Loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe me kēia ʻano ʻeha hui? E aʻo kākou e pili ana i ka Reactive Arthritis!

I kekahi manawa hiki iā kākou ke loaʻa koke i ka ʻeha o nā hono, ʻeā? Me kēlā, hiki ke ʻike ʻia nā hōʻailona ʻē aʻe e like me ka ʻeha o ke kino a me nā maka ʻulaʻula. ʻAʻole paha ʻoe e noʻonoʻo e pili ana i ia mea, akā he hopena paha kēia o kahi maʻi liʻiliʻi i loaʻa iā ʻoe ma mua. ʻO ia ke ʻano o ke ʻano a mākou e kamaʻilio ai i kēia lā, i kapa ʻia ʻo Reactive Arthritis.

He aha ka Reactive Arthritis?

I ka ʻōlelo maʻalahi, ʻo ka reactive arthritis, i kapa ʻia i kekahi manawa ʻo Reiter's Syndrome, he ʻano manawa pōkole ia e hoʻoulu ai i nā hono e pehu a lilo i ʻeha. Hoʻokumu ʻia ia e kahi maʻi bacteria. E noʻonoʻo ʻoe he maʻi bacteria kou ma kekahi wahi o kou kino, malia paha ma kou ala mimi, nā ʻōpū, a i ʻole nā ​​ʻōpū, a ma hope o kou mālama ʻana, pane kāu ʻōnaehana pale ma ke ʻano ʻē.

ʻO ka maʻamau, ke kaua nei kā mākou ʻōnaehana pale i nā maʻi a pepehi iā lākou. Akā ʻo ka mea e hana ʻia ana i kēia ʻāʻī reactive , ʻoiai ma hope o ka pau ʻana o ka maʻi, manaʻo ka ʻōnaehana pale, "ʻAʻole i pau ke kaua." No laila ke kumu o ka mumū ma nā wahi i loaʻa ʻole ai ka maʻi, ʻoiai hoʻi i kou mau hono, nā maka, a me ka ʻili. Ua like ia me nā koa e pana mau ana kekahi i kekahi ma hope o ke kaua, akā ʻaʻole hiki iā lākou ke noho wale a kali.

Eia nō naʻe, e like me ka hapa nui o nā ʻano o ka rumatika, ʻaʻole kēia he maʻi no ke ola holoʻokoʻa. Nalowale pinepine ia i loko o hoʻokahi makahiki. ʻAʻole anei he mea hōʻoluʻolu nui kēlā?

He aha nā hōʻailona?

I kēia manawa, e nānā kākou i nā hōʻailona e hiki ai iā kākou ke manaʻo i kēia arthritis reactive.

ʻO nā hōʻailona koʻikoʻi a maʻamau ka ʻeha a me ka ʻoʻoleʻa o nā hono , ʻoiai ma nā wahi aʻe:

• Maikaʻi kou kua lalo.
• Nā kuli
• Kuʻekuʻe wāwae
• Nā wāwae

Akā ma waho aʻe o kēia, hiki ke ʻike ʻia nā ʻano hōʻailona ʻē aʻe. E nānā kākou i ke ʻano o lākou:

• ʻUlaʻula ka maka, ka pehu ʻana, a me ka ʻeha (manaʻo paha he mea kekahi i loko o ka maka).
• Nā hōʻailona Gastrointestinal e like me ka ʻeha ʻōpū a me ka maʻi pā.
• ʻO ka pono e mimi pinepine a me ka ʻeha i ka wā e mimi ai.
• Nā ʻūlū ʻili a me nā ʻeha waha .
• ʻEha kuʻekuʻe wāwae, malia paha ʻo Achilles tendinitis .
• Pehu ʻana o nā manamana lima, ʻoiai hoʻi nā manamana lima a me nā manamana wāwae. Kapa kekahi poʻe i kēia he 'manamana sausage' no ka mea, pehu ka manamana lima ponoʻī e like me ka sausage.
• Nā hōʻailona like me ka maʻi palū e like me ke kuni, ka ʻeha kino, a me ka luhi nui.

He aha kēia 'Triad'?

I kekahi manawa ke kamaʻilio nā kauka e pili ana i ka reactive arthritis, kamaʻilio lākou e pili ana i kahi 'triad'. ʻO ia hoʻi, he hui pū ʻana o ʻekolu mau hōʻailona . Kōkua kēia i ka ʻike koke ʻana i kēia maʻi. ʻO nā hōʻailona ʻekolu:

1. ʻAʻai ʻōpū - ʻO ke ʻano kēia o ka mumū o nā hono.

