Uri kusangana nematambudziko nemajoini neura here? Ngatikurukurei nezveEnteropathic Arthritis!

Dzimwe nguva unonzwa seizvi here? Paunomuka mangwanani, majoini ako anorwadza uye anonzwa kuzvimba... Pamwe chete neizvozvo, une dumbu rinogumbuka uye unoda kuenda kuchimbuzi kakawanda pazuva. Kana uine zviratidzo izvi zvese panguva imwe chete, ungangoda kuziva nezvechirwere chinonzi enteropathic arthritis.

Chii chinonzi Enteropathic Arthritis?

Zvichitaurwa zviri nyore, chirwere chearthritis chinonzi enteropathic chirwere chinokonzera kurwadziwa nekuzvimba mumajoini (arthritis) pamwe nekuzvimba mudumbu mako, kana muura (Inflammatory Bowel Disease - IBD) . Fungidzira uine dambudziko nazvo zvese panguva imwe chete. Vamwe vanhu vanodana izvi kuti enteropathic arthropathy, kana kuti IBD-related arthropathy.

Zvino, tarisai, patinoti arthritis, tese tinoziva kuti chirwere chinokonzera kuzvimba, kurwadziwa kwemajoini, uye chinogona kuva chisingaperi . Kune rumwe rutivi, patinoti IBD, zvinoreva kuti pane kuzvimba kwenguva refu kana kukuvara kunoitika muchikamu kana mudumbu mako mese, kunyanya ura hwako. Saka, kana uine EnA, une kurwadziwa nekuzvimba mumajoini aya, asiwo kuzvimba mumatumbu ako.

EnA iboka guru rezvirwere zvinokanganisa majoini. Inonzi spondyloarthropathy. Izita rakaoma kunzwisisa, asi rinoreva chirwere chenguva refu chejoini. Chirwere ichi chinogona kunge chiri chipingamupinyi muhupenyu hwako hwemazuva ese , asi mashoko akanaka ndeekuti kune mishonga yacho.

Ndezvipi zviratidzo zve enteropathic arthritis (EnA)?

Kune munhu ane EnA, mhedzisiro huru iri pamapfundo ako nehurongwa hwekugaya chikafu (Gastrointestinal - GI system).

Zviratidzo zvine chekuita nemajoini:

Izvi zvinowanzo kanganisa majoini ari mumaoko netsoka, asi dzimwe nguva kurwadziwa uku nekusagadzikana kunogonawo kuitika kumusana wako .

• Kuchinja kwechimiro chemajoini: Semuenzaniso, minwe inogona kuita seyakadhonzwa, kana kuti inogona kuita seyakakora.
• Kuchinja ruvara rweganda: Ganda riri pamusoro pejoini rinogona kutsvuka uye kuchinja ruvara.
• Marwadzo: Ichi ndicho chiratidzo chikuru.
• Kuoma/kuomarara kwemajoini: Paunomuka mangwanani, unganzwa kuoma kukotama kana kutambanudza majoini ako kwenguva yakati.
• Kuzvimba: Mapfundo anoita seakazvimba uye akakura.
• Kunyorova: Kurwadziwa kana uchibata kana kudzvanya pajoini.
• Kudziya kwemajoini: Nzvimbo iri pajoini inodziya kupfuura dzimwe nzvimbo.

Zviratidzo zvine chekuita nedumbu (GI system):

• Kurwadziwa kwemudumbu: Kurwadziwa kwemudumbu nguva nenguva.
• Ropa riri mutsvina paunenge uchienda kuchimbuzi: Ichi chiratidzo chaunofanira kunetseka nacho zvikuru.
• Kugara uchirwara nenyoka: Kuenda kuchimbuzi kakawanda pazuva.
• Kuderedza uremu usingadi: Hazvirevi kuti uri kuedza nesimba kuderedza uremu, asi kungoti uri kuderedza uremu.

Vamwe vanhu vanogona kutanga vaona zviratidzo zveGI, vozotanga kuona zviratidzo zvemajoini . Kana kuti zvingava zvakasiyana. Kureva kuti, majoini anotanga kurwadza, uye matambudziko emudumbu anotanga. Dzimwe nguva zviratidzo zvese izvi zvinogona kuitika panguva imwe chete.

Sei chirwere chearthritis chinonzi enteropathic (EnA) chichikura? Ndezvipi zvinokonzera?

Kutaura zvazviri, masayendisiti haasati awana chikonzero chaicho cheEnA . Asi vanofungidzira kuti pane puroteni inonzi HLA-B27 , inowanikwa pamusoro pemasero edu machena eropa, inosanganisirwa.

Funga nezvazvo nenzira iyi, nekuda kwepuroteni iyi ye'HLA-B27', masoja emuviri wedu dzimwe nguva anotanga kurwisa masero edu ane hutano, kunyanya masero ari mumajoini edu . Zvakafanana neuto redu richizvirwisa.

Asi pane chimwe chinhu pano. Iyi `HLA-B27` haisi yega inokonzerwa nechirwere ichi. Kureva kuti, havasi vese vane `HLA-B27` vane chirwere ichi vachava nechirwere chearthritis chinonzi enteropathic. Vamwe vanhu vane hutano hwakanaka vanogonawo kuva nacho. Saka, kunyange zvazvo ichi chingave chikonzero, ichiri chimwe chinhu chichiri muchikamu chekutsvagisa .

Ndiani ari panjodzi huru yekubatwa nechirwere chearthritis chinonzi enteropathic arthritis (EnA)?

Zvinofungidzirwa kuti munhu mumwe chete pavanhu vashanu vane chirwere chemudumbu chinozvimba (IBD) acharwara nechirwere chearthritis chinonzi enteropathic arthritis. IBD inonyanya kusanganisira zvirwere zvakaita seulcerative colitis uye chirwere cheCrohn .

Pamusoro pezvo, EnA inogona kusanganiswa nezvimwe zvirwere zvinokanganisa ura hwako hudiki . Semuenzaniso:

• Chirwere cheCeliac: Ichi chirwere chinokonzerwawo ne autoimmune. Izvi zvinoreva kuti masoja emuviri anorwisa masero awo.
• Kuzvimba kunoitika mushure mezvirwere zvebhakitiriya zvakaita seSalmonella neShigella. Zvimwe zvirwere zvebhakitiriya zvinogona kukonzera kuzvimba kweura, izvo zvinogona kukonzera matambudziko emajoini.
• Kuvhiyiwa kwemudumbu (intestinal bypass surgery).
• Chirwere cheWhipple: Uhu hutachiona hwebhakitiriya husingawanzoitiki.

Vanachiremba vanoongorora sei izvi?

Paunoenda kunoona chiremba ane zviratidzo izvi, chinhu chekutanga chaachaita ndechekukuongorora muviri wako wese.Zvadaro, vachaongorora zvakadzama nhoroondo yako yehutano . Vachakubvunzawo mibvunzo yakawanda nezvezviratidzo zvako. Kunyanya, vachakubvunza mibvunzo yekuti marwadzo ako emajoini anochinja sei mukati mezuva, senge kana akanyanya kuipa mangwanani kana husiku .

Vachakubvunzawo nezvezviratidzo zvemudumbu mako (GI) , zvakaita sekuchinja kwemaitiro emudumbu uye kushaya chido chekudya.

Uyezve, zvakakosha kuziva nhoroondo yehutano hwemhuri yako, kunyanya kana paine munhu mumhuri yako akambova neIBD kana arthritis.

Ndezvipi zviedzo zvinoshandiswa kuongorora chirwere chearthritis chinonzi enteropathic (EnA)?

Hapana bvunzo chaiyo yekuongorora EnA. Zvisinei, chiremba wako anogona kuraira bvunzo dzinoverengeka kuti asimbise kuti une IBD uye arthritis, kana kuti abvise zvimwe zvinokonzera zviratidzo zvako. Miedzo iyi inogona kusanganisira:

• Arthrocentesis: Izvi zvinosanganisira kutora sampuli diki yemvura inonzi synovial fluid kubva mujoini rako woiedza . Izvi zvinogona kupa ruzivo nezvekuzvimba kwejoini.
• Kutora sampuro yetsvina yako uye kuita bvunzo yekuongorora mabhakitiriya.
• Kuongororwa kweropa (biopsy) inzira yekuongorora ganda kubva mudumbu.
• Kuongororwa kweropa kunoratidza kuzvimba: Semuenzaniso, bvunzo dze erythrocyte sedimentation rate (ESR) kana bvunzo dzeC-reactive protein (CRP) . Izvi zvinogona kupa pfungwa yekuti pane kuzvimba here kana kuti kuzvimba mumuviri.
• Kuongororwa ropa rekuti `HLA-B27` .
• Colonoscopy: Iyi iongororo inoongorora ura hukuru uchishandisa chubhu ine kamera.
• X-ray yemajoini anorwadza kana kuti anonyorova pakubata.

