Izindlela zokwelashwa ezi-5 zeRheumatoid Arthritis Back Pain

-Delile

• Ubuhlungu be-Back: acute vs. chronic
• 1. Izindlela zokwelapha ezishisayo nezibandayo zokuqeda izimpawu
• 2. Imithi
• Ama-painkillers
• Izidakamizwa ezingezona ukuvuvukala
• Imithi yokuguqula izifo yokulwa nesifo sofuba
• Imijovo yomgogodla
• 3. Ukuhlinzwa emuva kwezinhlungu ezingapheli
• 4. Ukwelashwa kokwelashwa okungamahlalakhona emuva
• 5. Ukuzinakekela ngokuzivocavoca ngobumnene
• Ukuthatha

I-rheumatoid arthritis nobuhlungu emuva

I-rheumatoid arthritis (RA) ivame ukuthinta amalunga omzimba njengalezo ezisezandleni zakho, izihlakala, izinyawo, izindololwane, amaqakala nezinqulu. Abantu abanalesi sifo sokuzivikela komzimba bavame ukuzwa ubuhlungu emuva.

Uma une-RA, ubuhlungu beqolo bungadalwa amasosha omzimba wakho ahlasela ulwelwesi lwe-synovial lwamajoyini amancane omgogodla wakho. Ezimweni ezisezingeni eliphakeme, lokhu kungaholela ekucindezelweni komgogodla nezimpande zemizwa. Uma lokhu kwenzeka, ungathola ubuhlungu obulinganiselayo nobunzima.

Qhubeka ufunda ukuze ufunde mayelana nokwelashwa kwesikhashana kwezinhlungu emuva nezinyathelo zokuphatha ubuhlungu besikhathi eside.

Ubuhlungu be-Back: acute vs. chronic

Ngaphambi kokubheka ukwelashwa kobuhlungu bakho emuva, kuzodingeka wazi ukuthi unezinhlungu ezibuhlungu noma ezingapheli zomqolo.

Ubuhlungu obubuhlungu emuva buvame ukuba umphumela wokucindezela emuva kwakho. Ingelashwa ngemithi futhi imvama iyoba ngcono ngokuhamba kwesikhathi. Ukuzivocavoca umzimba akunconyiwe.

Ubuhlungu obungapheli emuva buhlukile. Kuyinkinga yesikhathi eside edalwa yizimo ezinjengeRA. Ingelashwa ngezindlela eziningi, nokuvivinya umzimba kungasiza.

1. Izindlela zokwelapha ezishisayo nezibandayo zokuqeda izimpawu

Amaphakethe ashisayo nabandayo awakwazi ukuphatha izimbangela eziyisisekelo zobuhlungu beqolo, kepha angasiza ekunciphiseni ubuhlungu nokuqina obuzwayo ngesikhathi sokuqhuma.

Sebenzisa iphakethe lokushisa ukusiza ukuthuthukisa ukugeleza kwegazi nokunciphisa ukuphazamiseka kwemisipha. Kungasiza futhi ukwenza ubuhlungu bakho buphathwe kalula.

Sebenzisa iphakethe elibandayo ukusiza ukunciphisa ukuvuvukala kwe-RA. Kufanele isetshenziselwe ikakhulukazi ama-flare-ups noma ubuhlungu obukhulu.

Amaphakethe abandayo angazizwa engakhululekile ekuqaleni, kepha anganciphisa ukuvuvukala futhi asize izinhlungu. Amaphakethe abandayo kufanele asetshenziswe kuphela imizuzu engama-20 ngasikhathi, kathathu noma kathathu ngosuku.

2. Imithi

Imithi ingaba yindlela ephumelelayo yokulawula ubuhlungu obungapheli bokubuyela emuva. Uhlobo lwemithi oyoludinga luncike ekutheni ubuhlungu bakho bukhulu kangakanani nokuthi ubuthola kaningi kangakanani.

Izinhlobo ezahlukene zemithi zingadambisa izinhlungu futhi zinciphise nokuqhubekela phambili kwe-RA.

Ama-painkillers

Ukuphatha ubuhlungu bakho yingxenye ebalulekile yokufunda ukuhlala nenkinga yangemuva engapheli. Ama-analgesics, noma amaphilisi ezinhlungu, kungenye yezindlela zokudambisa izinhlungu emuva. Izidakamizwa ezingaphezulu kwamakhompiyutha njenge-aspirin zanele ukuphatha ubuhlungu obumnene.

Udokotela wakho angakunika imishanguzo eqinile yokuqeda izinhlungu, uma uyidinga. Kodwa-ke, imishanguzo ye-narcotic efana ne-oxycodone (Roxycodone, Oxaydo) kufanele isetshenziswe ngokuqapha izifo ezingalapheki ukugwema ingozi yokuncika. Kuneminye imishanguzo engelapha zombili izinhlungu zakho kanye nokuvuvukala okuyisisekelo.

Izidakamizwa ezingezona ukuvuvukala

Izidakamizwa ezingezona ukuvuvukala (ama-NSAID) zingadambisa izinhlungu nokuvuvukala. Imithi elwa nokuvuvukala iyasiza ngoba yehlisa ukuvuvukala. Lokhu kudambisa ingcindezi emhlane wakho futhi kusiza ukwenza ukunyakaza kube lula.

