Uyini Umehluko Phakathi Kokuqaqamba Kwamalunga Ne-Arthritis Engacindezeli?

-Delile

• Siyini isifo samathambo?
• Sibangelwa kanjani i-arthritis?
• Izimbangela ze-osteoarthritis
• Izimbangela zesifo samathambo
• Izimpawu zesifo samathambo
• Ukuhlonza isifo samathambo
• Ukwelapha i-arthritis
• I-osteoarthritis
• Isifo samathambo
• Izinguquko zokuphila kwesifo samathambo
• Ukubonana nodokotela nini

Siyini isifo samathambo?

I-arthritis yisimo lapho amalunga akho avuvukala khona. Lokhu kungaholela ekuqineni, ekubeni buhlungu, futhi ezimweni eziningi, ukuvuvukala.

Isifo sokuqaqamba kwamalunga okuvuvukala nesingafaki ukuvuvukala yizinhlobo ezimbili ezivame kakhulu zalesi simo.

Kunezinhlobo eziningi zezinhlobo zamathambo. Enye yezinhlobo ezivame kakhulu zesifo sokuqaqamba kwamalunga i-rheumatoid arthritis (RA), futhi uhlobo oluvame kakhulu lwe-arthritis engafisi ukuvuvukala yaziwa njenge-osteoarthritis (OA).

Sibangelwa kanjani i-arthritis?

I-OA ne-RA zombili zinezimbangela ezihluke kakhulu.

Izimbangela ze-osteoarthritis

Noma ibizwa ngokuthi yi-noninflammatory arthritis, i-OA isengadala ukuvuvukala okuthile kwamalunga. Umehluko ukuthi lokhu kuvuvukala mhlawumbe kubangelwa ukuguga.

I-OA yenzeka lapho uqwanga lwelungu luwohloka. Uqwanga yizicubu ezixegayo futhi ezihlanganisa futhi zigcine imiphetho yamathambo ngokuhlanganyela.

Ukulimaza ilunga kungasheshisa ukuqhubekela phambili kwe-OA, kepha ngisho nemisebenzi yansuku zonke inganikela ku-OA kamuva empilweni. Ukukhuluphala ngokweqile nokufaka ubunzima obengeziwe emajoyintini nakho kungadala i-OA.

Isifo samathambo esingenakudumba sitholakala kakhulu emadolweni, ezinqeni, emgogodleni nasezandleni.

Izimbangela zesifo samathambo

I-RA yisifo esiyinkimbinkimbi kakhulu, kepha imvamisa sithinta okulandelayo:

• izandla
• izihlakala
• Izindololwane
• amadolo
• amaqakala
• izinyawo

Njenge-psoriasis noma i-lupus, i-RA isifo esizimele. Lokhu kusho ukuthi amasosha omzimba ahlasela izicubu ezinempilo.

Imbangela yeRA isalokhu iyindida. Ngenxa yokuthi abesifazane banamathuba amaningi okuthi bahlakulele i-RA kunabesilisa, abacwaningi bakholelwa ukuthi kungabandakanya izici zofuzo noma zehomoni.

I-RA nayo ingavela ezinganeni, futhi ingathinta nezinye izitho zomzimba, njengamehlo namaphaphu.

Izimpawu zesifo samathambo

Izimpawu zeRA ne-OA ziyefana, ngoba zombili zibandakanya ukuqina, ubuhlungu, nokuvuvukala emajoyintini.

Kepha ukuqina okuhambisana neRA kuvame ukuhlala isikhathi eside kunalokho okwenzeka ngesikhathi sokuqhuma kwe-OA, futhi ngokuvamile kuyinto embi kakhulu ekuseni.

Ukungakhululeki okuhambisana ne-OA kuvame ukugxila emajoyintini athintekile. I-RA yisifo se-systemic, ngakho-ke izimpawu zayo zingafaka nobuthakathaka nokukhathala.

Ukuhlonza isifo samathambo

Ngemuva kokuthi udokotela wakho enze ukuhlolwa ngokomzimba kwamalunga, bangahle ba-oda ukuhlolwa kokuhlolwa.

I-MRI ingaveza isimo sezicubu ezithambile ejoyintini, njenge-cartilage. Ama-X-ray ajwayelekile angakhombisa nokuwohloka koqwanga, ukulimala kwethambo, noma ukuguguleka.

