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Rheumatoid Arthritis

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Ãö¸`ª¢¬O¤@ºØ¥ô¦ó¦~ÄÖªº¤H§¡¥i¿©±wªººC©Ê¯e¯f¡C¦¹¯f¤£¦ý¨Ï¤H²`¨üµh·¡¡A¦Ó¥B«Ü¦h®É­Ô§ó³y¦¨
Ãö¸`¥Ã¤[©Ê·lÃa¡AÅÜ«¬¬Æ¦Ü´Ýíu¡CÃö¸`ª¢ªººØÃþ¦³«Ü¦h¡Aµo¯fªº­ì¦]¤]¦³¦hºØ¡A¦ý³Ì¬°ÄY­«ªº¤@
ºØÃö¸`ª¢¬OÃþ­·Àã©ÊÃö¸`ª¢(rheumatoid arthritis)©Î²ºÙRA¡C

   

I. What is Rheumatoid Arthritis?


Ãþ­·Àã©ÊÃö¸`ª¢¬O¤@ºØ¦Û¨­§K¬Ì¾÷¯à¥¢±`ªº¯e¯f¡C³oºØ¯f¥i¤Þ°_Ãö¸`¤Î©P³ò²Õ´ªø´Áµoª¢¡C¨ä¯f¦]¬O¥Ñ©ó¨­Å骺§K¬Ì¨t²Î«IŧÃö¸`ªº·Æ½¤¡]·Æ½¤¬O¥]»q¡B¼í·Æ¤Î«OÅ@Ãö¸`ªº²Õ´¡^¦Ó¤Þ°_µoª¢¡CÃö¸`ªºª¢¯g¾É­P¤Æ¾Çª«½è¤J«IÃö¸`¡A³y¦¨¹ï°©¡B³n°©¡B¸x¥H¤Î¶´±aªº¶i¤@¨B·l®`¡CÃþ­·Àã©ÊÃö¸`ª¢¬Æ¦Ü¥i¼vÅT¨­Å骺¨ä¥L¥\¯à¡A¦p¤ß¤ÎªÍªº¤º½¤¡B²\¤Î³è²G¸¢¥H¤Î¦åºÞ¡CÃþ­·Àã©ÊÃö¸`ª¢³q±`µo¯f©ó¤â¡BµÃ¡B¸}¤Î½ïªº¤pÃö¸`¡A¨Ã¦P®É¼vÅT¥ª¥k¹ïºÙªºÃö¸`¡C¨ä¥Lªi¤ÎªºÃö¸`¥]¬A¦³¨y¡BªÓ
¡BÆb¡B½¥¡BÀV¤Î¾g¡C

 

II. Who Gets Rheumatoid Arthritis?

¤k©Ê±wÃþ­·Àã©ÊÃö¸`ª¢¤ñ¨k©Ê¦h©ó¤T­¿¡C¦¹¯f·|«Iŧ¥ô¦ó¦~ÄÖªº¤H¡A¦ý¥H20·³¦Ü50·³ªº¤H³Ì¬°´¶¹M¡CÃþ­·Àã©ÊÃö¸`ª¢¨Ã¤£·|¿ò¶Ç¡A¦ý­Y§A¨­Å馳¦¹¿ò¶Ç¦]¤l¡A§A±w¦¹¯fªº¾÷·|«h¸û¤j¡C

 

 

 

III. What Causes Rheumatoid Arthritis?

Ãþ­·Àã©ÊÃö¸`ª¢ªº¯f¦]¤´¥¼±oª¾¡C

 

 

 

IV. Symptoms of Rheumatoid Arthritis

Ãþ­·Àã©ÊÃö¸`ª¢ªºµo¯f¦³®É¬O¬ðµMªº¡A¦³®É¬O½wºC§Î¦¨ªº¡CÄY­«µ{«×¦]¤H¦Ó²§¡Aª¢¯g¨Ã·|¤Ï´_µo§@¡C

