Chero ani zvake asingazivi kuti rheumatologist inorapwa sei, anofanira kuyeuka kuti uyu ndiye nyanzvi inobata kurapwa uye kurapwa kwezvirwere zverheumatological. Basa rechiremba akadaro rinosanganisirawo kuzivikanwa kwevarwere vari pangozi, kuratidzira matanho ekudzivirira anotapudza mukana wekuwedzera chirwere chakakomba.
Rheumatology - chii ichocho?
Usati watanga kuzivikanwa nemabasa e rheumatologist, unofanira kuziva kuti rheumatology yakawanda ndeyei. Rheumatology ibazi rezvemishonga yemukati rinotsvaga kupera-dystrophic, zvirwere zvinoputirana, zvirwere zvinogadzirisa zvirwere. Pamwoyo wepathogenesis wezvirwere zvinogona kunge zvisina kungovhiringidza chete, asiwo zvirwere zvekuzvidzivirira. Rheumatology inoshanda pamwe chete nemamwe mapazi emishonga:
- traumatology;
- mitsetse,
- purulent-septic, kuvhiyiwa kwemapfupa;
- endocrinology;
- hematology;
- nephrology;
- cardiology;
- infectology;
- oncology;
- Toxicology;
- immunology;
- neuralgia;
- neurosurgery.
Rheumatologist - ndiani uyu uye chii chinoporesa?
Izwi rokuti "rheumatism" raimbove rakatangwa nachiremba wekare Claudius Galen, uyo akashandisa zvirwere zvehutachiona hwehutachiona. Asi kuzviparadzanisa kwezvimishonga, iyi nhungamiro yaingova yekupera kwezana remakore rechi20. Nhasi, rheumatologist inyanzvi iyo inosanganisira zvirwere zvinokonzerwa nekugadzirisa-dystrophic nekuputira kuchinja muzvibatanidza, zvirongwa zvehutachiona hwezvinhu zvinobatana, zvinogadzirisa zvinhu.
Rheumatologist - chii chinoporesa vanhu vakuru?
Vanhu vazhinji vanozivikanwa chete nezvirwere zvishoma, izvo zvinofanira kuendeswa kune rheumatologist. Kuongororwa kwakaoma nekuti zvirwere zvakawanda zvinoitika nezviratidzo zvakafanana. Nemhaka yezviratidzo zvinopararira, zvirwere zverheumatological zvinowanzobatwa neyanyanzvi kubva kune dzimwe nyika dzakabatana. Kuti unzwisise - munhu mukuru-rheumatologist - kuti ndiani-iwe unoda kuziva nezvirwere zvinoshanda. Chii chinonzi rheumatologist kubata vanhu vakuru:
- Kazhinji munhu mukuru we rheumatologist anobatsira vanhu vane osteoarthritis , iyo inoderedza kushanda kwemotokari yevakwegura.
- Rheumatologist varwere vane vanhu vane rheumatoid arthritis, iyo inogona kutanga pazera remakore uye inowedzera kuipa kune vakwegura.
- Rheumatologist inobatawo nekurapa kwevarwere vane chirwere cheBechterew, gouty uye rheumatic arthritis, reactive arthritis, ngozi iyo ndiyo kukurumidza kukurumidza kweAnkylosis (kusagadzikana kusina kubatana).
- Gout chirwere chakakomba chinowanzovapo nekuda kwekuwedzera kwehuwandu hweuric acid muropa, izvo zvinokonzera manotsi kune vanhu vakwegura uye pakati pevanhu vepakati-refu kuti vauye nekurwadziwa.
- Systemic scleroderma inonzi systemic sclerosis inokonzerwa nokuputika kwemidziyo miduku yemuviri, iyo inokonzera fibro-sclerotic kuchinja mumapfupa, masimba, ganda uye nhengo dzomukati.
- Pamwe pamwe nedzimwe nyanzvi, rheumatologists inobata vasculitis, systemic collagenoses.
Chii chinonzi rheumatologist inobata vana?
Pamwe chete nemunhu mukuru, mune mamwe masangano ezvokurapa mune rheumatologist yevana. Unyanzvi hwehuwandu hwakadaro hwakakosha zvikuru, sezvo zvirwere zverheumatological zvevana zvinotyisa zvikuru uye zvinoda kudzidza zvakakomba uye kurapa kwoupenyu hwose. Maererano ne WHO, nhamba yevana vanorwara inoramba ichiwedzera gore negore. Icho chinonzi rheumatologist chinobata kune varwere vehuduku:
- juvenile rheumatoid arthritis;
- reactive arthropathy;
- Chirwere cheBechterew;
- scleroderma;
- nodular polyarthritis;
- dermatopolymiosis.
