I-Arthritis Esebenzayo

-Delile

• Ziyini izimbangela zesifo sokuqaqamba kwamalunga esisebenzayo?
• Ziyini izimpawu zesifo sokuqaqamba kwamalunga esisebenzayo?
• Uhlelo lweMisculoskeletal
• Uhlelo lwe-Urinary
• Amehlo nesikhumba
• Sitholakala kanjani isifo samathambo esisebenzayo?
• Yiziphi izindlela zokwelapha i-arthritis esebenzayo?
• Imithi
• Ukuzivocavoca umzimba
• Uyini umbono wesikhathi eside?

Iyini i-arthritis esebenzayo?

I-arthritis esebenzayo uhlobo lwe-arthritis ukuthi ukutheleleka emzimbeni kungadala. Ngokuvamile, ukutheleleka ngocansi noma ukutheleleka ngamagciwane emathunjini kudala ukukhula kwesifo sokuqaqamba kwamalunga esisebenzayo.

Kubhekwa njengesifo se-autoimmune seqembu le-spondyloarthritis. I-arthritis ivame ukungakhuli kuze kube ngemuva kokuthola ukwelashwa ngempumelelo.

Abantu abane-arthritis esebenzayo bavame ukuzwa izimpawu ezinhlangothini ezinkulu zomkhawulo ophansi. I-arthritis esebenzayo ngaphambili yayaziwa njenge-Reiter's syndrome, i-triad ye-arthritis, ukuvuvukala kwamehlo (i-conjunctivitis), nokuvuvukala kwe-urinary tract (urethritis).

Lesi simo phambilini bekucatshangwa ukuthi asivamile. NgokweNational Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS), abesilisa baba nesifo sokuqaqamba kwamalunga kaningi kunabesifazane, kodwa ukuxilongwa kunzima kakhulu kwabesifazane. Isilinganiso seminyaka yokuqala sineminyaka engama-30 ubudala. Abesilisa futhi bavame ukuzwa ubuhlungu obuhlangene obukhulu kakhulu kunabesifazane.

Ziyini izimbangela zesifo sokuqaqamba kwamalunga esisebenzayo?

Ukutheleleka kwamagciwane kwepheshana lomchamo noma amathumbu kuyimbangela ejwayelekile kakhulu yesifo samathambo esisebenzayo. Igciwane elivame kakhulu elihlotshaniswa nesifo sokuqaqamba kwamalunga esisebenzayo lithi I-Chlamydia trachomatis (obhekene nokutheleleka nge-chlamydia). Leli gciwane livame ukusabalala ngokuxhumana ngokocansi.

Amagciwane abangela ubuthi ekudleni nawo angaveza izimpawu zesifo sokuqaqamba kwamalunga. Izibonelo zala magciwane zifaka Shigella futhi Salmonella.

Izakhi zofuzo zingaba yingxenye yokuthi uthuthukisa isifo sokuqaqamba kwamalunga noma cha. Ngokusho kwe-NIAMS, abantu abane-gene I-HLA B27 maningi amathuba okuba nesifo sokuqaqamba kwamalunga okusebenza kahle. Noma kunjalo, hhayi wonke umuntu one- I-HLA B27 Isakhi sofuzo sizohlakulela isifo sokuqaqamba kwamalunga uma sithola igciwane.

Ziyini izimpawu zesifo sokuqaqamba kwamalunga esisebenzayo?

Kunezimpawu ezintathu ezihlukile ezihambisana ne-arthritis esebenzayo.

Uhlelo lweMisculoskeletal

Izimpawu zemisipha zifaka phakathi ubuhlungu obuhlangene nokuvuvukala. I-arthritis esebenzayo ivame ukuthinta amalunga emadolweni akho, amaqakala, kanye namajoyini we-sacroiliac we-pelvis yakho. Ungase futhi ube nobuhlungu obuhlangene, ukuqina nokuvuvukala eminweni yakho, emuva, ezinqeni (amalunga we-sacroiliac), noma izithende (indawo ye-Achilles tendon).

Uhlelo lwe-Urinary

Isimo esibizwa nge-urethritis sibangela izimpawu zomchamo. I-urethrais tube ethwala umchamo kusuka esinyeni sakho uye ngaphandle komzimba wakho. Isifo samathambo ukuvuvukala kwale tube. Izimpawu zingafaka ubuhlungu noma ukushisa ngokuchama kanye nokufuna ukuchama njalo.

Amadoda angathuthukisa i-prostatitis njengengxenye ye-arthritis esebenzayo. I-Prostatitis ukuvuvukala kwendlala yesinye. I-Cervicitis ukuvuvukala komlomo wesibeletho kwabesifazane. Kungaba futhi uphawu lwe-arthritis esebenzayo.

