ʻO wai kēia kauka rumatika? E ʻike kākou i kēia loea.

Ke ʻeha nei ʻoe i kekahi manawa i nā hono, ka ʻoʻoleʻa o ke kakahiaka, a i ʻole nā ​​ʻehaʻeha maʻamau? I kekahi manawa hiki ke nalo kēia mau mea i loko o kekahi mau lā. Eia nō naʻe, inā hoʻomau kēia mau pilikia a i ʻole e ʻoi aku ka ʻino, pono ʻoe e nānā iā ia. ʻO ia ka manawa e pono ai ke kōkua o kahi kauka rheumatologist.

ʻO wai ke kauka Rheumatologist?

I ka ʻōlelo maʻalahi, he kauka rheumatologist kahi kauka loea i nā maʻi paʻakikī o ko kākou mau iwi, nā hono, nā ʻiʻo, a me nā ʻiʻo pili. Ma hope o ka puka ʻana mai ke kauka lapaʻau laulā, e hele ana kēia mau kauka i kekahi mau makahiki o ke aʻo kūikawā ma kēia kahua.

ʻO ka pinepine , he mau maʻi mau a autoimmune paha kēia mau maʻi, ʻo ia hoʻi, hoʻouka kā mākou ʻōnaehana pale i kā mākou mau cell ponoʻī . I kekahi manawa hiki ke hoʻoili ʻia kēia mau mea mai kēlā hanauna a i kēia hanauna. No laila, kōkua kahi rheumatologist i ka hoʻomalu ʻana i ka ʻeha i hoʻokumu ʻia e kēia mau kūlana a kōkua i ka hōʻemi ʻana i ka mumū i loko o ke kino.

He aha ka Rheumatology?

ʻO ka Rheumatology kahi lālā o ka lāʻau lapaʻau e aʻo nui ana i nā "maʻi rheumatic." He mau maʻi mumū mau kēia e hoʻopilikia pinepine i nā ʻiʻo pili o ko mākou kino, ʻo ia hoʻi, e like me kaʻu i ʻōlelo ai ma mua, nā iwi, nā hono, nā ʻiʻo, nā tendon, a me nā ligaments.

E noʻonoʻo e pili ana i ia mea, aia kekahi mau ʻano o ka ʻāʻī, i kapa ʻia hoʻi he "ʻāʻī mumū." I loko o ia mau maʻi, pane ke kino i kona mau ʻiʻo ponoʻī. Aia kekahi mau maʻi ʻē aʻe, hiki ke ulu a lilo i mau pilikia ʻiʻo a iwi paha, i kekahi manawa ke ho'ōla pono ʻole kahi ʻeha kahiko. Hāʻule kēia mau mea a pau ma lalo o ke kahua o ka rheumatology.

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He aha ka hana a ke kauka rheumatologist?

ʻO ka hana nui a ke kauka rheumatologist, ʻo ia ke ʻike pololei a me ka mālama ʻana i nā maʻi paʻakikī e hoʻopilikia i ko kākou mau iwi, nā hono, nā ʻiʻo, a me nā ʻiʻo pili. ʻAʻole kēia he mau mea maʻalahi e like me kahi palapū a i ʻole ka ʻeha, akā, he mau pilikia i ʻoi aku ka hohonu ma mua o kēlā.

Aia kekahi mau ʻano maʻi rheumatic:

• Nā maʻi Autoimmune: ʻO kēia ka manawa e hoʻouka hewa ai ka ʻōnaehana pale o ko mākou kino i kā mākou mau hunaola a me nā ʻiʻo olakino ponoʻī.
• Nā maʻi pili: Hoʻopilikia kēia i nā ʻōnaehana kākoʻo ma loko o ko mākou kino.
• Nā maʻi mumū a i ʻole nā ​​​​maʻi: Hiki i kēia ke hoʻopilikia i nā ʻiʻo, nā hono, a i ʻole nā ​​​​iwi.

I ka wā e ʻike ai i kēia mau maʻi, hoʻohana nā kauka i nā hoʻokolohua koko a me nā ʻano scan like ʻole (e.g. (X-ray), (Ultrasound)) . ʻAʻole like ka lāʻau lapaʻau.Hoʻokumu ʻia kahi hoʻolālā lapaʻau ma ka hoʻohui ʻana i nā ʻano hana like ʻole, e like me nā lāʻau lapaʻau, i kekahi manawa nā inikini kūikawā i loko o nā hono, a me ka hoʻōla kino.

He aha nā maʻi e mālama ai ka rheumatologist?

Aia kahi papa inoa o nā maʻi a ke kauka rheumatologist e mālama ai. Ua lohe paha ʻoe i kekahi o kēia mau inoa.

