Ukufumana iNkxaso kunye neZibonelelo ozifunayo
I-rheumatoid arthritis ingaphezu nje kwesifo segama. Isiganeko esitshintsha ubomi esingawuphonsa umhlaba wakho ube ngumsila. Ukuba ubhekene nale mvakalelo, into yokuqala yokuzikhumbuza kukuba akukho khosi ehleliweyo kwaye ukuba izenzo ezithathayo ngoku zingenza umehluko omkhulu ngendlela ojongene ngayo-kwaye unqobe-imingeni yokuphila nesi sifo.
Ukufumana inkxaso
Emva kokufumana iindaba zokuthi unesifo se-rheumatoid arthritis, isiqalo sakho sokuqala sinokuthi udibanise phantsi kweembobo uze ufihle. Kwaye, kulungile. Ukufumana intloko yakho into ejikeleze le nto ingathatha ixesha kwaye ufumane indawo ephumayo ukucinga ukuba ingaqala ukuqala.
Kodwa, xa uvela ngaphantsi kweembopheleleko, into yokuqala okufuneka uyenze ukufumana inkxaso. Oku kufaka inkxaso inkxaso, inkxaso yemali kunye nenkxaso yemoya.
Inkxaso eSebenzayo
Inkxaso esebenzayo yinto ekunceda kuzo zonke izigaba zonyango oluqhubela phambili. Injongo kukukwakha iqela labaqeqeshi bezempilo kunye nabo onokusebenzisana nabo njengomlingani osebenzayo ekunyamekeleni kwakho. Zingaquka:
- Ugqirha wakho osisiseko (i-PCP) olawula impilo yakho jikelele kwaye uququzelele iingcali zezobugcisa
- I-rheumatologist egxile kwizifo ze-musculoskelet kunye nezifo ezizimela ngokuzodwa njenge-rheumatoid arthritis
- Ingcali yomzimba onokukunceda ukuba uphinde ufumane amandla akho, ukuhamba, kunye nenqanaba lokunyakaza
- Ingcali yomsebenzi onokukunika izixhobo, izicwangciso, kunye "nokusebenza" ukunqoba izithintelo zomzimba kwimpilo yemihla ngemihla
- Ingcali yeengqondo okanye umqondo wengqondo onokusinceda ukujongana nokuxinezeleka, ukuxhalabisa nokuxinezeleka kokuphila nesifo
- Unontlalontle onokukunceda ukuba ulandele indlela yokunakekelwa kwezempilo
Ukuxhasa inkxaso yezemfundo, awukwazi ukwenza okungcono kunokuba uphendulele kwizixhobo ezisemgangathweni zeArthritis Foundation. Uthando olusekelwe kwi-Tuscon lunikeza ilayibrari epheleleyo yokulula ukuqonda, iinqununu ezisekelwe kwisayensi zihlanganisa yonke into esuka kumachiza kunye nokutya ekuthandaneni nolawulo lwentlungu.
Ukuxhasa inkxaso, ulwazi, okanye ukuhanjiswa, biza i-Arthritis Foundation ye- hourline ye-hourline kwi- 1-844-571-INCEDO (4357) .
Inkxaso yeMali
I-rheumatoid arthritis ingaba yindleko, ingakumbi ukuba uphelelwe unyango ixesha elide kwaye udinga izidakamizwa ezitsha zityalo okanye i- JAK inhibitors . Nangona unempilo yomshuwalense, i-deductible kunye ne-copay iindleko zidla ngokukhawuleza.
Ukuchasa ezinye zeendleko ezinkulu zonyango, kukho iinkxaso zoncedo lwezemali ezifumanekayo kubantu ababini abangaqinisekisiwe okanye abo abane-inshurensi abanenkcitho enzima yokufaka iindleko zeziyobisi. Ukufikelela kule nkqubo, kukho ii-arhente ezimbini ezingekho phantsi koorhulumente oziphendukela kuyo:
- Intsebenziswano yoNcediso lweNgcaciso yintlangano engenzi nzuzo eyakunceda ukuba ufumane amayeza okanye i-arthritis ye-rheumatoid ye-arthritis yamahhala ngaphandle kwe-free if you are unuredured, underinsured, or eligible. Ulungelelwaniso lusekelwe kwingeniso yonyaka engaphantsi kwamahlanu kwiNqanaba leNtsholongwane yeNtlupheko (FPL) ngamnye umntu, isibini okanye intsapho.
