Zvakajairika kusangana nemarwadzo madiki mumajoini edu nguva nenguva. Izvi zvinogona kuitika kana tikashanda nesimba zuva rese, patinenge tisina kugara zvakanaka, kana patinokuvara zvishoma. Asi kana kurwadziwa uku kukaramba kuripo kwemazuva kana mavhiki pasina kudzikira, kana majoini akazvimba, akatsvuka, uye akaomarara patinomuka mangwanani, saka hazvisi zvakajairika. Apa ndipo patinoda rubatsiro rwe 'Rheumatologist' .
Ndiani chaizvo anonzi 'Rheumatologist'?
Muchidimbu, 'Rheumatologist' chiremba ane hunyanzvi mukuongorora nekurapa zvirwere zvine chekuita nemajoini edu, tsandanyama, mapfupa, uye nyama dzinobatana (ligaments, tendons). Anonyanya kutarisa zvirwere zve autoimmune nezvirwere zvinokonzerwa nekuzvimba .
Zvino ungave uchishamisika kuti zvirwere izvi zve autoimmune chii. Fungidzira kuti dziviriro yemuviri wako, iyo immune system yako, inotanga kurwisa masero ako ane hutano, akadai seari mumajoini ako, ganda, nemaziso. Ndizvo zvinoitika. Kurwiswa uku kunokonzera zviratidzo zvakaita sekuzvimba, kurwadziwa, uye kutsvuka (kuzvimba) munzvimbo dzakabatwa.
Chiremba wemhuri yako (chiremba wehutano hwepakutanga) anogona kukutumira kuna chiremba wemapfupa zvichienderana nezviratidzo zvako. Iye achaita bvunzo dzinodiwa, oona chikonzero chaicho chechirwere chako, uye okupa hurongwa hwakanakisa hwekurapa.
Ndezvipi zvirwere zvikuru zvinorapwa nachiremba wemapfupa?
Chiremba wemapfupa anorapa zvirwere zvemajoini, tsandanyama, nemapfupa zvinopfuura zana. Tafura iri pazasi inoratidza zvimwe zvezvirwere zvinowanzoitika.
| Dambudziko rehutano | Tsananguro iri nyore |
|---|---|
| Rheumatoid Arthritis | Marwadzo nekuzvimba kunokonzerwa nekurwisa majoini nemasoja emuviri. |
| Osteoarthritis | Dambudziko rinokonzerwa nekusakara kwekatsi iri pakati pemapfundo nekukura kana nekuda kwekushandiswa zvakanyanya. |
| Gout | Kurwadziwa kwakanyanya kunokonzerwa nekuwedzera kwehuwandu hwe uric acid mumuviri uye kuiswa kwezvidimbu zvidiki zvayo mumajoini. |
| Lupus | Chirwere chinokanganisa masoja emuviri akasiyana-siyana, akadai semajoini, ganda, itsvo, neuropi. |
| Fibromyalgia | Chirwere chinokonzera kurwadziwa mumuviri wese, kuneta, uye matambudziko ekurara. |
| Osteoporosis | Mapfupa anoshaya simba uye anotyoka nyore nyore. |
Nekuti zvirwere izvi zvinogona kukanganisa nzvimbo dzinopfuura imwe chete dzemuviri, chiremba wemapfupa anoshanda nevamwe nyanzvi, vakaita sevanachiremba veganda, vanachiremba vemwoyo, uye vanachiremba vemuviri, kuti vakurape kana zvichidikanwa.
Sei uchifanira kuona chiremba weRheumatologist?
Kana wave uine chimwe chezviratidzo zvinotevera kwenguva yakareba, zvakakosha kuti utange waona chiremba wemhuri yako uye, kana vakupa zano, ona chiremba wemapfupa.
- Kurwadziwa kunogara kwenguva refu, kuzvimba, kana kuomarara kwepfundo rimwe chete kana akawanda.
- Kuoma kwemajoini kunotora maminetsi anopfuura makumi matatu kana wamuka mangwanani.
- Kupisa muviri nguva dzose, kuneta, kana kudzikira kwehuremu kusingatsananguriki.
- Kana mumwe munhu mumhuri yako aine chirwere che autoimmune (semuenzaniso Rheumatoid Arthritis, Lupus) uye iwe ukasanganawo nezviratidzo zvataurwa pamusoro apa.
Zvakakosha zvikuru kuongorora nekurapa zvirwere izvi nekukurumidza, nekuti zvikasadaro, majoini anogona kukuvara zvachose nekufamba kwenguva.
Chii chinoitika kana ukaenda kunoona chiremba wemapfupa?
