Ngaba Ingxaki Ukufumana Ingqalelo Efanelekileyo?
Ukukhubazeka ngokwesondo akuqhelekanga nge- rheumatoid arthritis (RA) . Ngokutsho kwe-rheumatologist.org, ngaphezu kwesigamu sabo bonke abantu abane-rheumatoid arthritis banenkinga yokulala ngesondo. Nangona inani labantu abachaphazelekayo, abaninzi oogqirha kunye nezigulane abazixubusha.
Ukwabelana ngesondo luyinxalenye ebalulekileyo yobomi kunye nolwalamano oluzimeleyo. Ukuba kukho ukungasebenzi kwezesondo, akufanele kuhoywa.
Ngaba kufuneka silindele ukuba oogqirha bacele ukuba sineengxaki zesini? Okanye, ngaba isigulane sokuba isigulane sichaze oko kwenzekayo? Nangona iqondo lesigulane yesigulane sinokubaluleka kokubambisana kwe-rheumatology, mhlawumbi ugqirha okanye isigulane sinokukhetha ukuxoxa ngeengxaki zesibini kunye neziphumo. Akunandaba ukuba ubani okhuphayo, ngokungakhathaliseki ukuba umntu wenza ntoni.
Kuninzi kunokwenziwa ukunceda abantu abane-rheumatoid arthritis. Ukwabelana ngesondo kunye nobulili akufanele kube yinto edlulileyo okanye imemori nje. I-rheumatoid arthritis akufanele ikunyanzele ukuba ususe ulwalamano oluthile nobomi bakho. Isinyathelo sokuqala kukufumanisa nokuqonda iingxaki ezinokuthi, kwaye ukuchonga ukuba ukusetyenziswa kakubi ngokwesondo kungenxa yemicimbi yenyama okanye yengqondo. Emva koko, qhubela phambili ukufumana izisombululo.
Umsebenzi oqhelekileyo wezesondo ngeshintsho ngokusebenzisa izigaba ukususela ekuvukeni. Kufuneka kudibaniswe nomvakalelo wokuzonwabisa kwaye uneliseko kwaye unelisekile.
Ukungasebenzi kwezesondo kunokuphazamisa inkqubo eqhelekileyo ngasiphi na indlela endleleni.
Izinto eziphathekayo ezixhumene nokuxhatshazwa ngokwesondo kunye neRumatoid Arthritis
Izinto eziphathekayo zithintela ekusebenzeni kwangempela kwesondo. Ngezinye amaxesha kubhekiswe ukukhubazeka ngokwesondo. Izinto ziquka:
- Intlungu edibeneyo (impembelelo yentlungu edibeneyo kwimisebenzi yesondo ihambelana nesifo sobunzima)
- Ukukhathala (inqanaba lokukhathala kunye nefuthe layo lihambelana nesifo sobunzima)
- Ukunciphisa umzimba (ubunzima ngezikhundla ezithile, ngokuqhelekileyo kuxhamle ukuxhamla kunye nokubandakanya kwamadolo)
- Ubume obumileyo ( inokudibana ne- Sjogren's syndrome )
- Imiphumo emibi yezobisi
- Ukungasebenzi kwe-Erectile
Izinto ezinokwenziwa kwengqondo ezinxulumene nokungaxhatshali ngokwesondo kunye ne-Rheumatoid Arthritis
Iingqondo zengqondo zithintela umnqweno wokuba noqhagamshelwano ngesondo, kunye nokwaneliseka kokusebenza ngokwesondo. Izizathu zengqondo ziquka:
- Uxinzelelo (oluhambelana nokufumana isifo esingapheliyo;
- Umfanekiso omzimba ongezantsi, ukuzithemba okuphantsi , ukungabi nantoni (kungabandakanywa nokufumana ubunzima okanye ukukhubazeka)
- Ukuxhalabela malunga neli qabane elicinga ngayo kunye nevakalelo
- Ukunciphisa i-sex drive / low libido
Imiphumo yeMithi
Ngokwe-American College of Rheumatology, ngokuqhelekileyo amayeza asetyenziswa ukunyanga i-rheumatoid arthritis ayichaphazeli umsebenzi wesini. Nangona kunjalo, kukho iziganeko zokungasebenzi kakuhle kwe-erectile ezichazwe kubantu abaye baphathwa nge- methotrexate , i- Azulfidine (sulfasalazine) kunye ne- Plaquenil (i-hydroxychloroquine) . ILibido inganciphisa ngenxa yokuthatha i- Voltaren (i-diclofenac) okanye iPaprosyn (naproxen) .
