Kodi muli ndi mavuto ndi mafupa ndi matumbo anu? Tiyeni tikambirane za matenda a nyamakazi a Enteropathic!

Kodi nthawi zina mumamva chonchi? Mukadzuka m'mawa, mafupa anu amapweteka ndipo amamva kutupa... Kuphatikiza apo, mumakhala ndi vuto la m'mimba ndipo muyenera kupita kuchimbudzi kangapo patsiku. Ngati muli ndi zizindikiro zonsezi nthawi imodzi, mungafunike kudziwa za vuto lotchedwa enteropathic arthritis.

Kodi Matenda a Nyamakazi a Enteropathic ndi Chiyani?

Mwachidule, matenda a nyamakazi otchedwa enteropathic arthritis ndi matenda omwe amayambitsa kupweteka ndi kutupa m'mafupa anu (arthritis) pamodzi ndi kutupa m'mimba mwanu, kapena m'matumbo (Inflammatory Bowel Disease - IBD) . Tangoganizirani kukhala ndi vuto ndi zonsezi nthawi imodzi. Anthu ena amatcha izi enteropathic arthropathy, kapena IBD-related arthropathy.

Tsopano, onani, tikanena kuti nyamakazi, tonse tikudziwa kuti ndi vuto lomwe limayambitsa kutupa, kupweteka kwa mafupa, ndipo limatha kukhala losatha . Kumbali ina, tikanena kuti IBD, zikutanthauza kuti pali kutupa kapena kuvulala kwa nthawi yayitali komwe kumachitika mbali imodzi kapena yonse ya m'mimba mwanu, makamaka matumbo anu. Chifukwa chake, ngati muli ndi EnA, muli ndi ululu ndi kutupa m'mafupa awa, komanso kutupa m'matumbo anu.

EnA ndi ya gulu lalikulu la matenda omwe amakhudza mafupa. Amatchedwa spondyloarthropathy. Ndi dzina lovuta, koma limatanthauza matenda a mafupa omwe amakhalapo kwa nthawi yayitali. Matendawa akhoza kukhala chopinga pa moyo wanu wamba , koma nkhani yabwino ndi yakuti pali mankhwala ochizira.

Kodi zizindikiro za matenda a nyamakazi otchedwa enteropathic arthritis (EnA) ndi ziti?

Kwa munthu amene ali ndi EnA, zotsatira zake zazikulu zimakhala pa mafupa anu ndi dongosolo la m'mimba (Gastrointestinal - GI system).

Zizindikiro zokhudzana ndi mafupa:

Izi nthawi zambiri zimakhudza kwambiri mafupa m'manja ndi m'mapazi anu, koma nthawi zina ululu ndi kusapeza bwino kumeneku kungachitikenso kumbuyo kwanu .

• Kusintha kwa mawonekedwe a malo olumikizirana: Mwachitsanzo, zala zingawoneke ngati zakokedwa, kapena zingawoneke ngati zathyoka.
• Kusintha mtundu wa khungu: Khungu lomwe lili pamwamba pa malo olumikizirana mafupa likhoza kufiira ndikusintha mtundu.
• Ululu: Ichi ndiye chizindikiro chachikulu.
• Kuuma/kuuma kwa mafupa: Mukadzuka m'mawa, mungamve kuvutika kupindika kapena kutambasula mafupa anu kwa kanthawi.
• Kutupa: Mafupa amaoneka otupa komanso okulirapo.
• Kufewa: Kupweteka mukakhudza kapena kukanikiza cholumikizira.
• Kutentha kwa mafupa: Malo omwe mafupa ali amaoneka otentha kuposa malo ena.

Zizindikiro zokhudzana ndi dongosolo la m'mimba (GI system):

• Kupweteka m'mimba: Kupweteka m'mimba pafupipafupi.
• Magazi mu ndowe mukamapita kuchimbudzi: Ichi ndi chizindikiro chomwe muyenera kuda nkhawa nacho kwambiri.
• Kutsegula m'mimba pafupipafupi: Kupita kuchimbudzi kangapo patsiku.
• Kuchepetsa thupi mosadziwa: Sikuti mukuyesetsa kwambiri kuti muchepetse thupi, koma kungoti mukuchepetsa thupi.

Anthu ena angayambe kuona zizindikiro za m'mimba, kenako zizindikiro za m'mafupa . Kapena mwina zingakhale zosiyana. Izi zikutanthauza kuti, mafupa amayamba kupweteka, kenako mavuto a m'mimba amayamba. Nthawi zina zizindikiro zonse ziwiri zimatha kuonekera nthawi imodzi.

