Ukuqonda Ukuhlolwa Kwakho Nokuhlela Ukwelapha
Kuyinto engavamile ukuzwa abantu bethi "Ngine-arthritis." Ngokuvamile, zilungile, kodwa ngokunembile, zinalo uhlobo oluthile lwe-arthritis . Kunezinhlobo ezingaphezu kuka-100 ze-arthritis. Iningi lezinhlobo eziyi-100 izifo ezingavamile . Ungathembela ezintweni ezimbili izinhlobo owake wazizwa ngazo nhlobo, futhi ngeminwe emibili okukhulunywe ngayo kakhulu futhi okubhekwa njengayo evame kakhulu: (i- osteoarthritis ne- arthritis ye-rheumatoid ).
Izimpawu Eziphakamisa I-Arthritis
Abantu abathola izibonakaliso zakuqala, ezingaqondakali ezihlobene nobuhlungu bomjoqo , ukuqina okuhlangene, ukuvuvukala okuhlangene, noma ukulinganisa okulinganiselwe kungase kube nesifo samagciwane. Kodwa izimpawu ze-arthritis, ikakhulukazi izimpawu zakudala zakudala , zingaba nezinye izimo.
Kubalulekile ukuba udokotela ahlole izimpawu zakho futhi ahlolisise kahle isimo sakho. Ngaphambi kokuba ama-x-ray athathwe noma ukuhlolwa kwegazi kuyalwe, kungenzeka ukuthi awukwazi ukuthi usebenza ngokulimala okuhlangene noma isifo esingapheli . Ukunquma imbangela yezibonakaliso zakho, udokotela wakho kumele athathe umlando wakho wezokwelapha, enze ukuhlolwa ngokomzimba , futhi ahlele ukuhlolwa kokuhlola. Ngenkathi iphethini yezimpawu zizokwenza izinkomba, izimpawu zodwa aziqambi ukuxilongwa.
Ukubaluleka kokuthola isimo esifanele
Uma kuziwa ezimpawu zokuqala, abantu bathambekele ekuziphatheni ngaphambi kokubonisana nodokotela. Mhlawumbe akukho okulimazayo okubangelwa ukugwaza ekuziphatheni, kepha cishe akukho nzuzo enkulu.
Ngokuvamile, abantu bazama ukuphathwa kwezifo ezingavamile, benethemba lokuthi okuthile kuzokwenza umehluko. Abantu abaningi abakhetha ukuzitholela bona bathola ukuthi izimpawu ziyaqhubeka. Bayaqaphela ukuthi baphakanyisa amanzi, uma kungenjalo behamba phambili, ngaphandle kokufaka udokotela. Abanye bayaqhubeka nokuzitholela noma bahlala nezibonakaliso zabo, befaka ingozi emiphumeleni evela ekubambezelekeni kokwelashwa okufanele.
I-Centers for Disease Control and Prevention iqikelela ukuthi ngenkathi abantu baseMelika abangaphezu kwezigidi ezingu-10 benampawu ezingavamile, abaningi abazange bahlolwe noma baphathwe udokotela. Kubantu abayizigidi ezingu-2.2 bakholelwa ukuthi bane-arthritis ye-rheumatoid e-US, abangaphezu kuka-700 000 abazange bathole noma baphathwe. Kulaba abayizigidi ezingu-1.5 abaye bathola ukuthi bane-arthritis ye-rheumatoid, abangaphezu kuka-800,000 banakekelwa udokotela oyinhloko, hhayi i-rheumatologist ( isazi se-arthritis nezifo ze-rheumatic).
Zimbalwa izixhumanisi ezingabandakanyeka ekubonisaneni nodokotela okokuqala. Kungase kungabonakali kakhulu lapho imiphumela ibuya ekuhlolweni kwegazi noma i-X-rays. Kodwa udokotela wakho uzobe eyala izivivinyo eziningi ezengeziwe kuze kutholakale ukuxilongwa.
Ekuqaleni, Izifo-Ukuguqula Ukwelashwa Kuletha Imiphumela Enhle
Ezinye izinhlobo ze-arthritis zivuvukala, kuyilapho ezinye zingekho ukuvuvukala. I-arthritis ye-rheumatoid , i- psoriatic arthritis , kanye ne- ankylosing spondylitis yizibonelo zesifo samathambo esivuvukala . I-osteoarthritis uhlobo lwe-arthritis ehlongozwa njengengenabuhlungu (nakuba ucwaningo olusha selusikisela ukuthi kungenzeka kube nenqubo yokuvuvukala ehilelekile ne-osteoarthritis ).
Isigaba semithi eyaziwa ngokuthi izidakamizwa eziguqula izifo eziphikisana nezifo ( DMARDs ) ziphumelela iziguli eziningi ezinezinhlungu zokuphefumula kwamathambo.
Uma i-DMARD ibonisiwe, ukwelashwa kokuqala kubalulekile. Ukuhlaziywa kwe-meta-uphenyo olwenziwe emitholampilo engu-14 olubandakanya iziguli ezingaphezu kuka-1 400 ezisungulwe ukuthi ukusetshenziswa kokuqala kwe-DMARD kwakubalulekile, futhi lokho kwakuyiqiniso kungakhathaliseki uhlobo lwe-DMARD enqunyiwe. Iziguli ezathola ukwelapha kwe-DMARD zakuqala zakuqala zaba nemiphumela engcono kunalabo ababambezela ukwelashwa - kanye nethuba elihle lokuvimbela umonakalo ohlangene.
Abacwaningi basebenza ekuthuthukiseni izidakamizwa zokuguqula izifo ze-osteoarthritis (i-DMOAD), futhi. Ngalesi sikhathi, azikho izidakamizwa ze-osteoarthritis ezingase zenze ukuqhubekela phambili kwesifo. Izidakamizwa ezinjengezidakamizwa eziphikisana nezidakamizwa (non-steroidal anti-inflammatory drugs) (NSAIDs) kanye nemithi yokwelashwa ikakhulukazi iyathinta izimpawu, hhayi ukuqhubeka kwezifo.
Uma kuhlanganiswa okuyingxenye eyodwa kuphela noma embalwa, ama-cortisone noma i-Hyalgan ingasetshenziswa ukuletha ukuvuvukala ngaphansi kokulawula.
Okubalulekile
Kubalulekile ukwazi uhlobo lwakho lwe-arthritis ukuze uthole ukwelashwa okufanele. Ekuqaleni, ukwelashwa okunomthelela kubalulekile ekuletheleni i-arthritis ngaphansi kokulawula nokunciphisa ukuqhubeka kwesifo. Udokotela wakho uzokuhola ekukhethweni okungcono kakhulu kokwelapha ngenhloso yokulawula izimpawu nokuvimbela umonakalo ohlanganyelwe ohlangene. Kungakhathaliseki ukuthi uqala nge-NSAID ( izidakamizwa ezingavumeli ukuvuvukala ), ama- corticosteroids , i-DMARD, i-biologics, noma ukuhlanganiswa - ukwelashwa kokuqala kuyindlela yokuhamba.
Imithombo:
I-Arthritis Ye-Rheumatoid: Ukuxilongwa Kwangaphambili Nokunakekelwa. Amakhasi 77-83. UJohn J. Cush MD, uMichael E. Weinblatt MD, u-Arthur Kavanaugh, MD. Uhlelo lwesithathu. I-Professional Communications Inc. Copyright 2010.
I-Primer kuma-Rheumatic Diseases. Isahluko 2 - Ukuhlolwa kwesiguli. UJohn J. Klippel. I-Arthritis Foundation. Umshicileli weshumi nantathu.