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Uvavanyo lweSkrini

Iimvavanyo zokuHlolwa kweKlinikhi yangasemva. Iimvavanyo zokuhlola zidla ngokuba luvavanyo lokuqala olugqityiweyo kwaye zisetyenziselwa ukufumanisa ukuba uvavanyo olongezelelweyo lokuxilonga lunokufuneka. Ngenxa yokuba iimvavanyo zokuhlola ilinyathelo lokuqala elibhekiselele ekuxilongweni, ziyilelwe ukuba zibenokuqikelela kakhulu izehlo zesifo. Eyilwe ukuba yahluke kwiimvavanyo zokuxilonga kuba zinokubonisa iziphumo ezilungileyo kunovavanyo lokuxilonga.

Oku kunokukhokelela kuzo zombini izinto ezilungileyo kunye nezobuxoki. Nje ukuba uvavanyo lokuhlola lufunyaniswe lune-HIV, uvavanyo lokuxilonga luyagqitywa ukuqinisekisa ukuxilongwa. Okulandelayo, siya kuxoxa ngovavanyo lweemvavanyo zokuxilonga. Iimvavanyo ezininzi zokuhlola ziyafumaneka koogqirha kunye nabasebenzi be-chiropractic abaphambili ukuba basebenzise ekusebenzeni kwabo. Kwezinye iimvavanyo, kukho uphando oluninzi olubonisa inzuzo yolo vavanyo ekuxilongweni kwangoko kunye nonyango. UDkt Alex Jimenez ubonisa uvavanyo olufanelekileyo kunye nezixhobo zokuxilonga ezisetyenziselwa kwiofisi ukucacisa ngakumbi kunye nokuhlolwa okufanelekileyo kokuxilongwa.

Iimvavanyo zeHip Labral Tear: El Paso Back Clinic

Iimvavanyo zeHip Labral Tear: El Paso Back Clinic

by | I-Hip Pain kunye nokuphazamiseka, Uvavanyo lweSkrini

I-hip joint yi-ball-and-socket joint ehlanganiswe yintloko ye-femur kunye ne-socket, eyingxenye ye-pelvis. I-labrum yindandatho ye-cartilage kwinqanaba le-socket ye-joint hip enceda ukugcina i-fluid edibeneyo ngaphakathi ukuze kuqinisekiswe ukuhamba kwe-hip frictionless kunye nokulungelelaniswa ngexesha lokuhamba. Ukukrazula kwe-labral ye-hip kukulimala kwi-labrum. Ubungakanani bomonakalo bunokwahluka. Ngamanye amaxesha, i-hip labrum ingaba neenyembezi ezincinci okanye i-fray emaphethelweni, ngokuqhelekileyo ibangelwa ukuguga kunye nokukrazula. Kwezinye iimeko, icandelo le-labrum linokwahlula okanye liqhawulwe kwithambo le-socket. Ezi ntlobo zokonzakala zidla ngokuba ngenxa yokwenzakala. Kukho iimvavanyo ze-hip labral ze-conservative hip labral ukumisela uhlobo lokulimala. The Injury Medical Chiropractic kunye ne-Functional Medicine Clinic iqela linokunceda. 

Iimvavanyo zeHip Labral Tear: Iqela le-EPs Chiropractic

iimpawu

Iimpawu ziyafana nokuba luhlobo luni lokukrazuka, kodwa apho zivakala khona kuxhomekeke ekubeni ukukrazuka kungaphambili okanye ngasemva. Iimpawu eziqhelekileyo zibandakanya:

  • Ukuqina kwe-Hip
  • Uluhlu oluthile lokunyakaza
  • Ukucofa okanye ukutshixa imvakalelo kwi-hip joint xa uhamba.
  • Ubuhlungu kwi-hip, i-groin, okanye iimpundu, ngakumbi xa uhamba okanye ubaleka.
  • Ukukhathazeka ebusuku kunye neempawu zentlungu xa ulele.
  • Ezinye iinyembezi zinokubangela ukuba kungabikho zimpawu kwaye zinokungaqatshelwa iminyaka.

Iimvavanyo zeenyembezi zeHip Labral

I-hip labral tear ingenzeka naphi na ecaleni kwe-labrum. Zinokuchazwa njengangaphambili okanye ngasemva, kuxhomekeke ukuba yeyiphi inxalenye yelungu elichaphazelekayo:

  • Iinyembezi zangaphambili ze-hip labral: Uhlobo oluqhelekileyo lwe-hip labral tear. Ezi nyembezi zenzeka phambi kwe-hip joint.
  • Iinyembezi ze-hip labral zangasemva: Olu hlobo luvela ngasemva kwe-hip joint.

tests

Olona vavanyo luqhelekileyo lwe-hip labral tear lubandakanya:

  • Uvavanyo lwe-Hip Impingement
  • Uvavanyo Lokuphakamisa Umlenze Othe ngqo
  • The FABER Uvavanyo – lumele iFlexion, Abduction, kunye nokujikeleza kwangaphandle.
  • The ISITHATHU Uvavanyo - imele i-Hip Internal Rotation kunye nokuphazamiseka.

Iimvavanyo ze-Hip Impingement

Kukho iintlobo ezimbini zovavanyo lwe-hip impingement.

I-Anterior Hip Impingement

  • Olu vavanyo lubandakanya isigulane silele emqolo kunye nedolo labo ligobe kwii-degrees ze-90 kwaye emva koko lijikelezwe ngaphakathi emzimbeni.
  • Ukuba kukho intlungu, uvavanyo luthathwa njengolulungileyo.

Ukunyanzeliswa kweHip yangasemva

  • Olu vavanyo lubandakanya isigulane silele emhlane kunye ne-hip yabo yandisiwe kwaye idolo labo liguquguquka kwaye ligobile kwii-90 degrees.
  • Umlenze ke ujikeleziswa ngaphandle emzimbeni.
  • Ukuba kubangela intlungu okanye uloyiko, kuthathwa njengelungileyo.

Uvavanyo lokuphakamisa umlenze othe ngqo

Olu vavanyo lusetyenziswa kwiimeko ezahlukeneyo zonyango ezibandakanya intlungu emva.

  • Uvavanyo luqala ngesigulana sihleli okanye silele phantsi.
  • Kwicala elingathintekiyo, uluhlu lwesindululo luhlolwe.
  • Emva koko i-hip iguquguquka ngelixa idolo lithe tye kwimilenze yomibini.
  • Isigulane sinokucelwa ukuba siguqule intamo okanye sandise unyawo ukuze lunwebe imithambo-luvo.

Uvavanyo lweFABER

Imele iFlexion, Abduction, kunye nokujikeleza kwangaphandle.

  • Uvavanyo luqala ngesigulana silele ngomqolo imilenze yayo ithe tye.
  • Umlenze ochaphazelekayo ubekwe kwisimo sesine.
  • Ugqirha uya kuthi ke afake uxinzelelo olunyukayo kwidolo eligobileyo.
  • Ukuba kukho intlungu ye-hip okanye i-groin, uvavanyo luhle.

Uvavanyo lweSITHATHU

Oku kuthetha - i Ukujikeleza kwangaphakathi kwe-Hip kunye Ukuphazamiseka

  • Uvavanyo luqala ngesigulana silele ngomqolo.
  • Emva koko isigulane siguqula idolo kwii-90 degrees kwaye siphendulela ngaphakathi malunga ne-10 degrees.
  • I-hip ke ijikelezwe ngaphakathi kunye noxinzelelo oluphantsi kwi-joint hip.
  • I-Maneuver iphinda iphindwe kunye nelungu eliphazamisekile / litsalwe ngaphandle.
  • Kuthathwa njengelungileyo ukuba intlungu ikhona xa i-hip ijikeleza kwaye iyancipha intlungu xa iphazamisekile kwaye ijikelezwe.

Unyango lweChiropractic

Unyango lweChiropractic lubandakanya ukulungiswa kwe-hip ukulungelelanisa amathambo ajikeleze i-hip kunye nokunyuka ngomqolo, unyango lwe-massage ye-massage yokukhulula imisipha ejikeleze i-pelvis kunye nethanga, i-flexible exercises ekujoliswe kuyo ukubuyisela uluhlu lwentshukumo, imithambo yokulawula imoto, kunye nokuzivocavoca ukomeleza ukulungisa ukungalingani kwemisipha.

Unyango kunye noNyango

Ucaphulo

Chamberlain, uRakeli. "Intlungu ye-Hip kubantu abadala: uVavanyo kunye nokuxilongwa okwahlukileyo." Ugqirha wosapho waseMelika vol. 103,2 (2021): 81-89.

Groh, MM, Herrera, J. Uphononongo olubanzi lweenyembezi ze-hip labral. Curr Rev Musculoskelet Med 2, 105-117 (2009). doi.org/10.1007/s12178-009-9052-9

UKaren M. Myrick, uCarl W. Nissen, uVavanyo lweSITHATHU: Ukuxilongwa kweenyembezi ze-Hip Labral ngeNdlela entsha yoVavanyo loMzimba, iJenali yabaSebenzi boMongikazi, uMqulu 9, ukukhutshwa kwe-8, i-2013, iPhepha 501-505, ISSN 1555-4155, doi.org/10.1016/j.nurpra.2013.06.008. (www.sciencedirect.com/science/article/pii/S155541551300367X)

U-Roanna M. Burgess, u-Alison Rushton, uChris Wright, uCathryn Daborn, Ukunyaniseka kunye nokuchaneka kweemvavanyo zokuxilonga ikliniki ezisetyenziselwa ukufumanisa i-labral pathology ye-hip: Ukuhlaziywa ngokuchanekileyo, i-Manual Therapy, uMqulu 16, i-4, i-2011, i-318-326 , ISSN 1356-689X, doi.org/10.1016/j.math.2011.01.002 (www.sciencedirect.com/science/article/pii/S1356689X11000038)

Su, Tiao, et al. "Uxilongo kunye nonyango lwe-labral tear." Ijenali yezonyango yaseTshayina vol. 132,2 (2019): 211-219. doi:10.1097/CM9.0000000000000020

UWilson, uJohn J, kunye noMasaru Furukawa. "Uvavanyo lwesigulana esinentlungu ye-hip." Ugqirha wosapho waseMelika vol. 89,1 (2014): 27-34.

