Izizathu Ezingalindelekile Ezi-7 Kufanele Ubone I-Rheumatologist Yakho Lapho Une-PsA
-Delile
- 1. I-rheumatologist ayifani nodokotela wesikhumba
- 2. Ama-Rheumatologists anikeza ukuxilongwa okunembe kakhudlwana
- 3. Ukuba ne-psoriasis akusho ukuthi uzothola i-PsA
- 4. Ama-Rheumatologists awenzi ukuhlinzwa
- 5. I-Rheumatology ayibizi ngokweqile
- 6. I-Rheumatology ingasiza ukuvimbela ukukhubazeka
- 7. Ungadinga ukubona i-rheumatologist ngaphambi kokuba kuvele izimpawu
Njengoba inani lodokotela basezingeni eliphakeme nelikhethekile selitholakala, kungaba nzima ukuthola umuntu ongcono kakhulu ongabona i-psoriatic arthritis (PsA). Uma ngabe une-psoriasis ngaphambi kwengxenye ye-arthritic, khona-ke kungenzeka ukuthi usuvele unodokotela wesikhumba.
Kodwa-ke, i-rheumatologist kuphela engakwazi ukuxilonga nokwelapha iPSA ngokufanele. Noma ngabe umusha ku-rheumatology noma unokubhuka ngokubona omunye uchwepheshe, cabanga ngezinye zezizathu zokuthi kungani i-rheumatologist idingeka.
1. I-rheumatologist ayifani nodokotela wesikhumba
Ekwelapheni i-psoriasis, abaningi bafuna ukwelashwa okukhethekile ngudokotela wesikhumba. Lolu hlobo lodokotela lusingatha ukuphazamiseka kwesikhumba, futhi lungasiza ukuhlinzeka ngemithi ye-plaque psoriasis kanye nezilonda zesikhumba ezihlobene nayo.
Ngenkathi kungenzeka ukuthi usenezimpawu zesikhumba ngesikhathi se-PsA flare-up, udokotela wesikhumba akaziphathi izimbangela ezisemqoka zalolu hlobo lwe-arthritis. Uzodinga ukwelashwa kusuka ku-rheumatologist ngaphezu kwezindlela zokwelashwa kwesikhumba kusuka kudokotela wesikhumba. Ngaphandle kokwelapha i-PsA, i-rheumatologist ilapha ezinye izinhlobo zezimo ezihlobene, njenge-lupus, i-rheumatoid arthritis (RA), i-osteoarthritis, ubuhlungu obungapheli beqolo, ne-gout.
2. Ama-Rheumatologists anikeza ukuxilongwa okunembe kakhudlwana
Izifo ezizimele njenge-PsA kungaba nzima ukuzihlonza. Uma ubona udokotela wesikhumba we-psoriasis, bangahle bakubuze ngezikhathi ezithile ngobuhlungu obuhlangene uma besola i-PsA. Kodwa-ke, udokotela wesikhumba akakwazi ukuxilonga kahle lesi simo. Ukuthi i-PsA ne-RA babelana ngezimpawu ezifanayo nakho kungenza ukuxilongwa kube nzima uma ungaboni uchwepheshe ofanele.
Isazi se-rheumatologist kuphela esinganikeza ukuxilongwa okunembile kakhulu kwe-PsA. Ngaphandle kokuhlolwa komzimba, i-rheumatologist nayo izokwenza uchungechunge lwezivivinyo zegazi. Mhlawumbe ukuhlolwa kwegazi okubaluleke kakhulu yilokho okubheka izici ze-rheumatoid (RF) kanye nama-protein asebenza ngo-C. Uma ukuhlolwa kwakho kwe-RF kukubi, kungenzeka ukuthi une-PsA. Abantu abane-RA banemiphumela emihle yokuhlolwa kwe-RF.
Ezinye izivivinyo zokuxilonga zingabandakanya:
- ukuthatha amasampula oketshezi ahlangene
- kunqunywa inani lokuvuvukala okuhlangene
- ukuthola isilinganiso sedimentation (“sed”) ukuthola inani lokuvuvukala
- ubheke ukuthi mangaki amalunga athintekayo
3. Ukuba ne-psoriasis akusho ukuthi uzothola i-PsA
I-American College of Rheumatology ilinganisela ukuthi cishe amaphesenti ayi-15 alabo abane-psoriasis ekugcineni aba ne-PsA ngesikhathi esithile ezimpilweni zabo. Ezinye izifundo zilinganisela ukuthi amaphesenti angama-30 angaba nesifo samathambo, kepha hhayi uhlobo lwe-psoriatic.
