Ingqwalasela ye-Rheumatoid Arthritis
I-rheumatoid arthritis isifo esingapheliyo esibangela ukuchaphazeleka ngaphezu kwamalungu akho. Ngokungafani ne-osteoarthritis, ebangelwa ukuguga kwexesha elide kunye neendwangu zengxowankulu, i-rheumatoid arthritis yintlupheko yesifo sokuzikhusela esisodwa apho i-immune system ihlasela izicubu zayo kunye neeseli, kubandakanywa neenxalenye, ulusu, amehlo, intliziyo, imiphunga, kunye neentsholongwane.
Ngokuhamba kwexesha, ukuvuvukala okuqhubekayo kunokukhokelela ekulahlekeni kokuhamba, intlungu, kunye nokukhubazeka okuhlangeneyo.
Nangona izazinzulu zingasayi kufumana unyango lwe-rheumatoid arthritis, i-physiotherapy kunye neziyobisi ze-biologic ezitsha zibonelela ngoncedo kwizigidi ezi-1.5 eziMerika eziphila nesifo.
Iimpawu
I-rheumatoid arthritis ichaphazela ngokuyinhloko amajoyina. Umzekelo kunye neempawu zesifo ziyahlukahluka kumntu omnye ukuya kwesilandelayo. Kweminye, iimpawu ziya kubetha ngokukhawuleza kwaye zinzima. Kwabanye, imiqondiso ingathuthuka ngokuthe ngcembe, ngokuqhelekileyo iqala ngokuqhaqhazela okanye ukuqina kumalunga amancinci, ngokukodwa ezo iminwe okanye iinzwane, ngaphambi kokuba zibe zibi kakhulu.
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Ngokuhamba kwexesha, amanye amalunga angathinteka. Umzekelo wokubandakanyeka ujama ukulinganisa, oku kuthetha ukuba iimpawu ezivela kwicala elinye lomzimba ziya kulandelwa ngaphesheya.
Iimpawu eziqhelekileyo kunye neempawu zesifo se-rheumatoid arthritis ziquka:
- Uthando oluhlangeneyo, ukufudumala, ukuvuvukala kunye nentlungu
- Ukukhathala, umkhuhlane ophantsi, kunye nokulahleka kwesisindo
- Ukuqina koMasa kuhleli malunga neyure
Njengoko eso sifo siyaqhubeka, ama-tissue ahlangeneyo anokubambisana kunye (atyunjwe), obangela ukulahleka okunye kokuhamba. Ukukhushulwa kwe-cartilage, i-ligaments, kunye nethambo kunokugqibelisa ukudibanisa ngokupheleleyo ukulungelelanisa ukulungelelaniswa kunye nokuma, okubangela ukuba kubekho ukungathinteki ngokuthe tye kwaye ngezinye iinkalo.
Amanye amaqela achaphazelekayo
Ukuvuvukala okubangelwa yi-rheumatoid arthritis kunokuchaphazela ezinye izitho kunye, kubangele zombini kunye nemimiselo ye-system (umzimba wonke). Iimeko eziqhelekileyo ezingxaki ezingabandakanywa ziquka:
- Iimbumba ze-Rheumatoid, izibindi ezinzima ezibunjwa phantsi kwesikhumba, ngokuqhelekileyo zijikeleze iinduli, izithende,
- I-Pleuritis , ukuvuvukala kwimbumba yemiphunga, kubangela ukuphefumla okufutshane, ukuphefumula ngokukhawuleza, kunye nokukhwehlela
- I-Pericarditis , ukuvutha komlenze ojikeleze intliziyo, kubangela intlungu yesifuba, ukuqina kwesifuba kunye nokukhathala
- I-Vasculitis , ukuvuvukala kwemithambo yegazi, kubangele umkhuhlane, ukukhathala, ukulahleka kwesisindo, kunye nentlungu
- I-Scleritis , ukuvuvukala komhlophe welihlo, kubangele ubomvu, ukukrazula, ukuvelela ukukhanya kunye nokulahleka kombono
Ngokuqhelekanga, ezinye izitho ezinjengeentso, isibindi, amathambo, kunye neethambo zomzimba zingathinteka.
> Iimpawu eziqhelekileyo zesifo se-rheumatoid arthritis esandleni.
Izizathu
Njengazinye izifo ezizimele , isizathu esona sizathu se-rheumatoid arthritis asiyazi.
Ukuthetha ngesitatimende, abasetyhini banamathuba amathathu okufumana isifo kunomntu. Umngcipheko ukhula ukwandisa ngobudala, ngokuqala kweempawu zivela phakathi kweminyaka engama-40 no-60.
I-Genetics ibonakala idlala indima ephambili ekuphuhlisweni kwesi sifo, i-40% ukuya kuma-65 ekhulwini kuwo onke amacala, ngokufunda ngo-2017 ishicilelwe kwi-Lancet. Nangona iindlela ezichanekileyo zingabonakaliswa, abantu abanezifo ezizimela ngokuzenzekelayo bakholelwa ukuba banokuguquka komzimba okanye enye inguqu eguqula indlela i-immune system eyayiyiqonda ngayo kwaye ihlasela ii-agent ezibangelwa zizifo.
