Loaʻa iā ʻoe kekahi maʻi rumatika? E aʻo kākou e pili ana i kēia mau puʻupuʻu (Rheumatoid Nodules) e kū mai ana ma lalo o ka ʻili.

Inā loaʻa iā ʻoe ka rumatika rheumatoid, ua ʻike anei ʻoe i kahi puʻupuʻu liʻiliʻi a i ʻole ka puʻupuʻu ma lalo o ka ʻili ma nā wahi e like me kou mau kuʻekuʻe lima a me nā puʻupuʻu lima? Makaʻu iki kekahi poʻe ke ʻike lākou i kēia mau mea, me ka noʻonoʻo, "He mea koʻikoʻi anei kēia?" Akā, mai hopohopo. ʻAʻole maʻamau kēia mau mea weliweli. I kēia lā, ke kamaʻilio nei mākou e pili ana i kēia mau puʻupuʻu kūikawā e hele mai me ka rumatika rheumatoid, i kapa ʻia ʻo nā nodules rheumatoid.

He aha kēia mau puʻupuʻu rheumatoid?

I ka ʻōlelo maʻalahi, ʻo nā nodules rheumatoid he mau puʻupuʻu liʻiliʻi e ulu ana ma lalo o ka ʻili a i kekahi manawa i loko o ke kino ke loaʻa iā ʻoe ka rheumatoid arthritis (RA). Ma nā ʻōlelo lapaʻau, kapa mākou i kahi 'nodule' he puʻupuʻu i ʻoi aku ka liʻiliʻi ma mua o ka ʻīniha (ma kahi o 3 milimita).

Ua hana ʻia kēia mau puʻupuʻu mai kahi puʻu o nā ʻāpana i hui pū ʻia. ʻO ia hoʻi:

• Nā ʻili make
• ʻO nā pūnaewele Fibrin (he protein ikaika kēia e kōkua ai i ke kāpili ʻana o ke koko)
• Nā pūnaewele mumū i loko o kāu ʻōnaehana pale

Ua hui pū kēia mau pūnaewele e hana i kēlā puʻupuʻu liʻiliʻi e like me ka puʻupuʻu.

Ma hea ma ke kino e ʻike pinepine ʻia ai kēia mau puʻupuʻu?

Hoʻokumu pinepine ʻia kēia mau puʻupuʻu a puni nā hono āu e hoʻohana nui ai i kāu mau hana o kēlā me kēia lā a ua kau ʻia i ke kaumaha pinepine. E nānā kākou i nā wahi maʻamau a me nā wahi i ʻike ʻole ʻia ai lākou.

Pehea ke ʻano o kēia mau puʻupuʻu ma ka lima? He ʻeha anei?

Ke hoʻopā ʻoe i kēia mau puʻupuʻu, paʻakikī paha kekahi, e like me ka ʻiliʻili liʻiliʻi i paʻa ma lalo o ka ʻili . Palupalu iki paha kekahi, e like me ka pōpō hoʻoluhi, a manaʻo paha e like me ka hiki ke kuʻi ʻia .

Ma ke ʻano o ka nui, hiki i kēia ke ʻano mai nā puʻu liʻiliʻi i ka nui o ka mea holoi penikala a i nā puʻu nui e like me ka ʻiole kamepiula, he mea kākaʻikahi loa.

ʻO ka mea nui , ʻaʻohe ʻeha o kēia mau puʻupuʻu. Eia nō naʻe, hiki iā ʻoe ke ʻike i ka ʻeha a me ka palupalu ke kaomi ʻoe i ka wahi a puni ka puʻupuʻu. Hiki ke ʻike nui ʻia kēia palupalu inā kokoke ka puʻupuʻu i kahi hono kahi i koʻikoʻi ai kou ʻāʻī.

ʻAʻole hiki iā ʻoe ke ʻike i nā puʻupuʻu e ulu ana i loko o kou kino, e like me kou mau māmā, nā maka, a i ʻole nā ​​kaula leo. ʻIke pinepine ʻia lākou i ka wā o kahi hoʻokolohua X-ray a i ʻole ka nānā maka i hana ʻia no kekahi kumu ʻē aʻe.

No ke aha i hoʻokumu ʻia ai kēia mau nodules rheumatoid?

ʻO ka mea like e hoʻoulu ai iā ʻoe i ka rheumatoid arthritis ke kumu o kēia mau puʻupuʻu. ʻO ia hoʻi, ma muli ia o kahi pane autoimmune i loko o kāu ʻōnaehana pale .

Akā, ʻaʻole nā ​​kānaka a pau me ka RA e loaʻa i kēia mau puʻupuʻu. Manaʻo nā kauka ma waena o 25% a me 40% o nā maʻi RA e loaʻa paha i kēia mau puʻupuʻu. A emi iho ma mua o 1% o ka poʻe e loaʻa i nā puʻupuʻu ma nā wahi e like me nā māmā a me nā maka.

I ka RA, hoʻouka kāu ʻōnaehana pale i nā hono olakino, e hoʻoulu ai i ka mumū. ʻO kēia mumū ke kumu o ka pehu ʻana o nā hono a lilo i ʻeha. Ke lilo ka ʻōnaehana pale i mea hana nui, hiki iā ia ke hoʻopilikia i nā ʻiʻo ʻē aʻe o ke kino.

