Konke Ofuna Ukukwazi Nge-Rheumatoid Arthritis

-Delile

• Izimpawu zesifo samathambo
• Ukuxilongwa kwe-rheumatoid arthritis
• Ukuhlolwa kwegazi kwesifo samathambo
• Ukwelashwa kwe-rheumatoid arthritis
• Imithi yesifo samathambo
• Amakhambi asekhaya we-rheumatoid arthritis
• Ukuzivocavoca umzimba
• Phumula ngokwanele
• Faka ukushisa noma ukubanda
• Zama amadivayisi okusiza
• Thenga amakhambi asekhaya
• Ukudla kwesifo samathambo
• Izinhlobo zesifo samathambo
• Isifo samathambo esingasebenzi kahle
• Isifo samathambo sibanga
• Isifo samathambo ezandleni
• Izithombe ze-rheumatoid arthritis
• Umehluko phakathi kwesifo samathambo nesifo samathambo
• Ingabe i-rheumatoid arthritis ifa?
• Khuluma nomhlinzeki wakho wezokunakekelwa kwempilo

Sifaka imikhiqizo esicabanga ukuthi ilusizo kubafundi bethu. Uma uthenga ngezixhumanisi ezikuleli khasi, singathola ikhomishini encane. Nansi inqubo yethu.

Yini i-rheumatoid arthritis?

I-rheumatoid arthritis (RA) yisifo sokuzimela komzimba esingadala izinhlungu ezihlangene nomonakalo emzimbeni wakho wonke.

Umonakalo ohlangene odalwa yiRA uvame ukwenzeka ezinhlangothini zombili zomzimba.

Ngakho-ke, uma ilunga lithinteka kolunye lwezingalo noma imilenze yakho, ilunga elifanayo kwenye ingalo noma emlenzeni cishe lizophazamiseka, futhi. Le ngenye yezindlela odokotela abahlukanisa ngayo i-RA nezinye izinhlobo zesifo samathambo, njenge-osteoarthritis (OA).

Ukwelashwa kusebenza kahle kakhulu lapho i-RA itholakala kusenesikhathi, ngakho-ke kubalulekile ukufunda izimpawu. Qhubeka ufunde ukuze ufunde konke ofuna ukukwazi nge-RA, kusuka ezinhlotsheni nasezimpawu kuya kumakhambi asekhaya, ukudla, nokunye ukwelashwa.

Izimpawu zesifo samathambo

I-RA yisifo esingelapheki esimakwe yizimpawu zokuvuvukala nobuhlungu emajoyintini. Lezi zimpawu nezimpawu zenzeka ngezikhathi ezaziwa ngokuthi ama-flares noma i-exacerbations. Ezinye izikhathi zaziwa njengezikhathi zokuxolelwa - kulapho izimpawu zinyamalala ngokuphelele.

Ngenkathi izimpawu ze-RA zingathinta izitho eziningana emzimbeni, izimpawu ezihlangene ze-RA zifaka:

• ubuhlungu obuhlangene
• ukuvuvukala ngokuhlanganyela
• ukuqina ngokuhlanganyela
• ukulahlekelwa ukusebenza ngokuhlanganyela nokukhubazeka

Izimpawu zingahluka kusuka kumnene kuya kokubi. Kubalulekile ukuthi ungazinaki izimpawu zakho, noma ngabe ziyafika zidlule. Ukwazi izimpawu zokuqala ze-RA kuzokusiza wena nomhlinzeki wakho wezokunakekelwa kwempilo ukuthi niyiphathe kangcono futhi niyiphathe.

Ukuxilongwa kwe-rheumatoid arthritis

Ukuhlonza i-RA kungathatha isikhathi futhi kungadinga izivivinyo eziningi zebhu ukuqinisekisa ukutholwa kokuhlolwa komtholampilo. Umhlinzeki wakho wezokunakekelwa kwempilo uzosebenzisa amathuluzi amaningana ukuxilonga i-RA.

Okokuqala, bazokubuza ngezimpawu zakho nomlando wezokwelapha. Bazophinda futhi benze ukuhlolwa ngokomzimba kwamalunga akho. Lokhu kuzobandakanya:

• ngifuna ukuvuvukala nokubomvu
• ukuhlola ukusebenza ngokuhlanganyela nobubanzi bokunyakaza
• ukuthinta amalunga athintekile ukuhlola ukufudumala nobumnene
• ukuhlola ingqondo kanye namandla emisipha

Uma besola i-RA, ngokunokwenzeka bazokudlulisela kuchwepheshe obizwa nge-rheumatologist.

