Abanye abantu baneziganeko ezifanayo ngokufanayo
I-Fibromyalgia kunye ne- rheumatoid arthritis ziimeko zombini ezibuhlungu. Ngeemeko ezimbini ezibangela inqanaba leentlungu, kunzima ukwazi indlela yokuphatha kakuhle.
- Ngaba Unayo I-Fibromyalgia?
- Ngaba Unayo I-Arthritis?
Abantu abanokuthi i-fibromyalgia ne-rheumatoid arthritis bangakwazi njani ukuba imeko eyenzayo ibangela intlungu yabo? Ziziphi izinto okanye iimpawu ezahlukileyo phakathi kwezi zimbini?
Yiyiphi indlela efanelekileyo kakhulu yokonyango kubantu abane-fibromyalgia ne-rheumatoid arthritis? Sacela uScott J. Zashin, MD, uprofesa oncedisayo kliniki kwiYunivesithi yaseTexas Southwestern Medical School, iCandelo leRheumatology, eDallas, eTexas.
Iimpawu ezizahlula i-Fibromyalgia kwi-Rheumatoid Arthritis
Ngokutsho kukaDkt. Zashin, "Xa abantu bekhalaza ngentlungu phakathi kweminye impawu, umzekelo, kunokuba kunzima ukuhlukanisa i-rheumatoid arthritis kwi-fibromyalgia." Kukho iindlela ezininzi zokwahlula.Iyokuqala, i-arthritis ye-rheumato ayibandakanyi ngokubambisana kwe-DIP ( ukudibanisa i-interphalangeal joint or terminals joints close to the nail) ngoko ke ukuba kukho isisa apho, ukuxilongwa kwe-fibromyalgia kuya kuhanjelwa okanye mhlawumbi i-osteoarthritis. Okwesibini, i-fibromyalgia ayinxulumene nokuvuvukala okuhlangeneyo okuqhelekileyo kwenzeka nge-rheumatoid arthritis, nangona izigulane ze-fibromyalgia zihlala zikhalaza ukuba amalungu abo "azive" avuke.
Isikhalazo sobandezeleka bomzimba obuchaphazelekayo kunye neepromotic fibroyalgia zintlondi ziya kuba zihambelane ne-fibromyalgia kwaye ingekho i-rheumatoid arthritis. "
Iingcebiso Zonyango Kubantu Bamazimbini
UDkt. Zashin waqhubeka "Iyona ndlela efanelekileyo yokunyanga izigulane ezine-fibromyalgia ne-rheumatoid arthritis kukuqala ukuphatha i-rheumatoid arthritis, kuba isifo se-rheumatoid isifo esiqhelekileyo sidibana nokukhubazeka kunye nokukhubazeka.
Ukunyuka kokunyuka kwesifo se-rheumatoid kunye nokuthintela umonakalo ohlanganyelweneyo ngokusisigxina. "
"Ukuba i-rheumatoid arthritis ilawulwa kakuhle ngokusekelwe kuviwo oludibeneyo , kunye nemilinganiselo yokuvuvukala , njengezinga lokungcoliswa kweprotheyini kunye neprotheyini esebenzayo yeC (CRP), kodwa isigulane sisayikhala isikhalazo kunye nokukhathala, umsebenzi we-fibromyalgia kufuneka uthathelwe Ulwaphulo-mthetho, kulolu hlobo, kufuneka lujolise ekuphuculeni umgangatho wobuthongo ngokuphumla okukhulayo kunye nokuzivocavoca kwe-aerobic. I- apnea yokulala kufuneka ilawulwe ngaphandle, ukuba iimpawu zokukhathala zingundoqo. i-reuptake inhibitors (i-SSRI), kunye nemithi yokugaya i-Neurontin (gabapentin) okanye iLyrica (pregabalin) , "ngoDkt. Zashin.
Phakathi kwezinye iziyobisi ezingasetyenziselwa, i- Cymbalta (duloxetine HCl) yayiyi-serotonin-norepinephrine reuptake inhibitor yokuqala eyayibonakaliswe ukunciphisa intlungu kwizigulane ze-fibromyalgia. I-Savella (milnacipran) , i-serotonin ekhethiweyo kunye ne-norepinephrine ephindwe kabini inhibitor inhibitor, ikhulisa i-norepinephrine nomsebenzi we-serotonin kwingqondo.
ILizwi
Ngokutsho kwe-NIAMS (iNational Institute of Arthritis kunye neMisculoskeletal kunye Nezifo Zengceba), kulinganiselwa ukuba i-fibromyalgia ithinta ama-5 million aseMerika aneminyaka eli-18 okanye ngaphezulu.
Nangona nabani na abanokuchaphazeleka yi-fibromyalgia, ama-80 ukuya kuma-90 ekhulwini abo bafumene le meko ngabafazi. I-rheumatoid arthritis ithinta ama-1.5 abantu abadala base-US. Nangona nabani na onokuhlakulela i-rheumatoid arthritis, ithinta amaxesha amabini ukuya kwamathathu amawaka amabhinqa kunamadoda.
I-NIAMS ibonisa ukuba abantu abanezifo ezithile ze-rheumatic, ezifana ne-rheumatoid arthritis, i- systemic lupus erythematosus , okanye i- spondylitis e-ankylosing kubonakala ngathi banokuthi babe ne-fibromyalgia. Kwakhona, ngelixa ukuxhaphaka kwesifo se-rheumatoid sibonakala senyukela kubantu abadala, abaphandi baye baqaphela ukuba uyehla kubantu abancinci.
Nangona amayeza enyango asetyenziswa ukuphatha i-fibromyalgia ne-rheumatoid arthritis, ezinye iyeza ziyahluka. Oko kwathiwa, ukuguqulwa kwendlela yokuphila equka ukuzivocavoca kunye nemikhwa emihle yokulala ngokuqinisekileyo kuya kunceda bobabini. Akukho ziphakamiso zokutya ezizodwa kwiimeko ezimbini, kodwa ukutya ukutya okunempilo, okunokulinganisela, akunakulimaza. Ukutya okuchasayo kungaba yinto enokuzama.
> Imithombo:
> Ukunikezelwa kweMpilo: iArmritis yeRheumatoid. NIAMS. Fe bruwari 2016.
> Imibuzo neempendulo malunga neFibromyalgia. NIAMS. Julayi 2014.
> Kelley's Bookbook yeRheumatology. I-ninth edition. Elsevier