Ukuqonda ubungozi be-RA engalashwa

-Delile

• Imiphumela yesikhathi eside
• Ezinye izinkinga
• Imiphumela esikhunjeni
• Imiphumela enhliziyweni
• Imiphumela emaphashini
• Imiphumela ezinso
• Uhlelo lwakho lokwelashwa lweRA
• Ukuhlala emzileni

I-rheumatoid arthritis (RA) ibangela ukuvuvukala kolwelwesi lwamajoyini, ikakhulukazi ezandleni naseminwe. Izimpawu nezimpawu zifaka obomvu, ukuvuvukala, amalunga abuhlungu, nokuncipha kokuhamba nokuguquguquka.

Ngenxa yokuthi i-RA yisifo esiqhubekayo, izimpawu ziba zimbi kakhulu. Uma ishiywe ingalashwa, ingadala umonakalo omkhulu emajoyinini kanye nezinkinga ezinkulu ezithweni ezinkulu. Kodwa-ke, kunezindlela zokwelashwa eziningi ezisebenzayo, kanti ukwelashwa okufanele kubaluleke kakhulu ekulawuleni ukuqhubeka kwe-RA.

Imiphumela yesikhathi eside

Njengoba i-RA iqhubeka, ingadala ubuhlungu nokuvuvukala kwamanye amalunga omzimba ngaphandle kwezandla. Lokhu kufaka:

• izihlakala, izindololwane namahlombe
• amaqakala, amadolo nezinqulu
• izikhala phakathi kwama-vertebrae emgogodleni
• ingxenye engezansi yezimbambo

Uma ishiywe ingalashwa, umonakalo wesikhathi eside emajoyini ungabonakala. Izicubu eziyimfucumfucu zingakheka ezungeze amalunga, namathambo angahlangana ndawonye. Lokhu kungadala ukukhubazeka nokulahleka kokuhamba. Vele, ngezandla ezithinteka kakhulu, lokhu kulahleka kokuhamba kungadala izingqinamba ezibucayi ngekhwalithi yempilo.

Ezinye izinkinga

Lapho i-RA ingelashwa kahle, izinkinga ezinkulu zingakhula ezithweni ezinkulu, kufaka phakathi isikhumba, inhliziyo, amaphaphu nezinso.

Imiphumela esikhunjeni

Impendulo efanayo yokuzivikela ehlasela ulwelwesi lwamalunga nayo ingathinta isikhumba. Ama-Rashes ajwayelekile kulabo abane-RA engalashwa, njengamabhamuza kanye nezigaxa zezicubu ezivuthayo ngaphansi kwesikhumba ezibizwa ngama-nodules.

Imiphumela enhliziyweni

Abantu abane-RA engalawulwa bangaba nokuvuvukala okusakazeka emithanjeni yegazi, kubangele ukuthi banciphe. Lokhu kungaholela ekuvalekeni nasezimbanjeni emithanjeni yegazi nasemithanjeni yegazi emincane. Lokhu kuvinjelwa kungaphindaphinda amathuba akho okuhlaselwa yisifo senhliziyo noma isifo sohlangothi. I-RA futhi ingaholela ku-pericarditis, noma ukuvuvukala kolwelwesi oluzungeze inhliziyo.

Imiphumela emaphashini

Izinkinga zamaphaphu ezibangelwa i-RA engalashwa zifaka:

• Izicubu ezibomvu ezikhula ngokuhamba kwesikhathi ngenxa yokuvuvukala kwesikhathi eside. Lesi sicubu singadala ubunzima bokuphefumula, ukukhwehlela okungapheli nokukhathala.
• Amaqhuqhuva erheumatoid emaphashini, afana nalawo avela ngaphansi kwesikhumba. Kwesinye isikhathi, la maqhuqhuvana ayaqhuma, okungadala ukuthi iphaphu liwe.
• Isifo sePleural, noma ukuvuvukala kwezicubu ezizungeze amaphaphu. Uketshezi lungakha futhi phakathi kwezendlalelo ze-pleura, okuholele ezinkingeni zokuphefumula nobuhlungu.

Imiphumela ezinso

Ucwaningo lukhombisile ukuthi abantu abane-RA banethuba elicishe libe ngamaphesenti angama-25 lokuhlaselwa yisifo sezinso. Umphumela ohlangene wokuvuvukala, imiphumela emibi yemithi, nezinye izinto ezinomthelela kubonakala sengathi kudala izinkinga zezinso. Ngenxa yalokhu, kubalulekile ukuthi udokotela wakho aqaphe ukusebenza kwezinso zakho njalo.

Uhlelo lwakho lokwelashwa lweRA

Ngokushesha nje lapho kutholakala ukuthi une-RA, udokotela wakho cishe uzokunika uhlobo lomuthi obizwa ngokuthi ama-DMARD, noma izidakamizwa zokuguqula izifo ezilwa nerheumatic. Le mithi, efaka imishanguzo emisha ye-biologic, ingasebenza kakhulu ekunciphiseni noma ekumiseni ukuqhubeka kweRA.

Ezinye izindlela zokwelashwa udokotela wakho angazincoma zifaka phakathi imishanguzo eyengeziwe kadokotela, ukudambisa izinhlungu ezithengelwe njenge-ibuprofen noma i-naproxen, nokuvivinya umzimba njalo noma ukwelashwa ngokomzimba.

Ukuhlala emzileni

Njengoba kunezinkinga eziningi ezingaba khona ezivela kwa-RA, ukubaluleka kokulandela umkhondo nohlelo lwakho lokwelashwa kucacile. Uma unemibuzo noma ukukhathazeka mayelana nanoma yiziphi izici zokwelashwa kwakho, qiniseka futhi uxoxe ngazo nodokotela wakho. Imizila evulekile yokuxhumana phakathi kwakho nabahlinzeki bakho bezokunakekelwa kwezempilo ingasiza ekuqinisekiseni ukwelashwa okuphumelelayo kweRA yakho, kanye nempilo engcono kuwe.