Ukuthintela Ukulimala Okuhlangeneyo Ngaba Injongo Yonyango
Kwiminyaka emininzi edlulileyo, indlela yokunyanga yokunyanga kwimeko ye- rheumatoid arthritis yayiqhelekileyo. Emva koko, ngaphantsi kwaba ngaphezulu. Kodwa ke, kule minyaka, le ndlela iguqulwe kwi-conservative yobudlova. Kodwa, kutheni itshintsho?
Ukubaluleka koPhulo lokuqala, unyango olunzima
Ukuxilongwa kwangaphambili kwe-rheumatoid arthritis kubonakala kubalulekile kuba unyango lwangaphambili kunye ne- DMARD kunye ne- biologics lunikeza ithuba elifanelekileyo lokukhusela umonakalo odibeneyo kunye nokunciphisa ingozi yokukhubazeka nokufa okuhambisana nesi sifo.
Isizathu salolu daba olubi kakhulu kukuba, ngexesha elidlulileyo, ipesenteji ezibalulekileyo zezigulane ezine-rheumatoid arthritis zakhubazeka. Ngethamsanqa, akubona zonke izigulane ezine-rheumatoid arthritis zisengozini yokulimala kakhulu kunye nokukhubazeka.
Kulabo abanezifo ezinzima, unyango olubi lungafuneki ukuba luqaliswe. Nangona kunjalo, ngelixa i- NSAID (izidakamizwa ezichasene ne-antisteroidal anti-inflammatory) zingancedisa iimpawu zesifo se-rheumatoid arthritis, akukho nto ibonisa ukuba banokunceda ukukhusela umonakalo odibeneyo.
Bambalwa, ukuba zikhona, izigulane ezine-rheumatoid arthritis zikhethiweyo zonyango kunye ne-NSAID kuphela. Ngokuqhelekileyo, izigulane ezingekho phantsi komngcipheko odibeneyo ziphathwa ngamachiza adala ase-DMARD acatshangelwe ukuba anokuba nemiphumo ephantsi yemiphumo emibi, kuquka:
- Plaquenil (hydroxychloroquine)
- Azulfidine ( sulfasalazine )
- I-Minocin (i-minocycline) -I- antibiotics ebonise inzuzo kwi-arthritis ye-rheumatoid, kodwa i-FDA ayivunyelwanga eso sibonakaliso.
Amachiza asetyenziselwa ukulungelelanisa i-arthritis enesifo esiyinkqubo esisisiseko iquka oku kulandelayo (kunye namanye amachiza amatsha kwipayipi):
- I-Methotrexate (iRheumatrex, iTrxall)
- Arava (i-leflunomide)
- Imuran (azathioprin)
- Xeljanz (tofacitinib)
- Enbrel (etanercept)
- Remicade (infliximab)
- Humira (adalimumab)
- Simponi (golimumab)
- Cimzia (certolizumab pegol)
- Actemra (tocilizumab)
- Rituxan (rituximab)
- Orencia (abatacept)
Izigulane ezineemodareyithyid arthritis ezinzulu zisezingeni eliqhelekileyo zinengxaki okanye iingxaki ezinokuthi zenze imisebenzi yokuphila kwansuku zonke , umonakalo odibeneyo kunye nomsebenzi ohlangeneyo. Ngenxa yokusetyenziswa kwexesha elide kunye neendleko ezincinci, ezininzi i-rheumatologists ziza kuqala nge-methotrexate njenge-DMARD yokuqala kwizigulana ezibonisa iimpawu ezinzima. I-Prednisone kwizilwanyana ezisezantsi ziyakwazi nokuba nesifo sokuguqula inzuzo.
Izibonakaliso kunye neempawu zoMonakalo ohlangeneyo
Iziphumo zezonyango ezingabonakalisa umngcipheko ophezulu wokonakaliswa kunye kunye nokukhubazeka okulandelayo ziquka:
- Ukuvuvukala okuhlangeneyo
- Ubumnyama obusondeleyo
- Ukusetyenziswa kwe-rheumatoid arthritis esemncinci
- I-high-quality antibody ye-CCP
- Isici se- rheumatoid esiphezulu kakhulu
- Iidumbu ze-Rheumatoid
- Iprotheyini ephezulu esebenzayo yeC (CRP) kunye nesantya sokutywa
- Ukungaqhelekanga kweeRadioographic (x-ray)
Ngelishwa, akunakwenzeka ukuba uhlale uqikelela ukuba ngubani oya kuthi okanye akayi kuvelisa umonakalo odibeneyo. Ngenxa yoko, ukuba unempawu okanye iimpawu ze-arthritis ye-rheumatoid, qiniseka ukuba ucebisana kunye ne-rheumatologist ukufumana unyango oluya kuba luhle kuwe.
Ifowuni yeThuba
Kukho ixesha elithile apho unyango lwe-rheumatoid arthritis lunempembelelo enkulu ekuqhubekeni kwesifo.
Eyona nto ingaba yimpembelelo enkulu kunazo zonke iza kuba yi- rheumatoid arthritis remission okanye ubuncinane kwimpembelelo ekuqhubekeni kwezifo eza kubonakala kwi-ray okanye kwi-joint joint. Oku kuye kwabizwa ngokuba yi "Window of Opportunity" kwaye njengoko abaphandi baye bafunda ngakumbi, iwindow iyancipha.
Ukukhawuleza emva kwonyango lokuqala lwe-rheumatoid arthritis kuye kwacaca ngakumbi. Umbono osandul 'umva kwangoko xa unyango olushushu lufanele luqaliswe "kukuqala ngcono."
Okuthakazelisayo, ukuzama ukuphawula xa iwindi yithuba livuleka kwaye livale isiguli ngasinye asizange kubonakale luncedo.
Kodwa, akukho ukuphika ukuba ukuzisa eso sifo phantsi kolawulo ngokukhawuleza kunokwenzeka injongo ecacileyo. Oku kuya kuthetha ukuthatha i-arthritis engafanelekiyo , kwezinye iimeko, nethemba lokumisa ukuqhubela phambili kwi-arthritis.
Imithombo:
Ifestile yokwelapha yelithuba kwi-rheumatoid arthritis: ingabe ivalwe? Karim Raza, Andrew Filer. Iziganeko zeeRheumatic Diseases. Matshi 10, 2015.
Ukuxilongwa kwe-Arthritis yokuqala ye-Rheumatoid. Page 73. I-Arthritis ye-Rheumatoid: Ukuxilongwa kwangaphambili kunye noTyango. Inkqubela yesithathu. Cush, Weinblatt, eKavanaugh. Iinkcukacha zoNxibelelwano, Inc.