I-Arthritis Ithinta Ngesigamu Sabantu Abanesifo Seshukela
I-arthritis ithinta abantu abangaba ngu-50% abanesifo sikashukela . Abantu abanesifo sikashukela bavame kabili ingozi yokuba nesifo samathambo uma kuqhathaniswa nalabo abangenayo isifo sikashukela. Lokho kuyizibalo eziphawulekayo ngoba i-arthritis ingaba yisithiyo somsebenzi ongokomzimba ongazuza kuzo zombili izimo. Ngokwezikhungo zokulawulwa nokuvimbela izifo (CDC), cishe ingxenye eyodwa kwezintathu kulabo abanesifo sokudla kwesifo sikashukela nesifo sikashukela noma abazisebenzisi.
Futhi, abantu abadala abanezimo ezimbili zombili babengama-30% amathuba okuba angasebenzi ngokwedlula labo abanesifo sikashukela kuphela.
I-rheumatoid Arthritis, i-Osteoarthritis, nesifo sikashukela
I-arthritis ye-rheumatoid ne- osteoarthritis zombili zihambisana nesifo sikashukela, kodwa ngezindlela ezahlukene:
- I-Type 1 yesifo sikashukela (esabizwa ngokuthi yisifo sikashukela sabantu abesilisa) sibhekwa njengesifo sokuzimela , njengesifo samathambo. Kuziguli ezine-type 1 yesifo sikashukela, umzimba uhlasela ama-pancreas futhi awukwazi ukukhiqiza i-insulin eyanele. Ku-arthritis ye-rheumatoid, i-synovial lining (okungukuthi, uhlaka lwamalungu) - futhi kwezinye izimo, izitho - zihlaselwa umzimba. I-arthritis ye-rheumatoid isifo sesistimu . Amakhwala okuvuthayo aphakanyiswe ezigulini ezine-diabetes ye-type 1, kanye neziguli ezine-arthritis ye-rheumatoid.
- Kukhona ubudlelwane phakathi kwe-osteoarthritis nohlobo lwesifo sikashukela sesi-2 (esibizwa ngokuthi isifo sikashukela sabantu abadala). Ngokusho kwe-American Diabetes Association, uhlobo lwesifo sikashukela sesibili luyisimo esivame kakhulu sesifo. Ngesifo sikashukela sohlobo lwesibili, umzimba awusebenzisi kahle i-insulin - eyaziwa ngokuthi ukumelana ne-insulin. Ekuqaleni, ama-pancreas akhiqiza i-insulin eyengeziwe ukuze ahlawule. Nokho, ekugcineni, ama-pancreas akakwazi ukukhiqiza i-insulin eyanele ukuze agcine amazinga ajwayelekile egazi le-glucose. Isici esivamile kokubili i-osteoarthritis bese uthayipha u-2 ngesifo sikashukela? Ukukhuluphala. Njengoba nje ukugqithisa ngokweqile nokukhuluphala kuyaziwa ukuthi kugxila amalunga, kuyathwala izitho. I-pancreas iphoqeleka ukuba ikhiqize inani elengeziwe le-insulin ukulawula ushukela owedlulele. Amakhemikhali avuthayo akhululwa ngamaseli amafutha. Ngesinye isikhathi, umzimba awukwazi ukulawula okungekho ebhalansi.
Iziphumo zokucwaninga ziye zaphakamisa ukuthi ukuvuvukala nokuxhaswa kwe-insulin kuxhunyiwe noma kuhlobene - futhi kokubili kuhlotshaniswa nengozi ye-cardiovascular, futhi. Ukwelashwa okusetshenziselwa ukuvuvukala okuncane, okufana ne- DMARD (izidakamizwa zokuguqula izifo ezivimbela isifo) kanye nama- block block ye-TNF , kunganciphisa ingozi yesifo sikashukela sohlobo lwabantu kubantu abane-arthritis ye-rheumatoid.
Izifundo eziningi ziyadingeka.
Ucwaningo olwenziwe ngoJanuwari-Februwari 2015 lwe- Rheumatology ye- Clinical and Experimental , lwahlola imiphumela yezifundo ezingu-11 zokulawulwa kwamacala nezifundo ezingu-8. Isiphetho esivela ku-meta-analysis sasiwukuthi i-arthritis ye-rheumatoid yandisa ingozi yomhlobo wokuqala nohlobo lwesibili lwesifo sikashukela. Futhi, kukhona ucwaningo olungaphezulu olwenziwe.
Okudingayo Ukwenza
Kusobala ukuthi ukulawula lezi zimo ezimbili, kubalulekile ukuthi ugcine isisindo sakho esihle, njengokusebenza komzimba njalo. Umsebenzi wokuzivocavoca usiza ukuthuthukisa ukusebenza komzimba futhi uthuthukise ukubekezelelana kwe-glucose. I-CDC incoma ukuthi abantu abanezimo zombili kufanele bahlanganyele ezinhlelweni zokufundisa abazizimele kanye nezinhlelo zokusebenza zomzimba. Xhumana nesahluko sakho sase-Arthritis Foundation ukuze ubone ukuthi yini etholakala endaweni yakho.
Imithombo:
I-rheumatoid vs. i-Osteoarthritis nesifo sikashukela. I-Arthritis Foundation. Ifinyelele ngo-7/9/2015.
http://www.arthritis.org/living-with-arthritis/comorbidities/diabetes-and-arthritis/rheumatoid-arthritis-vs-osteoarthritis-diabetes.php
Inhlangano phakathi kwezifo zokuguqula izifo ezihlasela isifo sofuba nesifo sikashukela ezigulini ezine-arthritis ye-rheumatoid ne-psoriasis. USolomoni DH. I-JAMA. 2011 Jun 22; 305 (24): 2525-31.
http://www.ncbi.nlm.nih.gov/pubmed/21693740
Ingozi yesifo sikashukela phakathi kweziguli ezine-arthritis ye-rheumatoid, i-psoriatic arthritis ne-psoriasis. USolomoni DH. Ama-Annal of the Rheumatic Diseases. 2010; 69: 2114-2117.
http://ard.bmj.com/content/69/12/2114.abstract
Isifo sikashukela sinciphisa izifo ezingenaso isifo samathambo: ukubuyekezwa okuhlelekile nokuhlaziywa kwemeta. Jiang P. I-Rheumatology yezokwelapha kanye nokuhlola. 2015 (Vol.33).
http://www.clinexprheumatol.org/abstract.asp?a=8171
I-arthritis nesifo sikashukela. Amasevisi Okulawula Nokuvimbela Izifo. Ngo-Okthoba 23, 2013.
http://www.cdc.gov/arthritis/data_statistics/comorbidities-diabetes.htm