E noʻonoʻo he kamanā ʻoe a he kanaka kikokiko paha. Hoʻohana mau ʻia kou mau lima a me kou mau manamana lima. No laila, inā loaʻa iā ʻoe ka RA, ʻoi aku ka nui o kou loaʻa ʻana o kēia mau puʻupuʻu a puni kou mau hono i hoʻohana pinepine ʻia.

ʻO ka poʻe me nā pae kiʻekiʻe o ka Rheumatoid Factor a i ʻole CCP antibodies i loko o ko lākou koko e ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o kēia mau puʻupuʻu. Hiki i kāu kauka ke ana i kēia mau mea me kahi hoʻāʻo koko maʻalahi.

He aha nā lāʻau lapaʻau e hoʻopau ai i kēia mau puʻupuʻu?

I kekahi manawa, ʻaʻole pono kēia mau puʻupuʻu i kekahi lāʻau lapaʻau. Hiki iā lākou ke hana a nalo ma o lākou iho, e like me ka hiki i nā hōʻailona RA ke puka aʻe i kekahi mau lā a emi iho i kekahi mau lā.

ʻO ka lōʻihi o ke ola ʻana o kahi puʻupuʻu e pili ana i kahi e hana ʻia ai, ke kahua o kāu RA, a me kou olakino holoʻokoʻa.

Eia nō naʻe, inā ʻeha nā puʻupuʻu, ʻaʻole e nalowale iā lākou iho, a inā paha e hoʻopilikia ana ko lākou helehelena i kou hilinaʻi iā ʻoe iho, e kuhikuhi kāu kauka i ka lāʻau lapaʻau.

Nā lāʻau lapaʻau i hoʻohana pinepine ʻia:

• Corticosteroids: He ʻano lāʻau lapaʻau kēia e hōʻemi ai i ka mumū. I kekahi manawa e hāʻawi paha kāu kauka iā ʻoe i kahi pana cortisone ma ka ʻaoʻao o ka puʻupuʻu.
• Nā DMARD (nā lāʻau lapaʻau antirheumatic hoʻololi maʻi): Hoʻomalu kēia mau lāʻau i ka hana nui o ka ʻōnaehana pale a hōʻemi i ka mumū i loko o ke kino.
• Nā NSAID: He mau lāʻau ʻeha kēia e hōʻemi ana i ka mumū. E paipai kāu kauka i ke ʻano kūpono nou.
• Nā antibodies monoclonal: He mau antibodies i hana ʻia e ke kanaka. Kōkua lākou i ka hoʻoponopono ʻana i ka ʻōnaehana pale. ʻO kahi laʻana ka injection rituximab.

Pono anei e wehe ʻia kēia mau puʻupuʻu ma ke ʻoki kino?

ʻAʻole pono ka hana ʻoki ʻana, akā hiki i kāu kauka ke ʻōlelo i ke ʻoki ʻana i nā hihia aʻe:

• Inā aia ka puʻupuʻu ma luna a kokoke paha i kahi ʻōkana i loko o ke kino, a ʻaʻole ia i nalowale hoʻokahi.
• Inā nui loa ka puʻupuʻu.
• Inā ʻaʻole e nalowale ka puʻupuʻu ma muli o ka hoʻāʻo ʻana i nā lāʻau ʻē aʻe.
• Inā paʻakikī kēia mau puʻupuʻu i ka hoʻohana ʻana i ka lālā a i ʻole e hana i nā hana o kēlā me kēia lā (e.g., inā ʻoe e kuʻi mau i kahi mea).

I ka manawa hea e pono ai iaʻu ke ʻike i ke kauka?

Inā ʻike ʻoe i kekahi mau loli hou, nā puʻupuʻu, a i ʻole nā ​​​​puʻupuʻu ma luna a ma lalo paha o kou ʻili, e ʻike pono i ke kauka e nānā iā ia.

Inā ke mālama ʻia nei ʻoe no ka RA a manaʻo ʻoe ʻaʻole e hana maikaʻi ana kāu lāʻau lapaʻau e like me ka wā ma mua, e haʻi i kāu kauka e pili ana i kēlā.

He mea maʻamau ke kahaha a makaʻu iki ke ʻike ʻoe i kahi puʻupuʻu ʻili hou. Akā ʻo ka nūhou maikaʻi, ʻaʻole pilikia nā nodules rheumatoid a nalowale pinepine me ka ʻole o ka lāʻau lapaʻau. ʻOiai inā pono ka lāʻau lapaʻau, ʻo ka hapa nui o ia ka lāʻau lapaʻau like āu e hoʻohana nei no RA.

Eia kekahi, inā ke hoʻopilikia nei kēia mau puʻupuʻu i kāu mau hana o kēlā me kēia lā a i ʻole nā ​​​​​​leʻaleʻa, a inā ʻoe e hopohopo nei e pili ana i kou helehelena, e kamaʻilio pū me kāu kauka e pili ana i kēlā. E wehewehe ʻo ia iā ʻoe i nā koho no ka hōʻemi ʻana a i ʻole ka wehe ʻana iā lākou.