Ngokuningiliziwe kwe-Arthritis
Iningi labantu bacabanga ukuthi i-arthritis yisifo esisodwa. Akunjalo. Empeleni, i-arthritis ayisona isifo-leli gama lichaza uphawu olwenziwe iqembu lezifo nezimo. I-arthritis ngokwezwi nezwi isho ukuthi "ukuvuvukala okuhlangene."
"I-arthritis" isetshenziswa njengesivulela sokubhekisela eqenjini lezifo zesifo se- rheumatic kanye nezimo ezihlobene. Ukuvuvukala okuhlangene kuyimpawu ejwayelekile ezimweni eziwela ngaphansi kwesambulela se-arthritis.
Ezinye izimpawu ezivame ukuhambisana ne-arthritis zihlanganisa ubuhlungu obuhlangene , ukuqina okuhlangene , nokuvuvukala okuhlangene.
> Umehluko phakathi kokujoyina okuvamile nokuvuvukala ku-arthritis.
Nakuba izimpawu ezihlangene zibhekwa njengezici eziyinhloko ze-arthritis, izifo ezithile ze-rheumatic zingathinta izingxenye zomzimba ngaphandle kwamalungu. Isibonelo, izicubu ezixhunyiwe (ezitholakala emathangeni, imisipha, noma isikhumba) zingathinteka.
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I-arthritis ingaba yisifo esibucayi ngokubonakaliswa okungaphezulu kwe-articular
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Umthwalo we-Arthritis - Bangaki Abantu Abathintekayo?
Izimo ezithile ze-rheumatic zingathinta nezitho zangaphakathi. Ukubonakaliswa okungeziweko kanye nemiphumela yesistimu kungaholela ekucindezeleni noma ngisho nasezingcupheni zokuphila.
Izinto Eziningi Eziyisikhombisa Okwazi Ngayo Nge-Arthritis
1) Akuyona Isifo Esingashadile
Nakuba kuthiwa kunezinhlobo ezingaphezu kuka-100 ze-arthritis nezifo ze-rheumatic, ambalwa nje alawo ajwayelekile futhi aziwa kakhulu. Izifo eziningi ze-rheumatic azivamile.
I-CDC ilinganisela ukuthi umuntu oyedwa kwabayisihlanu base-US une-arthritis ehlolwe udokotela. Kuye kwacatshangwa ukuthi njengeminyaka yobudala besikhathi, inani labantu abane-arthritis ehlolwe udokotela lizofika ezigidini ezingama-67 ngonyaka ka-2030.
2) Noma ubani ongathuthukisa i-arthritis, ngisho nezingane
Enye yezingqondo ezingalungile kakhulu mayelana ne-arthritis ukuthi yisifo kuphela kubantu asebekhulile. Akulona iqiniso. Empeleni, izingxenye ezimbili kwezintathu zabantu abane-arthritis zingaphansi kweminyaka engu-65.
Noma ubani angathuthukisa i-arthritis- ngisho nezingane . Ngokusho kwe-CDC, eyodwa kuzo zonke izingane ezingu-250 zithinteka uhlobo oluthile lwe-arthritis noma isimo se-rheumatic. Izibalo zibonisa ukuthi kuzo zonke izinkathi zonyaka, abesifazane abaningi bahlakulela isifo samathambo kunamadoda . Lokhu kuyiqiniso kwabaningi, kodwa hhayi bonke, izinhlobo ze-arthritis noma isifo se-rheumatic.
3) I-Arthritis Isizathu Esiyinhloko Sesizwe Sokukhubazeka
Ngokusho kwe-CDC, i-arthritis inqanda imisebenzi yezigidi ezingama-22.7 zaseMelika. Phakathi kwabantu abadala abane-arthritis, izigidi eziyisithupha zilinganiselwe emisebenzini yomphakathi, izigidi eziyisishiyagalombili zinzima ukukhuphuka izitebhisi, kanti izigidi ezingu-11 zinzima ukuhamba amabanga amancane. Ngomunye wabadala abathathu abaneminyaka yobudala (iminyaka engu-18 no-65), i-arthritis inganciphisa uhlobo noma inani lomsebenzi abakwazi ukukwenza-noma ukuthi bangasebenza yini nhlobo.
4) Akukho Ukwelashwa Kwezinhlobo Eziningi Ze-Arthritis
Akukho ukwelashwa kwezinhlobo eziningi ze-arthritis. Okungafani nalesi sitatimende kungaba izinhlobo zokutheleleka kwamathambo lapho ukutheleleka kwangaphakathi kungelashwa ngama-antibiotic. Kodwa, izinhlobo zokuvuvukala kwe-arthritis kanye nezinhlobo zokuphefumula ze-arthritis, kanye nezinye izimo ze-rheumatic, zingelapheki, izifo ezingapheliyo. Abantu abaningi badidisa ukuxolelwa nokuphulukiswa-akufani. Kuze kube khona ukwelashwa, umgomo kumele ube ukuhlala kahle nge-arthritis ngokuyilawula.
5) Ukutholakala kokuqala kokuqala kanye nokwelapha okufanelekile Kubalulekile
Uma uthola izibonakaliso eziyisixwayiso noma izimpawu zokuqala zesifo samathambo, kuvamile ukusola ukulimala ngaphambi kokusola i-arthritis. Kodwa, akufanele uchithe isikhathi esiningi kakhulu esithemba ukuthi uyahamba ngokwawo noma ukuzitholela ukulimala okusola. Kubalulekile ukuba uhlolwe udokotela. Ukuxilongwa kwangaphambili, okunembile nokuphathwa kokwelashwa kubalulekile ekudleni kwamathambo, ikakhulukazi izinhlobo zokuvuvukala kwe-arthritis.
6) I-Rheumatologist Inguchwepheshe We-Arthritis Nezimo Ezihlobene
Ngokuvamile, abantu ababona izimpawu zakudala ze-arthritis baxhumana nodokotela wabo oyinhloko noma udokotela womndeni. Lokhu kungase kulungele ukujikeleza kokuqala kokuhlolwa kokuxilongwa. Kodwa-ke, ungathunyelwa ku-rheumatologist ukuthola ukuhlolwa okujulile nokunakekelwa okuqhubekayo. I-rheumatologist ingcweti ekuxilongweni nasekwelapha izifo ze-rheumatic.
7) Isibonelo Sendlela Ezihlukahlukene Ze-Arthritis
I-osteoarthritis yilona uhlobo oluvame kakhulu lwe-arthritis. Kuyaziwa nangokuthi isifo esihlangene sokuguga kanye nemiphumela yokugqoka nokugqabuka. Umonakalo we-cartilage uqala, okungaholela ekunciphiseni umsebenzi ohlangene. Ngokujwayelekile, i-osteoarthritis iyaqala futhi iyaphambana , ihlanganisa eyodwa (i- monoarthritis ) noma amajoyina ambalwa kuphela. Amalunga athintekayo kaningi ngamadolo, izinqulu, izandla, nomgogodla. Ingozi yokuhlakulela i-osteoarthritis iyanda ngokukhula. Ezinye izici ezingozini ze-osteoarthritis zihlanganisa ukulimala okuhlangene, ukukhuluphala, nokusetshenziswa okuphindaphindiwe kokujoyina.
I-arthritis ye-rheumatoid yisifo esizimele esisodwa uma kwenzeka umzimba wesimzimba uhlasela ngokungafanele ngephilisi ye-synovium (i-cell lining ngaphakathi kokujoyina). I-arthritis ye-rheumatoid iyimithi engapheli, evuthayo ye-arthritis engakwazi ukukhubaza. Ngokuvamile kuthinta amalunga amaningana (i- polyarthritis ) ephethini elilinganiselwe futhi ingaba nomphumela wesistimu.
I-arthritis ye-Psoriatic iyinhlobo yokuvuvukala kwe-arthritis ehambisana ne-psoriasis (isimo sesikhumba esichazwe ezindaweni ezibomvu, ezinama-patchy, eziphakanyisiwe noma ezise-scaly). Izimpawu ze-psoriasis ne-arthritis zivame ukukhula ngokwahlukana, mhlawumbe iminyaka ngaphandle. Ezingamaphesenti angu-85 zabantu abane-arthritis ye-psoriatic, izimpawu ze-psoriasis zandulela izimpawu ze-arthritis.