Njengoba kungekho sivivinyo esisodwa esingaqinisekisa ukutholakala kwe-RA, umhlinzeki wakho wezokunakekelwa kwempilo noma i-rheumatologist angasebenzisa izinhlobo ezahlukahlukene zokuhlolwa.

Bangavivinya igazi lakho ngezinto ezithile ezifana nama-antibodies, noma babheke izinga lezinto ezithile ezifana nalezo eziphakanyisiwe phakathi kwezimo zokuvuvukala. Lokhu kungaba uphawu lwe-RA futhi kusize ukusekela ukuxilongwa.

Bangase futhi bacele ukuhlolwa okuthile kwe-imaging, njenge-ultrasound, i-X-ray, noma i-MRI.

Izivivinyo azikhombisi nje kuphela ukuthi umonakalo ohlanganyelwe wenzekile yini kodwa nokuthi mkhulu kangakanani umonakalo.

Ukuhlolwa okuphelele nokuqapha ezinye izinhlelo zomzimba kunganconywa kwabanye abantu abane-RA, futhi.

Funda kabanzi ngenqubo yokuxilonga i-RA.

Ukuhlolwa kwegazi kwesifo samathambo

Kunezinhlobo eziningana zokuhlolwa kwegazi okusiza umhlinzeki wakho wezokunakekelwa kwempilo noma i-rheumatologist anqume ukuthi unayo yini i-RA. Lezi zivivinyo zifaka:

• Isivivinyo se-Rheumatoid factor. Ukuhlolwa kwegazi kwe-RF kubheka iphrotheni ebizwa nge-rheumatoid factor. Izinga eliphakeme le-rheumatoid factor lihlotshaniswa nezifo ezizimele, ikakhulukazi i-RA.
• Isivivinyo se-antitrullinated protein antibody (anti-CCP). Lokhu kuhlolwa kubheka i-antibody ehlotshaniswa ne-RA. Abantu abanaleli antibody bavame ukuba nalesi sifo. Kodwa-ke, akubona bonke abane-RA abahlola ukuthi banalo leli gciwane. I-anti-CCP Ab icacise kakhulu i-RA kunokuhlolwa kwe-RF
• Isivivinyo se-Antinuclear antibody. Iphaneli ye-anti-nuclear nuclear antibody ihlola amasosha akho omzimba ukubona ukuthi ikhiqiza yini amasosha omzimba. Umzimba wakho ungenza ama-antibody njengempendulo ezinhlotsheni eziningi zezimo, kufaka phakathi i-RA.
• Isilinganiso se-erythrocyte sedimentation. Ukuhlolwa kwe-ESR kusiza ukunquma izinga lokuvuvukala emzimbeni wakho. Umphumela utshela udokotela wakho ukuthi ukuvuvukala kukhona yini. Kodwa-ke, ayikhombisi imbangela yokuvuvukala.
• Ukuhlolwa kwamaprotheni asebenzayo ngo-C. Ukutheleleka okunzima noma ukuvuvukala okuphawulekayo nomaphi emzimbeni wakho kungadala isibindi sakho ukwenza amaprotheni asebenza ngo-C. Amazinga aphezulu alo maki wokuvuvukala ahlotshaniswa ne-RA.

Thola kabanzi mayelana nokuhlolwa kwegazi okuhlukile kweRA.

Ukwelashwa kwe-rheumatoid arthritis

Alikho ikhambi le-RA, kodwa kunezindlela zokwelapha ezingakusiza ukuyilawula.

I-rheumatoid arthritis (RA) ingagcina zombili iziguli nodokotela ezinzwaneni njengoba zithola izindlela ezingcono zokwelapha izimpawu futhi zinciphise ukuqhubeka kwesimo.

Muva nje, ukuthuthuka kwamasu okwelashwa kuholele emiphumeleni ethuthuka njalo nekhwalithi yempilo kulabo abane-arthritis ye-rheumatoid. Ukwelapha ku-Target Rheumatoid Arthritis kuyifilosofi yokwelapha esetshenziswa ngama-rheumatologists ukuphatha lesi sifo ngempumelelo.

Indlela yokwelashwa okuqondiswe kuyo ibangele izimpawu ezimbalwa namazinga aphezulu okuxolelwa kulabo abane-RA. Isu lokwelashwa lifaka:

• ukubeka umgomo othize wokuhlola okhombisa ukuxolelwa noma isimo sesifo esiphansi
• ukuhlola ama-reactants esigaba abukhali nokwenza ukuqapha nyangazonke ukuhlola ukuqhubeka kwenqubo yokwelashwa nokuphathwa
• ukushintsha umuthi wemithi ngokushesha uma inqubekelaphambili ingenziwa.