Uvavanyo lweGazi lokuxilonga i-Ankylosing Spondylitis Back Clinic

Uvavanyo lweGazi lokuxilonga i-Ankylosing Spondylitis Back Clinic

by | Uvavanyo lweSkrini, Uncedo Lwezityalo

Ukuxilongwa i-ankylosing spondylitis ngokuqhelekileyo kubandakanya iimvavanyo ezininzi. Xa oogqirha beyalela uvavanyo lwegazi ukufumanisa i-ankylosing spondylitis, umntu ufumana iimpawu eziya zisiba mandundu kumqolo kunye namalungu. Rhoqo, ukuxilongwa kovavanyo lwegazi kuthetha ukuba ugqirha ukhangela ubungqina bayo nayiphi na enye into enokubangela iimpawu. Nangona kunjalo, iimvavanyo zegazi ngokwazo azikwazi ukuxilonga ngokuqinisekileyo i-ankylosing spondylitis, kodwa xa idibene nemifanekiso kunye novavanyo, inokubonelela ngeempawu ezibalulekileyo ezikhomba iimpendulo.Uvavanyo lweGazi lokuxilonga i-Ankylosing Spondylitis

Uvavanyo lwegazi lwe-Ankylosing Spondylitis

I-Ankylosing spondylitis sisifo samathambo ichaphazela ikakhulu umqolo kunye nezinqe. Kunokuba nzima ukuxilonga njengoko kungekho vavanyo olunye olunokubonelela ngolwazi olugqibeleleyo loxilongo oluqinisekileyo. Kusetyenziswa indibaniselwano yovavanyo lokuxilonga, kubandakanywa uvavanyo lomzimba, umfanekiso, kunye novavanyo lwegazi. Oogqirha abakhangeli kuphela iziphumo eziza kubhekisela kwi-spondylitis ye-ankylosing, kodwa bafuna nayiphi na imiphumo enokuthi ibhekiselele kwimiphumo ye-spondylitis enokubonelela ngengcaciso eyahlukileyo yeempawu.

Uviwo loMzimba

Inkqubo yokuxilongwa iya kuqala ngembali yonyango lomntu ngamnye, imbali yosapho, kunye novavanyo lomzimba. Ngexesha loviwo, ugqirha uya kubuza imibuzo ukunceda ukulawula ezinye iimeko:

  • Zinexesha elingakanani iimpawu zibonakalisa?
  • Ngaba iimpawu ziba ngcono xa uphumla okanye ujima?
  • Ngaba iimpawu ziya ziba mandundu okanye zihlala zifana?
  • Ngaba iimpawu zibi ngakumbi ngexesha elithile losuku?

Ugqirha uya kujonga imida ekuhambeni kunye neendawo zethenda ze-palpate. Abaninzi iimeko zingabangela iimpawu ezifanayo, ngoko ugqirha uya kukhangela ukuba intlungu okanye ukungabikho kokuhamba kuhambelana ne-ankylosing spondylitis. Uphawu olubonakalayo lwe-ankylosing spondylitis yintlungu kunye nokuqina kumalungu e-sacroiliac. Amalungu e-sacroiliac ahlala kumqolo osezantsi, apho isiseko somqolo kunye ne-pelvis sidibana khona. Ugqirha uya kujonga ezinye iimeko zomqolo kunye neempawu:

  • Iimpawu zentlungu emva okubangelwa - ukulimala, iipatheni zokuma, kunye / okanye iindawo zokulala.
  • I-lumbar spinal stenosis
  • Irheumatoid arthritis
  • Isifo samathambo
  • Ukusasaza i-idiopathic skeletal hyperostosis

Imbali Yentsapho

  • Imbali yosapho idlala indima ekuxilongeni ngenxa ye imfuza ye-spondylitis ye-ankylosing.
  • I-HLA-B27 i-gene ihambelana ne-spondylitis e-ankylosing; ukuba umntu unayo, omnye wabazali bakhe unayo.

Ukucinga

  • IiX-reyi zidla ngokuba linyathelo lokuqala lokuxilongwa.
  • Njengoko isifo siqhubela phambili, amathambo amatsha amatsha enza phakathi kwe-vertebrae, ekugqibeleni adibanise.
  • Ii-X-reyi zisebenza ngcono ekwenziweni kwemephu yokuqhubela phambili kwesifo kunoxilongo lokuqala.
  • I-MRI inikeza imifanekiso ecacileyo kwiinqanaba zokuqala njengoko iinkcukacha ezincinci zibonakala.

Uvavanyo lweGazi

Uvavanyo lwegazi lunokunceda ukulawula ezinye iimeko kunye nokujonga iimpawu zokuvuvukala, ukubonelela ubungqina obuxhasayo kunye neziphumo zeemvavanyo zemifanekiso. Ngokuqhelekileyo kuthatha malunga nosuku okanye ezimbini ukufumana iziphumo. Ugqirha unokuodola olunye kolu vavanyo lwegazi lulandelayo:

I-HLA-B27

Uvavanyo lwe-HLA-B27.

  • I-HLA-B27 gene ibonisa iflegi ebomvu ukuba i-ankylosing spondylitis ingaba khona.
  • Abantu abanale mfuza banomngcipheko ophezulu kakhulu wokukhula kwesi sifo.
  • Idityaniswe neempawu, ezinye iilebhu, kunye neemvavanyo, inokunceda ukuqinisekisa ukuxilongwa.

ESR

Isantya se-sedimentation or Uvavanyo lwe-ESRt.

  • Uvavanyo lwe-ESR lulinganisa ukudumba emzimbeni ngokubala umlinganiselo okanye ukuba iiseli ezibomvu zegazi zikhawuleza kangakanani ukuzinza ezantsi kwisampulu yegazi.
  • Ukuba bahlala ngokukhawuleza kunesiqhelo, isiphumo siphezulu se-ESR.
  • Oko kuthetha ukuba umzimba ufumana ukudumba.
  • Iziphumo zeESR zinokubuya ziphezulu, kodwa ezi zodwa aziyixilonga i-AS.

CRP

Iproteni esebenzayo - Uvavanyo lwe-CRP.

  • Iitshekhi zovavanyo lwe-CRP Amanqanaba e-CRP, iprotheni ehambelana nokuvuvukala emzimbeni.
  • Amanqanaba e-CRP aphakamileyo abonisa ukuvutha okanye ukusuleleka emzimbeni.
  • Sisixhobo esiluncedo sokulinganisa ukuqhubela phambili kwesifo emva kokuxilongwa.
  • Ihlala ihambelana notshintsho kumqolo oboniswe kwi-X-ray okanye i-MRI.
  • Kuphela i-40-50% yabantu abane-spondylitis e-ankylosing bafumana ukwanda kwe-CRP.

ANA

Uvavanyo lwe-ANA

  • Izilwa-buhlungu zeAnuclear, okanye i-ANA, ilandela iiproteni ezikwinucleus yeseli, ixelela umzimba ukuba iiseli zayo zilutshaba.
  • Oku kuvula impendulo yokuzivikela komzimba ukuba umzimba ulwe ukuyiphelisa.
  • Uphononongo lufumanise ukuba i-ANA ifunyenwe kwi-19% yabantu abane-ankylosing spondylitis kwaye iphezulu kwabasetyhini kunamadoda.
  • Xa kudityaniswa nolunye uvavanyo, ubukho be-ANA bunika omnye umkhondo woxilongo.

Health Gut

  • The gut microbiome idlala indima ebalulekileyo ekuqaliseni ukuphuhliswa kwe-spondylitis ye-ankylosing kunye nonyango lwayo.
  • Uvavanyo lokujonga impilo yamathumbu anokunika ugqirha umfanekiso opheleleyo wento eyenzekayo ngaphakathi emzimbeni.
  • Uxilongo lovavanyo lwegazi lwe-ankylosing spondylitis kunye nezinye iimeko ezivuthayo zixhomekeke kakhulu ekudibaniseni iimvavanyo ezahlukeneyo ecaleni kweemviwo zeklinikhi kunye nokucinga.

Oonobangela, Iimpawu, Uxilongo, kunye noNyango

Ucaphulo

Cardoneanu, Anca, et al. "Iimpawu ze-intestinal microbiome kwi-ankylosing spondylitis." Iyeza lovavanyo kunye nonyango vol. 22,1 (2021): 676. doi:10.3892/etm.2021.10108

Prohaska, Et al. “Antinukleäre Antikörper bei Spondylitis ankylosans (Morbus Bechterew)” [Amasosha omzimba akwi-ankylosing spondylitis (inguqulelo yombhali)]. Wiener klinische Wochenschrift vol. 92,24 (1980): 876-9.

Sheehan, Nicholas J. "Iimpembelelo ze-HLA-B27." Ijenali yeRoyal Society of Medicine vol. 97,1 (2004): 10-4. doi:10.1177/014107680409700102

Wenker KJ, Quint JM. Ankylosing Spondylitis. [Ihlaziywe ngo-2022 ku-Epreli 9]. Ku: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Ifumaneka kwi: www.ncbi.nlm.nih.gov/books/NBK470173/

Xu, Yong-Yue, et al. "Indima ye-gut microbiome kwi-ankylosing spondylitis: uhlalutyo lwezifundo kuncwadi." Ukufunyanwa kweyeza vol. 22,123 (2016): 361-370.

Ukuxilongwa kwe-Scoliosis: Iklinikhi yase-Adams Forward Bend yoVavanyo lwangasemva

Ukuxilongwa kwe-Scoliosis: Iklinikhi yase-Adams Forward Bend yoVavanyo lwangasemva

by | Iimpawu, Uvavanyo lweSkrini

The Adams phambili bend uvavanyo yindlela yokuhlola elula enokunceda ukuxilongwa kwe-scoliosis kunye nokunceda ekuphuhliseni isicwangciso sonyango. Uviwo luthiywe emva kwe Ugqirha wesiNgesi uWilliam Adams. Njengenxalenye yoviwo, ugqirha okanye i-chiropractor iya kukhangela i-bend engaqhelekanga kwicala ukuya kwicala lomqolo.Ukuxilongwa kwe-Scoliosis: Uvavanyo lwe-Adams Forward Bend

Ukuxilongwa kwe-Scoliosis

  • Uvavanyo lwe-Adams oluya phambili lunokunceda ukufumanisa ukuba kukho izikhombisi ze-scoliosis.
  • Ayiloxilongo olusemthethweni, kodwa iziphumo zingasetyenziswa njengesiqalo.
  • Uvavanyo lwenziwa kunye nobudala besikolo abantwana phakathi kwe-10 kunye ne-18 ukufumana umntwana ofikisayo idiopathic scoliosis okanye AIS.
  • Uvavanyo oluhle luyi-asymmetry ebonakalayo kwiimbambo kunye ne-bend phambili.
  • Iyakwazi ukubona i-scoliosis kuyo nayiphi na indawo yomqolo, ngakumbi kumbindi we-thoracic nangaphezulu.
  • Uvavanyo alulolwabantwana kuphela; i-scoliosis inokukhula nakweyiphi na iminyaka, ngoko ke iyasebenza nakubantu abadala.

