Ndiani chiremba wemapfupa uyu? Ngatizivei nyanzvi iyi.

Dzimwe nguva unonzwa kurwadziwa kwemajoini, kuomarara kwemangwanani, kana kungova kurwadziwa kwese kwese here? Dzimwe nguva zvinhu izvi zvinogona kupera mumazuva mashoma. Zvisinei, kana matambudziko aya akaramba aripo kana kuti akawedzera, unofanira kuzviongorora. Ndipo patinoda rubatsiro rwechiremba wemapfupa.

Ndiani chiremba weRheumatologist?

Zvichitaurwa zviri nyore, chiremba wemapfupa inyanzvi yezvirwere zvakaoma zvemapfupa edu, majoini, tsandanyama, uye nhengo dzemuviri. Vanachiremba ava, mushure mekupedza kudzidza mukurapa kwakajairika, vanodzidziswa kwemakore akati wandei mubasa iri.

Kazhinji zvirwere izvi zvinogara kwenguva refu kana kuti zvinorwisa muviri, zvichireva kuti masoja edu emuviri anorwisa masero edu . Dzimwe nguva izvi zvinogona kupfuudzwa kubva kuchizvarwa kuenda kuchizvarwa. Saka, chiremba wemapfupa anobatsira kudzora marwadzo anokonzerwa nemamiriro aya uye anobatsira kuderedza kuzvimba mumuviri.

Chii chinonzi Rheumatology?

Rheumatology ibazi rezvekurapa rinonyanya kudzidza nezve "zvirwere zverheumatic." Izvi zvirwere zvisingaperi zvinozvimba zvinowanzobata nhengo dzemuviri wedu, ndiko kuti, sezvandambotaura, mapfupa, majoini, tsandanyama, marunda, uye mitsipa.

Funga nezvazvo, kune mamwe marudzi earthritis, ayo anonziwo "inflammatory arthritis." Muzvirwere zvakadaro, muviri unoita zvinopesana nenyama dzawo. Kune zvimwe zvirwere, zvinogona kukura kuva matambudziko emhasuru kana mapfupa, dzimwe nguva kana kukuvara kwekare kusingapore zvakanaka. Zvese izvi zvinowira pasi pebazi re rheumatology.

Chii chinoitwa nenyanzvi yezvemapfupa?

Basa guru rechiremba wemapfupa nderokuongorora nekurapa zvirwere zvakaoma zvinokanganisa mapfupa edu, majoini, tsandanyama, uye nhengo dzemuviri. Izvi hazvisi zvinhu zviri nyore semavanga kana kukwenya, asi matambudziko akadzama zvishoma kupfuura izvozvo.

Kune marudzi akasiyana-siyana ezvirwere zverheumatic:

• Zvirwere zveAutoimmune: Apa ndipo apo masoja emuviri wedu anorwisa masero nematishu edu ane hutano zvisizvo.
• Zvirwere zve connective tissue: Izvi zvinokanganisa tsigiro yemuviri wedu wese.
• Zvirwere kana hutachiona hwekuzvimba: Izvi zvinogona kukanganisa tsandanyama, mapfundo, kana mapfupa.

Pakuongorora zvirwere izvi, vanachiremba vanoshandisa bvunzo dzeropa uye scan dzakasiyana-siyana dze `(imaging)` (semuenzaniso `(X-ray)`, `(Ultrasound)`) . Kurapa kwacho hakuna kufanana.Chirongwa chekurapa chinogadzirwa nekubatanidza nzira dzakasiyana-siyana, dzakadai semishonga, dzimwe nguva majekiseni akakosha mumajoini, uye kurapa kwemuviri.

Ndezvipi zvirwere zvinorapwa nachiremba wemapfupa?

Pane runyorwa rwezvirwere zvinorapwa nachiremba wemapfupa. Ungave wakambonzwa nezvemamwe emazita aya.

