Cov kws tshaj lij hais tias mob caj dab yog ib yam mob tshwm sim heev. Feem ntau nws ua rau o lossis ua rau tawv nqaij hauv ib lossis ntau qhov ntawm koj cov pob qij txha, nrog rau qhov mob thiab khov. Muaj ntau hom kev mob caj dab, tab sis kev tshawb fawb qhia pom tias ob daim ntawv feem ntau yog mob pob txha thiab mob caj dab rheumatoid. Osteoarthritis tshwm sim thaum cov pob txha mos hauv koj qhov sib koom ua ke ploj mus, thaum mob rheumatoid mob caj dab yog mob tsis zoo autoimmune. Txij li kev mob caj dab tuaj yeem mob zuj zus zuj zus, nws yog qhov zoo tshaj los nrhiav kev kho mob sai li sai tau thaum koj pom cov tsos mob. Nrog kev kho mob, koj tuaj yeem tswj hwm koj tus mob.
Cov kauj ruam
Ntu 1 ntawm 3: Paub Thaum Ntxov Cov tsos mob ntawm mob caj dab
Kauj Ruam 1. Ua kom pom ntawm qhov mob sib koom
Qhov mob sib koom yog cov yam ntxwv tshwj xeeb tshaj plaws ntawm txhua hom kev mob caj dab. Koj tuaj yeem pom qhov mob tom qab qoj ib ce lossis siv cov pob qij txha ntau, uas yog rooj plaub nrog "hnav thiab tsim kua muag" mob caj dab (OA), lossis thaum sawv ntxov thiab tom qab lub sijhawm tsis siv, uas yog yam ntxwv RA ntau dua.
- Kev mob caj dab feem ntau yog piav raws li ua npaws, mob hnyav thiab/lossis throbbing. Hom kev puas tsuaj ntau dua ntawm kev mob caj dab tuaj yeem tsim qhov mob thiab hom mob.
- Kev mob caj dab feem ntau pib tawm me me, tom qab ntawd zuj zus zuj zus. Qhov mob ntawm OA maj zuj zus zuj zus, qhov qee qhov mob hnyav (xws li mob gout) ua rau mob hnyav heev.
Kauj Ruam 2. Saib rau qhov sib txuam o thiab liab
Txawm hais tias lub sijhawm mob caj dab txhais tau hais tias mob sib koom ua ke, qee yam cuam tshuam ntau dua li lwm qhov. Feem ntau, kev hnav thiab tsim kua muag ntawm OA tsis ua rau ntau qhov o lossis liab. Hauv kev sib piv, RA cuam tshuam nrog ntau qhov o thiab liab liab vim tias lub cev tiv thaiv kab mob tiv thaiv kab mob hauv ob sab phlu (synovial membrane). Gout kuj tseem paub txog ntau qhov mob vim qhov tso nyiaj ntawm cov kua qaub uric acid muaj nyob hauv cov tshuaj sib xyaw, tshwj xeeb yog ntawm cov ntiv taw loj.
- PsA tseem cuam tshuam nrog kev tiv thaiv kab mob tiv thaiv cov pob qij txha, uas yog vim li cas nws thiaj li raug cais raws li cov kab mob autoimmune, yog li o thiab liab liab pom tau ntau dua.
- RA tsis tsuas yog ua rau mob hnyav hauv cov pob qij txha cuam tshuam (feem ntau yog ntawm txhais tes thiab lub dab teg), tab sis kuj tseem muaj qib qis qis qis thoob plaws hauv lub cev.
- Tsis muaj peev xwm tshem koj lub nplhaib yog ib qho cim ntawm o ntawm pob qij txha ntawm txhais tes.
Kauj Ruam 3. Saib xyuas kom nruj
Kev nruj yog lwm qhov cim qhia ntxov ntawm yuav luag txhua hom mob caj dab. Nws tsis muaj peev xwm txav tau pob qij txha dawb vim qhov mob, o thiab/lossis qee qhov kev puas tsuaj ntawm kev sib koom tes. Nrog rau kev nruj, koj kuj tseem yuav hnov lossis hnov suab nrov lossis tawg thaum koj txav cov pob qij txha tom qab lub sijhawm tsis ua haujlwm, tshwj xeeb nrog OA.
- Thaum xub thawj, nruj tsis feem ntau cuam tshuam txog kev txav mus los, tab sis nws yog lub cim qhia tias muaj teeb meem hauv kev sib koom tes uas yuav ua rau mob hnyav dua.