Adams Phambili Bend Test

Uvavanyo luyakhawuleza, lulula, kwaye alunantlungu.

  • Umvavanyi uya kukhangela ukuba akukho nto ingalinganiyo xa imi nkqo.
  • Emva koko isigulane siya kucelwa ukuba sigobe phambili.
  • Isigulane sicelwa ukuba sime kunye nemilenze yabo kunye, ijonge kude nomhloli.
  • Emva koko izigulane zigobela phambili ukusuka esinqeni, iingalo zijinga ngokuthe nkqo ukuya ezantsi.
  • Umvavanyi usebenzisa a i-scoliometer-njengenqanaba lokubona i-asymmetries ngaphakathi komqolo.
  • Ukunxaxha kuthiwa yi I-engile yeCobb.

Uvavanyo lwe-Adams luya kubonisa iimpawu ze-scoliosis kunye / okanye ezinye iziphene ezinokuthi:

  • Amanqanaba angalinganiyo
  • Iinqumlo ezingavumelekanga
  • Ukungabikho kwe-symmetry phakathi kwe-vertebrae okanye i-shoulder blades.
  • Intloko ayingqamani no-a ubambo hump okanye i-pelvis.

Ukufunyanwa kweminye imiba yoMnqonqo

Uvavanyo lunokusetyenziselwa ukufumana imiba ye-spinal curvature kunye neemeko ezinje:

  • I-Kyphosis okanye i-hunchback, apho umva ongaphezulu ugobe phambili.
  • Isifo sikaScheuermann luhlobo lwe-kyphosis apho i-thoracic vertebrae ingakhula ngokungafaniyo ngexesha lokukhula kwaye ibangele ukuba i-vertebrae iphuhlise ibe yinto efana ne-wedge.
  • Umqolo wokuzalwa iimeko ezibangela igophe elingaqhelekanga lomqolo.

isiqinisekiso

Uvavanyo lwe-Adams ngokwalo alwanelanga ukuqinisekisa i-scoliosis.

  • I-X-ray emileyo enemilinganiselo ye-engile ye-Cobb ngaphezu kwee-degrees ezili-10 iyadingeka ukuze kuhlolwe i-scoliosis.
  • I-engile ye-Cobb imisela ukuba yeyiphi i-vertebrae ethambeke kakhulu.
  • I-angle ephezulu, imeko enzima kakhulu kwaye iya kuvelisa iimpawu.
  • I-computed tomography okanye i-CT kunye ne-magnetic resonance imaging okanye i-MRI scans nazo zingasetyenziswa.

Phambili Bend Test

Ucaphulo

Glavaš, Josipa et al. "Indima yeyeza lesikolo ekubonweni kwangaphambili kunye nolawulo lwe-adolescent idiopathic scoliosis." Wiener klinische Wochenschrift, 1–9. 4 Okt. 2022, doi:10.1007/s00508-022-02092-1

Grossman, TW et al. "Uvavanyo lovavanyo lwe-Adams lwe-bend phambili kunye ne-scoliometer kwindawo yokuhlola isikolo se-scoliosis." Ijenali yamathambo yabantwana vol. 15,4 (1995): 535-8. doi:10.1097/01241398-199507000-00025

Letts, M et al. "I-digitization ye-ultrasonic ekhompyutheni kumlinganiselo wokugoba komgogodla." Umqolo vol. 13,10 (1988): 1106-10. doi:10.1097/00007632-198810000-00009

Senkoylu, Alpaslan, et al. "Indlela elula yokuvavanya ukuguquguquka okujikelezayo kwi-idiopathic scoliosis yokufikisa: uvavanyo oluguquliweyo luka-Adam oluguquguqukayo." Ukukhubazeka komqolo vol. 9,2 (2021): 333-339. doi:10.1007/s43390-020-00221-2

Kutheni Ndifuna i-X-ray okanye i-MRI yeLain Back Pain El Paso, TX?

Kutheni Ndifuna i-X-ray okanye i-MRI yeLain Back Pain El Paso, TX?

by | Uvavanyo lweChiropractic, Uvavanyo lweSkrini

Iintlungu ezisezantsi zesinye sezona zigulo zixhaphakileyo kubantu abatyelela ugqirha okanye iklinikhi yokhathalelo olungxamisekileyo. Xa iintlungu zangasemva ziba nzima, zinokukwenza ucinge ukuba kukho into engalunganga ngomqolo wakho. Ugqirha unokubonelela nge I-x-ray okanye i-MRI scan ukubeka iinkxalabo zakho ngokukhululeka.

Ngethamsanqa, iimeko ezininzi zeentlungu ezisezantsi, kunye neentlungu ezibuhlungu, ziphucula phakathi kweentsuku okanye iiveki ezimbalwa. Amatyala amaninzi alungiswa nge chiropractic, unyango lomzimba, unyango lobushushu / ice, kunye nokuphumla. Kwaye uninzi lwezi meko azifuni naluphi na uhlobo lomfanekiso womqolo. Nangona kunjalo, yiyo loo nto i-X-ray, i-MRI, kunye ne-CT scans ziyimfuneko ukufumanisa ukuba kwenzekani.

  • Isihlunu esibuhlungu
  • I-sprained ligament
  • Ukunyanzeliswa okubi

Ezi zizathu eziqhelekileyo zeentlungu ezisezantsi zinokuba buhlungu kwaye zinciphise imisebenzi.

 

I-11860 Vista Del Sol, Ste. I-128 Kutheni ndifuna i-X-ray okanye i-MRI yokuBuhlungu kweLinge eMva kwe-El Paso, TX?

 

Ubuhlungu obungasemva buhlala ixesha elide kuneeVeki ze2 / 3

Iintlungu ze-Subacute zihlala phakathi kwe-4 kunye neeveki ze-12, ngelixa ubuhlungu obungapheliyo buhlala kwiinyanga ezintathu okanye ngaphezulu. Ezi ayizozibonakaliso zemeko enzima yomqolo osezantsi.

Ngaphantsi kwe-1% yabantu abaneentlungu ezisezantsi zangasemva bafunyaniswa benemeko enokufuna utyando lomqolo:

 

I-X-rays okanye ii-MRIs zokuxilongwa kweentlungu ezisezantsi

Dii-octors zingancoma i-x-ray okanye i-MRI ukuba intlungu ephantsi yomqolo ivela kwingozi ebuhlungu, njenge:

  • Ukutyibilika
  • bawe
  • Ingozi yemoto

Ezinye izinto ezinokubangela iintlungu ezisezantsi zinokuqinisekisa umfanekiso wezonyango ngokukhawuleza okanye kamva.

Inkqubo yokuxilonga iqala ngovavanyo lweempawu ezisezantsi kunye nendlela ezinxibelelana ngayo noko kwafunyanwa:

  • Uvavanyo lomzimba
  • Uvavanyo lwe-Neurological
  • Imbali yonyango

Ugqirha usebenzisa ezi ziphumo ukufumanisa ukuba i-spinal imaging iyimfuneko, kunye nohlobo lovavanyo lokucinga, i-x-ray, okanye i-MRI kunye nexesha lokuqinisekisa ukuxilongwa.

Umva ongezantsi X-Ray / MRI

Imifanekiso ye-X-reyi yomgogodla ibona ngcono iingxaki zesakhiwo samathambo kodwa kunjalo ayimkhulu kangako ngokulimala kwezicubu ezithambileyo. Uchungechunge lwe-X-ray lunokwenziwa ukuxilonga i-vertebral compression fractures.

  • sobuKristu
  • Ingaphandle
  • Ukujonga kamva

I-MRI luvavanyo olungena-radiation. I-MRIs iyadala Ukujonga kwe-3-D ukubonwa komzimba kumathambo omqolo kunye nezicubu ezithambileyo. Idayi eyahlukileyo efana gadolinium isetyenziselwa ukuphucula kunye nokuphucula imigangatho yemifanekiso. Umahluko uyajongwa ngomgca ongenayo esandleni okanye engalweni ngaphambi okanye ngexesha lovavanyo. An I-MRI inokuvavanya iimpawu ze-neurological, njenge-radiation yentlungu okanye intlungu eyenzeka emva kokuxilongwa komhlaza.

Iimpawu, ukuPhawulwa kweZonyango okukhoyo ngoku, kunye neemeko ezinokufuna ukuIlinganiswa kwe-Spine

Iimpawu ze-Neurological

  • Iintlungu ezisezantsi eziphumayo, iifeni ziphuma, okanye zihla zingene ezimpundu, emilenzeni nasezinyaweni
  • Ukuhlaziya okungalunganga kumzimba ongezantsi kunokubonisa ukuphazamiseka kwentliziyo
  • Ubudenge, ukuhenda, kwaye mhlawumbi nobuthathaka buyakhula
  • Ukungakwazi ukuphakamisa unyawo lwakho, aka unyawo lwehla

Unyango kunye nemeko esele ikho

  • Cancer
  • Diabetes
  • Fever
  • iOsteoporosis
  • Ukophuka komgogodla ngaphambili
  • Utyando lwezityalo
  • Usulelo lwamva nje
  • Ukusetyenziswa kwamayeza e-immunosuppressant
  • Amayeza e-corticosteroid
  • Ukuhla ukusinda

 

Ukuvezwa kwemitha ye-X-ray

Ukusasazeka kwemitha kumzimba wakho wonke kulinganiswa nge-millisievert (mSv), ekwaziwa njengethamo elisebenzayo. Ithamo lemitha yesixa esilinganayo ngalo lonke ixesha ufumana ix-reyi. Xa usenza i-x-reyi, i radiation engafakwanga ngumzimba idala umfanekiso.

Idosi esebenzayo inceda ugqirha ukulinganisa umngcipheko Iziphumo ezinokubakho Ukucingela i-radiographic:

  • Iskena se-CT sisebenzisa i-radiation ngokunjalo
  • Izihlunu ezithile zomzimba kunye namalungu asezantsi ngasemva aziva evezwe yimitha, njengamalungu okuzala.

 

Imitha ye-MRI-Mahala Kutheni ungasebenzisi nje olu Vavanyo ngalo lonke ixesha

I-MRI ayinakusetyenziswa kuzo zonke izigulana ngenxa yobuchwephesha bemagnethi obunamandla. Abasetyhini abakhulelweyo okanye abantu abanesinyithi ngaphakathi emzimbeni wabo, njengesivuseleli sentambo yomgogodla, i-heart pacemaker, njl., abanakuskenwa ngeMRI.

