Ukuphila Ngezimo Ezinzima Eziphuthumayo
I-arthritis ye-rheumatoid (RA) ne- fibromyalgia (i-FMS) izimo ezibuhlungu ezingapheli ezivame ukuhamba ndawonye. Ngenkathi zihluke kakhulu, izimpawu zabo zingaba zifana ngendlela ephawulekayo, okwenza kube nzima ukuxilongwa. Uma unayo kokubili, kuba nzima nakakhulu.
Abesifazane banamathuba amaningi okuthola lezi zifo, kepha abantu abaningi bazithola nazo. Bobabili i-RA ne-FMS bangathatha noma yikuphi ubudala.
Kubantu abanabo bobabili, isifundo se-2017 esiholwa yi-MS El-Rabbat sibonisa ukuthi i-FMS ayiyona kuphela evame kakhulu ku-RA, inomthelela omkhulu kumgangatho wokuphila. Ukuthola lokho kusekelwa omunye oshicilelwe ngonyaka ofanayo ku- Rheumatology and Therapy wathola ukuthi i-FMS yaba nethonya elikhulu ekuhloleni komhlaba kunanoma yimuphi omunye umphumela.
Ukunciphisa i-FMS ne-RA
Lezi zimo ezimbili zinemibono ehlukile uma kwenzeka ngokuqondene nalokho okwenzeka emzimbeni wakho, indlela abaqhubeka ngayo, nokuthi baphathwa kanjani.
Mhlawumbe umehluko ophawulekayo wukuthi i-RA ibangela ukulimala nokukhubazeka emajoyini akho. I-FMS ayixhunyiwe kunoma yimuphi umonakalo ohlangene, ukukhubazeka, noma ukuwohloka.
I-RA yisifo esizimele , okusho ukuthi amasosha omzimba wakho ahlasele ngamathambo anempilo ngephutha njengokungathi ayengabahlaseli bangaphandle, njengegciwane. I-FMS okwamanje ayihlukanisiwe njenge-autoimmune, nakuba ucwaningo lukhomba ukuthi amanye amacala angabandakanya ukuzimela.
Inkambo ye-RA ayinakulinganiswa, kodwa ngemva kweminyaka eminingi, cishe amaphesenti ayishumi abantu abanalo abakhubazekile kakhulu futhi banenkinga enkulu ngisho nemisebenzi eyisisekelo. Kuvame ukuba abantu bakholelwe ukuthi othile onama-RA uzophela esihlalweni sabakhubazekile, kodwa lokhu kuyindabakwane. Ngokuphathwa ngendlela efanele, lokho kungavamile kakhulu kunalokho ongayilindela.
I-FMS nayo ayinakulinganiswa. Ochwepheshe bathi cishe ingxenye eyodwa kwezintathu zabantu abanalo bayoba nokubi nakakhulu ngokuhamba kwesikhathi, cishe ingxenye eyodwa kwezintathu izothola kangcono kakhulu, kanti cishe ingxenye eyodwa kwezintathu ngeke ibone ushintsho olukhulu ekuqinekeni kwesifo. Kuze kube manje, asazi ukuthi iziphi izinto ezithinta inkinga yokugula.
Ezinye izimo ze-RA zenze isikhathi eside isikhathi lapho izimpawu ziphela khona iminyaka eminingana. Ezinye zinama-flares (uma izimpawu zinzima nakakhulu) kanye nokukhipha (izikhathi zezimpawu zokukhanya). Nokho, iningi linalo i-RA engapheli, eqhubekayo.
I-FMS ivame ukubandakanya ama-flares kanye nokukhishwa, kodwa amanye amacala afaka amazinga angaphezu kokungavamile. Ukukhipha isikhathi eside akuvamile kodwa kungenzeka.
I-RA ingathinta noma yiziphi izingxenye ezihlangene ngisho nezitho zakho, kepha ngokuvamile zihilela amalunga amancane ezandla nezinyawo. Ubuhlungu be-FMS bungabetha noma kuphi, kodwa buvame kakhulu emgodleni kunasekugcineni.
Okwenza baxhumeke
Abacwaningi abazi ukuthi yini ebangela isimo, ngakho-ke asikaqondi ngokuqinisekile ukuthi kungani i-FMS ne-RA ihamba ndawonye njalo.
Ucwaningo lukhombisa ukuthi abantu abane-RA banamathuba amaningi okuthuthukisa i-FMS, kodwa abantu abane-FMS ayinakwenzeka kunanoma ubani omunye ukuthuthukisa i-RA. Abanye ososayensi bakholelwa ukuthi ubuhlungu obungapheli, obuvela ku-RA noma eminye imithombo, kungaholela ku-FMS ngokubangela ushintsho ezindleleni zethu zezinzwa ezibona nokucubungula ubuhlungu.
Ucwaningo olwenziwa ngo-2017 olwanyatheliswa ku- Arthritis Care & Research lwaphakamisa ukuthi abantu abane-RA bangahlakulela amazinga aphakeme okukhuthaza ubuhlungu, okuyisici esaziwayo se-FMS. Lokho kubonisa ukufana okusemandleni emzimbeni ongasiza ekuchazeni ukuphindaphindiwe njalo.
Kungakhathaliseki ukuthi kungani unezimo zombili zombili, ubuhlungu be-RA bungabangela ukuqhuma kwe-FMS nokwenza izimpawu zakho zibe nzima ukulawula, futhi i-FMS ikhulisa ubuhlungu be-RA.
