Zing lamah ruh khauh leh ruh na i nei bawk em? Hei hi rheumatoid arthritis a ni thei ang em?

Zingkar i thawh hian a chang chuan i rilru a na em? I taksaah thingphel an hammer a, i ben emaw, che emaw a harsat ang mai a ni em? I ruhte pawh a na a, a hring bawk a, a bik takin i kut zungtang, i kutphah, leh i khup ah te... heng thilte hi i ngaihven vak lo mai thei. "Tlemte chauh a ni mai thei" emaw, "I tar dan chauh a ni mai thei" emaw i ti mai thei. Mahse, heng chhinchhiahnate hi a awm reng a nih chuan Rheumatoid Arthritis (RA) tih hming pu natna chhinchhiahna hmasa ber a ni thei. Vawiin hian he thu hi chipchiar zawkin sawi ila, kan sawi dawn em ni?

Rheumatoid Arthritis hi eng nge ni? A awlsam zawngin...

A awlsam zawngin, rheumatoid arthritis hi chronic , a nih loh leh kal zel, autoimmune disease . Tunah chuan, "He autoimmune natna hi eng nge ni?" Awle, kan taksa hian immune system a nei a. Mahni sipai rual ang mai a ni. Pawn lam atanga lo chhuak hrik leh natna laka min humhim tur a ni. Mahse rheumatoid arthritis-ah chuan kan defense system ngei pawhin kan ruhte, a bik takin a khuh tu membrane te tak te, synovium -te chu a rawn bei sual tan a ni. Ngaihtuah teh, keimahni sipaite ngeiin mahni in an rawn bei ang mai a ni!

A tlangpuiin kut zungtang, kut, kutphah, khup, ke ruh, ke leh ke ruh ruhte a nghawng nasa ber . Thil ngaihnawm tak chu RA hian taksa sir lehlamah ruh inang chiah chiah a nghawng tlangpui. Chumi awmzia chu kut dinglam kutphah a nghawng chuan kut veilam kutphah pawh a nghawng a rinawm tihna a ni. Hei hi RA hi arthritis chi dang thenkhat nena a danglamna chhan pakhat a ni.

He inflammation thunun theih loh , a hring, a sen, leh natna thlentu hian kan ruh ruh (cartilage) chu a tichhe a ni. Cartilage hi ‘shock absorber’ ang a ni a, cushion a ni a, chu chuan ruh inzawmkhawmna a veng a, awlsam zawka che thei turin a pui bawk. Hun a kal zel a, he cartilage chhiatna hian ruhte a tichhe thei a, a tawpah chuan ruhte a ti chhe thei a ni. Hei hian joint te chu a fuse khawm thei a, chu chuan a ti thei lo.

Hetiang kalphung hian kan taksa hriselna (immune system) atanga cell leh chemical bik te a huam a ni. Hengte hi ruh chhunga siam ni mah se, thisen kaltlangin taksa pum puiah a kal kual thei a, symptom dang a thlen thei bawk. Chumi awmzia chu rheumatoid arthritis hi ruhkawr chhungah chauh a awm lo tihna a ni. A châng chuan hei hi kan:

• Vun
• Mit
• Ka
• Chuap
• Thinlung

Taksa peng dang a nghawng thei bawk.

He natna hi engte nge ni?

Rheumatoid arthritis chungchang hi a bik takin stage li-ah kan sawi thei. Mahse heng stage zawng zawng hi mi zawng zawng tan a rualin a thleng vek lo va, mi thenkhat chuan kum tam tak chhung chu heng stage te hi an paltlang thei bawk.