Uvavanyo lweMRI lukwabiza imali eninzi; oogqirha abafuni ukumisela iimvavanyo ezingeyomfuneko ezandisa iindleko. Okanye ngenxa yeenkcukacha ezintle ezinikezelwa yi-MRIs, ngamanye amaxesha umcimbi womgogodla ungabonakala unzima kodwa akunjalo.

Umzekelo: I-MRI yomqolo ongezantsi utyhila a i-disc ye-herniated kwisigulane esingenayo intlungu yomqolo / yomlenze okanye ezinye iimpawu.

Yiyo loo nto oogqirha bezisa zonke iziphumo zabo njengeempawu, uviwo lomzimba, kunye nembali yonyango ukuqinisekisa ukuxilongwa kunye nokwenza isicwangciso sonyango esiqhelekileyo.

Ukuthathwa kokuvavanywa kokuQalwa

Ukuba iintlungu ezisezantsi zithatha ubunzima, phulaphula oko ugqirha uncoma. Abanakuyalela i-lumbar x-ray okanye i-MRI ngokukhawuleza kodwa khumbula imiba ekhankanywe ngasentla, njengeempawu ze-neurological kunye neemeko zonyango ezikhoyo. Kodwa ezi mvavanyo zinceda ukufumanisa unobangela okanye oonobangela bentlungu. Khumbula ukuba oku kukunceda ukuba izigulane zibe sempilweni entle kwaye zingabinantlungu.

 

Ungayiphelisa njani i-Back Pain ngokwemvelo | (2020) Abahambi ngeenyawo | El Paso, Tx

 

 

Izibonelelo zeNCBI

Ukujonga ukuxilongwa yinto ebaluleke kakhulu kuvavanyo lomvandedwa womqolo. Ukuphucuka okukhawulezayo kwetekhnoloji yokucinga kuye kwatshintsha kakhulu uvavanyo kunye nonyango lokulimala komqolo. Ukuxilonga ukuxilonga usebenzisa i-CT kunye neMRI, phakathi kwabanye, iluncedo kulungelelwaniso olungelulo nolungapheliyo. Intambo yomgogodla kunye nokulimala kwezicubu ezithambileyo zivavanywa ngcono ngumfanekiso we-magnetic resonance imaging, okanye i-MRI, ngelixa i-computed tomography scanning okanye i-CT scans ivavanya ngcono ukwenzakala komnqonqo okanye ukwaphuka komnqonqo.

 

 

Iintlobo eziThathu ezingekho phantsi kwezinto ezenza i-Chiropractic i-El Paso, TX.

Iintlobo eziThathu ezingekho phantsi kwezinto ezenza i-Chiropractic i-El Paso, TX.

by | Uvavanyo lweSkrini, Uncedo Lwezityalo

Ngamanye amaxesha kunokubakho okungaqhelekanga komgogodla kwaye kubangela ukungaqondakali kakuhle kweendlela zokwemvelo eziguqulweyo okanye ezinye iindlela zokugqithisa zinokugqithisa. Ezi ndlela zingaqhelekanga zemvelo zomgogodla zibonakaliswa ziimeko ezintathu zempilo ezibiziweyo i-Lordosis, kyphosis, kunye ne-scoliosis.

Ayenzelwanga ukuba ibe ngokwemvelo igobile, ijijeke, okanye ithiwe cwaka. Imo yendalo yomqolo ophile qete ithi ngqo ijika elincinci elibaleka ngasemva ukuze umbono wecala ubatyhile.

Ukujonga umqolo ngasemva, kuya kufuneka ubone into eyahlukileyo umqolo obaleka uye ezantsi, phezulu kuye ezantsi kungekho cala lisezantsi. Oku akusoloko kusenzeka nangona kunjalo.

Umgogodla ubunjwe nge-vertebrae, amathambo amancinci abambeke ngaphezulu kwelinye anempembelelo zokususa umatshini phakathi kwento nganye. La mathambo asebenza njengokudibana, okuvumela ukuba umqolo ugobe kwaye ujijeke ngeendlela ezahlukeneyo.

Zityibilika kancinci, zithambekele ngaphakathi kancinane kumqolo omncinci, kwaye kwakhona kancinci entanyeni. Ukutsalwa kwamandla adonsela phantsi, kudityaniswa nokuhamba komzimba, kungabeka uxinzelelo olukhulu kumqolo kwaye ezi zijika zincinci zinceda ukuba zifumane ezinye zeempembelelo.

Iimeko ezahlukeneyo zeentlobo ezahlukeneyo ze-spinal curvature

ukuxhatshazwa komgogodla ukuba i-chiropractic inokunceda i-el paso tx.

Nganye kwezi ngxaki zintathu zomgogodla zichaphazela indawo ethile yomgogodla ngendlela ethe ngqo.

  • Hyper okanye Hypo Lordosis Esi sifo se-spinal curvature sichaphazela umqolo ongezantsi, obangela ukuba umqolo ujike ngaphakathi okanye ngaphandle ngokubonakalayo.
  • Hyper okanye Hypo Kyphosis Esi sifo sokugoba komqolo sichaphazela umqolo ongasentla, obangela ukuba umqolo ugobe, ukhokelela kuloo ndawo ujikeleze okanye ucofe ngokungaqhelekanga.
  • Scoliosis Esi sifo sokuqaqanjelwa ngumqolo sinokuchaphazela wonke umqolo, sibangele ukuba sijike ecaleni, senze imeko ye-C okanye engu-S.

Ziziphi iimpawu?

ukuxhatshazwa komgogodla ukuba i-chiropractic inokunceda i-el paso tx.

Uhlobo ngalunye lwekhula lubonisa iiseti zayo zeempawu. Ngelixa ezinye iimpawu zinokuthi zibekhona, uninzi lwahlukile kolochazo luphawu oluthile.

  • Lordosis
    • Inkangeleko 'yokubuyela umva' apho iimpundu zinamathela khona okanye zibhengezwe ngakumbi.
    • Ukungakhululeki ngasemva, ngokuqhelekileyo kwingingqi ye-lumbar
    • Xa ulele kumphezulu onzima ngasemva, indawo engasemva engezantsi ayichukumisi umphezulu, nokuba uzama ukuzama ukubambisa i-pelvis kwaye ulungelelanise umva ongezantsi.
    • Ubunzima beentshukumo ezithile
    • Umqolo obuhlungu
  • I-Kyphosis
    • Ijika okanye i-hump ukuya ngasemva ngasemva
    • Intlungu ephezulu kunye nokudinwa emva kokuhlala okanye ukuma ixesha elide (Scheuermann's kyphosis)
    • Umlenze okanye ukukhathala umva
    • Intloko igoba kude kunokuba ithi tye ngakumbi
  • Scoliosis
    • Isinqe okanye isinqe azilingani
    • Elinye igxa elinye liphezulu kunelinye
    • Umntu uncike kwelinye icala

Zibangelwa yintoni?

Imicimbi emininzi eyahlukeneyo yezempilo inokubangela ukuba umgogodla uphathwe kakubi okanye wenze i-spinal curvature. Nganye ye iimeko zomgogodla ekhankanyiweyo ichaphazeleka ziimeko ezahlukeneyo kunye neemeko.

  • Lordosis
    • iOsteoporosis
    • Achondroplasia
    • Discitis
    • ukutyeba
    • Spondylolisthesis
    • I-Kyphosis
  • I-Kyphosis
    • Arthritis
    • Iipumors kwi okanye kumqolo
    • I-Congenital kyphosis (ukukhula okungaqhelekanga komntu we-vertebrae ngelixa umntu uku-utero)
    • I-Spina bifida
    • Isifo sikaScheuermann
    • Ukosuleleka ngumqolo
    • iOsteoporosis
    • Ukuhamba ngokuthambeka okanye ukuma ngendlela engeyiyo

Scoliosis iseyimfihlakalo kancinane koogqirha. Abaqinisekanga ukuba yeyiphi eyona nto ibangela eyona ndlela exhaphakileyo yesifo se-scoliosis esiqhele ukubonwa ebantwaneni nakwishumi elivisayo. Ezinye zezinto abazichongileyo zibandakanya:

I-chiropractic inokunceda i-el paso tx.
  • Ukuzinyanzela, inomkhwa wokubaleka kwiintsapho
  • Sulelo
  • Isiphene sokuzalwa
  • ukwenzakala

Ukuphazamiseka komqolo kunye neChiropractic

Ukunyanzelwa komgogodla kwi-spinal curvature disc ibonakalisiwe ukuba iyasebenza. I-Chiropractic inceda ukubuyisela umva wokulinganisela kwendalo nokuba isigulana sinolunye lwezi meko.

Nazi uhlolo ifumaneke kubo bobabini abantwana kunye nabantu abadala ukuchonga nayiphi na i-curvature yomgogodla kumanqanaba abo okuqala nge-chiropractor yakho. Ukuziqaphela kwangoko ezo ngxaki kuphazamiseka kubalulekile ukuba uzichonge ngaphambi kokuba zibe nzulu kakhulu.

I-Spine eyenzelwe umntu kunye * NESAYENSI YESAYENSI * | El Paso, TX (2019)

IiNzuzo ze-4 zokuSkrzulisa ukuSkrini kwiCropractor

IiNzuzo ze-4 zokuSkrzulisa ukuSkrini kwiCropractor

by | Uvavanyo lweSkrini

Kulinganiselwa ukuba ukuhamba nge-scoliosis kuthintela naphi na kwi-2 ukuya kwi-3 ipesenti yabantwana nabantu abadala eMerika. Yiyo abantu abayizigidi ezithandathu ukuya kweziyisithoba. Nangona kubonakala ngathi ikhula ngokuqhelekileyo kwimida ethile yeminyaka yabafana kunye namantombazana, ingaba nayo ikhulile. Unyaka ngamnye, malunga nezingane ze-30,000 zifakwe kwi-back-brace back brace ngelixa abantu be-38,000 bane-opinal fusion operation ukulungisa ingxaki. Ukuhlolwa kwe-Scoliosis kunokuba luncedo kakhulu ngokubonakalisa zombini izinto ezinobungozi bokuhamba nge-scoliosis nokuvumela unyango lokuqala.

Ngaphambili ufumanisa i-scoliosis, kulula ukunyanga.

I-Scoliosis ibonakala ikhula ebuntwaneni. Ngamantombazana, ngokuqhelekileyo ivela phakathi kwe-7 kunye ne-14 yeminyaka ubudala. Abafana bavelisa emva kancinci, phakathi kwe-6 kunye ne-16 yeminyaka ubudala.

