Izizathu eziyi-7 zokubona i-Rheumatologist yakho

-Delile

• 1. Uhlangabezana nokuqubuka
• 2. Unobuhlungu endaweni entsha
• 3. Kunezinguquko emshwalense wakho
• 4. Ube noshintsho emikhubeni yokulala noma yokudla
• 5. Usola imiphumela engemihle
• 6. Ukwelashwa akusebenzi ngendlela ebekade kwenza ngayo
• 7. Uhlangabezana nesifo esisha
• Ukuthatha

Uma une-rheumatoid arthritis (RA), cishe ubona i-rheumatologist yakho njalo. Ukuqokwa okuhleliwe kunika nobabili ithuba lokuqapha ukuqhubeka kwesifo sakho, ukulandelela ama-flares, ukukhomba izimbangela, nokulungisa imithi. Kufanele futhi uthathe lesi sikhathi ukubika noma yikuphi ukuguqulwa kwendlela yokuphila njengokunyuka kokuvivinya umzimba noma ushintsho ekudleni.

Kepha phakathi kokuqokwa kwakho okuhleliwe, kungahle kube nezikhathi lapho udinga ukubona i-rheumatologist yakho ngokushesha okukhulu. Nazi izizathu eziyisikhombisa okufanele uthathe ifoni bese ucela ukuthi zihlelelwe ngokushesha kunakamuva.

1. Uhlangabezana nokuqubuka

UNathan Wei, MD, osebenza e-Arthritis Treatment Centre eFrederick, eMaryland uthi: "Ukuvakasha kwehhovisi kungadingeka lapho umuntu ehlaselwa i-RA yakhe." Lapho ukuvuvukala kwalesi sifo kuphakama, inkinga ingaphezu kobuhlungu - ukulimala okuhlala njalo nokukhubazeka kungenzeka.

Umuntu ngamunye one-RA unezimpawu ezihlukile zokuqina nokuqina. Ngokuhamba kwesikhathi, njengoba nihlangana njalo nodokotela wakho ngesikhathi sama-flares, nobabili ninganquma izindlela zokwelashwa ezingcono kakhulu.

2. Unobuhlungu endaweni entsha

I-RA ishaya ngokuyinhloko amalunga, ibangela ubomvu, ukushisa, ukuvuvukala nobuhlungu. Kepha futhi kungadala ubuhlungu kwenye indawo emzimbeni wakho. Ukungasebenzi kahle komzimba kungahlasela izicubu zamehlo nomlomo wakho noma kubangele ukuvuvukala kwemithambo yegazi. Imvamisa, i-RA ihlasela izicubu ezizungeze amaphaphu nenhliziyo.

Uma amehlo noma umlomo wakho womile futhi ungakhululeki, noma uqala ukuvela ukuqubuka kwesikhumba, ungahle ubhekane nokwanda kwezimpawu ze-RA. Yenza i-aphoyintimenti ne-rheumatologist yakho bese ucela ukuhlolwa.

3. Kunezinguquko emshwalense wakho

"Uma i-ACA isuswa, abantu abagulayo bangasala bengenayo insambatheka yezempilo noma bakhokhe imali ethe xaxa ngokuthola imali encane," kusho uStan Loskutov, i-CIO ye-Medical Billing Group, Inc Ezinye izinkampani zomshuwalense ezizimele zingabheka isimo esivele sikhona uma ngabe ngiphelelwe ukunakekelwa kwakho. Uma ubheka indawo yamanje yomshwalense engaqinisekile, gcina ama-aphoyintimenti akho ahleliwe futhi ucabangele ukungena nodokotela wakho kaningi ukukhombisa ukuqhubeka kokunakekelwa.

4. Ube noshintsho emikhubeni yokulala noma yokudla

Kungaba nzima ukuthola ukuphumula okuhle ebusuku uma une-RA. Indawo yokulala ingakhululeka emajoyintini athintekile, kepha hhayi kwezinye izitho zomzimba. Ubuhlungu obusha noma ukushisa okuhlangene kungakuvusa. Kanye nalokhu, ukudla nakho kungadala izinselelo ezikhethekile. Eminye imishanguzo yeRA ithinta isifiso sokudla, idale ukuzuza kwesisindo noma isicanucanu okukuvimbela ekudleni.

