I-arthritis esebenzayo: kuyini, ukwelashwa, izimpawu nezimbangela

-Delile

• Izimbangela ze-arthritis esebenzayo
• Izimpawu ze-arthritis esebenzayo
• Ukuxilongwa kwe-arthritis esebenzayo
• Yelashwa kanjani
• Izixazululo ze-arthritis esebenzayo
• I-Physiotherapy ye-arthritis esebenzayo

Isifo sokuqaqamba kwamalunga esisebenzayo, esasaziwa ngaphambili ngokuthi yiReiter's Syndrome, yisifo sokuvuvukala esiqala ngokushesha ngemuva noma ngesikhathi sokutheleleka ngamagciwane, imvamisa noma amathumbu. Ngenxa yokuthi kwenzeka njengomphumela wokutheleleka, lolu hlobo lwe-arthritis lubizwa ngokuthi luyasebenza.

Isifo samathambo esisebenzayo sakhiwa i-triad yomtholampilo: i-arthritis ngemuva kokutheleleka, i-urethritis kanye ne-conjunctivitis. Lesi sifo sivame kakhulu kubantu abadala abanomlando wokutheleleka emasontweni amane edlule.

Ezimweni eziningi, abantu abatholakala ukuthi bane-arthritis esebenzayo baba ngcono emva kwezinyanga ezimbalwa ngaphandle kwesidingo sokwelashwa, kodwa-ke kukhona amathuba okuthi iphinde yenzeke. Ukwelashwa kwalolu hlobo lwe-arthritis kusungulwa ngudokotela ojwayelekile noma i-rheumatologist ngokusho kwezimpawu ezethulwe yisiguli kanye nembangela yalesi sifo, nokusetshenziswa kwama-anti-inflammatories, ama-analgesics, ama-corticosteroids noma ama-antibiotic kunganconywa.

Izimbangela ze-arthritis esebenzayo

I-arthritis esebenzayo ivame ukuvela ngenxa yokutheleleka kwebhaktheriya kwe-urogenital noma emathunjini. Endabeni yokutheleleka kwe-urogenital, kungahle kube ngenxa yezifo ezithathelwana ngocansi, njenge-chlamydia, ngokwesibonelo, ebangelwa amagciwane I-Chlamydia trachomatis. Lapho kungenxa yokutheleleka kwamathumbu, kungahle kube ngenxa yokutheleleka nge I-Campylobacter sp, Shigella sp noma I-Salmonella sp, Ngokwesibonelo.

Lezi zifo zingenzeka ngenxa yokuxhumana okungavikelekile, uma kwenzeka Izifo Ezithathelwana Ngocansi (STIs), kuhlotshaniswa ne-urethritis noma i-cervicitis, engabonakaliswa, yize ezimweni eziningi kuholela ebuhlungu nasekushiseni komchamo, ngaphezu ukukhishwa kwe-urethral noma kwesitho sangasese sowesifazane, noma ngenxa yobuthi bokudla, esimweni sokutheleleka kwamagciwane emathunjini. Ngaphezu kwalokho, i-arthritis esebenzayo ingabangelwa ukutheleleka ngegciwane. Kukhona nemibiko yesifo sokuqaqamba kwamalunga esivele ngemuva kokuzivocavoca ngomdlavuza wesinye.

Izimpawu ze-arthritis esebenzayo

Isifo samathambo esisebenzayo saziwa ngezimpawu eziyizintathu (i-arthritis, i-urethritis ne-conjunctivitis), okungukuthi, lesi sifo sikhombisa izimpawu zokutheleleka, ukuvuvukala kwamalunga nezinkinga zamehlo. Ngakho-ke, izimpawu nezimpawu eziyinhloko ezihlobene ne-arthritis esebenzayo yilezi:

• Izimpawu zokutheleleka:

  • IPolyuria, okungukukhiqizwa kwenani elikhulu lomchamo emini;
  • Ubuhlungu nokushisa lapho uchama;
  • Ubukhona begazi emchameni;
  • Isifiso esiphuthumayo sokuchama;
  • Izimpawu nezimpawu ezihlobene ne-prostatitis emadodeni, njengobunzima bokugcina ukwakheka, ubuhlungu lapho kukhishwa umchamo kanye nokuba khona kwegazi esidunjini;
  • Izimpawu nezimpawu ezihlobene ne-cervicitis, i-salpingitis noma i-vulvovaginitis kwabesifazane.
• Izimpawu ezihlangene, engahlukahluka kusuka ku-monoarthritis yesikhashana kuya ku-polyarthritis, okungukuthi, kungahle kube nokubandakanyeka kwelungu elilodwa noma amaningi:
  • Ubuhlungu obuhlangene;
  • Kunzima ukuhambisa ilunga elithintekile;
  • Ubuhlungu phansi emuva;
  • Ukuvuvukala emalungeni;
  • Ukuvuvukala kwemisipha nemisipha ehlotshaniswa nejoyini.
• Izimpawu zamehlo:
  • Ubomvu emehlweni;
  • Ukudabuka ngokweqile;
  • Ubuhlungu noma ukushiswa emathanjeni;
  • Ukuvuvukala;
  • Amehlo avuthayo;
  • Ukwanda kokuzwela ekukhanyeni, okubizwa nge-photophobia.

