Tus kws kho mob pob qij txha no yog leej twg? Cia peb kawm paub tus kws tshwj xeeb no.

Koj puas muaj tej lub sij hawm koj mob pob qij txha, mob nqaij thaum sawv ntxov, lossis tsuas yog mob thiab mob xwb? Tej lub sij hawm tej yam no yuav ploj mus li ob peb hnub. Txawm li cas los xij, yog tias cov teeb meem no tseem muaj lossis hnyav zuj zus, koj yuav tsum nrhiav kev pab. Yog lub sij hawm ntawd peb xav tau kev pab los ntawm kws kho mob pob qij txha.

Leej twg yog tus kws kho mob Rheumatologist?

Hais yooj yim xwb, tus kws kho mob pob qij txha yog tus kws kho mob uas tshwj xeeb hauv cov kab mob nyuaj ntawm peb cov pob txha, cov pob qij txha, cov leeg, thiab cov ntaub so ntswg sib txuas. Cov kws kho mob no, tom qab kawm tiav hauv kev kho mob dav dav, tau kawm ntau xyoo hauv daim teb no.

Feem ntau cov kab mob no yog mob ntev lossis mob autoimmune, txhais tau tias peb lub cev tiv thaiv kab mob tawm tsam peb cov hlwb . Qee zaum cov no tuaj yeem kis tau los ntawm ib tiam mus rau ib tiam. Yog li, tus kws kho mob rheumatologist pab tswj qhov mob los ntawm cov mob no thiab pab txo qhov o ntawm lub cev.

Rheumatology yog dab tsi?

Kev kho mob pob qij txha yog ib ceg ntawm cov tshuaj uas feem ntau kawm txog "cov kab mob pob qij txha." Cov no yog cov kab mob o uas feem ntau cuam tshuam rau cov nqaij sib txuas ntawm peb lub cev, uas yog, raws li kuv tau hais ua ntej, pob txha, pob qij txha, cov leeg, cov leeg, thiab cov leeg.

Xav txog nws, muaj qee hom mob pob qij txha, uas tseem hu ua "mob pob qij txha inflammatory." Hauv cov kab mob zoo li no, lub cev ua rau nws cov nqaij tawv tsis zoo. Muaj lwm yam kab mob, uas tuaj yeem ua rau muaj teeb meem ntawm cov leeg lossis pob txha, qee zaum thaum qhov raug mob qub tsis kho kom zoo. Tag nrho cov no poob rau hauv thaj chaw ntawm rheumatology.

Tus kws kho mob rheumatologist ua dab tsi?

Txoj hauj lwm tseem ceeb ntawm tus kws kho mob pob qij txha yog kuaj mob thiab kho cov kab mob nyuaj uas cuam tshuam rau peb cov pob txha, cov pob qij txha, cov leeg, thiab cov nqaij sib txuas. Cov no tsis yog cov teeb meem yooj yim xws li qhov mob lossis qhov mob pob qij txha, tab sis yog cov teeb meem uas tob dua li ntawd.

Muaj ntau hom kab mob rheumatic:

• Cov kab mob autoimmune: Qhov no yog thaum peb lub cev tiv thaiv kab mob tawm tsam peb cov hlwb thiab cov nqaij noj qab haus huv tsis raug.
• Cov kab mob ntawm cov nqaij sib txuas: Cov no cuam tshuam rau cov qauv txhawb nqa thoob plaws peb lub cev.
• Cov kab mob o lossis kev kis kab mob: Cov no tuaj yeem cuam tshuam rau cov leeg, cov pob qij txha, lossis cov pob txha.

Thaum kuaj mob cov kab mob no, cov kws kho mob siv cov kev kuaj ntshav thiab ntau yam kev ntsuas duab (piv txwv li, X-ray, Ultrasound) . Kev kho mob tsis zoo ib yam.Ib txoj kev npaj kho mob yog tsim los ntawm kev sib xyaw ntau txoj kev, xws li cov tshuaj, qee zaum kev txhaj tshuaj tshwj xeeb rau hauv cov pob qij txha, thiab kev kho lub cev.

Tus kws kho mob rheumatologist kho cov kab mob dab tsi?

Muaj ib daim ntawv teev cov kab mob uas tus kws kho mob rheumatologist kho. Tej zaum koj yuav tau hnov ​​​​​​qee cov npe no.