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  • ²`©I§l©Î«y¹Â®É¯Ý¤f¯kµh

 

 

 

V. Diagnosis of Rheumatoid Arthritis

Âå¥Í¥i®Ú¾Ú¸Ô²Óªº¯f¥v¡B¯gª¬¥H¤Î¹ï¨­Åé¡BÃö¸`ªºÀˬd¡A¤S©Î¥i³q¹L·ÓX¥ú¡A§@¬Y¨Ç¦å²GÀˬd¨Ó§@¥X¶EÂ_¡C¦å²G¤¤¬d§ä¤@ºØºÙ¬°Ãþ­·Àã¦]¤l (rheumatoid factor) §ÜÅé¡A¥i¦³§U©ó§@¥X¶EÂ_¡C¦Ê¥÷¤§¤K¤Q±w¦³Ãþ­·Àã©ÊÃö¸`ª¢ªº¯fªÌ¨­Åé§¡¦s¦³¦¹ºØ§ÜÅé¡C

 

 

 

VI. Treatment of Rheumatoid Arthritis

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1) ¬¡°Ê©M¥ð®§
¸g±`¹B°Ê¥iÀ°§UÃö¸`«O«ùÆF¬¡¥H¤Î¦Ù¦×§ó¬°±j§§¡C¾Ç²ß§¡¿Å¥ð®§»P¹B°Ê¡A¨Ã¯d·N¦Û¤vªº¨­Åé¹ï¤é±`¬¡°Êªº¤ÏÀ³¨Ó½Õ¸`¬¡°Ê¶q¡C¬Y¨ÇªvÀø©Êªº¹B°Ê¡A¨Ò¦p¦ù®i©Ê¹B°Ê¡B½d³ò©Ê¹B°Êµ¥¹ïÃþ­·Àã©ÊÃö¸`ª¢§¡¦³¦n³B¡C³Ì¦n¿Ô¸ß±zªºÂå¥Í¡Bª«²z©Î±M·~ªvÀø®v§@¯S§Oªº«ü¾É¡C

2) §N¼ö¼ÅªvÀø
¼ö¼Å¥i´î»´¯kµh¡AÃP¦¢¦Ù¦×¡A¦Ó§N¼Å«h¥i¼È®É³Â·ô¯kµh³¡¦ì±q¦Ó´î»´µh·¡¡C

  • ¶i¦æ15¤ÀÄÁªº¼ö¤ô¯D©Î²O¯D¡C

  • ¥Î·Å¤ô®û¯kµhªºÃö¸`¡C

  • ¥Î¼ö©Î¦B³U¼Å¥Î¡C©Î¥i¥Î¤ò¤y¥]»q¦B½c¤º²{¦¨ªº¦BÂí¹ª«¨Ó¼Å¥Î¡C

  • ¨C¦¸¨Ï¥Î¹q¼ö¹Ô©Î¼ö¿O·Ó®g15¦Ü20¤ÀÄÁ¡C

¹ï¦å²G¬y³q¥\¯à©Î¥Ö½§±Ó·P©Ê·¥®tªº¤H¤£©y¨Ï¥Î¼ö¼Å©Î§N¼Å¡C

3) ÃĪ«ªvÀø
a. ¥i¨³³t½w¸Ñ¯gª¬¡A¦p¯kµh¡B¬õ¸~¤Îµoª¢ªºÃĪ«

  • «D¿E¯ÀÃþ®øª¢ÃÄ (NSAIDS)
    ¨È´µ¤ÇÆF¥H¤Î²§¤B­f¤A»Ä (ibuprofen) ¬O¨ä¤¤¤GºØ¥i¦bÃĩЦۦæ¶R¨ìªº«D¿E¯ÀÃþ®øª¢ÃÄ¡C³B¤èªº«D¿E¯ÀÃþ®øª¢Ãħ󬰦³®Ä¡A¦ý¥i¤Þ°_§ó¦hªº­G³¡¤£¾A¡C