Udokotela wakho angayalela ukuhlolwa kwegazi ukuthola ukuthi inkinga ehlangene ingenxa yeRA. Lokhu kwenzelwa ukubheka ubukhona be- "rheumatoid factor" noma ama-antibodies e-cyclic citrullinated avame ukutholakala kubantu abane-RA.

Ukwelapha i-arthritis

I-arthritis iphathwa ngendlela ehlukile kuye ngohlobo:

I-osteoarthritis

Udokotela wakho angancoma izidakamizwa ezingezona ukuvuvukala (ama-NSAID) ezinjenge-ibuprofen yezingxabano ezincane noma amacala amancane wesifo samathambo.

ICorticosteroids, engathathwa ngomlomo noma ngomjovo, inganciphisa ukuvuvukala emajoyintini.

Ukwelashwa ngokomzimba kungasiza ekuthuthukiseni amandla emisipha nobubanzi bokuhamba kwakho. Imisipha enamandla ingaxhasa kangcono ukuhlangana, okungenzeka kudambise ubuhlungu ngesikhathi sokunyakaza.

Uma ukulimala kokujoyina kunzima, udokotela wakho angancoma ukuhlinzwa ukulungisa noma ukufaka elinye ilunga. Lokhu kwenziwa kuphela ngemuva kokuthi ezinye izindlela zokwelashwa zehlulekile ukukunikeza ukukhululeka okwanele kobuhlungu nokuhamba.

Isifo samathambo

Ama-NSAID nama-corticosteroids angasetshenziswa ukusiza ukunciphisa izinhlungu nokuvuvukala kwabantu abane-RA, kodwa kukhona nemithi ethile eyenzelwe ukwelapha lolu hlobo lwe-arthritis.

Ezinye zazo zifaka:

• Izidakamizwa zokuguqula izifo (i-DMARDs) Ama-DMARD avimba impendulo yomzimba wakho, esiza ukubambezela ukuqhubeka kweRA.
• I-Biologics: Le mithi iphendula impendulo yamasosha omzimba edala ukuvuvukala esikhundleni sokuvimba wonke amasosha omzimba.
• UJanus kinase (JAK) inhibitors: Lolu wuhlobo olusha lwe-DMARD oluvimba izimpendulo ezithile zamasosha omzimba ukuvimbela ukuvuvukala nokulimala ngokuhlanganyela.

Izidakamizwa ezintsha ziyaqhubeka nokuhlolwa ukusiza ukuphatha i-RA nokunciphisa ukuqina kwezimpawu. Futhi njenge-OA, izimpawu ze-RA kwesinye isikhathi zingancishiswa ngokwelashwa komzimba.

Izinguquko zokuphila kwesifo samathambo

Ukuphila ne-OA noma i-RA kungaba yinselele. Ukuvivinya umzimba njalo nokuncipha kungasiza ekunciphiseni umthwalo emajoyintini akho. Ukuvivinya umzimba akugcini nje ngokulekelela ekunciphiseni isisindo, kodwa futhi kungasiza ekusekeleni amalunga ngokuqinisa imisipha ebazungezile.

Amadivayisi okusiza, njengezindondolo, izihlalo zangasese eziphakanyisiwe, noma okokusebenza ukukusiza ukushayela imoto nokuvula izivalo zamabhodlela, ayatholakala ukukusiza ugcine ukuzimela nokusebenza kwansuku zonke.

Ukudla ukudla okunempilo okubandakanya izithelo eziningi, imifino, amaprotheni anamafutha amancane, nezinhlamvu ezigcwele nakho kungasiza ekunciphiseni ukuvuvukala futhi kuvimbele ukuzuza kwesisindo.

Ukubonana nodokotela nini

Noma lingekho ikhambi le-OA noma i-RA, zombili lezi zimo ziyelapheka. Njengezinselelo eziningi zezempilo, ukuthola ukuxilongwa kusenesikhathi kanye nokuqala kokwelashwa kuvame ukuletha imiphumela emihle kakhulu.

Ungavele nje uqinise ukuhlangana ngokuhlangana kolunye uphawu olungagwemeki lokuguga. Uma kukhona ukuvuvukala, ubuhlungu, noma ukuqina, kuwumqondo omuhle ukwenza i-aphoyintimenti nodokotela wakho, ikakhulukazi uma lezi zimpawu ziphazamisa imisebenzi yakho yansuku zonke.

Ukwelashwa ngolaka nokuqonda okungcono kwesimo sakho kungakusiza ukuthi uhlale usebenza futhi unethezeke eminyakeni ezayo.