I-Rheumatoid Arthritis kunye ne-Osteoporosis

by UCarol Justice

Ziziphi i-Rheumatoid Arthritis Iziguli ezifuna ukuzazi malunga ne-Osteoporosis

I-Rheumatoid Arthritis Izigulane zinomngcipheko omkhulu we-Osteoporosis

Ucwaningo lufumene ingozi yokulahleka kwethambo kunye nokuphuka kwabantu abane-arthritis ye-rheumatoid. Abantu abane-arthritis ye-rheumatoid basengozini yokwanda kwe-osteoporosis ngezizathu ezininzi:

I-glucocorticoid (i-corticosteroid) imishanguzo efana ne- prednisone esoloko imiselwe ukuba unyango lwe-rheumatoid arthritis ingabangela ukulahlekelwa kwethambo ebonakalayo.

Ubuhlungu kunye nokulahlekelwa komsebenzi odibeneyo obangelwa sisifo kunokubangela ukungasebenzi, okwandisa ingozi ye-osteoporosis.
Uphando lubonisa ukuba ukulahleka kwethambo kwi-rheumatoid arthritis kunokuvela njengesiphumo esicacileyo sesi sifo. Ukulahleka kwethambo kuthethwa kakhulu kwiindawo ezizungeze iindawo ezichaphazelekayo.

Kwakhona inkxalabo kukuba ibhinqa, iqela sele liye landa kwingozi yokunyuka kwe-osteoporosis, ziphindwe kabini kunamathuba amathathu kunokuba amadoda ahlupheke kwi-rheumatoid arthritis.

Yintoni i-Rheumatoid Arthritis?

I-rheumatoid arthritis (RA) isifo esizimele, isifo apho umzimba uhlasela khona iiseli kunye neethambo eziphilileyo. Kwi-rheumatoid arthritis iimbumba ezijikeleze amajoyina atshabalala kwaye akhululwe i-enzyme eyenza i-cartilage ejikelezayo kunye neethambo ukuba zigugule. Kwiimeko ezinzima, ezinye izicubu kunye nezitho zomzimba nazo zinokuchaphazeleka.

Abantu abane-arthritis ye-rheumatoid bahlala beva ubuhlungu, ukuvuvukala nokuqina kumalungu abo, ngakumbi abo ezandleni nasezinyaweni.

Ukunyuswa okuncinci kwamalungu angathintekiyo nako kwenzeka, ukunciphisa amandla omntu wokufezekisa kwimisebenzi yentsuku yentsuku. Phantse kwikota enye yabo abane-arthritis ye-rheumatoid bangakwazi ukuhlakulela ama-nodules e-rheumatoid (i-bumps) ekhulayo phantsi kwesikhumba, ngokuqhelekileyo isondele kumalungu. Ezinye iimpawu ezinokuthi zenzeke kubantu abane-arthritis ye-rheumatoid ziquka:

ukukhathala
i-anemia (inani elisezantsi legazi)
intlungu yentamo
amehlo omeleyo
umlomo owomileyo

Ngokutsho kwe-NIAMS, kuqikelelwa ukuba malunga nezigidi ezi-2.1 zabantu base-United States bane-arthritis ye-rheumatoid. Esi sifo senziwa kuzo zonke iintlanga kunye neentlanga, kodwa zichaphazela amabini amaninzi kathathu kubhinqa njengamadoda. I-rheumatoid arthritis ifunyanwa ngokuqhelekileyo kubantu abadala, nangona isifo sifana nokuqala kwiminyaka ephakathi. Abantwana kunye nabaselula abakhona banokuchaphazeleka.

Yintoni i-Youth Juvenile Rheumatoid Arthritis?

I-rhumatoid arthritis (i-JRA) yabantwana iyenzeka kubantwana abaneminyaka elishumi elinesibhozo okanye ubudala. Abantwana abane-arthritis enesifo esincinci ye-rheumatoid yengabantwana bangaba ngabaviwa be-glucocorticoid (corticosteroid) amayeza, ukusetyenziswa okuye kwadibaniswa nokulahlekelwa kwethambo kubantwana kunye nabantu abadala. Umsebenzi womzimba unokuba ngumngeni kubantwana abanesifo se-rheumatoid esiswini ngenxa yokuba kunokubangela intlungu. Ukubandakanya imisebenzi yomzimba ephakanyiswe ngugqirha wengane, kunye nokutya okucebile nge calcium kunye ne-vitamin D kubaluleke kakhulu kubantwana ukuba bancede ukuphucula umthambo we-bone kunye nokunciphisa umngcipheko wokuphulwa kwexesha elizayo.

I-Osteoporosis Yokuthintela Abantwana: Isikhokelo Sabazali

Yintoni i-Osteoporosis?

I-osteoporosis yimeko apho amathambo angaphantsi kwaye angase aphule.

Iintlobo ze-osteoporosis zingabangela intlungu kunye nokukhubazeka. Ingozi enkulu yempilo ngokuqikelela ukuba izigidi ezingama-44 zaseMerika, ezingama-80 zazo ziyabasetyhini. I-Osteoporosis Risk Factors

Imiba engozi yokuphuhlisa i-osteoporosis iquka:

nobuncinci okanye ifreyimu encinane
Imbali yentsapho yesi sifo
kubasetyhini, ukuxhomekeka kwimizimba yomsindo, nokuba nexesha lokusuka kwimiva, okanye ukungena esikhathini (amenorrhea)
Ukungabikho ngokungaqhelekanga kokuya esikhathini
Ukusetyenziswa ixesha elide kwamachiza athile (njengama-corticosteroids)
intlawulo ye calcium ephantsi
ukungasebenzi
ukutshaya
utywala kakhulu

I-osteoporosis yisifo esicacileyo esinokuthintelwa.

