Ngaba uvuka uziva ukuqina kwamalungu akho, okanye ngaba uva iintlungu zamalungu ezisasazekayo imini yonke? Awuwedwa. Ukuba ulwa neentlungu kwiindawo ezininzi, kuyafaneleka ukufunda ngemeko ebizwa ngokuba yi-polyarthritis . Nceda uhlale uzolile; silapha ukukunceda uyiqonde ngokulula.
Yintoni iPolyarthritis?
Ngamafutshane, i-polyarthritis yenzeka xa ufumana i-arthritis kumalungu amahlanu nangaphezulu ngaxeshanye . Ngamanye amaxesha unokuva ibizwa ngokuba yi-"polyarticular arthritis".
Cinga ngayo kungekuko njengesifo esingaqhelekanga, kodwa njengegama lezonyango elisetyenziswa ngugqirha wakho ukuchaza ukuba ufumana iimpawu ze-arthritis kumalungu aliqela ngaxeshanye.
Njengoko usazi, isifo samathambo sichaphazela amalungu ethu—indawo apho amathambo adibana khona aze ashukume khona. Isifo samathambo sidla ngokubandakanya ukudumba (ukudumba, ukuba bomvu) okanye ukuwohloka (ukuguguleka) kwala malungu. Yiyo kanye loo nto amalungu eba buhlungu, aqine, okanye kube nzima ukuwashukumisa.
Amalungu achaphazeleka kakhulu yi-arthritis aquka:
- Iinyawo zakho namaqatha.
- Izandla, iingalo, kunye neminwe.
- Amalungu esinqe.
- Amadolo.
- Umqolo osezantsi.
- Intamo.
Ukuba une-polyarthritis, iimpawu zakho zinokuba nzima ngakumbi kuba ukungakhululeki kwenzeka kumalungu amaninzi ngaxeshanye kunokuba kube linye kuphela.
Ugqirha wakho angachaza ngakumbi i-polyarthritis yakho njenge -symmetrical okanye i-asymmetrical :
- I-symmetrical polyarthritis ithetha ukuba ichaphazela amalungu afanayo kumacala omabini omzimba wakho, njengamadolo akho omabini ngaxeshanye.
- I-asymmetrical polyarthritis ichaphazela amalungu kwicala elinye lomzimba wakho, okanye ichaphazela inani elingalinganiyo lamalungu.
Yintoni umahluko phakathi kwe-Oligoarticular arthritis kunye ne-Polyarthritis?
Oogqirha bahlula i-arthritis ngokusekelwe kwinani lamalungu achaphazelekileyo:
- I-Oligoarticular arthritis ibhekisa kwi-arthritis echaphazela amalungu amabini ukuya kwamane.
- Ngokwezonyango i-polyarthritis ichazwa ngokuba ne-arthritis kumalungu amahlanu nangaphezulu.
I-Polyarthritis inokubangelwa yiyo nayiphi na imeko echaphazela amalungu akho. Iimpawu zakho ezithile kunye nobunzima bazo kuya kuxhomekeka kwisizathu esiyintloko kunye namalungu achaphazelekayo.
Ukuba ufumana iintlungu ezintsha zamalungu, ukuqina, okanye ezinye iimpawu ezinxulumene noko, kubalulekile ukubonisana nogqirha wakho. Bangasebenzisana nawe ukwenza isicwangciso sonyango esilungiselelwe wena ngokukodwa iimfuno zakho.
Ngubani osengozini enkulu yokuba ne-Polyarthritis?
Nabani na osele esengozini yokuba nesifo samathambo unamathuba amaninzi okufumana isifo samathambo esibizwa ngokuba yi-polyarthritis. Nangona isifo samathambo sinokuchaphazela nabani na, amaqela athile ajongene nomngcipheko omkhulu:
- Abantu abangaphezu kweminyaka engama-50: Njengoko sikhula, ukuguguleka kwamalungu yinkqubo yendalo.
- Abafazi: Ezinye iintlobo ze-arthritis, ezifana ne-rheumatoid arthritis, zixhaphake kakhulu kubafazi.
- Abantu abanezifo zokuzikhusela komzimba : Kwezi meko, inkqubo yakho yomzimba ihlasela ngempazamo iiseli zakho ezisempilweni, nto leyo ekhokelela ekuvuvukeni kwamalungu .