• ʻO Ankylosing Spondylitis: ʻO kēia ke kumu nui o ka ʻoʻoleʻa a me ka ʻeha i nā hono o ka iwi kuamoʻo.
• Bursitis: Maʻi o nā ʻeke piha i ka wai (bursa) a puni nā hono.
• Gout : He maʻi kahi e hōʻiliʻili ai ka uric acid i loko o ke kino, e hoʻoulu ai i ka pehu a me ka ʻeha nui i nā hono.
• Osteoarthritis: He maʻi i hoʻokumu ʻia e ka ʻaʻahu a me ka haehae ʻana o nā hono me ka makahiki.
• Rheumatoid Arthritis: He maʻi autoimmune kēia. Pehu, ʻeha, a ʻoʻoleʻa nā hono o ke kino i ke kakahiaka.
• Ka Fiva Rheumatic: Ma hope o ka maʻi ʻāʻī, hiki iā ia ke hoʻopili i nā wahi e like me ka puʻuwai, nā hono, a me ka lolo.
• Lupus (Systemic Lupus Erythematosus - SLE): He maʻi autoimmune nō hoʻi kēia e hiki ke hoʻopilikia i nā ʻāpana like ʻole o ke kino.
• Scleroderma: Mānoanoa o ka ʻili a hiki ke hoʻopilikia i nā ʻōpū o loko.
• Vasculitis: Ka mumū ʻana o nā kīʻaha koko.

Hoʻōla nā kauka rheumatologists i nā maʻi ʻē aʻe he nui e like me kēia. He ʻokoʻa kēlā me kēia maʻi, a no laila he ʻokoʻa nā lāʻau lapaʻau.

ʻEhia ka nui o ke aʻo ʻana e pono ai e lilo i rheumatologist?

ʻAʻole kēia he huakaʻi maʻalahi. No ka lilo ʻana i kauka rheumatologist, pono mua ʻoe e loaʻa i ke kēkelē laepua, a laila e hoʻopau i ʻehā mau makahiki o ke kula lapaʻau (he kēkelē MD a DO paha). Ma hope o kēlā, pono ʻoe e hoʻopau i kahi noho ʻekolu makahiki ma ka lāʻau lapaʻau kūloko a i ʻole pediatrics.

Ma hope o kēia noho ʻana, pono ʻoe e hala i kahi hoʻokolohua e lilo i loea ma ia kahua. Ma hope o kēlā, pono ʻoe e hele i ʻelua a ʻekolu paha mau makahiki o ke aʻo kūikawā ((fellowship)) ma ke kahua o ka rheumatology. I loko o kēia hoʻomaʻamaʻa ʻana, aʻo hohonu ʻoe e pili ana i nā maʻi iwi, nā hono, a me nā maʻi autoimmune. ʻO ka hope loa, ʻike ʻia ʻoe he rheumatologist ma hope o ka hala ʻana i kahi hoʻokolohua koʻikoʻi e hōʻoiaʻiʻo ana i kēlā ʻike. Ma hope o kēlā, pono ʻoe e hoʻonui mau i kou ʻike ma ke aʻo ʻana i nā mea hou ((Continuing Medical Education - CME)). No laila hiki iā ʻoe ke hoʻomaopopo i ka nui o ka hoʻolaʻa e pono ai kēia.

No ke aha mākou e pono ai e ʻike i kahi rheumatologist?

Aia paha he nui nā kumu e pono ai ʻoe e ʻike i kahi rheumatologist.

• Inā loaʻa i kekahi o kou ʻohana kahi maʻi rumatika a i ʻole kahi maʻi autoimmune: No ka mea hiki ke hoʻoilina kekahi o kēia mau maʻi, ʻoi aku ka maikaʻi o ka hoʻāʻo mua ʻana.
• Inā kuhikuhi kāu mea mālama mua (PCP) iā ʻoe: Ma hope o ka nānā ʻana i kekahi o kāu mau hōʻailona, ​​​​inā manaʻo ke kauka he maʻi rumatika kēia, e kuhikuhi ʻo ia iā ʻoe i kahi rheumatologist.

Aia kekahi mau hōʻailona maʻamau o nā maʻi rheumatic:

• ʻAʻole hiki ke loaʻa ma kahi hoʻokahi o ke kino, akā, ma nā wahi he nui i ka manawa hoʻokahi. Hiki iā ia ke hoʻopilikia i ke kino holoʻokoʻa.
• Hiki iā ia ke hoʻopili i nā ʻano ʻiʻo like ʻole, e like me nā ʻiʻo, nā aʻalolo, a me ka ʻili.
• Hiki paha iā ʻoe ke manaʻo i ka ʻeha, ka ʻoʻoleʻa, a me ka pehu ʻana ma kēlā mau wahi.
• Eia kekahi, hiki ke ʻike ʻia nā hōʻailona o ke kino e like me ke kuni a me ka luhi.