2. Conjunctivitis - ʻO ke ʻano kēia o ka mumū o nā maka, ka ʻulaʻula o nā maka.

3. Urethritis - ʻO ke ʻano kēia o ka mumū o ka urethra, e ʻā ana i ka wā e mimi ai.

Akā e hoʻomanaʻo, ʻaʻole loaʻa i nā kānaka a pau kēia mau hōʻailona ʻekolu i ka manawa hoʻokahi. ʻAʻole loaʻa i kekahi poʻe nā hōʻailona ʻekolu i ka manawa hoʻokahi. Hiki ke hele mai a hele aku nā hōʻailona like ʻole. No laila, loaʻa paha iā ʻoe nā hōʻailona ʻē aʻe ʻaʻole i loko o kēia 'triad'.

He aha ke kumu?

Ua ʻōlelo mua mākou e hoʻomaka ka reactive arthritis me kahi maʻi bacteria . Eia ka mea hiki ke hana pinepine ʻia:

• Ka maʻi ʻōpū mimi (UTI) .
• ʻO kahi maʻi i laha ma ke moekolohe (STI) .
• ʻO kahi maʻi ʻōpū, e like me ka lāʻau make meaʻai .
• ʻO ka ʻāʻī ʻeha .

Aia kekahi mau ʻano bacteria kikoʻī e hiki ke hoʻopilikia i kēia:

• ʻO Chlamydia
• ʻO ka maʻi gonorrhea
• Salmonella
• ʻO Shigella
• Campylobacter
• ʻO Yersinia
• ʻO ka Mycoplasma
• C. paʻakikī
• ʻO ka Streptococcus

Hoʻomaka ka Reiter's Syndrome i kekahi mau lā a i ʻole mau pule ma hope o ka maʻi mua. ʻAʻole ia e hana i nā kānaka a pau, i kahi hapa liʻiliʻi wale nō o ka poʻe i loaʻa i ka maʻi. Me he mea lā ua hana ʻia e ka maʻi e hoʻoulu ai i kahi pane autoimmune i loko o kāu ʻōnaehana pale. ʻO ia hoʻi, hoʻomaka hewa kāu ʻōnaehana pale e hoʻouka i nā ʻāpana olakino o kou kino, e hoʻoulu ai i ka mumū.

Akā ʻo ka mea pōmaikaʻi, ʻaʻole e like me nā maʻi autoimmune he nui, ʻo ka maʻi arthritis reactive he manawa pōkole wale nō ia.

No ka hui o ka maʻi ʻāʻī reactive i kapa ʻia ʻo spondyloarthritis. He nui o kēia mau mea he mau maʻi autoimmune. ʻAʻole maopopo i nā kānaka ʻepekema ke kumu e loaʻa ai i kekahi poʻe kēia mau maʻi a ʻaʻole kekahi. ʻAʻole pono ka maʻi ʻāʻī reactive i kahi maʻi nui a koʻikoʻi e ulu ai.

ʻO kahi kumu e hoʻohuli paha i kēia he gene i kapa ʻia ʻo HLA-B27 . He nui ka poʻe e loaʻa ana i ka spondyloarthritis a me ka maʻi Reiter i loaʻa kēia gene.

ʻO wai ka mea i ʻoi aku ka paʻakikī o kēia?

ʻOiai hiki i kekahi ke loaʻa i ka reactive arthritis, ʻoi aku ka nui o ka pilikia o kekahi poʻe i ka loaʻa ʻana. ʻO kēia mau mea:

• Nā kāne ma lalo o 40 mau makahiki.
• Inā loaʻa iā ʻoe ka maʻi HIV .
• Inā loaʻa iā ʻoe kekahi maʻi autoimmune ʻē aʻe .
• Inā loaʻa iā ʻoe ka gene HLA-B27 i ʻōlelo mua ʻia i loko o kou kino.

Pehea ʻoe e ʻike ai i kēia?

Inā ua loaʻa iā ʻoe nā hōʻailona o ka maʻi ʻaʻai i kēia manawa, e like me ka ʻeha o nā hono a me ka pehu ʻana, pono ʻoe e haʻi i kāu kauka. E nānā ʻo ia iā ʻoe. Ke hui pū kekahi mau hōʻailona, ​​​​manaʻo paha kāu kauka he maʻi ʻaʻai reactive. Ma ke ʻano kūikawā, e nīnau ʻo ia inā ua hoʻōla hou ʻoe mai kahi maʻi i hiki ke kumu.