• Ankylosing Spondylitis: Izvi zvinonyanya kukonzera kuomarara uye kurwadziwa mumajoini emusana.
• Bursitis: Kutapukira kwemasagi ane mvura (bursa) akakomberedza majoini.
• Gout : Chirwere umo uric acid inoungana mumuviri, zvichikonzera kuzvimba uye kurwadziwa kwakanyanya mumajoini.
• Osteoarthritis: Chirwere chinokonzerwa nekukwegura kwemajoini.
• Rheumatoid Arthritis: Ichi chirwere chinokonzerwa ne autoimmune. Majoini emuviri anozvimba, anorwadza, uye anooma mangwanani.
• Rheumatic Fever: Mushure mekubatwa nechirwere chehuro, chinogona kukanganisa nzvimbo dzakadai semwoyo, majoini, neuropi.
• Lupus (Systemic Lupus Erythematosus - SLE): Ichi chirwere chinokonzerwawo ne autoimmune chinogona kukanganisa nhengo dzakasiyana dzemuviri.
• Scleroderma: Kukora kweganda uye kunogona kukanganisawo nhengo dzemukati.
• Vasculitis: Kuzvimba kwetsinga dzeropa.

Vanachiremba vemaronda emudumbu vanorapa zvimwe zvirwere zvakawanda zvakaita seizvi. Chirwere chimwe nechimwe chakasiyana, saka marapirwo acho akasiyana.

Kudzidza kwakawanda sei kunodiwa kuti uve rheumatologist?

Rwendo urwu harusi nyore. Kuti uve chiremba wemapfupa, unofanira kutanga wawana dhigirii reBachelor, wozopedza makore mana echikoro chekurapa (MD kana DO). Mushure meizvozvo, unofanira kupedza makore matatu ekugara mukurapa kwemukati kana pediatrics.

Mushure mekugara uku, unofanirwa kupasa bvunzo kuti uve nyanzvi mumunda iwoyo. Mushure meizvozvo, unofanirwa kupasa mamwe makore maviri kana matatu ekudzidziswa kwakasarudzika (`(fellowship)`) mumunda we rheumatology. Munguva yekudzidziswa uku, unodzidza zvakadzama nezvezvirwere zvemapfupa, majoini, uye autoimmune. Pakupedzisira, unozivikanwa sechiremba we rheumatologist mushure mekupasa imwe bvunzo yakaoma inosimbisa ruzivo irworwo. Mushure meizvozvo, unofanirwa kugara uchivandudza ruzivo rwako nekudzidza zvinhu zvitsva (`(Kuenderera mberi neDzidzo yezvekurapa - CME)`). Saka unogona kunzwisisa kuti izvi zvinoda kuzvipira kwakadii.

Sei tichifanira kuona chiremba wemapfupa?

Panogona kunge paine zvikonzero zvakasiyana-siyana nei uchifanira kuona chiremba wemapfupa.

• Kana mumwe munhu mumhuri yako aine chirwere cherheumatic kana chirwere che autoimmune: Nekuti zvimwe zvezvirwere izvi zvinogona kugarwa nhaka, zviri nani kuongororwa nekukurumidza.
• Kana chiremba wako mukuru (PCP) akakutumira: Mushure mekutarisa zvimwe zvezviratidzo zvako, kana chiremba akafungidzira kuti ichi chingave chirwere cherheumatic, achakutumira kuna chiremba werheumatologist.

Kune zvimwe zviratidzo zvinowanzoonekwa zvechirwere cherheumatic:

• Zvinogona kuitika kwete panzvimbo imwe chete pamuviri, asi munzvimbo dzakawanda panguva imwe chete. Zvinogona kutokanganisa muviri wese.
• Zvinogona kukanganisa mhando dzakasiyana dzenyama, dzakadai semhasuru, tsinga, uye ganda.
• Unganzwa kurwadziwa, kuomarara, uye kuzvimba munzvimbo idzodzo.
• Pamusoro peizvi, zviratidzo zvemuviri zvakaita sefivha uye kuneta zvinogonawo kuitika.