Ukwelashwa kwe-RA kusiza ekuphatheni ubuhlungu nasekulawuleni impendulo yokuvuvukala engaholela ezimeni eziningi ekuxolelweni. Ukwehlisa ukuvuvukala kungasiza futhi ekuvimbeleni ukulimala okuhlangene ngokuhlangene nokuhlangana komzimba.

Ukwelashwa kungafaka:

• imithi
• okunye noma amakhambi asekhaya
• izinguquko zokudla
• izinhlobo ezithile zokuvivinya umzimba

Umhlinzeki wakho wezokunakekelwa kwempilo uzosebenza nawe ukunquma uhlelo oluhle kakhulu lwezokwelapha ngezidingo zakho zezokwelapha.

Kubantu abaningi, lezi zindlela zokwelashwa zibasiza ukuba baphile impilo esebenzayo futhi zinciphise ubungozi bezinkinga zesikhathi eside.

Funda kabanzi mayelana nemithi ethile ye-RA nokuthi ungaphatha kanjani ama-flare.

Imithi yesifo samathambo

Kunezinhlobo eziningi zemithi yeRA. Eminye yale mithi isiza ukunciphisa izinhlungu nokuvuvukala kweRA. Abanye basiza ukunciphisa ama-flare futhi banciphise umonakalo owenziwa yi-RA emajoyintini akho.

Imithi elandelayo ethengiswayo isiza ukunciphisa izinhlungu nokuvuvukala phakathi kwama-RA flares:

• izidakamizwa ezingezona ukuvuvukala (ama-NSAID)
• ama-corticosteroids
• acetaminophen

Izidakamizwa ezilandelayo zisebenza ukunciphisa umonakalo i-RA engadala emzimbeni wakho:

• Izidakamizwa zokuguqula izifo (i-DMARDs). Ama-DMARD asebenza ngokuvimba ukuphendula komzimba wakho. Lokhu kusiza ukubambezela ukuqhubeka kweRA.
• I-Biologics. Lawa ma-DMARD esizukulwane esisha ahlinzeka ngempendulo eqondisiwe ekuvukeleni kunokuvimba impendulo yomzimba wakho wonke yomzimba. Kungaba ukwelashwa okusebenzayo kwabantu abangaphenduli kuma-DMARD wendabuko amaningi.
• UJanus kinase (JAK) inhibitors. Lesi yisigaba esisha se-DMARD esivimba izimpendulo ezithile zomzimba. Lezi yizidakamizwa umhlinzeki wakho wezokunakekelwa kwempilo angazisebenzisa ukusiza ukuvimbela ukuvuvukala nokuyeka ukulimala kumajoyinti akho lapho ama-DMARD nama-biologic DMARD engakusebenzeli.

Amakhambi asekhaya we-rheumatoid arthritis

Amakhambi athile asekhaya nokulungiswa kwendlela yokuphila kungasiza ekwenzeni impilo yakho ibe ngcono uma uhlala neRA. Lokhu kufaka ukuzivocavoca umzimba, ukuphumula, namadivayisi okusiza.

Ukuzivocavoca umzimba

Ukuzivocavoca okunomthelela ophansi kungasiza ekuthuthukiseni ububanzi bokunyakaza emajoyintini akho futhi kwandise ukuhamba kwakho. Ukuzivocavoca nakho kungaqinisa imisipha, engasiza ukukhulula enye ingcindezi emajoyintini akho.

Ungahle uthande ukuzama i-yoga emnene engakusiza ukuthi uphinde uthole amandla nokuguquguquka.

Phumula ngokwanele

Ungadinga ukuphumula okwengeziwe ngesikhathi se-flare-ups nangaphansi ngesikhathi sokuxolelwa. Ukulala ngokwanele kuzosiza ukunciphisa ukuvuvukala nobuhlungu kanye nokukhathala.

Faka ukushisa noma ukubanda

Amaphakethe e-ice noma ukucindezela okubandayo kungasiza ukunciphisa ukuvuvukala nobuhlungu. Zingasebenza futhi ekulweni nemisipha.

Ungashintsha amakhaza ngezindlela ezishisayo ezinjengezihlambi ezifudumele nokucindezela okushisayo. Lokhu kungasiza ukunciphisa ukuqina.

