Ukwelapha i-RA Flares and Exacerbations

-Delile

• Kuyini ukuvuleka?
• Yini ebangela ukuqhuma?
• Imithi elapha ama-RA flares
• Ukudla okunganciphisa izimpawu
• Zinakekele
• Ezinye izindlela zokwelapha ezelapha ama-RA flares
• Thembeka kwabanye
• Bheka i-RA yakho
• Bamba ama-RA flares

Ukubhekana nama-RA flares

I-rheumatoid arthritis (RA), uhlobo lwesibili oluvame kakhulu lwe-arthritis, yisifo esingelapheki sokuvuvukala. I-RA ibangela ukuthi amasosha omzimba ahlasele ngephutha izicubu zawo namalunga. Izimpawu ze-RA zifaka ukuvuvukala, ukuba bomvu, ukuqina, futhi mhlawumbe nokuguguleka nokukhubazeka emajoyintini athintekile.

Kwabanye abantu, i-RA isifo esijikelezayo: izimpawu zinganyamalala amasonto ambalwa, izinyanga, noma ngisho neminyaka. Lapho-ke lesi sifo sizoqubuka siphinde sidale izimpawu. Funda ukuze ufunde amasu namasu wokubhekana nama-RA flares.

Kuyini ukuvuleka?

Amacala amancane we-RA anganyamalala ngemuva kwesikhathi esifushane somsebenzi wezifo, kepha imvamisa amacala e-RA anzima kakhulu futhi angadala izimpawu zempilo yonke.

Abantu abane-RA bangathola izikhathi zomsebenzi owandisiwe, noma ama-flares (abizwa nangokuthi ama-flare-ups). Ama-flares angahlala izinsuku ezimbalwa noma izinyanga.

I-RA futhi ingaba nezikhathi lapho ibangela cishe kungabikho zimpawu, futhi ukuvuvukala kuphansi kakhulu. Lezi zikhathi zibizwa ngokuthi ukukhishwa. Iningi labantu abane-RA bazoshintsha phakathi kokusebenza okuphansi kanye nama-flare iningi lempilo yabo. Kodwa-ke, ukuxolelwa kungenzeka ngemithi esebenzayo.

Yini ebangela ukuqhuma?

Ngeshwa, abacwaningi abazi okwamanje ukuthi yini ebangela ukuthi i-flare iqale noma iphele. Kwezinye izimo, ukutheleleka kungadala ukuthi i-RA ivuthe. Ngamanye amagama, ukugula kungakugulisa. Ukushintsha kwemithi nakho kungadala ukuqhuma kwe-RA. Uma ukhohlwa ukuthatha umuthi wakho noma uyeke ukuwuthatha ngokuphelele, ungahle ube nokuvuvukala okwandayo, okungaholela ekuqhumeni.

Ayikho imithi ekwelapha i-RA noma evikela i-RA njalo. Esikhundleni salokho, inhloso yokwelashwa ukunciphisa izimpawu, ukunciphisa ukuvuvukala, nokuvimbela ukulimala okuhlangene.

Imithi elapha ama-RA flares

Imithi evame ukwelashwa ukwelapha i-RA ingahlukaniswa ngamaqembu amathathu:

• Ukwelashwa okuyizimpawu zenzelwe ukudambisa ubuhlungu obukhulu nokuvuvukala. Imithi ekuleli qembu ifaka ama-steroids, ama-nonsteroidal anti-inflammatory (NSAIDs), kanye ne-acetaminophen.
• Ukwelashwa kokuguqula izifo, okwaziwa nangokuthi izidakamizwa zokuguqula izifo ezilwa nerheumatic, noma ama-DMARD, zenzelwe ukunciphisa ukuqhubeka kwesifo. Ama-DMARD avimbela impendulo yomzimba yokuvuvukala, eyehlisa izimpawu, inciphise ukuqhubekela phambili, futhi ivimbele ukulimala okuhlangene.
• I-Biologics ama-DMARD esizukulwane esisha, alingisa ama-molecule omzimba womuntu. Futhi zivimbela impendulo yokuvuvukala, kepha ziqondiswe kakhulu.

Kokubili ama-DMARD kanye ne-biologics yi-immunosuppressants. I-RA idalwa yimpendulo engalungile evela kumasosha akho omzimba okuholela ekuvukeleni okungapheli. Ama-immunosuppressants aklanyelwe ukuvimbela lokhu, futhi asiza ukunciphisa izimpawu ze-RA ngenxa yalokho.

