Phakathi kweempawu zokulumkisa ze-arthritis
Izibonakaliso zokuqala zesifo se-arthritis zingabandakanya intlungu edibeneyo, ukuqina okuhlangeneyo, ukuvuvukala kunye kunye nokufudumala. Idibaniso elifudumele okanye elitshisayo libhekiselele kumxube ofudumele kumgca. Kukho imiqathango emininzi enxulumene nokubambisana okufudumeleyo, ezinye zazo zizinzulu. Kufuneka uqhagamshelane nogqirha wakho ukuze uxilongwe ngokuchanekileyo. Ziziphi iimeko?
Ukuthetha ngokuqhelekileyo, ukufudumala kukubonisa ukuvuvukala okusebenzayo.
Kukho iimeko ezininzi ezinokuthi zidibaniswe ngokubambisana okufudumeleyo, kuquka:
- Iintlobo ezivuthayo zesifo se-arthritis (umzekelo, isifo se-rheumatoid arthritis)
- Isifo samathambo eSeptic
- Arthritis esebenzayo
- I-Gout okanye ipseudogout
- Isifo seLyme
- I ngxaki
Ukufumanisa ukudibanisa okufudumeleyo
Ukwahlula phakathi kwezi meko, ugqirha uya kwenza uvavanyo lwangaphakathi. Ngokubambisana ngokufudumele, ugqirha uya kuhlolisisa amanxeba akho ngeempawu zokuvuvukala, ubomvu, kunye nobubele. Ukuba kukho ubomvu, kunye nokufudumala, ugqirha wakho unokurhoxisa i-arthritis ye-septic okanye i-gout. Ukuvuvukala kukubonisa ukuvuvukala okusebenzayo okanye ukuxuba okuhlangeneyo . Ukuba ububele buhlala kwindawo leyo, kunokubhekisela kwi- bursitis okanye ukulimala kwemisipha. Uluhlu lwesincumo luya kuhlolwa (ugqirha wakho uhamba kunye) kunye nentshukumo (uhamba kunye). I-arthritis ye-Septic idibaniswa kunye nenqanaba elincinci lokunyuswa, elidla ngokukhawuleza.
Uviwo luyakubonisa ezinye iimpawu ezibonakalayo zezifo, ezinjengeengqungquthela ze- rheumatoid okanye i- gout tophi . Ukukhawuleza, okubizwa ngokuthi i-erythema migrans, ngokuqhelekileyo kuhamba nesifo seLyme kwaye kuyona nto ibalulekileyo. Le ngqungquthela inokuthi ilandele i-arthritis ngeenyanga okanye iminyaka.
Ugqirha wakho uya kuqwalasela nokuba ngaba iqabane elilodwa lichaphazelekayo okanye amaninzi amaninzi.
Xa iqabane elilodwa lichaphazelekayo, elibizwa ngokuthi i- monoarthritis , isifo se-articritis kunye ne-gout ziyakhankanywa. Xa idibene enye ichaphazelekayo, i-arthritis esebenzayo kunye ne-rheumatoid arthritis yizona zikhankanya.
Ngoxa zonke iimpawu ezibonakalayo ziqokelelwe ngexesha loviwo lweempawu zibalulekile kwaye zinceda ekuqulunqeni ukuxilongwa, ugqirha wakho uya kufuneka ukuba afune ukufumana ulwazi oluninzi. Uluhlu oluhlangeneyo luvavanywa kwibhubhoratri. Ukubonakala komfutho ohlangeneyo, uvavanyo lwezinto ezincinci (ukukhangela iikristali kunye neebhaktheriya), kunye nokuhlalutya kweekhemikhali kunokutyhila.
Ezinye iimvavanyo zelabhoratri zinokuyalelwa kwakhona, njengexabiso elipheleleyo legazi, isantya sesantya , i- CRP , i- uric acid , i- rheumatoid factor . Kanye kunye nokuhlolwa kwegazi okukhankanywe ngasentla, ugqirha wakho unokucela ukufundiswa kweengcamango zengxube echaphazelekayo, njenge-x-ray, i-MRI, i-CT scan, okanye i-ultrasound.
Ukunyangwa koBumbano olufudumeleyo
Nangona ukudibanisa okufudumeleyo akusikho ukufumana okuqhelekileyo, isizathu kufuneka sinyathelwe phantsi ukulawula izimo ezinzulu. I-articritis ye-Septic, imbangela ebaluleke kakhulu yokudibanisa okanye ukutshatyalaliswa okukhulu, inxulumene nokufa kwa-11%. Ingxenye yesithathu yezigulane zesifo se-arthritis zihlakulele umonakalo ohlanganyelweyo.
Ukulandela ukufunwa kunye kunye nokuchongwa kwe-arhente echaphazelayo, unyango lwe-antibiotic lubaluleke kakhulu kunyango oluphumelelayo lwe-arthritis ye-septic. Ukuba umntu ochaphazelekayo osulelekileyo uye wabandakanyeka, ugqirha wesifuba kufuneka uxoxwe. Ayikho ixesha lokuchitha inkunkuma xa kuqikelelwe imbangela yokubambisana okufudumele kunye nexesha elincinci lokuchitha xa isifo sisifo.
Ngaphantsi
Ukuxilongwa ngokuchanekileyo kunye nophatho olufanelekileyo lokubambisana olufudumeleyo kubalulekile. Ukubambisana okufudumele akufanelekanga, ingakumbi ukuba ifike ngokukhawuleza kwaye iye yachaphazela kakhulu intlobo yesindululo okanye ukukwazi ukubeka ubunzima kuyo.
Imithombo:
Isikhokelo soLawulo lokuThuthuka okuThuthukileyo kuBantu abadala ngokugxininisa ngakumbi kwi-Septic Arthritis. Umbhalo we-Antimicrobial Chemotherapy. Weston kunye neCoakley. Julayi 19, 2006.
https://academic.oup.com/jac/article/58/3/492/748748/Guideline-for-management-of-the-hot-swollen
Joint Hot Joint. UCalin A. noFries J. Umbutho waseMerika weMathematika yezoPhando kunye noBucholo. Oktobha 1976.
http://www.ncbi.nlm.nih.gov/pubmed/975758
Amathumba atshisayo. Patient.co.uk. UDkt Laurence Knott. 3/22/2010.
https://patient.info/doctor/hot-swollen-joints