• Ankylosing Spondylitis: Qhov no feem ntau ua rau mob thiab mob hauv cov pob qij txha ntawm tus txha nraub qaum.
• Bursitis: Kev kis kab mob ntawm cov hnab kua dej (bursa) nyob ib puag ncig cov pob qij txha.
• Gout : Ib yam kab mob uas uric acid sib sau ua ke hauv lub cev, ua rau o thiab mob hnyav rau cov pob qij txha.
• Osteoarthritis: Ib qho mob uas tshwm sim los ntawm kev hnav thiab rhuav ntawm cov pob qij txha nrog hnub nyoog.
• Mob Pob Qij Txha Rheumatoid: Qhov no yog ib yam kab mob autoimmune. Cov pob qij txha hauv lub cev yuav o, mob, thiab tawv thaum sawv ntxov.
• Mob Pob Qij Txha: Tom qab kis kab mob caj pas, nws tuaj yeem cuam tshuam rau thaj chaw xws li lub plawv, pob qij txha, thiab lub hlwb.
• Lupus (Systemic Lupus Erythematosus - SLE): Qhov no kuj yog ib yam kab mob autoimmune uas tuaj yeem cuam tshuam rau ntau qhov ntawm lub cev.
• Scleroderma: Ua rau daim tawv nqaij tuab thiab kuj tseem tuaj yeem cuam tshuam rau cov kabmob sab hauv.
• Vasculitis: o ntawm cov hlab ntsha.

Cov kws kho mob pob qij txha kho ntau yam kab mob zoo li no. Txhua yam kab mob no txawv, yog li ntawd kev kho mob thiaj txawv.

Yuav tsum kawm ntau npaum li cas thiaj li dhau los ua tus kws kho mob rheumatologist?

Qhov no tsis yog ib txoj kev yooj yim. Yuav kom ua tau ib tug kws kho mob pob qij txha, koj yuav tsum tau kawm tiav qib bachelor ua ntej, tom qab ntawd kawm tiav plaub xyoos hauv tsev kawm ntawv kho mob (MD lossis DO degree). Tom qab ntawd, koj yuav tsum kawm tiav peb xyoos hauv kev kho mob sab hauv lossis kev kho mob menyuam yaus.

Tom qab kawm tiav qib siab no, koj yuav tsum xeem dhau los ua tus kws tshwj xeeb hauv qhov chaw ntawd. Tom qab ntawd, koj yuav tsum kawm ntxiv ob lossis peb xyoos ntawm kev cob qhia tshwj xeeb (`(kev sib raug zoo)`) hauv kev kho mob rheumatology. Thaum lub sijhawm kawm no, koj kawm tob txog pob txha, pob qij txha, thiab cov kab mob autoimmune. Thaum kawg, koj tsuas yog raug lees paub tias yog tus kws kho mob rheumatologist tom qab dhau qhov kev xeem nyuaj uas lees paub qhov kev paub ntawd. Tom qab ntawd, koj yuav tsum hloov kho koj cov kev paub tas li los ntawm kev kawm tej yam tshiab (`(Kev Kawm Txuas Ntxiv Kho Mob - CME)`). Yog li koj tuaj yeem nkag siab tias qhov no xav tau kev mob siab npaum li cas.

Vim li cas peb thiaj li yuav tsum mus ntsib kws kho mob rheumatologist?

Tej zaum yuav muaj ntau yam ua rau koj yuav tsum mus ntsib kws kho mob rheumatologist.

• Yog tias ib tug neeg hauv koj tsev neeg muaj tus kab mob rheumatic lossis tus kab mob autoimmune: Vim tias qee cov kab mob no tuaj yeem yog los ntawm noob caj ces, nws yog qhov zoo dua kom kuaj mob thaum ntxov.
• Yog tias koj tus kws kho mob thawj zaug (PCP) xa koj mus: Tom qab saib qee yam ntawm koj cov tsos mob, yog tias tus kws kho mob xav tias qhov no yuav yog kab mob rheumatic, nws yuav xa koj mus rau tus kws kho mob rheumatologist.

Muaj qee cov tsos mob ntawm cov kab mob rheumatic:

• Nws tsis yog tsuas tshwm sim rau ib qho chaw ntawm lub cev xwb, tab sis kuj tshwm sim rau ntau qhov chaw tib lub sijhawm. Nws tseem tuaj yeem cuam tshuam rau tag nrho lub cev.
• Nws tuaj yeem cuam tshuam rau ntau hom nqaij sib txawv, xws li cov leeg nqaij, cov hlab ntsha, thiab daim tawv nqaij.
• Tej zaum koj yuav hnov ​​mob, tawv nqaij, thiab o ntawm cov chaw ntawd.
• Ntxiv rau qhov no, cov tsos mob ntawm lub cev xws li kub taub hau thiab qaug zog kuj tseem yuav tshwm sim.

