Ingabe Inkinga Ukuthola Ukunakekelwa Kwanele?
Ukukhubazeka ngokocansi akuyona into engavamile nge- arthritis ye-rheumatoid (RA) . Ngokusho kwe-rheumatologist.org, ngaphezu kwengxenye yabo bonke abantu abane-arthritis ye-rheumatoid banenkinga yokulala nobulili. Naphezu kwenani labantu abathintekile, odokotela abaningi neziguli abazikhulumi ngakho.
Ubulili yingxenye ebalulekile yokuphila nobuhlobo obuzibophezelekile. Uma kukhona ukungasebenzi komzimba ngokobulili, akufanele kunganakwa.
Ingabe kufanele silindele odokotela ukuba babuze ukuthi sinezinkinga zobulili? Noma, ingabe umthwalo wesiguli ukudalula okwenzekayo? Ngenkathi izinga lobuhlungu lesiguli cishe libhekene nokubonisana okukhulu kwe-rheumatology, noma udokotela noma isiguli singakhetha ukuxoxa ngezinkinga eziyisibili, ezilandelanayo. Akunandaba ukuthi ubani owakhuphula, uma nje umuntu enza.
Kungenziwa okuningi ukusiza abantu abane-arthritis ye-rheumatoid. Ubulili nobulili akufanele kube yinto esedlule noma imemori nje. I-arthritis ye-rheumatoid akufanele ikuphoqe ukuba uqede ukusondelana ngokomzimba kusuka empilweni yakho. Isinyathelo sokuqala ukukhomba nokuqonda izinkinga ezingase zibe khona, nokunquma ukuthi ukuhlukunyezwa ngokocansi kungenxa yezimpikiswano zomzimba noma zengqondo. Bese-ke, qhubekela phambili ukuthola izixazululo.
Umsebenzi ovamile wezocansi ushintsho ngokusebenzisa izigaba ezivela ekuvukeni kokuphumula. Kumele kuhlotshaniswe nomzwelo wokuzijabulisa futhi uzizwa unelisekile futhi ugcwalisekile.
Ukukhubazeka ngokocansi kungaphazamisa inqubo evamile nganoma isiphi indlela endleleni.
Izinto ezibonakalayo ezixhunywe ekusebenziseni ngokocansi nge-Rheumatoid Arthritis
Izinto ezibonakalayo zithinta ukusebenza kwangempela kocansi. Ngezinye izikhathi kubizwa ngokuthi ukukhubazeka ngokocansi. Izinto zihlanganisa:
- Ubuhlungu obuhlangene (umthelela wobuhlungu obuhlangene emisebenzini yezocansi kuhlobene nokuqina kwesifo)
- Ukukhathala (izinga lokukhathala kanye nomthelela walo kuhlobene nokuqina kwesifo)
- Ukulinganiselwa ngokomzimba (ubunzima ngezikhundla ezithile, okuvame ukuhlobene nokuqhaqha kanye nokubandakanya kwamadolo)
- Ukomiswa kwama-vaginal (kungase kuhlotshaniswe nesifo se- Sjogren's )
- Imiphumela emibi yemithi
- Ukungasebenzi kwe-Erectile
Izimo Zengqondo Ezixhunyaniswe Nokuhlukunyezwa Ngokocansi Ne-Arthritis Ye-Rheumatoid
Izici zengqondo zivame ukuthinta isifiso sokuxhumana kocansi, kanye nokwaneliseka kokusebenza ngokocansi. Izici zengqondo zihlanganisa:
- Ukucindezeleka (okuhlotshaniswa nokugula kwesifo esingapheliyo; kuhlanganiswa ngokuba nobunzima bezocansi)
- Isithombeni somzimba esibi, ukuzethemba okuphansi , ukungabi nandaba (kungahle kuhlobene nokuzuza kwesisindo noma ukukhubazeka)
- Ukukhathazeka ngalokho umlingani wabo acabanga ngakho nokuzizwa
- Ukunciphisa ukushada ucansi / i-libido ephansi
Umthelela WeMithi
Ngokusho kwe-American College of Rheumatology, ngokuvamile imithi esetshenziselwa ukwelapha isifo samathambo angathinti umsebenzi wezocansi. Nokho, kunezimo zokungasebenzi kahle kwe-erectile okubikwe kubantu abaphathwa nge- methotrexate , i- Azulfidine (sulfasalazine) ne- Plaquenil (i-hydroxychloroquine) . I-Libido ingase iyancipha ngenxa yokuthatha i- Voltaren (i-diclofenac) noma iPaprosyn (naproxen) .
