Ukukhomba nokwelashwa kobuhlungu obuhlangene besifo sikashukela

-Delile

• Isifo sikashukela nobuhlungu bamalunga
• Ukuqonda i-arthropathy yesifo sikashukela
• Ilunga likaCharcot
• OA bese uthayipha 2
• RA bese uthayipha 1
• Umbono

Geber86 / Getty Izithombe

Isifo sikashukela nobuhlungu bamalunga

Isifo sikashukela nobuhlungu obuhlangene kuthathwa njengezimo ezizimele. Ubuhlungu obuhlangene bungaba yimpendulo ekuguleni, ekulimaleni, noma e-arthritis. Kungaba okungapheli (isikhathi eside) noma okunamandla (isikhathi esifushane). Isifo sikashukela sidalwa ngumzimba ongasebenzisi i-hormone insulin ngendlela efanele, noma ukukhiqizwa kwawo okunganele, okuthinta amazinga kashukela egazini. Isimo sehomoni neshukela esihlobene negazi singahlangana kanjani nempilo ehlangene?

Isifo sikashukela sihlotshaniswa nezimpawu ezandile nezinkinga. Ngokusho, amaphesenti angama-47 abantu abane-arthritis nabo banesifo sikashukela. Kukhona ukuxhumana okungenakuphikwa okuqinile phakathi kwalezi zimo zombili.

Ukuqonda i-arthropathy yesifo sikashukela

Isifo sikashukela singalimaza amalunga, isimo esibizwa ngokuthi yi-arthropathy yesifo sikashukela. Ngokungafani nobuhlungu obudalwa ukuhlukumezeka okusheshayo, ubuhlungu be-arthropathy benzeka ngokuhamba kwesikhathi. Ezinye izimpawu zifaka:

• isikhumba esijiyile
• izinguquko ezinyaweni
• amahlombe abuhlungu
• umhubhe we-carpal syndrome

Ilunga yindawo lapho kuhlangana khona amathambo amabili. Uma ilunga seliphelile, ukuvikeleka elikunikezayo kuyalahleka. Ubuhlungu obuhlangene obuvela ku-arthropathy yesifo sikashukela buza ngezindlela ezahlukene.

Ilunga likaCharcot

Ilunga likaCharcot livela lapho ukulimala kwezinzwa zesifo sikashukela kubangela ukuthi ilunga liphuke. Ebizwa nangokuthi i-neuropathic arthropathy, lesi simo siyabonakala ezinyaweni nasemaqakaleni kubantu abanesifo sikashukela. Ukulimala kwemithambo ezinyaweni kuvamile kusifo sikashukela, esingaholela ekuhlanganeni kukaCharcot. Ukulahleka komsebenzi wezinzwa kuholela ekubeni ndikindiki. Abantu abahamba ngezinyawo eziyindikimba kungenzeka ukuthi basonte futhi balimaze imisipha bengazi. Lokhu kufaka ingcindezi emajoyintini, angagcina edale ukuthi adinwe. Ukulimala okukhulu kuholela ekukhubazekeni onyaweni nakwamanye amalunga athintekile.

Ukukhubazeka kwamathambo ngokuhlanganyela kukaCharcot kungavinjelwa ngokungenelela kusenesikhathi. Izimpawu zalesi simo zifaka:

• amalunga abuhlungu
• ukuvuvukala noma ukubomvu
• ukuba ndikindiki
• indawo eshisayo ekuthinteni
• izinguquko ekubukekeni kwezinyawo

Uma udokotela wakho enquma ukuthi ubuhlungu bakho obuhlangene buhlobene nokuhlanganiswa kwe-Charcot yesifo sikashukela, kubalulekile ukunciphisa ukusetshenziswa kwezindawo ezithintekile ukuvimbela ukukhubazeka kwamathambo. Uma unezinyawo eziyindikimba, cabanga ukugqoka ama-orthotic ukuze uthole ukwesekwa okwengeziwe.

OA bese uthayipha 2

I-Osteoarthritis (OA) iyindlela ejwayelekile kakhulu ye-arthritis. Kungabangelwa noma kukhuliswe isisindo esiningi, okuyinkinga ejwayelekile kulabo abane-type 2 yesifo sikashukela. Ngokungafani nejoyinti likaCharcot, i-OA ayibangelwa ngqo yisifo sikashukela. Esikhundleni salokho, ukukhuluphala ngokweqile kwandisa ubungozi bokuthuthukisa zombili izinhlobo zesifo sikashukela kanye ne-OA.

