Yini Ebangela Ukuqaqamba Kwamalunga?

-Delile

• Yini ebangela i-arthritis?
• Gqoka udabule
• Ukuvuvukala
• Ukutheleleka
• Umzimba
• Ezinye izimbangela
• Yini eyandisa ingozi ye-arthritis?
• Yiziphi izinhlobo ze-arthritis?
• I-osteoarthritis
• Isifo samathambo
• Gout
• Ungakwazi yini ukuvimbela isifo samathambo?
• Kufanele ubone nini udokotela?
• 
  Yiziphi izindlela zokwelapha i-arthritis?
• Ukwelashwa kwe-osteoarthritis

Siyini isifo samathambo?

I-arthritis yisimo esaziwa ngokuqina nokuvuvukala, noma ukuvuvukala kwamalunga. Akuyona inhlobo eyodwa yesifo, kepha kuyindlela ejwayelekile yokubhekisa ebuhlungwini obuhlangene noma izifo ezihlangene. Abantu abadala abalinganiselwa ezigidini ezingama-52.5 baseMelika banohlobo oluthile lwesifo samathambo, ngokusho kwe-. Lokho kungaphezudlwana koyedwa kwabaseMelika abahlanu.

Ngenkathi ungahle uzwe ukungakhululeki okuncane ekuqaleni kwesimo, izimpawu zingakhula ngokuhamba kwesikhathi. Ekugcineni zingadala ukulinganiselwa emsebenzini futhi zithinte usuku lwakho nosuku. Ngenkathi ingozi yakho yesifo samathambo ingakhula ngokuguga, ayigcini kubantu abadala asebekhulile. Ngaphezu kwalokho, kunezici ezahlukahlukene zobungozi ezihambisana nezinhlobo ezahlukene zesifo samathambo.

Ukuqonda izimbangela nezici zobungozi be-arthritis kungakusiza wena nodokotela wakho ukuthatha izinyathelo zokuvimbela. Lokhu kungasiza ukugcina izimpawu zakho zingabi zimbi noma zilibazise ukuqala kwalesi simo.

Yini ebangela i-arthritis?

Ngenkathi kunezinhlobo eziningi ze-arthritis, lezi zigaba ezimbili ezinkulu i-osteoarthritis (OA) ne-rheumatoid arthritis (RA). Ngayinye yalezi zinhlobo ze-arthritis inezimbangela ezahlukene.

Gqoka udabule

I-OA imvamisa ingumphumela wokugqokwa nokudabuka emajoyintini. Ukusetshenziswa kwamalunga ngokuhamba kwesikhathi kungaba nomthelela ekuwohlokeni koqwanga oluvikelayo emajoyintini akho. Lokhu kubangela ukuthi amathambo akhuhlane nethambo. Lowo muzwa ungaba buhlungu kakhulu futhi uvimbele ukunyakaza.

Ukuvuvukala

I-RA yilapho amasosha omzimba ezihlasela wona. Ngokuqondile umzimba uhlasela ulwelwesi oluzungeze izingxenye ezihlangene. Lokhu kungadala amalunga avuvukile noma avuvukele, ukubhujiswa koqwanga namathambo, futhi ekugcineni kube nobuhlungu. Ungase futhi uhlangane nezinye izimpawu zokuvuvukala, ezinjengomkhuhlane nokulahlekelwa ukudla.

Ukutheleleka

Kwesinye isikhathi, ukulimala okubuhlungu noma ukutheleleka emajoyinini kungathuthukisa ukuqhubeka kwesifo samathambo. Isibonelo, isifo sokuqaqamba kwamalunga esisebenzayo uhlobo lwe-arthritis olungalandela ezinye izifo. Lokhu kufaka izifo ezithathelwana ngocansi ezifana ne-chlamydia, izifo ze-fungal, kanye nezifo ezithwala ukudla.

Umzimba

Lapho umzimba uphula i-purine, into etholakala kumaseli nokudla, yakha i-uric acid. Abanye abantu banamazinga aphezulu e-uric acid. Lapho umzimba ungakwazi ukuwususa, i-asidi iyakha futhi yakhe amakristalu afana nezinaliti emajoyintini. Lokhu kubangela iphuzu elihlangene nelingazelelwe elihlangene, noma ukuhlaselwa kwegout. I-Gout iyafika idlule, kepha uma iyekwa ingalashwa ingahlala ingalapheki.

