Ukuqikelela ukuba ngubani onokufumana ukuxolelwa
Kungekudala emva kokuba ufumene ukuba une- arthritis , mhlawumbi uvile "ukuxolelwa kwe-arthritis" njengenjongo yokugcina unyango lwe-arthritis. Mhlawumbi unemibuzo embalwa ecinezelayo. Yintoni ukuxolelwa? Kude kube nini ukuxolelwa kuphelile? Ngaba ezininzi izigulane ze-arthritis zifumana ukuxolelwa? Ziziphi amathuba?
I-Rheumatologist ichaza ukuxolelwa
Sacela uncedo lwe-rheumatologist, uScott J.
Zashin, MD, ukuphendula imibuzo yethu malunga nokuxolelwa kwe-arthritis. Iimpendulo zakhe zinceda ukucacisa umxholo kwaye kukuncede ukuba uqaphele ukuba uye wafumana ukuxolelwa. Ukuxolelwa kweklinikhi ngokuyinhloko kubhekisela kwi- arthritis ye-rheumatoid , i-inflammatory, i-autoimmune, ikhubaza uhlobo lwe-arthritis echaphazela abantu abadala abayi-1.5 kwi-US
Sabuza uDkt Zashin ukuba yintoni echaza ukuxolelwa okwenene kwizigulane ze-rheumatoid arthritis? Ingaba ugqirha unokuqikelela ukuba isigulane siya kuxolelwa okanye ixesha elide lokuxolelwa lizakuhlala? Ingaba kukho inani leepesenti zezigulane ze-rheumatoid arthritis ziye zafumana ukuxolelwa? Ingaba isigulane se-rheumatoid isigulane senza ntoni esiya kubapha ithuba elihle lokufumana ukuxolelwa?
Ngokutsho kukaDkt. Zashin, ngelixa kungekho nonyango eyaziwayo ye-rheumatoid arthritis, ukuya kwi-30% yezigulane "zinokuziva ziphilisiwe" zesifo sabo. Oko ezi zi gulane zijongene nokukhutshwa kliniki.
Ukuxolelwa kwi-rheumatoid arthritis bekuye kwachazwa ngokukhawuleza njengokungabikho kwempawu zeklinikhi zokuvuvukala . Nangona ipesenti ezincinci zezigulane ziyakwazi ukuyeka imishanguzo ye-arthritis , ngaphezu kwama-95% kufuneka baqhubeke kwiyeza zabo ukuze bahlale bexolelwa.
I-College College yeRheumatology (ACR) yokulinganisa i-criteria (1981) ekuqaliseni ukuxolelwa kweekliniki kubandakanya:
- Ubumnyama obusasa ngaphantsi okanye obulinganayo nemizuzu eyi-15
- akukho ukukhathala
- ayikho intlungu
- akukho ntsebenziswano okanye intlungu ehambayo
- akukho zihlunu ezithambileyo zokuvuvukala kumalungu okanye i-tendon sheaths
- Ireyiti ye-sedimentation ye-erythrocyte (ukuhlolwa kwegazi okulinganisa ukuvuvukala) ngaphantsi okanye kulingana no-30 kuma-female kunye nama-20 kwindoda
UDkt. Zashin wachaza ukuba ngelixa kungekho ndlela yokufumanisa ukuba ngubani oza kufezekisa ukulungiswa kunye neyeza, izigulane ezinesifo sengqondo esibi se- rheumatoid kunye ne- CCP-antibody , kunye neprotheni esebenzayo yeC-reactive , ibonakala ibe nemiphumo engcono. Ukongezelela, izigulane ezithatha inxube-nxu lumano (umzekelo, methotrexate kunye ne- TNF inhibitor ) ziyakwazi ukufumana ukuxolelwa kunokuba abo bathatha inkunkuma kuphela. Nangona kunjalo, izigulane kwi-monotherapy (enye yonyango kuphela) iyakwazi ukufumana ukuxolelwa kweklinikhi. Isithuba esihlala sisisigxina, sisenokungaphantsi kokusebenza kwakhona.
Ukuhlaziywa Inkcazo yokuxolelwa
Ngo-2011, ngaphezu kweminyaka elishumi emva kokuba izidakamizwa zokuqala ze-biologic zivunyiwe ukwenzela unyango lwe-rheumatoid arthritis, kwaqatshelwa ukuba inkcazelo yokuxolelwa kwi-rheumatoid arthritis ifuna ukuhlaziywa . I-American College of Rheumatology kunye neYurophu Yokulwa neRheumatism ihlalutye iinkcukacha zesilingo kunye neekomiti zeekomiti ezicetywayo, zagqiba kwiingcaciso ezimbini zokuxoxwa kwe-rheumatoid arthritis, ezo zisetyenziswa kakhulu kwizilingo zonyango.
Iingcaciso ziyakucatshangelwa kwindlela yokunyanga.
Kubalulekile ukuba uqaphele ukuba ukuxolelwa akunakuhlala ixesha elide. Ukuyeka amayeza akho kunokubangela ukuphindaphinda. Ngaphandle kokuqhubeka unyango, amayeza ayeka ukusebenza angabangela ukuphindaphinda.
(UScott J. Zashin, MD, unjingalwazi wezonyango ekliniki yaseTexas Southwestern Medical School, iCandelo leRheumatology, eDallas, eTexas; udokotela oya kwiiNgqungquthela zasePalbyterian zaseDallas nasePlano; i-American College of Rheumatology kunye nelungu le-American Medical Association.)
> Imithombo:
> I-Rheumatoid Arthritis Abaphandi Bahlengahlengisa ukuxolelwa. Ikholeji yaseMerika yaseRheumatology. Fe bruwari 3, 2011.
> Iimpawu zokuQala kwiSikhumbuzo seKlinikhi kwiArthritis. Arthritis neRheumatism. Iintambo ze-RS kunye no-Oktobha 1981.