Amachiza okuxhatshazwayo anganxulumaniswa nokulahleka komnqweno kunye nobunzima be-orgasm.
Dysfunction Erectile
Ngokweziphumo zophando ezishicilelwe iqela lophando lwase-Ireland, eziye zagqitywa kwintlanganiso yonyaka ka-2009 we-American College of Rheumatology, ukungaxilisi kwe-erectile kuqhelekileyo kubantu abanezifo ze- rheumatic , ingakumbi i-rheumatoid arthritis, xa kuthelekiswa nomphakathi jikelele. Abaphandi baphinde badibanisa nokufumana ingozi yentsholongwane yengqondo kubantu abanesifo se-rheumatoid arthritis. Njengokuba kunjalo, abaphandi bathi u-erectile disysction "i-harbinger eyaziwayo" yesifo senhliziyo kwisigulane se-rheumatoid arthritis.
Olunye uphando, olushicilelwe kwi-Rheumatologist yaseYiputa ngo-2013, lubonise ukuba i-rheumatoid arthritis inokuphazamisa amanqanaba e-serum androgen enokubangela i-erectile dysfunction. Uphononongo lufumene ulwahlulo olubalulekayo kumanqanaba e-serum DHEA (dehydroepiandrosterone sulfate), i-testosterone epheleleyo kunye nekhululekile xa kuthelekisa amadoda ne-rheumatoid arthritis kwiqela lamadoda aphilileyo.
Ukunyangwa koxhatshazo ngokwesondo oluhambisana neRheumatoid Arthritis
Unxibelelwano kufuneka lusephambili naluphi na isicwangciso sonyango sokungasebenzi kakubi ngokwesondo kunye nesifo se-rheumatoid arthritis. Ukuba izisombululo zifunyenwe, isiguli kufuneka sikwazi ukuchaza iingxaki ezithile kumgqirha wazo. Kubalulekile ukuthetha ngokukhululekile kunye neqabane lakho. Kuya kukwazi ukunqoba izinto ezifana nokwesaba ukubangela / ukongezelela intlungu yakho okanye ukufumana izikhundla ezifanelekileyo ukuba uxoxe kwaye wenze umgudu.
Kukho iindlela zokunyangwa ukuba ugqirha wakho uya kuncoma, njengokuthatha imilenze ye-analgesic , ukushisa (ishafu eshushu okanye i-blank blanket), kunye ne- relaxation- mustim-ngokukodwa, ngeyure yezinto zesondo. Cinga uluhlu lwezenzo zokunyakaza , nazo, ezinokufundiswa kuwe nguthambo lomzimba. Nantoni na into enokusebenza ngayo ukukhupha umzimba wakho iya kuba luncedo.
Ukwabelana ngesondo akukhona nje isenzo sokulala. Nangona ukuzimisela ukwenza ubuchule kunokusebenza ngokukholiswa kwakho, khumbula ukuba ukuthinteka, ukubamba, ukubamba, kunye nokuqhaqhaqhayisa zonke izinto ezibalulekileyo. Ungalibali ukuba iimvakalelo zakho zidlala, nazo. Ukuba uziva uthandwayo kwaye ubonisa uthando, nangayiphi na indlela, uhamba ngendlela efanelekileyo kwaye unokuphumeza ubunzima obuninzi, kwiimeko ezininzi.
Ngo-2016 Intlanganiso EHLAWULILEYO Yongezeleleke ukungasebenzi kwezesondo kunye ne-Rheumatoid Arthritis
Ngo-2016 iYurophu yaseYurophu echasene neRheumatism Annual Congress (EULAR), iziphumo zophando zinikezelwe ukuba ukuchithwa kwezesondo kubonakale kwisifo se-arthritis esingaphezu kweyesithathu kwisifo se-rheumatoid esisemagqabini asesigxina. Nangona iimeko ezinokuthi zibandakanyeke, kwakungekho nxu lumano oluphawulekayo phakathi kokungasebenzi kwezesondo kunye nomsebenzi wesifo sesifo se-arthritis (oko kukuthi, ukungasebenzi kakuchaphazeli umsebenzi wesifo). Unxibelelwano lufunyenwe phakathi kokungabikho ngokwesondo kunye nomsebenzi wesifo, nangona kunjalo.