Amehlo nesikhumba

Ukuvuvukala kweso kungenye yezimpawu eziyinhloko zesifo sokuqaqamba kwamalunga esisebenzayo. I-arthritis esebenzayo ingabandakanya isikhumba sakho nomlomo wakho. I-conjunctivitis ukuvuvukala kolwelwesi lwamehlo. Izimpawu zifaka phakathi ubuhlungu, ukulunywa nokukhishwa.

Ukuqubuka kwesikhumba, kufaka phakathi i-keratoma blennorrhagica (ama-pustules amancane ematheni ezinyawo), nakho kungavela. Izilonda zomlomo azivamile kakhulu. Kodwa-ke, zingahamba nezinye izimpawu zesifo sokuqaqamba kwamalunga esisebenzayo.

Sitholakala kanjani isifo samathambo esisebenzayo?

Udokotela wakho uzohlola umlando wakho wezokwelapha, enze ukuhlolwa ngokomzimba kwezimpawu zakho, bese enza ukuhlolwa kwegazi ukuhlola ukutheleleka noma ukuvuvukala. Ukuhlolwa kwegazi kunganquma nokuthi uphethe i- I-HLA B27 isizalo esandisa amathuba akho okuba nesifo sokuqaqamba kwamalunga esisebenzayo.

Udokotela wakho angaqhuba izivivinyo ezengeziwe ukukhipha izifo ezithathelwana ngocansi uma izimpawu zakho zibonisa ukutheleleka kwe-chlamydia. Udokotela wakho uzobamba i-urethra emadodeni futhi azokwenza ukuhlolwa kwe-pelvic kanye ne-swab yomlomo wesibeletho kwabesifazane. Udokotela wakho angenza futhi i-arthrocentesis, okubandakanya ukukhipha uketshezi olukujoyinile ngenaliti. Ukuhlolwa kuyabe sekwenziwa kuloluketshezi.

Yiziphi izindlela zokwelapha i-arthritis esebenzayo?

Ukwelashwa kwe-arthritis esebenzayo kuxhomeke embangela yalesi simo. Udokotela wakho uzokunikeza imithi elwa namagciwane ukuze welaphe ukutheleleka okuyisisekelo. Bangase banikeze imishanguzo eyengeziwe ye-conjunctivitis, izilonda zomlomo, noma ukuqubuka kwesikhumba uma kudingeka.

Imithi

Umgomo wokwelashwa uma ukutheleleka okuyisisekelo sekulawulwa kuphendukela ekuphumuleni kobuhlungu nasekuphathweni. Izidakamizwa ezilwa nokuvuvukala (ama-NSAID) ezinjenge-ibuprofen (Advil) ne-naproxen (Aleve) zisiza ukuqeda izinhlungu futhi zinciphise ukuvuvukala.

Udokotela wakho angakunikeza ama-anti-inflammatories anamandla uma imishanguzo ongayithengisi ibhande ayibuqedi ubuhlungu bakho. ICorticosteroids yizidakamizwa ezenziwe ngabantu ezilingisa i-cortisol, i-hormone eyenziwa umzimba wakho ngokwemvelo. Le mithi isebenza ngokucindezela kakhulu ukuvuvukala emzimbeni.

Ungathatha i-corticosteroidsorally noma uyijoje ngqo emajoyintini athintekile. Kwesinye isikhathi lapho lezi zingasizi, ama-immunomodulating agents, njenge-sulfasalazine (Azulfidine), angadingeka. IDoxycycline (Acticlate, Doryx) nayo isetshenziselwe ukwelashwa, inikezwe izakhiwo zayo ezilwa nokuvuvukala. Ezimweni ezinzima ezingaphenduli ekwelashweni okujwayelekile, i-TNF inhibitors (biologics) ingasebenza.

Ukuzivocavoca umzimba

Faka ukuzivocavoca umzimba esimisweni sakho sansuku zonke ukukhuthaza impilo ehlangene. Ukuzivocavoca kugcina amalunga akho eguquguquka futhi kukusiza ukuthi ugcine ukunyakaza kwakho. Ububanzi bokuhamba yibanga lapho ungaguquguquka futhi wandise amalunga akho.

Khuluma nodokotela wakho uma ukuqina nobuhlungu kukhawulela ububanzi bokunyakaza kwakho. Bangakudlulisela kumelaphi womzimba. Ukwelashwa ngokomzimba inqubo yokwelashwa kancane kancane. Umgomo ukubuyela ebangeni lakho lokuhamba elinempilo ngaphandle kobuhlungu.

Uyini umbono wesikhathi eside?

Umbono wabantu abane-arthritis esebenzayo uhle. Iningi lilulama ngokugcwele. Kodwa-ke, isikhathi sokutakula singasuka ezinyangeni ezimbalwa size siye cishe onyakeni kwezinye izimo. Ngokusho kwe-NIAMS, phakathi kwamaphesenti ayi-15 kanye nama-50 abantu abanesifo sokuqaqamba kwamalunga esibuhlungu abahlangabezana nokubuyela emuva kwezimpawu ngemuva kokwelashwa kokuqala.