Hapana chekutya kana ukaenda kuna chiremba wemapfupa. Chinangwa ndechekutora matanho anodiwa kuti unyatsoongorora chirwere chako.
1. Kutaura newe uye kuwana ruzivo rwakadzama
Kutanga, chiremba achataura newe nokungwarira uye achakubvunza nezvezviratidzo zvako. Achakubvunza mibvunzo yakawanda, yakaita sekuti kurwadziwa kwakatanga riini, kurwadziwa kwacho kwanyanya, kana kuita chero chinhu kuchikonzera kuti kurwadziwa kuwedzere, uye kana paine munhu mumhuri mako ane chirwere ichi. Zvakakosha kuudza munhu wese waunoziva pasina kuvanza chero chinhu.
2. Kuongororwa Kwemuviri
Tevere, chiremba achaongorora muviri wako, kunyanya majoini anorwadza. Vachaongorora kana majoini akazvimba, akatsvuka, kana kuti akadziya kana ukaabata. Vachakukumbirawo kuti ukotamise uye utambanudze majoini akadai semaoko ako, mapendekete, uye chiuno. Izvi zvichakubatsira kuona kuti kufamba kwakawanda sei kunogumira mumajoini ako.
3. Kuongororwa kwerabhoritari neradiology
Ungakumbirwa kuti uite bvunzo dzinoverengeka kuti usimbise chirwere chacho uye uone kuoma kwacho.
| Rudzi rwekuyedza | Uri kuonei? |
|---|---|
| Kuongororwa kweropa | Inoongorora zviratidzo zvekuzvimba mumuviri (ESR, CRP) uye masoja ekudzivirira chirwere ane chekuita nezvirwere zvakaita serheumatoid arthritis (Rheumatoid Factor - RF) . |
| Miedzo yeKufungidzira | X-ray inogona kuratidza kukuvara kwemapfupa. MRI kana ultrasound scans zvinogona kuratidza zvakajeka kukuvara nekuzvimba kwenyama dzakapfava dzakadai semajoini, tsandanyama, uye shwashwa. |
| Mimwe miedzo | Dzimwe nguva sampuli yemvura yemumajoini inotorwa kuti iongororwe (kuongorora gout ). Kana zvichidikanwa, sampuli diki yeganda kana tsandanyama (biopsy) inogonawo kutorwa kuti iongororwe. |
4. Kunyora mushonga wekurapa
Mushure mekufunga zvese izvi, chiremba wako achatanga kurapwa kwakakunakira. Anogona kukurudzira chimwe kana kupfuura chezvinotevera:
- Mishonga: Mishonga inoderedza marwadzo nekuzvimba (corticosteroids), mishonga inodzora mashandiro emuviri wemuviri, nezvimwewo.
- Jekiseni remajoini: Kubaya mushonga zvakananga mujoini kuti uderedze marwadzo nekuzvimba nekukurumidza.
- Kurapa Kwemuviri: Kudzidzisa maekisesaizi uye matekiniki ekuderedza marwadzo, kuwedzera kufamba kwemajoini, uye kuwedzera simba remhasuru.
- Kurapa Nemabasa: Kudzidzisa maitiro ekuita mabasa ezuva nezuva zviri nyore uye zvakachengeteka uye kukurudzira zvishandiso zvinobatsira zvinodiwa (semuenzaniso ma splints).
Zvizhinji zvezvirwere izvi zvinogara kwenguva refu, zvichireva kuti zvakaoma kurapa zvachose. Zvisinei , kana ukaramba uchirapwa uye uchitevera mirairo yachiremba wako, unogona kudzora chirwere ichi uye kurarama hupenyu hwakajairika pasina kurwadziwa .
Mharidzo Yekuenda Nayo Kumba
- 'Rheumatologist' chiremba ane hunyanzvi mukurapa zvirwere zvemajoini, tsandanyama, nemapfupa, kunyanya zvirwere zve autoimmune.
- Usaregeredza kurwadziwa kwemajoini nguva dzose, kuzvimba, uye kuomarara kwemangwanani sezvakajairika.
- Nekuongorora nekurapa chirwere ichi pakutanga, kukuvara zvachose kwemajoini kunogona kudzivirirwa.
- Kana uine zviratidzo izvi, usazeza kuona chiremba wako kuti akupe mazano. Achakutumira kuna chiremba wemapfupa kana zvichidikanwa.
- Kunyangwe zvakawanda zvezvirwere izvi zviri zvirwere zvisingaperi, kana zvikarapwa nemazvo, zvinogona kudzorwa zvinobudirira uye hupenyu hwakanaka hunogona kuraramwa.
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