I-Symptom eqhelekileyo ixoxwa ngokukhawuleza
Ukukhathala kuchaphazela kakhulu abantu abane-rheumatoid arthritis (RA). Uninzi lwabantu luyazi ukuba i-RA idibene nentlungu kunye kunye nokuqina okuhlangeneyo . Ngokuphosakeleyo, abantu bacinga ukuba uhlala kwindawo enye okanye amaninzi amaninzi achaphazelekayo ngenxa yoko kuba ngumda. Inyani, i-RA sisifo sesistim , esichaza ukuba isifo sichaphazela umzimba wonke, kungekhona nje amajoyina.
Leyo yimeko kunye neentlobo ezininzi ezivuthayo ze-arthritis okanye ezinye izifo ezivuthayo.
Nangona igalelo layo kubantu abane-RA, ukukhathala kungumqondiso ongabonakaliyo, okwenza kube nzima ukuchaza, ukuxoxa okanye ukulungisa. Ukongeza kuloko ukuhluka kokukhathala-kuyahlukahluka kumntu kumntu kunye nakumntu ngamnye. Ngokwe- Arthritis Research and Therapy (2015), ukukhathala yingxaki phakathi kwama-40 ukuya kuma-80 ekhulwini abantu abane-RA okanye i- spondyloarthritis . Ukukhathala kunzima kuma-75 ekhulwini wezigulane ezine-spondyloarthritis kunye neepesenti ezingama-50 zalabo abane-rheumatoid arthritis.
Ukukhathala kwi-Rheumatoid Arthritis kuchazwe njani?
Ukukhathala yimeko yokuxhalaba ehamba kunye namandla ancitshiswayo, ukukhathazeka, ukuphazamiseka , ukuthukuthela, nokulala. Kukhona inkalo engqondweni, ngoko ukukhathala kuninzi ukudinwa okulula kuninzi abantu abanamava. Ngokudinwa ngokuqhelekileyo, ixesha lokuphumla lanele ukubuyisela.
Kodwa nge-RA okanye ezinye izifo ezivuthayo, ukuphumla akunakwaneli ukuzisa ukuphulukana nokukhathala.
Yintoni Edala Ubuthathaka kwi-Rheumatoid Arthritis?
Umbutho owaziwayo ukhona phakathi kokukhathala nentlungu. Amanqanaba aphakamileyo entlungu ahambelana nomgangatho ophezulu wokukhathala. Ubudlelwane phakathi komsebenzi wesifo kunye nokukhathala, nangona kunjalo, alusekwe kakuhle kwiincwadi zonyango.
Abaphandi bacinga ukuba ukukhathala kwi-RA kukudibanisa. Nangona ukukhathala okuhambelana ne-RA kunokunxulumana neempawu ezithile zesifo, kuquka intlungu, ukuvuvukala , umsebenzi wesifo, kunye nomonakalo odibeneyo, kunokunxulumene nemimandla yomsebenzi wenyama, njengokukhubazeka, umgangatho obunxulumene nempilo nobomi kulala. Kusenokuba nobudlelwane neengxaki zengqondo okanye zengqondo, ngokunjalo, njengokudandatheka okanye ukuxhalabisa. Ezinye izinto, kubandakanya ubudala, isini, okanye imeko yomsebenzi inokuba negalelo ngokunjalo.
Ekuphonononongweni kweengcaphephe ezaziqwalasela isizathu esinokubangela ukukhathala kwi-RA, eshicilelwe kwi- Arthritis Care and Research ngo-2013, abaninzi bafumana ubudlelwane phakathi kwentlungu kunye nokukhathala. Izifundo ezimbalwa azizange zenze, mhlawumbi ngenxa yokuyila. Umsebenzi ovuthayo, njengokuba kuboniswe ngedinga lokutywina okanye iDAS28 , akazange abonise inxaxheba ecacileyo ngokukhathala kwi-RA. Ngeempawu zobuntu, ubude bexesha umntu ayenayo RA babonakala behambelana nokukhathala. Ukusebenza ngokomzimba kunye nokukhubazeka, kunye nobungakanani bokulala, kwafunyaniswa ukudibanisa nokukhathala kwi-RA. Ukuxinezeleka kwakuyinxalenye ebalulekileyo kwizifundo ezininzi ezaziqwalasela imbangela yokukhathala kwi-RA.
Ngoko, kubonakala kungekho nanye, isizathu esibonakalayo sokukhathala kwi-RA.
Kungenxa yeziganeko ezigqithisiweyo kunye nezizathu ezingundoqo, ubuninzi obubandakanya intlungu, ukukhubazeka (umsebenzi owenziwe ngokwenyama), kunye nokudandatheka.
Ngaba iRheumatologists Idilesi yokukhathala?
Izigulane ezininzi azivelisi ukukhathala xa zi tyelela i- rheumatologist , mhlawumbi ngenxa yokuba becinga ukuba yinxalenye yesifo kwaye loo nto ingenziwa. Ngokweziphumo zophononongo ezipapashwe kwi- Clinical Rheumatology ngo-2008, ngelixa ezininzi i-rheumatologists zivakalelwa kukuba ukukhathala kufuneka kulungiswe nangona intlungu ilawulwa kakuhle, abaninzi banomuvo wokuthi abanye abaqeqeshi bezempilo bajongene nayo. Iziphumo zophando zibonise ukuba iipesenti ezingama-72 ze-rheumatologists zixhomekeke ngokukhathala ngexesha lokubonisana kokuqala kwesigulane, ngelixa le nto yawela kuma-33 ekhulwini ukuze kuxoxwe.
Unxibelelwano olungcono malunga nokukhathala, kwimeko yesibini isigulane kunye nodokotela, kuyadingeka ngokucacileyo.
Yintoni Enokuyenza?
Ukususela kwimbono yezokwelapha, ukunciphisa ukuvuvukala kwi-RA okanye ezinye izifo ezivuthayo kunokunciphisa intlungu kunye nokukhathala. Amanqanaba okwandisa ama- cytokines angama-pro-inflammatory (IL-1, IL-6, TNF-alpha) ingabandakanyeka, ngoko ukulawula ukuvuvukala kukuphambili.
Imithombo:
Repping-Wuts et al. Ulwazi lwe-Rheumatologists, isimo sengqondo ukuphathwa kwangoku kokukhathala kwizigulane ezine-rheumatoid arthritis (RA). Rheumatology Clinic . 2008; 27: 1549-55.
Louati et al. Ukukhathala kwi-inflammation engapheliyo-unxibelelwano kwiindlela ezibuhlungu. Uphando lwe-arthritis kunye neyeza . 2015; 17: 254.
Nikolaus et al. Ukukhathala kunye neengxaki ezinxulumene nokukhathala kwi-Rheumatoid Arthritis: Uhlolo lokuHlola. Ugqirha lwe-Arthritis noPhando . 2013; Vol. 65. 1128-1146.
Pollard LC et al. Ukukhathala kwi-rheumatoid arthritis kubonisa intlungu, kungekhona isifo somsebenzi. Rheumatology (Oxford) 2006; 45 (7) 885-889.
Wolfe F et al. Ukukhathala, i-rheumatoid arthritis, kunye ne-anti-tumor necrosis yonyango: uphando kwizigulane ezingama-24,831. Journal of Rheumatology . 2004; 31 (11): 2115-2120.