Yiziphi Izifo Ze-Rheumatoid Arthritis Ezidinga Ukuzizwa Nge-Osteoporosis
Izifo Ze-Arthritis Zama-Rheumatoid Zinezifo Ezinkulu Kokuphuza I-Osteoporosis
Ucwaningo luye lwafaka ingozi enkulu yokulahleka kwamathambo nokuphuka kubantu abane-arthritis ye-rheumatoid. Abantu abane-arthritis ye-rheumatoid basengozini enkulu yokwelapha i-osteoporosis ngezizathu eziningi:
- Imithi ye- glucocorticoid (corticosteroid) efana ne- prednisone ejwayele ukuthi yenziwe ukwelashwa kwesifo samathambo angabangela ukulahlekelwa kwethambo eliphawulekayo.
- Ubuhlungu nokulahlekelwa umsebenzi ohlangene obangelwa yisifo kungabangela ukungasebenzi, okwandisa ingozi ye-osteoporosis.
- Ucwaningo lubonisa ukuthi ukulahlekelwa kwethambo ku-arthritis ye-rheumatoid kungase kube umphumela oqondile wesifo. Ukulahleka kwethambo kubonakala kakhulu ezindaweni ezizungeze amalunga abathintekayo.
Okunye okukhathazayo yilokho abesifazane, iqembu elivele selikhulile engozini ye-osteoporosis, liphindwe kabili ngaphezu kwamadoda ukuthi ahlupheke isifo samathambo e-rheumatoid arthritis.
Iyini i-Rheumatoid Arthritis?
I-rheumatoid arthritis (RA) yisifo esizimele, isifo lapho umzimba uhlasela khona amangqamuzana namathambo aphilile. Ku-arthritis ye-rheumatoid i-membrane ezizungezile amajoyina avuvuka futhi akhulule ama-enzyme abangela ukuthi isifo sofuba nesifuba sigqoke. Ezimweni ezimbi, ezinye izicubu nezitho zomzimba nazo zingathinteka.
Abantu abane-arthritis ye-rheumatoid bavame ukuzwa ubuhlungu, ukuvuvukala nokuqina ezinhlanganisweni zabo, ikakhulukazi lezo ezandleni nasezinyaweni.
Ukunyakaza okulinganiselwe kwamalungu angathintekayo nakho kungenzeka, ukunciphisa ikhono lomuntu lokufeza ngisho nemisebenzi eyisisekelo yansuku zonke. Cishe ingxenye eyodwa kwalabo abane-arthritis ye-rheumatoid ingase ihlakulele ama-nodules ama-rheumatoid (amahlumela) akhula ngaphansi kwesikhumba, ngokuvamile eseduze namalunga. Ezinye izimpawu ezingase zenzeke kubantu abane-arthritis ye-rheumatoid zihlanganisa:
- ukukhathala
- i-anemia (inani elincane le-cell cell)
- ubuhlungu bentamo
- amehlo omile
- umlomo owomile
Ngokusho kwe-NIAMS, kulinganiselwa ukuthi cishe abantu abayizigidi ezingu-2.1 e-United States bane-arthritis ye-rheumatoid. Lesi sifo senziwa kuzo zonke izinhlanga nezinhlanga, kodwa kuthinta abesifazane ababili njengabesilisa njengamadoda. I-arthritis ye-rheumatoid ivame ukutholakala kubantu abadala, nakuba lesi sifo siqala ngobudala obuphakathi. Izingane kanye nabantu abadala abasha bangathinteka.
Iyini i-Juvenile Rheumatoid Arthritis?
I-juvenile rheumatoid arthritis (JRA) ivela ezinganeni ezineminyaka eyishumi nesithupha ubudala noma encane. Izingane ezine-arthritis ezincane ezincane ezisengcupheni yegazi zingase zithole ukwelashwa kwemithi ye-glucocorticoid (corticosteroid), ukusetshenziswa kwayo okuye kwahlanganiswa nokulahlekelwa kwethambo ezinganeni nakubantu abadala. Umsebenzi womzimba ungaba yinselele ezinganeni ezine-arthritis ezisencane ngenxa yokuthi zingabangela ubuhlungu. Kuhlanganisa imisebenzi yomzimba ephakanyiswa udokotela wengane, nokudla okune-calcium ne-vitamin D okubaluleke kakhulu kulawa bantwana ukusiza ukwandisa i-peak bone mass futhi unciphise ingozi yokuphuka esikhathini esizayo.
Kuyini Ukukhubazeka Kwegazi?
I-osteoporosis yisimo lapho amathambo eba khona kakhulu futhi angase aphule.
Ama-fractures e-osteoporosis angabangela ubuhlungu obukhulu nokukhubazeka. Kuyisongo esikhulu sezempilo kubantu abangaba yizigidi ezingu-44 baseMelika, abangamaphesenti angu-80 kuwo angabesifazane.Izifo ze-Osteoporosis Risk Factors
Izingozi ze-osteoporosis ezikhulayo zibandakanya:
- ukugcoba noma ifreyimu encane
- umlando womndeni wesifo
- kubantu besifazane, be-postmenopausal, beba nokuya esikhathini sokuqala, noma bangena esikhathini (amenorrhea)
- ukungabikho okungavamile kokuhamba esikhathini
- ukusetshenziswa isikhathi eside kwemithi ethile (njenge-corticosteroids)
- ukudla okuphansi kwe-calcium
- ukungasebenzi
- ukubhema
- ukuphuza utshwala ngokweqile
I-osteoporosis yisifo esithulile esingavinjelwa njalo.
