Tus neeg twg uas tsis paub hais tias lub rheumatologist kho, yuav tsum nco ntsoov tias qhov no yog ib tug kws kho mob ua ke nyob rau hauv tus mob thiab kev kho mob ntawm rheumatological kab mob. Cov dej num ntawm tus kws kho mob kuj muaj xws li kev qhia txog cov neeg mob uas muaj kev pheej hmoo, uas yog tiv thaiv kev ntsuas kom txo tau cov kab mob loj.
Rheumatology - yog dab tsi?
Ua ntej koj pib paub cov hauj lwm ntawm tus kws kho mob, koj yuav tsum paub tias lub plab yog li cas. Rheumatology yog ib ceg ntawm cov tshuaj kho mob uas muaj kev kawm txog kev sib txig sib-dystrophic, inflammatory sib txuas cov kab mob, kev tsim cov kev mob ntsig mob. Nyob rau hauv lub plawv ntawm pathogenesis ntawm cov kab mob yuav tsis tsuas yog inflammatory, tab sis kuj tsis muaj zog mechanisms. Rheumatology zoo sib koom tes nrog lwm ceg ntawm cov tshuaj:
- traumatology;
- orthopedics,
- purulent-septic, vascular phais;
- endocrinology;
- hematology;
- nephrology;
- cardiology;
- infectology;
- oncology;
- Toxicology;
- immunology;
- neuralgia;
- neurosurgery.
Rheumatologist - leej twg yog qhov no thiab qhov nws kho tau zoo li cas?
Lub sij hawm "rheumatism" yog ib zaug qhia los ntawm tus kws kho mob thaum ub Claudius Galen, uas yog li no tau teeb tsa cov kab mob ntawm lub cev musculoskeletal. Tab sis qhov kev ywj siab ntawm kev faib tshuaj, qhov kev qhia no tsuas yog nyob rau tiam 20 xyoo xwb. Niaj hnub no, tus rheumatologist yog tus kws kho mob tshwj xeeb uas muaj kev mob nkeeg nrog rau kab mob uas tshwm sim los ntawm kev sib hloov ntawm lub cev thiab kev hloov ntawm cov pob qij txha, qhov kev sib txuas ntawm cov nqaij khov, cov ntsws oob khab.
Rheumatologist - dab tsi zoo rau cov laus?
Cov neeg feem coob paub tsuas yog muaj ntau yam kab mob, uas yuav tsum raug xa mus rau ib tug kws kho mob. Kev kuaj mob yog qhov teeb meem los ntawm qhov tseeb tias ntau yam kab mob tshwm sim nrog cov tsos mob zoo sib xws. Vim hais tias muaj cov tsos mob li cas, rheumatological kab mob feem ntau kho los ntawm cov kws tshwj xeeb los ntawm cov tuam txhab muaj feem xyuam. Yuav kom nkag siab - ib tug neeg laus-rheumatologist - uas nws yog - koj yuav tsum paub nrog seb yam kab mob nws ua haujlwm. Yuav ua li cas rheumatologist kho cov neeg laus:
- Feem ntau ib tus neeg laus rheumatologist pab cov neeg uas muaj osteoarthritis , uas txo cov kev tsav tsheb ntawm cov neeg laus.
- Rheumatologist cov neeg mob tseem muaj cov neeg mob rheumatoid mob caj dab, uas tuaj yeem pib thaum muaj hnub nyoog hluas thiab ho ua rau cov neeg laus laus laus laus zuj zus.
- Rheumatologist tseem nrog cov kev kho mob ntawm cov neeg mob Bechterew tus kab mob, gouty thiab rheumatic mob caj dab, reactive mob caj dab, qhov kev nyab xeeb ntawm qhov kev loj hlob sai ntawm ankylosis (joint immobility).
- Gout yog ib hom kab mob loj heev uas tsim los ntawm kev nce ntshav ntawm cov qog uric acid nyob rau hauv cov ntshav, uas ua rau cov pob qij txha hauv cov laus thiab cov laus neeg yuav mob plhaw.
- Tus mob scleroderma yog ib qho kev tawm tsam sclerosis vim mob ntawm cov hlab ntsha ntawm lub cev, uas ua rau cov kev hloov hauv fibro-sclerotic hauv cov pob txha, cov leeg, cov tawv nqaij thiab cov hauv nruab nrog cev.
- Ua ke nrog lwm tus kws kho mob, rheumatologists kho vasculitis, systemic collagenoses.
Tus rheumatologist treating children yog dab tsi?
Nrog rau ib tus neeg laus, nyob rau hauv ntau lub tsev kho mob muaj me nyuam lub rheumatologist. Tus kws khomob tshwjxeeb ntawm qhov profile no tseem ceeb heev, raws li cov menyuam yaus cov kab mob rheumatological muaj kev txhoj puab heev thiab yuav tsum tau kawm loj thiab kev tu lub neej. Raws li WHO txheeb cais, cov menyuam muaj mob muaj coob dua tuaj txhua xyoo. Yuav ua li cas lub rheumatologist treats nyob rau hauv cov neeg mob ntawm thaum yau:
- kev ua menyuam caj dab rheumatoid;
- reactive arthropathy;
- Bechterew tus kab mob;
- scleroderma;
- nodular polyarthritis;
- dermatopolymiosis.
Thaum twg thiaj li hu tau rau tus kws kho mob?
