Ukucindezeleka Kuthinta Kanjani I-Rheumatoid Arthritis?

-Delile

• Ukucindezeleka kanye neRA
• Ukukhuluma nodokotela wakho
• Ungalufuna nini usizo
• Ukuphathwa kwengcindezi nokwelashwa
• Amathiphu okuphatha ukucindezeleka
  
• Ukuphatha i-RA
• Uyini umbono?

Ukubuka konke

Ukucindezeleka kungaphazamisa impilo yakho ngezindlela eziningi. Kuyisici esiyingozi sesifo senhliziyo futhi kungaholela ekhanda nasenkingeni ngokulala kwakho. Ukucindezeleka kungaba yingozi ikakhulukazi uma une-rheumatoid arthritis (RA). I-RA yisifo sokuzilimaza, isimo lapho amasosha omzimba ehlasela izicubu ezinempilo.

Kubantu abane-RA, ukuhlaselwa kwezicubu ezinempilo kubangela ukulimala kolwelwesi lwamalunga akho, ikakhulukazi amalunga ezandleni naseminwe yakho. Izimpawu ze-RA azikho ngaso sonke isikhathi. Esikhundleni salokho, bavame ukuqhuma ngezikhathi ezithile. Ukucindezeleka kuyimbangela evamile yokuqhuma kwe-RA okubuhlungu.

Ukucindezeleka kanye neRA

Ukuxhumana phakathi kwengcindezi ne-RA kukhonjwe ezifundweni eziningi. Ukuhlaziywa kwezifundo eziyi-16, okushicilelwe ku, kwathola ukuthi:

• Ukucindezeleka kuvame ukwenza izimpawu ze-RA zibe zimbi kakhulu.
• Abantu abane-post-traumatic stress disorder (PTSD) basengozini enkulu yokuthola i-RA nezinye izifo ezizimele.
• Abantu abaye babhekana nokuhlukumezeka ebuntwaneni babenamathuba amaningi okuba nezifo ze-rheumatic.

Abaphenyi baqaphele ukuthi izifundo ezimbalwa zazincane, kanti ezinye zazincike olwazini oluzibikelayo oluvela kubahlanganyeli bocwaningo. Lezi zinkinga ziphakamisa imibuzo ethile ngokuthembeka kwezifundo. Kodwa-ke, abacwaningi baphethe ngokuthi kusabonakala sengathi kunokuxhumana okuqinile phakathi kwengcindezi kanye nengozi yokuba ne-RA.

Ucwaningo luhlaziywe kolunye ucwaningo ku-Arthritis Research & Therapy luthole ukuthi:

• Imicimbi ecindezelayo ivame ukwandulela ukuqala kweRA.
• Ukucindezeleka okuphezulu kuhlotshaniswa nombono omncane we-RA.
• Abantu abane-RA bangazwela kakhulu emithonjeni ethile yengcindezi, ebizwa ngama-stressors.

Ukukhuluma nodokotela wakho

Ukulawula ukucindezeleka kungadlala indima ebalulekile ekuphatheni i-RA. Ngokuzayo lapho ukhuluma nodokotela wakho, yabelana ngezinye zezinto empilweni yakho ezikubangela ukucindezeleka. Udokotela wakho angaba nezeluleko mayelana nokuthi ungakulawula kanjani ukukhathazeka kwakho kanye nengcindezi yakho.

Udokotela wakho futhi angakwazi ukukudlulisela kumelaphi ophumelele ekusizeni abantu abaphila nezimo ezingalapheki, njengeRA, ukuphatha ukucindezeleka.

Vulela udokotela wakho mayelana nezimpawu zakho kanye nezingcindezi empilweni yakho. Cacisa lapho uchaza izimpawu zakho:

• Yini ebaletha?
• Zihlala isikhathi esingakanani?
• Yini esiza ukukhulula izimpawu zakho?
• Ubuzwa kuphi ubuhlungu?

