Ukuxilongwa kokuqala kanye nokwelapha kuvame ukugcizelelwa njengengxenye yokuphathwa kahle kwe- arthritis ye- rheumatoid . Ama-tender kanye nezilonda ezivuthayo zivamile phakathi kwezibonakaliso zokuqala zesifo. Ubuhlungu , ubomvu nokufudumala esakhiweni sezingxenyeni ezithintekile kungase kube nezimpawu zokuqala zesifo sokugula kwamathambo .
Nakuba izixuku eziningi ezihlukene zingathinteka yi-arthritis ye-rheumatoid, amajoyina athile ahilelekile.
Ukwazi ukuthi yiziphi izingxenyana ezithintekayo kakhulu lesi sifo zingakusiza uqaphele izimpawu zokuqala kanye nezimpawu futhi usize uqaphele ukubaluleka kokubonisana nodokotela wakho, ngaphandle kokulibala, uma lezo zimpawu zenzeka. Futhi, amalunga abathintekayo yi-arthritis ye-rheumatoid ngokuvamile avela iphethini elilinganiselwe (okusho ukuthi ukuhlanganiswa okufanayo kuthinteka kuzo zombili zomzimba womzimba), ukuhlinzeka enye enye inkomba ebalulekile.
Amajoyina Ngokuvamile Athinteka Ngama-Rheumatoid Arthritis
Amalungu amancane esandla, isandla, isinyawo, amadolo kanye ne-ankle abathinteka ngokuphawulekayo yi-rheumatoid arthritis. Iphethini lokubandakanya amajoyini e-MCP (metacarpophalangeal), ama-PIP (ama-interphalangeal) asezingeni eliphakeme, futhi isibindi sisolisa kakhulu isifo samathambo, kodwa asiqiniseki. Indlela yezimpawu kumele ihlukaniswe kusuka ku- osteoarthritis , i- psoriatic arthritis , kanye ne- pseudogout . Amagolo ahlanganiswe ngamadolo kanye namalungu e-MTP (metatarsophalangeal) nawo avame ukubandakanyeka ngesifo samathambo e-rheumatoid.
Amalunga angadluli ngokuvamile abathintekayo yi-Arthritis ye-Rheumatoid
Amanye ama-joints angase abe nezimpawu zesifo samathambo, kodwa kancane kancane, afaka ihlombe, i-elbow, i-ankle, i-tarsal, i-hip, ukuhlanganiswa kwe-acromioclavicular (ngenhla kwehlombe), ukujoyina kwe-sternoclavicular (uxhumanisa isifuba se-collarbone), ukuhlanganiswa kwe-temporomandibular (umhlathi), futhi amalunga omgogodla womlomo wesibeletho .
I-arthritis ye-rheumatoid ngokuvamile ayithinti i-lumbar spine, i-thoracic spine, i-sacroiliac, i- costochondral (indawo yokudoba), noma i-joint carpometacarpal yokuqala (isisekelo sesithupha). Ubuhlungu nokuvuvukala kwamajoyina e-DIP (distal interphalangeal) ngokuvamile kuhlotshaniswa ne-osteoarthritis futhi ngokuvamile akubangelwa i-arthritis ye-rheumatoid.
Ukubonisana nodokotela wakho
Uma ubuza udokotela wakho, ungase ulethe kuphela ukuhlanganiswa okukhathazeka kakhulu-okubuhlungu kakhulu noma okuphazamisa kakhulu imisebenzi evamile. Ukuhlolwa okuhlanganyelwe kuzokwenziwa, hhayi kuphela kwalowo ohlangene, kodwa nabanye.
Udokotela wakho uzobukeka ahlolele amalunga akho ukuvuvukala, ubomvu, nokubola; ukuhambisa amajoyina akho ngokungahambisani ukuze unqume ukuthi ngabe ukuhamba kwemvelo kuvamile noma kungavamile futhi kunqume ukuthi ngabe ukunyakaza kuphuthumisa ubuhlungu; i-palpate (hlola ngokuthinta) ubuhlungu, ukufudumala nokuzwela. Ngaphandle kobuhlungu, ububele, ukuvuvukala, nokuhamba okulinganiselwe kokunyakaza, udokotela wakho uzophinde ahlole izingxenye zakho ze- crepitus nokungazinzi kokuhlanganyela.
Yize kubalulekile ukuthi udokotela wakho aqaphele ngokunembile ukuba khona noma ukungabikho kokuthola okuthile ngesikhathi sokuhlolwa okuhlanganyelwe, i-ultrasonography ne-MRI (imagination magnontic resonance) zizwela kakhulu ukuthola i- synovitis nokungaqondakali okuningiliziwe.
Izimpawu zomzimba zesifo samathambo egazi, okuzobonakala ngesikhathi sokuhlolwa okuhlangene, kungase kungabi nakancane ezinyangeni zokuqala zesifo samathambo esifubeni se-rheumatoid arthritis. Yingakho ukuhlolwa okuhlanganyelwe, kuyilapho kuyisici esibalulekile senqubo yokuxilonga, kuyingxenye eyodwa kuphela. Umlando wakho wezokwelapha, imiphumela yokuhlolwa kwegazi, kanye nezifundo zokuzicabangela nazo ziyizici ezidingekayo uma uhlela ukuxilongwa okunembile.
Imithombo:
I-Arthritis Ye-Rheumatoid: Ukuxilongwa Kwangaphambili Nokunakekelwa. Ukuhlanganiswa Okuhlangene. Page 32. UJohn J. Cush, MD, uMichael E. Weinblatt, MD, u-Arthur Kavanaugh, uMqulu weThathu. Ishicilelwe ngu-Professional Communications, Inc.
I-rheumatoid Arthritis. Ehlelwe nguRaashid Luqmani, uTheodore Pincus, uMartin Boers. Isahluko 3. Ukuxilongwa kanye nezici zokwelashwa zesifo samathambo. I-Oxford Rheumatology Library. I-Oxford University Press. 2010.
I-Kelley's Bookbook of Rheumatology. Umlando kanye nokuhlolwa komzimba wesistimu ye-Musculoskeletal. Davis, Moder, Hunder. Ingxenye 5. Isahluko 40. Ishicilelwe ngu-Elsevier Saunders. Umagazini wesishiyagalolunye.