Fungidzira, mangwanani, majoini eminwe yako akaomarara uye anorwadza, asingakwanise kukotama. Mushure mechinguva, anodzikira zvishoma. Asi izvi zvinoitika zuva nezuva. Kana, pasina chikonzero, maronda matsvuku anoonekwa paganda munzvimbo dzakasiyana pamuviri, pamwe chete nekurwadziwa kwemajoini uye kuneta. Izvi ndizvo zvinhu zvinogona kuonekwa muzvirwere zverheumatic.

Unofanira kuona chiremba wemapfupa rini?

Kana iwe kana chiremba wako muchifungidzira kuti une chirwere cherheumatic, zvakakosha kuti uone nyanzvi, chiremba werheumatologist, nekukurumidza sezvinobvira. Kunyanya kana zviratidzo zvako zvakatanga kamwe kamwe kana kuti zviri kuwedzera nekukurumidza, unofanira kuzviita nekukurumidza.

Nekuti, zvirwere izvi zverheumatic zvinowanzo enderera mberi. Izvi zvinoreva kuti, sezvo chirwere ichi chichiwedzera, mamwe matishu anogona kukanganiswa uye zviratidzo zvitsva zvinogona kuoneka. Zvimwe zvirwere zvinogona kutokonzera kukuvara kusingaperi kwematishu edu. Saka, kukuvara uku kunogona kuderedzwa nekuongorora chirwere ichi nekukurumidza uye kutanga kurapwa.

Unogadzirira sei kushanya kuna chiremba wemapfupa?

Kana ukaita zvinhu izvi usati waenda kunoona chiremba wemapfupa, zvichave nyore kuna chiremba uye kwauri.

• Chengetedza zvinyorwa zvako zvekare zvehutano zviri muhurongwa: Izvi zvinosanganisira manotsi kubva kuna vanachiremba vawakamboona, zvabuda muongororo, nezvimwewo. Ungave uine izvi kare, kana kuti ungangoda kuzvikumbira kubva kunzvimbo dzakakodzera.
• Nyora nhoroondo yako yezvekurapwa: Chiremba achakubvunza nezvemishonga, mavhitamini, nezvimwe zvinovaka muviri zvauri kutora parizvino, chero chirwere chipi zvacho chawakaita, uye chero mishonga yawakashandisa.
• Chengeta bhuku rezviratidzo: Zviratidzo zverheumatic zvinogona kuchinja nekukurumidza. Kunyora pasi zvinhu zvakaita sekuti "Mangwanani ano, masikati ano, nezuro uno" kunogona kubatsira chiremba wako kuti anzwisise mamiriro ako ezvinhu zvakajeka.
• Ronga kunyora pasi zvinotaurwa nachiremba:Paunoenda kekutanga, uchadzidza ruzivo rutsva rwakawanda. Zvingave zvakaoma kurangarira zvese panguva imwe chete. Kana zvichibvira, enda neshamwari kana nhengo yemhuri. Vanogona kukubatsira kunyora zvinhu pasi.

Ndezvipi zviedzo zvinoshandiswa nenyanzvi dzemajoini kuongorora chirwere ichi?

Pamusoro pekuongororwa kwemuviri, chiremba wako anogona kuraira mimwe miedzo yakati wandei kuti abatsire kuona chirwere chacho. Semuenzaniso:

• Kuongororwa kweropa: Izvi zvinogona kuona zvinhu zvakawanda, zvakaita sekuti muviri une kuzvimba here uye kana paine ma antibodies ane chekuita nezvirwere zvemuviri.
• Miedzo yekufungidzira: Miedzo yakaita seX-rays, ultrasound, CT scans, kana MRIs inogona kutarisa mamiriro emapfundo, mapfupa, uye tsandanyama.
• Kuongororwa kwehuwandu hwemapfupa (DEXA scan): Tarisa kana simba remapfupa rakaderera (osteoporosis).
• Kuongororwa kwenyama: Dzimwe nguva, chidimbu chidiki chenyama yakakanganiswa chinofanira kutorwa kuti chiongororwe.
• Electromyogram (EMG): Muedzo wekutarisa mashandiro emhasuru netsinga.
• Kuongororwa kwebasa renhengo: Tarisa kana nhengo dzakadai seitsvo nechiropa dzakanganiswa.