• Stage 1: Hei hi a hmasa ber a ni . Hetih lai hian i ruh chhehvel tissue te chu a inflamed tan a, a nih loh leh a hring tan bawk. I ruh (joint)-ah natna leh hliam engemaw zat i nei thei. Hetiang hunah hian doctor-in X-ray a tih chuan ruh-ah hian danglamna lian tham emaw, chhiatna emaw an hmu lo mai thei.
• Stage 2: Tunah chuan a hmaa kan sawi tawh ang khan inflammation hian i ruhkawr chhunga cartilage chu a tichhia tan ta. I ruh (joint)-ah a nghet zawkin i hria a, i range of motion pawh a tlahniam deuh thei bawk.
• Stage 3: Tunah chuan inflammation a na hle tawh a, ruh pawh a chhe tan tawh bawk. Stage 2 aiin a na leh a nghet lo zawk a, ruh inzawmna (range of motion) pawh a tlahniam lehzual a ni. Hetih lai hian ruh (joint) hmel danglam (tenderness, swelling) pawh a lang tan thei.
• Stage 4: Hetih lai hian a hmaa inflammation na tak awm thin chu a reh tawh a, mahse ruh chu a chhe zel thung. Natna nasa tak i nei thei a, i hring chhuak thei a, i rilru a hah thei a, i che thei lo vek thei bawk .

Mi zawng zawng hian stage pali an paltlang vek lo tih hre reng ang che. Mi thenkhat chuan natna hi level khatah an thunun thei a, a bik takin a hun taka enkawl dan tur dik tak an dawn chuan .

Hetiang dinhmun hi a lo awm tlangpui kum a awm em?

Rheumatoid arthritis hi kum 30 leh 60 inkar ah a tam ber a, mahse kum eng pawh a nghawng thei a ni. Naupang leh puitling naupang, a tlangpuiin kum 16 leh 40 inkar ah chuan Young-Onset Rheumatoid Arthritis (YORA) an ti a. Kum 60 an tlin hnua natna lan chhuahna nei tan chuan Later-Onset Rheumatoid Arthritis (LORA) an ti a ni.

Rheumatoid arthritis natna lan chhuah dan berte chu engte nge ni?

He natna lan chhuah dan hi mi hrang hrangah a inang lo thei a, mahse a lan chhuah dan tlangpui thenkhat a awm a:

• Ruh pakhat aia tam a na, a hring, a khauh leh a hring.
• A bik takin zing emaw, rei tak ding hnuah emaw a nghet lo. Mi thenkhat tan chuan he stiffness hi darkar tam tak chhung a awm thei.
• Taksa sir lehlamah ruh inangah natna leh nghet lo. Entirnan, khup dinglamah a awm chuan khup vei lamah pawh a inang reng a ni.
• Chau. Hei hi hahna pangngai mai a ni lo va, hahna nasa tak a ni a, eng ang pawhin mut mah la, chakna nei lo ang maia inhriatna a ni.
• Chaklohna.
• Khawsik.

RA hian mi zawng zawng nun a nghawng dan a inang lo. Ṭhenkhat tân chuan natna lan chhuah dân chu a lo lang zauh zauh a, kum tam tak chhûngin a lo lang chhuak a ni. Midang tan chuan symptoms a lo lang nghal vat thei bawk. Mi tam tak chuan natna lan chhuahna ( flares ), natna a zual zel hun te, leh natna lan chhuah lohna, hrisel anga lang hun ( remission ) te an nei thin.

Natna lan chhuah tirh lamah eng symptoms nge hmuh tur awm?

Rheumatoid arthritis chhinchhiahna hmasa ber chu i kut zungtang leh ke ruh te ang chi ruh te te, a hring emaw, a na emaw a ni thei . A nih loh leh, i khup emaw, i ke ruh emaw ang chi ruh lian zawka natna angin a intan thei bawk. Heng chhinchhiahna hmasa te hi alarm vibrate tura set ang mai a ni. I ngaihven lo mai thei. Mahse heng chhinchhiahna hmasa te hi a pawimawh hle. RA i vei tih i hriat hma chuan enkawlna i tan thuai thei ang. Tin, enkawl hmasak chuan ruh natna awm reng, na tak a awm loh nan a pui thei bawk.

Hei hi eng nge a chhan? Engvangin nge hetiang hi a lo awm?

Rheumatoid arthritis awm chhan dik tak hi hriat a la ni lo. Researcher-te chuan genetics, hormone, leh environment factors inzawmkhawm a ni thei niin an ngai .