Kwimisipha yomzimba yokusebenza ngokuqhelekileyo, intsapho yegesi ebizwa ngokuba yi- human leukocyte antigen (HLA) inxininisa incedisa i-immune system ukuba ihlukanise iiseli zayo ukusuka kwalaba basemzimbeni belizwe langaphandle njenge-virus kunye neebhaktheriya. Nge-arthritis ye-rheumatoid, iinguqu ezithile ze-HLA zingayichaza ngokungahambi umzimba ukuba zihlasele iiseli zayo. Enye yezona zinto zixhaphakileyo ziguqulwa njengeHLA-DR4 .
Ngaphazamisi, i-rheumatoid arthritis ihlala isebenza kwintsapho.
Enyanisweni, ukuba nenzala yentsapho yesi sifo inokunyusa umngcipheko wakho malunga neepesenti ezingama-300.
Ezinye izinto, ezifana nokunyanya ukugqithisa nokutshaya, nazo zinokufaka isandla. Ukunyaniseka akugcini nje ukubeka uxinzelelo kwiindawo ezichaphazelekayo, ukuqokelela ngokweqile kweeseli ezinamafutha kudala umphumo wokuvuvukala. Ukubhema , okwangoku, kunokunyusa umngcipheko wesifo esichaphazelekayo malunga nama-300 ekhulwini, ngokukodwa kumadoda amhlophe ahlala ixesha elide, ababhema kakhulu,
Ukuxilongwa
Akukho vavanyo lwebhu lab okanye i-X-ray engakwazi ukufumanisa i-rheumatoid arthritis. Ukuze wenze ukuxilongwa, ugqirha uya kufuneka uhlaziye imbali yakho yezobugqirha, enze uvavanyo lomzimba, kwaye ulandelelanise ukudibanisa iil lab kunye nokuhlola i-imaging.
Iimvavanyo zesebe ezisetyenziswa ngokuqhelekileyo ziquka:
- I-rheumatoid factor (RF) , i-antibody efumaneka kuma-80 ekhulwini abantu abaphila nesi sifo
- Intlawulo ye-sedimentation ye-Erythrocyte (ESR) , eyenziwa ngamanyathelo okuvuvukala emzimbeni
- Iprotheyini esebenzayo e-C (CRP) , into eveliswa sisibindi, ekwayi-marker of inflammation
- Uvavanyo lwe-peptide e-anti-cyclic citrullinated (anti-CCP) , olufumanisa omnye umntu ochasayo ofunyanwa ngabantu abane-arthritis ye-rheumatoid
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Unako Ukuphuhlisa I-Apnea Yokulala Ukuba Unayo I-Rheumatoid Arthritis
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I-Amjevita Ngaba i-FDA-Iyavunyelwa njenge-Biosimilar eHuma
I-X-ray kunye ne -imagery magnetic resonance (MRI) ingasetyenziselwa lonke ixesha lesi sifo ukuvavanya ukuqhubela phambili kwesi sifo kunye nokubeka iliso ukuphumelela kwonyango.
Unyango
Nangona kungekho naluphi unyango lwe-rheumatoid arthritis, ukuqaliswa kweziyobisi ze-biologic ezitsha kubanike ithemba labo bahlulekile ukufumana ukukhulula ngeengxaki zendabuko kunye ne-steroids. Unyango namhlanje uquka ukudibanisa iintlobo zamachiza.
Phakathi kwabo:
- Izidakamizwa ezichasayo ezingabhubhisiyo (i-NSAID) njenge-Advil (ibuprofen) kunye ne-Aleve (naproxen) kunokuncedisa ukunciphisa intlungu kunye nokuvuvukala kwesifo sesifo se-rheumatoid. I-NSAID ezinamandla zifumaneka ngomyalelo. Imiphumo emibi ibandakanya ukucasuka kwesisu, ukunyamezela kwegazi, ukukhalaza ezindlebeni, izilonda zesisu, kunye nesibindi sesibindi.
- Izidakamizwa ze-corticosteroid , ezifana ne- prednisone , zinokubonelela ngokukhawuleza kwentlungu kunye nokuvuvukala ngelixa kuthoba umonakalo ohlangeneyo. Imiphumo emibi ingabandakanya i-osteoporosis, inzuzo yesisindo, ukululaza okulula, i-cataracts, i-glaucoma, nesifo sikashukela.
- Izidakamizwa zokuguqula izidakamizwa ze-antirheumatic (DMARD) zisebenza ngokunyusa iimpendulo zomzimba kunye nokunciphisa ukuqhubeka kwesifo. Ii-DMARD eziqhelekileyo ziquka i- methotrexate , i-Arava (i-leflunomide), i-Azulfidine (i-sulfasalazine) kunye ne-Plaquenil (i-hydroxychloroquine). Imiphumo emibi ingabandakanya umngcipheko ophezulu wokusuleleka kunye nokulimala kwesibindi.