Ezinye izimbangela

Ezinye izimo zesikhumba nezitho zomzimba nazo zingadala isifo samathambo. Lokhu kufaka phakathi:

• i-psoriasis, isifo sesikhumba esibangelwa ukuguquka kweseli lesikhumba ngokweqile
• Sjogren’s, ukugula okungadala ukuncipha kwamathe nezinyembezi, kanye nesifo sohlelo
• isifo sokuvuvukala kwamathumbu, noma izimo ezibandakanya ukuvuvukala kwendlela yokugaya ukudla efana nesifo sikaCrohn noma isifo sezilonda esilimaza ulcerative

Yini eyandisa ingozi ye-arthritis?

Kwesinye isikhathi isifo samathambo singenzeka ngaphandle kwesizathu esaziwayo. Kodwa kukhona nezici ezingakhuphula ubungozi bakho kuzo zonke izinhlobo ze-arthritis.

Ubudala: Iminyaka yobudala inyusa ingozi yomuntu ngezinhlobo ze-arthritis ezifana ne-gout, i-rheumatoid arthritis, ne-osteoarthritis.

Umlando womndeni: Unamathuba amaningi okuba nesifo samathambo uma umzali wakho noma ingane yakini inohlobo lwe-arthritis.

Ubulili: Abesifazane basemathubeni amaningi okuba neRA kunabesilisa kanti abesilisa banamathuba amaningi okuthi bathole i-gout.

Ukukhuluphala: Isisindo eseqile singakhuphula ubungozi bomuntu ku-OA ngoba ibeka ingcindezi enkulu emajoyintini.

Umlando wokulimala kwangaphambilini: Labo abalimele ijoyinti lokudlala imidlalo, engozini yemoto, noma okunye okwenzekayo kungenzeka babe nesifo samathambo ngokuhamba kwesikhathi.

Noma ungazizwa izimpawu, kufanele uxoxe nodokotela wakho ngobungozi bakho be-arthritis. Bangasiza ukuhlinzeka ngezindlela zokuvimbela noma zokubambezela i-arthritis.

Yiziphi izinhlobo ze-arthritis?

Njengoba nje indawo i-arthritis ihlukahluka, akubona bonke abantu abazoba nohlobo olufanayo lwe-arthritis.

I-osteoarthritis

I-OA uhlobo oluvame kakhulu lwe-arthritis. Ingozi enkulu kunazo zonke kulesi simo iminyaka. Ubuhlungu obujwayelekile nokuqina okuhambisana nokukhula akupheli uma unalesi simo. Ukulimala kwangaphambilini ebuntwaneni nasebusheni obudala nakho kungadala i-osteoarthritis, noma ngabe ucabanga ukuthi ululame ngokuphelele.

Isifo samathambo

I-RA uhlobo lwesibili oluvame kakhulu lwe-arthritis. Kubantu abangaphansi kweminyaka engu-16 ubudala, ibizwa ngokuthi i-juvenile inflammatory arthritis (phambilini yayaziwa njenge-juvenile rheumatoid arthritis). Lolu hlobo lwesifo sokuzivikela komzimba lubangela ukuthi umzimba uhlasele izicubu emajoyintini. Unengozi enkulu yokuthola lolu hlobo lwe-arthritis uma usuvele unolunye uhlobo lokuphazamiseka komzimba, njenge-lupus, i-Hashimoto's thyroiditis, noma i-multiple sclerosis. Ubuhlungu nokuvuvukala okubonakalayo, ikakhulukazi ezandleni, kubonisa lesi simo.

Gout

I-Gout uhlobo lwesithathu oluvame kakhulu lwe-arthritis. Lapho i-uric acid yakha, iyakhazimula ngokuzungeza amalunga. Le crystallization ibangela ukuvuvukala, okwenza kube nzima futhi kubuhlungu ukuthi amathambo ahambe. I-Arthritis Foundation ilinganisela ukuthi amaphesenti amane abantu abadala baseMelika bakhulisa i-gout, ikakhulukazi eminyakeni yabo yobudala ephakathi. Izimo ezihlobene nokukhuluphala zingakhuphula nobungozi bakho be-uric acid ephezulu kanye ne-gout. Izimpawu ze-gout zivame ukuqala ezinzwaneni, kodwa zingenzeka kwamanye amalunga emzimbeni.

Ungakwazi yini ukuvimbela isifo samathambo?

Asikho isilinganiso esisodwa sokuvimbela isifo samathambo, ikakhulukazi uma kubhekwa zonke izinhlobo ezahlukahlukene ezikhona. Kepha ungathatha izinyathelo ukugcina ukusebenza ngokuhlanganyela nokuhamba. Lezi zinyathelo zizophinde zithuthukise ikhwalithi yakho yonke yempilo.