- Abantu abatyebe kakhulu : Ubunzima obugqithisileyo bubeka uxinzelelo olongezelelekileyo kumalungu athwala ubunzima, ingakumbi amadolo kunye nezinqe.
- Abadlali: Ngenxa yokusebenzisana okuphindaphindiweyo ixesha elide kunye namathuba okusebenzisa iziyobisi ngaphambiliukwenzakala .
Ixhaphake kangakanani iPolyarthritis?
I-arthritis ixhaphake kakhulu. Iingcali ziqikelela ukuba phantse isithathu sabantu abadala abangaphantsi kweminyaka engama-64 ubudala baphila nohlobo oluthile lwe-arthritis. Phakathi kwabo baneminyaka engama-65 nangaphezulu, malunga nesiqingatha samadoda kunye nesibini kwisithathu sabasetyhini bayachaphazeleka.
Kunzima ukuqikelela ukuba i-polyarthritis ixhaphake kangakanani na, njengoko abantu abaninzi besenokungazi ukuba banayo okanye bangaze bafumane ukuxilongwa ngokusemthethweni. Rhoqo, ukuba isigulana sifuna unyango lwelungu elinye elibuhlungu, iimpawu kwamanye amalungu abuhlungu kakhulu zinokungahoywa okanye zilawulwe ngokungathanga ngqo.
Ziziphi iimpawu zePolyarthritis?
Iimpawu eziqhelekileyo ze-polyarthritis ziquka:
- Intlungu yamalungu : Ivela kwiindawo ezininzi endaweni yokuba ibe nye kuphela.
- Ukuqina kwamalungu: Ubunzima bokushukumisa amalungu, ingakumbi xa uvuka kusasa okanye emva kokuhlala ixesha elide.
- Ukuziva ufudumele kufutshane nelungu.
- Ukutshintsha kombala wolusu okanye ukuba bomvu okujikeleze ilungu.
- Ukudumba kwamalungu.
- Ukuthamba xa uchukumisa ilungu okanye indawo engqongileyo.
I-Polyarthritis evuthayo kunye ne-Non-inflammatory
Ngokuxhomekeke kwisizathu, ugqirha wakho uza kubeka imeko yakho ngokweendidi zokudumba okanye ezingavuziyo :
- I-inflammatory polyarthritis ibangela ukudumba, ukuba bomvu, kunye nokufudumala kwamalungu achaphazelekileyo. Oku kudla ngokubangelwa yimeko yokuzikhusela komzimba okanye usulelo.
- I-polyarthritis engavuvukaliyo ayisoloko ibonakalisa ukudumba okukhulu. Oku kudla ngokuba yimiphumo "yokuguguleka nokukrazula," njengakwi-osteoarthritis, apho i-cartilage ekhusela amalungu iye iphele kancinci kancinci ngokuhamba kwexesha.
Yintoni ebangela iPolyarthritis?
Zininzi izinto ezinokubangela i-polyarthritis. Kwabanye, uhlobo olunye lwe-arthritis lusasazeka emzimbeni wonke. Kwabanye, lusenokuba luphawu lwesibini lwemeko yempilo eyahlukileyo. Izizathu eziqhelekileyo ze-polyarthritis ziquka:
Iintlobo ze-arthritis ezisasazeka kumalungu amaninzi
Ukuba sele unayo uhlobo lwe-arthritis, ingaqhubekela kwi-polyarthritis ngokuhamba kwexesha. Nangona iintlobo ezininzi zinokubangela oku, imizekelo eqhelekileyo ibandakanya:
- 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 ezichaphazela umzimba
Isifo sokuzikhusela komzimba senzeka xa inkqubo yakho yomzimba yokuzikhusela, eyenzelwe ukukukhusela, ihlasela umzimba wakho ngempazamo. Nangona unobangela ochanekileyo ungacacanga, ezi ntlaselo zinokukhokelela kwiintlobo ezahlukeneyo ze-arthritis. Ezinye zeemeko zokuzikhusela komzimba ezidla ngokubangela i-polyarthritis ziquka:
- I-Lupus
- I-Sarcoidosis
- I-Scleroderma
- I-rheumatoid arthritis kunye ne-Psoriatic arthritis nazo ziintlobo ze-arthritis ezibangelwa ziinkqubo zokuzikhusela komzimba.