Kubantu abane-psoriasis, i-PsA, noma kokubili, lokhu kungasho izizathu ezimbili ezibalulekile zokubona i-rheumatologist. Ngokukodwa, i-psoriasis esivele yaba yi-PsA idinga ukwelashwa kusuka ku-rheumatologist ukwelapha izimbangela zokuvuvukala manje ezithinta amalunga akho. Futhi, uma unolunye uhlobo lwe-arthritis, njenge-RA, kuzodingeka ufune uhlobo olufanayo lwezokwelapha ezikhethekile.
4. Ama-Rheumatologists awenzi ukuhlinzwa
Kwezinye izinhlobo zesifo samathambo, ukulimala okuhlangene kungaba kukhulu kangangokuba abanye abantu badinga ukuhlinzwa. Ukuhlinzwa kuyabiza, futhi kungenzeka ukuthi udokotela ophakamisa izinqubo ezinjalo angavimba abanye abantu ekufuneni ukunakekelwa okukhethekile. Kubalulekile ukwazi ukuthi ama-rheumatologists awahlinzeki. Esikhundleni salokho, ukugxila kwabo ekutholeni ukunakekelwa kwangaphakathi okufanele ukuphatha isifo sakho esikhathini esizayo. Ekugcineni, lokhu kuzosiza ukuvimbela isidingo sokuhlinzwa ngokuzayo.
5. I-Rheumatology ayibizi ngokweqile
Ngenkathi odokotela abakhethekile bengabiza kakhulu ngokuya ngokukhokha ngokubambisana nezindleko zokuqala zokuphuma ephaketheni, ama-rheumatologists awabizi kakhulu ngokuhamba kwesikhathi. Uma usuvele ubona udokotela wesikhumba, isibonelo, usuvele ufuna ukunakekelwa okukhethekile. Ukuzidinga zombili izinhlobo zochwepheshe kungabiza kakhulu ngaphambili, kodwa uzothola ukunakekelwa okungcono kwesikhathi eside kunokuzama ukuthola uhlobo olufanayo lwezokwelapha kumuntu ongaziwa.
Ngaphambi kokubona i-rheumatologist, hlola ukuqinisekisa ukuthi udokotela ofuna ukumbona usekuxhumanisweni lwabahlinzeki bomshuwalense wakho - lokhu kuzosiza ukonga imali ethile. Futhi, hlola kabili izindleko ezilinganisiwe bese ubona ukuthi udokotela wakho uzimisele yini ukwenza uhlelo lokukhokha.
Okusemqoka wukuthi ukubona i-rheumatologist kusenesikhathi ngaphambi kokuba i-PsA iqhubeke kuzosindisa imali ekuhlinzweni nasezibhedlela ezingalethwa ukungaselaphi kahle lesi sifo.
6. I-Rheumatology ingasiza ukuvimbela ukukhubazeka
Nge-PsA, kungaba lula ukugxila kakhulu kwizimpawu zesikhashana, njengobuhlungu ngesikhathi sokuqhuma. Kodwa-ke, umthelela wesifo isikhathi eside ubaluleke kakhulu. Ukushiywa kungalashwa, ukuwohloka kwamalunga akho okuvuvukala okuhlobene ne-PsA kungaholela ekukhubazekeni. Lokhu kungenza kube nzima kakhulu ukwenza imisebenzi yansuku zonke. Futhi kwezinye izimo, usizo oluhlala njalo lungadingeka ngezizathu zokuphepha.
Kuyiqiniso ukuthi inhloso ye-rheumatologist ukuhlinzeka ngemithi yokwelashwa, kodwa enye inzuzo eyengeziwe ukwehla kwezigameko zokukhubazeka unomphela. Ngaphandle kokwenza izivivinyo nokubeka imithi, i-rheumatologist izonikeza ngamathiphu wokuphila ukusiza ukuvimbela ukukhubazeka. Lokhu kungaze kufike ngendlela yamadivayisi okusiza, njengokufinyelela kuzinsizakusebenza ukuze unciphise amalunga akho.
Ngaphezu kwalokho, i-rheumatologist ingakuthumela kwezinye izinsizakalo ezinganciphisa amathuba okukhubazeka. Lokhu kungafaka ukwelashwa ngokomzimba, ukwelashwa emsebenzini, noma udokotela wamathambo.
7. Ungadinga ukubona i-rheumatologist ngaphambi kokuba kuvele izimpawu
Lapho nje izimpawu ze-PsA - njengobuhlungu obuhlangene - ziqala ukubonakala, lokhu kusho ukuthi lesi sifo sesivele siqale ukuthuthuka. Yize amacala amancane we-PsA esalashwa, ubuhlungu obuhlangene bungakhombisa ukuthi umonakalo usuvele uyenziwa.
Ukuqeda imiphumela ye-PsA, ungacabanga ukubona i-rheumatologist ngaphambi kokuthi uqale ube nezimpawu. Ungakucabanga ukwenza lokhu uma une-psoriasis, noma uma unomlando womndeni wezifo zamathambo noma izimo ezizimele.