Indlela Izinqubo Zokwelashwa Zishintsha Esigabeni Sesi-3 Isifo
I-arthritis ye-rheumatoid isifo sokuzibulala esisodwa esivuvukalayo lapho isimiso somzimba samasosha omzimba sihlaselela ngokungahambi kahle amanzi ahlanzekile asebenzayo agcoba amalunga. Isizathu saso asiyazi ngokuphelele kodwa siyakholelwa kakhulu esixhunyaniswe nezakhi zofuzo.
I-Centers for Disease Control and Prevention izilinganiselwa ukuthi abantu abangaba yizigidi ezingu-1.5 baseMelika bahlaselwa yisifo samathambo esinezifo ezinesifo samathambo esinezimpawu ezivela kwesikhashana kanye nobuhlungu kuze kube nokukhubazeka okukhulu.
Uma izimpawu zesifo samathambo zikhula kakhulu, odokotela bazothatha isenzo esicasulayo sokunciphisa ukuvuvukala nokuvimbela impendulo yomzimba. Uma ishiywe ingalashwa, i-arthritis ye-rheumatoid ingathinta okungaphezu nje kokuhamba kwakho; imiphumela yaso evuthayo ingabangela ukucindezeleka okukhulu kwezinye izingxenye zomzimba, futhi.
Ubukhulu be-arthritis ye-rheumatoid buxhaswe izigaba, kanti isigaba esisodwa sibe yisisindo esinzima kakhulu futhi sesine sigaba esisodwa kakhulu.
Ukufanisa i-Arthritis enamandla kakhulu
Lapho uhlola ubunzima be-arthritis ye-rheumatoid, odokotela bazocabangela izimpawu zakho, izinga lokulimala okuhlanganyelwe, kanye nomthelela emsebenzini wakho womzimba ukuze kunqume kangcono inkambo yokwelashwa.
Izimpawu zesifo samathambo esibi kakhulu zihlanganisa izinga eliphakeme lobuhlungu, ukuqina , kanye / noma ukuvuvukala kwamajoyinti athintekile. Ungase ube nenkinga yokwenza imisebenzi yansuku zonke noma ukuzwa ukukhubazeka kwamalungu e-arthritic, ikakhulukazi ezandleni .
Impendulo yokuvuvukala ingathinta nezinye izitho, okuholela ezinkomba zesistimu ezifana nokukhathala okuqhubekayo, i- pericarditis (ukuvuvukala kwebhande elizungeze inhliziyo), i- vasculitis (ukuvuvukala kwemithambo yegazi), kanye ne- pleuritis (ukuvuvukala kwendwangu yamaphaphu).
Ukuqina kwezimpawu zamathambo e-rheumatoid kunomthelela oqondile emandleni omuntu okusebenza futhi kungathinta ngisho nokukwazi komuntu ukusebenza.
Ucwaningo olwenziwa ngo-2008 oluvela eBoston University lwabika ukuthi, ngisho nokusetshenziswa kwezidakamizwa nezidakamizwa ezithuthukisiwe kakhulu, ukuqhubeka kwalesi sifo kuhlobene nokwehla kwamanani okusebenza emsebenzini ngaphambi kweminyaka engama-65 ethinta:
- Amaphesenti angu-23 abantu abadala abaye banesifo samathambo eminyaka eyodwa kuya kwemibili
- Amaphesenti angu-35 alabo abaye bahlala nalesi sifo okungenani iminyaka engu-10
- Amaphesenti angu-51 alabo abaye bahlala nalesi sifo okungenani iminyaka engu-25
Ukuqaphela I-Arthritis Enamandla Yegazi
Ngesikhathi izivivinyo zomzimba, izifundo zokucabanga, kanye nokuhlolwa kwelebhu kuyisihluthulelo ekunqumeni ubukhulu besimo sakho, ngakho-ke, yimibono yakho siqu ngobuhlungu bakho nokukhubazeka. Eqinisweni, lokhu kubaluleke njengalezo ezinye izivivinyo ekunqumeni uhlelo lwakho lokugcina lwezokwelapha.
