Ukunquma Ubunzima Nokuthi Ukuthuthukiswa Kwama-RA wakho
Iziguli eziningi ze- rheumatoid arthritis ezanda kutholakala zinemibuzo mayelana nokuthi lesi sifo sizoba nzima kangakanani nokuthi yini engayilindela esikhathini esizayo. Bakhathazekile ukwazi ukuchazwa kwesifo esithinta i-rheumatoid arthritis nokuthi yiziphi izici ezithinta ukubikezela. Iziguli zibuza:
- Ingabe ngizobhekana nenkambo encane noma enobudlova?
- Ingabe ubuhlungu ngeke bubekezeleleke?
- Ingabe ukukhubazeka kungenakugwema?
- Ngikwazi yini ukusebenza nokunakekela umndeni wami?
Ukunquma ukubikezela
Ekuqaleni, ukuchazwa kwesifo se-rheumatoid arthritis kusekelwe ekutheni lesi sifo sithuthukile kanjani lapho isiguli sitholwa khona kuqala. Esinye isici esibhekwayo yisikhathi sesiguli lapho kutholakala okokuqala noma lapho isifo seziqala khona (lapho lesi sifo siqala). Okokugcina, kodwa okubaluleke nakakhulu ukuthi lesi sifo sisasebenza kangakanani okwamanje. Ingabe i-arthritis ye-rheumatoid in flare , i- remission , noma iphethwe kahle ngemithi ?
- Amaphesenti angaba ngu-10 kuya kumaphesenti angu-20 e-arthritis izifo zamashubhu aqala ngokungazelelwe lesi sifo, elandelwa iminyaka eminingi engenayo izimpawu. Lokhu kubhekwa njengokukhululwa isikhathi eside.
- Ezinye iziguli ze-rheumatoid arthritis zinezimpawu eziza futhi zihambe. Izikhathi lapho zikhona izimpawu ezimbalwa noma ezingekho, ezenzeka phakathi kwama-flares, zingahlala izinyanga. Lokhu kubhekiselwa njengezibonakaliso eziphakathi kwamathambo e-rheumatoid arthritis.
- Iningi leziguli zesifo se-rheumatoid arthritis zinezinkinga ezingapheliyo, eziqhubekayo zesifo samathambo esiyingozi esidinga usizo lwezempilo.
Izinto Ezithonya Isibikezelo
Iziguli ezinezici ezilandelayo zinamathuba amaningi okuba nenqubo eqhubekayo neyingozi yokudla kwamathambo kanye nesifundo esiyinkinga yezifo:
- Ama-flares aqinile futhi ahlala isikhathi eside
- Uthola ukuthi usemncane kakhulu futhi ube nesifo esisebenzayo iminyaka
- Izimpawu zokuvuvukala ziphakanyisiwe ezivivinyweni zokuhlola (i- CRP ephakeme ne- ESR )
- Umonakalo ohlangene obonakalayo obonakala kakade kuma-x-ray uma kutholakala
- Ukutholakala kwama- nodules we- rheumatoid
- Ukuhlolwa okubonakalayo nge- rheumatoid factor noma anti-CCP
Ukwakha Uhlelo Lokusebenza
Uma wena nodokotela wakho behlolile izici ezithonya ukubikezelwa kwakho, into elandelayo okufanele uyenze ukuphindaphindiwe ngezikhathi ezithile. Ngezinye izikhathi, kufanele ube nama-x-ray, izivivinyo zama-laboratory, kanye nokuhlolwa ukuze ubone ukuthi imiphumela yakho yomzimba ishintshile.
Uma uthola ukuthi isifo sakho sisebenza kakhulu, usuke uvele ungenakwenzeka, imiphumela yelabhu iyingozi kakhulu, noma ubufakazi be-x-ray bokulimala okuhlanganyelwe bubonakala kakhulu, izinketho zakho zokwelapha kufanele zibuyiselwe kabusha. Wena nodokotela wakho bangadinga uhlelo olusha lokuhlasela ukuze nciphise noma nciphise ukuqhubeka kwesifo. Eziningi zokwelapha ezintsha ze-biologic, ngokuvamile ezihambisana ne- DMARD yendabuko, ziye zaphumelela ekuphatheni izifo.
Ukuze uhlole umphumela we-arthritis we-rheumatoid ngendlela owenza ngayo imisebenzi evamile yansuku zonke , ungathatha umbuzo wokuhlolwa kwezempilo (HAQ). Ngokuthatha i-HAQ ngezikhathi ezithile, unganquma ukuthi ngabe umsebenzi uqhubeka yini.
Futhi, wena nodokotela wakho kungadingeka ubuyekeze izinketho zakho zokwelapha.
Imithombo:
I-ARAMIS: HAQ. I-Stanford University Medical Centre. July 2003.
I-Arthritis Treatment: Ekuqaleni Kuhle Kakhulu. I-Arthritis Today Magazine. May-June 2007.
Amakhansela e-laboratory abonisa ukulimala okuhlangene ku-arthritis ye-rheumatoid. Annals of the Rheumatic Diseases 2005; 64: 196-201. E Lindqvist et al.
I-Rheumatoid Arthritis I-Presentation Clinical. Isikhungo se-Arthritis sikaJohn Hopkins. U-Alan Matsumoto, MD. 3/2/2008.
https://www.hopkinsarthritis.org/arthritis-info/rheumatoid-arthritis/ra-symptoms/