Okufanele Ukwazi Nge-Rheumatoid Arthritis (RA) Nokubhema

-Delile

• Ziyini izimpawu ze-RA?
• Yini ebangela iRA?
• Yini ukuxhumana phakathi kokubhema neRA?
• Ngingakuyeka kanjani ukubhema?
• Umbono

Yini iRA?

I-rheumatoid arthritis (RA) isifo esizimele lapho amasosha omzimba ahlasela ngephutha amalunga omzimba. Kungaba isifo esibuhlungu nesikudikibalisayo.

Kuningi okutholakele ngeRA, kepha imbangela eyiyo ihlala ingaziwa. Ucwaningo lukhombisile ukuthi izici zemvelo zibamba iqhaza ekutheni ngubani oba ne-RA nokuthi ukubhema kuyingozi enkulu.

I-RA ithinta cishe abantu abayizigidi eziyi-1.5 e-United States. Lesi sifo sidlange kakhulu kwabesifazane kunabesilisa. Eqinisweni, cishe abesifazane abaphindwe kathathu banesifo kunabesilisa.

Uma une-RA, amasosha akho omzimba ahlasela ulwelwesi oluzungeze amalunga akho. Lokhu kubangela ukuthi amaseli wezicubu ze-synovial, noma izicubu ezithambile ezifaka ngaphakathi kwamalunga, zihlukane futhi zijiye. Lokhu ukuqina kwezicubu ze-synovial kungaholela ebuhlungwini nasekuvuvukeni okuzungeze indawo ehlanganisiwe.

I-RA ingathinta cishe noma imaphi amalunga emzimbeni wakho, kufaka phakathi:

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

Ngokuvamile kuthinta amalunga afanayo ezinhlangothini zombili zomzimba. I-RA ivame kakhulu ukuthinta amalunga omgogodla.

Ziyini izimpawu ze-RA?

Uma une-RA, imfudumalo nokuvuvukala emajoyintini akho kuvamile, kodwa lezi zimpawu zingase zinganakwa. Futhi cishe uzoqala ukuzwa ubumnene nobuhlungu. Ungazizwa uqine ekuseni isikhathi esingaphezu kwemizuzu engama-30, noma ungahlushwa ubuhlungu bamalunga nokuvuvukala amasonto ambalwa.

Imvamisa, kuthinteka amalunga angaphezu kwelilodwa. I-RA ivame ukuthinta amalunga amancane, njengalawo akhona ezandleni nasezinyaweni.

Ngaphezu kwamalunga, i-RA nayo ingaba nemiphumela emibi kwezinye izingxenye zomzimba wakho. Ezinye izimpawu ezijwayelekile ze-RA zifaka:

• ukulahlekelwa isifiso sokudla
• ukukhathala ngokweqile
• ukoma, ukuzwela ngokweqile, noma ubuhlungu emehlweni akho
• amaqhubu esikhumba
• ukuvuvukala kwemithambo yegazi

Njengamanje, alikho ikhambi leRA. Imithi ingasetshenziselwa ukwelapha lesi sifo, kepha amacala abucayi angaholela ekulahlekelweni kokuhamba noma ekuthuthukiseni ukukhubazeka okuhlangene.

Yini ebangela iRA?

Imbangela ngqo yeRA isalokhu iyimfihlakalo. Izakhi zofuzo namahomoni akho angabamba iqhaza ekwenziweni kweRA. Amagciwane, amagciwane, kanye nezinye izinto ezingathelelana ezingaba khona nazo zingadlala indima kulesi sifo.

Izici zemvelo, njengokungcola komoya noma ama-insecticide, nazo zingaba neqhaza kuRA. Ukubhema nakho kuyisici semvelo.

Yini ukuxhumana phakathi kokubhema neRA?

Iqhaza ngqo elibanjwa ukubhema ekukhuleni kweRA alaziwa.

Ucwaningo olushicilelwe ku-Arthritis Research and Therapy luthole ukuthi ngisho nokubhema okuncane kuxhumene nengozi ephakeme yeRA. Kuphinde kwabonisa ukuthi ukubhema nsuku zonke kungaphindeka kabili ingozi yowesifazane yokuba ne-RA. Amathuba okuba ne-RA anciphe ngemuva kokuyeka ukubhema, futhi ingozi yonke iqhubeke nokuncipha ngokuhamba kwesikhathi.

Ingcuphe yabahlanganyeli iyonke yehle ngengxenye eyodwa kwezintathu zeminyaka eyi-15 ngemuva kokuyeka ukubhema. Ubungozi be-RA babusaphakeme kakhulu kulabo ababebhema eminyakeni eyi-15 ngemuva kokuyeka kunokuba kwakungokwalabo abangakaze babheme, noma kunjalo.