Xav txog, thaum sawv ntxov, cov pob qij txha ntawm koj cov ntiv tes tawv thiab mob, tsis tuaj yeem khoov. Tom qab ib pliag, nws yuav ploj me ntsis. Tab sis qhov no tshwm sim txhua hnub. Los yog, tsis muaj laj thawj, cov pob liab tshwm sim ntawm daim tawv nqaij ntawm ntau qhov chaw ntawm lub cev, nrog rau mob pob qij txha thiab qaug zog. Cov no yog cov khoom uas tuaj yeem pom hauv cov kab mob rheumatic.

Thaum twg koj yuav tsum mus ntsib kws kho mob rheumatologist?

Yog tias koj lossis koj tus kws kho mob xav tias koj muaj tus kab mob rheumatic, nws yog ib qho tseem ceeb heev uas yuav tsum mus ntsib kws kho mob tshwj xeeb, kws kho mob rheumatologist, sai li sai tau. Tshwj xeeb tshaj yog tias koj cov tsos mob pib sai sai lossis hnyav zuj zus sai sai, koj yuav tsum mus sai sai.

Vim tias, cov kab mob rheumatic no feem ntau yog mob zuj zus tuaj. Qhov ntawd yog, thaum tus kab mob zuj zus tuaj, ntau cov nqaij yuav raug cuam tshuam thiab cov tsos mob tshiab yuav tshwm sim. Qee cov kab mob tuaj yeem ua rau peb cov nqaij puas tsuaj mus tas li. Yog li ntawd, qhov kev puas tsuaj no tuaj yeem txo qis los ntawm kev kuaj mob thaum ntxov thiab pib kho.

Koj npaj li cas rau kev mus ntsib kws kho mob rheumatologist?

Yog koj ua cov no ua ntej koj mus ntsib kws kho mob rheumatologist, nws yuav yooj yim dua rau tus kws kho mob thiab rau koj.

• Khaws koj cov ntaub ntawv kho mob qub kom zoo: Qhov no suav nrog cov ntawv sau los ntawm cov kws kho mob uas koj tau mus ntsib ua ntej, cov txiaj ntsig ntawm kev kuaj mob, thiab lwm yam. Tej zaum koj twb muaj cov no lawm, lossis koj yuav tsum tau thov lawv los ntawm cov chaw tsim nyog.
• Sau koj keeb kwm kev kho mob: Tus kws kho mob yuav nug txog cov tshuaj, cov vitamins, thiab cov tshuaj ntxiv uas koj tab tom noj tam sim no, txhua yam kab mob yav dhau los, thiab txhua yam tshuaj uas koj tau siv.
• Khaws ib phau ntawv teev cov tsos mob: Cov tsos mob ntawm tus kab mob rheumatoid tuaj yeem sib txawv thiab hloov pauv sai. Kev sau cov ntsiab lus xws li "Sawv ntxov no, tav su no, nag hmo no" tuaj yeem pab koj tus kws kho mob kom pom tseeb dua txog koj tus mob.
• Npaj sau tej yam uas tus kws kho mob hais:Thaum koj mus thawj zaug, koj yuav kawm tau ntau yam tshiab. Tej zaum yuav nyuaj rau koj nco txhua yam ib zaug. Yog tias ua tau, coj ib tug phooj ywg lossis ib tug neeg hauv tsev neeg nrog koj mus. Lawv tuaj yeem pab koj sau tej yam cia.

Cov kws kho mob rheumatologists siv cov kev kuaj twg los kuaj mob?

Ntxiv rau kev kuaj lub cev, koj tus kws kho mob yuav xaj ntau yam kev kuaj mob los pab kuaj mob. Piv txwv li:

• Kev kuaj ntshav: Cov no tuaj yeem ntes tau ntau yam, xws li seb puas muaj kev o ntawm lub cev thiab seb puas muaj cov tshuaj tiv thaiv kab mob cuam tshuam nrog cov mob autoimmune.
• Kev kuaj duab: Kev kuaj xws li X-rays, ultrasounds, CT scans, lossis MRIs tuaj yeem saib xyuas qhov mob ntawm cov pob qij txha, pob txha, thiab cov leeg.
• Kev kuaj qhov ceev ntawm pob txha (DEXA scan): Xyuas seb puas muaj pob txha tsis muaj zog (osteoporosis).
• Kev kuaj cov nqaij mos: Qee zaum, yuav tsum tau coj ib daim nqaij mos me me uas raug mob mus kuaj.
• Electromyogram (EMG): Ib qho kev kuaj los xyuas seb cov leeg nqaij thiab cov hlab ntsha ua haujlwm li cas.
• Kev kuaj xyuas kev ua haujlwm ntawm cov kabmob: Xyuas seb cov kabmob xws li lub raum thiab lub siab puas raug cuam tshuam.

