Ngaba ngequbuliso uva iintlungu kumalungu amaninzi? Makhe sithethe nge-polyarthritis!

Ngaba uziva iintlungu nokuqina kwamalungu amaninzi, kungekuphela nje kwindawo enye, xa uvuka kusasa okanye emini yonke? Mhlawumbi kubalulekile ukuba wazi ngale meko ibizwa ngokuba yi-polyarthritis. Ungakhathazeki, masithethe ngayo ngokulula.

Yintoni kanye kanye i-polyarthritis?

Ngamafutshane, i-polyarthritis yi -arthritis echaphazela amalungu amahlanu okanye ngaphezulu emzimbeni wakho ngaxeshanye . Usenokuyiva ibizwa ngokuba yi-"polyarticular arthritis." Khumbula, olu ayilohlobo oluthile lwe-arthritis. Endaweni yoko, ugqirha wakho usebenzisa eli gama ukukuxelela ukuba uneempawu ze-arthritis kumalungu amaninzi akho ngaxeshanye. Xa sisiva i-arthritis , sonke siyazi ukuba ichaphazela amalungu ethu (indawo apho amathambo adibana khona kwaye ashukuma khona). I-arthritis idla ngokubangela ukudumba kwamalungu, oko kuthetha ukudumba, ukuba bomvu, okanye ukuwohloka . Yile nto ibangela ukuba amalungu abe buhlungu, aqine, okanye angakwazi ukuhamba kakuhle. Amalungu axhaphake kakhulu yi-arthritis ngala:

• Iinyawo zakho namaqatha.
• Izandla, izihlathi kunye neminwe.
• Amalungu esinqe.
• Amadolo.
• Umqolo osezantsi.
• Intamo.

Ukuba une-polyarthritis, unokufumana iimpawu ezininzi ze-arthritis yakho. Oku kungenxa yokuba intlungu ibakho kumalungu amaninzi ngaxeshanye, endaweni yokuba ibe linye kuphela. Ugqirha wakho angaluchaza kwakhona ulusu lwakho njenge -symmetrical okanye i-asymmetrical .

• I-symmetrical polyarthritis ithetha ukuba amalungu afanayo kumacala omabini omzimba wakho ayachaphazeleka. Umzekelo, ukuba omabini amadolo achaphazeleka ngokulinganayo.
• I-Asymmetric polyarthritis iyenzeka xa ichaphazela amalungu akwicala elinye lomzimba kuphela, okanye xa ichaphazela amalungu angahambelaniyo. Isenokuba ayilingani ukuba inani elingaqhelekanga lamalungu akho lichaphazelekile.

Yintoni umahluko phakathi kwe-oligoarticular arthritis kunye ne-polyarthritis?

Ukuba une-arthritis kwilungu elingaphezulu kwelinye, ugqirha wakho uya kuyihlela ngokwenani lamalungu achaphazelekileyo.

• I-Oligoarticular arthritis yi-arthritis emalunga amabini ukuya kwamane.
• I-Polyarthritis ligama lezonyango elithetha i-arthritis kumalungu amahlanu nangaphezulu.

I-Polyarthritis inokubangelwa yiyo nayiphi na imeko echaphazela amalungu akho. Iimpawu zakho (nokuba zinzima kangakanani) zixhomekeke kwinto ebangele i-polyarthritis kunye nokuba zeziphi iijoyinti zakho ezichaphazelekileyo. Ukuba unentlungu entsha yamalungu, ukuqina, okanye ezinye iimpawu, kubalulekile ukuthetha nogqirha wakho. Angenza isicwangciso sonyango esihambelana ngqo nemeko yakho.

Ngubani onokuba nethuba elikhulu lokufumana i-polyarthritis?

Abantu abasengozini enkulu yokufumana isifo samathambo kwasekuqaleni banamathuba amaninzi okufumana isifo samathambo i-polyarthritis. Enyanisweni, nabani na unokufumana isifo samathambo. Nangona kunjalo, abanye abantu basengozini enkulu. Ngaba:

• Abantu abangaphezu kweminyaka engama-50 ubudala: Kuqhelekile ukuba amalungu aguge aze abe buthathaka njengoko sikhula.
• Abafazi: Ezinye iintlobo ze-arthritis, umzekelo i-rheumatoid arthritis, zixhaphake kakhulu kubafazi.
• Abantu abanezifo zokuzikhusela komzimba : Kwezi zifo, ukudumba kwamalungu kunokwenzeka kuba inkqubo yomzimba yokuzikhusela ihlasela iiseli zayo.
• Abantu abatyebe kakhulu : Njengoko ubunzima bomzimba busanda, uxinzelelo olungakumbi lubekwa kumalungu athwala ubunzima, ingakumbi amadolo kunye nezinqe.
• Abadlali: Ngenxa yokusebenzisa amalungu kakhulu ixesha elide kunye nokwenzakala ngamanye amaxesha.

