Nws xav li cas thiaj muaj mob rheumatoid?
Rheumatoid mob caj dab yog cov kab mob ntau tshaj plaws nyob rau hauv lub rheumatology department. Piv txwv li, Dr. Xie kho ntau dua 1,000 cov neeg mob rheumatoid txhua xyoo. Cia peb teb lo lus nug no hnub no:
Cov tsos mob ntawm rheumatoid mob caj dab yog dab tsi thiab yuav kho li cas?
Cov tsos mob tseem ceeb ntawm tus mob rheumatoid thaum ntxov yog o thiab mob hauv pob qij txha. Txawm li cas los xij, qhov o thiab mob ntawm rheumatoid mob caj dab feem ntau muaj lawv tus yam ntxwv:
1. Symmetry:Nws tsis txhais hais tias yog tus ntiv tes sab laug yog o, tus ntiv tes sab xis yuav tsum o; tab sis yog tus ntiv tes laug o thiab mob, tus ntiv tes sab xis feem ntau yog o thiab mob. Ob leeg sab laug thiab sab xis, koom nrog ntau cov pob qij txha, qhov no yog hu ua "symmetry", uas yog ib qho tseem ceeb ntawm kev mob caj dab rheumatoid.
2. Kev nthuav dav:Ntau cov pob qij txha hauv lub cev yog o thiab mob, tsis yog ib qho pob qij txha xwb. Nyob rau hauv cov ntaub ntawv no, rheumatoid mob caj dab yuav tsum tau xav tias heev (los yog thawj zaug txiav tawm). Qhov o thiab mob ntawm ib qho kev sib koom ua ke qee zaum yuav tsum tau kuaj xyuas lwm yam ua ntej.
3. Tes pob qij txha:Cov pob qij txha feem ntau cuam tshuam los ntawm rheumatoid mob caj dab yog cov ntiv tes pob qij txha, thiab o ntawm ntau lwm cov pob qij txha xws li lub luj tshib thiab hauv caug kuj tuaj yeem tshwm sim. Tab sis feem ntau, cov pob qij txha ntawm tes muaj teeb meem ntau tshaj plaws thiab feem ntau tshwm sim.
4. Proximal ntiv tes koom nrog, tab sis cov ntiv tes distal tsis koom nrog:Raws li pom hauv daim duab hauv qab no, cov ntiv tes nruab nrab yog o thiab mob, thaum kab ntawm cov pob qij txha ze ntawm cov rau tes tsis muaj tsos mob. Qhov no yog ib qho tseem ceeb ntawm kev mob caj dab rheumatoid.
Nyob rau tib lub sijhawm, yog tias tsis kho raws sijhawm, kev sib koom ua ke yuav tshwm sim. Cov phau ntawv qhia piav txog peb yam tseem ceeb: swan caj dab deformity, pob paj deformity, thiab ulnar sib txawv - qhov raug zoo li cov duab hauv qab no:
Txhawm rau kuaj xyuas thiab ntsuas tus mob rheumatoid mob caj dab, cov tsos mob ib leeg tsis txaus. Kev sim kuaj mob kuj tseem xav tau, feem ntau suav nrog ob pawg hauv qab no:
1. Cov yam ntxwv zoo rheumatoid cov tshuaj tiv thaiv:suav nrog cov tshuaj tiv thaiv cyclic citrullinated antibodies (anti-CCP), rheumatoid factor (RF), anti-keratin antibodies (AKA), thiab anti-mutated citrullinated vimentin antibodies (MCV). Cov neeg mob uas muaj tus yam ntxwv zoo rheumatoid cov tshuaj tiv thaiv tus account rau feem coob ntawm cov mob caj dab rheumatoid.
2. Nce inflammatory indicators, Assuav nrog erythrocyte sedimentation tus nqi (ESR) thiab C-reactive protein (CRP).
Feem ntau cov neeg mob rheumatoid mob caj dab thaum ntxov muaj ob qho tib si ntawm cov saum toj no, thiab cov neeg mob tsawg heev tsuas yog muaj cov kab mob rheumatoid uas tsis muaj cov tshuaj tiv thaiv kab mob zoo rheumatoid (cov neeg mob no yuav tsum muaj cov yam ntxwv zoo sib xws nrog rheumatoid mob caj dab kom kuaj tau).
Thaum tus neeg mob muaj ntau qhov kev kuaj mob saum toj no + cov kev kuaj sim, thiab lwm yam kab mob tsis suav nrog, tus kws kho mob rheumatologist yuav kuaj koj li "rheumatoid mob caj dab"
Thaum koj muaj mob caj dab rheumatoid, koj yuav tsum pib kho sai li sai tau! Qhov kev kho mob ua ntej, qhov kev puas tsuaj tsawg dua, qhov kev kho mob zoo dua, thiab ntau dua qhov tseeb ntawm kev tswj cov kev sib koom ua ke uas twb muaj lawm! Nws tuaj yeem hais tias: Lub sijhawm yog pob qij txha! Kev kho mob rheumatoid mob caj dab yog txheej txheem ntawm kev sib tw tiv thaiv lub sijhawm kom txuag pob qij txha!
Feem ntau hais lus, tom qab kuaj mob rheumatoid mob caj dab, peb yuav tsum tau muab tshuaj los tswj tus kab mob sai li sai tau txhawm rau tiv thaiv kev sib koom ua ke thiab tswj kev ua haujlwm sib koom ua ke. Cov tshuaj no muaj xws li:
SinomenineTam sim no paub tias muaj txiaj ntsig zoo hauv neuralgia thiab kab mob rheumatic. Qhov ntawd yog ib qho tshwj xeeb cog alkaloid, raws li nws muaj peev xwm tso tawm histamine hauv kev koom tes nrog degranulation ntawm mast hlwb hauv cov ntaub so ntswg. Cov tshuaj histamine tso tawm yog lub luag haujlwm rau cov tshuaj pharmacological ntawm sinomenine, xws li vasodilation, nce vascular permeability, acceleration ntawm lub thoracic thiab peripheral lymph txaus, contraction ntawm cov leeg du, nce peristalsis ntawm cov hnyuv, thiab stimulation ntawm gastric acid secretion.
Sinomenine hydrochloridemuaj anti-inflammatory, analgesic, antihypertensive thiab antiarrhythmic pharmacological teebmeem. Tam sim no, ntau yam kev npaj tau siv rau hauv tsev kho mob rau cov mob rheumatism thiab rheumatoid mob caj dab.
Sinomenine hydrochloride muaj inhibitory nyhuv ntawm lymphocyte proliferationcan.Nws yog siv raws li ib tug antihypertensive thiab anti-inflammatory. Sinomenine hydrochloride muaj cov tshuaj tiv thaiv kab mob, sinomenine muaj zog ntawm cov tshuaj histamine.