Ugqirha unikezela ngcebiso kwi-Alcohol kunye neArthritis Iidakamizwa
Nasi ithuba lakho lokuba ugqirha uphendule imibuzo yakho malunga nokusela utywala xa uthatha iziyobisi ze-arthritis .
- Ngaba zonke izigulane ze-arthritis ziyakuphepha utywala?
- Ngaba izigulane ezithatha imithi ethile kufuneka ziphephe utywala?
- Ukuba isiguli sesifo sesifo se-arthritis siphuza utywala, yiyiphi imiphumo emibi?
Sacela i-rheumatologist, uScott J. Zashin, MD
Ngaba Ndinokusela Utywala Xa Ndifumana Amachiza E-Arthritis?
Ngokuqhelekileyo, umntu onempilo enhle kufuneka anciphise ukutywala kwakhe utywala ngaphandle kokusela ezimbini kwiintsuku.
Ukuba ingaba izigulane ezine- arthritis zingaba nenkululeko efanayo, kuxhomekeka kwiirimim zonyango.
Utywala lunokusebenzisana noMethotrexate
I-Methotrexate ligama eliqhelekileyo kwigama legama lomenzi weRheumatrex, iTrxall, Otrexup, neRasuvo. Oogqirha baqhele ukuba bawabeke kwizigulane ze-rheumatoid arthritis ngenxa yokuba:
- ukunciphisa ukuvuvukala
- nciphisa intlungu
- unciphisa inkqubela yesi sifo
Izigulane kwi-methotrexate kufuneka ziyeke utywala ngenxa yokuba ukudibanisa ukusela kunye ne-methotrexate kwandisa kakhulu umngcipheko wokuhlaselwa kwesibindi.
Ndivumela izigulane zam ukuba zisele kwisiganeko esikhethekileyo ezifana nokuphakamisa iglasi ye-champagne kumtshato womntombi wakho. Nangona kunjalo, ndibacela ukuba banciphise ukusetyenziswa kotywala ngamanye ambalwa ngonyaka.
Utywala Unokuvelisa iziphumo zovavanyo lwezilwanyana ezingalunganga
Ukusela utywala kunokuvelisa iziphumo eziphosakeleyo kuba kunokuphakamisa ukuhlolwa kwemisebenzi yesibindi egazini.
Oku kunokukhokela ugqirha wakho ukuba anike umlinganiselo ongeyiphumo wamachiza, enokubangela iintlobo ezahlukeneyo ezingathandekiyo eziya kuxhomekeka kwiimeko zakho ezithile.
Utywala kunye ne-NSAIDS
Ngaphandle kokusela utywala kunye neyeza zokunciphisa iintlungu, ezifana nezidakamizwa ezingabhubhisiyo (non-steroidal anti-inflammatory drugs) (NSAIDS) kunokubangela iingxaki.
Izigulane ezithatha iTylenol (acetaminophen) rhoqo maziqaphele ngokusetyenziswa kwabo kotywala. Akukho nxilongo ekhuthazwayo kwizigulana ezithatha ngaphezu kwe-2500 mg ye-acetaminophen ngosuku. Ukusetyenziswa ngokweqile kotywala kunye ne-NSAID (izidakamizwa ezichasene ne-antisteroidal) zingakwandisa umngcipheko wezilonda zesisu .
Izigulane ezithatha ibuprofen (Motrin) okanye i-aspirin (Bayer) zihlala zikhuselekile ukuba zisela isiselo esincinci sotywala, ngokwemiqathango evela kwiNational Health Service. Nangona kunjalo, ukugqithisa isilinganisi esinconywayo samanye amayeza kunyusela umngcipheko wokubumba isisu sakho kunye nokusela utywala kwandisa le mngcipheko kwaye kunokukhokelela ekuphumeni kwegazi esiswini sakho.
Ukuba unesibindi okanye iingxaki zeengtso, ungathathi i-aspirin okanye i-ibuprofen ngaphandle kokuba umqeqeshi wakho wezempilo uyakuxelela ukuba ukhuselekile ukwenza njalo.
Utywala Iimpembelelo Ezinye izibonakaliso
Ekugqibeleni, ezininzi izigulane ezine-arthritis nazo zine fibromyalgia. Ingxaki ehambelana nentlungu exhaphakileyo kunye nezinye iimpawu eziphazamisayo, kubandakanywa nemiba yeemeko, ukukhathazeka kunye neengxaki zememori.
Ukusela utywala ngokuhlwa kungathintela umgangatho wobuthongo. Ukulala ebuthakathaka kunokunyusa iimpawu ze- fibromyalgia ezifana nokukhathala, intlungu, intloko kunye nokudandatheka.
Kungcono ukuba izigulane ze-fibromyalgia ziphephe ukusela emva komhla ukuba imithi yokulala ifakwe ngenxa yokusebenzisana.
Impendulo eyanikwe nguScott J. Zashin, MD, uprofesa oncedisayo wezonyango kwiYunivesithi yaseTexas Southwestern Medical School, iCandelo leRheumatology, eDallas, eTexas. UDkt. Zashin naye uhamba noogqirha kwii-Hospital zasePresbyterian zaseDallas nasePlano. Ungumntu we-American College of Physicians kunye ne-American College of Rheumatology kunye nelungu le-American Medical Association. UDkt. Zashin ngumlobi weArthritis ngaphandle kobuhlungu - Ummangaliso we-Anti-TNF Blockers kunye nombhali-mbhali we-Natural Arthritis Treatment.
Imithombo:
Ikholeji yaseMelika yaseRheumatology: Methotrexate
ISebe lezeMpilo leSizwe: Ngaba ndingakwazi ukusela utywala xa ndithatha i-Pain Killers