Imithi yokucindezeleka ingase ihlotshaniswe nokulahlekelwa kwesifiso kanye nobunzima nge-orgasm.
Ukungasebenzi Kwe-Erectile
Ngokusho kwemiphumela yocwaningo eshicilelwe ithimba lokucwaninga lase-Ireland, eliphinde laqokonyiswa emhlanganweni waminyaka yonke ka-2009 we-American College of Rheumatology, ukukhubazeka kwe-erectile kuvame kakhulu kubantu abanezifo zamashubhu , ikakhulukazi isifo samathambo, uma kuqhathaniswa nomphakathi jikelele. Abacwaningi baphinde baxhumane nokutholakala kwengozi yokwanda kwezinhliziyo zabantu kubantu abane-rheumatoid arthritis. Eqinisweni, abacwaningi babiza ukungasebenzi kahle kwe-erectile "i-harbinger eyaziwa" yezifo zenhliziyo ezigulini ze-rheumatoid arthritis.
Esinye isifundo, eshicilelwe ku-The Rheumatologist yase-Egypt ngo-2013, sabonisa ukuthi isifo samathambo angasithinta amazinga e-serum androgen okungenzeka abe imbangela ye-erectile disys function. Ucwaningo lubuthole umehluko obala ngokulinganayo emazingeni e-serum DHEA (dehydroepiandrosterone sulfate), testosterone esiphelele nekhululekile uma kuqhathaniswa amadoda ane-rheumatoid arthritis eqenjini lamadoda aphilile.
Ukwelapha Ukungasebenzi Kwecansi Okuhambisana Ne-Rheumatoid Arthritis
Ukuxhumana kufanele kulandele noma yiluphi uhlelo lwezokwelapha ukungasebenzi kahle ngokocansi nge-rheumatoid arthritis. Uma izixazululo zitholakala, isiguli kumele sikwazi ukudalula izinkinga ezithile kudokotela wabo. Okubaluleke kakhulu ukuxhumana okuvulekile nomlingani wakho. Kuzokwazi ukunqoba izinto ezinjengokwesaba ukubangela / ukwengeza ubuhlungu bomuntu obathandayo noma ukuthola izikhundla ezifanele uma uxoxisana futhi wenza umzamo.
Kukhona izindlela zokwelashwa ezingase zinconywe udokotela wakho, njengokuthatha imithi ye-analgesic , ukushisa (ishazi esishisayo noma ingubo kagesi), kanye nokuphumula kwemisipha- ngokuyinhloko, kungakapheli ihora lomsebenzi wobulili. Cabanga ngezindlela eziningi zokuzivocavoca, futhi, ongakufundiswa ngumuthi wezinto ezibonakalayo. Noma yini engase isebenze ukukhipha umzimba wakho iyoba usizo.
Ubulili akuyona nje isenzo sobulili. Nakuba ukuzimisela ukudala kungase kusebenze ngokwakho, khumbula ukuthi ukuthinta, ukumanga, ukubamba, nokugubha yonke into ebalulekile ebuseduze. Ungakhohlwa ukuthi imizwelo yakho idlala, futhi. Uma unomuzwa wokuthi uyathandwa futhi uveza uthando, nganoma iyiphi indlela, uhamba ngendlela efanele futhi ungabhekana nezinkinga eziningi, ezimweni eziningi.