Ko chirwere cheArthritis (EnA) chinorapwa sei?

Chinangwa chikuru chekurapa chirwere chearthritis che enteropathic ndechekuderedza kusagadzikana mudumbu pamwe nekusagadzikana mumajoini ako . Zvakakoshawo kudzivirira kukuvara kwakawanda kumajoini .

Zvinotevera zvinogona kushandiswa senzira dzekurapa:

• Majekiseni eGlucocorticoids: Aya anobatsira kuderedza marwadzo nekuzvimba. Anogona zvakare kubaiwa zvakananga mujoini.
• Mishonga inogadzirisa chirwere (DMARDs): Mishonga iyi inoshandura mashandiro anoita masoja emuviri wako uye inononotsa kufambira mberi kwechirwere. Mienzaniso inosanganisira methotrexate , sulfasalazine ,Mishonga yakaita seHydroxychloroquine neLeflunomide .
• Tumor necrosis factor-alpha inhibitors (TNF-alpha inhibitors): Iyi imwe mhando yemishonga ine simba inokanganisa masoja emuviri. Muenzaniso iInfliximab .
• Kurapa muviri: Izvi zvinobatsira zvikuru pakuchengetedza mashandiro akanaka emajoini uye kudzivirira kukuvara nekuremara kwemajoini.
• Kuvhiyiwa: Mune zvimwe zviitiko zvakakomba, kunyanya kana paine matambudziko emusana, kuvhiyiwa kunogona kudiwa.
• Kuchinja mararamiro: Zvakakosha kungwarira, kunyanya zvaunodya uye zvaunonwa (kudya) .

Ndingachengetedza sei hutano hwangu nechirwere chearthritis chinonzi enteropathic arthritis (EnA)?

Kunyange zvazvo EnA ichigona kukanganisa hupenyu hwako hwezuva nezuva, kune nzira dzinoverengeka dzekukubatsira kuti unzwe zviri nani uye ushande zviri nani :

• Kuisa kupisa pamapfundo anorwadza kunogona kubatsira kuzorodza tsandanyama. Saizvozvowo, kuisa chikosoro kunogona kubatsira kuderedza marwadzo emapfundo. Vamwe vanhu vanoona kupisa kuchibatsira, nepo vamwe vachiona kutonhora kuchibatsira. Tsvaga kuti chii chinokushandira zvakanyanya.
• Sarudza zvekudya nezvinwiwa zvinorwisa kuzvimba. Izvi zvinoreva kuderedza kudya zvekudya zvine munyu nemafuta wobva wawedzera miriwo, michero, nemiriwo mukudya kwako.
• Dzidzira kugara zvakanaka. Kureva kuti, mira wakatwasuka paunenge wakagara uye wakamira.
• Batanidzwa mumapoka ekutsigirana. Kutaura nevamwe vane zvirwere zvakaita searthritis kana IBD kunogona kuva sosi huru yekusimbisa nekupa ruzivo.
• Kana uchisvuta kana kushandisa fodya, rega. Izvi zvinogona kuwedzera zviratidzo zvechirwere.
• Rongedza muviri wako uye ita maekisesaizi emuviri nguva dzose. Bvunza chiremba wako kuti maekisesaizi api akakunakira wobva waaita.
• Edza mishonga yekuwedzera, yakaita semassage , kufungisisa , acupuncture , guided imagery, uye relaxation techniques . Asi zvakanaka kutaura nachiremba wako usati waedza izvi.

Mibvunzo ipi yandinofanira kubvunza chiremba wangu?

Paunoenda kunoona chiremba, zvichakubatsira kubvunza mibvunzo yakaita seiyi:

• Munondikurudzira kuti ndirapwe sei?
• Pane zvekudya zvakakosha zvandisingafaniri kudya here?
• Ndingaitei kuti ndidzivise kuputika kweganda?
• Vana vangu vanogonawo kuwana chirwere ichi here? (Kureva kuti, chinogara nhaka here?)