- Kev nruj thiab lwm yam tsos mob feem ntau tshwm sim ntawm ib sab ntawm lub cev nrog OA thiab gout, hos ob tog feem ntau koom nrog hom kab mob autoimmune, xws li RA thiab PsA.
- Kev tawv ncauj feem ntau mob hnyav thaum sawv ntxov nrog RA thiab PsA, tab sis zuj zus thaum kawg ntawm hnub nrog OA.
Kauj Ruam 4. Paub txog kev qaug zog txawv txav
Kev qaug zog (nkees heev) tuaj yeem yog lwm yam cim ntxov ntawm qee hom kev mob caj dab, tab sis tsis yog txhua hom. Hom kab mob autoimmune (RA thiab PsA) zoo li ua rau mob thiab lwm yam teeb meem thoob plaws lub cev, tsis yog ib leeg sib koom tes. Xws li, lub cev tau nkees thiab rundown los ntawm kev sim tawm tsam txhua qhov mob. Kev qaug zog ntev tuaj yeem cuam tshuam rau kev xav, kev xav, kev sib deev, kev mloog zoo, kev muaj tswv yim thiab tsim khoom.
- Kev qaug zog los ntawm RA thiab PsA kuj tseem tuaj yeem cuam tshuam nrog tsis qab los noj mov thiab poob phaus.
- Lwm hom kev mob caj dab, xws li OA, tuaj yeem ua rau qaug zog ntev yog tias qhov sib koom ua ke zoo txaus los cuam tshuam rau koj li kev tsaug zog thiab noj zaub mov txawv.
Ntu 2 ntawm 3: Paub Paub Cov tsos mob ntawm mob caj dab
Kauj Ruam 1. Paub txog qhov txo qis ntawm cov lus tsa suab
Raws li qhov mob, o, nruj thiab/lossis kev puas tsuaj tshwm sim hauv cov pob qij txha, thaum kawg koj pib poob peev xwm txav lawv ib txwm muaj. Raws li xws li, txo qis ntawm cov lus tsa suab (txwv tsis pub txav mus los) yog ib qho cim ntawm kev mob caj dab tshaj thiab yog ib qho ua rau muaj kev xiam oob qhab. Tej zaum koj yuav tsis tuaj yeem khoov kom deb lossis yoog raws li koj ib txwm muaj.
- Kev txo qis ntawm cov lus tsa suab qeeb thiab maj mam nrog OA, raws li pob txha mos txhaws qis thiab cov pob txha tau sib cuam tshuam nrog ib leeg thiab thaum koj tsim cov pob txha spurs lossis osteophytes.
- Nrog RA thiab PsA, thaj tsam ntawm kev txav mus los feem ntau nyob ntawm qib kev sib koom tes o, uas tuaj yeem mus thiab mus. Txawm li cas los xij, nrog lub sijhawm, RA thiab PsA yog kev puas tsuaj rau pob txha mos thiab txwv tsis pub txav mus los ntau heev.
- Kev mob caj dab Septic yog tshwm sim los ntawm kev kis kab mob hauv qhov sib koom tes thiab yog tus yam ntxwv mob sai, mob hnyav thiab nyuaj siv qhov cuam tshuam. Hom kev kis tus kab mob no tuaj yeem rhuav tshem qhov sib koom ua ke sai - hauv ob peb lub lis piam.
Kauj Ruam 2. Txheeb xyuas qhov tsis muaj zog sai
Koom nrog kev mob hnyav zuj zus thiab txo qis ntawm cov lus tsa suab hauv pob qij txha yog qhov tsis muaj zog. Qhov tsis muaj zog tuaj yeem yog vim muaj ntau dua los sim zam qhov mob lossis nws yuav yog vim ntau qhov kev puas tsuaj ntawm kev sib koom ua ke. Tsis tas li ntawd, tsis muaj kev tawm dag zog (ib txwm nrog cov neeg mob caj dab) ua rau cov nqaij leeg poob, uas ua rau poob lub zog. Koj yuav pom tias koj tsis tuaj yeem nqa ntau lossis taug kev kom deb npaum li koj tuaj yeem ua tau. Koj lub zog tuav thiab tuav tes yuav tsis khov li.
- Cov leeg nqaij atrophy (txo qis thiab tsis muaj zog) yog ib txwm muaj nyob hauv cov leeg uas nyob ib puag ncig pob qij txha.
- Cov leeg tsis muaj zog thiab pob qij txha tsis ruaj khov thiab feem ntau co lossis ntswj me ntsis thaum tso rau hauv qhov hnyav.