Vanachiremba vemajoini vanorapa sei zvirwere izvi?

Kurapa zvirwere zverheumatic kwakaoma zvishoma. Nekuti havasi vese vanogona kurapwa nenzira imwechete. Chiremba wako achagadzira hurongwa hwekurapa hwakakunakira zvichienderana nezvinhu zvakawanda, zvakaita sezviratidzo zvako, rudzi rwechirwere, uye maitiro ako ekurapwa.

Kune nzira dzakasiyana-siyana dzekurapa:

• Corticosteroids: Izvi zvinobatsira kuderedza kuzvimba mumuviri nekukurumidza.
• Mishonga inodzvinyirira muviri: Iyi inopihwa kudzora mashandiro emuviri wemuviri muzvirwere zvinorwisa muviri.
• Mishonga inogadzirisa marwadzo emusana (DMARDs): Mishonga iyi inobatsira kuderedza kukuvara kwemajoini kunokonzerwa nechirwere ichi uye kudzora kufambira mberi kwechirwere.
• Majekiseni emajoini: Mishonga inogona kubaiwa zvakananga mumajoini anorwadza uye akazvimba.
• Mashandiro ekurapa majoini: Dzimwe nguva anoshandiswa kutsigira majoini uye kuderedza marwadzo.
• Kurapa muviri: Kuvandudza mashandiro enhengo uye simba rayo kuburikidza nekurovedza muviri nedzimwe nzira.
• Kurapa Kwebasa: Kudzidziswa maitiro ekuita mabasa ezuva nezuva zviri nyore.
• Kutumirwa kuna Chiremba weMafupa:Mune zvimwe zviitiko, kana majoini akakuvara zvakanyanya, kuvhiyiwa kungadiwa.

Chinhu chinonyanya kukosha ndechekuona chiremba wako nguva dzose kuti uwane mishonga iyi, kuongororwa kunodiwa, uye kutarisa mamiriro ako. Nekuti zvirwere izvi zvinogona kuchinja nekufamba kwenguva uye matambudziko matsva anogona kumuka. Zvadaro chiremba wako anogona kuchinja hurongwa hwako hwekurapa zvinoenderana. Nekugara uchisangana nachiremba wako nguva dzose, unogona kugadzirisa marapirwo ako usati wanzwa kusagadzikana.

Pakupedzisira, zvinhu zvekurangarira

Zvakanaka, saka ndinovimba wava neruzivo rwakanaka rwekuti chiremba wemapfupa ndiani uye zvaanoita.

Yeuka, vanachiremba verheumatologist inyanzvi dzinorapa zvirwere zvinogara kwenguva refu uye zvakaoma zvine chekuita nemajoini, tsandanyama, uye matishu emuviri.

• Kana uine kurwadziwa kwemajoini nguva dzose, kuzvimba, kuomarara, kana kurwadziwa kwemuviri kusingatsananguriki, usangozvifuratira.
• Kutanga, ona chiremba wemhuri yako (GP). Iye anogona kuongorora mamiriro ako ezvinhu uye kukutumira kuna chiremba wemapfupa kana zvichidikanwa.
• Muzvirwere zvakadaro , kuongororwa nekukurumidza uye kurapwa kwakakodzera kunogona kudzivirira kukuvara kukuru uye kukubatsira kurarama hupenyu hwakanaka.

Saka, chengetedza muviri wako. Kana uine matambudziko, usatya kutaura nachiremba.

Chiremba weRheumatologist, Chiremba weRheumatologist, Zvirwere zveMajoini, Arthritis, Arthritis, Zvirwere zveAutoimmune, Chirwere cheAutoimmune, Marwadzo eMusculoskeletal, Rheumatology