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Ревматоидный артрит

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Что такое ревматоидный артрит?

Ревматоидный артрит (РА) — это состояние, при котором собственная иммунная система организма атакует суставы. Это вызывает опухание, скованность и болезненность (воспаление) суставов, особенно в руках и ногах.

Со временем РА может повредить и деформировать суставы. Это затрудняет открытие банок, письмо и выполнение других повседневных задач. Иногда это также может привести к образованию шишек под кожей.

Ревматоидный артрит чаще встречается у женщин, чем у мужчин. Он часто начинается в возрасте от 40 до 60 лет.

Что является причиной этого?

Причина РА до конца не изучена. Но это аутоиммунное заболевание . Это означает, что естественная защитная система организма атакует суставы. Гены играют роль, но эксперты не знают точно, в чем эта роль.

Каковы симптомы ревматоидного артрита?

Симптомы РА часто развиваются медленно в течение недель или месяцев. Усталость и скованность обычно являются ранними симптомами.

Симптомы со стороны суставов включают:

  • Боль, скованность и опухание суставов рук, запястий, локтей, стоп, лодыжек, коленей или шеи . Заболевание обычно поражает обе стороны тела одновременно.
  • Утренняя скованность. Скованность суставов может развиться после длительных периодов сна или сидения. Обычно она длится не менее 1 часа, а часто и до нескольких часов.
  • Шишки (узелки). Ревматоидные узелки размером от горошины до нафталинового шарика образуются почти у трети людей, страдающих РА. Узелки обычно образуются в точках давления на теле, таких как локти, суставы пальцев, позвоночник и кости голени.

Ревматоидный артрит может также вызывать симптомы по всему телу (системные). К ним относятся:

  • Усталость.
  • Потеря аппетита.
  • Потеря веса.
  • Слабая лихорадка.

Как диагностируется ревматоидный артрит?

Чтобы диагностировать РА, ваш врач рассматривает комбинацию ваших симптомов и результатов анализов. Ваш врач задаст вам вопросы о ваших симптомах и осмотрит ваши суставы на предмет признаков болезненности или опухания.

Как лечится ревматоидный артрит?

РА чаще всего лечат лекарствами. Некоторые лекарства помогают контролировать симптомы. Другие лекарства, особенно при раннем применении, могут помочь предотвратить ухудшение заболевания.

Многие лекарства, используемые для лечения ревматоидного артрита, имеют побочные эффекты. Регулярно проходите осмотры. И обсуждайте с врачом любые проблемы. Это поможет врачу подобрать лечение, которое подойдет именно вам.

Физиотерапия и поиск оптимального баланса между отдыхом и активностью также могут помочь облегчить ваши симптомы.

Если лечение не помогает, хирургическое вмешательство может быть вариантом. Тип операции, которую вы можете сделать, зависит от того, какие суставы вызывают проблемы. Иногда операция по замене сустава (например, тазобедренного или коленного) является вариантом. Другие типы хирургического вмешательства могут удалить разрастания хряща или воспаленную ткань из сустава или снять давление на нервы.

Разница между здоровым и пораженным ревматоидным артритом суставом

При некоторых типах воспалительного артрита, таких как ревматоидный артрит, иммунная система организма атакует суставную оболочку (синовиальную оболочку). Это вызывает воспаление. Со временем это воспаление может повредить хрящ и кость. Оно также может ослабить связки и сухожилия. Автор: Сотрудники Healthwise

Ревматоидный артрит рук

Руки и запястья являются наиболее распространенным местом для деформаций, вызванных ревматоидным артритом. По мере прогрессирования повреждения суставов суставы между рукой и пальцами (пястно-фаланговые суставы — ПФС) опухают и смещаются вверх (дорсальный подвывих). Сухожилия над суставами соскальзывают и заставляют пальцы сгибаться в сторону мизинца (локтевой дрейф). Кроме того, мышцы руки истончаются и ослабевают, создавая впадины между длинными сухожилиями. Автор: Сотрудники Healthwise

Ревматоидный артрит стоп

Ревматоидный артрит может вызывать боль, отек, скованность и болезненность в суставах стопы. Если болезнь прогрессирует, суставы могут деформироваться и стать недееспособными. Боль и болезненность часто встречаются под подушечкой стопы. Суставы между стопой и пальцами ног (плюснефаланговые суставы) опухают и двигаются, заставляя пальцы ног скручиваться и перекрываться. Большой палец ноги может сгибаться внутрь (вальгусная деформация). Средние пальцы ног могут сгибаться в форме когтя (молоткообразный палец). Автор: Сотрудники Healthwise

Зоны возникновения ревматоидного артрита

Ревматоидный артрит часто поражает мелкие и крупные суставы с обеих сторон тела (симметрично), например, обе руки, оба запястья или локти, а также подушечки обеих стоп. Автор: Сотрудники Healthwise

Ревматоидные узелки

Ревматоидные узелки — это небольшие шишки под кожей, расположенные в точках давления, таких как локоть, тыльная сторона ладони или тыльная сторона пятки. Эти шишки могут быть размером с рисовое зерно или размером с мяч для гольфа. Но они обычно не болезненны и имеют тенденцию появляться и исчезать.
Врач может удалить ревматоидные узелки, если ваше заболевание находится под хорошим контролем, а узелки болезненны или сильно беспокоят. Автор: Сотрудники Healthwise

Информация в статье приведена исключительно с ознакомительной целью и не является руководством к действию. По вопросам здоровья всегда консультируйтесь со своим лечащим врачом в очной форме!

Источник: сайт Нью-Йоркской пресвитерианской больницы https://www.nyp.org/healthlibrary/diagnosis/rheumatoid-arthritis?lancode=

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