- Ummeli woMmeli woMonde we-Co-Pay Relief yinto enye incedo enokukunceda ukuba ufumane uncedo lwentlawulo-mali. Uncedo lunikezelwa ngamayeza amakhulu. Ulungelelwaniso lukhulu kakhulu kwaye alubandakanyi kuphela abo abo unyango lwabo lufakwe yi-Medicare, Medicaid, kunye nezinye inkxaso-mali eziphantsi. Ulungelelwaniso ngokuqhelekileyo alusekelwe kwimali engenayo.
Inkxaso Yengqondo
Impembelelo yeempembelelo ze-rheumatoid arthritis inokuba yinto enzulu njengento ebonakalayo. Ngokukodwa xa uqala unyango, kukho ukunyuka kunye nokuhla kwezinto ezinokuba nzima ukujamelana nazo.
Kutheni ubandezeleka?
Ukuxelela umntu obathandayo oko uhambayo akukona "ukukhalaza." Kubanceda baqonde into ojongene nayo kwaye uvule amehlo abo kwiimfuno kunye nexhala. Kukwabelana ngokuvumela abanye ukuba bancede.
Kwakhona kunceda ukufikelela kwabanye abachaphazelekayo ngesifo se-rheumatoid arthritis. Amaqela enkxaso ziindawo ezifanelekileyo zokufumana induduzo, ukucebisa iingcebiso kunye nokusebenzisana nabanye ababazi kakuhle oko uhambayo. Ukuba awukwazi ukufumana iqela elisondeleyo kuwe, qhagamshelana neArthritis Foundation ukuxhuma kwiinkonzo zenkxaso kummandla wakho. Banokukunika uqeqesho ukuqala inethiwekhi yelungu lakho.
Ezinye iindlela zokuxhasa ziquka:
- Ukuqhagamshelana neqela lokuxhasa i-rheumatoid arthritis kwi-FaceBook
- Ukuqala iqela lakho lokuxhasa elihlala kwi-Meetup
- Ukukhangela uluhlu lweqela lokuxhasa kwiwebhusayithi ye-CreakyJoints ye-non-profit (okanye uluhlu lweqela lakho lokuxhasa)
Ngakolunye uhlangothi, ukuba iimvakalelo zokuxinezeleka okanye ukuxhalabisa ziqhubeka zingakhathaliseki ukuxhaswa, cela udokotela wakho ukuba ahanjiswe kwisigqirha sezengqondo okanye izifo zengqondo ezihlala zizifo ezingapheliyo
Indlela yokuphila
Izimbini ezibalulekileyo ezinokuguqulwa kweengxaki ze-rheumatoid arthritis kukunyanya nokutshaya. Ukunciphisa le mngcipheko, kufuneka udibanise ukulahlekelwa kwesisindo, ukusetyenziswa, kunye nokuyeka ukutshaya inxalenye yesicwangciso sakho sokonyango.
Iinjongo zeDiary
Nangona kungekho-arthritis ye-rheumatoid "yokutya" nganye, kukho imigaqo emininzi engakunceda kumzamo wokunciphisa umzimba kunye nokulawula iimpawu zakho ze- rheumatoid arthritis :
- Qala ngokutya okunokulinganisela okuphakathi kwezibini zesithathu zokudla kwakho kuvela kwiziqhamo, imifuno kunye neengqolowa ezipheleleyo, ngelixa elinye lesithathu liza kweemveliso ezinobisi ezincinci kunye nemithombo ephilileyo yeprotheni.
- Zama ukufaka intlanzi yamanzi ebandayo ekudleni kwakho (njengothuna, i-salmon, i-mackerel, i-trout, kunye ne-herring) enezityebi kwi- omega-3 fatty acids e-anti-inflammatory. Ukuba ukhetha ukuthatha i- oil supplement supplement , thintela ukusetyenziswa kakubi njengokuba kunokuphazamisa ezinye iziyobisi, kuquka ukunyanga kwegazi.