Abaphengululi baphinde bahlalutye iimeko zokurhoxisa, izinto ezidlulileyo, kunye nokugcinwa kwezinto ezinxulumene nokuxhatshazwa ngokwesondo kunye ne-rheumatoid arthritis. Izizathu ezinqamlekileyo zibandakanya:
- Ukungathembeki (ama-33 ekhulwini kwabasetyhini; ama-6 ekhulwini amadoda)
- Ukungaqiniseki (amaphesenti angama-32 amabhinqa; ama-16 ekhulwini amadoda)
- Izizathu zenyama (ama-17 ekhulwini kwabasetyhini;
Izinto ezibandakanyiweyo ziquka:
- Utshintsho lwezithombe (ama-14 ekhulwini kwabasetyhini; ama-21 ekhulwini amadoda)
- Ukungathembeki (ama-13 ekhulwini kwabasetyhini; ama-7 ekhulwini amadoda)
- Ukuxhalabisa (iipesenti ezimbini zabasetyhini kunye nama-2 ekhulwini amadoda)
- Ukulahleka kwekhangelo (i-1.4 ekhulwini yabasetyhini; i-10 ekhulwini yamadoda)
Ukugcinwa okanye izinto eziqhubekayo zibandakanya:
- Izizathu eziphilayo okanye ezibonakalayo (ama-11 ekhulwini kwabasetyhini; ama-15 ekhulwini amadoda)
- Ukungathembeki (ama-9 ekhulwini kwabasetyhini; ama-4 ekhulwini amadoda)
- Utshintsho kulwalamano (ama-9 ekhulwini kwabasetyhini; ama-19 ekhulwini amadoda)
- Ukungasebenzi kwezesondo zobudlelwane bezesondo (ama-3 ekhulwini kwabasetyhini; 0.8 ekhulwini lamadoda)
- Ukuxinezeleka okanye uxhalaba (1.9 ekhulwini kwabasetyhini; ama-5 ekhulwini amadoda)
Ubudlelwane phakathi kokuphazamisa, ukulungiswa kwamanzi, okanye ukulungiswa kwemisebenzi kunye nezifo zesifo akuzange kubaluleke.
ILizwi
Akukhona nje kuphela ukungasebenzi kwezesondo ezingaxoxwa rhoqo phakathi koogqirha kunye nezigulane ze-rheumatoid arthritis, ayibonakali kwiimviwo zeempilo ezisetyenziselwa ukuvavanya umzimba kunye nomgangatho wobomi. Ngokucacileyo, ukusekwa kwezonyango kufuneka kusebenze kuloo nto. Umsebenzi wakho kukugxila kwizinto onokuzenza ukuze unqobe ukungasebenzi kwezesondo, emva kokuqaphela imiba.
> Imithombo:
> Holzman, uDavid C. Rheumatologists Anganceda iziguli ezine-Arthritis I-Rheumatoid Arthritis Ukuyithintela izithintelo zoSondo. I-Rheumatologist. Julayi 1, 2014.
> Leong, Amye, MBA. Zesondo kunye neArthritis. Ikholeji yaseMerika yaseRheumatology. Epreli 2015.
> Nasr, Mohamad Mahmoud et al. Ukusebenza ngokwesondo kwi-Rheumatoid Arthritis Patients - Ingxaki engaboniyo. Rheumatologist yaseYiputa. (2013) 35: 201-205.
> Stein, Jill. I-ED, i-Rheumatoid Arthritis ingaxhunywa. News Renal & Urology News. Disemba 10, 2009.
> Tristano, Antonio G. Impact ye-Arthritis ye-Rheumatoid kwiSebenzi yezesondo. IJela Yehlabathi Ye-Orthopedics. Ngo-Apreli 18, 2014: 5 (2) 107-111.