Pono paha nā hoʻokolohua like ʻole e ʻike pololei i kēia maʻi. Eia kekahi laʻana:

• Nā hoʻokolohua X-ray .
• ʻO ke kiʻi CT (Computed Tomography - CT scan) .
• ʻO ke kiʻi MRI (Magnetic Resonance Imaging - MRI) .
• ʻO ka makemake hui/arthrocentesis: Hana ʻia kēia e nānā no ka mumū a me nā maʻi ʻē aʻe i loko o ke hui.
• Ke lawe ʻana i kahi moʻomeheu puʻu (inā manaʻo ʻia he maʻi puʻu).
• Ka nānā ʻana i ka mimi .
• Nā hoʻāʻo koko : Hiki i kēia ke nānā no ka mumū, ke alo o ka gene HLA-B27, a me nā maʻi ʻē aʻe.

Pehea e mālama ʻia ai?

Hiki i nā kauka ke ʻōlelo i nā ʻano lāʻau like ʻole no ka reactive arthritis.

• Nā lāʻau antibiotic: Ma muli o ka maʻi kumu a inā paha e hana mau ana, hiki ke kuhikuhi ʻia nā lāʻau antibiotic e like me ka doxycycline a me ka rifampin. Hiki i kēia mau mea ke kōkua i ka hoʻōki a i ʻole ka wikiwiki ʻana i ka ho'ōla ʻana o ka reactive arthritis.
• Nā NSAID (Nonsteroidal anti-inflammatory drugs): He mau lāʻau anti-inflammatory nonsteroidal kēia . Hiki ke hāʻawi ʻia kahi NSAID ikaika e like me Indomethacin i nā dosis kiʻekiʻe no kekahi manawa. Hoʻemi ʻia ka nui ke pau nā hōʻailona.
• Nā DMARD (nā lāʻau lapaʻau anti-rheumatic hoʻololi maʻi): Mālama nā DMARD, e like me ka sulfasalazine, i ka maʻi ʻaʻai mumū ma ke kāohi ʻana i kekahi o ka hana o kāu ʻōnaehana pale. Hiki i kēia ke kōkua inā ʻaʻole i kāohi maikaʻi ʻia nā NSAID.
• Nā Corticosteroids:He mau lāʻau anti-inflammatory ikaika kēia. ʻOiai ʻaʻole hāʻawi nui nā steroids waha i ka pono no ka hapa nui o ka poʻe me Reiter's Syndrome, hiki ke hoʻopili ʻia i kekahi manawa i ka ʻili e like me nā kirīmi a hāʻawi ʻia paha ma ke ʻano he injection pololei i loko o kahi hui ʻeha.

He mea nui: Pono e lawe ʻia kēia mau lāʻau lapaʻau a pau ma lalo o ke aʻo ʻana a ke kauka. Hiki i ka lāʻau lapaʻau ponoʻī ke hoʻonui i ke kūlana.

Hiki ke ho'ōla loa ʻia kēia?

ʻO ka hapa nui o ka manawa, ʻo ka Reiter's Syndrome he 'palena ponoʻī' . ʻO ke ʻano kēia e hoʻopau ia ma kona iho i ka hala ʻana o ka manawa (ʻo ka maʻamau i loko o 3 a 12 mau mahina). I kēia manawa, hiki i ka lāʻau lapaʻau ke kōkua i ka kaohi ʻana i nā hōʻailona a kōkua iā ʻoe e hoʻōla koke.

Eia nō naʻe, no ka mea, he maʻi autoimmune ka reactive arthritis, ʻaʻohe maʻi autoimmune e hiki ke 'ho'ōla maoli ʻia. ʻO ke ʻano kēia, aia mau ka manawa e hoʻi mai ai nā hōʻailona. Eia kekahi laʻana, inā loaʻa iā ʻoe kekahi maʻi ʻē aʻe.

I loko o kahi heluna liʻiliʻi loa o ka poʻe, hiki i ka maʻi Reiter ke alakaʻi i kahi ʻano ʻoi aku ka koʻikoʻi o ka arthritis i kapa ʻia ʻo spondyloarthritis. Loaʻa iā lākou ka mumū lōʻihi o nā hono, hiki ke alakaʻi i ka hōʻino ʻana o nā hono. He paʻakikī ke ʻōlelo maopopo inā he arthritis reactive mau kēia a i ʻole he hopena ia o kekahi kūlana ʻē aʻe. Hiki i kekahi maʻi autoimmune ke alakaʻi i kekahi, a loaʻa paha i kekahi poʻe ma mua o hoʻokahi.

He aha kāu e hiki ai ke hana i kou wā e ola nei me kēia maʻi?

ʻOiai he manawa pōkole ia, hiki i ka reactive arthritis ke loaʻa ka hopena koʻikoʻi i kou ola o kēlā me kēia lā. Loaʻa i kekahi poʻe nā hōʻailona liʻiliʻi, hele mai a hele aku, aʻo kekahi poʻe e ʻike i ka luhi nui a me ka ʻoluʻolu ʻole. Pono paha ʻoe e hana i kekahi mau hoʻololi i kāu hana maʻamau a me ka papa hana i kēia manawa.