Ukufumana ukuhlolwa kwe-scoliosis ngonyaka ngamnye kule minyaka yobudala obukhulu kuvumela oogqirha ukuba baqaphele imimiselo kwangaphambili baze baqale ukuyiphatha ngaphambi kokuba bangabi nzulu. I-scoliosis ehamba phambili ingadinga unyango olunzulu, ukukhwela, kunye nokuhlinzwa.

I-chiropractic iboniswe ukunceda u-scoliosis, njengokuncedisa, ukuzivocavoca okhethekileyo kunye neyeza elonyango. Kukho utshintsho lwangaphakathi lomgudu olwenziwe yi-chiropractors ezichanekileyo kunyango lwe-scoliosis.

Xa ukhankanya le meko kusenokwenzeka, i-Cobb angle ingayeka ukuqhubela phambili kwaye iyancitshiswe ukuze umgudu ube nemvenge engaphezulu. Ukunyanga okungekho unyango kubonakala kusebenza kakhulu kwiinqanaba zokuqala ze-scoliosis, ukufumanisa kwangaphambili kunye nokuxilongwa kwangaphambili kubaluleke kakhulu.

i-scoliosis ukuhlola i-chiropractor, el paso, tx.

Ukuchonga iimeko ezinobungozi bokuqala kunokujongana nemiba ekhoyo kunye nokukhusela ikusasa.

Iingcali zonyango ziyakwazi ukuchonga ezithile izinto ezinobungozi be-scoliosis kubantwana ngaphambi kokuba imeko ikhule. Ukuhlolwa kwe-scoliosis kuvumela ukuba babone ukuxhatshazwa kwi-a Intambo yomqolo yomntwana Common uphawu oluqhelekileyo lokuba baya kuphuhlisa i-scoliosis.

Xa abazali beqaphela ukuba umntwana wabo usemgangathweni ophezulu wokuphuhlisa i-scoliosis, bangathatha amanyathelo asebenzayo kunye nokubeka esweni kwimiqondiso ye-scoliosis kunye nokugcinwa kwenkqubo yokucetyiswa kwinconywa. Bayazi ukuba bajonge imiqondiso kwaye banokuziqwalasela ngokukhawuleza ukwenzela ukuba unyango luqaliswe ngexesha lokuqala.

Uncede abaphengululi kunye noogqirha baphumelele ekuphuleni i-scoliosis.

Amanyathelo okuqala kunye nophuhliso lwe-scoliosis basenakufihlakele kubaphandi kunye noogqirha. Nangona kubekho imigudu enkulu eyenziwe ekuqondeni kangcono imeko, kusekho kusele kakhulu ukufunda.

Kukho izifundo ezininzi eziye zanceda oogqirha ukuba bachonge abantwana abasemngciphekweni omkhulu kunye nokwenza uxilongo lwakwangoko, olufana nendlelaI-angle ye-ankle kunye neenyawo zidibaniswa ne-scoliosis. Nangona kunjalo, ukuphonononga, ukuxilongwa, kunye nokunyanga kubalulekile ekugcineni ukuhamba kweedatha ukwenzela ukuba uphando olongezelelweyo luqhutyelwe kwaye uphando olungaphezulu lufanele lwenziwe.

Uvavanyo oluthe kratya oluqhelekileyo luthetha 'ukuchonga iimeko ezininzi ze-scoliosis kumanqanaba okuqala. Oku kuya kuba nefuthe elimacala amabini kuphando. Kuya kunika idatha eninzi ukuba ihlaziywe kwaye ifundwe, kwaye iya kwandisa umdla kwimeko njengoko iimeko ezininzi ze-scoliosis zakuqala zifumaneka. Oku kuya kukhuthaza uphando ngakumbi.

Wuphephe umdlalo �ukulinda� wokubona ukuba i-scoliosis iya kuqhubeka na.

Nayiphi na umzali oye wayeza kulinda iziphumo zolu vavanyo okanye ukubona ukuba imeko iya kukhula okanye yimbi kakhulu iyazi kakuhle ukukhathazeka kokudlala lo mdlalo wokulinda. Intsapho ngokuqhelekileyo ngumntu wokuqala ukufumana i-scoliosis kumntwana.

Ngelixa besenokukrokrela ingxaki ethile, okanye besazi ukuba kukho ingxaki, basenokuthabatha indlela ‘yokulinda baze babone’ ekufumaneni unyango. Ukuba ijiko liya liba mandundu ekugqibeleni banokufuna unyango, kodwa ukungcungcuthekiswa rhoqo kokungazi ukuba ijika liya kuba mbi na � kunye nexhala elilivelisayo � alinakuba nefuthe kungekuphela nje kuxolo lwengqondo kubazali, kodwa nakumntwana ngokunjalo.

Ukuhlolwa kwescoliosis kubonelela ngoxolo lwengqondo kunye nokubeka iliso ekukhuleni komntwana ukwenzela ukuba ukuba iscoliosis sakhe siqhubela phambili okanye sibe yingxaki singasombululwa ngokukhawuleza, nangeyona ndlela isebenzayo.

Ukubuyiselwa kobuGcisa

Uxilongo noLawulo lwe-Arthritis yeRheumatoid

Uxilongo noLawulo lwe-Arthritis yeRheumatoid

by | Arthritis, I-Arthropathies, Chiropractic, Uvavanyo lweChiropractic, Ubuhlungu obungapheliyo, Iimeko eziPhathwayo, impilo, Ukujonga kunye nokuchonga, Izifundo zoPhando, Uvavanyo lweSkrini, Unyango, Ukuphila

Mayelana nabantu abayi-1.5 abantu base-United States bane-arthritis ye-rheumatoid. Irheumatoid arthritis, okanye i-RA, isifo esingasigxina, esizimeleyo esichazwe intlungu kunye nokuvuvukala kwamalungu. Nge-RA, isimiso somzimba sokuzivikela, esikhusela impilo yethu ngokuhlasela izinto zangaphandle njengebhaktheriya kunye neentsholongwane, ukuhlaselwa ngamacandelo ngamacandelo. I-rheumatoid arthritis ixhaphaza kakhulu izihlanganisi zezandla, iinyawo, izibonda, izibonda, amadolo kunye namaqaqa. Uninzi lwezonyango zonyango lucebisa ukuxilongwa kwangaphambili kunye nokwelashwa kwe-RA.  

Abstract

  Isifo samathambo sesona sifo sixhaphakileyo esihlasela isifo. Abasetyhini, abatshayayo, kunye nabo banembali yosapho yesi sifo bahlala bechaphazeleka. Iikhrayitheriya zokuchonga isifo zibandakanya ukuba lilungu elinye okungenani kunye nokudumba okungacaciswanga sesinye isifo. Amathuba okuchongwa kwesifo samathambo anyuka ngenani lamalungu amancinci abandakanyekayo. Kwisigulana esinesifo samathambo esidumbisayo, ubukho bento ebangela irheumatoid okanye iprotein antibody ye-anti-citrullinated, okanye inqanaba eliphezulu le-C-esebenzayo leprotein okanye inqanaba le-sedryation ye-erythrocyte iphakamisa ukufumanisa isifo samathambo. Uvavanyo lokuqala lwelebhu kufuneka lubandakanye ukubala okupheleleyo kwegazi ngokungafaniyo kunye nokuvavanywa kokusebenza kwezintso kunye ne-hepatic function. Izigulana ezithatha iiarhente zebhayiloji kufuneka zivavanyelwe i-hepatitis B, hepatitis C, kunye nesifo sephepha. Ukuchongwa kwangoko kwe-rheumatoid arthritis kuvumela unyango lwangaphambili ngezifo ezinokuguqula isifo. Ukudityaniswa kwamayeza kuhlala kusetyenziswa ukulawula isifo. I-Methotrexate ngesiqhelo sisiyobisi kumqolo wokuqala kwisifo samathambo. Iiarhente zebhayoloji, ezinjenge-tumor necrosis factor inhibitors, zihlala zithathwa njengeearhente zodidi lwesibini okanye zinokongezwa kunyango olubini. Iinjongo zonyango zibandakanya ukunciphisa iintlungu ezidibeneyo kunye nokudumba, ukuthintela ukonakaliswa kwemitha kunye nokukhubazeka okubonakalayo, kunye nokuqhubeka komsebenzi kunye nemisebenzi yobuqu. Ukutshintshwa okuhlangeneyo kubonisiwe kwizigulana ezinomonakalo omkhulu ngokudibeneyo onempawu ezilawulwa gwenxa ngabaphathi bezonyango. (NdinguGqirha weNdawo. 2011; 84 (11): 1245-1252. Ilungelo lokushicilela 2011 American Academy of Family Physicians.) I-rheumatoid arthritis (RA) yiyona nto ixhaphakileyo isifo se-arthritis, esinexesha lokuphila elide ukuya kuma-1 ekhulwini emhlabeni wonke. I-1 Inset ingafumaneka nanini na ubudala, kodwa iphakama phakathi kwe-30 kunye ne-50 yeminyaka. Ukukhubazeka kwe-2 kuqhelekile kwaye kubalulekile. Kwiqela elikhulu lase-United States, i-35 ipesenti yezigulane ezine-RA zazikhubazekile emsebenzini emva kweminyaka eyi-10.3  

Etiology kunye nePathophysiology

  Njengezifo ezininzi ezizimeleyo, i-etiology ye-RA i-multifactorial. Ukuchaphazeleka kwemfuza kuyabonakala ekuhlanganiseni usapho kunye ne-monozygotic yamawele, kunye neepesenti ezingama-50 zomngcipheko we-RA obangelwa zizinto zofuzo. Izifundo zomanyano ngokubanzi ziye zachonga utyikityo lwemfuzo olongezelelekileyo olonyusa umngcipheko we-RA kunye nezinye izifo ezizimele, kubandakanya i-STAT4 gene kunye ne-CD45 locus. 1 Ukutshaya yeyona nto ibangela imeko ye-RA, ngakumbi kwabo banofuzo. Inokuthi ichaze impendulo yokuzimela, akukho nto ibonakalisiweyo ibangela ukuba i-RA.6,7 RA ibonakaliswe ngeendlela ezivuthayo ezikhokelela ekwandeni kweeseli ze-synovial kumalungu. Ukuqulunqwa kwepannus emva koko kunokukhokelela ekutshatyalalisweni kwe-cartilage kunye ne-bony erosions. Ukuveliswa ngaphezulu kwee-cytokines zepro-inflammatory, kubandakanya i-tumor necrosis factor (TNF) kunye ne-interleukin-4, eqhuba inkqubo etshabalalisayo.40  

