo.
Kalafo ea morao-rao e na le tšebeliso ea lithethefatsi ho tsoa lihlopha tse 4 tsa litsebi:
- lithethefatsi tse seng li-steroidal tse khahlanong le ho ruruha;
- glucocorticosteroids;
- lithethefatsi tsa motheo tsa antirheumatic;
- cytostatic immunosuppressants.
Mekhoa e meng ea phekolo e khethoa ke rheumatologist ho latela mokhoa oa ho ruruha, boima ba eona, boemo ba bophelo bo botle, mokhoa oa ho phela le lilemo tsa mokuli.
Litšoao tsa matšoao le phekolo ea ramatiki ea ramatiki ea lengole
Ho hlōloa ha manonyeletso a joalo joalo ho ka lebisa ho lahleheloa ke karolo kapa ho feletseng ea ho tsamaea, bokhoni ba ho tsamaea. Maqhubu a senyehile haholo, joalokaha eka a kheloha ka ntle. Bakuli ba utloa bohloko haholo, ba "tsikitlanya" bohloko, haholo-holo ka boiteko ba 'mele, esita le ba banyenyane.
Bakeng sa phekolo ea mantlha ea ramatiki ea lefu la bo-rumatoa tabeng ena, liente tsa intraarticular tsa corticosteroids li kenyelletsoa, hammoho le physiotherapy:
- li-radon le hydrogen sulphide bath ;
- parafine, likopo tsa seretse;
- ho khantša le mahlaseli a kotsi;
- tšusumetso ea mahlaseli.
Matšoao a khethehileng le phekolo ea ramatiki ea maoto a leoto
Ho phaella matšoao a bontšitsoeng ka holimo, haeba manonyeletso a leoto a senyehile, bakuli ba ikutloa:
- ho thatafala libakeng tse amehang bonyane hora e le 'ngoe, hangata hoseng;
- bohloko ha u tsamaea;
- ho ruruha ho matla ha maoto.
Mekhoa ea phekolo bakeng sa ho ruruha ha sebaka sa sebaka sena e tlatsetsoa ke khetho ea litlolo tse khethehileng tsa masapo, ho silila, phonophoresis le hydrocortisone.
Hape, tšebeliso ea lithethefatsi tsa anticytokine le antilymphocytic (Remicade, Orencia, Actemra, Mabtera le tse ling) e khothalletsoa.
Kalafo le matšoao a ramatiki ea mafu a matsoho, setsoe le mahetleng
Likarolo tsena tsa 'mele hangata li na le liphetoho tse bakoang ke lefuba ka lebaka la rheumatritis. E 'ngoe ea matšoao a hlakileng a lefu lena tabeng ena ke ho ba teng ha ts'ebetso le ho fetola maikutlo:
- litlhaloso;
- ho hlahisa phetoho ea selekane;
- ankylosis;
- lihlopha tse eketsehileng ka boholo;
- litumellano;
- ho fereha ha mesifa e haufi;
- li-nodule tsa li-rumatoid.
Phekolo ea mofuta o sa khaotseng oa lefu lena boemong bona bo akarelletsa ho sebelisoa ha mekhoa eohle e neng e etsoa pele. Ka nts'etso-pele e tsitsitseng ea ramatiki ea ramatiki, liente tsa yttrium e ts'oaetsanoang kapa khauta e kenngoeng ka letsoho li laeloa.