Zama amadivayisi okusiza

Amadivayisi athile anjengama-splints nama-brace angabamba amalunga akho endaweni yokuphumula. Lokhu kungasiza ukunciphisa ukuvuvukala.

Izinduku nezinduku zingakusiza ugcine ukuhamba, ngisho nangesikhathi sokuvutha. Ungafaka futhi amadivayisi asendlini, njengemigoqo yokubamba nama-handrails ezindlini zokugezela nasezitebhisini.

Thenga amakhambi asekhaya

• amaphakethe eqhwa
• izinduku
• bamba imigoqo
• izibambo zokubopha izandla
• Ama-NSAID

Funda kabanzi ngalezi nezinye izixazululo ukukusiza ukuphatha impilo ngeRA.

Ukudla kwesifo samathambo

Umhlinzeki wakho wezokunakekelwa kwempilo noma owondlayo angancoma ukudla okulwa nokuvuvukala ukusiza ngezimpawu zakho. Lolu hlobo lokudla lubandakanya ukudla okune-omega-3 fatty acids amaningi.

Ukudla okuphezulu ku-omega-3 fatty acids kufaka:

• izinhlanzi ezinamafutha njenge-salmon, i-tuna, i-herring ne-mackerel
• imbewu ye-chia
• imbewu yefilakisi
• ama-walnuts

Ama-antioxidants, afana namavithamini A, C, no-E, kanye ne-selenium, nawo angasiza ekunciphiseni ukuvuvukala. Ukudla okuphezulu kuma-antioxidants kufaka:

• amajikijolo, njengama-blueberries, ama-cranberries, amajikijolo e-goji, nama-strawberry
• ushokoledi omnyama
• isipinashi
• ubhontshisi wezinso
• ama-pecans
• ama-artichokes

Ukudla i-fiber eningi nakho kubalulekile. Ngokusho kwabanye abacwaningi, i-fiber ingasiza ekwehliseni izimpendulo zokuvuvukala ezinganciphisa amazinga wamaprotheni asebenzayo we-C. Khetha ukudla okusanhlamvu okuphelele, imifino emisha, nezithelo ezintsha. Ama-Strawberries angasiza kakhulu.

Ukudla okuqukethe i-flavonoids nakho kungasiza ukulwa nokuvuvukala emzimbeni. Kubandakanya:

• imikhiqizo yesoya, efana ne-tofu ne-miso
• amajikijolo
• itiye eliluhlaza
• i-broccoli
• amagilebhisi

Lokho ongakudli kubalulekile njengalokho okudlayo. Qiniseka ukuthi ugwema ukudla okubangela ukuqala. Lokhu kufaka phakathi ama-carbohydrate asetshenzisiwe kanye namafutha agcwele noma we-trans.

Ukugwema ukudla okubangela ukudla nokukhetha ukudla okulungile ekuzameni ukulandela ukudla okulwa nokuvuvukala kungakusiza ukuphatha i-RA yakho.

Izinhlobo zesifo samathambo

Kunezinhlobo ezahlukahlukene zeRA. Ukwazi ukuthi hlobo luni onalo kungasiza umhlinzeki wakho wezokunakekelwa kwezempilo ukuthi akunikeze uhlobo oluhle kakhulu lwezokwelapha.

Izinhlobo ze-RA zifaka:

• I-RA engathandeki. Uma une-seropositive RA, unomphumela omuhle wokuhlolwa kwegazi we-rheumatoid factor. Lokhu kusho ukuthi unamasosha omzimba abangela ukuthi amasosha omzimba wakho ahlasele amalunga omzimba.
• I-Seronegative RA. Uma unomphumela omubi wokuhlolwa kwegazi we-RF nomphumela omubi we-anti-CCP, kepha usenezimpawu ze-RA, ungahle ube ne-seronegative RA. Ekugcineni ungathuthukisa ama-antibodies, ushintshe ukuxilongwa kwakho ku-RA engacabangi kahle.
• I-juvenile idiopathic arthritis (JIA). I-juvenile idiopathic arthritis isho i-RA ezinganeni ezineminyaka yobudala eyi-17 nangaphansi. Lesi simo phambilini besaziwa njenge-juvenile rheumatoid arthritis (JRA). Izimpawu ziyefana nezinye izinhlobo ze-RA, kepha zingafaka nokuvuvukala kwamehlo nezinkinga ngokukhula komzimba.

Thola imininingwane eminingi ngezinhlobo zeRA nokwehluka kwazo.

