I-Arthritis ichaphazela malunga nesiqingatha sabantu abanesifo sikashukela
I-arthritis ithinta ama-50% abantu abanesifo sikashukela . Abantu abanesifo sikashukela bafumana kabini umngcipheko wokwenza i-arthritis xa kuthelekiswa nabangenayo i-diabetes. Ezi zibalo zibalulekileyo kuba i-arthritis ingaba ngumqobo kumsebenzi wenyama ongayizuzisa loo mibandela. Ngokutsho kwamaziko okuLawula nokuLawula (i-CDC), malunga nesithathu kwisithathu sabantwana abanesifo sesifo sikashukela kunye nesifo sikashukela abanqabile okanye abangazange bazisebenzise.
Kwakhona, abantu abadala abaneemimiselo zombini babenama-30% amathuba okuba bangasebenzi ngokwaneleyo kunabo abanesifo sikashukela kuphela.
I-Rheumatoid Arthritis, i-Osteoarthritis, neSifo sikashukela
I-rheumatoid arthritis kunye ne- osteoarthritis zibanjwe nesifo sikashukela, kodwa ngeendlela ezahlukeneyo:
- Uhlobo lwe-1 lweswekile (olubizwa ngokuba ngumntwana wesifo sikashukela) lukwahlula njengesifo sokuzimela , njengesifo se-rheumatoid arthritis. Kwizigulane ezine-type 1 zeswekile, umzimba uhlasela i-pancreas kwaye ayikwazi ukuvelisa i-insulin eyaneleyo. Kwi-rheumatoid arthritis, umbane we-synovial (oko kukuthi, umgca wamalungu) - kunye nakwezinye iimeko, izitho - zihlaselwa ngumzimba. I-rheumatoid arthritis yisifo sesistim . Abamakishi abanovuthayo baphakanyiswe kwizigulane ezine-type 1 zeswekile, kunye nezigulane ezine-arthritis ye-rheumatoid.
- Kukho ubudlelwane phakathi kwe-osteoarthritis kunye nohlobo lwe-2 lweswekile (obizwa ngokuba ngumntu omdala-osukela kwisifo sikashukela). Ngokwe-American Diabetes Association, uhlobo lwesi-2 lwesifo sikashukela luhlobo oluqhelekileyo lwesifo. Ngohlobo lwe-2 lweswekile, umzimba awusebenzisi kakuhle i-insulin ngokufanelekileyo-eyaziwa ngokuba yi-insulin. Ekuqaleni, i-pancreas ivelisa i-insulin eyongezelelweyo ukuze ihlawule. Kodwa ekugqibeleni, i-pancreas ayikwazi ukuvelisa i-insulin eyaneleyo ukuze igcine i-blood glucose level levels. Into eqhelekileyo kwi-osteoarthritis kunye nohlobo lwe-2 lweswekile? Ukunyanya. Njengoko ukugqithisa nokugqithisela kuyaziwa ngokunyamezela amajoyina, kuyawunzima iziko. I-pancreas iphoqeleka ukuba ivelise inani elinyukayo le-insulin ukulawula ukwanda kweswekile. Iikhemikhali ezivuthayo zikhutshwa ngamaseli atyebileyo. Ngexesha elithile, umzimba awukwazi ukulawula oko kungabikho kwemali.
Iziphumo zophando ziye zaphakamisa ukuba ukuvutha nokuxhatshazwa kwe-insulin kuxhunyiwe okanye kuxhamene-kwaye bobabini banxulumene nomngcipheko we-cardiovascular,. Unyango olusetyenziselwa ukunciphisa ukutshabalala, njenge- DMARD (izifo ezichasene nezifo ezichasene ne-rheumatic) kunye ne-block block ye-TNF , kunokunciphisa umngcipheko woluhlobo lwesifo sikashukela kubantu abane-arthritis ye-rheumatoid.
Kufuneka uphando olungakumbi.
Uphononongo olushicilelwe kwiphepha likaJanuwari-Febhuwari 2015 lwe -Rheumatology yeCliniki kunye noVavanyo , lwavavanya iziphumo ezili-11 zophando zolawulo lweziganeko kunye nezifundo ezi-8. Isiphetho esivela kwi-meta-analysis wasi-rheumatoid arthritis kwandisa umngcipheko wohlobo lwesibini nohlobo lwesibini lweswekile. Kwakhona, kukho uphando olungakumbi olwenziweyo.
Okufuneka Uyenze
Ngokucacileyo, ukulawula le mibini mibini, ukugcina isisindo sakho esifanelekileyo kubalulekile, njengokuba usebenza rhoqo. Umsebenzi wezobugcisa unceda ukuphucula umzimba kunye nokuphucula ukunyamezela kwe-glucose. I-CDC icebisa ukuba abantu abanezimo zombini bafanele bathathe inxaxheba kwiinkqubo zemfundo yokuzilawula kunye neenkqubo zomsebenzi. Qhagamshelana nesahluko sakho sase-Arthritis Foundation ukuba ubone oko kufumaneka kwindawo yakho.
Imithombo:
I-Rheumatoid vs. Osteoarthritis kunye nesifo sikashukela. Arthritis Foundation. Ufikelele kwi-7/9/2015.
http://www.arthritis.org/living-with-arthritis/comorbidities/diabetes-and-arthritis/rheumatoid-arthritis-vs-osteoarthritis-diabetes.php
Umbutho phakathi kwesifo-ukuguqula izidakamizwa ze-antirheumatic kunye nesifo sikashukela kwizigulane ezine-rheumatoid arthritis kunye ne-psoriasis. USolomon DH. JAMA. 2011 Juni 22; 305 (24): 2525-31.
http://www.ncbi.nlm.nih.gov/pubmed/21693740
Ingozi yesifo sikashukela phakathi kwezigulane ezine-rheumatoid arthritis, i-psoriatic arthritis kunye ne-psoriasis. USolomon DH. Iziganeko zeeRheumatic Diseases. 2010; 69: 2114-2117.
http://ard.bmj.com/content/69/12/2114.abstract
Isifo sikashukela sichaphazelekayo kwiimeko zesifo se-rheumatoid: isisombululo sokuhlaziya kunye nokuhlaziywa kwemeta. Jiang P. I-Rheumatology yeCliniki kunye neNzululwazi. 2015 (Vol.33).
http://www.clinexprheumatol.org/abstract.asp?a=8171
Arthritis kunye neSwekile. Amacandelo okuLawula nokuKhuselwa kwezifo. Oktobha 23, 2013.
http://www.cdc.gov/arthritis/data_statistics/comorbidities-diabetes.htm