N’chifukwa chiyani matenda a nyamakazi otchedwa enteropathic arthritis (EnA) amayamba? Kodi zimayambitsa matenda amenewa ndi chiyani?

Ndipotu, asayansi sanapezebe chomwe chimayambitsa EnA . Koma akukayikira kuti pali puloteni yotchedwa HLA-B27 , yomwe imapezeka pamwamba pa maselo oyera a magazi athu.

Taganizirani izi motere, chifukwa cha puloteni ya `HLA-B27` iyi, chitetezo cha mthupi lathu nthawi zina chimayamba kuukira maselo athu athanzi, makamaka maselo omwe ali m'mafupa athu . Zili ngati gulu lathu lankhondo likudziukira lokha.

Koma pali china chake apa. 'HLA-B27' iyi si yachilendo kwa matendawa. Izi zikutanthauza kuti, si aliyense amene ali ndi HLA-B27 yemwe ali ndi matenda a nyamakazi. Anthu ena athanzi nawonso angakhale ndi matendawa. Chifukwa chake, ngakhale izi zitha kukhala chifukwa, ndi chinthu chomwe chidakali mu gawo lofufuza .

Ndani ali pachiwopsezo chachikulu chotenga matenda a nyamakazi (EnA)?

Akuti pafupifupi munthu m'modzi mwa anthu asanu omwe ali ndi matenda otupa m'matumbo (IBD) adzadwala nyamakazi ya enteropathic. IBD makamaka imaphatikizapo matenda monga ulcerative colitis ndi matenda a Crohn .

Kuphatikiza apo, EnA ikhoza kugwirizanitsidwa ndi matenda ena omwe amakhudza matumbo anu ang'onoang'ono . Mwachitsanzo:

• Matenda a Celiac: Ichi ndi vuto lomwe limabwera chifukwa cha chitetezo chamthupi. Izi zikutanthauza kuti chitetezo chamthupi chimaukira maselo ake.
• Kutupa komwe kumachitika pambuyo pa matenda a bakiteriya monga Salmonella ndi Shigella. Matenda ena a bakiteriya angayambitsenso kutupa kwa matumbo, zomwe zingayambitse mavuto a mafupa.
• Ma opaleshoni ena a m'mimba (opaleshoni ya m'mimba).
• Matenda a Whipple: Uwu ndi matenda osowa kwambiri a bakiteriya.

Kodi madokotala amazindikira bwanji izi?

Mukapita kwa dokotala ndi zizindikiro izi, chinthu choyamba chimene angachite ndikukupimitsani thupi lonse.Kenako, adzafufuza mwatsatanetsatane mbiri yanu ya thanzi . Adzakufunsaninso mafunso ambiri okhudza zizindikiro zanu. Makamaka, adzakufunsani mafunso okhudza momwe ululu wanu wa mafupa umasinthira tsiku lonse, monga ngati ukuipiraipira m'mawa kapena usiku .

Adzafunsanso za zizindikiro za m'mimba mwanu (GI) , monga kusintha kwa matumbo ndi kusowa chilakolako cha chakudya.

Kuphatikiza apo, ndikofunikira kudziwa mbiri yachipatala ya banja lanu, makamaka ngati wina aliyense m'banja mwanu adadwalapo IBD kapena nyamakazi.

Ndi mayeso ati omwe amagwiritsidwa ntchito pozindikira matenda a nyamakazi ya enteropathic (EnA)?

Palibe mayeso enieni oti mudziwe EnA. Komabe, dokotala wanu angakupatseni mayeso angapo kuti atsimikizire kuti muli ndi IBD ndi nyamakazi, kapena kuti apeze zifukwa zina zomwe zimayambitsa zizindikiro zanu. Mayesowa angaphatikizepo:

• Arthrocentesis: Izi zimaphatikizapo kutenga chitsanzo cha madzi otchedwa synovial fluid kuchokera ku malo olumikizirana mafupa anu ndikuyesa . Izi zingapereke chidziwitso chokhudza kutupa m'malo olumikizirana mafupa.
• Kutenga chitsanzo cha ndowe yanu ndikuchita mayeso a bakiteriya.
• Kuyeza magazi (biopsy) ndi njira yoyezera magazi yomwe imafuna kutenga minofu kuchokera m'mimba.
• Mayeso a magazi omwe amasonyeza kutupa: Mwachitsanzo, mayeso a erythrocyte sedimentation rate (ESR) kapena mayeso a C-reactive protein (CRP) . Izi zingapereke lingaliro la ngati pali kutupa kapena kutupa kwinakwake m'thupi.
• Kuyezetsa magazi kwa `HLA-B27` .
• Colonoscopy: Iyi ndi njira yoyezera matumbo akuluakulu pogwiritsa ntchito chubu chokhala ndi kamera.
• X-ray ya mafupa omwe amapweteka kapena ofewa akakhudza.