- I-modifiers ye-biologic response guys are classer entsha ye-DMARD esetyenziswa rhoqo ngokudibanisa ne-methotrexate. Zibandakanya i-Cimzia (certolizumab), i-Enbrel (etanercept), i-Humira (adalimumab), i-Orencia (i-abatacept), kunye ne-Remicade (i-infliximab). Ngokungafani nezizukulwana ze-DMARD zangaphambili, iinjongo zezinto eziphilayo zijolise kumacandelo athile omzimba wokuzivikela omzimba kunokuba isistim somzimba sisonke. Imiphumo emibi ibandakanya umngcipheko ophezulu wokusuleleka.
I-Physiotherapy iyingxenye ebalulekileyo yonyango lwe-rheumatoid arthritis kwaye ingasebenzisa ukushisa, iqhwa, ukuvuselelwa kwamandla kagesi, i-ultrasound, i-ultrasound, i-walk-of--motion-exercises. Ulwaphulo lomsebenzi lungaba luncedo xa isifo se-arthritis siphazamisa ubomi bakho bemihla ngemihla okanye ukwazi ukusebenza.
Inani elongezelelweyo lamayeza (ii-CAMs), ezifana neoli yeentlanzi, i-borage, kunye ne-evening primrose ziye zabonakalisa zincedo ekuncedeni unyango lwe-rheumatoid arthritis.
Ukujamelana
I-rheumatoid isifo esiqhubekayo sobomi esinganciphisa umgangatho wobomi kunye nokuzithemba xa uvumela. Ngokuthatha amanyathelo asebenzayo ukuphucula impilo yakho, unokukwazi ukujamelana nokunciphisa ezinye zeengxaki ezinzima zesifo.
Ukongezelela kumachiza, ukulahlekelwa kwesisindo kunye nokuzilolonga kunokunceda ukuphucula ukuhamba kwakho kwaye ugcine kakuhle ukuhamba kwakho . Nangona usuvele ufumana ukuphazamiseka, iimvavanyo ezithinteleyo ezifana nokuhamba, ukubhukuda, ukuhamba ngebhayisikili, i-yoga, kunye ne-tai chi kunokugcina amajoyina ahamba ngaphandle kokubeka uxinzelelo olungapheliyo kumathambo ahlangeneyo.
Ngokufanayo, izifo zomzimba zengqondo zinokusebenza ekuncedeni ukujamelana nentlungu, ukukhathala , kunye nokuxhalaba okuqhelekileyo kube yinxalenye yesifo. Okukhethwa kukho kubandakanya ukucamngca, i-biofeedback, ukuphefumula, kunye nomfanekiso okhokelwayo. Ngokuphatha kakuhle indlela ovakalelwa ngayo kwimvakalelo yakho, awukwazi ukuphumelela kuphela ukuphucula ukuphucula kodwa ukulawula ubuhlungu obungcono.
ILizwi
I-rheumatoid arthritis inokuhlala ihlukanisa abantu abachaphazelekayo sisifo. Akunakucima kuphela amandla akho okubandakanyeka kwimisebenzi yansuku zonke, kunokukuphanga kwakho ukuzithemba nokuzithoba komzimba njengoko ukuphazamiseka komzimba kubonakala ngakumbi.
Ungazivumeli wena okanye othandekayo ukuba ahambe yedwa. Thetha nabahlobo okanye intsapho uze ubaxelele oko uhambayo. Abantu abaninzi abaqondi nje ukuba yintoni i-rheumatoid arthritis okanye imingeni yabantu abahlala nesifo rhoqo. Xa uvula ngakumbi kwaye ubancedise ukuba baqonde, banako ukukwazi ukuncedisa ngakumbi.
Kwakhona kunceda ukufikelela kwabanye abachaphazelekayo ngesifo se-rheumatoid arthritis. Ukuba awukwazi ukufumana iqela lokuxhasa elikufutshane nawe, unokudibanisa neenethiwekhi zokuncedisa kwindawo yakho nge-Arthritis Foundation yaseTucson.
> Imithombo:
> Singh, J .; Saag, K .; Bridges, L. et al. "Inkcazo yase-American American College of Rheumatology Guideline ye-Treatment of Rheumatoid Arthritis." I- Arthritis Care Res. 2016: 68 (1); 1-25. INGXELO: 10.1002 / acr.22783.
> Smolen, J .; Aletaha, D .; kunye noMcInnes, I. "I-rheumatoid arthritis. " Lancet. 2017; 388 (10055): 2023-38. INGXELO: 10.1016 / So140-6736 (16) 30173-8.
> Sugiyama, D .; Nishimura, K .; UTamaki, K. et al. "Impembelelo yokubhema njengengozi yokuphuhlisa i-rheumatoid arthritis: uhlalutyo lweemeta zophando. " Uchaza iRheum Dis. 2010; 69 (1): 70-81. INGXELO: 10.1136 / 2008.2009.