Ngaphezu kwalokho, ezinye izimpawu ezijwayelekile zingavela, njengokukhathala ngokweqile, ubuhlungu beqolo, umkhuhlane ngaphezu kwe-38ºC, ukwehla kwesisindo, i-thrush, ubuhlungu besisu noma uhudo, ngokwesibonelo. Lapho lezi zimpawu zivela, kunconywa ukuthi uthintane nodokotela ojwayelekile ukuze ahlole inkinga futhi akhombise isidingo sokuthintana ne-rheumatologist ukuqala ukwelashwa okufanele.

Ukuxilongwa kwe-arthritis esebenzayo

Ukutholakala kwesifo samathambo esisebenza ngokuyisisekelo kungokwasemtholampilo, lapho udokotela ahlola khona ukuthi ngabe zikhona yini izimpawu nezimpawu zesici sontathu, okungukuthi, ukuba khona kwezimpawu nezimpawu ezihlobene nokutheleleka, ukuvuvukala kwamalunga nezinkinga zamehlo.

Ngaphezu kwalokho, udokotela angacela ukuthi kwenziwe ukuhlolwa kofuzo ukuze kutholakale i-HLA-B27, engathathwa njengophawu oluhle ezigulini ezinesifo sokuqaqamba kwamalunga. Ngokuzihlukanisa, i-HLA-B27 inenani elincane lokuxilonga futhi ayiboniswa ekunakekelweni okujwayelekile kwalezi ziguli.

Yelashwa kanjani

Ukwelashwa kwesifo sokuqaqamba kwamalunga okwenziwa kwenziwa ngokuya ngezimpawu ezethulwe ngumuntu nembangela yalesi sifo, nokusetshenziswa kwamakhambi okulwa nokuvuvukala kanye ne-analgesic, njengeParacetamol noma i-Ibuprofen, kuvame ukukhonjiswa ngudokotela wamathambo. Kwezinye izimo, ukusetshenziswa kwama-corticosteroids, njenge-Prednisolone, kunganconywa futhi ukunciphisa ukuvuvukala ezingxenyeni ezahlukahlukene zomzimba nokuqeda izimpawu.

I-rheumatologist nayo ingakhombisa ukusetshenziswa kwama-antibiotic, uma isifo sokuqaqamba kwamalunga esidala sibangelwa ukutheleleka kwebhaktheriya futhi umzimba ungakwazi ukuqeda amabhaktheriya, kepha ukusetshenziswa kwama-antibiotic akunamthelela maqondana nokuthuthuka kwalesi sifo. Ngaphezu kwalokho, esimweni lapho amalunga athintekile khona, ukwelashwa ngokomzimba kungakhonjiswa, okwenziwa ngokuzivocavoca umzimba okusiza ukubuyisa ukuhamba kwezitho nokuqeda izinhlungu.

Kodwa-ke, akwenzeki ngaso sonke isikhathi ukukhulula ngokuphelele zonke izimpawu zesifo sokuqaqamba kwamalunga esisebenzayo, ukuthuthukisa isimo esingelapheki esenza ukuthi izimpawu ziphinde zivele emasontweni ambalwa.

Izixazululo ze-arthritis esebenzayo

Ezimweni eziningi zesifo sokuqaqamba kwamalunga, udokotela uncoma ukusetshenziswa kwezidakamizwa ezingezona ukuvuvukala (ama-NSAID) ukuze kudambise izimpawu, futhi kunganconywa ukusetshenziswa kwe-Ibuprofen noma i-Diclofenac ukunciphisa ubuhlungu nokwenza lula ukunyakaza okuhlangene. Uma kwenzeka ukusetshenziswa kwama-NSAID kunganele, ukusetshenziswa kweminye imithi, njenge:

• Ama-Corticosteroids, njengePrednisolone noma iBetamethasone, ukunciphisa izimpawu zokuvuvukala lapho izidakamizwa ezilwa nokuvuvukala zinganele;
• Imithi elwa namagciwane, ehlukahluka ngokuya nge-ejenti elithelelanayo elibhekele ukutheleleka kanye nephrofayili yokuzwela kwe-microorganism.

Ukwelashwa kwesifo sokuqaqamba kwamalunga okusebenza isikhathi esiningi kuthatha cishe izinyanga eziyi-6, kepha kwezinye izimo kungafinyelela eminyakeni eyi-1 ngokuya ngobukhulu bezimpawu nempendulo yomuntu ekwelashweni.

I-Physiotherapy ye-arthritis esebenzayo

Ukwelashwa kwe-Physiotherapy kubalulekile ekwelapheni lolu hlobo lwe-arthritis ukugwema ukuqina kwelungu. Ngakho-ke, ukwelashwa ngokomzimba kukhombisa futhi kwenze okunye ukuzivocavoca ukuqeda izimpawu ezihlangene, kukhulise uhla lokunyakaza futhi kuvimbele ukukhubazeka okungenzeka ngenxa yesifo.

Bheka ividiyo elandelayo ukuthola okunye ukuzivocavoca kwe-arthritis: