Ukuphila Ngemiba Emibili Yomsindo
I-rheumatoid arthritis (RA) kunye ne- fibromyalgia (i-FMS) ziimeko ezibuhlungu ezihlala zihlala kunye. Ngelixa bahluke kakhulu, iimpawu zabo zingaba zifana ngendlela ephawulekayo, okwenza ukuxilongwa kunzima. Xa unesibini, kuba nzima nakakhulu.
Abasetyhini banako ukufumana nganye yezi zifo, kodwa abaninzi abantu bawafumana. Bobabini i-RA kunye ne-FMS banokubetha naliphi na ubudala.
Kubantu abanabini, u-2017 uphando oluqhutywa ngu-MS El-Rabbat lubonisa ukuba i-FMS ayibonakali kakhulu kwi-RA, inefuthe elikhulu kumgangatho wobomi. Ukufumana oko kuxhaswa ngenye ipapashwe ngaloo nyaka kwi- Rheumatology kunye noTyirha yafumanisa ukuba i-FMS inefuthe elikhulu ekuvelweni kwehlabathi kunanoma yimuphi umbandela.
Ukuxhatshazwa kweFMS ne-RA
Ezi zimbini zimo zineenkcenkcesha ezithintekayo xa kuziwa kwizinto eziqhubekayo emzimbeni wakho, indlela abaqhuba ngayo, nendlela abaphathwa ngayo.
Mhlawumbi into ephawulekayo kukuba i-RA ibangela umonakalo nokubola kwiindawo zakho. I-FMS ayixhomekeke kuyo nayiphi na umonakalo odibeneyo, ukukhubazeka okanye ukubola.
I-RA sisifo esizimele , oko kuthetha ukuba isistim somzimba sakho sokuzivikela sisilumkiso sichaphazela ngokunyanisekileyo izicubu ezinempilo njengokungathi zizingxamnye zangaphandle, njengegciwane. I-FMS okwamanje ayihlulwa njenge-autoimmune, nangona uphando lubonisa ukuba ezinye iimeko zibandakanya ukuzimela.
Ikhosi ye-RA ayilungeleki, kodwa emva kweminyaka emininzi, malunga neepesenti ezilishumi zabantu abanokukhubazeka kakhulu kwaye banzima nakwizinto eziphambili. Kuqhelekile ukuba abantu bakholelwe ukuba umntu onomdlavuza we-RA uya kuphelela kwisihlalo sabakhubazekile, kodwa le ngqungquthela. Ngonyango olufanelekileyo, oko kukunqabile kunokuba ungalindela.
I-FMS ayikwazanga kwakhona. Iingcali zithi malunga nesinye kwisithathu sabantu abanalo kuya kufumana kakubi kakhulu kwixesha, malunga nesithathu kwisithathu kuya kuba ngcono ngakumbi, kwaye malunga nesithathu kwisithathu aziyi kubona inguqu enkulu kwiimpawu ezinzima. Okwangoku, asazi ukuba zeziphi izinto ezichaphazela inkqubo yesifo.
Ezinye iimeko ze-RA ziye zandisa ixesha elide apho iimpawu ziphela iminyaka emininzi. Abanye baneentsimbi (xa iimpawu zinzima kakhulu) kunye nokukhutshwa (ixesha leempawu zokukhanya). Uninzi, nangona kunjalo, luhlobo oluqhubekayo lwe-RA.
I-FMS idla ngokuquka iirhari kunye nokukhutshwa kwakhona, kodwa ezinye iimeko zibandakanya amanqanaba amaninzi angagqibekanga. Ukukhutshwa kwexesha elide kunqabile kodwa kunokwenzeka.
I-RA inokuchaphazela nayiphi na idibene kunye neenxalenye zakho, kodwa ngokuqhelekileyo zibandakanya amaqela amancinci ezandla kunye neenyawo. Ubuhlungu be-FMS bungabetha naliphi na, kodwa luqhelekileyo emgodleni kunemida.
Kutheni badibana
Abaphandi abazi ukuba yintoni ebangela imeko, ngoko asiyiqondi ngokuqinisekileyo ukuba kungani i-FMS ne-RA ihamba kunye rhoqo.
Izifundo zibonisa, nangona kunjalo, ukuba abantu abane-RA banako ukuhlakulela i-FMS, kodwa abantu abaneFMS abanakho amathuba kunokuba nabani na umntu aphuhlise i-RA. Ezinye izazinzulu zikholelwa ukuba intlungu engapheliyo, evela kwi-RA okanye eminye imithombo, inokukhokelela kwi-FMS ngokubangela ukuba utshintsho kwiindlela zethu zeentlanzi zibone kwaye zenze intlungu.
Ucwaningo olwenziwa ngo-2017 olupapashwe kwi- Arthritis Care & Uphando lucebise ukuba abantu abane-RA bangahlakulela amanqanaba aphakamileyo entlupheko, eyaziwa yiFMS. Oko kubonisa ukufana okubonakalayo kwi-physiology enganceda ukucacisa ukuhamba rhoqo.