Isifo samathambo esingasebenzi kahle

I-RA engathandeki uhlobo oluvame kakhulu lwe-RA. Lolu hlobo lwe-arthritis lungasebenza emindenini. I-RA e-Seropositive ingahle ize nezimpawu ezinzima kakhulu kune-seronegative RA.

Ukwethula izimpawu ze-RA ezi-seropositive kungafaka:

• ukuqina kwasekuseni okuhlala imizuzu engama-30 noma ngaphezulu
• ukuvuvukala nobuhlungu emajoyintini amaningi
• ukuvuvukala nobuhlungu emajoyintini alinganayo
• amaqhuqhuva e-rheumatoid
• imfiva
• ukukhathala
• ukuncipha komzimba

I-RA ayihlali ivinjelwe emajoyintini njalo. Abanye abantu abane-RA e-seropositive bangathola ukuvuvukala emehlweni, izindlala zamathe, izinzwa, izinso, amaphaphu, inhliziyo, isikhumba nemithambo yegazi.

Isifo samathambo sibanga

Imbangela ngqo yeRA ayaziwa. Kodwa-ke, izici ezithile zibonakala zineqhaza ekwandiseni ubungozi bokuba ne-RA noma ukuqala kwayo.

Izici ezingakhuphula ubungozi bakho ku-RA zifaka:

• ukuba ngowesifazane
• ukuba nomlando womndeni weRA

Izici ezingadala ukuqala kweRA zibandakanya:

• ukuvezwa kwezinhlobo ezithile zamagciwane, njengalezo ezihambisana nesifo se-periodontal
• ukuba nomlando wokutheleleka ngegciwane, njengegciwane le-Epstein-Barr, elibanga i-mononucleosis
• ukuhlukumezeka noma ukulimala, njengokuphuka kwethambo noma ukuphuka, ukususwa kokuhlangana, kanye nomonakalo we-ligament
• ukubhema osikilidi
• ukuba nokukhuluphala

Imbangela kungenzeka ingaziwa kepha kunezingozi nezimbangela eziningi.

Isifo samathambo ezandleni

Isifo sokuqaqamba kwamalunga ezandleni singaqala njengokuzwa okuvuthayo okusezingeni eliphansi okuzwayo ekupheleni kosuku. Ekugcineni, ungahle uzwe ubuhlungu obungekhona ngempela obusuka ekusebenziseni izandla zakho. Lobuhlungu bungaba nzima kakhulu uma ungabuphathi.

Ungase futhi uzizwe:

• ukuvuvukala
• ububomvu
• imfudumalo
• ukuqina

Uma uqwanga emajoyintini akho luphela, ungahle ubone ukuphathwa okuthile ezandleni zakho. Ungaba nomuzwa wokugaya emajoyintini wezandla zakho, iminwe, kanye namajoyinti amakhulu, uma uqwanga lonakala ngokuphelele.

Njengoba lesi sifo siqhubeka, amasaka agcwele uketshezi noma ama-synovial cysts akhula ezihlakaleni, emadolweni, endololwaneni, emaqakaleni naseduze kwamalunga amancane ezandla. Lawa ma-cysts awanazo izinkinga futhi ukuqhekeka kwethenda kungenzeka kwezinye izimo.

Ungase futhi uthuthukise ukukhula kwe-knobby, okubizwa nge-bone spurs, emajoyintini athintekile. Ngokuhamba kwesikhathi, ama-bone spurs angenza kube nzima kuwe ukusebenzisa izandla zakho.

Uma une-RA ezandleni zakho, umhlinzeki wakho wezokunakekelwa kwempilo uzosebenza nawe kokuzivocavoca umzimba okungakusiza ugcine ukunyakaza nokusebenza.

Ukuzivocavoca umzimba, kanye nezinye izinhlobo zokwelashwa, kungasiza ekwehliseni ukuvuvukala futhi kunqande ukuqhubeka kwesifo.

Bona kahle ukuthi imiphumela ye-RA ibukeka kanjani ezandleni zakho.

Izithombe ze-rheumatoid arthritis

I-RA ingabonakala kakhulu ezandleni nasezinyaweni zakho, ikakhulukazi njengoba lesi sifo siqhubeka futhi ikakhulukazi uma okwamanje ungenalo uhlelo lokwelashwa.

Ukuvuvukala kweminwe, izihlakala, amadolo, amaqakala nezinzwane kuyinto ejwayelekile. Ukulimala kwemisipha nokuvuvukala ezinyaweni kungadala ukuthi umuntu one-RA abe nenkinga yokuhamba.