E noʻonoʻo, i ke kakahiaka, ua ʻoʻoleʻa a ʻeha nā hono o kou mau manamana lima, ʻaʻole hiki ke kūlou. Ma hope o kekahi manawa, e emi iki ana. Akā hana kēia i kēlā me kēia lā. A i ʻole, me ke kumu ʻole, ʻike ʻia nā kiko ʻulaʻula ma ka ʻili ma nā wahi like ʻole o ke kino, me ka ʻeha hono a me ka luhi. ʻO kēia nā mea e ʻike ʻia i nā maʻi rumatika.

I ka manawa hea e pono ai ʻoe e ʻike i kahi rheumatologist?

Inā kānalua ʻoe a i ʻole kāu kauka lapaʻau he maʻi rumatika kou, he mea nui loa e ʻike i kahi loea, he kauka rumatika, i ka hikiwawe loa. ʻOi loa aku inā hoʻomaka koke kāu mau hōʻailona a i ʻole e ʻoi koke ana ka ʻino, pono ʻoe e hana koke.

No ka mea, he pinepine kēia mau maʻi rumatika e holomua. ʻO ia hoʻi, i ka holomua ʻana o ka maʻi, hiki ke hoʻopilikia ʻia nā ʻiʻo hou a ʻike ʻia nā hōʻailona hou. Hiki i kekahi mau maʻi ke hōʻeha mau loa i ko kākou mau ʻiʻo. No laila, hiki ke hoʻēmi ʻia kēia pōʻino ma ka ʻike mua ʻana i ka maʻi a me ka hoʻomaka ʻana i ka lāʻau.

Pehea ʻoe e hoʻomākaukau ai no kahi kipa ʻana i kahi rheumatologist?

Inā ʻoe e hana i kēia mau mea ma mua o kou hele ʻana e ʻike i kahi kauka rheumatologist, e maʻalahi ia no ke kauka a nou hoʻi.

• E mālama pono i kāu mau moʻolelo lapaʻau kahiko: Hoʻokomo pū kēia i nā memo mai nā kauka āu i ʻike ai ma mua, nā hopena hoʻāʻo, a pēlā aku. Loaʻa paha iā ʻoe kēia mau mea, a i ʻole pono ʻoe e noi iā lākou mai nā kumu kūpono.
• E kākau i kāu mōʻaukala olakino: E nīnau ke kauka e pili ana i nā lāʻau lapaʻau, nā huaora, a me nā mea hoʻohui āu e lawe nei, nā maʻi ma mua, a me nā lāʻau lapaʻau āu i hoʻohana ai.
• E mālama i kahi puke moʻolelo hōʻailona: Hiki ke ʻokoʻa a loli koke nā hōʻailona rumatika. ʻO ke kākau ʻana i nā kikoʻī e like me "I kēia kakahiaka, i kēia awakea, i kēia nehinei" hiki ke kōkua i kāu kauka e loaʻa kahi kiʻi maopopo o kou kūlana.
• E hoʻolālā e kākau i lalo i nā ʻōlelo a ke kauka:Ke hele ʻoe no ka manawa mua, e aʻo ʻoe i ka nui o ka ʻike hou. He mea paʻakikī paha ke hoʻomanaʻo i nā mea āpau i ka manawa hoʻokahi. Inā hiki, e lawe pū me ʻoe i kahi hoaaloha a ʻohana paha. Hiki iā lākou ke kōkua iā ʻoe e kākau i nā mea i lalo.

He aha nā hoʻokolohua e hoʻohana ai nā rheumatologists e ʻike ai i ka maʻi?

Ma waho aʻe o ka hoʻokolokolo kino, hiki i kāu kauka ke kauoha i kekahi mau hoʻokolohua ʻē aʻe e kōkua i ka ʻike ʻana i ke kūlana. Eia kekahi laʻana:

• Nā hoʻāʻo koko: Hiki i kēia ke ʻike i nā mea he nui, e like me ke kuni ʻana o ke kino a inā he mau antibodies e pili ana i nā kūlana autoimmune.
• Nā hoʻāʻo kiʻi: Hiki i nā hoʻokolohua e like me nā X-ray, ultrasounds, CT scans, a i ʻole MRI ke nānā i ke kūlana o nā hono, nā iwi, a me nā ʻiʻo.
• Hoʻāʻo mānoanoa o ka iwi (DEXA scan): E nānā no ka emi ʻana o ka ikaika o ka iwi (osteoporosis).
• Biopsy ʻiʻo: I kekahi manawa, pono e lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo i hoʻopilikia ʻia no ka hoʻāʻo ʻana.
• Electromyogram (EMG): He hoʻāʻo e nānā i ka hana o nā ʻiʻo a me nā aʻalolo.
• Nā hoʻāʻo hana o nā kino: E nānā inā ua hoʻopilikia ʻia nā ʻōkana e like me nā puʻupaʻa a me ke akepaʻa.