Cov kws kho mob rheumatologists kho cov kab mob no li cas?

Kev kho cov kab mob rheumatic nyuaj me ntsis. Vim tias tsis yog txhua tus neeg tuaj yeem kho tau tib yam. Koj tus kws kho mob yuav tsim ib txoj kev npaj kho mob uas haum rau koj raws li ntau yam, xws li koj cov tsos mob, qhov xwm txheej ntawm tus kab mob, thiab koj txoj kev teb rau kev kho mob.

Muaj ntau txoj kev kho mob:

• Corticosteroids: Cov no pab txo qhov o ntawm lub cev sai sai.
• Cov tshuaj tiv thaiv kab mob (immunosuppressants): Cov no yog muab los tswj kev ua haujlwm ntawm lub cev tiv thaiv kab mob hauv cov kab mob autoimmune.
• Cov tshuaj kho mob rheumatic uas hloov kho kab mob (DMARDs): Cov tshuaj no pab txo cov kev puas tsuaj ntawm cov pob qij txha uas ua los ntawm tus kab mob thiab tswj kev nce qib ntawm tus kab mob.
• Kev txhaj tshuaj rau cov pob qij txha: Cov tshuaj tuaj yeem txhaj ncaj qha rau hauv cov pob qij txha uas mob thiab o.
• Cov khoom siv kho pob qij txha: Qee zaum siv los txhawb nqa cov pob qij txha thiab txo qhov mob.
• Kev Kho Mob Lub Cev: Txhim kho kev ua haujlwm ntawm cov pob qij txha thiab lub zog los ntawm kev tawm dag zog thiab lwm txoj hauv kev.
• Kev kho mob ua haujlwm: Kev cob qhia kom ua tau tej haujlwm txhua hnub yooj yim dua.
• Kev xa mus rau tus kws phais mob orthopedic:Muaj tej lub sij hawm, yog tias cov pob qij txha raug puas tsuaj loj heev, tej zaum yuav tsum tau phais.

Qhov tseem ceeb tshaj plaws yog mus ntsib koj tus kws kho mob tsis tu ncua rau cov kev kho mob no, ua cov kev kuaj mob tsim nyog, thiab saib xyuas koj tus mob. Vim tias cov kab mob no tuaj yeem hloov pauv raws sijhawm thiab cov teeb meem tshiab tuaj yeem tshwm sim. Tom qab ntawd koj tus kws kho mob tuaj yeem hloov koj txoj kev npaj kho mob raws li qhov tsim nyog. Los ntawm kev sib cuag nrog koj tus kws kho mob tsis tu ncua, koj tuaj yeem hloov kho koj txoj kev kho mob ua ntej koj hnov ​​​​​​qhov tsis xis nyob.

Thaum kawg, tej yam uas yuav tsum nco ntsoov

Zoo, yog li kuv vam tias koj tam sim no muaj lub tswv yim zoo txog tus kws kho mob rheumatologist yog leej twg thiab nws ua dab tsi.

Nco ntsoov, cov kws kho mob rheumatologists yog cov kws tshwj xeeb uas feem ntau kho cov mob ntev thiab nyuaj uas cuam tshuam nrog cov pob qij txha, cov leeg, thiab cov ntaub so ntswg ntawm lub cev.

• Yog tias koj mob pob qij txha tas li, o, mob nqaij, lossis mob lub cev uas tsis paub meej, tsis txhob tsis quav ntsej nws.
• Ua ntej, mus ntsib koj tus kws kho mob hauv tsev neeg (GP). Nws tuaj yeem soj ntsuam koj tus mob thiab xa koj mus rau kws kho mob pob qij txha yog tias tsim nyog.
• Hauv cov kab mob zoo li no , kev kuaj mob thaum ntxov thiab kev kho mob kom zoo tuaj yeem tiv thaiv kev puas tsuaj loj thiab cia koj ua neej zoo.

Yog li ntawd, saib xyuas koj lub cev. Yog tias koj muaj teeb meem dab tsi, tsis txhob ntshai tham nrog kws kho mob.

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