A tlangpuiin kan immune system hian taksa hi natna lakah a venghim thin. Mahse RA-ah chuan thil engemaw (trigger) hian he immune system hian kan ruh (joint) ngei hi a rawn bei ta a ni. Hei hi natna hrik, meizuk, emaw, taksa emaw, rilru emawa harsatna avânga lo awm thei a ni .

Rheumatoid arthritis hi genetic a ni em?

Scientist-te chuan RA lo awm theihna tura nghawng nei thei gene engemaw zat an zirchiang a. Genetic variation thenkhat leh non-genetic factors te chu an inzawm khawm chuan mi pakhatin RA a vei theihna a tipung a ni. Non-genetic factors ah hian gender ang chi thil leh meikhu ang chi thil te hi a tel a ni.

A bik takin, Human Leukocyte Antigen (HLA) genes-a danglamna engemaw zat neia piangte chu rheumatoid arthritis an vei tam zawk tih hmuhchhuah a ni. Heng HLA genes te hian kan immune system te hian taksa chhunga protein siam leh ramdang invader virus leh bacteria atanga protein te a thliar hrang thei a ni.

He natna vei theihna hlauhawm ber chu tute nge ni?

Rheumatoid arthritis lo awm theihna tur risk factor engemaw zat a awm a. Anni chu:

• Biological family history: I chhungte hnai ber tu emaw chuan RA a vei a nih chuan nang pawhin i vei theihna a sang zawk.
• Sex: Hmeichhia hi mipa aiin a let thum velin RA vei an tam zawk.
• Meizial zuk leh hmuam:Meizial zuk hian RA vei theihna a tipung mai bakah natna a ti na zual thei bawk.
• Thau lutuk: I taksa rihna chu a pangngai aia a san chuan, chu chu thau lutuk i nih chuan RA i vei theihna a sang zawk tihna a ni.

Enkawl loh chuan eng harsatna nge thleng thei?

Rheumatoid arthritis hi enkawl tha a nih loh chuan harsatna dang engemaw zat a awm thei bawk. Chung zinga ṭhenkhat chu:

• Joint chhiatna emaw joint deformity emaw a awm thei
• Viral infection lakah awlsam takin a awm thei
• Mit vawt leh hmui vawt ( Sjögren’s syndrome ang chi natna ) .
• Carpal tunnel syndrome (kut chhunga nerve pakhat compression avanga lo awm) .
• Osteoporosis ( ruh a hring a, a chhe awlsam) .
• Lung natna
• Interstitial lung natna (lung natna tichhe thei dinhmun) .
• Lymphoma ( thisen zam natna cancer) .

Chuvangin a rang thei ang bera doctor pan a, symptom i neih chuan a tul anga enkawl tan a pawimawh hle .

He natna hi engtin nge an hriat chhuah? (Diagnosis) tih a ni.

Rheumatoid arthritis i vei em tih hriat nân, i general practitioner chuan rheumatologist , arthritis lama tui doctor hnênah a hruai thei che a ni. Rheumatologist chuan RA i neih leh neih loh chu thil engemaw zat ngaihtuahin a hre thei ang.

Anni chuan taksa enfiahna an nei hmasa ang a, i damdawi lam chanchin leh i natna lan chhuah dante an zawt ang a, thisen test leh imaging test an ti ang .

Thisen test-ah hian taksaa inflammation awm leh thisen protein (antibodies) thenkhat, rheumatoid arthritis tana bik awmte enfiah a ni ber. Heng test hrang hrangte hi:

• Erythrocyte Sedimentation Rate (ESR emaw “sed rate” emaw) 1. A chhuahna tur hmun leh a hmanna tur hmun hi a inang lo hle.
• C-reactive Protein (CRP) hmanga siam a ni.
• Rheumatoid Factor (RF) hmanga natna hrik chi hrang hrang
• Cyclic Citrullinated Peptide (CCP) hmanga natna hrik chi hrang hrang siam a ni

Hetiang thil hi a tel ve mai thei.