- Ioli yeoli ye-oliva engumnye iqulethe into ebizwa ngokuba yi-oleocanthal ekhusela i-enzyme yokuvuvukala efanayo njengama-painkillers angenayo i-nonsteroidal.
- Ukutya okuphezulu-fiber kunye nokutya kwansuku zonke phakathi kwama-25 no-30 amagremu kuyaziwa ukunciphisa amanqanaba eprotheyini esebenzayo e-C egazini lakho. Le ngenye yeemveliso ezimbini eziphambili esisebenzisa ukulinganisa ukuvuvukala kwiimvavanyo zegazi ze-rheumatoid arthritis.
Xa uqala ukuqala, qwa ga mshelana nomntu onomdla oqeqeshiweyo onokukunceda ukuba ubeke iinjongo zokunciphisa ubunzima. Ukulahleka kobunzima okukhawulezayo kunokubangela uxinzelelo oluxilisayo olunokunyusa umngcipheko we- rheumatoid arthritis flare . Ukucotha kunye nokuzinzileyo kukuhlala kuyona ndlela ihamba phambili.
Ukuzivocavoca
Unokwazi ukufikelela ekulahlekeni kwesisindo ekudleni kuphela kodwa kungeke kwenzeke ukuba ulondoloze ngaphandle kokuzivocavoca . Naluphi na isigaba sesifo sakho, ukusetyenziswa ngokufanelekileyo kunceda kakhulu, kukunyusa ukuguquguquka kokudibanisa kunye nenqanaba lesincinci ngelixa unciphisa umngcipheko wokuphindaphinda. Njengokutya, indlela efanelekileyo yokwenza okulungileyo kunokuba yinto enhle kakhulu kunokuba ugxothwe kanzima kwaye ukhuthaze ukuvuvukala.
Ngokutsho kwe-American College of Rheumatology, kukho iinjongo eziliqela omele uzibekele zona xa uqala isicwangciso sokufaneleka:
- Umsebenzi omninzi we-aerobic kufuneka uyenziwe ngeveki ukwenzela ukuba iyonke imizuzu eyi-150 isasazeka kwiintsuku eziliqela. Ukubhukuda nokuhamba yimimiselo yemisebenzi enempembelelo ephantsi eyenza isebenze i-cardio yakho ngaphandle kokugxotha amanxeba akho.
- Ukuzilolonga kufuneka kuyenziwe ubuncinane iintsuku ezintathu ukuya ezintlanu ngeveki, kubambelela nganye isithuba seemitha ezi-15 ukuya kwezingama-30.
- Isakhiwo sokomelela kufuneka senziwe ezimbini ukuya kweyesithathu ngeveki kwaye zibandakanya ukuqeqeshwa kwezi-8 ukuya kwe-10 kunye nokuphindaphinda okuphindwe kwezi-8 ukuya rhoqo. Abantu asebekhulile bangathanda ukwenza ukuphindaphinda kwe-10 ukuya kwe-15 kunye nezisindo eziphantsi.
- Ukwelula okuhamba phambili kungenziwa kwimizuzu emihlanu ukuya kwezi-10 ekuseni ukwenzela ukuba amajoyina ahambe okanye amahlanu ukuya ku-10 ebusuku ngaphambi kokulala. Unokuba ufuna ukufaka umququzeleli omnene, umlenze , kunye nokuguqa ngamadolo njengenxalenye yenkqubo yakho.
Umgulana wakho wenyama unokukunika isicwangciso esipheleleyo sokufunda ngokufanelekileyo kwiminyaka yakho kunye nemeko.
Ukuyeka ukutshaya
Ukuyeka u-cigarettes akukaze kube lula kodwa into omele uyenze xa unesifo se-rheumatoid arthritis. Njengomgaqo, udibaniso lweengcebiso kunye nezixhobo zokutshaya ziya kunika ithuba elihle kakhulu lokuphumelela kunokuba ungene kwi-turkey ebandayo. Ukongeza kwii-patino, i-gum, kunye ne-lozenges, i-US Food and Drug Administration iye yavuma izidakamizwa ezine zemithi ezinokukunceda ekufuneni kwakho:
- I-Nicotine inhalers
- Iipyotine zomnxeba
- Zyban (bupropion)
- I-Chantix (varenicline)
Inkqubo yokuyeka ukubhema ihlanganiswa yiMedicaid, i-Medicare, kunye neenkqubo ezininzi ze-inshorensi yabucala. Ukuba unesidingo senkxaso, fowuna i-American Cancer Society kwi- 1-800-227-2345 ukuba idibaniswe nomnxeba wokuyeka i-state yakho. Banokukudibanisa neqela lenkxaso kwingingqi yakho.
