Ukuqaphela ubunzima kunye nokuqhutyelwa kwe-RA yakho
Uninzi lwezigulane ze- rheumatoid arthritis zineengxaki malunga nokuba isifo esibi siya kuba njani kunye noko bangayilindela kwikamva. Baxhala ukukwazi ukuhlaselwa kwesifo se-rheumatoid arthritis kwaye ziziphi izinto ezichaphazela ukuxela. Iziguli zibuza:
- Ngaba ndijamelana neklasi elincinci okanye elibi?
- Ngaba iintlungu ziya kuba nzima?
- Ngaba ukhubazekile?
- Ngaba ndiyakwazi ukusebenza kunye nokunyamekela intsapho yam?
Ukuqulunqwa kweNgcebiso
Ekuqaleni, ukugxekwa kwe-rheumatoid arthritis kusekelwe kwindlela esaphambili ngayo isifo xa isiguli sifumaneka okokuqala. Enye into eqwalaselwe yimiba yesigulane xa isifo sokuqala sifumaneka okanye sisifo (xa isifo saqala). Ekugqibeleni, kodwa mhlawumbi kubaluleke kakhulu ukuba isifo sisenza njani ngoku. Ingaba i-rheumatoid arthritis kwi- flare , i- remission , okanye ilawulwa kakuhle kunyango ?
- Amaphesenti angama-10 ukuya kuma-20 eepesenti zezigulane ze-rheumatoid arthritis ziye zenzeka ngokukhawuleza kwesi sifo, zilandelwa yiminyaka emininzi kungekho mpawu. Oku kubonwa njengento yokuxolelwa ixesha elide.
- Ezinye izigulane ze-rheumatoid arthritis zinempawu eziza kwaye zihamba. Iimviwo zexesha xa kukho ezimbalwa okanye kungekho mpawu, ezenzeka phakathi kweentsimbi, zingapheli iinyanga. Oku kubhekiswa njengempawu eziphakathi kweempatho ze-rheumatoid arthritis.
- Uninzi lwezigulane ze-rheumatoid arthritis zinomdla ongapheliyo, oqhubekayo we-rheumatoid arthritis efuna ukuphathwa kwexesha elide.
Izinto ezichaphazela ukuxhamla
Izigulane ezi zinto zilandelayo zinokuthi zibe neendlela eziqhubekayo nezonakalisayo ze-rheumatoid arthritis kunye nekhondo elibi lesifo:
- Iifutha ezinamandla kwaye zihlala ixesha elide
- Ukufumanisa unyango kakhulu kwaye uye waba nesifo esisebenzayo iminyaka
- Amanqaku okuvuvukala aphakanyisiwe kwiimvavanyo zelabhoratri (i- CRP ephakamileyo kunye ne- ESR )
- Umonakalo odibeneyo obonakalisiwe obonakalayo kwi-ray-ray xa ufunyanwe
- Ubuninzi bee- nodules ze-rheumatoid
- Uvavanyo oluchanekileyo kwi- rheumatoid factor okanye i- anti-CCP
Ukudala iSicwangciso soMsebenzi
Ukuba wena kunye nogqirha wakho baye bavavanya iimeko ezichaphazela ukugxekwa kwakho, into elandelayo ukuyenza ihlolisise ngezi zihlandlo. Ngexesha elithile, kufuneka ube ne-x-ray, iimvavanyo zelabhoratri kunye noviwo ukuze ubone ukuba iziphumo zakho zomzimba zitshintshile.
Ukuba ufumanisa ukuba isifo sakho sisebenze kakhulu, unomlilo obonakala ungenakwenzeka, iziphumo zebhabhi zibi kakhulu, okanye ubungqina be-x-ray yomonakalo ohlanganyelweyo buya kuthiwa, ukhetho lwakho lwezonyango kufuneka lubuyiselwe kwakhona. Wena kunye nogqirha wakho unokufuna isicwangciso esitsha sokuhlaselwa ukukhawuleza okanye ukuyeka ukunyuka kwesifo. Uninzi lwezibonelelo ezintsha ze-biologic, ezidla ngokubambisana ne- DMARD yendabuko, ziye zaphumelela ukulawulwa kwezifo.
Ukuvavanya umphumo we-rheumatoid arthritis malunga nendlela oqhuba ngayo imisebenzi yemihla ngemihla , ungathatha i-Questionnaire ye-Health Assessment (HAQ). Ngokuthatha i-HAQ ngezikhathi ezithile, unokwazi ukuba umsebenzi uyanda.
Kwakhona, wena nogqirha wakho unokufuna ukuphonononga okukhethwa kukho unyango.
Imithombo:
ARAMIS: HAQ. ISikole soPhando lweYunivesithi yaseStanford. Julayi 2003.
Ukwelashwa kweArthritis: Eyona nto ihamba phambili. Arthritis Namhlanje Umagazini. NgoMeyi-Juni 2007.
Amanqaku ebhoratriyibratory prognostic yomonakalo ohlanganyelweyo kwi-rheumatoid arthritis. Iziganeko zeRheumatic Diseases 2005; 64: 196-201. E Lindqvist et al.
I-Rheumatoid Arthritis Clinical Presentation. Johns Hopkins Isikhungo seArthritis. UAlan Matsumoto, MD. 3/2/2008.
https://www.hopkinsarthritis.org/arthritis-info/rheumatoid-arthritis/ra-symptoms/