Ixhaphake kangakanani i-polyarthritis?

I-arthritis yimeko eqhelekileyo kakhulu. Iingcali zithi malunga nesinye kwisithathu sabantu abadala abangaphantsi kweminyaka engama-64 ubudala banohlobo oluthile lwe-arthritis. Isiqingatha samadoda angaphezu kweminyaka engama-65 ubudala kunye nesibini kwisithathu sabasetyhini abangaphezu kweminyaka engama-65 kuthiwa banesifo samathambo. Kunzima ukutsho ngqo ukuba i-polyarthritis ixhaphake kangakanani. Oku kungenxa yokuba abantu abaninzi abazi ukuba banale meko okanye bafumana ukuxilongwa kwayo. Ingakumbi xa kunyangwa isifo samathambo kwelinye ilungu, unyango olufanayo lunokunciphisa iimpawu kwamanye amalungu, angebuhlungu kangako, ukuze singaphoswa.

Ziziphi iimpawu ze-polyarthritis?

Iimpawu eziqhelekileyo ze-polyarthritis zezi:

• Intlungu yamalungu : Ayisiyondawo enye, kodwa ikwiinxalenye ezininzi zamalungu.
• Ukuqina kwamalungu: Ubunzima bokushukumisa amalungu, nokuba kukuvuka kusasa okanye emva kokuma emva kokuba ukwindawo efanayo okwethutyana.
• Ukuziva ubushushu emalungeni.
• Ukutshintsha kombala wolusu olujikeleze amalungu (Njengokuphoxeka ).
• Ukudumba kwamalungu.
• Ukuva iintlungu xa uchukunyiswa okanye kufutshane nelungu.

I-Polyarthritis evuthayo kunye ne-Non-inflammatory

Ngokuxhomekeke kwisizathu se-polyarthritis, oogqirha bayichaza njengesifo esivuthayo okanye esingavuziyo .

• I-inflammatory polyarthritis ibangela iimpawu ezinje ngokudumba, ukuba bomvu, kunye nokufudumala kwamalungu akho achaphazelekileyo. Oku kudla ngokubangelwa sisifo sokuzikhusela komzimba okanye usulelo.
• Kwi -non-inflammatory polyarthritis, amalungu akho awadumbi. Oku kudla ngokubangelwa ziimeko ezifana ne-osteoarthritis, apho i-cartilage egcina amalungu akho iphela ngokuhamba kwexesha.

Ziziphi izizathu ze-polyarthritis?

I-Polyarthritis inokuba nezizathu ezahlukeneyo. Abanye abantu banokuba nohlobo olunye lwe-arthritis olusasazeka emzimbeni wonke, nto leyo ebangela i-polyarthritis. Abanye banokuba ne-arthritis emalungeni njengophawu okanye isiphumo esibi sesinye isifo. Ezona zizathu ziqhelekileyo ze-polyarthritis zezi:

Iintlobo ze-arthritis ezichaphazela amalungu amaninzi

Ukuba sele unayo uhlobo oluthile lwe-arthritis, kusenokwenzeka ukuba ikhule ibe yi-polyarthritis ngokuhamba kwexesha. Nangona naluphi na uhlobo lwe-arthritis lunokuba yi-polyarthritis, ezona zixhaphakileyo zezi:

• Irheumatoid arthritis
• Isifo samathambo se-Psoriatic
• I-Osteoarthritis
• Igawuthi
• Isifo sokugcinwa kweCalcium pyrophosphate (CPPD, esaziwa ngokuba yiPseudogout)
• Isifo samathambo esibangelwa yi-Juvenile idiopathic (JIA)

Izifo ezizikhusela ngokwazo emzimbeni

Isifo sokuzikhusela komzimba sisifo apho amajoni omzimba wakho ehlasela umzimba wakho ngempazamo endaweni yokukukhusela. Akukacaci ukuba kutheni oku kusenzeka. Olu hlaselo lunokubangela iintlobo ezithile ze-arthritis kunye nezinye iimeko ezibangela i-arthritis. Ezinye izifo zokuzikhusela komzimba ezibangela i-polyarthritis ziquka:

• I-Lupus
• I-Sarcoidosis
• I-Scleroderma
• I-rheumatoid arthritis kunye ne-psoriatic arthritis zombini ziintlobo ze-arthritis ezibangelwa zizifo ezizikhuselayo emzimbeni.