I-OA yenzeka lapho ukuhlangana phakathi kwamalunga (uqwanga) kuphela. Lokhu kubangela ukuthi amathambo akhuhlane, futhi kuholele ezinhlungwini ezihlangene. Ngenkathi ukugqoka nokudabuka okuhlangene kungokwemvelo ngezinga elithile kubantu abadala, isisindo eseqile sisheshisa inqubo. Ungaqaphela ubunzima obukhulayo bokuhambisa izitho zakho, kanye nokuvuvukala emajoyintini. Izinqe namadolo yizindawo ezivame ukuthinteka kakhulu e-OA.

Indlela engcono kakhulu yokwelapha i-OA ukuphatha isisindo sakho. Isisindo eseqile sibeka ingcindezi emathanjeni. Kwenza nesifo sikashukela kube nzima ukusilawula, ngakho-ke ukulahlekelwa amakhilogremu athe xaxa akunakunciphisa kuphela ubuhlungu obuhlangene obuhlala njalo, kunganciphisa ezinye izimpawu zesifo sikashukela.

Ngokwe-Arthritis Foundation, ukwehla ngamakhilogremu ayi-15 kungehlisa ubuhlungu bamadolo ngamaphesenti angama-50. Ukuvivinya umzimba njalo kungenza okungaphezu kokugcina isisindo. Ukunyakaza komzimba kusiza nokuthambisa amalunga akho. Ngenxa yalokho, ungase uzwe ubuhlungu obuncane. Udokotela wakho angakunikeza imithi yezinhlungu okufanele uyisebenzise lapho ukungaphatheki kahle okuhlangene okuvela ku-OA kungabekezeleleki. Ukuhlinzwa, njengokushintshwa kwedolo, kungadingeka ezimweni ezinzima.

RA bese uthayipha 1

Njengoba nje kunezinhlobo ezahlukene zesifo sikashukela, ubuhlungu obuhlangene bokuqaqamba kwamalunga buza ngezindlela ezahlukahlukene. I-rheumatoid arthritis (RA) yisimo sokuvuvukala esibangelwa yisifo esizimele. Ngenkathi ukuvuvukala nokubomvu kungaba khona, njengakwi-OA, iRA ayibangelwa isisindo eseqile. Eqinisweni, azaziwa izimbangela ngqo zeRA. Uma unomlando womndeni wesifo se-autoimmune, khona-ke ungaba sengozini ye-RA.

Uhlobo lwe-1 sikashukela lubuye lubekwe njengesifo esizimele, esichaza ukuxhumana okukhona phakathi kwalokhu okubili. Izimo futhi zabelana ngomaka bokuvuvukala. Kokubili i-RA kanye nohlobo 1 lwesifo sikashukela kubangela amazinga anyukayo e-interleukin-6 ne-C-esebenzayo. Eminye imithi ye-arthritis ingasiza ukwehlisa la mazinga futhi ithuthukise zombili lezi zimo.

Ubuhlungu nokuvuvukala yizici eziyinhloko ze-RA. Izimpawu zingafika zidlule ngaphandle kwesixwayiso. Alikho ikhambi lezifo ezizimele njenge-RA, ngakho-ke ukugxila kokwelashwa ukunciphisa ukuvuvukala okubangela izimpawu. Izidakamizwa ezintsha ze-RA zifaka:

• i-etanercept (Enbrel)
• i-adalimumab (Humira)
• infliximab (i-Remicade)

Le mithi emithathu ingaba wusizo ekwehliseni ubungozi bohlobo lwesifo sikashukela esingu-2. Uhlobo lwesifo sikashukela sohlobo lwe-2 luye lwahlotshaniswa nokuvuvukala, okusiza ukuphatha le mithi. Kwesinye isifundo, ubungozi besifo sikashukela sohlobo lwesibili babuphansi kulabo abakule mithi, ngokusho kwe-Arthritis Foundation.

Umbono

Isihluthulelo sokushaya ubuhlungu obuhlangene obuhlobene nesifo sikashukela ukukubona kusenesikhathi. Yize lezi zimo zingelapheki, kunezindlela zokwelapha ezitholakalayo zokusiza ukunciphisa ubuhlungu nokungaphatheki kahle. Shayela udokotela wakho uma uhlangabezana nokuvuvukala, ukuba bomvu, ubuhlungu, noma ukuba ndikindiki ezinyaweni nasemilenzeni. Lezi zimpawu zidinga ukunakekelwa ngokushesha okukhulu. Uma unesifo sikashukela noma ukholelwa ukuthi ungaba sengozini, cabanga ukukhuluma nodokotela wakho ngezici zakho zobungozi bakho bezinhlungu ezihlangene.