- Kev cuam tshuam nrog kev ua kom tsis muaj zog yog poob ntawm kev nrawm, kev txawj ntse thiab kev sib koom tes. Yog tias koj muaj mob caj dab hauv koj txhais tes, koj yuav xav tias tsis meej pem thiab poob yam ntau zaus.
Kauj Ruam 3. Saib seb puas muaj kev hloov pauv
Kev sib koom ua ke tsis zoo lossis ua rau lub cev tsis zoo tshwm sim nrog txhua hom kev mob caj dab, txawm hais tias nws tuaj yeem txhim kho sai dua thiab pom ntau dua nrog qee cov ntawv. RA yog lub npe tsis zoo rau kev sib koom tes tsis zoo hauv txhais tes thiab txhais taw vim tias qhov ua rau ua rau cov pob txha mos thiab cov pob txha tawg, nrog rau cov pob qij txha tsis txaus (xoob). Ntev mus, RA muaj kev puas tsuaj ntau dua li yuav luag txhua hom thiab ua rau cov neeg xiam oob qhab feem ntau.
- OA tuaj yeem ua rau muaj kev sib koom ua ke tsis zoo (feem ntau piav raws li kev nyiam ua haujlwm), tab sis tsis yog qhov txawv txav ntawm tus yam ntxwv ntawm RA.
- Yog tias koj pom ib qho nodules (pob tw loj) nyob ze koj cov pob qij txha, qhov ntawd yuav yog qhov cim ntawm RA. Nodules tshwm sim hauv 20-30% ntawm RA tus mob, feem ntau yog hauv txhais tes, taw, lub luj tshib thiab hauv caug.
Kauj Ruam 4. Saib seb puas muaj kev hloov pauv ntawm daim tawv nqaij
Lwm qhov kev qhia lig lig ntawm kev mob caj dab yog cuam tshuam ntawm daim tawv nqaij hloov pauv. Ib cag los ntawm qhov muaj peev xwm nodules, RA thiab PsA feem ntau ua rau muaj tus yam ntxwv hloov pauv ntawm daim tawv nqaij thiab xim, ob qho tib si nyob ze cov pob qij txha thiab hauv qhov chaw nyob deb ntawm lub cev. RA nyhav ua kom tawv nqaij zoo li liab, feem ntau yog o ntawm cov hlab ntshav me me hauv qab ntawm daim tawv nqaij (hu ua vasculitis).
- Hauv kev sib piv, PsA feem ntau cuam tshuam nrog psoriasis ntawm daim tawv nqaij, uas cuam tshuam nrog kev tsim cov tuab, cov xim daj thiab khaus, qhuav, thaj ua rau thaj liab.
- Gout flare-ups feem ntau cuam tshuam nrog kev tsim cov tawv nqaij ntawm cov tawv nqaij nyob ze ntawm qhov mob sib koom.
- Txhua hom kev mob caj dab uas cuam tshuam txog kev o thiab mob ua rau kub nce hauv qab ntawm daim tawv nqaij thiab tuaj yeem ua rau nws hnov thiab zoo li tawv dua.
Ntu 3 ntawm 3: Qhov txawv ntawm Hom Hom Mob Ntsws
Kauj Ruam 1. Nkag siab tias OA yog dab tsi
Osteoarthritis (OA) yog hom mob caj dab tshaj plaws thiab tshwm sim los ntawm kev hnav maj mam tawm ntawm cov pob qij txha vim siv ntau dhau, rog dhau thiab/lossis raug mob. OA tsis koom nrog ntau qhov mob thiab feem ntau tuaj yeem tswj hwm los ntawm kev poob phaus, hloov cov haujlwm/kev tawm dag zog uas ua rau muaj kev sib koom tes ntau dua thiab hloov koj cov zaub mov noj (tsawg dua qab zib thiab khaws cia, dej ntau dua thiab cov khoom lag luam tshiab).
- OA feem ntau cuam tshuam rau kev sib koom tes hnyav, xws li lub hauv caug, lub duav thiab pob txha, txawm hais tias OA hauv txhais tes yog ib yam nkaus.
- OA kuaj pom los ntawm kev kuaj lub cev thiab xoo hluav taws xob. Hnav cov pob txha mos thiab txhim kho cov pob txha me me yog cov yam ntxwv ntawm OA ntawm x-ray.
- Kev kho rau OA cov chaw nyob ib puag ncig kev hloov pauv hauv lub neej thiab ib qho tshuaj tsis-steroidal anti-inflammatory drugs (NSAIDs), xws li ibuprofen, lossis tshuaj pleev ib ce zoo li acetaminophen.
