Maimoatanga tūpato o te kaikōiwi

kaikōiwi no ki te pūnahanaha mate kiko tūhonohono ki pāpaka o hononga iti o nga topito. titau ma'i akoranga ahu whakamua o te mate maimoatanga maoro, me te pūnahanaha. maimoatanga tūpato o te kaikōiwi kawea i roto i roto i te ahunga e whai ake nei:

- te whakakorenga attenuation o te mamae ranei;

mumura -Whakaitia i roto i te membrane synovial o hononga, te ārai o te whakangaromanga wheua, ā whai wāhitanga okana me ankylosis;

- te ārai o te deformation tahi;

- whakaaurakitanga o tūroro tinana me psychologically.

Ki te exacerbation koi o te kaikōiwi timata ki te whakarite o te moenga ranei maimoatanga ngawari, immobilization o hononga pāngia, anti-inflammatory me rongoā analgesic.

therapy Anti-inflammatory

NSAIDs ki te kaihoko taketake whakamahia te ki te hamani faaiteraa whakapeka o mate rite therapy tiaki i roto i te wā o te rumati āta ahu whakamua. I roto i te puka o hinu, me te aihikirīmi NSAIDs e whakamahia mō te maimoatanga wā. Ahakoa whai NSAIDs analgesic pai, me te mahi antiinflammatory, e kore e pā te akoranga o te mate, me te kore e ārai i te whakangaromanga o papa ngohe articular. Tenei rōpū o taero ka whakahaere mukākā te puku e taea arahi ki gastritis tarukino-piri me tae noa mariao.

raau taero taketake

Ko te pūtake o te maimoatanga tarukino o kaikōiwi riro taero taketake. Enei taero te whakarerekē i te ahunga whakamua o te mate, āta puta ratou pānga. Ki nga tikanga taketake ngā immunosuppressants cytotoxic - tai koura, aminohinolinovogo taka, D-penicillamine. Ko tētahi o nga taero tino noa o tenei rōpū - methotrexate i roto i te kaikōiwi he pānga anti-inflammatory korerotia, pōturi ahunga whakamua atu o te mate, me te tiaki wheua ngohe kiko i te whakangaromanga.

raau taero Basic whakahaerea e kore i muri atu i te 3 marama o te therapy i roto i tūroro katoa ki hohe kaikōiwi ki kahore he pānga i te whakamahi o NSAIDs. Ki te kore e hoatu i te whakamahi o te raau taero taketake nga hua haumanu hiahiatia e rua ki te toru marama i roto, e rapu atu maimoatanga corticosteroid.

corticosteroids

E whakaritea Corticosteroids mō te mahi nui o te mumura, kaikōiwi, faaiteraa pūnahanaha ki te whai wāhi o whekau, me kahore he pānga i runga i te maimoatanga o NSAIDs me DMARDs.

Corticosteroids, i runga i te pakeke o te mumura rānei whakahaerea nei i roto i te horopeta o i te 10 ki te 40 mg ia ra (prednisolone ōrite). tono ana tēnei horopeta te ki te whakatutuki i te murunga pūmau aru e te heke āta o taero hormonal me ti'araa tukutahi o NSAID.

Rheumatoid Arthritis Treatment ki corticosteroids whakarato hua pai tere, engari ka taea e arahi ki pōauautanga. Na reira, kia kia taua maimoatanga i raro i te mana o te pau ma'io te.

Me kawea rongoā maimoatanga o te kaikōiwi i roto i ngā tikanga-tinana. whakamahi tōtika hemosorption, plasmapheresis, waitinana me immunoadsorption, phonophoresis, therapy autō, taiaho therapy. Ko maimoatanga Local o werohia intraarticular o taero anti-inflammatory me corticosteroids, kawea nei i roto i roto i ngā tari motuhake o Rheumatology.

Ko te tūroro murunga tautapa maimoatanga hōhipera te whakamahi i paru whakaora, ngā tukanga ozocerite me tono kaukau.

arotakehia matou rheumatoid rumati, tohu, maimoatanga o tenei mate, tei runga i te atamira. Ka pōturi maimoatanga rawaka o te kaiponapona haereraa atu, me te whanaketanga o pōauautanga.