I-Fibromyalgia syndrome yisimo esibuhlungu esibonakala ubuhlungu besisu, ukukhathala okungapheli, nokulala okuncane. I-Fibromyalgia uhlobo lwezicubu ezithambile noma i-rheumatism yemisipha futhi ayibangeli ukukhubazeka okuhlangene.
U-Gout uhlobo olubuhlungu lwe-arthritis olubangela ukuhlaselwa okungazelelwe, okubuhlungu, ubuhlungu, ubomvu, ukufudumala, nokuvuvukala kwamalungu, ikakhulukazi inzwane enkulu. Ubuhlungu nokuvuvukala okuhlobene ne-gout kubangelwa amakristali e-uric acid ephuma egazini futhi afakwa ngokuhlanganyela.
- Ama-Gout - Amaqiniso Eyisisekelo
I-pseudogout, eyaziwa nangokuthi i-calcium pyrophosphate dihydrate deposition disease (CPPD), ibangelwa ama-deposit of calcium phosphate crystals (hhayi i-uric acid) emajoyini. I-CPPD ivame ukuphutha ngenxa ye-arthritis e-gouty. Njengoba i-CPPD isifo esihlukile kune-gout, ukwelashwa akufani.
I-Scleroderma yisifo sezicubu zomzimba zomzimba ezibangela ukuqina nokuqina kesikhumba. Kungaphinda kuthinte amalunga, imithwalo yegazi kanye nezitho zangaphakathi.
I-systemic lupus erythematosus (SLE) yisifo esizimele esingabandakanya isikhumba, izinso, imithambo yegazi, amalunga, isimiso sezinzwa, inhliziyo, ezinye izitho zangaphakathi. Izimpawu ziyahlukahluka kodwa zingabandakanya ukuqubuka kwesikhumba, i-arthritis, i-fever, i-anemia, ukukhathala, ukulahlekelwa izinwele, izilonda zomlomo nezinkinga zezinso. Izimpawu zivame ukuvela kwabesifazane abaneminyaka yobudala, kodwa zingenzeka ezinganeni noma kubantu abadala. Cishe amaphesenti angu-90 abantu abathintekile yibo besifazane.
I-Carpal tunnel syndrome ibangelwa ukucindezela emndenini ophakathi nesikhumba, okubangela ukucubungula nokunyanyisa eminwe. Ingaqala ngokuzumayo noma kancane kancane futhi ingahlanganiswa nezinye izifo, njenge-arthritis ye-rheumatoid-noma ingase ingahambisani nezinye izifo.
I-ankylosing spondylitis, isifo esivuvukala esingapheli somgogodla, singabangela ama-vertebrae ukuba afane, afake umgogodla oqinile. Amanye amalunga, ngaphandle komgogodla, angabandakanyeka. Isizathu esiqondile asikaziwa, kodwa iningi labantu abane-spondylitis bane-genetic marker, eyaziwa njenge-HLA-B27. Ukuba nalesi sigqebhezana semfuzo akuqinisekisi ukuthi umuntu uzokuthuthukisa i-spondylitis, kodwa abantu abanomaki banengozi enkulu. I-spondylitis e-Ankylosing ivame ukuthinta amadoda aphakathi kweminyaka engu-16 no-35, kodwa ingathinta nabesifazane.
I-arthritis esithathelwanayo iyindlela yokuvuvukala okuhlangene okubangelwa amagciwane, amagciwane noma isikhunta. Ukuxilongwa kwenziwa ngokwenza izinto eziphilayo ezivela ekuhlanganyeleni.
Isifo se-Lyme yisifo esibucayi esibangwa yi-tick. Isifo se-Lyme singathinta amalunga, isimiso sezinzwa, inhliziyo, isikhumba, namehlo.
I-Sjogren's syndrome ibonakala ukungasebenzi kwamangqamuzana okukhiqiza umswakama okubangela ukumile komlomo namehlo. Ezinye izingxenye zomzimba nazo zingathinteka, okuholela ekuboniseni izimpawu eziningi.
Ukwaziswa Olwengeziwe Ngolunye Uhlobo Lwe-Arthritis
Uma Usanda Kuxilongwa Ne-Arthritis
Uma usanda kutholakala ukuthi unesifo esithile sokwe-arthritis, cishe awukwazi okuningi ngakho noma yini ongayilindela ukuya phambili. Kuphela Uma wazi umuntu onesifo samathambo uzoba nomqondo othile. Isici esiyinkimbinkimbi kunazo zonke sokubamba kungenzeka ukuthi kukhona ukungaqiniseki nokungazibikezeli okuvela nokuxilongwa kwesinye sezifo ze-arthritis. Ngisho nobuhlungu buyaguquka .