Kufanele futhi ukhulume nodokotela wakho mayelana nokuphatha ezinye izinto ezibangela ukuqubuka, njengokusebenzisa ngokweqile, ukungalali kahle, noma ukutheleleka, njengomkhuhlane.

Ungalufuna nini usizo

Uma ukwazi ukuphatha i-RA yakho ngemithi nangokukhetha izindlela zokuphila, ungahle udinge nje ukubona udokotela wakho ukuze ahlolwe njalo. Uma izimpawu zakho zishintsha noma uma ukuqhuma sekuvame kakhulu noma kunzima kakhulu, bheka udokotela wakho maduzane. Ungalindi izinyanga ngaphambi kokuqokwa kwakho okulandelayo.

Gcina udokotela wakho enolwazi ngempilo yakho. Uma usuqale ukuthatha umuthi omusha futhi usola ukuthi kuphazamisa ukulala kwakho, isibonelo, tshela udokotela wakho. Udokotela wakho angakwazi ukuncoma izinguquko ohlelweni lwakho lwenqubo noma lokunakekelwa kwezempilo olungaba nemithelela emihle empilweni yakho nasekulawulweni kweRA yakho.

Ukuphathwa kwengcindezi nokwelashwa

Amathiphu okuphatha ukucindezeleka

1. Zama ukugwema izimo owaziyo ukuthi zidala ukucindezeleka.
2. Ukulala amahora ayisikhombisa kuya kwayisishiyagalombili ebusuku.
3. Faka ukuzivocavoca njalo enkambisweni yakho.
4. Bekela eceleni isikhathi semisebenzi oyithandayo futhi uyithole iphumule.
5. Ungayifihli imizwa yakho. Vumela obala ngezinto ezikukhathazayo noma ezikucindezelayo.
6. Sebenza nodokotela uma ungakwazi ukuphatha ukucindezeleka uwedwa.

Ingcindezi ukusabela ngokomzimba nangokwengqondo kuzisusa. Wonke umuntu uhlangabezana nokucindezeleka ngezinye izikhathi. Ukuqhuma kwamahomoni akhiqizwa uma ubhekene nosongo kudala impendulo "yokulwa noma yokubaleka". Ukucindezeleka okuncane kuyingxenye yempilo ejwayelekile, enempilo. Kodwa ukucindezela ngokweqile noma ukungakwazi ukubhekana nokucindezeleka kungaba yingozi.

Enye indlela yokwehlisa ingcindezi empilweni yakho ukugwema izimo owaziyo ukuthi zizokudala ukucindezeleka. Lokhu kungamangalisa njengokuyeka umsebenzi ocindezelayo noma ukuqeda ubudlelwane obubi. Ukuphathwa kwengcindezi yansuku zonke kungasho nokwenza izinto ezifana nokucisha izindaba uma kukhathaza, noma ukuthatha enye indlela eya emsebenzini uma ithrafikhi esemzileni wakho ojwayelekile ikubangela ingcindezi.

Ukuze ulawule ukucindezeleka kwakho, kuzodingeka uqale ngokukhomba izinto ezikubangela ukucindezeleka futhi ucabange ukuthi zingagwemeka noma zilawulwe kanjani. Kubantu abaningi, ukwenza izinguquko ezithile zendlela yokuphila kungasiza. Izeluleko ezinhle zokuqeda ukucindezeleka zifaka:

• Ukulala okungenani amahora ayisikhombisa kuya kwayisishiyagalombili ebusuku. Uma unenkinga yokulala noma ukulala, tshela udokotela wakho noma ubone isazi sokulala.
• Vivinya umzimba nsuku zonke, uma kungenzeka. Ukuvivinya umzimba kungasiza ekunciphiseni ukucindezeleka futhi kuthuthukise imizwa yakho.
• Yabelana ngemizwa yakho. Uma udinga usizo ngephrojekthi emsebenzini noma unokuthile okukuhluphayo, tshela omunye umuntu. Intukuthelo ingakha uma ugcina izinto ngaphakathi.
• Ukuyekethisa lapho kudingeka. Kwesinye isikhathi udinga ukunikeza okuncane ukunciphisa ukucindezeleka esimweni.
• Nethezeka. Thatha ikilasi noma ukhulume nodokotela ukuze ufunde izindlela zokuphumula ezifana nezithombe eziqondisiwe, ukuzindla, i-yoga, noma izivivinyo zokuphefumula.