U-2016 Umhlangano we-EULAR wanezela ukukhubazeka ngokocansi nge-Rheumatoid Arthritis
Ngo-2016 i-European League ephikisana neRheumatism Annual Congress (EULAR), imiphumela yokutadisha yaboniswa ukuthi ukukhubazeka kobulili kukhona ngaphezu kwengxenye eyodwa kwezintathu zeziguli ze-rheumatoid arthritis ezisekhona ngokobulili-amadoda nabesifazane. Yize izici eziningi zingase zihileleke, kwakungekho ubudlelwane obubalulekile phakathi kokungasebenzi kahle ngokocansi nokusebenza kwesifo samathambo (okungukuthi, ukungasebenzi akuthinti umsebenzi wesifo). Isixhumanisi sitholakale phakathi kokungenzi umsebenzi wocansi nesifo, noma kunjalo.
Abacwaningi baphinde bahlaziya izici zokucubungula, izici ezithintekayo, nezici zokugcinwa ezihlobene nokuhlukunyezwa ngokocansi ne-arthritis ye-rheumatoid. Izizathu zokunqanda zihlanganisa:
- Ukungathembeki (amaphesenti angu-33 abesifazane; amaphesenti angu-6 amadoda)
- Ukungavikeleki (amaphesenti angu-32 abesifazane; amaphesenti angu-16 amadoda)
- Izimbangela zomzimba (amaphesenti angu-17 abesifazane; 3pcent amadoda)
Izinto zokufaka izinto ezifakiwe zihlanganisa:
- Isithombe sishintsha (amaphesenti angu-14 wabesifazane; amaphesenti angu-21 wamadoda)
- Ukungathembeki (amaphesenti angu-13 wabesifazane; amaphesenti angu-7 amadoda)
- Ukukhathazeka (amaphesenti amabili wabesifazane namaphesenti amabili wamadoda)
- Ukulahlekelwa ukukhangwa (amaphesenti angu-1.4 wabesifazane; amaphesenti angu-10 amadoda)
Izondlo noma izinto eziqhubekayo zihlanganisa:
- Izimbangela zezinto eziphilayo noma ezingokoqobo (amaphesenti angu-11 abesifazane; amaphesenti angu-15 amadoda)
- Ukungathembeki (amaphesenti angu-9 wabesifazane; amaphesenti angu-4 amadoda)
- Izinguquko ebuhlotsheni (amaphesenti angu-9 wabesifazane; amaphesenti angu-19 amadoda)
- Ukukhubazeka kocansi komlingani (amaphesenti amathathu wabesifazane; amaphesenti angu-0.8 wamadoda)
- Ukucindezeleka noma ukukhathazeka (amaphesenti angu-1.9 wabesifazane; amaphesenti angu-5 amadoda)
Ukubambisana phakathi kwe-precipitating, predisposing, noma ukugcinwa kwezifo kanye nomsebenzi wesifo kwakungabonakali kakhulu.
Izwi elivela
Akukhona nje ukukhubazeka ngokobulili okungaxoxwa ngaso sonke isikhathi phakathi kwabagulayo neziguli zesifo sofuba, asibonakali emibhalweni yempilo esetshenziselwa ukuhlola ukusebenza ngokomzimba kanye nekhwalithi yokuphila. Ngokusobala, ukusungulwa kwezokwelapha kudinga ukusebenza kulokho. Umsebenzi wakho ukugxila kulokho ongakwenza ukuze unqobe ukungasebenzi komzimba ngokocansi, ngemuva kokukhomba izinkinga.
> Imithombo:
> Holzman, David C. Rheumatologists angasiza iziguli ezine-Arthritis ye-Rheumatoid zithinte izithiyo zokuya ocansini. I-Rheumatologist. Julayi 1, 2014.
> Leong, Amye, MBA. Ubulili ne-Arthritis. I-American College of Rheumatology. April 2015.
> Nasr, Mohamad Mahmoud et al. Ukusebenza ngokocansi ku-Rheumatoid Arthritis Iziguli - Inkinga Engabonwayo. I-Rheumatologist yaseGibhithe. (2013) 35: 201-205.
> Stein, Jill. I-ED, i-Arthritis ye-Rheumatoid ingaxhunyaniswa. Izindaba ze-Renal & Urology. Disemba 10, 2009.
> Tristano, Antonio G. Impact of Rheumatoid Arthritis on Umsebenzi Wezocansi. World Journal of Orthopedics. Ngo-Ephreli 18, 2014: 5 (2) 107-111.