Kungakhathaliseki ukuba kukho iimeko zombini, intlungu ye-RA inokubangela ii-FMS kunye neenzame zokulawula, kwaye i-FMS ikhulisa intlungu ye-RA.
Ukufumana iSifo
Uvavanyo oluthile lwegazi olubizwa ngokuba luvavanyo lwe- anti-CCP lokuphilisa umntu luyakwazi ukuhlula i-RA kwezinye iifom. Ugqirha wakho unokuyalela nezinye iimvavanyo eziliqela ukuqinisekisa ukuxilongwa kunye nokunceda ufumane ingcamango yokuba isifo singaqhubeka njani.
I-FMS ifunyanwe ngolu vavanyo lwe-tender-point or scores kwi-assessment assessment, kunye nokuvavanya ukulawula ezinye izizathu ezibangela iimpawu.
Iimpawu
Iimpawu ze-RA kunye ne-FMS zinokufanayo. Bobabini ziquka:
- intlungu
- umzekelo olinganayo (intlungu kwindawo enye kumacala omabini)
- ukukhathala nokulahlekelwa kwamandla
- ukuxinezeleka
I-RA nayo ingabangela iimpawu ezingabandakanywa neFMS, njengale:
- ukuvuvukala okuhlangeneyo, kunye nokufudumala okubambene kunye
- ukulahleka kwesidlo
- ukukhubazeka ngokuhlangeneyo
- ulwahlulo olukhawulelwe
I-FMS ibandakanya iimpawu ezininzi ezingaxhunyiwe kwi-RA, kuquka:
- ukungasebenzi kwengqondo
- uvakalelo ekukhanyeni, kwingxolo , kunye novumba
- intlungu ehamba emzimbeni
- ukungafihlisi ubuthongo
Ukuba ufumanisa ukuba yenye yeemeko kodwa unempawu ezingabonisa enye, qiniseka ukuba uyinyusa kunye nogqirha wakho.
Unyango
Zininzi iziyobisi zifumanekayo ekuphatheni i-RA. Ziquka:
- iintlungu eziqhelekileyo ezifana neTylenol (acetaminophen)
- ezingekho-steroidal anti-inflammatories (i-NSAID) , ezifana ne-Motrin / Advil (ibuprofen) kunye ne-Aleve (naproxen)
- I-COX-2 inhibitors , njengeCelebrex (celecoxib)
- i-glucocorticoids, kuquka i- prednisone kunye ne-methylprednisolone
- izidakamizwa zokuguqula izifo (i-DMARD) , kuquka i-Trexall / iRheumatrex (methotrexate), i-Imuran (azathioprin), ne-Azulfidine (i-sulfasalazine)
- I-TNF blockers , njenge-Enbrel (etanercept), i-Remicade (infliximab) ne-Humira (adalimumab)
Ngamanye amaxesha, ukuhlinzwa kunokunceda abantu abanomonakalo omkhulu.
I-FMS idla ngokudinga indlela edibeneyo, enokubandakanya:
Ukuba uthabatha unyango lwe-RA kunye ne-FMS, qi niseka ukuba uthethe ugqirha kunye nekhemistiki malunga nokusebenzisana kwezidakamizwa.
Ezinye iingcali ze-FMS zikholelwa ukuba ii-corticosteroids ngamanye amaxesha asetyenziswa ukuphatha i-RA zingenza iimpawu ze-FMS zibi nakakhulu. Ngokusebenza ngokusondeleyo kunye nogqirha wakho, kufuneka ube nako ukufumana unyango olusebenzayo kwiimeko zakho zombini.
Ukufumana okungakumbi malunga nendlela onokugqiba ngayo kwiindlela eziphambili zonyango kwi-RA kunye ne-FMS, funda i- Fibromyalgia ne-Rheumatoid Arthritis Pain - Ziziphi izinto eziQinisekisa unyango?
ILizwi
Zombili ii-RA kunye ne-FMS zinokukwenza ubomi bakho bunzima kakhulu kwaye kunciphise indlela osebenzayo ngayo. Ngokufumana nokulandela unyango / ulawulo lwenkqubo, unokukwazi ukulondoloza ukusebenza kwakho nokuzimela.
Ngenxa yokuba zombini iimeko zingakhokelela ekudakagxeni nasekuxothweni, kubalulekile ukuba ube nenkqubo yokuxhasa. Gcina imizila yokunxibelelana evulekileyo kunye nodokotela wakho kunye nabantu obusondeleyo kubo, kwaye ufumane uncedo lokuqala xa ucinga ukuba ucinezelekile. Amacandelo enkxaso -yinto ekhompyutheni nakwindawo yakho-ingaba luncedo olukhulu kuwe.
Imithombo:
Ikholeji yaseMerika yaseRheumatology. "Irheumatoid arthritis"
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El-Rabbat MS, Mahmoud NK, Gheita TA. Ukubaluleka kweklinikhi ye-fibromyalgia syndrome kwizifo ezahlukeneyo ze-rheumatic; ngokunxulumene nomsebenzi wesifo kunye nomgangatho wobomi. Reumatologia clinica. 2017 Apreli 11. pii: S1699-258X (17) 30048-7. i-doi: 10.1016 / j.reuma.2017.02.008.
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