Txij li thaum qee cov kab mob rheumatic yog nws txoj kev loj hlob tuaj thiab yuav luag txhua yam ntawm lawv ua rau xiam hoob qhab, koj yuav tsum paub thaum twg hu rau tus kws kho mob qoj ib ce:
- Nrog kev pom txhua txhua hnub thaum sawv ntxov ntawm pob qij txha, uas ua rau nws tus kheej tsis yooj yim lossis tsis ua kom khoov pob txha los yog txhais tes hauv lub luj lub cev. Xws li cov tsos mob ntawm osteoarthritis mus li 30-40 feeb, tab sis tom qab ib hnub pw tau tshwm sim dua.
- Thaum o los yog o ntawm qhov sib koom tes - qhov kev mob tshwm sim no tshwm sim nrog kev mob caj dab.
- Nrog mob hauv qhov sib ntxiv, uas yuav thab tas li los yog tshwm sim thaum yav tsaus ntuj. Kev mob nkeeg qhia tias qhov pib ntawm txoj kev ywj pheej thiab kev puas tsuaj ntawm kev sib koom tes.
- Nrog mob mob uas tshwm sim nrog cov lus ntawm cov taw thiab ob txhais tes.
Tus rheumatologist lub sijhawm teem tuaj li cas?
Thaum thawj tus txais tos ntawm tus kab mob rheumatologist, neeg feem ntau paub txog tias tus kab mob rheumatologist yog kho thiab muaj qee cov tsos mob ntawm cov kab mob rheumatological. Tom qab qhov kev kuaj mob thiab kev ntsuam xyuas, tus kws kho mob yuav muab ib txoj kev kho los kho kom tsis txhob muaj mob, tshem tawm los yog txo qhov mob (tsis yog cov tshuaj steroidal anti-inflammatory drugs, painkillers), kho cov pob txha (kho, physiotherapy, ce kev kho, simulators).
Yuav kuaj li cas los ntawm tus kws kho mob rheumatologist?
Nyob sab nraud daim ntawv ntsuam xyuas tus kws kho mob-tus kws kho mob thaum xub thawj tau pom zoo rau cov qoob loo ntawm cov pob qij txha - txawm tias muaj tumescence, ua rau lub cev, mob morbidity. Nyob ntawm qhov chaw ntawm cov pob txhaws pob txha, nws yog ib qho ua tau los kos cov lus xaus txog theem ntawm tus kab mob - qhov loj dua cov pob qij txha raug cuam tshuam, qhov kev puas tsuaj loj dua. Tsis tas li ntawd, tus kws kho mob yuav tsum ua kom zoo rau lub ntsejmuag ntawm cov pob qij txha - qhov no yog ib qho ntawm cov tsos mob ntawm tus mob rheumatoid caj dab.
Analyzes nyob rau hauv rheumatology
Txhawm rau kom paub meej txog qhov mob, tus kws kho mob muab cov kev kuaj ntshav. Rheumatologist - cov kev kuaj ntshav yuav tsum muaj dab tsi:
- biochemical tsom;
- ntawm C-Reactive protein;
- ntawm ESR;
- ntawm qhov zoo tshaj plaws ntawm rheumatoid (los yog kev tshawb fawb ntawm cov kua dej);
- on antinuclear thiab anti-citrulline tshuaj.
Kev sib tham ntawm rheumatologist
Txais kev noj qab haus huv ntawm ib tug kws kho mob yuav muaj xws li mloog cov ntsws thiab lub plawv, raws li kev mob rheumatological nrog ib qib siab ntawm ntau yam tshwm sim ua kev puas tsuaj rau cov kabmob no. Feem ntau, nrog rau cov kab mob rheumatological, leeg tsis muaj zog los sis dystrophy kuj pom. Nyob rau hauv xws li mob nws yog pom zoo los mus sab laj rau cov kws tshwj xeeb. Rau ntau lub hom phiaj kev soj ntsuam, tus kws kho mob tau teev cov tshuaj ntsuam xyuas:
- electrocardiogram ;
- electromyogram;
- Xeem hluav taws xob;
- computed tomography ;
- kuaj ultrasound;
- densitometry .
Rheumatologist lub tswv yim
Hais tias lub neej ntawm tus neeg mob tsis tig mus rau tsim txom, nws yog ib qhov tsim nyog yuav tsum paub txog cov xwm txheej uas ua rau cov neeg muaj mob rheumatological tsis zoo. Cov cwj pwm no muaj xws li: hnyav ntau tshaj, hnyav tshaj, hnoos, ua haujlwm tsis zoo, hnub nyoog laus, me.
Ntxiv nrog rau cov tshuaj kws kho mob, ib tus neeg mob uas muaj kab mob rheumatological, nws yog ib qho tseem ceeb kom ua raws li cov lus qhia ntawm ib tug kws kho mob rau qhov mob hauv cov pob qij txha:
- Nws yog ib qho tsim nyog yuav tsum tau ceev faj thaum ua haujlwm thiab tom tsev thiab tsis txhob raug mob uas ua rau lub cev tsis muaj zog ntawm lub cev nqaij.
- Nws yog ib qho tseem ceeb heev uas yuav tsum tau ua kom lub cev muaj zog, tab sis tsis muaj tus saibxyuas.
- Nws yog ib qho tsim nyog kom tshem tau cov phaus ntxiv - qhov no yog qhov tsim nyog ntxiv.
- Nws yog ib qho tseem ceeb uas yuav tau noj kom zoo - nws yog ib qho tsim nyog yuav tau ceev txoj kev ntseeg ntawm cov pob qij txha kom ntev li ntev tau.