Kunezinto ezintathu ozodinga: i-rheumatologist oyithembayo; ukuze ufunde ngohlobo lwakho lwe-arthritis; kanye nokuqaphela ukuthi ayikho ukulingana komuntu oyedwa-uhlelo lonke lwezokwelapha. Ukuthola ukwelashwa okungcono kakhulu kuzodinga izinga elithile lokulinga nephutha.
Ukuphila Ne-Arthritis
Ukufunda ukuhlala ne-arthritis kuyinselele. Imigomo ibonakala: ukugcina ikhono lomzimba ngokunciphisa ukuqhuma kwesifo; ukuvimbela ukulinganiselwa ngokomzimba nokulinganiselwa okusebenzayo ngangokunokwenzeka; ukulungisa izinguquko ezingenakugwema ezilethwe yisifo; futhi ukwamukela iqiniso lakho elisha.
Umthelela we-arthritis empilweni yakho ngokuyinhloko kuxhomeke ekucindezelweni kwesifo. Labo abanezifo ezincane bazobhekana nezinselele nezinkinga ezimbalwa kunabanesifo esinamandla kakhulu. Isifundo esiyinkimbinkimbi kuya kwezifo ezinzima singathinta kakhulu ikhono lakho lokwenza imisebenzi evamile yokuphila kwansuku zonke futhi kungase kuvivinye imizwelo yakho njengoba uhamba phambili kulokho okwake wacabanga ukuthi kuyinto evamile. Ungadinga usizo ngemisebenzi ethile noma ukushintsha indlela osebenzisa ngayo ukwenza izinto. Ngesinye isikhathi, ungadinga usizo lokuhamba noma ukusebenzisa amadivayisi wokusiza.
Ezimweni eziningi, izinguquko zenzeka kancane kancane futhi uyakwazi ukuzivumelanisa. Kukhona ezinye izinqumo ezinkulu ezihilelekile futhi, njengokuthi ungaqhubeka yini ukusebenza, ungakwazi futhi kufanele ube nengane , nini kufanele ufake isicelo sokukhubazeka ?
Ngenkathi ukwenza uhlelo lwezokwelapha ukuphatha izici zomzimba kuyinto yokuqala kuqala uma uthola ukuthi uyothola, uzofunda ngokuhamba kwesikhathi ukubhekana nokuthi isifo samathambo sithinta kanjani impilo yakho. Imikhuba enempilo , kuhlanganise nokulandela uhlelo lwakho lwezokwelapha, ukudla nokulala kahle, ukugwema ukucindezeleka, ukuzivocavoca umzimba njalo nokugcina isisindo sakho esihle, kuzokusiza uphile kahle ne-arthritis.
Kubalulekile ukukhumbula ukuthi i-arthritis ayithinti kuphela umuntu onesifo. Ngezinye izindlela, kokubili ezinkulu nezincane, isifo sakho sithinta umndeni nabangane eduze nawe. Umphumela walo ungaba kude kakhulu.
Izwi elivela
Uhambo lwe-arthritis luzohlola ukubekezela kwakho ngokuqinisekile. I-arthritis, kuye ngokweqile, ingaba yinto enamandla kakhulu. Kungaba ukuguqula impilo. Kungabangela imizwelo emibi ngaphakathi kwakho. Kumelwe uhlale ulwa. Ukulwa nokugcina izinga eliphezulu lokuphila okunokwenzeka. Ukulwa ukuhlala uhle. Ukulwa ukwamukela izinto ezishintshile ngenxa ye-arthritis. Kuzo, sizokunikeza ulwazi ukusiza ukuqinisekisa ukuthi ukulwa kwakho kunempilo.
Imithombo:
I-arthritis. Eku-a-Glance. Amasevisi Okulawula Nokuvimbela Izifo. Kubuyekezwe 07/22/15.
I-arthritis ne-Rheumatic Diseases. I-NIAMS. Okthoba 2014.
I-Kelley's Bookbook of Rheumatology. Elsevier. Umagazini wesishiyagalolunye.