Abaphenyi bacabanga ukuthi ukubhema kukhuthaza ukusebenza kwamasosha omzimba okuyiphutha uma usunezici ezithile zofuzo ezikwenza ube sethubeni lokuba ne-RA.

Ukubhema kungaphazamisa nokusebenza kwemithi yakho ye-RA noma ezinye izindlela zokwelapha. Ukubhema kungenza kube nzima kakhulu ukufaka uhlelo lokuzivocavoca ohlelweni lwakho lokwelashwa. Uma udinga ukuhlinzwa, ukubhema kungakhuphula amathuba ezinkinga. Kungathinta i-anesthesia kanye ne-metabolism yomuthi, kanye nokushaya kwenhliziyo yakho, ukuphefumula, nomfutho wegazi. Abantu abangabhemi nabo kubonakala sengathi benza kangcono ngemuva kokuhlinzwa.

Ungahle ungazi ukuthi ukubhema kwakho kwenza iRA yakho ibe yimbi kakhulu ngakho-ke ungahle ungakhathazeki ngokweqile ngokuzama ukuyeka. Ukubhema kungaba yindlela yokuzola kuwe. Kungasiza ukukuphazamisa ebuhlungwini be-RA noma ukumane kukwenze uzizwe ungcono.

Ngingakuyeka kanjani ukubhema?

Uma ubhema futhi ufuna ukuthuthukisa izimpawu zakho ze-RA noma unciphise amathuba okuba ne-RA nezinye izinkinga zempilo, kufanele uyeke ukubhema.

Ugwayi uyalutha, ngakho ukuyeka ukubhema kungaba nzima. Nawa amanye amathiphu ongawalandela ukukusiza ohambweni lwakho:

• Khuluma nodokotela wakho. Ungase ukwazi ukuyeka ukubanda okubandayo, kodwa ababhemayo abaningi abakwazi. Udokotela wakho angakhuluma nawe ngezinketho ezahlukahlukene ezitholakalayo. Kunamaqembu okugxila ahlobene nokuyeka ukubhema. Kukhona nemithi etholakalayo unawo umuthi ongakusiza uyeke. Amaqembu okugxila ahambisana nemithi ngokuvamile asebenza kahle kakhulu.
• Nquma ukuthi hlobo luni lohlelo lokuyeka ukubhema ofuna ukululandela.
• Khetha usuku ohlela ukuyeka ngalo. Lokhu kuzokugqugquzela ukuthi uzimisele ngokuyeka ukubhema bese usebenza ukusebenzela umgomo wakho.
• Tshela abangane bakho nabantu obathandayo ukuthi uzama ukuyeka ukuze bangakuniki ugwayi noma bakwenze kube nzima ngawe ukuyeka. Uzodinga usizo lwabo. Uzolingeka ukuba ubheme izikhathi eziningi, kodwa ngokuxhaswa ngabangane bakho nomndeni wakho, ungayeka.
• Thola eminye imisebenzi ukuze uziphazamise ekubhemeni. Isibonelo, uma ujwayele ukubhema emotweni, gcina ushingamu nawe ukuze uhlafune lapho kufika isifiso sokubhema. Ungazama futhi ukulalela incwadi yomsindo ukuqeda isithukuthezi.
• Yazi ukuthi yini ongayilindela. Ngoba i-nicotine iyisidakamizwa, umzimba wakho uzokhipha ukuhoxiswa. Ungase uzizwe ucindezelekile, ungahlaliseki, udidekile, ukhathazekile, ukhungathekile noma uhlanya. Ungahle ungakwazi ukulala, noma ungakhuluphala.
• Ungapheli amandla uma ubuyela emuva. Kungathatha ama-try amaningi ngaphambi kokuthi uqale lo mkhuba.

Umbono

I-American Lung Association ibala ukubhema njengembangela ehamba phambili yokufa okungagwemeka. Ukubhema intuthu kagwayi nakho kungaba yingozi, ngakho-ke kufanele ucabange ngokuphepha kwezingane zakho, amanye amalungu omndeni, nabangane.

Ukuyeka ukubhema kuzosiza ngeRA yakho. Kuzophinde futhi kuthuthukise kakhulu impilo yakho futhi kungakwenza ukwazi ukunciphisa imishanguzo yakho yeRA. Kukhona usizo laphaya. Udokotela wakho angakutshela ngezinhlelo zokuyeka ukubhema eziseduze futhi asebenze nawe ukuza necebo elihle kakhulu kuwe.

Uma uhlelo lwakho lokuqala lungasebenzi, zama inketho ehlukile. Ungahle uphinde ubuye izikhathi eziningana ngaphambi kokuthi ekugcineni uyeke, kodwa lokho kulungile. Ukuyeka ukubhema kuyinqubo engokomzwelo. Qiniseka ukuthi unokusekelwa okuningi. Ukuyeka ukubhema kuzothuthukisa iRA yakho kanye nempilo yakho yonke.