Umhlahlandlela Wezingxoxo Ezinkulu We-RA Doctor
-Delile
I-rheumatoid arthritis (RA) isifo esibuhlungu esibuhlungu futhi esiqeda amandla. Ithinta cishe abantu baseMelika abayizigidi eziyi-1.5, ngokusho kweNational Institute of Arthritis and Musculoskeletal and Skin Diseases. Lesi simo sokuvuvukala asinakhambi. Kodwa-ke, ngisho nezinhlobo ezinzima kakhulu ze-RA zingaphathwa ngempumelelo kakhulu ngokusebenzisana eduze nodokotela wakho.
Udokotela wakho uzokusiza ubhekane nezimpawu zakho futhi wakhe uhlelo lokwelashwa olungcono kakhulu lwesimo sakho.
Ngezansi kunamaphuzu abalulekile okufanele uxoxe ngawo nodokotela wakho uma une-RA. Ukuxoxa ngalezi zinto nodokotela wakho kungakusiza uphathe kangcono isimo sakho.
Izimpawu zakho
Ukuze uthole uhlelo lokwelashwa olungcono kakhulu lwe-RA, udinga ukuchazela udokotela wakho izimpawu zakho ngokuningiliziwe. Ukuqonda kahle lokho okuzwayo kuzosiza udokotela wakho enze noma yiziphi izinguquko ezidingekayo ohlelweni lwakho lokwelashwa.
Uma ukhuluma nodokotela wakho ngezimpawu zakho, ungahle ufune ukuletha okulandelayo:
- uvame kangakanani ukuzwa izimpawu ezifana nobuhlungu, ukuqina nokuvuvukala
- ikakhulukazi ukuthi yimaphi amalunga athintekayo
- ukuqina kobuhlungu bakho esikalini kusuka ku-1 kuye ku-10
- noma yiziphi izimpawu ezintsha noma ezingavamile, ezifana nobuhlungu obandayo, ukukhathala, amaqhuqhuva ngaphansi kwesikhumba, noma esinye isibonakaliso esisha esingahlobene namajoyinti
Indlela Yokuphila
Chazela udokotela wakho imiphumela i-RA enayo empilweni yakho. Le miphumela inikeza inkomba enhle yokuthi umuthi wakho usebenza kahle kangakanani. Cabanga ngokuthi isimo sakho sithinta kanjani ikhono lakho lokwenza imisebenzi yakho yansuku zonke. Naka ukucindezeleka okungokomzwelo okubangelwa yisimo sakho. Ukubhekana nobuhlungu obungapheli kungakucasula kakhulu futhi kukucindezele, kanye nokuqeda imizwa.
Zibuze le mibuzo elandelayo bese uxoxa ngezimpendulo nodokotela wakho:
- Ingabe ubuhlungu nokuqina kwenza kube nzima noma kungenzeki ukwenza imisebenzi elula, njengokugqoka, ukupheka, noma ukushayela?
- Yimiphi imisebenzi ekuzwisa ubuhlungu obukhulu?
- Yini onzima ukuyenza (noma ongasakwazi ukuyenza) selokhu kwatholakala ukuthi unesifo?
- Ingabe isimo sakho sikwenza uzizwe ucindezelekile noma ukhathazekile?
Ukwelashwa
I-RA ingaphathwa kangcono kakhulu namuhla kunaseminyakeni embalwa edlule, ngenxa yezindlela eziningi zokwelashwa ezitholakalayo.
UNathan Wei, MD, uyi-rheumatologist eqinisekiswe yibhodi eneminyaka engaphezu kwengu-30 yokusebenza kanye nesipiliyoni sokucwaninga ngemitholampilo, futhi ungumqondisi we-Arthritis Treatment Center eFrederick, eMaryland. Lapho ebuzwa ngezeluleko zeziguli ezidinga ukuxoxa ngokwelashwa kwe-RA nodokotela wazo, uthe: “Okokuqala nokubaluleke kakhulu, iziguli kufanele ziqinisekiswe ukuthi izibikezelo zazo zilungile. Iziguli eziningi zingathethelelwa ngemithi esiyisebenzisayo namuhla. ” Ngokusho kukaWei, “Iziguli kufanele futhi zibuze imibuzo ngohlobo lwemithi ezosetshenziswa, izosetshenziswa nini, imiphumela emibi engaba khona, nokuthi yini abangayilindela kuze kufike ezinzuzweni.”
Ukuphatha i-RA yakho akukhona nje ukuthola imithi efanele. Yize imishanguzo kadokotela ingahamba ibanga elide ekuphenduleni komzimba nasekunciphiseni izimpawu, ukwengeza amakhambi emvelo alula kuhlelo lwakho lokwelashwa nakho kungasiza.
"Okuvame ukushoda kumthetho olandelwayo weRA [amakhambi] alula okusiza ngobuhlungu nokuvuvukala nobuthi bemithi," kusho uDean. “Kokuhlangenwe nakho kwami ngithola ukuthi i-magnesium ngezindlela zayo eziningi iyasiza kakhulu. Izidakamizwa ezisetshenziselwa i-RA zikhipha i-magnesium emzimbeni. IMagnesium iyindlela enamandla kakhulu yokulwa nokuvuvukala. ”
Uncoma ukucela udokotela wakho ukuhlolwa kwegazi okulula ukuze abheke ukuthi ingabe kudingeka i-magnesium eningi yini ekudleni kwakho, wengeza ngokuthi, “I-Oral magnesium ngesimo se-powdered magnesium citrate encibilikiswe emanzini futhi esiphuzwe usuku lonke kungasiza kakhulu.” UDean futhi uncoma ukufaka izinyawo noma izandla zakho kosawoti be-Epsom (i-magnesium sulfate). Uncoma ngokunye ukufaka izinkomishi zayo ezi-2 noma ezi-3 kubhavu bese ucwilisa imizuzu engama-30 (uma ukwazi ukuhamba kubhavu wokugezela).
Buza udokotela wakho ukuthi kufanele udluliselwe kudokotela we-physiotherapist noma osebenza emsebenzini. Kutholakale ukuthi ukufaka izicelo ze-physiotherapy kanye nokuvuselelwa ohlelweni lokwelashwa kwe-RA lesiguli kungathuthukisa kakhulu izimpawu nokuhamba. Ukuthuthuka kulezi zindawo kungakuvumela ukuthi wenze imisebenzi yosuku nosuku kalula.