Yini ukuxhumana phakathi kotshwala ne-rheumatoid arthritis (RA)?

-Delile

• Ukuqonda i-rheumatoid arthritis (RA)
• I-RA notshwala
• Ucwaningo lwe-2010 Rheumatology
• Ucwaningo lwe-2014 Brigham kanye ne-Women’s Hospital
• Ucwaningo lwe-2018 Scandinavia Journal of Rheumatology Study
• Ukulinganisela kuyisihluthulelo
• Imithi yotshwala neRA
• Ukuthatha

Ukuqonda i-rheumatoid arthritis (RA)

I-rheumatoid arthritis (RA) isifo esizimele. Uma une-RA, amasosha omzimba wakho azohlasela ngephutha amalunga akho.

Lokhu kuhlasela kubangela ukuvuvukala kolwelwesi oluzungeze amalunga. Kungadala ubuhlungu futhi kuholele nasekulahlekelweni kokuhamba ngokuhlanganyela. Ezimweni ezimbi kakhulu, kungenzeka ukulimala okuhlangene okungenakulungiseka.

Cishe abantu abayizigidi eziyi-1.5 e-United States bane-RA. Cishe abesifazane abaphindwe kathathu banesifo kunabesilisa.

Kwenziwe amahora amaningi ocwaningo ukuqonda kahle ukuthi yini ebangela i-RA kanye nendlela engcono yokuyelapha. Kube nezifundo ezikhombisa ukuthi ukuphuza utshwala kungasiza ukunciphisa izimpawu ze-RA.

I-RA notshwala

Olunye ucwaningo luveza ukuthi utshwala bungase bungabi yingozi njengokucabanga kokuqala kubantu abane-RA. Imiphumela ibe mihle ngandlela thile, kepha izifundo zikhawulelwe futhi eminye imiphumela ibiphikisana. Kudingeka ucwaningo oluningi.

Ucwaningo lwe-2010 Rheumatology

Ucwaningo olulodwa lwango-2010 kumagazini iRheumatology lukhombisile ukuthi utshwala bungasiza ngezimpawu ze-RA kwabanye abantu. Ucwaningo luphenye ubudlelwane obuphakathi kokuvama kokuphuza utshwala nobungozi nobukhulu beRA.

Kwakuyisifundo esincane, futhi kunemikhawulo ethile. Kodwa-ke, imiphumela ibukeka isekela ukuthi ukusetshenziswa kotshwala kwehlise ubungozi nobukhali beRA kuleli qembu elincane. Uma kuqhathaniswa nabantu abane-RA futhi abaphuze utshwala obuncane, kube nomehluko ophawulekayo ebukhali.

Ucwaningo lwe-2014 Brigham kanye ne-Women’s Hospital

Ucwaningo lwango-2014 olwenziwe yiBrigham neWomen’s Hospital lwalugxile ekuphuzeni utshwala kwabesifazane kanye nobudlelwano balo neRA. Ucwaningo luthole ukuthi ukuphuza ubhiya olinganiselayo kungahle kuthinte umthelela wokuthuthuka kweRA.

Kubalulekile ukuqaphela ukuthi kuphela abesifazane ababengabaphuzi abalinganiselayo ababona izinzuzo nokuthi ukuphuza ngokweqile kuthathwa njengokungenampilo.

Njengoba abesifazane bekungukuphela kwezihloko zokuhlolwa, imiphumela evela kulolu cwaningo oluthile ayisebenzi kwabesilisa.

Ucwaningo lwe-2018 Scandinavia Journal of Rheumatology Study

Lolu cwaningo lubheke umphumela wotshwala ekuqhubekeni kwemisebe ye-radiology ezandleni, ezihlakaleni nasezinyaweni.

Ekuqhubekeni kwemisebe ye-radiology, ama-X-ray asetshenziswa ngezikhathi ezithile ukuthola ukuthi ukuguguleka okuhlangene noma ukunciphisa isikhala esihlangene kwenzekile ngokuhamba kwesikhathi. Kuyasiza odokotela ukuqapha isimo sabantu abane-RA.

Ucwaningo luthole ukuthi ukuphuza utshwala ngokulingene kuholele ekwandeni kokuqhubeka kwemisebe yabesifazane nokuncipha kokuqhubeka kwemisebe yabesilisa.

Ukulinganisela kuyisihluthulelo

Uma uthatha isinqumo sokuphuza utshwala, ukulinganisela kuyisihluthulelo. Ukuphuza okulingene kuchazwa njengesiphuzo esisodwa ngosuku kwabesifazane neziphuzo ezimbili ngosuku kwabesilisa.

Inani lotshwala elibalwa njengesiphuzo esisodwa, noma ukuphaka, liyehluka kuye ngohlobo lotshwala. Ukukhonza okukodwa kulingana no:

• Ama-ounces ayi-12 kabhiya
• Ama-ounces ama-5 ewayini
• Ama-ounces angu-1/2 emimoya engu-80 efakazelwe

Ukuphuza ngokweqile kungaholela ekuphuzeni ngokweqile noma ekuthembekeni. Ukuphuza izingilazi ezingaphezu kwezimbili zotshwala ngosuku kungakhuphula namathuba akho ezingozini zempilo, kubandakanya umdlavuza.

Uma une-RA noma uhlangabezana nanoma yiziphi izimpawu, kufanele ubone udokotela wakho ukuze athole ukwelashwa. Udokotela wakho cishe uzokuyala ukuthi ungazihlanganisi utshwala nemithi yakho yeRA.

Imithi yotshwala neRA

Utshwala abuphenduli kahle ngemithi eminingi ye-RA evame ukubekwa.

Izidakamizwa ezingezona ukuvuvukala (ama-NSAID) ajwayele ukunikezwa ukwelapha i-RA. Zingaba yimithi ye-over-the-counter (OTC) efana ne-naproxen (Aleve), noma ingaba yimithi kadokotela. Ukuphuza utshwala ngalezi zinhlobo zemithi kwandisa ingozi yokuphuma kwesisu.

Uma uthatha i-methotrexate (Trexall), izazi ze-rheumatologists zincoma ukuthi ungaphuzi noma yiluphi utshwala noma ubeke umkhawulo ekuphuzeni kwakho utshwala kungadluli izingilazi ezimbili ngenyanga.

Uma uthatha i-acetaminophen (Tylenol) ukusiza ngobuhlungu nokuvuvukala, ukuphuza utshwala kungaholela ekulimaleni kwesibindi.

Uma uthatha noma yimiphi imithi eshiwo ngaphambili, kufanele ungaphuzi utshwala noma ukhulume nodokotela wakho ngezingozi ezingaba khona.

Ukuthatha

Izifundo zokusetshenziswa kotshwala neRA ziyathakazelisa, kepha okuningi akukaziwa.

Kufanele ngaso sonke isikhathi ufune ukwelashwa okuqeqeshiwe ukuze udokotela wakho akwazi ukuphatha udaba lwakho. Isimo ngasinye seRA sihlukile, futhi okusebenzela omunye umuntu kungenzeka kungakusebenzeli.

Utshwala bungasabela kabi ngemithi ethile ye-RA, ngakho-ke kubalulekile ukuqonda izinto ezinobungozi. Umthetho omuhle wesithupha wokuqinisekisa impilo yakho nokuphepha ukuthi uhlale ukhuluma nodokotela wakho ngaphambi kokuzama noma yiziphi izindlela ezintsha zokwelashwa ze-RA.