Conservative kev kho mob ntawm kev mob caj dab rheumatoid

Mob caj dab rheumatoid belongs rau mauj connective cov ntaub so ntswg mob nrog txhab me me pob qij txha ntawm lub extremities. Mob hnyav kawg ntawm tus kab mob yuav tsum tau heev thiab systematic kev kho mob. Conservative kev kho mob ntawm kev mob caj dab rheumatoid yog nqa tawm nyob rau hauv cov nram no cov lus qhia:

- lub tshem tawm los yog attenuation ntawm kev mob;

-Reduce o nyob rau hauv lub synovial membrane ntawm cov pob qij txha, kev tiv thaiv ntawm cov pob txha puas tsuaj, nrog hloov khoom nruab nrog kev koom tes thiab ankylosis;

- kev tiv thaiv ntawm ob leeg deformation;

- kev ncaj ncees ntawm cov neeg mob lub cev thiab psychologically.

Nrog ib tug ntse exacerbation ntawm kev mob caj dab rheumatoid pib nrog lub sij hawm ntawm lub txaj los sis maj mam kho mob, immobilization ntawm cov pob qij txha, anti-inflammatory thiab analgesic tshuaj.

Anti-inflammatory kev kho

Narcotics yuav muab nrog cov yooj yim neeg sawv cev yog siv los kho mob ces ntawm tus kab mob raws li cov txij nkawm kho nyob rau hauv tus neeg mob ntawm maj mam hnyav mob caj dab. Nyob rau hauv daim ntawv ntawm cov tshuaj pleev thiab cream narcotics yuav muab yog siv rau cov tshuaj pleev kev kho mob. Txawm tias narcotics yuav muab tau zoo analgesic thiab antiinflammatory txiav txim, tsis muaj kev cuam tshuam hauv chav kawm ntawm tus kab mob thiab tsis tiv thaiv kom txhob puas tsuaj ntawm articular pob txha mos chaw. Qhov no pab pawg neeg ntawm cov tshuaj thaum muab thab plaub lub plab uas yuav ua rau cov tshuaj hob gastritis thiab txawm ulcers.

yooj yim tshuaj

Lub hauv paus ntawm txoj kev siv tshuaj ntawm kev mob caj dab rheumatoid roos yooj yim tshuaj. Cov tshuaj hloov qhov muaj mob ntawm tus kab mob no, lawv cov nyhuv zoo nkaus li maj mam. Yuav kom yooj yim txhais tau tias muaj xws li cytotoxic immunosuppressants - kub ntsev, aminohinolinovogo npaj, D-penicillamine. Ib qho ntawm feem ntau cov tshuaj ntawm no pab pawg neeg - methotrexate nyob rau hauv kev mob caj dab rheumatoid muaj ib tug qhia tau anti-inflammatory nyhuv, slows ntxiv kom vam meej ntawm tus kab mob thiab tiv thaiv cov pob txha mos cov ntaub so ntswg los ntawm kev puas tsuaj.

Basic tshuaj muab tsis pub dhau 3 lub hlis ntawm txoj kev kho nyob rau hauv tag nrho cov neeg uas muaj active mob caj dab rheumatoid uas tsis muaj cov nyhuv los ntawm kev siv ntawm narcotics yuav muab. Yog hais tias kev siv ntawm yooj yim tshuaj tsis muab cov kev kawm kho tau tsis pub dhau ob peb lub hlis, yuav tsum tau ntxiv corticosteroid kev kho mob.

corticosteroids

Corticosteroids cov kws kho rau siab ua si ntawm o, mob caj dab rheumatoid, mauj ces nrog kev koom tes ntawm hauv nruab nrog cev, nrog tsis ntxim rau cov kev kho mob ntawm narcotics yuav muab thiab DMARDs.

Corticosteroids, nyob ntawm seb qhov heev ntawm o yog muab nyob rau hauv ib koob tshuaj los ntawm 10 mus rau 40 mg ib hnub twg (sib npaug prednisolone). Qhov no tshuaj yog thov mus cuag ib tug ruaj khov kev so ib pliag ua raws li los ntawm ib tug gradual thawj ntawm hormonal tshuaj thiab simultaneous los ntawm NSAID.

Rheumatoid Arthritis Kev Kho Mob nrog corticosteroids muab ceev zoo tshwm sim, tab sis yuav ua tau kom mob. Yog li ntawd, xws kho mob yuav tsum muaj nyob rau hauv cov kev tswj ntawm lub dispensary yuav tsum.

Nrog rau cov tshuaj kev kho mob ntawm kev mob caj dab rheumatoid yog nqa tawm ntawm lub cev txoj kev. Zoo siv hemosorption, plasmapheresis, qog thiab immunoadsorption, phonophoresis, magnetic txoj kev kho, laser kho. Local kev kho mob yog ib yam uas intraarticular txhaj tshuaj ntawm anti-inflammatory siv tshuaj thiab corticosteroids, uas yog nqa tawm nyob rau hauv tshwj xeeb departments ntawm Rheumatology.

Cov kev so ib pliag cov neeg mob xaiv sanatorium kev kho mob siv tshuaj av nkos, ozocerite cov txheej txheem thiab spa daim ntaub ntawv.

Peb rov los xyuas dua rheumatoid mob caj dab, cov tsos mob, kev kho mob ntawm tus kab mob no nyob rau cov theem. Zoo Tsim Nyog kev kho mob ntawm kev mob caj dab yuav qeeb ntxiv kom vam meej thiab kev loj hlob ntawm cov teeb meem.