Arthritis-ka falcelinta leh

Arthritis reactive waa nooc ka mid ah arthritis-ka oo la socda infakshan. Waxay kaloo sababi kartaa barar ku dhaca indhaha, maqaarka iyo kaadi mareenka iyo xubnaha taranka.

Sababta saxda ah ee arthritis-ka falcelinta ah lama yaqaan. Si kastaba ha noqotee, badanaa waxay raacdaa infakshan, laakiin kala-goysyada lafteeda ma uusan qaadin. Arthritis-ka fal-celinta badan wuxuu ku dhacaa inta badan ragga da'doodu ka yar tahay 4 sano, in kasta oo mararka qaarkood uu ku dhaco dumarka. Waxay raaci kartaa caabuq ku dhaca kaadi mareenka galmada ka dib galmada aan la ilaalin. Bakteeriyada ugu badan ee keenta infekshannada noocaas ah waxaa loo yaqaan Chlamydia trachomatis. Arthritis-ka fal-celinta ah ayaa sidoo kale raaci kara infekshinka caloosha iyo caloosha (sida sumowga cuntada). Ilaa nus dadka ka mid ah ee loo maleynayo inay qabaan xanuunka 'arthritis reactive', waxaa suuragal ah inuusan jirin wax infakshan ah. Waa suurtagal in kiisaska noocaas ah ay yihiin nooc ka mid ah cudurka 'spondyloarthritis'.

Hiddo-wadayaasha qaarkood ayaa laga yaabaa inay kaa dhigaan inaad u badan tahay inaad ku dhacdo xaaladdan.

Cilladaan ayaa ku yar caruurta yar, laakiin waxay ku dhici kartaa dhalinyarada. Arthritis-ka fal-celinta ah wuxuu ku dhici karaa carruurta da'doodu tahay 6 illaa 14 sano kadib Clostridium adag cudurada caloosha iyo caloosha.

Calaamadaha kaadi-mareenka waxay soo muuqanayaan maalmo ama toddobaadyo gudahood markii cudurka la qaaday. Calaamadahaas waxaa ka mid noqon kara:

• Gubasho markaad kaadido
• Dheecaan ka baxa kaadi mareenka (dheecaan)
• Dhibaatooyinka bilaabista ama sii wadida socodka kaadida
• Ubaahan kaadi si ka badan inta caadiga ah

Qandho yar oo ay weheliso dheecaan indhaha ah, gubasho, ama casaan (conjunctivitis ama "pink eye") ayaa soo bixi kara dhowrka toddobaad ee soo socda.

Cudurada ku dhaca xiidmaha waxay sababi karaan shuban iyo calool xanuun. Shubanku wuxuu noqon karaa biyo ama dhiig.

Xanuunka wadajirka ah iyo qallafsanaantiisa ayaa sidoo kale bilaabata xilligan. Arthritis-ku wuxuu noqon karaa mid fudud ama daran. Calaamadaha arthritis waxaa ka mid noqon kara:

• Cidhib xanuun ama xanuun ku dhaca jilibka Achilles
• Xanuun sinta, jilibka, canqowga, iyo dhabarka hoose
• Xanuun iyo barar saameeya hal ama dhowr kalagoys

Calaamadaha waxaa ka mid noqon kara nabarrada maqaarka ee calaacalaha iyo cagaha oo u eg cudurka psoriasis. Waxa kale oo jiri kara boogo yaryar oo aan xanuun lahayn oo ku dhaca afka, carabka, iyo guska.

Bixiyaha xanaanada caafimaadkaaga ayaa baari doona xaalada iyadoo lagu saleynayo astaamahaaga. Baadhitaan jireed ayaa laga yaabaa inuu muujiyo calaamadaha conjunctivitis ama nabarrada maqaarka. Calaamadaha oo dhan ma wada muuqan karaan isla waqtigaas, marka waxaa laga yaabaa inuu dib u dhac ku yimaado helitaanka cudurka.

Waxaa lagaa qaadi karaa tijaabooyinka soo socda:

• HLA-B27 antigen
• Raajooyin wadajir ah
• Tijaabooyinka dhiigga si meesha looga saaro noocyada kale ee arthritis-ka sida rheumatoid arthritis, gout, ama systemic lupus erythematosus
• Qiyaasta qanjirka 'Erythrocyte' (ESR)
• Kaadida
• Dhaqanka saxarada hadaad shuban qabto
• Baadhitaanada kaadi ee DNAda bakteeriyada sida Chlamydia trachomatis
• Damaca wadnaha oo barara

Ujeedada daaweyntu waa in la yareeyo astaamaha lana daaweeyo infekshinka sababaya xaaladan.

Dhibaatooyinka indhaha iyo nabarada maqaarka uma baahna in la daaweeyo inta badan. Iyaga ayaaba iskaga tagaya. Haddii dhibaatooyinka indhaha ay sii socdaan, waa in uu ku qiimeeyaa takhasus ku leh cudurka indhaha.

Bixiyahaaga ayaa kuu qori doona antibiyootiko haddii aad qabto infekshan. Daawooyinka anti-bararka ee nonsteroidal (NSAIDs) iyo xanuunka joojiya ayaa laga yaabaa inay ka caawiyaan xanuunka kalagoysyada. Haddii kala-goysku aad u bararsan yahay muddo dheer, waxaa laga yaabaa in lagugu duro dawada corticosteroid.

Haddii arthritis-ku sii socdo in kasta oo NSAIDs yihiin, sulfasalazine ama methotrexate ayaa laga yaabaa inay ku caawiyaan. Ugu dambeyntiina, dadka aan ka jawaabin daawooyinkan waxay u baahan karaan wakiilo bayoolaji oo ka hortagga TNF sida etanercept (Enbrel) ama adalimumab (Humira) si loo xakameeyo habka difaaca jirka.

Daaweynta jireed waxay kaa caawin kartaa yareynta xanuunka. Waxay sidoo kale kaa caawin kartaa inaad si fiican u dhaqaaqdid oo aad u ilaaliso xoogga murqaha.

Arthritis-ka fal-celinta ah ayaa laga yaabaa inuu baxo toddobaadyo yar gudahood, laakiin wuxuu socon karaa dhowr bilood wuxuuna u baahan yahay daawooyin muddadaas. Calaamaduhu way soo noqon karaan muddo sannado ah ilaa kala badh dadka qaba xaaladdan.

Marar dhif ah, xaaladdu waxay u horseedi kartaa wadna garaac aan caadi ahayn ama dhibaatooyin wadnaha wadnaha wadnaha ah.

U tag dhakhtarkaaga haddii aad isku aragto astaamaha xaaladdan.

Ka fogow infekshannada keeni kara arthritis-ka falcelinta leh adigoo sameeya galmo aamin ah oo ka fogow waxyaabaha sababi kara sumowga cuntada.

Cudurka 'Reiter syndrome'; Arthritis-ka faafa ee dambe

• Arthritis-ka falcelinta - muuqaalka cagaha

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