Uma ungayitholi imishanguzo yeRA, ungahle ube nokukhubazeka okukhulu ezandleni nasezinyaweni zakho. Ukukhubazeka kwezandla neminwe kungadala ukuvela okugoqekile okufana nofele.

Izinzwani zakho zingabukeka njengokufana nozipho, kwesinye isikhathi zigobele phezulu futhi kwesinye isikhathi zigobe ngaphansi kwebhola lonyawo.

Ungase futhi uqaphele izilonda, amabunion, nama-callus ezinyaweni zakho.

Izigaxa, ezibizwa ngokuthi amaqhuqhuva e-rheumatoid, zingavela noma kuphi emzimbeni wakho lapho amalunga evutha khona. Lezi zingaba ngosayizi kusuka kokuncane kakhulu kuye kosayizi we-walnut noma kukhudlwana, futhi zingavela ngamaqoqo.

Yilokhu amaqhuqhuva e-rheumatoid nezinye izimpawu ezibonakalayo ze-RA ezibukeka ngayo.

Umehluko phakathi kwesifo samathambo nesifo samathambo

Njengo-RA, abantu abane-osteoarthritis (OA) bangathola amalunga abuhlungu futhi aqinile enza ukuhamba kanzima kube nzima.

Abantu abane-OA bangaba nokuvuvukala okuhlangene ngemuva komsebenzi owandisiwe, kepha i-OA ayibangeli noma yikuphi ukusabela okuphawulekayo kokuvuvukala okuvame ukudala ubomvu bamalunga athintekile.

Ngokungafani ne-RA, i-OA ayisona isifo sokuzivikela komzimba. Kuhlobene nokuguga nokudabuka kwemvelo kwamalunga njengoba ukhula, noma kungakhula ngenxa yokuhlukumezeka.

I-OA ivame ukubonwa kubantu abadala asebekhulile. Kodwa-ke, kwesinye isikhathi kungabonakala kubantu abadala abasebenzisa ngokweqile ilunga elithile - njengabadlali bethenisi nabanye abasubathi - noma labo abake balimala kanzima.

I-RA isifo esizimele. Ukulimala ngokuhlanganyela okuvela kuRA akubangelwa ukuguga okuvamile. Kubangelwa umzimba wakho ozihlaselayo.

Funda kabanzi mayelana nalezi zinhlobo ezimbili ze-arthritis.

Ingabe i-rheumatoid arthritis ifa?

I-rheumatoid arthritis ayithathwa njengesifo esiyifa, kepha kubonakala sengathi iyasebenza emindenini. Lokhu kungabangelwa izimbangela zemvelo, izimbangela zofuzo, noma inhlanganisela yakho kokubili.

Uma unamalungu omndeni ane-RA noma oke waba nayo, khuluma nomhlinzeki wakho wezokunakekelwa kwempilo, ikakhulukazi uma unezimpawu zobuhlungu obuhlangene obuqhubekayo, ukuvuvukala nokuqina okungahlobene nokusetshenziswa ngokweqile noma ukuhlukumezeka.

Ukuba nomlando womndeni we-RA kwandisa ubungozi bokuthola lesi sifo, futhi ukuxilongwa kusenesikhathi kungenza umehluko omkhulu ekutheni ukwelashwa kuzoba ngempumelelo kangakanani.

Ngakho-ke, ungazuza njengefa iRA? Mhlawumbe - funda kabanzi lapha.

Khuluma nomhlinzeki wakho wezokunakekelwa kwempilo

I-RA yisifo esingelapheki esingenawo umuthi njengamanje. Lokho kusho ukuthi, abantu abaningi abane-RA abanazo izimpawu ezingapheli. Esikhundleni salokho, banama-flare-ups alandelwa yizikhathi ezingenazo izimpawu ezibizwa ngokuthi ama-remissions.

Inkambo yalesi sifo iyahlukahluka kuye ngomuntu, futhi izimpawu zingahluka kusuka komoya kuya kokubi.

Yize izimpawu zingama isikhathi eside, izinkinga ezihlangene ezibangelwa yi-RA zivame ukuba zimbi ngokuhamba kwesikhathi. Kungakho ukwelashwa kusenesikhathi kubaluleke kangaka ukusiza ukubambezela ukulimala okuhlangene ngokuqinile.

Uma uhlangabezana nanoma yiziphi izimpawu noma unenkinga nge-RA, khuluma nomhlinzeki wakho wezokunakekelwa kwempilo.