Izinto zobungozi

  Ubudala obudala, imbali yentsapho yesifo, kunye nesondo sesifazana zidibaniswa nomngcipheko wokwanda kwe-RA, nangona ukuhlukana kwesondo kungabonakali kakhulu kwizigulane ezidala. = 1, ukuya kuthi ga kwi-1.4 kwiminyaka engaphezu kwe-2.2 ye-pack-pack-years) .40 Ukukhulelwa kudla ngokubangela ukuxolelwa kwe-RA, mhlawumbi ngenxa yokunyamezela kwe-immunologic.11 I-Parity ingaba nefuthe elide elide; I-RA ayinakwenzeka ukuba ifunyanwe kubasetyhini be-parous kunabasetyhini abangenayo (RR = 12) .0.61 Ukuncancisa kunciphisa umngcipheko we-RA (RR = 13,14 kubasetyhini abancancisayo ubuncinane kwiinyanga ezingama-0.5), kanti ukuqala kokuya esikhathini�(RR = 24 kwabo bahamba kwi-mearche kwiminyaka eyi-1.3 ubudala okanye encinci) kunye nexesha elingaqhelekanga kakhulu lokuya esikhathini (RR = 10) kwandisa umngcipheko.1.5 Ukusetyenziswa kweepilisi zokukhulelwa komlomo okanye i-vitamin E ayichaphazeli umngcipheko we-RA.14   umfanekiso-16.png

Ukuqondwa

   

Ukunikezelwa Kwendlela

  Izigulane ezine-RA zikhona ngokubuhlungu kunye nokuqina kumalungu amaninzi. Izibonda, amanxeba aphakathi kwe-interphalangeal joints, kunye nama-metacarpophalangeal joints athile abandakanyekayo. Ukuqina koMasa okuhlala ngaphezu kweyure enye kubonisa i-etiology evuthayo. Ukuthumba kwe-Boggy ngenxa ye-synovitis inokubonakala (Umfanekiso we-1), okanye ukunyaniseka kwe-synovial kungabonakaliswa kwiimviwo ezidibeneyo. Izigulana zingabonisa nge-indulent arthralgias ngaphezulu kokuqala kokuvuvukala komzimba ngokubonakalayo. Iimpawu eziqhelekileyo zokukhathala, ukulahleka kwesisindo, kunye ne-fever-grade-fever iyakwenzeka ngezifo ezisebenzayo.  

Iimpawu zokuxilonga

  Ngo-2010, i-American College of Rheumatology kunye ne-European League Against Rheumatism zasebenzisana ukuyila iikhrayitheriya ezintsha zokwahlulahlula i-RA (1 Table) .16 Iikhrayitheriya ezintsha ziinzame zokuchonga i-RA ngaphambili kwizigulana ezingenakho ukuhlangabezana nohlelo lwe-1987 lweKholeji yaseMelika yeRheumatology iikhrayitheriya. Iikhrayitheriya zika-2010 azibandakanyi ubukho bamaqhuqhuva e-rheumatoid okanye utshintsho lwe-radiographic erosive, zombini ezo zinqabileyo kwi-RA yokuqala. Ububanzi be-symmetric abufuneki kwiikhrayitheriya zika-2010, ukuvumela ukuboniswa kwangoko kokulinganisa. Ukongeza, abaphandi baseDatshi baphuhlisile kwaye baqinisekisa umthetho wokuxelwa kwangaphambili kweklinikhi yeRA (Itheyibhile 2) .17,18 Injongo yalo mthetho kukunceda ekuchongeni izigulana ezinesifo samathambo esingachazwanga ekunokwenzeka ukuba siqhubele phambili ukuya kwiRA, kunye nokukhokela ukulandela- phezulu kunye nokuthunyelwa.  

Uvavanyo lweNgcaciso

  Izifo ezizimelayo ezifana ne-RA zihlala zibonakaliswa bubukho be-autoanti- body. I-Rheumatoid factor ayingqalanga kwi-RA kwaye inokubakho kwizigulana ezinezinye izifo, ezifana ne-hepatitis C, nakubantu abadala abasempilweni. I-anti-citrullinated protein antibody ibaluleke ngakumbi kwi-RA kwaye inokudlala indima kwi-pathogenesis yesifo.6 Malunga nama-50 ukuya kuma-80 ekhulwini abantu abaneRA bane-rheumatoid factor, anti-citrullinated protein antibody, okanye zombini.10 Izigulane ezineRA zisenokuba nazo. iziphumo zovavanyo lwe-antinuclear antibody, kwaye uvavanyo lubalulekile kwi-prognostic kwiindlela zolutsha zesi sifo. Imilinganiselo yokuhlelwa kwe-RA.19 Amanqanaba eprotheyini asebenzayo kunye ne-erythrocyte sedimentation rate ingasetyenziselwa ukulandela umsebenzi wesifo kunye nokuphendula kumayeza. Isiseko sobalo lwegazi olupheleleyo olunokwahluka kunye novavanyo lwezintso kunye nomsebenzi wesibindi luluncedo kuba iziphumo zinokuchaphazela iindlela zonyango (umzekelo, isigulana esinokusilela kwezintso okanye i-thrombocytopenia ebalulekileyo ekunokwenzeka ukuba ayinakumiselwa ichiza elichasene nokudumba [NSAID]). I-anemia encinci yesifo esingapheliyo yenzeka kwi-16 ukuya kwi-33 ipesenti yazo zonke izigulane ezine-RA, i-60 nangona ukulahleka kwegazi kwesisu kufuneka kuqwalaselwe kwizigulane ezithatha i-corticosteroids okanye i-NSAID. I-Methotrexate ichasene nezigulane ezine-hepatic disease, ezifana ne-hepatitis C, kunye nezigulane ezinokukhubazeka okukhulu kwezintso.20 Unyango lwe-Biologic, olufana ne-TNF inhibitor, ludinga uvavanyo olubi lwe-tuberculin okanye unyango lwe-tuberculosis efihliweyo. Ukuvuselelwa kwe-Hepatitis B kunokuphinda kwenzeke ngokusetyenziswa kwe-TNF inhibitor.21 I-Radiography yezandla kunye neenyawo kufuneka yenziwe ukuvavanya iimpawu ze-periarticular erosive change, �enokuthi ibonise i-RA encinci ye-RA.22  

Ukuxilongwa ngokungafani

  Iziphumo zolusu zibonisa ukuba i-systemic lupus erythematosus, i-systemic sclerosis, okanye i-psoriatic arthritis. I-Polymyalgia rheumatica kufuneka ithathelwe ingqalelo kwisigulane esikhulileyo kunye neempawu eziphambili egxalabeni nasesinqeni, kwaye isigulane kufuneka sibuzwe imibuzo enxulumene ne-arteritis yesikhashana. I-radiography yesifuba iluncedo ukuvavanya i-sarcoidosis njenge-etiology ye-arthritis. �Izigulane ezineempawu ezivuthayo zangasemva, imbali yesifo sesibindi esivuthayo, okanye isifo samehlo esivuthayo sinokuba ne-spondyloarthropathy. Abantu abangaphantsi kweeveki ezintandathu zeempawu banokuba nenkqubo yentsholongwane, njenge-parvovirus. Iziqendu eziphindaphindiweyo zokudumba ngokudibeneyo zicebisa i-crystal arthropathy, kwaye i-arthrocentesis kufuneka yenziwe ukuvavanya i-monosodium urate monohydrate okanye i-calcium pyrophosphate dihydrate crystals. Ubukho bamanqaku amaninzi e-myofascial trigger kunye neempawu ze-somatic zinokucebisa i-fibromyalgia, enokuthi ihlale kunye ne-RA. Ukunceda ukukhokela ukuxilongwa kunye nokumisela isicwangciso sonyango, izigulane ezine-arthritis ezivuthayo kufuneka zithunyelwe ngokukhawuleza kwi-rheumatology subspecialist.16,17  
UDkt Jimenez White Coat
I-rheumatoid arthritis, okanye i-RA, uhlobo oluqhelekileyo lwe-arthritis. I-RA iyisifo esingenakuzimela, esibangelwa xa isistim somzimba, isistim somzimba wokhuselo lomzimba, sihlasela iiseli zayo kunye nezicubu, ngokukodwa amajoyina. I-rheumatoid arthritis idlalwa rhoqo ngeempawu zentlungu kunye nokuvuvukala, okuhlala kuthintela amaqela amancinci ezandla, izibonda kunye neenyawo. Ngokutsho kweengcali ezininzi zonyango, ukuxilongwa kwangaphambili kunye nokwelashwa kwe-RA kubalulekile ukukhusela umonakalo ohlangeneyo kunye nokunciphisa iimpawu ezibuhlungu. UDkt Alex Jimenez DC, i-CCST Insight
 

impatho

  Emva kokuba i-RA ifunyenwe kwaye uhlolo lokuqala luyenziwe, unyango lufanele luqale. Izikhokelo zakutsha zijongene nolawulo lwe-RA, i-21,22 kodwa ukhetho lwesigulane ludlala indima ebalulekileyo. Kukho iingqwalasela ezikhethekileyo kubasetyhini bexesha lokubeletha ngenxa yokuba amaninzi amayeza aneempembelelo ezingekho phantsi kokukhulelwa. Iinjongo zonyango ziquka ukunciphisa intlungu kunye nokuvuvukala, ukuthintela ukubola (njengokuphambuka kwe-ulnar) kunye nomonakalo we-radiographic (njengemibhobhozo), ukugcina umgangatho wobomi (umntu kunye nomsebenzi), nokulawula imbonakalo eyongezelelweyo. Izidakamizwa zokuguqula izifo (anti-hyheumatic drugs) (i-DMARD) yiyona nto ephambili ye-RA.  