  • COX-2 §í¨î¾¯
    ¤@ºØ¸û·s«¬ªº«D¿E¯ÀÃþ®øª¢ÃÄ¡C¦¹ÃÄ¥i§í¨îµo¯gµo¥Í®ÉüÄ(Enzyme) ªº°Ñ»P¡A¦Ó¥B¹ï­G¸z¦³¸û¤Öªº¨ë¿E¡C

  • µÇ¤W¸¢¥Ö½èÃþ©T¾J (Corticosteroids)
    ¦¹¬O³B¤èÃĪ«¡A¥u¥i¨Ï¥Î¤@¬qµu®É¶¡¥h½w¸Ñ¯f¤Hªº«æ¯g¯kµh¡C¥i¤fªA©Îª½±µª`®g¤J²Õ´©ÎÃö¸`¤º¡C

b. ¥i´î½w¯e¯f¶i®iªºÃĪ«

  • §ÜÃþ­·Àã©ÊÃö¸`ª¢ÃĪ« (DMRDs)
    ¦¹ÃþÃĪ«³q±`­n«Ý¨Ï¥Î¼Æ©P©Î¼Æ¤é«á¤~¥Í®Ä¡A¨Ã¥i¯à²£¥ÍÄY­«°Æ§@¥Î¡A¨Ò¦p·l®`¨xŦ¡BµÇ©Î°©Åè¡A©Î¦³¼W¥[µoª¢ªº¾÷·|¡C¤@²Õ±j¦³¤Oªº¡AºÙ¬°§K¬Ì§í¨î¾¯ (Immunosuppressants) ªºÃĪ«¤]¬OÄÝ©ó¦¹ÃþÃĪ«¤§¦C¡A¥D­n¬°¯f±¡µo®i¨³³tªºÃþ­·Àã©ÊÃö¸`ª¢¯f¤H¨Ï¥Î¡A¨ä§@¥Î¬O§í¨î¨­Å骺§K¬Ì¨t²Î¡C

  • ¥Íª«¤ÏÀ³§ïÅܾ¯ (BRMs)
    ¤@ºØÄÝ©ó·s¨t¦CªºÃĪ«¡A§@¥Î©óªý¤î³J¥Õ½è°Ñ»Pµoª¢ªº¹Lµ{¡C

4) ¤â³NªvÀø
¦b¬Y¨ÇÃö¸`ÄY­«ÅÜ«¬ªº±¡ªp¤U¡A¥i¯à»Ý­n¬I¦æ¤â³NªvÀø¡C

5) ¶¼­¹ªvÀø
¥­¿Å¶¼­¹¥H«O«ù²z·QªºÅé­«¡CÁöµM¥Ø«e¤´¥¼¦³¥ô¦ó¸g¬ì¾Çųµýªº¯S®í­¹ª«¥iªvÀø©Î¤Þ­PÃþ­·Àã©ÊÃö¸`ª¢¡A¦ý§t¦³¶ø¦Ì¥[¤T¯×»Ä (omega-3 fatty acids) ªº³½ªo¤Y¹ï¬Y¨Ç¯f¤Hªº¯gª¬¦³½w¸Ñªº§@¥Î¡C¦b¨Ï¥Î¥ô¦ó°·±dÃÄ«~¤§«e¡A¥²¶·¿Ô¸ß±zªºÂå¥Í¡C
 

 

 

VII. Self Care Tips

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3) ¤£­n±j¤O§á©Î¨Ï¥ÎÃö¸`¡C

4) ¦b¤é±`¥Í¬¡¤¤¡A¹Á¸Õ¨Ï¥Î¦Û§U»ö¾¹¡A¨Ò¦p©ä§ú¡B§ß¨®¡B¬Á¼þ²~»\§U¶}½¦¥¬¡B´Z©ÒªO¤É°ª¹Ô¡B»´
ªº¶ì®ÆºÐ¡Bªø¬`¨úª«¾¹µ¥¡C

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