I-Osteoarthritis (OA) yindlela eqhelekileyo ye-arthritis . Ngakolunye uhlangothi, i- rheumatoid arthritis (RA) ibonwa njengoluhlobo olunokukhubazeka okanye olukhubazayo lwesifo samathambo. Kodwa yintoni iimeko ezahlukileyo phakathi kwazo?
Sibanzi
I-osteoarthritis iphinda ibhekiswe njengesifo esidibeneyo okanye isifo se-arthritis. Yibangelwa ukuphuka kwe-cartilage ehlangene, umkhombiso phakathi kwamathambo enokudibanisa.
Ukulahleka kwe-cartilage kungenza ukuba ithambo ligubhe kwelinye ithambo edibeneyo-imeko ebuhlungu kakhulu. Ngokuqhelekileyo, i-osteoarthritis iqala ngokubambisana.
Ukuchaphazela abantu abangaphezu kwezigidi ezingama-27 e-United States, i-osteoarthritis ibonakala kakhulu kubantu abadala kuneminyaka engama-65. Zonke iintlanga e-US zibonakala zichaphazeleka ngokulinganayo nge-osteoarthritis. Ngokwe-American College of Rheumatology, iipesenti ezingama-70 zabantu abangaphezu kweminyaka engama-70 banobungqina be-x-ray ye-osteoarthritis.
I-rheumatoid arthritis , ngakolunye uhlangothi, luhlobo olungapheliyo, oluvuthayo lwe-arthritis kwaye lukwahlulwa njengesifo esisodwa . I- synovium (ibhondi yokudibanisa) ichaphazeleka ngokukodwa yi-arthritis ye-rheumatoid, kodwa izitho zomzimba zichaphazelekayo ngokunjalo. Amalungu amaninzi afakwe kwi-rheumatoid arthritis.
Abantu abangama-1.5 abantu base-US bane-arthritis ye-rheumatoid, kwaye malunga neyodwa ukuya kweyesibini kwiprogram yabantu bechaphazelekayo.
Phantse iipesenti ezingama-75 zezigulane ze-rheumatoid arthritis ngabafazi. Amadoda, abafazi, kunye nabantwana banokuphuhlisa i-rheumatoid arthritis, nangona kunjalo.
Ngokuqhelekileyo, isifo se-rheumatoid arthritis sisenzeka phakathi kweminyaka engama-30 ukuya kweyama-60 ubudala kwaye ininzi ayinayo imbali yentsapho yayo. Xa kwenzeka kumadoda kudla ngokubetha kamva ebomini.
Izizathu
I-Osteoarthritis iyisifo esibambene esichaphazela i-cartilage. Izigqibo zenzululwazi malunga nezimbangela zayo ziphuma ekungabhinqeni-kunye-kunye nokuphazamiseka okanye iziphumo zokuguga. Ngaphezu koko, umxholo wamanzi we-cartilage uqale wenyuka nge-osteoarthritis ngelixa i-protein ekwakhiwa kwe-cartilage iyancipha. Ezinye izinto ezinokunyusa umngcipheko wokuphuhlisa i-osteoarthritis zibandakanya ukulimala ngokubambisana, ukusetyenziswa okuphindaphindiweyo okanye uxinzelelo lwamalungu, ukugqithisa kakhulu, kunye nembali yomndeni / i-genetics.
Ngokubhekiselele kwi-arthritis ye-rheumatoid, abaphandi baye basebenza iminyaka ukuze bafumene imbangela yesiphumo esingaqhelekanga esithintekayo kwisifo. Akukho sizathu esinye sitholakale. Iingcamango eziqhelekileyo zibhekiselele kwizinto eziphilayo kunye nesiganeko esisenzayo.