Ungathola futhi ukukhululeka ngokusebenza nomeluleki noma umeluleki wezempilo yengqondo kumasu okunciphisa ingcindezi empilweni yakho yansuku zonke. Ukwelashwa kokuziphatha kwengqondo (CBT) kuyindlela esetshenziswa kabanzi yokusiza ekucindezelekeni, ekukhathazekeni, ekucindezelekeni, nakwezinye izimo. I-CBT igxile ekushintsheni indlela ocabanga ngayo ngesimo ukuze imizwa yakho mayelana nesimo nokuziphatha kwakho kuzoshintsha. Imvamisa kuyindlela yesikhashana yezinkinga ezithile.

Ukuphatha i-RA

I-RA yisimo esingelapheki. Lokho kusho ukuthi ukuphatha izimpawu zakho kuyinto ozodinga ukuyenza isikhathi eside. Izimpawu zakho zingathuthuka okwesikhashana, kuphela ukuvela futhi ngokuzayo.

Enye indlela yokusiza ukuthuthukisa impilo yamajoyinti akho, kanye nempilo yakho engokwenyama nengqondo, ukufaka i-aerobics enomthelela ophansi nokuzivocavoca okwakha izicubu esimisweni sakho esijwayelekile. Imisipha eqinile ithatha enye ingcindezi emajoyintini akho. I-Tai chi, uhlobo lobuciko bokulwa olugcizelela ukuhamba kancane, ngamabomu nokuphefumula okugxile, kuhlotshaniswa nezimpawu ezinciphile ze-RA futhi.

Amanye amathiphu okuphatha i-RA afaka:

• Ukwelashwa okushisa nokubandayo: Ukushisa kungasiza ekudambiseni ezinye izinhlungu futhi kuphumule imisipha yakho. Ukubanda kusiza ukuqeda izinhlungu. Buza udokotela wakho ngale ndlela.
• Ukubhukuda noma amanzi i-aerobics: Ukuba semanzini kususa ingcindezi emajoyintini akho futhi kungakusiza uphumule.
• Imithi: Landela izincomo zikadokotela wakho kumaphilisi ezinhlungu nasekulungiseni izifo imishanguzo (i-DMARDs), esiza ukubambezela ukuqhubeka kweRA nokunciphisa ukulimala kwamalunga akho. Ama-DMARD afaka phakathi i-methotrexate (Trexall), leflunomide (Arava), ne-hydrochloroquine (Plaquenil).
• Khululeka: Uma ungakalalanga ngokwanele noma uzizwa usebenza ngokweqile, phumula futhi uphumule. Lokhu kungasiza ukunciphisa ukucindezeleka futhi kuvimbele ukuqhuma.

Uyini umbono?

Uma usanda kutholakala une-RA, umbono wakho wesikhathi eside ungcono uma uqala ukwelashwa kusenesikhathi. Ungahle ukwazi ukunciphisa ukulimala okuhlangene uma usebenza ngokwelashwa kwakho.

Uzophinda wenze kangcono uma usebenza eduze ne-rheumatologist. Lo ngudokotela ogxile kuRA nezinye izimo ezithinta amalunga, imisipha, nemisipha.

Uma ngabe uhlala ne-RA isikhathi eside futhi usola ukuthi ingcindezi yenza izimpawu zakho zibe zimbi kakhulu, ukuthola usizo kunganikeza ukukhululeka. Ungacabangi ukuthi sekwephuze kakhulu ukuthola isibambo esimeni sakho.