Indlela Iindlela Zonyango ezitshintsha ngayo kwiSigaba seSifo sesi-3
I-rheumatoid arthritis yisifo esibangela ukuvuvukala kwesifo sokuzikhusela komzimba ekuhlaseleni ngokungaqhelekanga isixhobo samanzi omzimba esilungisa izilwanyana. Isizathu saso asiyazi ngokupheleleyo kodwa sikholwa ngokusondeleyo kwimfuza.
Amacandelo okuLawula nokuLungisa iziTyhulwa ukuba izigidi ezili-1.5 zeziMerika zichaphazelekayo yi-arthritis ye-rheumatoid eneempawu ezivela kwiintlungu zentsuku kunye nentlungu yokukhubazeka okukhulu.
Xa iimpawu ze-rheumatoid arthritis zinzima, oogqirha baya kuthatha isenzo esinobudlova ukunciphisa ukuvuvukala nokukhusela impendulo yomzimba. Ukuba ishiywe ingaphendulwa, i-rheumatoid arthritis inokuchaphazela ngaphezu kokuhamba kwakho; iziphumo zayo ezivuthayo zingabangela ingxaki enzulu kwezinye iindawo zomzimba, ngokunjalo.
Ubunzima be-arthritis ye-rheumatoid ihlanganiswe ngamagangatho, kunye nesigaba esinye sisona sinzima kakhulu kwaye sesine sigaba sineyona nto.
Ukufanisa i-Rheumatoid Arthritis
Xa uhlola ubunzima be-rheumatoid arthritis, oogqirha baya kuqwalasela iimpawu zakho, umgangatho wokudibanisa kunye, kunye nefuthe kumsebenzi wakho wenyama ukuze kulungiswe kangcono inkqubo yokonyango.
Iimpawu zesifo se-rheumatoid esinamandla ziquka intlobo ephakamileyo yentlungu, ubunzima , kunye / okanye ukuvuvukala kwamalungu athintekayo. Unokuba neengxaki ekusebenzeni imisebenzi yemihla ngemihla okanye amava okukhubazeka kwamajoyina e-arthritic, ngakumbi ezo zandla .
Impendulo evuthayo inokuchaphazela ezinye izitho, ezikhokelela kwiimpawu zenkqubo ezifana nokukhathala okuqhubekayo, i- pericarditis (ukuvuvukala komlenze ojikeleze intliziyo), i- vasculitis (ukuvuvukala kwemithambo yegazi), kunye ne- pleuritis (ukuvuvukala kwimbumba yemiphunga).
Ubunzima beempawu ze-rheumatoid arthritis zichaphazela ngqo umntu ukuba asebenze kwaye zinokuchaphazela nokukwazi ukusebenza komntu.
Ucwaningo olwenziwa ngo-2008 oluvela kwiYunivesithi yaseBoston lubonise ukuba, nangona kuphuculwe kakhulu iziyobisi ze-biologic kunye nokunyanga, ukuqhubeka kwesi sifo kudibaniswe nokunyuka kwamazinga omsebenzi ngaphambi kokuba uneminyaka engama-65 echaphazela:
- Amaphesenti angama-23 abantu abadala abanesifo se-rheumatoid arthritis omnye ukuya kwiminyaka emithathu
- Iipesenti ezingama-35 zalabo abaye bahlala nesi sifo ubuncinane iminyaka eyi-10
- Ipesenti ezingama-51 zalabo abaye bahlala nesi sifo ubuncinane iminyaka engama-25
Ukufumanisa i-Arthritis eninzi yeRheumatoid
Nangona uvavanyo lweemvelo, izifundo zokucinga, kunye neemvavanyo zelabhu ziphambili ekuqaliseni ubunzima beemeko zakho, ngokunjalo, ziyiyo imbono yakho yentlungu kunye nokukhubazeka. Enyanisweni, oku kubaluleke kakhulu njengeminye imvavanyo ekuqaliseni isicwangciso sakho sokugqibela.
