Rheumatoid akpa ume ọrịa

Ọrịa akpa ume nke Rheumatoid bụ otu nsogbu nke ngụgụ metụtara ọrịa ogbu na nkwonkwo. Ọnọdụ ahụ nwere ike ịgụnye:

• Mgbochi nke obere ikuku (bronchiolitis obliterans)
• Mmiri mmiri n'ime obi (pleural effusions)
• Ọbara mgbali elu na ngụgụ (ọbara mgbali elu)
• Mgbapu na ngụgụ (nodules)
• Egwu (akpa ume)

Nsogbu akpa ume na-adịkarị na ọrịa ogbu ogbu na nkwonkwo. Ha anaghị ebute ọrịa.

Amaghị ihe kpatara ọrịa akpa ume metụtara ọrịa ogbu na nkwonkwo. Oge ụfọdụ, ọgwụ ndị eji agwọ ọrịa ogbu na nkwonkwo, ọkachasị methotrexate, nwere ike bute ọrịa akpa ume.

Mgbaàmà nwere ike ịgụnye nke ọ bụla n'ime ihe ndị a:

• Obi mgbu
• .Kwara
• Ahụ ọkụ
• Iku ume ọkụ ọkụ
• Nkwonkwo mgbu, nkwesi ike, ọzịza
• Nodules akpụkpọ anụ

Onye nlekọta ahụike ga-eme nyocha anụ ahụ wee jụọ maka ihe mgbaàmà gị.

Mgbaàmà na-adabere n'ụdị ọrịa akpa ume nke ọrịa ogbu na nkwonkwo na-akpata na ngụgụ.

Onye na-eweta ọrụ ahụ nwere ike ịnụ mkpọtụ (rales) mgbe ọ na-ege steti na stethoscope. Ma ọ bụ, enwere ike ịbelata ụda ume, iku ume, ụda mkpọtụ, ma ọ bụ ụda ume nkịtị. Mgbe ị na-ege obi ntị, enwere ike ịnwe ụda obi na-adịghị mma.

Ule ndị a nwere ike igosi akara nke ọrịa akpa ume:

• Igbe x-ray
• Nyocha CT nke igbe
• Echocardiogram (nwere ike igosi ọbara mgbali elu)
• Lung biopsy (bronchoscopic, video-nyere aka, ma ọ bụ na-emeghe)
• Ume ọrụ ule
• Agịga ịtinye n'ime mmiri gburugburu akpa ume (thoracentesis)
• Nyocha ọbara maka ọrịa ogbu na nkwonkwo
  

Ọtụtụ ndị nwere ọnọdụ a enweghị ihe mgbaàmà ọ bụla. Emere ọgwụgwọ maka nsogbu ahụike na-akpata nsogbu ngụgụ na nsogbu ndị ọrịa ahụ na-akpata. Corticosteroids ma ọ bụ ọgwụ ndị ọzọ na-ebelata usoro ahụ ji alụso ọrịa ọgụ na-aba uru mgbe ụfọdụ.

Ihe si na ya pụta metụtara ọrịa na-akpata nsogbu na ụdị na ogo nke ọrịa ngụgụ. N'okwu ndị siri ike, a ga-atụle ịtụgharị ume ume. Nke a na-adịkarịkarị na nke bronchiolitis obliterans, akpa ume fibrosis, ma ọ bụ akpa ume ọbara mgbali.

Ọrịa akpa ume nke Rheumatoid nwere ike ibute:

• Akpa ume (pneumothorax)
• Ọbara mgbali elu

Kpọọ onye na-enye gị ọrụ ozugbo ọ bụrụ na ị nwere ọrịa ogbu na nkwonkwo na ị na-etolite nsogbu iku ume na-enweghị atụ.

Ọrịa ngụgụ - ọrịa ogbu na nkwonkwo; Rheumatoid nodules; Akpa ume Rheumatoid

• Ọrịa akpa ume Interstitial - ndị okenye - ihapu

• Bronchoscopy
• Usoro iku ume

Corte TJ, Du Bois RM, Wells AU. Ọrịa anụ ahụ jikọtara. Na: Broaddus VC, Mason RJ, Ernst JD, et al, eds. Akwụkwọ ọgụgụ Murray na Nadel nke Medicine Respiratory. Nke isii. Philadelphia, PA: Elsevier Saunders; 2016: isi 65.

Yunt ZX, Solomon JJ. Ọrịa akpa ume na ọrịa ogbu na nkwonkwo. Rheum Dis Nyocha North Am. 2015; 41 (2): 225–236. PMID: PMC4415514 www.ncbi.nlm.nih.gov/pmc/articles/PMC4415514.