Viêm khớp dạng thấp và những triệu chứng nghiêm trọng

& nhCfng tri^u chu'ng

8dng, ndng, dd, dau cdc khdp

ddi xifng thUdng Id mdt dd'u

higu ciia viem khdp dang

thdp. Tuy nhien dd'i vdi nhdng

ngudi bi vigm khdp dang thd'p, do

khdng phdi Id dilu duy nhd't de

quan sat vd theo ddi, md hg edn

can phai chu y den nhiftig trieu

chiifng nghidm trgng, cd thi anh

hudng dg'n tinh mang cua hg,

Vigm khdp dang thap Id mgt

bgnh hg thd'ng, man tinh do he

mien dich cua cd the tan e6ng

lgn chinh cac md cua cd the, ndn

ed th i xay ra tren nhilu md khac

nhau cua cff the, khdng chi rigng

mang boat dich cua khdp, chang

han nd cd the gay vigm mfing

ngoai tim, vigm mdng phoi, viem

gific mac, viem da ddy thdn kinh

ngoai bign... Ben canh do, trong

qua trinh benh, ng'u khdng dUdc

kilm sodt td't, cd the xuat hign

cfic big'n ehflng nguy hilm. Chinh

vi vfiy, viem khdp dang thd'p ddi

hdi edn dddc theo ddi, danh gia va

kiem sodt todn thdn, hdn la chi

qudn ly nhflng trieu chflng sflng,

ndng, dd, dau d ede khdp.

Dfldi day la cfic trieu chflng

nghiem trgng trdn bgnh nhdn viem

khdp dang thap khdng nen bd qua,

Kho thd, dau ngiic

Dfiy Id mgt dfiu hieu nghidm

trgng, cd the la ton thUffng d phoi

hofic tim. Tin thfldng d phdi Id

bien chdng phd bie'n trong benh

Iy vidm khdp dang thap, trong dd

vigm mang phli chig'm ti lg khd

cao. Ngoai ra, viem phdi md ke tuy

khdng phd bien nhung cd the dan tdi

xd phdi khdng phuc hoi ne'u khdng

dUde dieu tri tich cUc. Viem phoi mo

ke thudng khdi dau tfl cac thiiy dfldi

cua phdi, vdi cde bilu hien: ho khan

hoac khd thd khi gdng sdc.

Bdi VI viem khdp dang tha'p cd

the dnh hddng din cac mach mdu

vd eo tim, nhflng ngddi mang benh

ly nay ed nguy cO cao hffn cho vigc

xay ra cac cffn dau tim vfi suy tim.

Chdng viem thanh mae eua mang

ngoai tim thfldng bieu hign trigu

ehdng dau ngdc hodc tran dich mang

ngodi tim. Tdn thdcfng cff tim tuy

hiem gap, nhdng ede ndt thap eua

vi&m khdp dang thdp cung ed the

gdy vigm cd tim va gay rdi loan ddn

truyen d nhilu mfle dd khdc nhau.

Hdy din cd sd y tg' ngay ldp tde

ng'u gdp nhiJng vfi'n de nay, ngay

ea khi chUa bao gid ed van dl vl

tim hode phdi trudc dd.

Te, ngiia ran hoac yl u tay chan

Viem khdp dang thd'p cd the

gdy ra vidm bao hoat dich vung cl

tay, gdy chfen dp than kinh gifla,

ddn de'n hdi chflng o'ng el tay.

Trigu ehiing cua hdi chdng nay luc

dau cd thi la te, di cdm (ngda ran),

hoac dau cde ngdn tay 1, 2, 3, 4 (cd

khi te ca bfin tay). Trigu ehiJng tg

ndy thfldng xudt hign vao ban dem

gdy ddnh thfle giac ngu, hofic vao

ban ngdy Idii bgnh nhdn ldi xe,

Neu khdng dflOc dilu tri hdi chufng

ndy c6 the gay ra yeu cac cff d ban

tay, bgnh nhdn se khd cam nam

cac vfit, hofic bi run tay, vie't khd.

Dky than

kmh giua

^K^W '^^nirflv

p 4

Viem khdp d$ng tha'p

giy chen

DSy chdng

6ng c6 tay

*ADAM

CO thi

ep day thin kinh giQa

Tuong tlf nhfl vdy, nlu viem

bao boat dich d khdp khuyu cung

cd thi gay chen ep than kinh tnj

hofic nhdnh lidn cd't sau cua ddy

than kinh quay, nhfinh nay ng'u

bi chen ep se gay dd'u higu "ru cd

tay". O CO chdn, hign tfldng chfen

dp than kinh mac gifla trong dng cd

ehdn, cd the gdy dau hodc te vting

bd gifla cua ban chdn.

Khi cam thdy te, dau, hoac ngfla

ran, ngfldi benh can phai dflffc bac

Sl danh gid ngay lap tflc de xac

dinh nguyen nhdn, vd tinh trang

benh dl co quylt dinh dieu tri diing

ddn. Dd cd the Id dilu tri bao tdn

bang phflong phdp ndi khoa (thudc

khang viem giam dau, ehfim ciiu„J

hode ng'u nfing hffn, gay teo co,

yeu cff thi cdn nhde ehi dinh phau

thudt, vi nlu khdng cd the dan din

Het vinh viln.

Dilm do tren hoac xung quanh

mdng tay, mong chan

Viem mach mdu dang thdp phd

biln nhat Id anh hfldng tdi nhifng

ddng mach nhd, chQ yeu la d ban

tay, ban chdn, ddn tdi eae diem

nhdi mdu d vung mdng cua ngdn

tay va ngdn chan. Bilu hign co

thi la cac dim dd hoac den nhd

trgn hodc xung quanh mdng tay,

mdng ehdn.

Ne'u trieu chflng khdng dflffc

dieu tri, cuoi cung nd cd thi ddn

dg'n mdt ngdn tay hofic ngdn chdn,

Chinh vi vdy, ngfldi bi vidm

khdp dang thd'p can thfldng xuyen

kilm tra cdc ddu mdng tay, chan

ciJa minh dl phdt hign kip thdi cde

trieu ehdng trdn va tim den bdc si

ngay ldp tde.

Do, Sling hoac kho m^t

Cac mach mdu trong mfit cung la

mgt mue tidu eua vigm khdp dai^

thap, dae bigt Id nhiJng ngfldi thugc

THUOC & SLfC KHOE sd509 (1.10.2014)