Imaging test-ah hian i ruhkawr (joint)-ah hian a chhe tawh tih hriat a ni. Rheumatoid arthritis hian i ruh chhunga ruh tawp te chu a ti chhe thei a ni. Chumi atana hman tur test te chu:

• X-ray hmanga tih a ni
• Ultrasound hmanga scan a ni
• Magnetic Resonance Imaging (MRI) hmanga enfiah a ni

A châng chuan, doctor chuan i symptoms te chu hun engemaw chen a en hnuah chauh RA hi a chiang hle ang.

Rheumatoid arthritis enkawlna tur engte nge ni?

Rheumatoid arthritis enkawlna tum ber chu ruh natna leh hliam tihziaawmna a ni. Chutianga tih chuan ruh hnathawhna (joint function) vawng reng emaw, tihchangtlun emaw a pui a ni. Hun rei tak chhunga thil tum chu ruhkawr chhiatna tihtlem emaw tihtawp emaw a ni. Joint-a inflammation control a nih chuan i natna a tlahniam thei a, i nunphung pawh a tha thei bawk.

RA enkawlnaah hian damdawi pakhat emaw a aia tam emaw hman a ni tlangpui. A châng chuan doctor chuan zai a rawt thei bawk. I doctor chuan i kum, i hriselna, i damdawi lam chanchin, leh i natna lan chhuah dan nasat dan te a zirin enkawlna tur ruahmanna a siam ang.

Rheumatoid arthritis damdawi hman dan tur

Natna laka damdawi thenkhat ei tan hian hun rei tak chhunga i hriselna nasa takin a tichangtlung thei a ni. Tin, a chang chuan damdawi engemaw zat hman dun hi damdawi pakhat chauh hman ai chuan a hlawk zawk thei tih hmuhchhuah a ni bawk.

Damdawi chi hrang hrang hman a ni a, ruh na, a hring, leh a natna tihziaawmna atan te, natna darh zel tur venna emaw, thunun emaw a ni. Damdawi chi hrang hrang zingah hian:

• Disease-Modifying Antirheumatic Drugs (DMARDs): Heng damdawi chi hrang hrang hi RA enkawlna atana hman ber a ni. Immune system control-na leh ruhkawr chhiatna tihziaawmna hmangin hna an thawk a ni.
• Non-Steroidal Anti-Inflammatory Drugs (NSAIDs): Hengte hian natna leh hliam a tiziaawm. Amaherawhchu, natnain ruh a tihchhiatna chu an titawp lo.
• Corticosteroids: Hengte hi anti-inflammatory drugs chak tak an ni. Natna leh hliam tihziaawmna turin an pui bawk. Mahse, hun rei tak hman a nih chuan side effect an neih theih avangin doctor-te chuan fimkhur takin an pe thin.
• Janus Kinase (JAK) inhibitors: Hengte hi damdawi chi thar a ni. Tin, immune system hnathawh thenkhat an block bakah inflammation an tihziaawm bawk.
• Biologics: Hengte pawh hi damdawi chi thar leh man to deuh deuh an ni bawk. Genetic engineering technology hmanga siam an ni. Immune system-a inflammation thlentu hmun bikte target-in hna an thawk a ni.

I tana damdawi him ber chu side effect tlem ber neia hlawkna tam ber pe thei che kha a ni ang . Hei hi i hriselna history leh i RA symptoms nasat dan azirin a danglam ang. I doctor chuan i tana tha tur treatment plan a siam ang.

Engtikah nge surgery hi hman a nih?

Surgery hi ruh chhia nasa tak takte hnathawh leh theihna tur option a ni thei. Tin, damdawiin i natna a thunun loh chuan i doctor chuan zai a rawt thei bawk. RA tan surgery neihnaah hian:

• Khup thlak a ni
• Hip thlak danglam a ni
• Deformities siamthatna tur surgery dang

Thil tih ang chi te pawh a huam tel bawk.

He natna vei tan hian eng prognosis nge a awm?

