ʻaʻai Rheumatoid

Hiki i ka mumū ʻāʻī ke hoʻoulu i ka ʻeha, ka pehu a me ka ʻino. I ka wā e mumū a mānoanoa ai ka pūnaewele e uhi ana i kou mau hono (membrane synovial), e piʻi aʻe ka wai a me nā hono e pala a hoʻohaʻahaʻa. He maʻi mumū maʻi maʻi ka mumū ʻāʻī e hiki ke hoʻopilikia i nā mea ʻoi aku ma mua o kou mau hono. I kekahi poʻe, hiki i ke kūlana ke hōʻino i nā ʻōnaehana kino he nui, me ka ʻili, nā maka, nā māmā, ka naʻau a me nā kīʻaha koko. He maʻi autoimmune, ʻo ka mumū ʻāʻī ka mea e hana ai i ka wā e hoʻouka ai kou ʻōnaehana pale i kou mau pūnaewele kino ponoʻī. ʻAʻole like me ka hōʻino ʻana o ka osteoarthritis, hoʻopilikia ka mumū ʻāʻī i ka uhi ʻana o kou mau hono, e hoʻoulu ana i ka pehu ʻeha e hiki ke hopena i ka pala ʻana o ka iwi a me ka ʻino o ka hono. ʻO ka mumū e pili ana i ka mumū ʻāʻī ka mea e hiki ai ke hōʻino i nā ʻāpana ʻē aʻe o ke kino pū kekahi. ʻOiai ua hoʻomaikaʻi nā ʻano lāʻau hou i nā koho mālama nui, hiki i ka mumū ʻāʻī nui ke hoʻoulu i nā kīnā kino.

Hōʻailona a me nā hōʻailona o ka mumū o nā hono rheumatoid e komo pū paha: Nā hono palupalu, mahana, a pehu Hoʻopaʻa ʻia nā hono kahi i ʻoi aku ka ʻino i ke kakahiaka a ma hope o ka hoʻomaha ʻole Luhi, kuni a me ka nele o ka makemake ʻAi ʻO ka mumū rheumatoid mua e pili pinepine ana i kāu mau hono liʻiliʻi mua - ʻo ia hoʻi nā hono e hoʻopili ana i kou mau manamana lima i kou mau lima a me kou mau manamana wāwae i kou mau wāwae. I ka holomua ʻana o ka maʻi, e pālahalaha pinepine nā hōʻailona i nā pulso, nā kuli, nā kuʻekuʻe wāwae, nā kuʻekuʻe lima, nā ʻūhā a me nā poʻohiwi. I ka hapanui o nā hihia, e kū mai nā hōʻailona ma nā hono like ma nā ʻaoʻao ʻelua o kou kino. Ma kahi o 40% o nā kānaka i loaʻa i ka mumū o nā hono rheumatoid e ʻike pū ana i nā hōʻailona a me nā hōʻailona ʻaʻole i pili i nā hono. ʻO nā wahi i hiki ke pilikia: ʻIli Maka Nā māmā Na naʻau Nā puʻupaʻa Nā gland salivary Nā pūnaewele nerve Iwi ʻiwi Nā kīʻaha koko Hiki ke loli ke koʻikoʻi o nā hōʻailona a me nā hōʻailona o ka mumū o nā hono rheumatoid a hiki ke hele mai a hele aku. E hoʻololi nā manawa o ka hoʻonui ʻia ʻana o ka maʻi, i kapa ʻia ʻo nā flares, me nā manawa o ka remission pili - i ka wā e emi ai a nalowale paha ka pehu a me ka ʻeha. I ka hala ʻana o ka manawa, hiki i ka mumū o nā hono rheumatoid ke hoʻopōʻino i nā hono a hoʻoneʻe i waho o ka wahi. E hana i kahi kūkā me kāu kauka inā loaʻa iā ʻoe ka ʻoluʻolu a me ka pehu mau i kou mau hono.

E hoʻomaka i kahi kūkā me kāu kauka inā loaʻa iā ʻoe ka ʻeha mau a me ka pehu i loko o kou mau hono.

Vivien Williams: ʻO ka ʻeha, ka pehu a me ka paʻakikī i loko o kou mau hono - ʻo kēia mau mea a pau he mau hōʻailona o ka maʻi ʻāʻī rheumatoid. Akā, no ka mea e hele mai ana a hele aku ana kēia mau hōʻailona, hiki i ke kūlana ke paʻakikī ke ʻike. A he mea nui ia e loaʻa ka ʻike pololei no ka mea hiki i ka hoʻomaka ʻana i ka mālama ʻana i ka wā mua ke hoʻololi.

Virginia Wimmer, he maʻi ʻāʻī rheumatoid kona: E hāʻawi mai iaʻu i kāu pana maikaʻi loa!

Ms. Williams: I ka wā mua, ua hewa ʻo Virginia Wimmer i kāna mau hono ʻeha i ka nui o ka volleyball.

Ms. Wimmer: I loko o kuʻu mau kuli a me kuʻu mau lima.