Ukufunda kabanzi ngalesi sifo nakho kungasiza ekwelashweni kusenesikhathi. Isibonelo, uma wazi ukuthi une-autoimmune disorder, ungakhumbula izimpawu zokuqala. Uma usheshe wabamba lesi sifo bese uqala ukwelashwa kuba ngcono ukwazi ukubambezela ukuqhubeka kwesifo.

Ezinye izincomo ezijwayelekile zokuthi ungasivimbela kanjani isifo samathambo zifaka:

• Ukudla ukudla kwesitayela saseMedithera. Ukudla kwezinhlanzi, amantongomane, imbewu, uwoyela womnqumo, ubhontshisi nokusanhlamvu okuphelele kungasiza ngokuvuvukala. Ukunciphisa ukudla kwakho ushukela, ukolweni, ne-gluten nakho kungasiza.
• Ukudla ukudla okunoshukela omncane. Ushukela unganikela ekuvukeleni nobuhlungu be-gout.
• Ukugcina isisindo esinempilo. Lokhu kunciphisa izidingo kumajoyinti akho.
• Ukuzivocavoca umzimba njalo. Ukuvivinya umzimba kungasiza ukunciphisa izinhlungu, ukuthuthukisa imizwa, futhi kwandise ukuhamba ngokuhlanganyela nokusebenza.
• Ukuyeka ukubhema. Lo mkhuba ungadala ukuphazamiseka kokuzimela komzimba, futhi kuyingozi enkulu yesifo samathambo
• Ukubona udokotela wakho ekuhloleni unyaka nonyaka. Khumbula ukubika noma yiziphi izimpawu ezingahle zihlobene nesifo samathambo.
• Ukugqoka okokuvikela okufanele. Lapho udlala imidlalo noma wenza umsebenzi, okokuvikela kungasiza ekuvimbeleni ukulimala.

Kufanele ubone nini udokotela?

Isifo samathambo esithuthukisiwe singenza ukuhamba kube nzima, kufaka phakathi amandla okwenza imisebenzi yansuku zonke. Ngokufanelekile, uzobona udokotela wakho ngaphambi kokuba isimo sakho sisezigabeni ezithuthukile. Yingakho kubalulekile ukwazi ngalesi simo, ikakhulukazi uma usengozini yaso.

Ezinye izincomo ezijwayelekile zokuthi uzobona nini udokotela wakho zifaka:

• ubunzima bokuhambisa ilunga elithile
• ukuvuvukala ngokuhlanganyela
• ubuhlungu
• ububomvu
• imfudumalo ejoyintini elithintekile

Udokotela wakho uzolalela izimpawu zakho futhi ahlole umlando wakho wezokwelapha nowomndeni. Udokotela anga-oda ukuqhutshekelwa kokuhlolwa, okufana negazi, umchamo, ukuhlolwa oketshezi oluhlangene, noma izifundo ze-imaging (x-ray noma i-ultrasound). Lezi zivivinyo zingasiza ekunqumeni ukuthi hlobo luni lwe-arthritis onalo.

Udokotela wakho angasebenzisa nokuhlolwa kwe-imaging ukukhomba izindawo zokulimala noma zokuwohloka okuhlangene. Ukuhlolwa kokufanekisa kufaka phakathi ama-X-ray, i-ultrasound, noma ama-imaging resonance imaging scan. Lokhu kungasiza futhi ukukhipha ezinye izimo.

Yiziphi izindlela zokwelapha i-arthritis?

Udokotela wakho angakunika umuthi, akutuse ukuhlinzwa, futhi akukhuthaze ukuthi welaphe ngokomzimba. Ekhaya ungadambisa ubuhlungu be-arthritis ngokugeza eshaweni efudumele, ngokuzivocavoca umzimba ngobunono, nangokusebenzisa i-ice pack endaweni ebuhlungu.

Ukwelashwa kwe-osteoarthritis

Udokotela wakho angaqala aphathe i-OA ngezindlela ezilandelanayo. Lokhu kufaka phakathi ukuqeda izinhlungu eziseqophelweni eliphezulu noma zomlomo, noma ukufaka uqhwa noma ukufudumeza ilunga elithintekile. Ungakhuthazwa futhi ukuthi uhlanganyele ekuzivocavoca umzimba ukuze uqinise imisipha ezungeze ilunga. Uma i-osteoarthritis yakho iqhubeka nokuthuthuka, kungahle kunconywe ukuhlinzeka ukulungisa noma ukufaka elinye ilunga. Izinqubo zokufaka esikhundleni ngokuhlanganyela zivame kakhulu kumajoyinti amakhulu, njengamadolo nezinqulu.