Uma uqaphela ukuthi ulele kancane noma ushintsha ukuthi udla kanjani futhi nini, bheka udokotela wakho. Kubalulekile ukufunda ukuthi ushintsho ekulaleni nasekudleni luhlobene yini neminye imiphumela emibi kakhulu ye-RA, ukudangala nokukhathazeka. Udokotela wakho angakhuluma nawe ngezinguquko zendlela yokuphila nemithi engakusiza.

5. Usola imiphumela engemihle

Izidakamizwa ezinqunywa kakhulu ze-RA yizidakamizwa ezingezona ukuvuvukala (ama-NSAID), ama-corticosteroids, imishanguzo yokuguqula izifo (i-DMARD), kanye nokwelashwa okusha okubizwa nge-biologics. Yize lezi zindlela zokwelapha zithuthukisa izimpilo zabaningi abane-RA, zinemiphumela engemihle.

Eminye yemiphumela emibi yama-NSAID ifaka i-edema, isilungulela, nokungakhululeki esiswini. I-Corticosteroids ingakhuphula i-cholesterol neshukela egazini, futhi inyuse nesifiso sokudla, okuholele ekuzuzeni isisindo. Ama-DMARD nama-biologics ahlangana namasosha akho omzimba futhi angaholela ekuthelelekeni okwengeziwe, noma ngokungajwayelekile ezinye izimpawu zokuzivikela komzimba (i-psoriasis, lupus, multiple sclerosis). Uma uhlangabezana nemiphumela engemihle emithini yakho ye-RA, bheka udokotela wakho.

6. Ukwelashwa akusebenzi ngendlela ebekade kwenza ngayo

I-RA ayipheli futhi ingaqhubeka. Ngenkathi abaningi beqala ukuthatha imishanguzo ye-RA engaphambili efana nama-NSAID nama-DMARD ngokushesha nje lapho betholakala, lezo zinguquko zokwelashwa kungadingeka ukuthi zengezwe ngokuhamba kwesikhathi.

Uma ukwelashwa kwakho kungakuniki usizo oludingayo, yenza i-aphoyintimenti ne-rheumatologist yakho. Kungaba yisikhathi sokushintsha imithi noma ucabangele ukwelashwa okuthuthukile ukuqeda ukungakhululeki nokuvimbela ukulimala okuhlangene okuhlala isikhathi eside.

7. Uhlangabezana nesifo esisha

Abantu abane-RA bangaba noshintsho ezimpawu zabo ezimele ushintsho olukhulu esimweni sezokwelapha. UDkt Wei uveza ukuthi izimpawu ezintsha ezingabonakali zihlobene kungenzeka ukuthi kungenxa yesifo esiyimbangela.

Isibonelo, bekucatshangwa isikhathi eside ukuthi abantu abane-RA ngeke bathuthukise i-gout, esinye isifo sokuzivikela komzimba. Kepha akusasekeli lokho kucabanga. "Iziguli ze-Gout zingaba namatshe ezinso," kusho uDkt. Wei.

Uma uhlakulela uphawu olusha ongahlobene nalo ngokushesha ku-RA, kufanele ubuze i-rheumatologist ngalo.

Ukuthatha

Ukuba ne-RA kusho ukuthi ulazi kahle lonke iqembu lakho lokwesekelwa kwezokwelapha. I-rheumatologist yakho ingumthombo obaluleke kakhulu kulelo thimba. Bangakusiza uqonde isimo sakho nokuziphendukela kwayo futhi ubonisane nabanye abanakekeli bakho ukuze uqondise ukunakekelwa. Bona i- "rheumy" yakho njalo, futhi unganqikazi ukubathinta uma unemibuzo noma isimo sakho sishintsha.