Kauj Ruam 2. Kawm paub txog RA
Rheumatoid mob caj dab (RA) tsis zoo ib yam li OA, tab sis nws zoo li muaj ntau dua piv rau ntau caum xyoo dhau los. Dab tsi ua rau nws yog qhov paub tsis meej me ntsis, tab sis nws tau xav tias lub cev tiv thaiv kab mob tsis meej pem thiab tawm tsam cov nqaij sib koom ua ke thiab lwm qhov hauv lub cev los ntawm kev ua yuam kev - kuj tau piav qhia tias yog lub cev tiv thaiv kab mob ntau dhau. RA yog tus cwj pwm los ntawm ntau qhov mob thiab mob, uas tuaj yeem mus thiab mus (hu ua flares).
- RA feem ntau cuam tshuam rau lub cev ob tog - tib lub pob qij txha ntawm ob sab ntawm lub cev tib lub sijhawm.
- RA zoo li muaj ntau qhov txuas ntawm caj ces, yog li yog tias koj cov txheeb ze muaj nws, koj muaj feem ntau yuav tsim nws.
- Cov poj niam muaj feem ntau yuav txhim kho RA piv rau txiv neej.
- Tsis zoo li hauv OA, menyuam tuaj yeem cuam tshuam los ntawm RA - hu ua menyuam yaus idiopathic mob caj dab lossis JIA.
- RA yog kuaj los ntawm kev kuaj lub cev, xoo hluav taws xob thiab kuaj ntshav. Kev ua paug thiab ua haujlwm tsis sib haum yog tus yam ntxwv ntawm RA ntawm x-ray. Ntawm 70-80% ntawm cov neeg uas kuaj RA zoo rau tus cim hauv lawv cov ntshav hu ua rheumatoid factor.
- Kev kho rau RA cov chaw ib puag ncig noj cov tshuaj NSAIDs muaj zog, nrog rau kev kho kab mob-hloov tshuaj tiv thaiv rheumatic (DMARDs) thiab kev hloov pauv tshuaj lom neeg (tshuaj lom neeg).
Kauj Ruam 3. Tsis txhob yuam kev gout nrog OA lossis RA
Gout yog tshwm sim los ntawm qib siab ntawm uric acid hauv cov ntshav los ntawm kev noj zaub mov purine nplua nuj. Qib siab ntawm uric acid thaum kawg ua rau cov ntshav tawm, ua rau cov nplais ntse, uas tau tso rau hauv thiab ib puag ncig pob qij txha. Cov nplais ntse tau tsim sai heev ntawm qhov mob thiab mob hnyav, feem ntau yog hauv cov ntiv taw loj, tab sis kuj tseem nyob hauv lwm cov pob qij txha ntawm txhais taw, txhais tes thiab txhais ceg. Kev tawm tsam gout feem ntau yog luv luv (ob peb hnub lossis ntau dua), tab sis tuaj yeem rov tshwm sim tsis tu ncua.
- Uric acid crystals tuaj yeem tsim cov qog ua kua los yog nodules hu ua tophi nyob ib puag ncig cuam tshuam, uas tuaj yeem ua piv txwv RA.
- Cov zaub mov nplua nuj nyob hauv purine suav nrog cov nqaij hauv lub cev (daim siab, ob lub raum), nqaij npuas kib, qwj ntses, sardines, anchovies, nqaij qaib thiab gravies. Ntau dhau npias thiab cawv liab kuj tseem tuaj yeem ua rau mob gout.
- Gout tau kuaj pom los ntawm kev kuaj lub cev, keeb kwm kev noj zaub mov, xoo hluav taws xob thiab kuaj ntshav. Cov neeg uas muaj gout yuav muaj qib uric acid ntau hauv lawv cov ntshav (hu ua hyperuricemia).
- Kev kho mob gout yog qhov tseem ceeb ntawm kev siv NSAIDs luv lossis corticosteroids, nrog rau colchicine (Colcrys). Kev tiv thaiv mus sij hawm ntev yog raws kev hloov zaub mov noj.
Lub tswv yim
- Qee zaum, cov pob qij txha ua rau lub cev yuav sov thaum kov vim yog tsim cov kua.
- Nws tuaj yeem raug kev txom nyem nrog ntau hom mob caj dab tib lub sijhawm.
- Tswj koj lub cev qhov hnyav tau ua pov thawj los txo qis kev pheej hmoo kis tus kab mob gout thiab mob pob txha.
- Tiv thaiv koj cov pob qij txha los ntawm kev raug mob lossis siv rov ua dua tuaj yeem txo qhov kev pheej hmoo ntawm pob txha pob txha.