Hiki i kāu kauka ke ʻōlelo i nā mea e like me:

• Hoʻōla kino: Hiki i kahi mea hoʻōla kino ke aʻo iā ʻoe pehea e hoʻomaʻamaʻa mālie ai i nā ʻiʻo a me nā tendon e kākoʻo ana i kou mau hono ʻeha. Hiki i kēia ke kōkua i ka hōʻemi ʻana i ka ʻoʻoleʻa o nā hono a hoʻomaha i ke kaomi ma nā hono. E noʻonoʻo ua paʻakikī ʻo Sameera i ka hele wāwae ma muli o ka ʻeha o ke kuli. Ma ka hana ʻana i nā hoʻomaʻamaʻa maʻalahi i kēlā me kēia lā, ua hoʻemi mālie ka mea hoʻōla kino i kona ʻeha a ua ʻae iā ia e hana hou ma ke ʻano maʻamau.
• Orthotics: Hiki i kahi mea lapaʻau hana ke aʻo iā ʻoe pehea e kākoʻo ai a hoʻololi paha i ke ʻano āu e hoʻohana ai i kou mau hono. Hiki iā ʻoe ke pōmaikaʻi mai ka hoʻohana ʻana i kahi mea pale, splint, a i ʻole kahi mea hoʻokomo kāmaʻa.
• Lapaʻau wela/anu: Hiki i nā ʻeke hau a me nā ʻeke wela ke kōkua i ka hōʻoluʻolu ʻana i ka ʻeha ma nā ʻano like ʻole. No ka laʻana, hiki i kāu kauka ke ʻōlelo aku e hoʻopili i ka hau i nā hono ʻeha a i ʻole ka wela i nā ʻiʻo paʻa.
• Nā hiamoe ikaika: Hiki i ka luhi mau ke hoʻoluhi iā ʻoe. Akā, ʻaʻole maikaʻi ka noho ʻana ma kahi moe no ka manawa lōʻihi no kou mau hono ʻeha a i ʻole nā ​​ʻiʻo paʻa. Akā, e hiamoe ikaika a hoʻāʻo e neʻe iki i loko o ia mea.

E noʻonoʻo, i kou manaʻo ua pau kāu maʻi, ʻike koke ʻia kēia malihini i kapa ʻia ʻo reactive arthritis, e hoʻihoʻi mai ana iā ʻoe i nā hōʻailona o ka maʻi mua, a me nā hōʻailona hou, ʻoiai ka mumū o nā hono. Inā paha e hoʻopilikia iki a nui paha iā ʻoe, he mea paʻakikī loa ke ola me ka maopopo ʻole o ka wā e pau ai kēia. Akā, no nā poʻe he nui, pau ia, a a hiki i kēlā manawa, hiki i ka lāʻau lapaʻau ke kōkua.

Nā mea e hoʻomanaʻo ai i ka pōkole

ʻAe, e hōʻuluʻulu kākou i nā mea e pono ai ʻoe e hoʻomanaʻo e pili ana i ka Reactive Arthritis.

• ʻO ka arthritis reactive kahi mumū manawa pōkole o nā hono e kū mai ana ma hope o kahi maʻi bacteria.
• Hiki i kēia ke hana i nā hōʻailona e like me ka ʻeha o nā hono, ka pehu ʻana, nā maka ʻulaʻula, a me nā maʻi ʻōpū mimi.
• ʻAʻole like nā hōʻailona o kēlā me kēia kanaka, a hiki ke hele mai a hele aku nā hōʻailona.
• ʻAʻole kēia he maʻi lele, akā ʻo nā maʻi e hoʻoulu ai (e like me nā STI, ka lāʻau make meaʻai) hiki ke lele.
• Hoʻōla pinepine kēia i loko o kekahi mau mahina a i hoʻokahi makahiki.
• Hiki i ka lāʻau lapaʻau ke kāohi i nā hōʻailona. E hōʻoia e hahai i nā ʻōlelo a kāu kauka.
• No ka mea he maʻi autoimmune kēia, ʻaʻole hiki ke hoʻi hou a mau loa paha.
• Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​e ʻoluʻolu e nīnau i ke kauka no ka ʻōlelo aʻo. Mai hopohopo, hiki ke hoʻomalu ʻia kēia kūlana me ka mālama pono ʻana a me ka hoʻokele ʻana.

ʻO ka ʻāʻī hui, ka maʻi Reiter, ka mumū o nā hono, ka maʻi, ka bacteria, ka ʻōnaehana pale, ka ʻeha o nā hono, ka ʻeha o nā hono, ka maʻi Reiter, ka ʻāʻī hui