Abantu abaningi abaphatha imithi ye-arthritis abaqiniseki ukuthi bayavunyelwa yini ukuphuza utshwala noma cha. Abanye bangacabangi ngisho nokubuza ukuthi lokho kuyinhlanganisela engalungile.
Abantu bavame ukucabanga ukuthi izixwayiso ziphathelene nabantu bonke kodwa ngokwazo. Kulukhuni ukuzicabangela wena njengokudinga isixwayiso, noma ukwehluleka, noma okufayo. Mhlawumbe lokho kungumuntu nje.
Ngezinye izikhathi, sidinga izikhumbuzo ezinamandla futhi, ngeshwa, izenzakalo ezimbi zivame ukuletha lezo zikhumbuzi. Ngokuvamile, isikhumbuzi siza ngemuva kokufa komuntu owaziwayo ngenxa yokudlula ngokweqile. Kodwa, akufanele kuthathe umcimbi wezindaba ukuze usikhumbuze. Lolu lwazi lunamathele kuwo wonke amabhodlela kadakamizwa esiwaqoqa ekhemisi.
Yonke ibhodlela legciwane linamacici amancane axhunyiwe aqondisa kahle ukusetshenziswa noma axwayise ngezingozi. Ngenkathi ama-stickers noma amalebuli angase abe amancane, umlayezo abawuthwala awuhlosiwe ukuba ungaphuthelwa noma unganakwa. Ngabe okokugcina ukukhokha yini lezo zincinjana ezincane? Hlola imiyalelo yakho. Kuye ngemithi ethile, uzobona into enjengale:
Ukuqapha: Ungasebenzisi izidakamizwa noma utshwala ngaphandle kokubonisana nodokotela.
Ungaphuzi utshwala uma uthatha le mithi.
Ngingashayela izixwayiso ngokucacile. Kungani ngisho kakhulu ?
Abanye abantu babonakala bedidekile ngokuthi lezi zixwayiso zenzelwe kanjani ngempela. Ngakho-ke, masikucacise, kanye naso sonke. Abantu abanezifo ezingapheli, njenge-arthritis, bavame ukuthatha imithi ehlukahlukene. Ukubuyekezwa kwemithi ngokuvamile ethathwe abantu abane-arthritis iphakamisa ulwazi olulandelayo mayelana nokuphuza utshwala ngenkathi kuthatha izidakamizwa.
Ama-NSAID (Izidakamizwa Eziphikisana Nama-Anti-inflammatory)
Ama-NSAID afaka i-Motrin ( ibuprofen) , i-Naprosyn ( naproxen) , i- Celebrex (i-celecoxib), ne- Mobic (meloxicam), phakathi kwabanye. Ama-NSAID angabangela ukuphuma noma izilonda esiswini noma emathumbu. Lezi zinkinga zingakhula nganoma yisiphi isikhathi ngesikhathi sokwelashwa, kungenzeka ngezimpawu zokuxwayisa, futhi zingabangela ukufa. Ingozi ingase ibe ephakeme kubantu abathatha ama-NSAID isikhathi eside, abantu asebekhulile, labo abasenempilo embi, noma labo abaphuza iziphuzo ezintathu ezidakayo noma ngaphezulu ngosuku ngenkathi bethatha ama-NSAID. Kulula nje, ithuba lokuthuthukisa isilonda noma ukuphuma kwegazi landa ngokusetshenziswa kotshwala.
I-Acetaminophen (igama lesiGreki iTylenol)
I-Acetaminophen isetshenziswa njenge-monotherapy noma isetshenziselwa njengesithako semithi ethile yobuhlungu, njenge- Vicodin. Kunengozi eyengeziwe yokwehluleka kwesibindi esiphezulu kwiziguli ezithatha i-acetaminophen ngamazinga aphezulu, isikhathi eside, noma phakathi kwalabo abaphuza utshwala.
Ama-DMARD (Izifo Ukuguqula Izidakamizwa Eziphikisana Nezifo)
Ama-DMARD afaka i- methotrexate ne-Arava (i-leflunomide), i-Azulfidine (i-sulfasalazine, ne-Plaquenil (i-hydroxychloroquine). Iziguli ezithatha methotrexate ziyacelwa ukuba zigweme utshwala, kuhlanganise ubhiya, iwayini, nokuphuza utshwala obukhulu, ngenxa yengozi yokukhulelwa kwesibindi.
Abanye odokotela bakhombisa ukuthi isiphuzo sesikhathi esithile, sokugubha (njengosuku lwakho lokuzalwa noma ezinye izikhathi ezikhethekile) angeke kube yingozi, kodwa ukuzigcina kuphela kungukulimaza okungu-100% okuqinisekisiwe.
I-Corticosteroids (Efana no-Prednisone)
I-Corticosteroids ingabangela ukuphuma kwesisu. Ukusebenzisa utshwala ngenkathi usebenzisa i-steroids kungandisa ingozi yesisu sokuphuma kwegazi.
Abantu abane-arthritis nabo bangase babekwe imithi yokulala, izidakamizwa zokucindezeleka , noma izidakamizwa zokuphumula. Lezi zidakamizwa, ngokuhambisana nophuzo, nazo zingaba nemiphumela emibi kakhulu.
Okubalulekile
Imithi esetshenziselwa ukwelapha i-arthritis inezingozi zayo, ngokuyinhloko ihilela isisu, amathumbu noma isibindi.
Utshwala landa lezo zingozi. Xoxa ngendaba nodokotela wakho kanye nemithi yakho yezokwelapha ukuze kucaciswe ukuthi kungani kungeluleki ukuphuza utshwala ngenkathi kuthatha imithi ye-arthritis.
Imithombo:
Ibuprofen. I-PubMed Health. Okthoba 1, 2010.
http://www.ncbi.nlm.nih.gov/pubmedhealth/PMHT0000915/
Umhlahlandlela Wokusebenzisa Imithi Yezidakamizwa Ezingaqedi Ukuvuvukala.
http://www.fda.gov/downloads/Drugs/DrugSafety/ucm088646.pdf
I-American Family Physician. Umhlahlandlela Wezazi Lomndeni Wokuqapha Methotrexate. Okthoba 2000.
http://www.aafp.org/afp/2000/1001/p1607.html