Iingcebiso eziSebenzayo
Musa ukuvumela i-rheumatoid arthritis yimi endleleni yakho yokuphila ubomi obuvelisayo. Ngamanye amaxesha konke kuthatha ukulungiswa okumbalwa ukunqoba imingeni yomzimba kunye nemvakalelo onokujamelana nayo. Nazi izicwangciso ezimbalwa ezinokukunceda:
- Hlela kwakhona amashalofu akho. Ukuba unenkathazo yokufikelela phezulu okanye ukugoba phantsi, faka izinto ezizisebenzisa kakhulu kwikhefu eliphantsi kwekhabhinethi okanye kwi-drawer ephezulu. Ungazifihli "kwimithetho." Akukho sizathu sokuba ungasusa izinto phantsi kwequla kwi-shelf efikelelekayo ukuba uyasindisa umzimba wakho uxinzelelo.
- Shintsha izikhundla rhoqo. Xa ubhala, khupha umthwalo wakho yonke imizuzu engama-10 okanye ukwenzela ukuba isandla sakho singagxili. Xa ubukela umabonwakude okanye usebenza kwikhompyutheni yakho, vuka ngokukhawuleza ukululaza imilenze yakho.
- Fumana izixhobo ongazisebenzisa. Kukho izinto ezininzi kunye nezixhobo ezikhoyo namhlanje ezenzelwe abantu abane-arthritis. Kukho izikiti zekhishi ezithintekayo ezenza wonke umsebenzi weglafini zakho kunye ne-anti-vibration ezivumela ukuba ubambe izibambo ngaphandle kwentlungu. Hlola iteknoloji enezixhobo ezilawulwa ngezwi ezivumela ukuba uhambe ngezandla.
- Ukugcina amandla. Ixesha lokuphumla kunye nomsebenzi nokuba usebenza kumdlalo. Cwangcisa usuku lwakho kusengaphambili ukwenzela ukuba ungibale okanye uhambe kwiintlanganiso xa unamandla amaninzi uze ufumane ixesha elithulileyo phakathi kokuhlaziya.
- Sebenzisa ukushisa ukuphatha ukuqina okuhlangeneyo. Endaweni yokufikelela kwiipilisi, hlola ezinye iindlela zokuzithutha ekuseni. Ukufudumeza kwandisa ukujikeleza kwegazi kunye nokubuyisela izicubu. Umbane okanye i-microwaveable heat pad ingaqhele ukunceda ukunqoba ubunzima obusasa kwenzeka.
- Sebenzisa okubandayo ukuphatha ukuhlasela okumangalisayo. Iqanda linciphisa ukuvuvukala ngelixa liphazamisa intlungu. Ukuba usebenzisa ipakethe ye-ice, musa ukubeka iqhwa ngqo kwesikhumba okanye ukushiya endaweni enye imizuzu engaphezu kwe-15. Ukwenza njalo kunokukhokelela kwiqabunga .
- Hlola iingqondo zomzimba. Imizimba yengqondo iyaqaphela ukuba iingcamango neemvakalelo zethu zichaphazela kokusabela kwethu kwiintlungu kunye nesimo sethu sobume bentlalo. Ezinye zeendlela eziqhelekileyo ezisetyenziswa ukuxhasa unyango lwe-arthritis ye-rheumatoid ziquka ukucamngca , imifanekiso ekhokelwayo, i- biofeedback , ukuphumla kwemisipha yokuqhubekayo (PMR), kunye nokusebenzisa ukuphefumula (pranayama).
> Imithombo:
> Isiko seSizwe seMicrothelo eSebenzayo kunye noNyango. Ingxelo yoPhando: I-Rheumatoid Arthritis kunye neNcedisi yeMpilo. "UBetdada, eMaryne; hlaziywa ngoMeyi 4, 2016.
> 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 .
> 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.