I-Rheumatoid Arthritis nempilo Yengqondo: Okudingeka Ukwazi

-Delile

• Abantu abaningi baphila nokugula ngengqondo neRA
• Ukuphila nokugula kwengqondo okungalashwa kanye neRA kungenza kokubili kubhebhetheke
• Isixhumanisi esingaba semvelo sebhayoloji
• Ukudangala kungatholwa kalula
• Ukuthatha

I-rheumatoid arthritis (RA) inezimpawu eziningi zomzimba. Kepha labo abaphila ne-RA nabo bangahlangabezana nezinkinga zempilo yengqondo ezingahle zihlobene nalesi simo. Impilo yengqondo ibhekise enhlalakahleni yakho engokomzwelo nengokwengqondo.

Ososayensi abaqiniseki ngakho konke ukuxhumana phakathi kwe-RA nokuphila kahle kwengqondo, kodwa ucwaningo olusha lunikeza ukuqonda. Ezinye zezinqubo ezifanayo zokuvuvukala ezibangela i-RA nazo zixhunyaniswe nokudangala.

Ukunaka isimo sakho somzwelo nengqondo kuyisici esibalulekile senhlalakahle yakho yonke, futhi kungathinta nendlela ophatha ngayo i-RA. Uma unokukhathazeka mayelana nokukhathazeka, ukudangala, noma ukushintsha kwemizwelo, yazisa udokotela wakho. Udokotela wakho angafunda ngezimpawu zakho, abuze imibuzo eyengeziwe, futhi asikisele izinketho zokushintsha indlela yokuphila, ukwelashwa, nokwelashwa.

Funda ukuze ufunde kabanzi mayelana nokuxhumana phakathi kweRA nempilo yengqondo, kufaka phakathi izixhumanisi eziphakathi kweRA, ukudangala nokukhathazeka.

Abantu abaningi baphila nokugula ngengqondo neRA

Ukudangala nokukhathazeka yizifo ezivame kakhulu ukugula ngengqondo abantu abaphila ne-RA ababhekana nazo. Ucwaningo lwango-2017 olwenziwa eBrithani lwathola ukuthi kungakapheli iminyaka emihlanu i-RA ixilongwe, cishe amaphesenti angama-30 abantu aba nengcindezi.

Abantu abane-RA nabo bangaba nokukhathazeka, ngesilinganiso samaphesenti angama-20, ngokusho okwehlukile kwiBritish Journal of General Practice. Lolo cwaningo luphinde lwabika nokuthi izinga lokudangala likhulu kakhulu, ngamaphesenti angama-39.

Yize ukucindezeleka nokukhathazeka kungakhombisi izimpawu ezifanayo zomzimba njengeRA, ziza nezinselelo zazo. Ukuphila nezimo ezingaphezu kwesisodwa sempilo yesikhathi eside ngokwakho kungaba nzima. Abanye abantu babhekana nokudangala, ukukhathazeka, kanye ne-RA konke ngasikhathi sinye.

Ukuphila nokugula kwengqondo okungalashwa kanye neRA kungenza kokubili kubhebhetheke

Ngokusho kweMayo Clinic, ukudangala okungalashwa kungenza kube nzima ukwelapha i-RA. Lokho kusekelwa ucwaningo lwakamuva.

Iphephabhuku i-Psychosomatic Medicine lithole ukuxhumana phakathi kokudangala kanye ne-RA kuhamba ngazo zombili izindlela. Ubuhlungu obuvela ku-RA bungenza ukudangala kube kubi kakhulu, okwenza kube nzima ukuphatha izimpawu ze-RA.

Lokho ngokwengxenye kungenxa yokuthi ubuhlungu budala ukucindezeleka, futhi ukucindezeleka kubangela ukuphuma kwamakhemikhali aguqula imizwa. Lapho isimo siguquka, kuba nomphumela we-domino. Kunzima ukulala futhi amazinga okucindezeleka angakhuphuka. Kalula nje, ukukhathazeka nokudangala kubonakala kubhebhethekisa ubuhlungu noma kwenze kube nzima ukuphatha izinhlungu.

Ukugxila ku-RA kuphela, ngaphandle kokubhekana nezimo zempilo yengqondo njengokukhathazeka noma ukucindezeleka, kungaholela ezingeni eliphansi lempilo. IMayo Clinic ithi abantu bangabona ukwehla kwezici ezahlukahlukene zempilo yansuku zonke. Bangaba namazinga aphezulu obuhlungu kanye nengozi enkulu yesifo senhliziyo. Ubudlelwano bomuntu siqu nokukhiqiza emsebenzini nakho kungathinteka.

Isixhumanisi esingaba semvelo sebhayoloji

Kuvela ukuthi kungahle kube nokuxhumana okuqondile, okuphilayo phakathi kokudangala kanye neRA.

Ubuhlungu nokulimala okuhlangene kwe-RA kuza, ngokwengxenye, ekuvukeleni. Futhi kunobufakazi bokuxhumana phakathi kokuvuvukala nokudangala. Izinga lamaprotheni asebenza nge-C (CRP), enye yezindlela abacwaningi abalinganisa ngayo ukuvuvukala, zivame ukuphakama kubantu abanokucindezeleka. Kutholwe ukuthi i-CRP ingaba phezulu kakhulu kulabo abanezinkinga okunzima ukuzelapha.

Kusheshe kakhulu ukusho ukuthi ukuvuvukala kuyisizathu sokuthi kungani abantu abaningi behlangabezana nalezi zimo zombili. Kepha ukuxhumana okungenzeka kube yinto entsha ebalulekile yocwaningo.

Ukudangala kungatholwa kalula

Ukuhlalisana kokugula ngengqondo nezinhlobo zesifo samathambo kuyaziwa, kodwa abantu abaphila ne-RA abahlolwa njalo. Lokhu kungaholela ezimeni zempilo yengqondo ezingalashwa.

Ucwaningo oluphawulwe ukuthi abantu bangaqala ukucabanga ngokudangala kwabo noma ukukhathazeka njengokujwayelekile. Bangase futhi bacabange ukuthi odokotela babeka ukubaluleka okukhulu ekwelapheni izimpawu zomzimba ze-RA kunezimo zempilo yengqondo ezihlobene.

Abanye abantu bangaba novalo lokuxoxa ngempilo yabo yengqondo noma bakhathazeke ngokuthi udokotela wabo angazilahla izimpawu zabo zengqondo. Kepha ukuthola izinsiza zokuphatha impilo yakho yengqondo ngempumelelo kubalulekile enhlalakahleni yakho yonke. Noma ngabe ukhuluma nodokotela wakho, funa owelapha ngokwakho, noma uthinte iqembu lokusekelwa, kunezindlela eziningi zokukusiza ukubhekana nempilo yakho yengqondo.

Ukuthatha

Uma uhlala ne-RA, kubalulekile ukuthi ubheke impilo yakho yengqondo kanye nempilo yakho yomzimba. Kungahle kube nokuxhumana phakathi kweRA nezinye izimo zempilo yengqondo, ikakhulukazi ukucindezeleka. Ukufuna ukwelashwa kwesimo sempilo yengqondo kungakusiza futhi ukuphatha i-RA ngempumelelo. Uma ukhathazekile ngempilo yakho yengqondo, khuluma nodokotela wakho mayelana nokuthi iziphi izindlela zokwelapha nezinsiza ezikhona zokusiza.