Iintsholongwane

Ezinye izifo ezibangelwa yintsholongwane kunye neentsholongwane nazo zinokubangela i-polyarthritis. Cinga ngayo, xa inkqubo yomzimba wakho yokulwa nentsholongwane okanye iintsholongwane, loo mpendulo inokuba namandla kakhulu ngamanye amaxesha, kwaye njengesiphumo esingeso sizathu sokulwa, inokuchaphazela namalungu akho, ibangele i-polyarthritis. Ezinye zezi zifo ziquka:

• I-hepatitis yentsholongwane
• Isifo seLyme
• Umkhuhlane werheumatic
• I-Mononucleosis (i-Mononucleosis - mono)
• I-Parvovirus
• Isifo seWhipple
• Intsholongwane yokungakwazi ukuzikhusela komzimba womntu (i-HIV)

Ifunyanwa njani i-polyarthritis?

Ugqirha wakho uza kuxilonga i-polyarthritis ngokwenza uvavanyo lomzimba kunye novavanyo oluthile. Uza kujonga amalungu akho abuhlungu aze awave. Uza kukubuza ukuba iimpawu zakho ziqale nini kwaye zinzima kangakanani. Uza kujonga nomgama wokuhamba kwakho, okuthetha ukuba ungashukumisa kangakanani ilungu. Ugqirha uza kujonga nezinye iimeko ezinokubangela iimpawu zakho. Oku kubizwa ngokuba yi-differential diagnosis . Oku kubavumela ukuba basuse ezinye iingxaki kwaye baqinisekise ukuchongwa kwe-polyarthritis. Ezinye iimpawu kunye neemeko abanokuzijonga ziquka:

• Ii-lymph nodes ezivuvukileyo
• Umphimbo obuhlungu (pharyngitis)
• I-Fibromyalgia
• I-Hemochromatosis
• Isifo samathumbu esidumbileyo
• Isiganeko sikaRaynaud

Zeziphi iimvavanyo ezenziwayo?

Kusenokufuneka wenze uvavanyo lokuthatha imifanekiso ukuze uthathe imifanekiso yamalungu akho:

• Ii-X-reyi
• I-MRI (Umfanekiso weMagnetic Resonance - i-MRI)
• I-ultrasound

Ukuba unesidumba samalungu, ugqirha wakho angenza nokufunxa amalungu . Oku kuquka ukufaka inaliti encinci kwilungu lakho kunye nokususa ulwelo oluncinci. Isampulu yolo lwelo ithunyelwa kwilabhoratri ukuze ivavanywe ukuze kuchongwe ukuba yintoni ebangele ukuba ulwelo luqokeleleke. Uvavanyo lwegazi kunye nolunye uvavanyo lwelabhoratri lunokufuneka ukujonga usulelo okanye ezinye iimeko.

Iphathwa njani i-polyarthritis?

Indlela onyanga ngayo i-polyarthritis yakho ixhomekeke kwizinto ezininzi:

• Yintoni isizathu soko?
• Loluphi uhlobo lwesifo samathambo onaso?
• Indlela ezibukhali ngayo iimpawu zakho.

Ugqirha wakho uza kukuxelela ukuba loluphi unyango olufunayo ngokusekelwe kwiimpawu zakho ezithile. I-Polyarthritis idla ngokuphathwa ngezi ndlela:

• Amayeza:
• Amayeza okuguqula izifo (ii-DMARD): La mayeza anceda ukutshintsha indlela esi sifo sihamba ngayo kwiimeko ezifana ne-rheumatoid arthritis.
• Ii-NSAIDs ezingathengiswayo (OTC) (iziyobisi ezichasene nokuvuvukala ezingezizo ii-steroidal) kunye ne-paracetamol (acetaminophen/paracetamol): Ezi zinceda ekunciphiseni iintlungu kunye nokudumba.
• Unyango lomzimba: Ugqirha wakho okanye ingcali yonyango lomzimba iza kukunika ukolula kunye nokuzilolonga ukuze wonyuse uluhlu lwakho lokushukuma kunye nokuqinisa izihlunu ezijikeleze ilungu elichaphazelekayo. Kubalulekile ukwenza oku ngokuchanekileyo.
• Iinaliti: Abanye abantu banokufuna ukufumana iinaliti ngqo kwilungu, njenge- corticosteroids (iyeza elinamandla elinciphisa ukudumba) okanye i-viscosupplementation ( inaliti ye-lubricant kwilungu).
• Utyando lokutshintshwa kwamalungu (i-Arthroplasty): Kwezinye iimeko ezinzima, ukuba ilungu ligugile, utyando lokutshintshwa kwamalungu lunokufuneka. Ugqirha wakho okanye ugqirha uza kukuxelela okungakumbi ngale nto.

Indlela yokunciphisa umngcipheko wokufumana i-polyarthritis?

