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samenvatting revaki reuma, deel RA, 3de bach REVAKI

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samenvatting revalidatie en kinesitherapie van het reumatologische stelsel, volledig deel reumatoïde artritis (pathogenese + revalidatie), eigen notities + ppt samenvatting is aangepast na het studeren!!

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December 26, 2024
Number of pages
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Written in
2024/2025
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REVAKI REUMA
-
Reumatoïde artritis
(RA)




1

, Wat is het?
 Chronische auto-immuunziekte
 Frequentste vorm v chronische artritis
 Prevalentie: 1%
 Vrouw-man ratio: 1.5
 Elke volwassen leeftijd
 Piek 5de & 6de decade
 Poly-articulair
 Symmetrisch
 Chronisch
 Handen & voeten => zonder DIP’s
 Elk groot gewricht kan aangetast worden
 Destructief, deformaties
 Extra-articulaire complicaties

1. Klinische manifestaties
1.1. Articulaire hoofdsymptomen
 Inflammatoire pijn:
- Pijn – nachtelijke pijn
- Stramheid
- Beterschap met bewegen
 Zwelling
 Mogelijke vervorming
1.2. Begeleidende manifestaties hand
 Carpaal tunnel syndroom
 Tenovaginitis= tenosynovitis
 Springvinger
 Nodulose= vorming v knobbels
 Vasculitis: bloedvatontstekingen
 Kleine bloedvaatjes ontsteken (ih oog) => rood oog => pijnlijk maar niet schadelijk
 Vroegtijdig:
- PIP 2 & 3, DIP’s blijven smal
- Nicotine nagels
 Laattijdig: (zie foto’s ppt)
- Ulnaire deviatie v alle vingers
- Zwanehals deformatie
 Gevolg v geforceerde hyperextensie in PIP gewricht
- Knoopsgat deformatie
- Overstrekking IP duim
Vervormingen zorgen ervoor dat hand veel minder functioneel wordt
1.3. Voetdeformaties
 Pes planovalgum (platvoeten)
 Hallux valgus
 Hamertenen
1.4. Aantasting grote gewrichten



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