Ms. Williams: No nā makahiki ʻelua, ua hoʻomanawanui ʻo ia i ka ʻeha a me ka pehu e hele mai ana a hele aku ana. A laila ua ʻoi aku ka ʻino o nā mea.

Ms. Wimmer: ʻAʻole hiki iaʻu ke pā i kahi pōle i kuʻu mau lima.

Ms. Williams: ʻAʻole hiki iā ia ke hana i ka nui o nā mea, ʻaʻole hoʻi e pāʻani ma waho me kāna kaikamahine.

Ms. Wimmer: He mea paʻakikī loa kēlā. Pono ʻo ia e nonoi mai iaʻu e pāʻani pū me ia, a aʻo iā ia, a kōkua iā ia. A pono wau e noho a nānā wale aku.

Ms. Williams: Ua ʻike ʻia ʻo Virginia me ka maʻi ʻāʻī rheumatoid.

Ms. Williams: Wahi a ka Dr. Nisha Manek, e hana ia ke hoʻoponopono ʻole ʻia ka ʻōnaehana pale. ʻIke ʻoe, aia kahi papa o ka ʻiʻo i kapa ʻia ʻo ka synovium ma ka pūpū hono. Hana ka synovium i ka wai e mālama i ka lubricated o nā hono. Ke loaʻa iā ʻoe ka maʻi ʻāʻī rheumatoid, e hoʻouna ana kāu ʻōnaehana pale i nā antibodies i ka synovium a hoʻokumu i ka mumū. Hoʻokumu kēia i ka ʻeha a me ka hōʻino ʻana i nā hono, ʻoi aku hoʻi i nā hono liʻiliʻi i nā manamana lima a me nā lima. Akā hiki ke hoʻopili i kekahi hono.

ʻO ka ʻoiaʻiʻo maikaʻi, ua holomua nui ka mālama ʻana i ka maʻi ʻāʻī rheumatoid i nā makahiki i hala iho nei. Kūkulu nā lāʻau lapaʻau, e like me ka methotrexate, i ka hoʻi ʻana o ka ʻōnaehana pale i ke kaulike a hiki i nā steroids ke kōkua i ka hoʻomaha ʻana i nā flare-ups. No laila, ʻo ka mea i kapa ʻia he maʻi hōʻino pinepine ʻia i kēia manawa hiki ke kaohi ʻia no nā poʻe he nui - nā kānaka e like me Virginia nona ka maʻi ʻino loa.

Ms. Wimmer: Hiki iā ʻoe ke hiki i kahi e hana ai ʻoe i nā mea āu e aloha ai a ʻo ia ke kumu.

Ms. Williams: Wahi a ka Dr. Manek, inā loaʻa iā ʻoe ka ʻeha, ka pehu a me ka paʻakikī i loko o kou mau hono e hele mai ana a hele aku ana a aia ma nā ʻaoʻao ʻelua o kou kino, e ʻike i kāu kauka e ʻike inā he maʻi ʻāʻī rheumatoid ia.

ʻOkoʻa ka Rheumatoid ma mua o ka osteoarthritis e hōʻino ana i nā hono ma muli o ka ʻaʻahu a me ka haehae.

No ka Medical Edge, ʻo wau ʻo Vivien Williams.

ʻO ka mumū hono rheumatoid he maʻi autoimmune ia. Ma ke ʻano maʻamau, kōkua kāu ʻōnaehana pale kino i ka pale ʻana i kou kino mai ka maʻi a me nā maʻi. I ka mumū hono rheumatoid, hoʻouka kāu ʻōnaehana pale kino i nā pūnaewele olakino i loko o kou mau hono. Hiki nō hoʻi ke hoʻoulu i nā pilikia olakino me kou naʻau, nā māmā, nā aʻalolo, nā maka a me ka ʻili.

ʻAʻole maopopo i nā kauka pehea e hoʻomaka ai kēia kaʻina hana, ʻoiai ke ʻano he mea hoʻoilina paha. ʻOiai ʻaʻole i hana maoli kāu mau gene i ka mumū hono rheumatoid, hiki iā lākou ke hoʻonui i kou hiki ke pane i nā kumu kūlohelohe - e like me ka maʻi me kekahi mau mea hoʻomaʻi a me nā bacteria - e hiki ke hoʻoulu i ka maʻi.