Ungenza ezi zinto ukunciphisa umngcipheko wakho wokuba ne-polyarthritis:

• Kuphephe ukusebenzisa iimveliso zecuba: Ukutshaya kwandisa ukudumba kwaye kuyingozi kwimpilo iyonke.
• Ukwenza imithambo engenampembelelo ingako kumalungu: izinto ezinje ngokudada nokuhamba zilungile.
• Ukulandela ukutya okunempilo kunye nesicwangciso sokuzilolonga esikufaneleyo: Ukutya okunesondlo kunye nokuzilolonga rhoqo kunokunceda ukulawula ubunzima bomzimba kunye nokugcina amalungu esempilweni.
• Ukunxiba izixhobo zokuzikhusela ezifanelekileyo ngexesha lomsebenzi womzimba: Oku kunokunciphisa umngcipheko wokwenzakala kwamalungu.

Yintoni onokuyilindela ukuba une-polyarthritis?

Usenokuba ne -acute polyarthritis, eyenzeka okwexeshana, mhlawumbi ngelixa usaphila kwisifo. Okanye, i-chronic polyarthritis, ehlala ixesha elide kwaye idla ngokuphindaphindiweyo.Kusenokubakho imeko.

Ngenxa yokuba akukho nyango kwiintlobo ezininzi ze-arthritis, abantu abaninzi kuya kufuneka balawule imeko yabo ubomi babo bonke. Kodwa ungakhathazeki, ugqirha wakho unokukunceda ufumane indibaniselwano efanelekileyo yonyango ukunceda ukunciphisa iimpawu zakho.

Ufanele ufune nini ingcebiso kagqirha?

Bona ugqirha ngokukhawuleza nje ukuba ubona naziphi na iimpawu kumalungu akho. Ekubeni i-polyarthritis inokuba nezizathu ezininzi, kubalulekile ukuba uhlolwe kwangoko ukuba unentlungu entsha, ukudumba, okanye umbala wolusu utshintsha. Musa ukuyityeshela iimpawu zakho. Ukuba unosulelo, kubalulekile ukufumana unyango kwangoko ngaphambi kokuba lusasazeke okanye lube mandundu.

Ufanele uye nini kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ?

Ukuba unentlungu eqatha, okanye ukuba ngequbuliso awukwazi ukushukumisa ilungu okanye inxalenye yomzimba wakho, yiya kwigumbi likaxakeka ngokukhawuleza.

Imibuzo omele uyibuze ugqirha wakho

Kuluncedo ukubuza le mibuzo xa undwendwela ugqirha wakho:

• Luhlobo luni lwesifo samathambo endinaso?
• Yintoni isizathu soku?
• Luhlobo luni lovavanyo oluza kufuneka ndilwenze?
• Luhlobo luni lonyango endiludingayo?
• Iimpawu zam ziya kuhlala ixesha elingakanani?

Yintoni umahluko phakathi kwePolyarthritis kunye neRheumatoid Arthritis?

I-Polyarthritis ithetha ukuba une-arthritis kumalungu amahlanu nangaphezulu ngaxeshanye. Ayisosifo sithile. Sisifo esixilongayo, nto leyo ethetha ukuba une-arthritis kumalungu amaninzi ngaxeshanye. I-rheumatoid arthritis luhlobo oluthile lwe-arthritis. Ukuba une-rheumatoid arthritis, inkqubo yakho yomzimba ihlasela izicubu ezigubungela amalungu kumacala omabini omzimba wakho. Ingachaphazela naliphi na inani lamalungu, kwaye i-rheumatoid arthritis inokuchaphazela amalungu akho ngokwaneleyo ukuba ahlulwe njenge-polyarthritis.

Yintoni iSeronegative Polyarthritis?

I-Seronegative arthritis luhlobo lwe-rheumatoid arthritis. Ingachaphazela namalungu amahlanu okanye ngaphezulu, ibe yi-polyarthritis. Ukuba unemibuzo malunga noku, okanye ukuba ufunyenwe une-rheumatoid arthritis kwaye ufumana iimpawu ezintsha, thetha nogqirha wakho okanye ingcali ye-rheumatologist (ugqirha ogxile kwizifo zamalungu).

Izinto ekufuneka uzikhumbule

I-Polyarthritis luhlobo lwe-arthritis oluchaphazela amalungu amaninzi ngaxeshanye. Inokuba buhlungu kwaye ingakhululeki. Kodwa ungakhathazeki. Ugqirha wakho angakunceda uqonde ukuba yintoni ebangela i-polyarthritis kunye nexesha apho kunokwenzeka ukuba ufumane khona iimpawu. Banokukunceda ufumane indibaniselwano yonyango olunokunceda ekunciphiseni iimpawu zakho kwaye lukubuyisele kwimisebenzi yakho yesiqhelo ngokukhawuleza.

Ukuba ubona naluphi na utshintsho kwiimpawu zakho, ingakumbi ukuba ziya zisiba mandundu ngokukhawuleza, thetha nogqirha wakho ngoko nangoko. Unyango lwangethuba lubaluleke kakhulu!