Abanye abantu, umzekelo, baya kubonakalisa umonakalo ongaphantsi komzimba kwiimvavanyo zeebhanki kodwa banombono ophezulu wokukhubazeka ophantse uguqulela amanqanaba okonakalayo nokudakumba.
Ngokwahlukileyo, umntu onomonakalo omkhulu unokuhlala esebenza kakuhle kwaye engcono ukukwazi ukujamelana nayo. Ngoxa le nto ayiyi kubandakanyeka unyango olongezelelweyo (ukuba kuphela ukucotha ukukhula kwesifo nokukhusela isifo se-systemic), sinokukhetha ukuba zeziphi iintlobo zonyango olongezelelweyo (kubandakanya ukuzivocavoca okanye unyango lomzimba ) luya kuba lufanelekileyo.
Ukuvavanya ukukhubazeka kwakho okusebenzayo, oogqirha baya kuqhuba uphononongo lokuzihlola, njenge-Questionnaire ye-Health Assessment, apho uya kucelwa ukuba ulandele imizwa yakho, inqanaba lentlungu kunye neqondo lokukhubazeka.
Ukuba ubhekene nesifo se-rheumatoid esinamandla, nayiphi na inqanaba lokukhubazeka, ingcali ye- rheumatologist ingadinga ukujongana nokunyamekela kwakho. La oogqirha banokuqonda ngokubhetele ukuguqulwa kwezifo eziqhubekayo kwaye ziyakwazi ukubonakaliswa kwezilwanyana zangoku okanye zonyango.
Unyango lwe-Rheumatoid Arthritis
Izigaba zesifo se-rheumatoid arthritis zichazwa nje ekuqaleni (isigaba esisodwa), esilinganiselweyo (isigaba ezimbini), kwaye sinzima (isigaba 3).
Isigaba sesine sithathwa njengesifo sokuphela kwesiganeko xa inkqubo yokuvuvukala iphela kwaye amajoyina ayeka ukusebenza ngokupheleleyo.
Ukuthintela ukuqhubela phambili kwinqanaba lesithathu ukuya kwezine, unyango luya kuxhomekeka kwimichiza enamandla. Kukuphi okudlulileyo, unokufumana ukukhululeka kwentlungu kunye ne-anti- stroidal anti-inflammatory drugs (NSAIDs) , ngoku ungadinga i- cortisone shots kunye / okanye i-painkillers ezinamandla ukufumana impembelelo efanayo.
Ukongezelela, ugqirha wakho uya kufaka udibaniso olwahlukileyo lweemithi ezijolise ekunciphiseni umsebenzi wesifo. Ezi ziquka:
- Izidakamizwa zokuguqula izifo ezibulala izifo (DMARD) eziquka i-methotrexate, i-hydroxychloroquine, i-sulfasalazine, i-leflunomide, i-cyclophosphamide kunye ne-azathioprine
- Iziyobisi ze-biologic ezijojoweyo okanye ezithunyelwa ngokunyuka kwamanzi ziyakuchukumisa impendulo
- I-JAK inhibitors , icandelo elitsha le-DMARD, elivimba iJanus kinase (JAK) iindlela ezibandakanyeka kwimpendulo yomzimba
Kwezinye iimeko, utyando lungafuneka kwiindawo ezinobungozi kunye nokubuyisela ukuhamba kunye nohlu lokuhamba kwintlanganiso echaphazelekayo.
> Imithombo:
> Allaire, S .; Wolfe, F .; Niu, J. et al. "Ubuninzi bexesha eliqhelekileyo kunye nesiganeko sokukhubazeka emsebenzini okuhambelana ne-rheumatoid arthritis e-US." Arthritis Rheum. 2008; 59 (4): 474-80. INGXELO: 10.1002 / ubugcisa.23538.
> Amacandelo okuLawula nokuLawula izifo. " Irheumatoid arthritis ." Atlanta, Georgia; hlaziywa ngoJulayi 17, 2017.