Ndeipi paunobata rheumatologist?
Sezvo dzimwe zvirwere zverheumatic zvinowanzogadziriswa pakugadzirisa matambudziko uye zvese zvinotungamirira kukuremara, iwe unofanirwa kuziva nguva yekukurukura rheumatologist:
- Nekucherechedza kwemangwanani emangwanani ezvo kushungurudzika kwezvibatanidza, izvo zvinoratidzika mukutambudzika kana kusakwanisika kupfugama mabvi kana maoko mumaoko ejoka. Zviratidzo zvakadaro zve osteoarthritis zvinopedza maminitsi makumi matatu nemakumi mana, asi mushure mekurara kwezuva kunogona kuratidza zvakare.
- Pakuvhuvhuta kana kupfugama kwekubatana - chiratidzo ichi chinoratidzwa neArthritis.
- Nokurwadziwa mujoka, iyo inogona kunetsa nguva dzose kana kuonekwa manheru. Nhamo inoratidza kutanga kwekuvhiringidza nzira uye kuparadzwa kwekubatana.
- Nekurwadziwa kunowanzoitwa nekugadzikana kwepakupedzisira kwetsoka nemaoko.
Rheumatologist yakagadzwa sei?
Pagamuchirwa mukuru we rheumatologist, vanhu vanowanzouya kuziva kuti rheumatologist inorapwa uye yakave nedzimwe zviratidzo zvezvirwere zverheumatological. Mushure mekuongorora nekuongororwa kwakajeka, chiremba acharapa chirongwa chakagadzirirwa kuderedza kupisa, kubvisa kana kuderedza marwadzo (kwete-steroidal anti-inflammatory drugs, painkillers), kugadzirisa marongerwo akaora (massage, physiotherapy, exercise therapy, simulators).
Ko kuongorora kunobva ku rheumatologist sei?
Pakutsvakurudza kwekunze chiremba-rheumatologist pakutanga anotarisa nezvemamiriro ezvinhu ejoints - ingave kune tumescence, edema, kuora. Zvichienderana nenzvimbo yezvikamu zvinoputika, zvinokwanisika kutsvaga mhedziso pamusoro pechikamu chechirwere - hukuru huri huno hutambudzwa, zvakanyanya kukanganisa zvinogona kuitika. Mukuwedzera, chiremba anotarisa kuenzanisa kwezvikamu zvakakanganiswa - ichi chimwe chezviratidzo zverheumatoid arthritis.
Inotsanangura rheumatology
Kujekesa kuongororwa, chiremba anorayira kuongorora ropa. Rheumatologist - ndeipi miedzo yeropa ichadiwa:
- biochemical analysis;
- paC-reactive protein;
- pane ESR;
- pane rheumatoid factor (kana kuti synovial fluid tsvakurudzo);
- pane antinuclear nyuchi uye anti-citrulline antibodies.
Kubvunzurudzwa kwerheumatologist
Kugamuchirwa kwerheumatologist kunogona kusanganisira kuteerera kumapapu nemwoyo, sezvirwere zverheumatological nepamusoro-soro yematambudziko zvinokonzera kukuvadza kune nhengo idzi. Kakawanda, neurheatat disease, musimba simba kana dystrophy inoonekwa zvakare. Mumamiriro ezvinhu akadaro zvinokurudzirwa kuti tibvunze nyanzvi dzakakodzera. Kuti uwane chinangwa chekuongorora, chiremba anorayira kuongororwa kwekuongorora:
- electrocardiogram ;
- electromyogram;
- X-ray kuongorora;
- computed tomography ;
- ultrasound exam;
- densitometry .
Rheumatologist's advice
Kuti hupenyu hwemu murwere hauiti kutambudzwa, zvinokosha kuziva zvinhu zvinowedzera mamiriro evanhu vane rheumatological zvirwere. Izvi zvinosanganisira: mitoro yakawandisa, uwandu hunorema, kushungurudzika, kusakwanira motokari, basa rekukwegura, hutano.
Mukuwedzera kune zvakatemwa nemishonga inorapa, murwere ane chirwere cherheumatological, zvinokosha kutevera mazano erheumatologist nokuda kwekutambudzika mune zvinyorwa:
- Zvakakosha kuchenjerera kubasa uye kumba uye kudzivisa kukuvara kunokanganisa hutano hwehutachiona hwehutachiona.
- Zvinonyanya kukosha kuchengetedza motokari, asi pasina kushingaira.
- Zvakakosha kubvisa maundi mapaundi - izvi zvinorema mutoro.
- Zvakakosha kudya zvakanaka - zvakakosha kuchengetedza kuvimbika kwemajoini kwenguva yakareba sezvinobvira.