DMARD

  I-DMARD ingaba yi-biologic okanye i-nonbiologic (Itheyibhile 3) .23 i-Biologic agents ziquka i-antibodies ye-monoclonal kunye ne-recombinant receptors ukuvimba i-cytokines ekhuthaza i-cascade evuthayo ejongene neempawu ze-RA. I-Methotrexate inconywa njengonyango lokuqala kwizigulane ezine-RA esebenzayo, ngaphandle kokuba iphikisana okanye ayinyamezelwanga. I-Sulfasalazine (Azulfidine) okanye i-hydroxychloroquine (i-Plaquenil) i-pro-inflammatory njenge-monotherapy kwizigulana ezinezifo eziphantsi-umsebenzi okanye ezingenazo iimpawu zokubikezela (umzekelo, i-seronegative, i-RA engasebenziyo). ngaphezu kwe-monotherapy; nangona kunjalo, iziphumo ezibi nazo zingaba zikhulu.21 Ukuba i-RA ayilawulwa kakuhle nge-DMARD engeyona i-biologic, i-DMARD ye-biologic kufuneka iqalwe. Ukuba i-TNF inhibitors ayisebenzi, unyango olongezelelweyo lwebhayoloji lunokuqwalaselwa. Ukusetyenziswa ngaxeshanye ngaphezu konyango lwebhayoloji enye (umz., adalimumab [Humira] ene-abatacept [Orencia]) ayikhuthazwa ngenxa yezinga elingamkelekanga lemiphumo emibi.21,22  

IiNSAID kunye neCorostosteroids

  Ukusetyenziswa kweziyobisi kwi-RA kunokubandakanya ii-NSAID kunye ne-oral, intramuscular, okanye intraticular corticosteroids yokulawula intlungu kunye nokuvuvukala. Ngokufanelekileyo, i-NSAID kunye ne-corticosteroids zisetyenziselwa ukuphathwa kwexesha elifutshane. I-DMARD yonyango olukhethiweyo.21,22  

Iinkqubo eziPheleleyo

  Ukungenelela kokutya, kubandakanywa nokutya kwemifuno kunye neMeditera, kufundwe kunyango lwe-RA ngaphandle kobungqina obukholisayo benzuzo. kunye ne-RA.25,26 Ukongeza, i-thermotherapy kunye ne-ultrasound yonyango ye-RA ayizange ifundwe ngokwaneleyo.27,28 Ukuhlaziywa kwe-Cochrane yonyango lwe-herbal ye-RA yagqiba ukuba i-gamma-linolenic acid (ukusuka kwi-primrose ngokuhlwa okanye ioli ye-currant emnyama) kunye ne-Tripterygium. i-wilfordii (i-thunder god vine) ineenzuzo ezinokubakho.29,30 Kubalulekile ukwazisa izigulane ukuba iziphumo ezibi kakhulu ziye zaxelwa ngokusetyenziswa kwonyango lwe-herbal.31  

Ukuzivocavoca kunye noTyhila

  Iziphumo zezilingo ezilawulwa ngononophelo zixhasa ukuzivocavoca umzimba ukuze kuphuculwe umgangatho wobomi kunye namandla omzimba kwizigulane ezine-RA.32,33 Iiprogram zokuqeqesha uqeqesho azibonakalanga zineempembelelo ezingathandekiyo kwimisebenzi yesifo se-RA, amanqaku eentlungu okanye umonakalo odibeneyo we-radiographic.34 Tai i-chi iboniswe ukuphucula uluhlu lwezandla lwabantu abane-RA, nangona iilingo ezingenangqiqo zilinganiselwe. I-35 izilingo ezilawulwa ngokungaqhelekanga ze-Iyengar yoga kubantu abadala abase-RA bayaqhubeka.36  

Ubude bonyango

  Ukuxolelwa kuyafumaneka kwiipesenti ezili-10 ukuya kwezi-50 zezigulane ezine-RA, kuxhomekeke kwindlela ukuxolelwa okuchazwe ngayo kunye nokunyanzeliswa kwonyango. 10 Ukuxolelwa kunokwenzeka kakhulu kubantu besilisa, abangatshayiyo, abantu abangaphantsi kweminyaka engama-40, nakwabo abanezifo zokuqala emva kwexesha ( abaguli abadala kuneminyaka eyi-65), benesifo esifutshane, sinesifo esibukhali, ngaphandle kwesigulo se-acute, kwaye ngaphandle kwesifo se-rheumatoid okanye iiprotein anti-citrullinated protein antibody. kwelona xabiso liphantsi liyimfuneko. Izigulana ziya kufuna ukubekwa esweni rhoqo ukuqinisekisa ngeempawu ezizinzileyo, kwaye ukonyuka ngokukhawuleza kwamayeza kuyacetyiswa ngezifo ezothusayo.37  

Ukutshintshwa okuhlangeneyo

  Ukutshintshwa okuhlangeneyo kuboniswe xa kukho umonakalo omkhulu kunye nokulawulwa okungenakuqinisekiswa kweempawu kunye nolawulo lwezonyango. Iziphumo zexesha elide zixhasa, nge-4 kuphela kwipesenti ze-13 zengxowankulu ezinkulu ezifakelwayo ezifuna ukuhlaziywa phakathi kwe-10 iminyaka.38 I-hip kunye namadolo ngamalungu amaninzi afanelekileyo.  

Ukujonga ilanga elide

  Nangona i-RA ithathwa njengesifo samalungu, ikwasisifo senkqubo esikwaziyo ukubandakanya iinkqubo ezininzi zamalungu. Izibonakaliso ezongezelelweyo ze-RA zibandakanyiwe kwiThebhile 4.1,2,10 Izigulane ezine-RA zinengozi ephindwe kabini eyongeziweyo ye-lymphoma, ekucingelwa ukuba ibangelwa yinkqubo yokuvuvukala ephantsi, kwaye kungekhona umphumo wonyango.39 Izigulane ezine-lymphoma I-RA nayo isengozini enkulu ye-coronary artery disease, kwaye oogqirha kufuneka basebenze kunye nezigulane ukuguqula izinto ezinobungozi, ezifana nokutshaya, uxinzelelo lwegazi oluphezulu, kunye ne-cholesterol ephezulu. ukuchasana nokusebenzisa i-TNF inhibitors, enokuthi ibangele iziphumo ze-CHF zibe zibi nakakhulu. Ii-DMARD ze-Biologic, i-methotrexate, kunye ne-leflunomide akufanele ziqaliswe kwizigulane ezine-herpes zoster esebenzayo, ukusuleleka kwefungal ephawulekayo, okanye ukusuleleka kwebhaktheriya kufuna i-antibiotics.40,41 Iingxaki ze-RA kunye nonyango zidweliswe kwiThebhile 21  

Prognosis

  Iziguli ezine-RA zihlala ezintathu ukuya kwi-12 iminyaka engaphantsi kobonke abantu .40 Ukufa okuphezulu kwezi zi gulane kubangelwa kakhulu ngokukhawuleza kwezifo zengqondo, ngokukodwa kulabo abanesifo esiphakamileyo somzimba kunye nokuvuvukala okungapheliyo. Iindlela ezintsha zokwelapha ze-biologic ziyakunqanda ukuqhubela phambili kwe-atherosclerosis kunye nokwandisa ubomi kulabo abane-RA.41 Imithombo yolwazi: Uphando lwe-PubMed lugqityiwe kwiiNkcazo zeZliniki usebenzisa amagama asemqoka i-rheumatoid arthritis, imbonakalo eyongeziweyo, kunye ne-anti-thermatic agents. Ukukhangela kwakuquka ukuhlaziywa kweemitha, ukuhlolwa okungahleliwe, ukuvavanywa klinikhi kunye nokuhlolwa. Kwakhona kuphandwe yiArhente yeeNgxelo zoPhando lwezeMpilo kunye noBungqina bemiGangatho, ubungqina bezonyango, inkcazelo yaseCchrane, Ubungqina obuBalulekileyo kunye ne-UpToDate. Umhla wosesho: Septemba 20, 2010. Ukubhaliweyo kombhali: Akukho manyano lwemali olufanelekileyo olunokuchazwa. Ukuqukumbela, isifo samathambo sisifo esingapheliyo, isifo esizimelayo esibangela iimpawu ezibuhlungu, ezifana nentlungu kunye nokungahambi kakuhle, ukuvuvukala kunye nokuvuvukala kwamalungu, phakathi kwabanye. Umonakalo odibeneyo obonakaliswe njenge-RA ulingana, oku kuthetha ukuba uchaphazela macala omabini omzimba. Ukuxilongwa kwangoko kubalulekile kunyango lwe-RA. Ubungakanani bolwazi lwethu lukhawulelwe kwi-chiropractic kunye nemiba yempilo yomgogodla. Ukuxoxa ngalo mbandela, nceda uzive ukhululekile ukubuza uGqr. Jimenez okanye uqhagamshelane nathi apha915-850-0900�. Uphethwe nguDkt Alex Jimenez Ikholi ye-Green Call Now Button H .png  

Ingongoma eyongezelelweyo Ingxoxo: Ukuxoxisa ubuhlungu be-Knee Pain ngaphandle kokuPhenywa

  Intlungu yedolo luphawu olwaziwayo olunokuthi lwenzeke ngenxa yeengozi zamadolo kunye / okanye iimeko, kubandakanya ukulimala kwezemidlalo. Amadolo ngenye yezona zinto ezinzima kakhulu emzimbeni womntu njengoko zenziwe yintlupheko yamathambo amane, iigamente ezine, iintlobo ezihlukahlukeneyo, i-menisci emibini, kunye ne-cartilage. Ngokwe-American Academy ye-Family Physicians, izizathu eziqhelekileyo zokubandezeleka kwamadolo zibandakanya i-patellar subluxation, i-patellar tendinitis okanye i-jumper, kunye ne-Osgood-Schlatter. Nangona ubuhlungu beentolo buya kwenzeka kubantu abantu abangaphezu kwe-60 ubudala, ubuhlungu beendolo buya kwenzeka kubantwana nakwishumi elivisayo. Iintlungu zesisu zingaphathwa ekhaya emva kweendlela ze-RICE, nangona kunjalo, ukulimala kwamadolo amakhulu kunokufuna ukunyangwa kwangoko kunyango, kubandakanya ukunakekelwa kwe-chiropractic.  
umfanekiso weblogi wekratshi yephepha