Iimpawu
I-Osteoarthritis ichaphazela ngokuyinhloko amajoyina. Izimpawu eziqhelekileyo ziquka:
- Ubuhlungu kwintsebenziswano echaphazelekayo emva kokusetyenziswa okuphindaphindiweyo okanye umsebenzi
- Ukuqina koMasa okugqitha ihora elide okanye ngaphantsi
- Intlungu edibeneyo edla ngokugqithiseleyo emva kosuku
- Ukuvuvukala, ukufudumala, nokuqina kobambiswano oluchaphazelekayo emva kokungasebenzi
- I-Bone igxuma, ukukhuliswa kwebony (i- Heberden's node kunye neendleko zeBourd ezandleni), kunye nokuhamba okuthe ngqo
Izimpawu zesifo se-rheumatoid ziquka:
- Intlungu ehlangeneyo
- Ukuvuvukala okuhlangeneyo okanye ukuchithwa
- Ubunzima obuhlangeneyo
- UkuBomvu kunye / okanye ukufudumala kufuphi nomdibaniselwano
- Uluhlu lwesithintelo
- Ukuqina koMasa kudlulileyo ngaphezu kweyure
- Ukubandakanywa kwamalungu amancinane ezandla kunye neenyawo
- Ukukhathala okukhulu
- Iidumbu ze-Rheumatoid
- Ukubandakanyeka ngokubambisana ngokumanyeneyo (amabini ngamadolo, kungekhona omnye)
- Ubolunga, iinjongo, okanye ukubandakanyeka kwenhliziyo
Ukuxilongwa
Le yilapho kukho ukufana okufanayo. Ii-ray zama-radiyo ezichaphazelekayo zingabonakalisa umonakalo ohlangeneyo kunye ne-osteoarthritis okanye i-rheumatoid arthritis. I-arthrocentesis , ukususwa okuhlangeneyo kwamanzi kunye nokuhlalutya kwamanzi okudibanisa kunye neenkqubo ezinokuhlola i-osteoarthritis okanye i-rheumatoid arthritis.
Iziphumo zihlula ukuba luphi uhlobo lwe-arthritis olubandakanyekayo.
Iimvavanyo zegazi azikwazi ukuxilonga ngokucacileyo i-osteoarthritis, kodwa ingasetyenziselwa ukulawula ezinye iimeko, kubandakanya i-rheumatoid arthritis. Iziphumo zokuvavanya, ukuhlolwa ngokomzimba, kunye nembali yonyango yesigulane kunye kunye kunokunceda ukufumanisa ukuxilongwa.
Iimvavanyo zeLebhu eziqhelekileyo ukuba zenze uncedo ekufumaneni i-rheumatoid arthritis ziquka:
Unyango
Izinyango zokwelapha ze-osteoarthritis zijolise ekuncediseni intlungu kunye nokubuyisela umsebenzi kumanyano ochaphazelekayo. Amachiza aqhelekileyo asetyenziswa ukuphatha i-osteoarthritis. Izidakamizwa ezichasayo ezingabhubhisiyo (i-NSAID), i- analgesics , kunye neenjini ze-steroid , zisetyenziselwa ukunyanga iintlungu nokuvutha.
Ulwaphulo lwezinto eziphathekayo olujolise kwimisebenzi yokuqinisa kunye nokuzinzisa ukudibanisa, ukuxhasa / ukuxhamla , ukushisa, ukuphumla nokunciphisa ubunzima bonke kubalulekile kwi-regimen yokwelapha ye-osteoarthritis. Ezinye iindlela zonyango zisetyenzisiweyo, ezifana nokunyanga i-massage kunye ne- acupuncture .
Unyango oluphambili lwe-rheumatoid arthritis yonyango. Kukho iintlobo ezintlanu zamachiza aqhelekileyo asetyenziswa ukuphatha i-rheumatoid arthritis, kuquka:
- I-Biologics, njenge-Enbrel (etanercept), i-Remicade (infliximab), i-Humira (adalimumab), i-Rituxan (rituximab) kunye ne-Orencia (abatacept)
- I-DMARD (izifo eziguqula izidakamizwa ezichasene ne-rheumatic), ezifana ne-methotrexate
- I-Corticosteroids , njenge-prednisone kunye ne-hydrocortisone
- IiNSAID, ezifana neCelebrex (celecoxib) kunye ne-naproxen
- Ii-Analgesics (i-painkillers)
Kanye kunye namayeza, ezinye iindlela zonyango kunye neyonyango olongezelelweyo okanye ii-injection zendawo zendawo zinganceda ukukhulula intlungu yesifo se-rheumatoid arthritis.
Kuzo zombini i-rheumatoid arthritis kunye ne-osteoarthritis, ukhetho lokugqibela lwenyango luya kutyunjwa. Oku kuquka i- arthroscopy , i-arthrodesis (i-fusion), kunye ne-arthroplasty (ukutshintshwa okuhlangeneyo).
> Imithombo:
> IArthritis Foundation. Ukuqonda iArthritis: i-Osteoarthritis.
> IArthritis Foundation. Ukuqonda iArthritis: I-Rheumatoid Arthritis.