Kodi matenda a nyamakazi otchedwa enteropathic arthritis (EnA) amachiritsidwa bwanji?

Cholinga chachikulu cha chithandizo cha nyamakazi ya enteropathic ndikuchepetsa kusasangalala m'mimba mwanu komanso kusasangalala m'mafupa anu . Ndikofunikanso kupewa kuwonongeka kwina kwa mafupa .

Zotsatirazi zingagwiritsidwe ntchito ngati njira zochiritsira:

• Jakisoni wa Glucocorticoids: Izi zimathandiza kuchepetsa ululu ndi kutupa. Zingathenso kubayidwa mwachindunji m'malo olumikizirana mafupa.
• Mankhwala oletsa matenda a nyamakazi (DMARDs): Mankhwalawa amasintha momwe chitetezo cha mthupi lanu chimagwirira ntchito ndikuchepetsa kufalikira kwa matendawa. Zitsanzo zake ndi monga methotrexate , sulfasalazine ,Mankhwala monga Hydroxychloroquine ndi Leflunomide .
• Mankhwala oletsa kutupa otchedwa tumor necrosis factor-alpha inhibitors (TNF-alpha inhibitors): Awa ndi mankhwala ena amphamvu omwe amakhudza chitetezo cha mthupi. Chitsanzo ndi Infliximab .
• Kuchiza thupi: Izi zimathandiza kwambiri kuti mafupa azigwira ntchito bwino komanso kupewa kuwonongeka ndi kupunduka kwa mafupa.
• Opaleshoni: Pa milandu ina yoopsa, makamaka ngati pali mavuto a msana, opaleshoni ingafunike.
• Kusintha kwa moyo: Ndikofunikira kwambiri kusamala, makamaka ndi zomwe mumadya ndi kumwa (zakudya) .

Kodi ndingasamalire bwanji thanzi langa ndi matenda a nyamakazi otchedwa enteropathic arthritis (EnA)?

Ngakhale kuti EnA ingakhudze moyo wanu watsiku ndi tsiku, pali njira zingapo zokuthandizani kuti mumve bwino ndikugwira ntchito bwino :

• Kupaka kutentha m'malo olumikizirana mafupa opweteka kungathandize kumasula minofu. Mofananamo, kugwiritsa ntchito chimfine kungathandize kuchepetsa ululu wa m'malo olumikizirana mafupa. Anthu ena amaona kutentha kukhala kothandiza, pomwe ena amaona kuzizira kukhala kothandiza. Dziwani chomwe chikukuyenderani bwino.
• Sankhani zakudya ndi zakumwa zoletsa kutupa. Izi zikutanthauza kuchepetsa kudya zakudya zokometsera ndi mafuta ndikuwonjezera ndiwo zamasamba, zipatso, ndi zitsamba zambiri muzakudya zanu.
• Yesetsani kukhala bwino. Izi zikutanthauza kuti, imirirani molunjika mukakhala ndi kuyimirira.
• Tengani nawo mbali m'magulu othandizira. Kulankhula ndi ena omwe ali ndi matenda monga nyamakazi kapena IBD kungakhale gwero labwino la mphamvu ndi chidziwitso.
• Ngati mukusuta kapena kugwiritsa ntchito fodya, siyani. Izi zingapangitse kuti zizindikirozo ziwonjezeke.
• Dzitambasuleni thupi ndipo chitani masewera olimbitsa thupi nthawi zonse. Funsani dokotala wanu masewera olimbitsa thupi omwe ali oyenera kwa inu ndipo muchite.
• Yesani njira zina zothandizira monga kutikita minofu , kusinkhasinkha , acupuncture , zithunzi zotsogozedwa, ndi njira zopumulira . Koma ndi bwino kulankhula ndi dokotala musanayese izi.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga?

Mukapita kwa dokotala, zingakuthandizeni kufunsa mafunso ngati awa:

• Kodi mukundilangiza chithandizo chamtundu wanji?
• Kodi pali zakudya zapadera zomwe sindiyenera kudya?
• Kodi ndingachite chiyani kuti ndipewe kuphulika kwa ziphuphu?
• Kodi ana anga nawonso angadwale vutoli? (Ndiye kuti, kodi ndi lobadwa nalo?)