Nangona kunjalo, ukuba ayifumananga, inokuqhubeka inkqubela iminyaka emininzi ngaphandle kweempawu kuze kubekho ukuphuka.

Amacandelo okuLawula i-Osteoporosis

Amanqanaba okuthintela kunye nokunyangwa kwe-osteoporosis kubantu abane-arthritis ye-rheumatoyi ayifani ngokungafaniyo neendlela ezilungiselelwe abo abangenayo isifo.

Ukutya

Ukutya okucebile nge calcium kunye ne-vitamin D kubalulekile kumathambo enempilo. Imithombo efanelekileyo ye-calcium ibandakanya:

iimveliso zobisi ezincinci

imifuno eluhlaza eluhlaza
ukutya kwe-calcium kunye nokusela

Izongezelelo ze-calcium zinokukunceda ekuqinisekiseni ukuba imfuno ye-calcium idibene nganye imihla.

I-Calcium Supplements: Yintoni Okufanele Uyifunde?

Vitamin D

I-Vitamin D idlala indima ebalulekileyo kwi-calcium absorption and bone health. Ihlanganiswa kwilusu ngokukhutshwa kwelanga. Ngelixa abantu abaninzi banako ukufumana i-vitamin D ngokwaneleyo, abantu asebekhulile badla ngokwaneleyo kule vithamini ngenxa yoko, kwinqanaba, ukuchitha ixesha elide lichithe ngaphandle. Abantu abanjalo banokufuna iimfuno ze-vitamin D ukuze kuqinisekiswe ukuba ukutya okufanelekileyo kwansuku zonke.

Ukuzivocavoca

Njengama-muscle, ithambo liphila izicubu ezithatha umzimba ngokuziqinisa. Ukusetyenziswa okusemgangathweni kwamathambo akho kukunyamezela ukunyamezela ukuba usebenze ngokuchasene nombane. Ezinye imizekelo ziquka:

ukuhamba
ukunyuka kwitepsi
ku danisa

Ukuzivocavoca kunokuba ngumngeni kubantu abane-arthritis ye-rheumatoid kwaye kufuneka babe nokulinganisela nokuphumla xa isifo sisasebenza.

Ukuzivocavoca ngokuqhelekileyo kwe-arthritis ezifana nokuhamba kunokunceda ukunqanda ukulahleka kwethambo kwaye, ngokuphucula umlinganiselo kunye nokuguquguquka, kunokunciphisa amathuba okuwa nokuphula ithambo. Ukuzivocavoca kubalulekile ukugcina ukuhamba ngokubambisana.

Ukuqeqesha Amandla Abantu Abantu abane-Arthritis

Indlela yokuPhila

Ukubhema kubi ngamathambo kwakunye nentliziyo nemiphunga. Abasetyhini abavuthayo badla ngokudlulela kwimiva, ngaphambili kubangela ukulahleka kwethambo. Ukongeza, ababhemayo bangathabatha i-calcium encinci kwizidlo zabo. Utywala lunokuchaphazela kakubi impilo yemfuyo. Abo batywala kakhulu banakho ukulahlekelwa yinthambo kunye nokuphuka, ngenxa yesondlo esingenasondlo kunye nomngcipheko ophezulu wokuwa.

Uxinzelelo lweT Bone

Iimvavanyo ezizodwa ezibizwa ngokuba yi-bone mineral weight (BMD) zivavanya ubuninzi beethambo kwiindawo ezahlukeneyo zomzimba. Ezi mvavanyo ziyakwazi ukubona i-osteoporosis ngaphambi kokuba kuqhutywe ikhefu kwaye liqikelele amathuba omntu wokukhwabanisa kwixesha elizayo. Izigulane ze-rheumatoid arthritis, ngokukodwa abo bafumana i-corticosteroid (glucocorticoid) unyango ezimbini okanye ngaphezulu, kufuneka bathethe noogqirha babo malunga nokuba ngaba bangaba ngumviwa wokuvavanywa kwamathambo.

I-Osteoporosis

Njenga-rheumatoid arthritis, akukho nonyango ye-osteoporosis. Nangona kunjalo, kukho amayeza atholakalayo ekuthintela nasekunyangeni kwe-osteoporosis. Amachiza amaninzi kunye nokukhethwa kwezidakamizwa zivunyiweyo yi-Food and Drug Administration (FDA) ukukhusela kunye / okanye unyango lwe-osteoporosis kumabhinqa angama-menopausal aquka:

Fosamax (alendronate)
Actonel (risedronate)
Boniva (ibandronate)
Didronel (etidronate)
I-Evista (raloxifene)
Miacalcin (calcitonin)
Forteo (teriparatide)
i-estrogen / i-hormone therapy

I-Alendronate iphinda ivunyiwe ukuba isetyenziswe kumadoda. Izigulane ze-rheumatoid arthritis kwi-corticosteroid (glucocortiocoid) iziyobisi ezifana ne-prednisone, i-alendronate (unyango) kunye ne-risedronate (ukwenzela ukuthintela kunye nonyango) zivunyiwe kwi-osteoporosis ye-glucocorticoid.

_Umthombo:

_{Yintoni abantu abane-Arthritis ye-Rheumatoid kufuneka bazi nge-Osteoporosis.} _NIH. _{Epreli 2005.}