Isifo samathambo esisebenzayo

Isifo samathambo esisebenzayo sisifo samathambo esilandela usulelo. Inokubangela nokudumba kwamehlo, ulusu kunye nomchamo kunye neenkqubo zokuzala.

Isizathu ngqo sesifo samathambo esisebenzayo asaziwa. Nangona kunjalo, ihlala ilandela usulelo, kodwa indibaniselwano ngokwayo ayinasulelo. Isifo samathambo esisebenzayo senzeka rhoqo kumadoda amancinci kuneminyaka eyi-4, nangona ngamanye amaxesha sichaphazela abasetyhini. Inokulandela usulelo kwi-urethra emva kwesondo esingakhuselekanga. Ezona bhaktheriya zixhaphakileyo nezenza usulelo olo kuthiwa yiClamydia trachomatis. Isifo samathambo esisebenzayo sinokulandela usulelo lwesisu (njengokutya okunetyhefu). Ukuya kuthi ga kwisiqingatha sabantu abacingelwa ukuba banesifo samathambo esisebenzayo, akunakubakho sulelo. Kungenzeka ukuba iimeko ezinjalo zihlobo lwe-spondyloarthritis.

Ezinye izakhi zofuzo zinokukwenza ukuba ufumane le meko.

Esi sifo sinqabile kubantwana abancinci, kodwa sinokwenzeka kulutsha. Isifo samathambo esisebenzayo sinokuvela kubantwana abaneminyaka emi-6 ukuya kweli-14 emva IClostridium difficile izifo zesisu.

Iimpawu zomchamo ziya kubonakala kwiintsuku okanye iiveki zosulelo. Ezi mpawu zinokubandakanya:

• Ukutsha xa uchama
• Ukuvuza kwamanzi kwi-urethra (ukukhutshwa)
• Iingxaki ukuqala okanye ukuqhubeka nokuhamba komchamo
• Ukufuna ukuchama rhoqo kunesiqhelo

Umkhuhlane ophantsi kunye nokukhutshwa kwamehlo, ukutshisa, okanye ubomvu (i-conjunctivitis okanye "iliso elipinki") inokukhula kwiiveki ezimbalwa ezizayo.

Usulelo emathunjini lunokubangela urhudo kunye nentlungu esiswini. Urhudo lunokuba ngamanzi okanye ligazi.

Intlungu edibeneyo kunye nokuqina kuyaqala ngeli xesha. Isifo samathambo sinokuba mnene okanye siqine. Iimpawu zearthritis zinokubandakanya:

• Intlungu yesithende okanye iintlungu kwi-Achilles tendon
• Ubuhlungu kwi-hip, idolo, i-ankle, kunye ne-back back
• Intlungu kunye nokudumba okuchaphazela elinye okanye ngaphezulu kwamalungu

Iimpawu zingabandakanya izilonda zesikhumba ezintendeni kunye neenyawo ezibukeka njenge-psoriasis. Kukho ukubakho kwezilonda ezincinci ezingenazintlungu emlonyeni, kulwimi kunye nakudidi lobudoda.

Umboneleli wakho wezempilo uya kuxilonga imeko esekwe kwiimpawu zakho. Uvavanyo lomzimba lunokubonisa iimpawu zokudibana okanye izilonda zesikhumba. Zonke iimpawu zinokungabonakali ngaxeshanye, kungakho ukulibaziseka ekufumaneni isifo.

Unokuba nale mvavanyo ilandelayo:

• HLA-B27 antigen
• X-reyi ezidibeneyo
• Uvavanyo lwegazi ukulawula ezinye iintlobo zesifo samathambo ezifana nesifo samathambo, igawuthi, okanye inkqubo ye-lupus erythematosus
• Izinga le-sedimentation ye-Erythrocyte (ESR)
• Uhlalutyo lomchamo
• Inkcubeko yelindle ukuba unorhudo
• Ukuvavanywa komchamo kwi-DNA yebhaktiriya enje I-Chlamydia trachomatis
• Ukuphefumlelwa kwendibaniselwano edumbileyo

Injongo yonyango kukhulula iimpawu kunye nokunyanga usulelo olubangela le meko.

Iingxaki zamehlo kunye nezilonda zesikhumba azidingi kunyangwa ixesha elininzi. Baya kuhamba ngokwabo. Ukuba iingxaki zamehlo ziyaqhubeka, kuya kufuneka kuvavanywe yingcali yesifo samehlo.

Umboneleli wakho uya kukunika amayeza okubulala iintsholongwane ukuba unentsholongwane. Izidakamizwa ezichasayo ezichasayo (i-NSAID) kunye nokunciphisa iintlungu kunokunceda ngeentlungu ezidibeneyo. Ukuba indibaniselwano idumbile ixesha elide, unokuba namayeza e-corticosteroid afakwe kwilungu.

Ukuba i-arthritis iyaqhubeka ngaphandle kwee-NSAID, i-sulfasalazine okanye i-methotrexate inokuba luncedo. Okokugqibela, abantu abangaphenduliyo kula mayeza banokufuna ii-anti-TNF biologic agents ezinje nge-etanercept (Enbrel) okanye i-adalimumab (Humira) yokucinezela amajoni omzimba.

Unyango lomzimba lunokunceda ukunciphisa iintlungu. Inokukunceda ukuba uhambe ngcono kwaye ugcine amandla emisipha.

Isifo samathambo esisebenzayo sinokuhamba kwiiveki ezimbalwa, kodwa sinokuhlala iinyanga ezimbalwa kwaye sidinga amayeza ngelo xesha. Iimpawu zinokubuya kwisithuba seminyaka ukuya kwisiqingatha sabantu abakule meko.

Rare, imeko inokukhokelela kwisingqi sentliziyo esingaqhelekanga okanye iingxaki nge-aortic heart valve.

Jonga umboneleli wakho ukuba uphuhlisa iimpawu zale meko.

Luphephe usulelo olunokuthi luzise isifo samathambo ngokuziqhelanisa nokwabelana ngesondo okukhuselekileyo kunye nokuthintela izinto ezinokubangela ityhefu yokutya.

Isifo seReiter; Isifo esasulelayo sasemva kwesifo

• Isifo samathambo esisebenzayo-ukujonga kweenyawo

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I-Okamoto H. Ubuninzi be-chlamydia ehambelana nesifo samathambo. Scand J Rheumatol. Ngo-2017; 46 (5): 415-416. IINKCUKACHA: 28067600 www.ncbi.nlm.nih.gov/pubmed/28067600.

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