Ukubukeka Kwezimpawu Zegazi Kubonisa ukuthi isifo se-Rheumatoid Arthritis
Kungenzeka yini ukuba ne- arthritis ye-rheumatoid (noma ezinye izifo zesifo se-rheumatic) futhi ube nomsebenzi wegazi ongaphakathi kobubanzi obujwayelekile bokumakhwaza? Kungakanani ukuxilongwa kusekelwe ekuhlolweni kwegazi ngokuvuvukala ?
Ingabe Imiphumela Ejwayelekile Yokuhlolwa Kwegazi I-Out Out Diseases?
Iningi leziguli ezine-arthritis ye-rheumatoid (RA) zinomphawu othile wesifo egazini.
Lokhu kungafaka:
- isisindo somzimba esifanele (RF)
- i-antibody ye-cyclic citrullinated peptide (CCP)
- izinyathelo eziphakeme zokuvuvukala
- isilinganiso se- erythrocyte esandisiwe (ESR)
- Iprotheyini esebenzayo ye-C (CRP) .
Ngakolunye uhlangothi, ngesinye isikhathi isiguli esine-RA singaba nezifo ezisebenzayo futhi zonke lezi zivivinyo zivamile. Ngokuvamile, lezo ziguli ngaphandle kwalokhu okungavamile egazini zingenakwenzeka ukuba zenze umonakalo ohlangene. Cishe zonke iziguli ezine-lupus zinokutholakala kwe-anti-nuclear antibodies (ANA) noma uma zingalungile, i-SSA antibody noma antibospholipid antibodies (ehambisana nengozi enkulu ye-thromboses efana ne-clot yegazi noma isisu noma ukukhulelwa komzimba). Kanti futhi, kukhona iziguli, nakuba zingavamile, ezine-lupus naphezu kokuhlolwa okungalungile. Iziguli eziningi ze- Sjogren's syndrome ziyobonisa i-ESR ephakeme noma zibe ne-ANA, RF, SSA noma i-SSB egazini egazini layo.
Kubalulekile ukukhumbula ukuthi nakuba ukuhlolwa kwegazi kuyasiza ekuqinisekiseni ukuxilongwa nokuhlolwa komsebenzi wesifo, kubaluleke kakhulu ukuxilonga nokuphatha ngokusekelwe kwesethulo somtholampilo wesiguli.
I-Arthritis Ye-Rheumatoid Ithola Kanjani?
I-arthritis ye-rheumatoid ingaba nzima ukuyihlolisisa ngoba izibonakaliso zalesi sifo zingase zibe ezicashile futhi ezingekho emthethweni. Isibonelo, ukuqina okuhlangene kanye namajoyini amancane - ngokuqondile, emva kokuvuswa - kungabonwa ngezinhlobo ezahlukene zezifo.
Ekugcineni, ukuxilongwa kwe-rheumatoid arthritis kungcono kakhulu okwenziwa yi- rheumatologist .
I-rheumatologist yi-internist (noma udokotela wezingane) othola ukuqeqeshwa okuqhubekayo kwezifo ze-musculoskeletal and autoimmune. Ngokuvamile, umuntu uzokwenza i-aphoyintimenti nodokotela wakhe wokunakekela oyinhloko oyobe esolisa ama-arthritide bese ehambisa isiguli ku- rheumatologist ukuze aqhubeke nokuhlola. Inothi, uma usola ukuthi ungaba nesifo samathambo, kubalulekile ukuqaphela udokotela wakho wokunakekelwa oyinhloko kulezi zinto ezikhathazayo.
Ukuxilongwa kwe-arthritis ye-rheumatoid kusekelwe ezinkingeni eziningana ezihlanganisa okulandelayo:
- anti-CCP (uhlobo oluthile lwe-antibody)
- i-anemia
- i-ESR ephakanyisiwe (ukuhlolwa okungaqondile okuvuvukala)
- isifo sesifo somzimba (ekugcineni sikhona ngamaphesenti angu-80 abantu abane-arthritis ye-rheumatoid)
- izivivinyo zokuxilongwa kuhlanganise i-ray ray, i-MRI, ne-ultrasound
- ukufudumala, ukuvuvukala, nobuhlungu bamalunga
Iseluleko Ngokuphathelene Ne-Rheumatoid Arthritis
Uma wena noma othandekayo wesifo samathambo esifubeni, kunesidingo sokuthola usizo lwezokwelapha, ukuxilongwa, nokwelapha. I-arthritis ye-rumatoid ayibangeli kuphela ukukhubazeka okusheshayo nokunciphisa ikhwalithi yokuphila kodwa ixhunyaniswa nezinye izifo ezinzima ezifana nesifo senhliziyo.
Ukuxilongwa kwe-arthritis ye-rheumatoid kuyingozi futhi kushintsha impilo.
Ngokuvamile, abantu abatholakala benesifo sengculazi bazizwa behlukanisiwe futhi bebuhlungu. Kodwa-ke, qiniseka ukuthi ngokuphathwa ngendlela efanele kanye nokunye okuhloswe ekuhloseni ukwandisa amandla emisipha (njengokuhamba nokunye umzimba), abantu abaningi abane-arthritis ye-rheumatoid bazizwa kangcono kakhulu ngokuhamba kwesikhathi.
Umthombo
Impendulo eyanikezwa nguScott J. Zashin, MD, uprofesa wothisha wezempilo e-University of Texas Southwestern Medical School, Division of Rheumatology, eDallas, eTexas. UDkt. Zashin ungudokotela ozofika esibhedlela sasePresbyterian yaseDallas nasePlano. Ungumunye we-American College of Physicians kanye ne-American College of Rheumatology kanye nelungu le-American Medical Association.