Ukuqonda Ukuchongwa Kwakho kunye neSicwangciso soNyango
Akuqhelekanga ukuva abantu bethi "Ndine-arthritis." Ngokuqhelekileyo, zichanekile, kodwa ngokuchanekileyo, zinalo uhlobo oluthile lwe-arthritis . Kukho iintlobo ezingaphezu kwe-100 ze-arthritis. Uninzi lweentlobo ezili-100 zizifo ezingaqhelekanga . Unokuzimela kwizandla zombini iintlobo oye waziva ngazo kuzo zonke, kunye neminwe emibili ebhekiswe kuyo kwaye ixubusha kakhulu: (i- osteoarthritis kunye ne- rheumatoid arthritis ).
Iimpawu eziphakamisa iArthritis
Abantu abafumana iimpawu zokuqala, ezinobungozi ezinxulumene neentlungu ezihlangeneyo, ukuqina okuhlangeneyo, ukuvuvukala okuhlangeneyo, okanye ukukhawulelana kwamanqaku athile angakrokraza i-arthritis. Kodwa iimpawu zesifo se-arthritis, ingakumbi iimpawu ze-arthritis zakuqala , zinokuthi zenzeke kwezinye iimeko.
Kubalulekile ukuba ugqirha uhlole iimpawu zakho kwaye uhlolisise kakuhle imeko yakho. Ngaphambi kokuba i-ray-ray ithathwe okanye uvavanyo lwegazi luyalelwe, awukwazi ukuba ujongene nokulimala ngokubambisana okanye isigulo esingapheliyo . Ukuqaphela imbangela yeempawu zakho, ugqirha wakho kufuneka athathe imbali yakho yezonyango, uhlole uqobo , kwaye ulandele iimvavanyo zokuhlola. Ngoxa iipateni zeempawu ziza kunika izikhombisi, iimpawu zodwa aziyikuyifumanisa ukuxilongwa.
Kubaluleka kokuchonga imeko efanelekileyo
Xa kuziwa kwimpawu zokuqala, abantu bathambekele ekuziphatheni ngaphambi kokubonisana nodokotela. Mhlawumbi akukho nzakalo evela kukuthatha inkunzi ekuziphatheni unyango, kodwa akukho nzuzo inzuzo.
Ngokuqhelekileyo, abantu bazama ukunyanga okungaqhelekanga kwiinkqubo zokunyanga, ngokuthemba ukuba into eya kwenza umehluko. Abantu abaninzi abakhetha ukuzithobela bazifumene ukuba iimpawu ziyaqhubeka. Bayaqonda ukuba bayanyathela amanzi, ukuba bangabi nakakhulu, bengenagqirha. Abanye baqhubeka bezonyamekela okanye bahlala kunye neempawu zabo, bebeka ingozi kwimiphumo efumaneka ngokulibazisa unyango olufanelekileyo.
Amaziko okuLawula nokuLungisa izifo ukuba ixa izigidi ezingama-10 zaseMerika zizibonakaliso ezingapheliyo, ezininzi azizange zihlolwe okanye ziphathwe ngugqirha. Kubantu abayizigidi ezi-2.2 bakholelwa ukuba bane-rheumatoid arthritis e-US, abangaphezu kwama-700,000 abazange bafumaneke okanye baphathwe. Kwizigidi ezi-1.5 eziye zafumanisa ukuba zine-rheumatoid arthritis, abangaphezu kwama-800,000 bangaphantsi kwonyango loogqirha, kungekhona i-rheumatologist ( oyingcali kwi-arthritis nezifo ze-rheumatic).
Izihlanganisi ezimbalwa zingabandakanyeka ekuqaleni kokubonisana nodokotela. Kukho kungabonakali kakhulu xa iziphumo zibuya kwiimvavanyo zegazi okanye ii-X-rays. Kodwa ugqirha uya kudala iimvavanyo ezide ngakumbi kude kube yinto yokuxilonga.
Ekuqaleni, izifo-Ukuguqulwa kwonyango kubangela iziphumo ezilungileyo
Ezinye iintlobo zesifo se-arthritis zivuthayo, kanti ezinye ziyi-inflammatory. I-rheumatoid arthritis , i- psoriatic arthritis , kunye ne- spondylitis e-ankylosing yimizekelo ye-arthritis evuthayo . I-Osteoarthritis yintlobo yesifo samathambo esiye sahlulwa njengento engeyiyo-ukuvuvukala (nangona uphando olutsha luye lwaphakamisa ukuba kukho inkqubo yokuvuvukala echaphazelekayo ne-osteoarthritis ).
Iklasi leziyobisi eyaziwa njengezifo ezichasene nezifo ezichasene ne-rheumatic (i- DMARD ) ziphumelela kwizigulane ezininzi ezineentlobo ezinokuvuthayo zesifo se-arthritis.
Xa i-DMARD ibonisiwe, unyango lwasemva lubalulekile. Uhlalutyo lwe-meta lwezilingo eziyi-14 zonyango ezibandakanya izigulane ezingaphezu kwe-1,400 eziqulunqwe ukuba ukusetyenziswa kwasekuqaleni kwe-DMARD kubalulekile, kwaye oko kwakukho into enoba yintoni uhlobo lwe-DMARD elimiselweyo. Izigulane ezafumana unyango lokuqala lwe-DMARD zibe nemiphumo engcono kunezo zalibazisa unyango - kunye nethuba elihle lokukhusela umonakalo odibeneyo.
Abaphandi basebenza ngokuphuhliswa kwezidakamizwa ze-osteoarthritis (DMOADs) nezifo. Kule ngongoma, akukho ziyobisi ze-osteoarthritis ezinokuphucula ukuqhubeka kweso sifo. Iziyobisi ezifana ne-nonsteroidal anti-inflammatory drugs (NSAIDs) kunye neyeza zonyango zichaphazela iimpawu, kungekhona ukunyuka kwesifo.
Xa kubandakanyeka elinye iqela okanye amancinci ambalwa, ama-injection ye-cortisone okanye i-Hyalgan ingasetyenziselwa ukuzisa ukuvuvukala phantsi kolawulo.
Ngaphantsi
Kubalulekile ukwazi uhlobo lwakho lwe-arthritis ukuze ukwazi ukufumana unyango olufanelekileyo. Ekuqaleni, unyango olubalulekileyo lubalulekile ekuveliseni i-arthritis phantsi kolawulo nokunciphisa ukuqhubela phambili kwesi sifo. Ugqirha wakho uya kukukhokela kwindlela yokwenza unyango olungcono kunye nenjongo yokulawula iimpawu kunye nokukhusela umonakalo ohlanganyelweyo. Ingaba uqala nge-NSAID ( izidakamizwa ezichasene nezidakamizwa ), ii- corticosteroids , i-DMARD, i-biologics, okanye inxaxheba-unyango lokuqala luye indlela yokuhamba.
Imithombo:
I-Rheumatoid Arthritis: I-Early diagnosis and Treatment. Amaphepha 77-83. UJohn J. Cush MD, uMichael E. Weinblatt MD, uArthur Kavanaugh, MD. Uluhlu lwesithathu. UQhagamshelwano lobuNxibelelwano lweNgcaciso Inc.
I-Primer kwi-Rheumatic Diseases. Isahluko 2 - Ukuhlolwa koMguli. UJohn J. Klippel. Arthritis Foundation. Uluhlu lweSithathu.