I-EXTRA EXTRA | INGXELO EBALULEKILEYO: El Paso, TX I-Chiropractor Kunconywe

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Ngenanto
Ucaphulo

1. I-Etiology kunye ne-pathogenesis ye-rheumatoid arthritis. Ku: Firestein GS, Kelley WN, ii-eds. Incwadi kaKelley's yeRheu- matology. Ngomhla we-8. IPhiladelphia, Pa: Saunders / Elsevier; Ngo-2009: 1035-1086.
2. UBonon J, i-Tehlirian C. I-rheumatoid arthritis eklinikhi kwaye
kubonakaliswa kwebhubhoratri. Ku: Klippel JH, Stone JH, Crofford LJ, et al., Eds. I-Primer kwiiRheumatic Dis- eases. 13th ed. ENew York, NY: I-Springer; 2008: 114-121.
3. Allaire S, Wolfe F, Niu J, et al. Iimeko ezikhoyo zobungozi bokukhubazeka emsebenzini ezinxulumene nesifo se-rheumatoid arthritis. Arthritis Rheum. 2009; 61 (3): 321-328.
4. MacGregor AJ, uSnieder H, Rigby AS, et al. Ukufana negalelo lofuzo lwezityalo kwi-rheumatoid arthritis usebenzisa idatha ukusuka kumawele. Arthritis Rheum. 2000; 43 (1): 30-37.
5. UOrozco G, uBarton A. Uhlaziyo malunga neengcipheko zofuzo lwe-rheumatoid arthritis. Ingcali yeKlinikhi Immunol. 2010; 6 (1): 61-75.
6. UBalsa A, uCabezo n, Orozco G, et al. Impembelelo ye-HLA DRB1 i-alleles ekuthambekeni kwe-rheumatoid arthritis kunye nolawulo lwe-antibodies ngokuchasene ne-protein ye-citrullinated kunye ne-rheumatoid factor. Isifo seArthritis Res. Ngo-2010; 12 (2): R62.
7. McClure A, uLunt M, Eyre S, et al. Ukuphanda ukusetyenziswa kwe-genetic screening / uvavanyo lokuthathwa kwe-RA ngokusebenzisa ukudibanisa kwezihlanu eziqinisekisiweyo zengozi. I-Rheuma- (i-Oxford). 2009; 48 (11): 1369-1374.
8. Bang SY, Lee KH, Cho SK, et al. Ukubhema kukwandisa i-rheumatoid arthritis inokuthathwa ngabantu abaphethe i-epitope ye-HLA-DRB1 eyabelana ngayo, kungakhathaliseki ukuba i-rheumatoid factor okanye i-anti-cyclic citrullinated peptide antibody stadi. Arthritis Rheum. 2010; 62 (2): 369-377.
9. Wilder RL, Crofford LJ. Ngaba ii-agents ezithathelwanayo zenza i-rheumatid arthritis? Clin Orthop Relat Res. 1991; (265): 36-41.
10. UScott DL, uWolfe F, uHuizinga TW. Irheumatoid Arthritis. Lancet. 2010; 376 (9746): 1094-1108.
11. Costenbader KH, Feskanich D, Mandl LA, et al. Ubunzima bokubhema, ubude, nokuyeka, kunye nomngcipheko we-arthritis ye-rhutitis kumabhinqa. Am J Med. 2006; 119 (6): 503.e1-e9.
12. Kaaja RJ, uGerer IA. Ukubonakaliswa kwezifo ezingapheliyo ngexesha lokukhulelwa. JAMA. 2005; 294 (21): 2751-2757.
13. Guthrie KA, Dugowson CE, Voigt LF, et al. Ngaba i-preg-
nancy unikezela ukhuselo olukhuselekileyo lokugonya kwi-rheuma-
ukufumana isifo samathambo? Arthritis Rheum. 2010; 62 (7): 1842-1848.
UKarlson EW, uMandl LA, uHankinson SE, et al. Ngaba ukuncancisa kunye nezinye izinto zokuzala zinempembelelo kumngcipheko we-rheumatoid arthritis? Iziphumo ezivela kuFundo lwezeMpilo lwaBongikazi. Isifo samathambo Rheum. Ngo-14; 2004 (50): 11-3458.
UKarlson EW, uShadick NA, uCook NR, et al. UVitamin E kuthintelo lokuqala lwe-rheumatoid arthritis: Isifundo seMpilo yabaseTyhini. Isifo samathambo Rheum. Ngo-15; 2008 (59):
1589-1595.
16. UAletaha D, uNeogi T, uSilman AJ, et al. I-2010 rhumatoid
Inkqubo yokuhlenga i-arthritis: i-American College yeRheumatology / iYurophu Yokulwa neRheumatism iqhinga lokusebenzisana [ukulungiswa kokupapashwa kuvela kwi-Ann Rheum Dis. 2010; 69 (10): 1892]. Ann Rheum Dis. 2010; 69 (9): 1580-1588.
17. van der Helm-van Mil AH, le Cessie S, van Dongen H, et al. Umgaqo wokubikezela ngesiphumo sesigulane kwizigulane ezine-arthritis ezingenasiphelo. Arthritis Rheum. 2007; 56 (2): 433-440.
18. UMchan E, uEbell MH. Ukubikezela ingozi ye-rheumatoid arthritis kubantu abadala abane-arthritis engafanelekanga. Am Fam Physian. 2008; 77 (10): 1451-1453.
19. Ravelli A, Felici E, Magni-Manzoni S, et al. Izigulane ezine-anti-nuclear-positive positive arthritic i-arthritic i-sub-group iyingqungquthela ehambelanayo naluphi na uhlobo lwezifo ezidibeneyo. Arthritis Rheum. 2005; 52 (3): 826-832.
20. Wilson A, Yu HT, Goodnough LT, et al. Ubuninzi kunye neziphumo ze-anemia kwi-rheumatoid arthritis. Am J Med. 2004; 116 (suppl 7A): 50S-57S.
21. Saag KG, Teng GG, Patkar NM, et al. Ikholeji yase-American College yeRheumatology I-2008 iingcebiso malunga nokusetyenziswa kwezidakamizwa ezingekho ze-biologic kunye ne-biologic zokuguqula izidakamizwa zokulwa ne-anti-thermatic in arthritis ye-rheumatoid. Arthritis Rheum. 2008; 59 (6): 762-784.
22. UDeighton C, u-O Mahony R, uTosh J, et al .; Isikhokelo seQela loPhuhliso. Ulawulo lwe-rheumatoid arthritis: isishwankathelo sesikhokelo seNICE. BMJ. Ngo-2009; 338: b702.
23. I-AHRQ. Ukukhetha amayeza e-rheumatoid arthritis. Epreli 9, 2008. www.effectivehealthcare.ahrq.gov/ ehc / iimveliso / 14/85 / RheumArthritisClinicianGuide.pdf. Kufumaneka ngoJuni 23, 2011.
24. UChoy EH, uSmith C, uDore? CJ, okqhubekayo. Uhlalutyo lweemeta lokusebenza kunye nobutyhefu bokudibanisa isifo-ukuguqula iziyobisi ezichasene ne-rheumatic kwi-rheumatoid arthritis esekwe kurhoxiso lwesigulana. IRheumatology (iOxford). 2005; 4 4 (11): 1414 -1421.
25. Smedslund G, Byfuglien MG, u-Olsen SU, et al. Ukusebenza kunye nokukhuselwa kokungenelela kokutya kwe-rheumatoid arthritis. J Am Diet Assoc. 2010; 110 (5): 727-735.
26. Hagen KB, Byfuglien MG, Falzon L, et al. Izidlo zeethambo ze-rheumatoid arthritis. I-Cochrane Database Syst Rev. 2009; 21 (1): CD006400.
27. Wang C, de Pablo P, Chen X, et al. Ukunyangwa kwintlungu ngenxa yezigulane ezine-rheumatoid arthritis: ukuhlaziywa okucwangcisiweyo. Arthritis Rheum. 2008; 59 (9): 1249-1256.
28. Kelly RB. Ukutyunjwa kweentlungu. I-Phys Physician. 2009; 80 (5): 481-484.
29. URobinson V, u-Brosseau L, uCasimiro L, et al. I-thermother-apy ekunyangeni i-rheumatoid arthritis. I-Cochrane Data- base Syst Rev. 2002; 2 (2): CD002826.
30. Casimiro L, Brosseau L, uRobinson V, et al. I-ultrasound yezokwelapha ukuze unyango lwe-rheumatoid arthritis. I-Cochrane Database Syst Rev. 2002; 3 (3): CD003787.
31. UCameron M, uGagnier JJ, uCrubasik S. Ulwaphulo lwe-Herbal ekuphatheni i-rheumatoid arthritis. I-Cochrane Database Syst Rev. 2011; (2): CD002948.
32. U-Brodin N, uEurenius E, uJensen I, et al. Izigulane zokuqeqesha kunye ne-arthritis yokuqala ye-rheumatoid ukuya kwimpilo enempilo. Arthritis Rheum. 2008; 59 (3): 325-331.
33. I-Baillet A, i-Payraud E, i-Niderprim VA, et al. Inkqubo yokuziqhelanisa namandla yokuphucula ukukhubazeka kwezigulana kwi-rheumatoid arthritis: ityala elilawulwa ngokungenamkhethe. IRheumatology (iOxford). 2009; 48 (4): 410-415.
34. Hurkmans E, van der Giesen FJ, Vliet Vlieland TP, et al. Iiprogram zokuzivocavoca ezinamandla (i-aerobic amandla kunye / okanye ukuqeqeshwa kwamandla omzimba) kwizigulane ezine-rheumatoid arthritic. I-Cochrane Database Syst Rev. 2009; (4): CD006853.
35. Han A, uRobinson V, Judd M, et al. Tai chi ekuphatheni i-rheumatoid arthritis. I-Cochrane Database Syst Rev. 2004; (3): CD004849.
36. U-Evans S, abazala bakaLous, uLoo JC, et al. Iilingo elijongene nelokuba lihlola iYogaar yoga kubantu abadala abasifo se-rheumatoid arthritis. Zilingo. 2011; 12: 19.
37. Katchamart W, Johnson S, Lin HJ, et al. Iziqulatho zokuqwalaselwa kwezigulane ze-rheumatoid arthritis: uhlolo oluhlelekile. I-Arthritis Care Res (i-Hoboken). 2010; 62 (8): 1128-1143.
38. UWolfe F, uZwillich SH. Iziphumo zexesha elide le-arthritis: i-23-minyaka, i-1,600-minyaka, isifundo sexesha elide lokubambisana kunye neengqungquthela zayo kwizigulane ze-1998 ezine-rheumatoid arthritis. Arthritis Rheum. 41; 6 (1072): 1082-XNUMX.
39. Baecklund E, Iliadou A, Askling J, et al. Umbutho we-inflammation engapheliyo, kungekhona unyango, ukwanda kwengozi ye-lymphoma kwi-rheumatoid arthritis. Arthritis Rheum. 2006; 54 (3): 692-701.
40. UFriedewald VE, uGanz P, uKremer JM, okqhubekayo. Imvumelwano ye-AJC yomhleli: isifo samathambo kunye nesifo se-atherosclerotic sentliziyo. NdinguJ Cardiol. 2010; 106 (3): 442-447.
41. Atzeni F, Turiel M, Caporali R, et al. Impembelelo yonyango lwe-pharmology kwi-cardiovascular system yezigulane ezinezifo zesifo se-rheumatic. I-Autoimmun Rev. 2010; 9 (12): 835-839.

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