Abanye abantu, ngokwesibonelo, bavame ukukhombisa ukulimala okungokwenyama embukisweni webhu kodwa banombono okhudlwana wokukhubazeka okuba njalo uhumusha amazinga okwehluleka nokucindezeleka.
Ngokuphambene nalokho, umuntu onomonakalo omkhulu angase asebenze kangcono futhi akwazi ukubhekana kangcono. Ngenkathi lokhu kungabandakanyi ukwelashwa okunamandla (uma nje kunciphisa ukukhula kwesifo nokuvimbela ukugula okungokwemvelo ), kunganquma ukuthi yiziphi izinhlobo zokwelashwa okuhambisanayo (kufaka phakathi ukuzivocavoca noma ukwelashwa ngokomzimba ) okuzofaneleka kakhulu.
Ukuze uhlole ukukhubazeka kwakho okusebenzayo, odokotela bazovame ukuqhuba ucwaningo lokuzihlola, njengoMbuzo Wokuhlola Ezempilo, ozocelwa ukuba ulandele imizwa yakho, ubuhlungu obukhulu, kanye nezinga lokukhubazeka.
Uma ubhekene nesifo samathambo esibi kakhulu, kunoma yiliphi izinga lakho lokukhubazeka, kungenzeka ukuthi i- rheumatologist ekhethekile ingadingeka ukuba iqondise ukunakekelwa kwakho. Laba odokotela banokuqonda okungcono izidalwa zalezi zinkinga ezingenasifo futhi zingase zivezwe kakhulu ngezifo zamanje noma zokuhlola.
Ukwelashwa Kwe-Arthritis Yomzimba Okhulu
Izigaba ze-arthritis ye-rheumatoid zichazwa njengasekuqaleni (isigaba esisodwa), zilinganiselwe (isigaba sesibili), futhi zinzima (isigaba 3).
Isigaba sesine sibhekwa njengesifo sokuphela kwesigaba lapho inqubo yokuvuvukala iphela futhi amalunga ayeke ukusebenza ngokugcwele.
Ukuvimbela ukuqhubekela phambili kusukela esigabeni sesithathu kuya kwezine, ukwelashwa kuzoxhomeka emithini enamandla kakhulu. Lapho esikhathini esedlule, kungenzeka ukuthi uthola ukukhululeka kobuhlungu nge- anti -the-counter nonsteroidal anti-inflammatory drugs (NSAID) , manje ungadinga i- cortisone shots kanye / noma ama-painkillers anamandla ukuze afinyelele umphumela ofanayo.
Ngaphezu kwalokho, udokotela wakho uzokufaka inhlanganisela ehlukile yemithi ehlose ukunciphisa umsebenzi wesifo. Lokhu kufaka:
- Izidakamizwa eziguqula izifo zokulwa nezifo (DMARD) ezihlanganisa methotrexate, hydroxychloroquine, sulfasalazine, leflunomide, cyclophosphamide, ne-azathioprine
- Izidakamizwa ze-biologic ezijojowe noma ezihanjiswe ukumnika ukucasula impendulo ye-autoimmune
- I-JAK inhibitors , i-subcategory entsha ye-DMARD, evimbela izindlela zikaJanus kinase (JAK) ezithintekayo ekuphenduleni komzimba
Kwezinye izimo, ukuhlinzwa kungahle kudingeke ezindaweni ezidonswayo zomonakalo bese ubuyisela ukuhamba nokuhamba kokuhamba komunye ohlangene.
> Imithombo:
> Allaire, S .; Wolfe, F .; U-Niu, J. et al. "Ukukhula okuqhubekayo kwanomphumela wokukhubazeka komsebenzi okuhlobene nesifo samathambo e-US." I-Arthritis Rheum. 2008; 59 (4): 474-80. I-DOI: 10.1002 / ubuciko.23538.
> Amasevisi Okulawula Nokuvimbela Izifo. "I-Rheumatoid Arthritis." I-Atlanta, Georgia; ibuyekezwe ngo-Julayi 17, 2017.