Ukuthola Ukuxilongwa
Ukuhlolwa kwegazi okubizwa ngokuthi i- anti-CCP test antibody kungaba ngokuvamile ukuhlukanisa i-RA nezinye izinhlobo ze-arthritis. Udokotela wakho angase futhi ahlele ezinye izivivinyo eziningana ukuze aqinisekise ukuxilongwa nokusiza ukuthola umbono wokuthi lesi sifo singaqhubeka kanjani.
I-FMS itholakala ngokuhlolwa kokuhlolwa kwethenda noma izibalo ekuhloleni okuklanyelwe ngokukhethekile, kanye nokuhlolwa ukulawula ezinye izimbangela zezimpawu.
Izimpawu
Izimpawu ze-RA ne-FMS zingaba okufanayo kakhulu. Bobabili bahlanganisa:
- ubuhlungu obuhlangene
- iphethini ehambisanayo (ubuhlungu endaweni efanayo zombili zombili)
- ukukhathala nokulahlekelwa amandla
- ukucindezeleka
I-RA nayo ingabangela izimpawu ezingahlotshaniswa ne-FMS, njenge:
- ukuvuvukala okuhlangene, ngokufudumala okuhlangene okuhlangene okuthintekile
- ukulahlekelwa ukudla
- ukukhubazeka okuhlangene
- uhla olunqunyelwe lokunyakaza
I-FMS ihilela izimpawu eziningi ezingaxhunywanga ku-RA, kufaka phakathi:
- ukungasebenzi komqondo
- ukuzwela ekukhanyeni, umsindo , kanye nephunga
- ubuhlungu obuhamba emzimbeni
- ukulala okungapheli
Uma uthola ukuthi unesinye salezi zimo kodwa unempawu ezingabonisa enye, qinisekisa ukuthi uyayikhulisa nodokotela wakho.
Ukwelapha
Kunezidakamizwa eziningi ezitholakalayo zokwelapha i-RA. Zihlanganisa:
- izinhlungu ezivamile zokudambisa, ezifana ne- Tylenol (i-acetaminophen)
- ama-non-steroidal anti-inflammatories (ama-NSAID) , njenge-Motrin / Advil (ibuprofen) ne-Aleve (naproxen)
- I-COX-2 inhibitors , njenge-Celebrex (celecoxib)
- i-glucocorticoids, kuhlanganise ne- prednisone ne-methylprednisolone
- izidakamizwa zokuguqula izifo (DMARD) , ezihlanganisa i-Trexall / Rheumatrex (methotrexate), Imuran (azathioprine), ne-Azulfidine (sulfasalazine)
- I-TNF blockers , njenge-Enbrel (etanercept), i-Remicade (i-infliximab) ne-Humira (i-adalimumab)
Ngezinye izikhathi, ukuhlinzwa kungasiza abantu abanomonakalo omkhulu ohlangene.
I-FMS ngokuvamile idinga izindlela eziningi ezenziwe, ezingabandakanya:
- imithi kadokotela
- izithako
- uhlelo oluvivinya ngokukhethekile lokuzivocavoca
- ukwelashwa okuhambisanayo / okunye
Uma uthatha imithi ye-RA ne-FMS, qiniseka ukuthi ukhuluma nodokotela wakho kanye nemithi mayelana nokusebenzisana kwezidakamizwa.
Abanye ochwepheshe be-FMS bakholelwa ukuthi ama-corticosteroids ngezinye izikhathi asetshenziselwa ukuphatha i-RA angenza izimpawu ze-FMS zibi nakakhulu. Ngokusebenza eduze nodokotela wakho, kufanele ukwazi ukuthola ukwelashwa okusebenza kuzo zombili izimo zakho.
Ukuze uthole okwengeziwe mayelana nokuthi unganquma kanjani inkambo engcono kakhulu yokwelapha i-RA ne-FMS, funda i- Fibromyalgia ne-Rheumatoid Arthritis Pain - Iziphi Izinto Eziqaphela Ukwelashwa?
Izwi kusuka
Kokubili i-RA ne-FMS ingenza ukuphila kwakho kube nzima kakhulu futhi kunciphise indlela ongasebenza ngayo. Ngokuthola nokulandela imithi yokwelapha / yokuphatha, ungakwazi ukulondoloza ukusebenza kwakho nokuzimela.
Ngenxa yokuthi zombili izimo zingaholela ekucindezelekeni nasekuzihlukaniseni, kubalulekile ukuba ube nesistimu yokusekela. Gcina imigqa yokukhulumisana evulekile nodokotela wakho kanye nabantu obesondelene nabo, futhi uthole usizo lokuqala uma ucabanga ukuthi ucindezelekile. Amaqembu okusekela- angena ku-inthanethi nasemphakathini wakho-angase abe usizo olukhulu kuwe, futhi.
Imithombo:
I-American College of Rheumatology. "I-Arthritis Ye-Rheumatoid"
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El-Rabbat MS, Mahmoud NK, Gheita TA. Ukubaluleka komtholampilo we-fibromyalgia syndrome ngezifo ezahlukene ze-rheumatic; ukuhlobene nomsebenzi wesifo kanye nekhwalithi yokuphila. Reumatologia clinica. 2017 Apr 11. pii: S1699-258X (17) 30048-7. i-doi: 10.1016 / j.reuma.2017.02.008.
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Isikhungo se-Arthritis sikaJohn Hopkins. "I-Rheumatoid Arthritis Clinical Presentation"