Ukudla okunganciphisa izimpawu

Kunocwaningo oluphakamisa ukuthi kungahle kube nokuxhumana phakathi kokudlayo nokuthi uzizwa kanjani uma uneRA. Ukudla okunomsoco kungasiza ekunciphiseni izimpawu ze-RA flare futhi kuvimbele ukuvuvukala. Lokhu kudla kufaka:

• Ukudla okune-omega-3-rich, njenge-salmon, i-tuna, ama-walnuts, ne-flaxseed
• ukudla okune-antioxidant, okufana nemifino nezithelo ezimibalabala, ubhontshisi, amantongomane, iwayini elibomvu, ushokoledi omnyama nesinamoni
• i-extra-virgin olive oil, ekhonjisiwe ukuthi inezinzuzo ezilwa nokuvuvukala

Zinakekele

Enye yezindlela ezinhle kakhulu futhi ezibaluleke kakhulu zokwelapha ama-RA flares ukuzinakekela okufanele. Ama-flare akwenza uzizwe ukhathele, abangele ubuhlungu nokuqina emalungeni akho, futhi angenza kube nzima ukwenza imisebenzi ejwayelekile yansuku zonke. Ezinye zezindlela ezibaluleke kakhulu zokuzinakekela zifaka:

• ukuvivinya umzimba kaningi nokuzelula
• ukuncipha kanye nokuphathwa
• ukudla ukudla okunomsoco
• ukuthola ukuphumula okwanele

Xoxa nodokotela wakho ngemithi yokudla nokuqina. Khumbula ukuthi amakhono akho angahluka ngesikhathi sokuvutha.

Ezinye izindlela zokwelapha ezelapha ama-RA flares

Khuluma nodokotela wakho ngaphambi kokuba uqale ukusebenzisa noma yiziphi ezinye izindlela zokwelapha. Abanye abantu ngeke bakwazi ukusebenzisa ezinye zalezi zindlela zokwelashwa ngenxa yokuhlangana okungenzeka nemithi kadokotela.

Ezinye iziguli zingazuza kwezinye izindlela zokwelashwa, njengamavithamini nezengezo, amakhambi noma amasu okuphumula. Ngenkathi ucwaningo ngokusebenza kwalezi zindlela zokwelapha lusalokhu lungaqondakali, lezi zindlela zokwelashwa zingakuzuzisa wena.

Iziguli eziningi ze-RA zizozuza ngokusebenzisa ukushisa namakhaza ukusiza ukukhulula imisipha, ukunciphisa ukuvuvukala kwamalunga, nobuhlungu obuthuntu. Okunye ukusebenzisa amaphakethe okushisa noma amaphakethe e-ice kumajoyinti athintekile ngesikhathi sokuvutha.

Thembeka kwabanye

Lapho i-RA yakho iphakathi nendawo, ungazizwa ungakwazi ukuhambisana nezibopho zakho, umthwalo wakho wokusebenza, nezinhlelo zakho. Khuluma ngalokho ohlangabezana nakho nabangani bakho, amalungu omndeni, kanye nozakwenu. Ukuxhumana okuvulekile kubasiza ukuthi baqonde ukuthi uhlangabezana nani futhi kukusize uthole abantu abangavuma ukukusiza lapho izimpawu zakho zinenkinga enkulu.

Ungesabi ukuvuma lapho ungakwazi ukwenza okuthile. Ukucindezela umzimba wakho ngaphezu kwalokho ongakuthwala empeleni kungenza ukuqhuma kwakho kube kubi kakhulu.

Bheka i-RA yakho

Umhlinzeki wakho wezokunakekelwa kwempilo uzofuna ukukuqapha ngezimpawu zomsebenzi wezifo. Ukuqapha kungabandakanya ukuhlolwa kwegazi okujwayelekile ukuhlola izinkomba zokuvuvukala. Bangase futhi bacele izivivinyo zomzimba ezijwayelekile. Lezi zivivinyo zibasiza ukuthi baqaphe ukuthi umzimba wakho uwuphatha kanjani umuthi owudlayo, ukuthi i-RA iwathinta kanjani amalunga nokunyakaza kwakho, nokuthi uphendula kanjani ekwelashweni kwakho. Lokhu kuhlolwa kunikeza izilinganiso udokotela wakho angazisebenzisa ukubona ukuthi i-RA iwuthinta kanjani umzimba wakho.

Bamba ama-RA flares

Awudingi ukuhlupheka ngomlilo we-RA buthule.Khuluma nodokotela wakho ngalokho okuhlangabezanayo nokuthi umzimba wakho uphendula kanjani ekwelashweni. Bheka izindlela zokusiza umzimba wakho ukubhekana nengcindezi eyengeziwe ebangelwe ukuqhuma. Amasu okubhekana nezinkinga angabandakanya imithi yendabuko noma ezinye izindlela zokwelapha. Lezi zindlela zokwelapha zingasiza umzimba wakho ukuthi ubhekane nengcindezi eyengeziwe ebangelwe yi-flare. Uhlelo lomuntu ngamunye luzohluka. Ngosizo lukadokotela wakho, ungathola uhlelo oluzokusebenzela.