Ko chirwere chearthritis che enteropathic (EnA) chinogona kudzivirirwa here?

Nekuti masayendisiti haasati anyatsonzwisisa chinokonzera enteropathic arthropathy, hapana nzira yekudzivirira chirwere ichi zvachose . Zvisinei, kune nzira dzaungabatsira nadzo kudzivirira kuputika kwezviratidzo .

Unogona kutarisa pachirongwa chekudya chine hutano chinosanganisira miriwo nemichero mitsva yakawanda . Edza kuita maekisesaizi emuviri zuva rega rega. Kana uchisvuta, rega zvachose . Taura nachiremba wako nezvedzimwe nzira dzaungaderedza nadzo kuwanda kwezviratidzo izvi.

Chii chingave chiri fungidziro yemunhu ane enteropathic arthritis (EnA)?

Mafambiro echirwere ichi mumunhu ane EnA anogona kusiyana zvikuru kubva pamunhu kusvika pamunhu . Zviratidzo zvinogona kuva zvenguva dzose kana kuti zvinouya zvoenda . Kuzvimba kwemuviri kunogona kuva chinhu chidiki chinonetsa vamwe vanhu, nepo kune vamwe chinogona kuva chakakomba zvekukanganisa zuva ravo.

Asi, chinonyanya kukosha ndechekuti vanhu vazhinji vane chirwere chearthritis che enteropathic vararame hupenyu hwakajairika, hune zvibereko uye vararame hupenyu hwakajairika .

Hausi kungorwadziwa nemajoini chete, asi ikozvino wavawo nematambudziko emudumbu? Enteropathy arthritis inogona kuva chirwere chinorwadza zvikuru, chinotyisidzira hupenyu. Zviratidzo zvinogona kusiyana, asi kana chirwere chacho chakanyanya, chinogona kukanganisa zuva rako rese. Nerombo rakanaka, kune nzira dzekurapa dziripo . Zvisinei, zvinogona kutora nguva kuti uwane kurapwa kwakakodzera iwe. Wakasarudzika, saka zviratidzo zvako zvingasavandudzika sezvakaita zviratidzo zvemumwe munhu. Taura nachiremba wako. Iye anogona kukubatsira kugadzira hurongwa hwekurapa hunokushandira zvakanyanya.

Zvinhu zvatinofanira kurangarira kubva munyaya iyi (Mharidzo Yekuenda Kumba)

Zvakanaka, ngatitarisei zvimwe zvinhu zviri nyore zvekurangarira nezve enteropathic arthritis yatakataura nezvayo:

• EnA chirwere chinoitika pamwe chete nearthritis uye inflammatory bowel disease (IBD) .
• Zviratidzo zvinogona kusanganisira kurwadziwa kwemajoini, kuzvimba, uye kuomarara, pamwe nekurwadziwa mudumbu, manyoka, uye ropa mutsvina .
• Chikonzero chaicho cheizvi hachisati chawanikwa , asi zvinhu zvakaita se'HLA-B27' zvinogona kunge zvichikonzera izvi.
• Vanhu vane IBD (kunyanya chirwere cheCrohn neulcerative colitis) vari panjodzi huru yekubatwa nacho.
• Kuongororwa kwakasiyana-siyana (ropa, tsvina, colonoscopy, X-ray) kunoshandiswa kuongorora chirwere ichi.
• Kurapa kunosanganisira mishonga, physiotherapy, uye kuchinja mararamiro.Zvakakosha.
• Kunyange hazvo chirwere ichi chisingadzivirirwi zvachose, zvinokwanisika kudzora zviratidzo uye kurarama hupenyu hwakanaka .
• Chinhu chinonyanya kukosha hakusi kutya, asi kutaura nachiremba wako kuti uwane kurapwa nemazano akakodzera iwe.

Kana uine zviratidzo izvi, usazvidya mwoyo wega, asi tsvaga rubatsiro rwechiremba nekukurumidza. Ipapo unogona kuwana rubatsiro nekukurumidza.

` Enteropathic arthritis, arthritis, chirwere chemudumbu, kugaya chikafu, kurwadziwa kwemajoini, IBD, chirwere cheCrohn