Tlhokomelo e hlokang tlhokomelo ea ramatiki ea ramatiki

Ramatiki ea lefu la ho ruruha ke ea mafu a systemic a maiketsetso a sebetsang le ho hlōloa ha lihlopha tse nyenyane tsa lipheletsong. Ho hatela pele nakong ea lefu lena ho hloka hore e be le phekolo e telele le e hlophisehileng. Tlhahlobo e hlokang tlhokomelo ea ramatiki ea lefu la rheumato e etsoa ka litsela tse latelang:

- ho felisoa kapa ho fokotseha ha lefu la bohloko;

- Ho fokotsa ts'ebetso ea ho ruruha ka lero la synovial ea manonyeletso, thibelo ea timetso ea masapo, litho tsa ka hare le ankylosis;

- thibelo ea maqhama a kopane;

- ho tsosolosa bakuli 'meleng le kelellong.

Ka ho feteletsa ha matla, phekolo ea ramatiki ea lefuba e qala ka ho behoa ha bethe kapa ho fokotsa taolo, ho senyeha ha lihlopha tse amehileng, meriana e khahlanong le ho ruruha le ho hlahisa maikutlo.

Therapy e khahlanong le ho ruruha

Li-SASA tse nang le lithethefatsi tsa mantlha li sebelisetsoa ho tšoara litšoantšo tse matla tsa lefu lena, e le ho tšehetsa phekolo ea ho thibela ho ruruha ha maemong a ho hatela ha ramatiki butle-butle. Ka mofuta oa mafura le litlolo, li-NSAID li sebelisetsoa phekolo ea sebakeng seo. Li-NSAID, le hoja li e-na le liphello tse ntle tse hlahisang maikutlo le tse khahlanong le ho ruruha, ha li ame tsela ea lefu lena ebile ha li thibele ho timetsoa ha marulelo a marang-rang. Sehlopha sena sa lithethefatsi ha se kenngoa se halefisa mucosa ea gastric, e ka lebisang ho nts'etsopele ea bongaka ba meriana esita le lisosa.

Litokisetso tsa motheo

Motheo oa phekolo ea meriana ea ramatiki ke lefuba la mantlha. Lithethefatsi tsena li fetola tsoelo-pele ea lefu lena, phello ea tsona e lieha. Meriana ea mantlha e kenyelletsa cytostatic immunosuppressors - salts ea khauta, litokisetso tsa aminoquinoline, D-penicillamine. E 'ngoe ea lithethefatsi tse tloaelehileng tse tsoang sehlopheng sena - methotrexate, e nang le ramatiki ea lefu lena e na le se boleloang se khahlanong le ho ruruha, e liehisa tsoelo-pele ea lefu lena, e sireletsa mesifa ea lefuba ho tloha timetsong.

Lithethefatsi tsa motheo li behiloe pele ho likhoeli tse tharo ka mor'a ho qala ha phekolo ho bakuli bohle ba nang le ramatiki e sebetsang ka matla ha ho se na phello ea li-NSAID. Haeba tšebeliso ea lithethefatsi tsa mantlha ha e fane ka liphello tsa phekolo tse lakatsehang ka likhoeli tse peli ho isa ho tse tharo, ho hlokahala tse ling tsa corticosteroids.

Corticosteroids

Corticosteroids e laeloa bakeng sa ts'ebetso e phahameng ea ho ruruha, ponahalo ea tsamaiso ea ramatiki ea ramatiki le ho kenngoa ha litho tsa ka hare, ho se be le phello ea phekolo ea li-NSAID le lithethefatsi tsa mantlha.

Corticosteroids, ho itšetlehile ka matla a ho ruruha, li laeloa ka tekanyo ea 10 mg ho 40 mg ka letsatsi (e lekanang le prednisolone). Mono ona o sebelisoa ho fihlela ho fokotsoa ho tsitsitseng ho finyelloa, ho lateloa ke ho fokotseha butle-butle ha lithethefatsi tsa hormone le tsamaiso ea nako e le 'ngoe ea li-NSAID.

Kalafo ea ramatiki ea ramatiki e nang le corticosteroids e fana ka phello e potlakileng, empa e ka lebisa tlhokomelong ea mathata. Ka lebaka leo, phekolo e joalo e lokela ho etsoa tlas'a taolo ea mello ea boipheliso.

Hammoho le meriana, lefu la ramatiki le tšoaroa ka mekhoa ea tlhaho. Tšebeliso e sebetsang ea hemosorption, plasmaphoresis, lympho- le immunosorption, phonophoresis, magnetotherapy, laser therapy. Kalafo ea lehae e na le ts'ebetso ea li-anti-inflammatory drugs le corticosteroids, e etsoang metseng e ikhethang ea rheumatological.

Nakong ea phetoho, bakuli ba laetsoe kalafo ea sanatorium ho sebelisa mekhoa ea phekolo, litlhaku tsa ozokeritic le mekhoa ea balneological.

Re ile ra hlahloba ramatiki ea ramatiki, matšoao, phekolo ea lefu lena ho itšetlehile ka sethala. Phekolo e nepahetseng ea ramatiki e tla lieha ho tsoela pele le ho ntlafatsa mathata.