I-Ibuprofen (Advil, Motrin IB) ne-naproxen (EC-Naprosyn) ngama-NSAID amabili avame ukubekwa. Ama-NSAID angadala imiphumela emibi, njengokuphuma kwesisu. Udokotela wakho uzokwazi ukukusiza unqume ukuthi ama-NSAID akulungele yini wena ngokuya ngomlando wakho wezokwelapha.

Imithi yokuguqula izifo yokulwa nesifo sofuba

Izidakamizwa zokuguqula izifo ezilwa nezifo (ama-DMARD) zibekiwe ukusiza ukudambisa izinhlungu nokunciphisa ukuqhubeka kweRA. Bangasiza ekunqandeni ukuqhuma kobuhlungu besikhathi esizayo. I-DMARD evame ukubekwa yi-methotrexate.

Ama-DMARD asebenza ngokuvimba amakhemikhali akhishwa lapho amasosha omzimba ehlasela izicubu ezihlangene. Lokhu kuvimbela ukulimala okuthe xaxa emathanjeni akho nasentanjeni.

Ama-DMARD angadala imiphumela emibi eminingi, efana nale:

• isicanucanu
• ukuqubuka kwesikhumba
• ukukhathala
• ukulimala kwesibindi
• ukubalwa kwamaseli egazi amhlophe ngokungajwayelekile, okuholela ekuthelelekeni

Udokotela wakho angakusiza ukuphatha le miphumela emibi uma kwenzeka.

Imijovo yomgogodla

Umjovo womgogodla kungaba yindlela esheshayo yokuqeda izinhlungu ezingapheli zomqolo. Ngokuvamile kusho ukujova i-corticosteroid noma i-anesthetic esifundeni sezinzwa esithinteka ukuvuvukala kwe-RA.

Imiphumela yomjovo womgogodla ingahlala amasonto noma izinyanga. I-Corticosteroids ingadala ezinye izinkinga zempilo njengokuzuza kwesisindo kanye ne-osteoporosis. Ngalesi sizathu, udokotela wakho angakuphakamisa ukuthi ulinde izinyanga ezimbalwa ngomjovo wakho olandelayo.

3. Ukuhlinzwa emuva kwezinhlungu ezingapheli

Ukuhlinzwa ngokuvamile kuyindlela yokugcina yokwelashwa kobuhlungu emuva. Noma kunjalo, kungasebenza kakhulu ekusizeni ukunciphisa izinhlungu ezingapheli zomqolo.

Isibonelo, udokotela wakho angancoma inqubo "yokuhlanganiswa": Lokhu kuhilela ukusika ukujoyina okugula nokuhlanganisa ama-vertebrae ndawonye, ​​ukunciphisa ukuhamba. Kwezinye izimo, lokhu kuzonciphisa ubuhlungu kuleyo ndawo.

Ukuphinda uqondise futhi uqinise umgogodla wakho ukunciphisa ingcindezi emithanjeni yakho yomgogodla kungenye indlela. Lokhu kunganciphisa ubuhlungu futhi kuthuthukise ukuhamba.

4. Ukwelashwa kokwelashwa okungamahlalakhona emuva

Izinhlobo zokwelashwa zingasiza ukusekela ukwelashwa kwakho kwezinhlungu emuva. Isibonelo, i-physiotherapy ingakuthuthukisa ukuguquguquka kwakho namandla emisipha yakho.

Ukwelashwa emsebenzini nakho kungasiza. Lolu hlobo lwezokwelapha lukufundisa amasu okuvikela ngokuhlanganyela. Isibonelo kungaba yindlela yokulanda nokuphatha izinto ngaphandle kokubangela ubuhlungu emuva.

Ukwelashwa kwe-Chiropractic ngokuvamile akunconywa kubantu abane-RA ababhekene nobuhlungu emuva.

5. Ukuzinakekela ngokuzivocavoca ngobumnene

Ukuzivocavoca umzimba okufanele kungasiza ukususa ingcindezi emhlane wakho futhi kugcine amalunga ethambile uma uhlangabezana nobuhlungu obungapheli bokubuyela emuva ngenxa ye-RA. Ukuvivinya umzimba kusiza nokugcina impilo yomzimba iyonke.

I-National Institute of Arthritis and Musculoskeletal and Skin Diseases incoma ukuzivocavoca njengokuhamba nokuzelula ukusiza ukuvimbela ubuhlungu beqolo. Imisebenzi efana ne-tai chi kanye nokuzivocavoca okususelwa emanzini njengokubhukuda noma i-aerobics yamanzi nakho kungasiza.

Njalo bonana nodokotela ngaphambi kokuqala noma yiluphi uhlelo lokuzivocavoca ngezinhlungu zakho zasemhlane.

Ukuthatha

Uma une-RA futhi ucabanga ukuthi unezinhlungu ezingapheli zomqolo, funa iseluleko kudokotela wakho. Bazokwazi ukukusiza ukuthi uthole ukwelashwa okufanele kwesimo sakho, noma ngabe lokho kusho izixazululo zesikhashana esifana namaphakethe e-ice nemithi noma amasu wokulawula ubuhlungu besikhathi eside njenge-physiotherapy noma uhlelo olufanele lokuzivocavoca.