Ukubikezela ukuthi ubani ongathola ukuthethelelwa
Kungakabiphi emva kokuba uthola ukuthi une- arthritis , mhlawumbe wezwa "ukuxolelwa kwe-arthritis" njengomgomo wokugcina ukwelashwa kwe-arthritis. Cishe ube nemibuzo embalwa ecindezelayo. Kuyini ukuxolelwa? Kuzoze kube nini ukuxolelwa kuphele? Ingabe iziguli eziningi ze-arthritis zithola ukuxolelwa? Ziyini amathuba akho?
I-Rheumatologist ichaza ukuxoshwa
Sacela usizo lwe-rheumatologist, uScott J.
UZashin, MD, ukuphendula imibuzo yethu mayelana nokukhululwa kwe-arthritis. Izimpendulo zakhe zisiza ukucacisa lo mqondo futhi kukusize uqaphele ukuthi uke wabhekana nokuxolelwa. Ukukhululwa komtholampilo ngokuyinhloko kubhekisela ku- arthritis ye-rheumatoid , isifo sokuvuvukala, sokuzilimaza, ukukhubaza i-arthritis esithinta abantu abadala abayizigidi ezingu-1.5 e-US
Sabuza uDkt Zashin ukuthi yini echaza ukuxolelwa kweqiniso kweziguli ze-rheumatoid arthritis? Ingabe udokotela angabikezela ukuthi ngabe isiguli singena ekuxoxweni yini noma ukuthi ukukhululwa kuzohlala isikhathi esingakanani? Zikhona izibalo ukuthi yiziphi izimpikane zeziguli zesifo se-rheumatoid arthritis ezake zithole ukuxolelwa? Yini isiguli sesifo se-rheumatoid isiguli esingazenza esingabapha ithuba elihle lokufinyelela ukuxolelwa?
Ngokusho kukaDkt. Zashin, nakuba kungekho ukwelashwa kwamathambo e-rheumatoid, iziguli ezingafika ku-30% "zingase zizwe sengathi zelashwa" zesifo sabo. Lokho lezi ziguli empeleni zihlangabezana nokukhululwa komtholampilo.
Ukukhululwa kwe-rheumatoid arthritis kwachazwa isikhathi eside njengokungabikho kwezibonakaliso zomtholampilo zokuvuvukala . Nakuba iphesenti elincane kakhulu leziguli lingakwazi ukuyeka imishanguzo ye-arthritis , ngaphezu kwama-95% adinga ukuqhubeka emithini yabo ukuze bahlale bekhululekile.
I-American College of Rheumatology (i-ACR) yokuhlukanisa izigaba (1981) yokunquma ukukhululwa kwemitholampilo kuhlanganisa:
- ubunzima bokusa ngaphesheya noma obulingana nemizuzu engu-15
- akukho ukukhathala
- akukho ubuhlungu obuhlangene
- akukho ukuthula okuhlangene noma ubuhlungu ekuhambeni
- akukho tissue ezithambile ezikhukhulayo emathanjeni noma emathanjeni e-tendon
- Isilinganiso sedimentation se-erythrocyte (ukuhlolwa kwegazi okulinganisa ukuvuvukala) ngaphansi noma okulingana no-30 kwabesifazane nabesifazane abangu-20
UDkt. Zashin wachaza ukuthi nakuba kungekho ndlela yokunquma ukuthi ngubani ozokuthola ukukhipha imithi nge-treatment, iziguli ezinezifo ezingezansi zomoya kanye ne- CCP antibody , kanye neprotheyini ejwayelekile e- C , ibonakala ibe nomphumela omuhle. Ngaphezu kwalokho, iziguli ezithatha ukwelashwa ngokuhlanganiswa (isibonelo, methotrexate kanye ne- TNF inhibitor ) zingase zifinyelele ukukhululwa ngaphandle kwalabo abathatha izidakamizwa kuphela. Kodwa-ke, iziguli ezibhekene ne-monotherapy (isisodwa sezidakamizwa kuphela) zingase zifinyelele ukukhululwa komtholampilo. Uma isikhathi eside isifo sisala ekuxoxweni, cishe kungenzeka ukuthi usebenze futhi.
Ukuchazwa okubuyekeziwe kokulahlwa
Ngo-2011, okungaphezu kweminyaka eyishumi emva kokuba izidakamizwa zokuqala ze-biologic zivunyelwe ukwelashwa kwesifo samathambo, kwaqaphela ukuthi incazelo yokukhululwa kwamathambo e-rheumatoid arthritis kwakudingeka ibuyekezwe . I-American College of Rheumatology ne-European League Against Rheumatism ihlaziye idatha yecwaningo lomtholampilo kanye namalungu ekomidi ahlolwe, ngakho-ke yanquma izincazelo ezimbili zokwehliswa kwamathambo e-rheumatoid arthritis, ikakhulukazi asetshenziswa ekuvivinyweni kwemitholampilo.
Izincazelo zingase zibhekwe emisebenzini yomtholampilo kanye.
Kubalulekile ukuthi uqaphele ukuthi ukuxolelwa kungase kungabi isikhathi eside. Ukuyeka imithi yakho kungabangela ukuphindaphinda. Ngisho nokuqhubeka ukwelashwa, imithi eyeka ukusebenza ingabangela ukuphindaphinda.
(UScott J. Zashin, MD, ungumprofesa wothisha osesithombeni eNyuvesi yaseTexas Southwestern Medical School, i-Division of Rheumatology, eDallas, eTexas; udokotela oya eMitholampilo yasePresbyterian yaseDallas noPlano; omunye umuntu waseMelika College of Physicians i-American College of Rheumatology kanye nelungu le-American Medical Association.)
> Imithombo:
> I-Rheumatoid Arthritis Abacwaningi Bahlanza Ukukhululwa. I-American College of Rheumatology. Februwari 3, 2011.
> Imfuneko yokuQala yokuKhulelwa kweMitholampilo ku-Arthritis. I-arthritis ne-Rheumatism. I-Pinals RS ne-al., Okthoba 1981.