Kodwa-ke, uma ingatholakali, ingaqhubeka iminyaka eminingi ngaphandle kwempawu kuze kube khona ukuhlukana.
Izinqubo Zokuphathwa Kwe-Osteoporosis
Amasu okuvimbela nokwelashwa kwesifo sofuba kubantu abane-arthritis ye-rheumatoid azifani kakhulu namasu kulabo abangenalo isifo.
Ukudla okunomsoco
Ukudla okune-calcium ne-vitamin D kubalulekile emathanjeni enempilo. Imithombo emihle ye-calcium ihlanganisa:
- imikhiqizo yobisi ephansi
- imifino eluhlaza emifino eluhlaza
- ukudla kwe-calcium nezinselo eziqinile
Izithako ze-calcium zingasiza futhi ukuqinisekisa ukuthi isidingo se-calcium sihlangene usuku ngalunye.
I-Vitamin D
I-Vitamin D idlala indima ebalulekile ekwenzeni i-calcium kanye nempilo yethambo. Ihlanganiswa esikhumbeni ngokusebenzisa ukukhanya kwelanga. Ngenkathi abantu abaningi bekwazi ukuthola amavithamini D ngokwanele, abantu asebekhulile bavame ukungabi nalutho kule vithamini, ngokwengxenye, isikhathi esilinganiselwe esichitha ngaphandle. Abantu abanjalo bangadinga izithako ze-vitamin D ukuze kuqinisekiswe ukuthi kunomsoco owenziwe nsuku zonke.
Ukuzivocavoca
Njengemisipha, amathambo ayizicubu eziphilayo eziphendula umzimba ngokuqina. Ukuzivocavoca kangcono kwamathambo akho kukuvivinya umzimba okukucindezela ukuba usebenze ngokumelene nokuvuthwa. Ezinye izibonelo zifaka:
- ukuhamba
- ukugibela izitebhisi
- ukudansa
Ukusebenzisa kungaba yinselele kubantu abane-arthritis ye-rheumatoid futhi badinga ukulinganisela nokuphumula lapho lesi sifo sisebenza.
Ukuzivocavoca umzimba okunomusa okufana nokuhamba kungasiza ekuvimbeleni ukulahleka kwethambo futhi, ngokuthuthukisa ukulinganisela nokuguquguquka, kunganciphisa amathuba okuwa nokuphula ithambo. Ukuzivocavoca kubalulekile nokugcina ukuhamba okuhlangene.
Indlela yokuphila enempilo
Ukubhema kubi ngamathambo kanye nenhliziyo namaphaphu. Abesifazane ababhema bavame ukuphuma esikhathini sokuqala, bebangela ukulahlekelwa kwethambo ngaphambili. Ngaphezu kwalokho, ababhemayo bangase bathathe i-calcium encane ekudleni kwabo. Utshwala lungaphazamisa impilo yethambo. Labo abaphuza kakhulu bavame ukulahlekelwa yithemba nokuphuka, kokubili ngenxa yokudla okungenamsoco kanye nengozi eyengeziwe yokuwa.
I-Bone Density Isilinganiselwa
Izivivinyo ezikhethekile ezibizwa ngokuthi i-bone mineral mass (BMD) ukuhlolwa kulinganisa ubukhulu besitembu ezindaweni ezihlukahlukene zomzimba. Lezi zivivinyo zingathola ukuhlinzwa kwe-osteoporosis ngaphambi kokuba kuvele ukuphuka nokubikezela amathuba omuntu wokukhwabanisa esikhathini esizayo. Iziguli ze-rheumatoid arthritis, ikakhulukazi labo abathola ukwelashwa kwe-corticosteroid (glucocorticoid) izinyanga ezimbili noma ngaphezulu, kufanele bakhulume nodokotela babo ukuthi bangabe beba ngabafundi bokuhlolwa kwethambo.
Imithi Ye-Osteoporosis
Njenga-arthritis ye-rheumatoid, ayikho indlela yokwelashwa kwe-osteoporosis. Kodwa-ke, kukhona imithi etholakalayo yokuvimbela nokwelashwa kwe-osteoporosis. Imithi eminingana kanye nokukhethwa kwezidakamizwa kuvunyelwe yi-Food and Drug Administration (FDA) yokuvimbela kanye / noma ukwelashwa kwe-osteoporosis kuma-post-menopause abesifazane okubandakanya lokhu:
- I-Fosamax (i-alendronate)
- I-Actonel (i-risedronate)
- I-Boniva (ibandronate)
- I-Didronel (i-etidronate)
- I-evista (raloxifene)
- I-Miacalcin (i-calcitonin)
- I-Forteo (i-teriparatide)
- isrogen / ukwelashwa kwe-hormone
I-Alendronate ivunyelwe futhi ukusetshenziswa kwamadoda. Iziguli ze-arthritis ze-rheumatoid ezidakamizwa ze-corticosteroid (glucocortiocoid) ezifana ne-prednisone, i-alendronate (yokwelashwa) ne-risedronate (yokuvimbela nokwelashwa) zivunyelwe ukuhlinzeka ngokwe-glucocorticoid-induced osteoporosis.
Umthombo:
Lokho Abantu abane-Arthritis Ye-Rheumatoid Kudingeka Bazi Ngokuphathelene Ne-Osteoporosis. I-NIH. April 2005.