Kodi matenda a nyamakazi otchedwa enteropathic arthritis (EnA) angapewedwe?

Popeza asayansi sakumvetsa bwino chomwe chimayambitsa matenda a enteropathic arthropathy, palibe njira yopewera matendawa kwathunthu . Komabe, pali njira zomwe mungathandizire kupewa kubuka kwa zizindikiro .

Mukhoza kuyang'ana kwambiri pa dongosolo lodyera bwino lomwe limaphatikizapo ndiwo zamasamba ndi zipatso zambiri zatsopano . Yesetsani kuchita masewera olimbitsa thupi tsiku lililonse. Ngati mumasuta, siyani . Lankhulani ndi dokotala wanu za njira zina zomwe mungachepetsere kuchuluka kwa zizindikirozi.

Kodi chiyembekezo cha munthu amene ali ndi matenda a nyamakazi (EnA) ndi chotani?

Matendawa a munthu amene ali ndi EnA amatha kusiyana kwambiri malinga ndi munthu . Zizindikiro zake zimatha kukhala zosalekeza kapena zimabwera ndi kutha . Kutupa kwa thupi kungakhale vuto laling'ono kwa anthu ena, pomwe kwa ena kumatha kukhala koopsa kwambiri moti kungasokoneze tsiku lawo.

Koma chofunika kwambiri ndichakuti anthu ambiri omwe ali ndi matenda a nyamakazi a enteropathic azikhala ndi moyo wabwinobwino komanso wopindulitsa komanso amakhala ndi moyo wabwinobwino .

Sikuti mumakhala ndi ululu wa mafupa okha, komanso tsopano muli ndi mavuto a m'mimba? Matenda a nyamakazi otchedwa enteropathic arthritis akhoza kukhala matenda opweteka kwambiri komanso oopsa. Zizindikiro zimatha kusiyana, koma vutoli likakula kwambiri, lingakhudze tsiku lanu lonse. Mwamwayi, pali njira zina zochiritsira . Komabe, zingatenge nthawi kuti mupeze chithandizo choyenera kwa inu. Ndinu osiyana, kotero zizindikiro zanu sizingasinthe monga momwe zizindikiro za wina zimasinthira. Lankhulani ndi dokotala wanu. Iye angakuthandizeni kupanga dongosolo la chithandizo lomwe limagwira ntchito bwino kwa inu.

Zinthu zomwe tiyenera kukumbukira kuchokera munkhaniyi (Uthenga Wopita Nawo Kunyumba)

Chabwino, tiyeni tiwone zinthu zosavuta kukumbukira zokhudza matenda a nyamakazi omwe tinakambirana:

• EnA ndi matenda omwe amapezeka limodzi ndi nyamakazi ndi matenda otupa m'matumbo (IBD) .
• Zizindikiro zake zingakhale kupweteka kwa mafupa, kutupa, ndi kuuma kwa mafupa, komanso kupweteka m'mimba, kutsegula m'mimba, ndi magazi m'chimbudzi .
• Chifukwa chenicheni cha izi sichinapezekebe , koma zinthu za majini monga `HLA-B27` zitha kukhala ndi gawo.
• Anthu omwe ali ndi IBD (makamaka matenda a Crohn ndi ulcerative colitis) ali pachiwopsezo chachikulu chotenga matendawa.
• Mayeso osiyanasiyana (magazi, ndowe, colonoscopy, X-ray) amagwiritsidwa ntchito pozindikira matendawa.
• Mankhwalawa akuphatikizapo mankhwala, physiotherapy, ndi kusintha kwa moyo.Ndikofunikira.
• Ngakhale kuti matendawa sangapewedwe kotheratu, n'zotheka kuwongolera zizindikiro ndikukhala ndi moyo wabwino .
• Chofunika kwambiri si kuchita mantha, koma kulankhula ndi dokotala wanu kuti mupeze chithandizo ndi upangiri womwe ungakhale wabwino kwa inu.

Ngati muli ndi zizindikiro izi, musavutike nokha, koma funsani upangiri wa dokotala mwamsanga. Mukatero mutha kupeza mpumulo mwachangu.

Matenda a nyamakazi, nyamakazi, matenda a m'matumbo, kugaya chakudya, kupweteka kwa mafupa, IBD, matenda a Crohn