Pehea e mālama ai nā rheumatologists i kēia mau maʻi?

He mea paʻakikī iki ka mālama ʻana i nā maʻi rumatika. No ka mea, ʻaʻole hiki ke mālama ʻia nā kānaka a pau ma ke ʻano like. E hana kāu kauka i kahi hoʻolālā lapaʻau kūpono iā ʻoe ma muli o nā kumu he nui, e like me kāu mau hōʻailona, ​​ke ʻano o ka maʻi, a me kāu pane ʻana i ka lāʻau.

Aia kekahi mau ʻano lapaʻau:

• Corticosteroids: Kōkua kēia i ka hōʻemi koke ʻana i ka mumū i loko o ke kino.
• Nā Immunosuppressants: Hāʻawi ʻia kēia mau mea e kāohi i ka hana o ka ʻōnaehana pale o ke kino i nā maʻi autoimmune.
• Nā lāʻau lapaʻau antirheumatic hoʻololi maʻi (DMARDs): Kōkua kēia mau lāʻau lapaʻau i ka hōʻemi ʻana i ka hōʻino ʻia o nā hono i hoʻokumu ʻia e ka maʻi a kaohi i ka holomua o ka maʻi.
• Nā inikini hono: Hiki ke inikini pololei ʻia nā lāʻau lapaʻau i loko o nā hono ʻeha a pehu.
• Orthotics: I kekahi manawa hoʻohana ʻia e hāʻawi i ke kākoʻo i nā hono a hōʻemi i ka ʻeha.
• Hoʻōla kino: Hoʻomaikaʻi i ka hana a me ka ikaika o nā hono ma o ka hoʻoikaika kino a me nā ʻano hana ʻē aʻe.
• Hoʻōla hana: Ke aʻo ʻana i ka hana ʻana i nā hana o kēlā me kēia lā me ka maʻalahi.
• Kuhikuhi i kahi Kauka Lapaʻau Orthopedic:I kekahi mau hihia, inā ua hōʻino nui ʻia nā hono, pono paha ke ʻoki ʻana.

ʻO ka mea nui loa, ʻo ia ke ʻike pinepine i kāu kauka no kēia mau lāʻau lapaʻau, e hana i nā hoʻokolohua e pono ai, a nānā i kou kūlana. No ka mea, hiki i kēia mau maʻi ke loli i ka hala ʻana o ka manawa a hiki ke kū mai nā pilikia hou. A laila hiki i kāu kauka ke hoʻololi i kāu hoʻolālā lapaʻau e like me ia. Ma ka noho mau ʻana me kāu kauka, hiki iā ʻoe ke hoʻoponopono i kāu lāʻau lapaʻau ma mua o kou manaʻo ʻana i kekahi ʻeha.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

ʻAe, no laila ke manaʻolana nei au ua loaʻa iā ʻoe kahi manaʻo maikaʻi no wai ka rheumatologist a me kāna hana.

E hoʻomanaʻo, he poʻe loea nā rheumatologists e mālama pinepine i nā kūlana lōʻihi a paʻakikī e pili ana i nā hono, nā ʻiʻo, a me nā ʻiʻo pili o ke kino.

• Inā loaʻa iā ʻoe ka ʻeha mau o nā hono, ka pehu ʻana, ka ʻoʻoleʻa, a i ʻole nā ​​ʻeha kino i wehewehe ʻole ʻia, mai hoʻowahāwahā wale iā ia.
• ʻO ka mea mua, e ʻike i kāu kauka ʻohana (GP). Hiki iā ia ke loiloi i kou kūlana a kuhikuhi iā ʻoe i kahi rheumatologist inā pono.
• I ia mau maʻi , hiki i ka ʻike mua ʻana a me ka mālama kūpono ke pale i nā pōʻino nui a ʻae iā ʻoe e ola i kahi ola maikaʻi.

No laila, e mālama i kou kino. Inā loaʻa iā ʻoe kekahi pilikia, mai makaʻu e kamaʻilio me ke kauka.

Kauka Lāʻau Lapaʻau, Kauka Lāʻau Lapaʻau, Nā maʻi hono, ʻAʻai, ʻAʻai, Maʻi Autoimmune, Maʻi Autoimmune, ʻEha Musculoskeletal, Rheumatology