'Factors that may increase your risk of rheumatoid arthritis include:': 'Nā kumu e hoʻonui ai i kou pilikia o ka mumū ʻana o nā hono (rheumatoid arthritis):', '- Your sex. Women are more likely than men to develop rheumatoid arthritis.': '- Kāu wahine kāne. ʻOi aku ka nui o ka wahine ma mua o ke kāne e loaʻa ai ka mumū ʻana o nā hono (rheumatoid arthritis).', '- Age. Rheumatoid arthritis can occur at any age, but it most commonly begins in middle age.': '- Makahiki. Hiki ke loaʻa ka mumū ʻana o nā hono (rheumatoid arthritis) i kēlā me kēia makahiki, akā hoʻomaka pinepine ia i ka wā waena.', '- Family history. If a member of your family has rheumatoid arthritis, you may have an increased risk of the disease.': '- Mōʻaukala ʻohana. Inā loaʻa i kekahi lālā o kou ʻohana ka mumū ʻana o nā hono (rheumatoid arthritis), hiki iā ʻoe ke loaʻa ka pilikia nui o ka maʻi.', '- Smoking. Cigarette smoking increases your risk of developing rheumatoid arthritis, particularly if you have a genetic predisposition for developing the disease. Smoking also appears to be associated with greater disease severity.': '- Pāpālama paka. Hoʻonui ka puhi paka i kou pilikia o ka loaʻa ʻana o ka mumū ʻana o nā hono (rheumatoid arthritis), ʻoi aku inā loaʻa iā ʻoe kahi predisposition genetic no ka loaʻa ʻana o ka maʻi. Me he mea lā pili pū ka puhi paka me ka nui o ka maʻi.', '- Excess weight. People who are overweight appear to be at a somewhat higher risk of developing rheumatoid arthritis.': '- Kaumaha nui. Me he mea lā ʻoi aku ka nui o ka pilikia o ka poʻe momona e loaʻa ai ka mumū ʻana o nā hono (rheumatoid arthritis).'

Hoʻonui ka mumū ʻāʻī i kou pilikia o ka loaʻa ʻana o kēia mau mea:

• Osteoporosis. ʻO ka mumū ʻāʻī ponoʻī, a me kekahi mau lāʻau lapaʻau i hoʻohana ʻia no ka mālama ʻana i ka mumū ʻāʻī, hiki ke hoʻonui i kou pilikia o ka osteoporosis — kahi kūlana e hoʻonāwaliwali ai i kou mau iwi a hoʻolilo iā lākou i mea maʻalahi ke haki.
• Mākaukau ʻole nā maka a me ka waha. ʻOi aku ka nui o ka poʻe i loaʻa i ka mumū ʻāʻī e loaʻa i ka Sjogren's syndrome, kahi maʻi e hoʻemi ai i ka nui o ka wai i loko o nā maka a me ka waha.
• Nā maʻi bacteria. ʻO ka mumū ʻāʻī ponoʻī a me ka nui o nā lāʻau lapaʻau i hoʻohana ʻia e hakakā me ia hiki ke hoʻopōʻino i ka ʻōnaehana pale kino, e alakaʻi ana i ka hoʻonui ʻana o nā maʻi bacteria. E pale aku iā ʻoe iho me nā lāʻau pale e pale aku ai i nā maʻi e like me ka maʻi flu, pneumonia, shingles a me COVID-19.
• ʻAno kino kūpono ʻole. ʻOi aku ka nui o ka momona i ka nui o ka ʻiʻo i loko o ka poʻe i loaʻa i ka mumū ʻāʻī, ʻoiai i loko o ka poʻe i loaʻa ka nui o ke kino maʻamau (BMI).
• Nā pilikia o ka naʻau. Hiki i ka mumū ʻāʻī ke hoʻonui i kou pilikia o nā arteries paʻakikī a me nā poloka, a me ka mumū o ka ʻeke e uhi ana i kou naʻau.
• Maʻi ʻāʻī. Loaʻa i nā kānaka me ka mumū ʻāʻī kahi pilikia nui o ka mumū a me ka ʻili o nā pūnaewele o ka māmā, kahi e alakaʻi ai i ka pōkole o ka hanu holomua.
• Lymphoma. Hoʻonui ka mumū ʻāʻī i ka pilikia o ka lymphoma, kahi hui o nā maʻi kanesa koko e ulu ana i loko o ka ʻōnaehana lymph.

Hiki ke paʻakikī ka ʻike ʻana i ka mumū ʻana o nā hono ma kona mau kahua mua no ka mea, ua like nā hōʻailona mua a me nā hōʻailona me nā maʻi ʻē aʻe he nui. ʻAʻohe hoʻokolohua koko hoʻokahi a i ʻole ka ʻike kino e hōʻoia i ka maʻi.

I ka wā o ka nānā kino, e nānā kāu kauka i kou mau hono no ka pehu, ka ʻulaʻula a me ka mahana. Hiki nō hoʻi iā ia ke nānā i kou mau reflexes a me ka ikaika o nā ʻiʻo.

Loaʻa pinepine i nā kānaka me ka mumū ʻana o nā hono kahi kiʻekiʻe o ka erythrocyte sedimentation rate (ESR, i ʻike ʻia hoʻi ʻo sed rate) a i ʻole ka pae C-reactive protein (CRP), kahi e hōʻike ai i ka loaʻa ʻana o kahi kaʻina inflammatory i ke kino. ʻO nā hoʻokolohua koko maʻamau ʻē aʻe e ʻimi i ka rheumatoid factor a me nā antibody anti-cyclic citrullinated peptide (anti-CCP).

Hiki i kāu kauka ke ʻōlelo aku i nā X-rays e kōkua i ka hahai ʻana i ka holomua o ka mumū ʻana o nā hono i kou mau hono ma ka manawa. Hiki i nā hoʻokolohua MRI a me ka ultrasound ke kōkua i kāu kauka e loiloi i ka nui o ka maʻi i loko o kou kino.