Tunah hian rheumatoid arthritis hi damdawi a la awm lo. Mahse, i natna leh inflammation tihziaawmna tur leh natna zual zel tur tikhawtlai thei tur enkawlna tha tak tak a awm nual. Hriatchhuah hmasak leh enkawl dan dik a pawimawh.

Doctor i hmuh loh a, RA enkawlna i hmuh loh chuan he natna hian i ruh (cartilage) leh a tawpah chuan i ruh (joint) te a tichhe vek thei a ni. Chu mai ni lovin, RA hian i lung leh thinlung ang chi taksa peng hrang hrang a tichhe thei bawk.

Engtin nge ka in enkawl ang? (Mahni inenkawlna) .

I natna lan chhuah dan enfiah nan doctor pan fo a pawimawh. Tin, i damdawi ei avanga side effect i neih chuan i doctor hnenah i hrilh tur a ni . Chumi hnuah chuan i doctor chuan i dose chu a siamrem thei a, damdawi dang a pe thei bawk. Tin, doctor nena in inbiak hma loh chuan i damdawi ei tur a tih angin i ei chhunzawm zel a pawimawh bawk.

Chumi piah lamah chuan:

• Ei leh in hrisel tak ei rawh .
• Nitin taksa tihchakna engemaw zat (doctor-in a tih angin) ti thin ang che.
• Meizial zu mi i nih chuan bânsan hi i tih tur a ni ngei ang.
• Chawlh tha rawh.
• Stress tihziaawmna tur kawng zawng rawh .

I doctor zawh tur zawhna

Doctor hmu tura i kal hian hetiang zawhna hi zawh hi a \angkai hle ang:

• RA, emaw, arthritis chi dang emaw ka nei em?
• Eng damdawi nge min recommend?
• Chu damdawi te hian eng side effect nge a neih theih? Engtin nge anmahni ka hriat chian theih ang?
• RA flare-ups ven nan eng nge ka tih theih ang?
• Surgery ka mamawh dawn em?
• He natna hi ka fate hnenah genes kaltlangin a kai darh thei ang em?

Rheumatoid arthritis (RA) i neih chuan a chang chuan i nun hi natna leh hahna roller coaster ang maiin a awm thei. Heng rilru put hmang leh i symptoms te hi doctor nen inbiakna neih a pawimawh hle. X-ray leh thisen test bakah hian i dinhmun chungchanga i doctor hnena i hrilh hian enkawl dan tur ruahmanna siam turin a pui a ni. I doctor chuan i natna lan chhuah dan a zirchiang ang a, i mamawh ang zela enkawl dan tur a rawt ang che. Rheumatoid arthritis vei tam tak chuan an duhzawng thil an ti thei a, nun hlimawm tak an hmang thei a ni.

A tawp berah chuan a pawimawh ber (Take-Home Message) .

Okay, chuvangin vawiin hian rheumatoid arthritis (RA) chungchang kan sawi nasa hle. Hriat reng tur pawimawh tak tak thenkhat chu hetiang hi a ni:

• RA hi natna a ni a, nangmah ngeiin i taksa hriselna (immune system) hian i ruh (joint) a rawn bei thin.
• Zing lama ruh na te, ruh na te, hring dup te hi a lan chhuah dan ber a ni.
• A hmaa hriatchhuah leh enkawl hian ruh chhiatna nasa takin a ti tlem thei a ni.
• Tunah hian tihdamna famkim la awm lo mah se, he natna thunun thei tur leh nun tha tak nei tur hian enkawlna tha tak tak a awm a ni.
• Doctor nena inbiak reng a pawimawh hle a, damdawi i pekte dik taka ei a, nunphung hrisel tak zawm a pawimawh hle.

Heng symptoms te hi i neih chuan hlauthawng suh, doctor pan nghal la, thurawn la rawh. Thil tih thuai hian i hmalam hun hriselnaah nghawng lian tak a nei thei a ni.

` Rheumatoid arthritis, ruh na, ruh natna, autoimmune natna, ruh hring, zing khawvar, ruh natna