Iintsholongwane
Ezinye izifo ezibangelwa yintsholongwane kunye neentsholongwane nazo zinokubangela i-polyarthritis. Xa inkqubo yakho yomzimba ilwa nentsholongwane okanye iintsholongwane, impendulo ngamanye amaxesha inokuba yingozi kakhulu okanye ibangele umonakalo ochaphazela amalungu akho. Imizekelo yezifo ezinokubangela oku ibandakanya:
- I-hepatitis yentsholongwane
- Isifo seLyme
- Umkhuhlane werheumatic
- I-Mononucleosis (i-mononucleosis)
- I-Parvovirus
- Isifo seWhipple
- Intsholongwane yokungakwazi ukuzikhusela komzimba womntu (i-HIV)
Ifunyanwa njani iPolyarthritis?
Ugqirha wakho uza kuxilonga i-polyarthritis ngovavanyo lomzimba kunye novavanyo oluthile lokuxilonga . Baza kuhlola amalungu akho abuhlungu, bavavanye ukuba iimpawu zakho ziqhubeke ixesha elingakanani, baze bavavanye ubukhali bentlungu yakho. Baza kujonga nomgama wokuhamba kwakho ukuze babone ukuba ungawashukumisa njani amalungu akho ngempumelelo.
Ukuqinisekisa ukuxilongwa ngokuchanekileyo, ugqirha wakho unokwenza uxilongo olwahlukileyo ukuze akhuphe ezinye iimeko ezinokubangela iimpawu zakho, ezinje ngezi:
- Ii-lymph nodes ezivuvukileyo
- Umphimbo obuhlungu (pharyngitis)
- I-Fibromyalgia
- I-Hemochromatosis
- Isifo samathumbu esidumbileyo
- Isiganeko sikaRaynaud
Ziziphi Iimvavanyo Ezibandakanyekayo?
Ugqirha wakho unokuyalela uvavanyo lwemifanekiso ukuze afumane umbono ocacileyo wamalungu akho:
- Ii-X-reyi
- I-MRI (Umfanekiso weMagnetic Resonance)
- I-ultrasound
Ukuba unesidumba samalungu, ugqirha wakho angakunika inaliti yokufunxa amalungu . Kule nkqubo, kusetyenziswa inaliti encinci ukukhupha ulwelo oluncinci lwe-synovial kwilungu, oluthunyelwa kwilebhu ukuze kufunyanwe unobangela wokuvuvukala.
Ukongeza, uvavanyo lwegazi okanye olunye uphando lwelabhoratri lunokufuneka ukuze kuchongwe izifo ezisisiseko okanye iimeko zomzimba.
Iphathwa njani iPolyarthritis?
Unyango lwe-polyarthritis luxhomekeke kwizinto ezininzi:
- Unobangela oyintloko.
- Uhlobo oluthile lwe-arthritis.
- Ubukhali beempawu zakho.
Ugqirha wakho uza kulungisa isicwangciso sonyango esihambelana neemfuno zakho ezithile, ezinokuquka:
- Amayeza:
- Amayeza okuguqula izifo (ii-DMARD): La mayeza anceda ekuguquleni ukuqhubela phambili kweemeko ezifana ne-rheumatoid arthritis.
- Ii-NSAID ezithengiswa ngaphandle kwekhawuntara (OTC) kunye ne-acetaminophen/paracetamol: Ezi zinceda ukulawula iintlungu kunye nokudumba.
- Unyango lomzimba: Ugqirha wakho okanye ingcali yonyango lomzimba iza kukunika ukolula kunye nokuzilolonga ukuphucula uluhlu lwakho lokushukuma kunye nokuqinisa izihlunu ezijikeleze amalungu achaphazelekileyo. Ukungaguquguquki kubalulekile.
- Iinaliti: Ezinye izigulana zinokufuna iinaliti ezithe ngqo zamalungu, ezifana ne -corticosteroids (ukunciphisa ukudumba) okanye i-viscosupplementation (ukuthambisa amalungu).
- Utyando lokutshintshwa kwamalungu (i-Arthroplasty): Kwiimeko ezinzima apho ilungu lonakele kakhulu, kunokucetyiswa ukuba kutshintshwe utyando. Ugqirha wakho okanye ugqirha wakho uza kuxoxa nawe ngale ndlela.
Ungayinciphisa njani ingozi ye-polyarthritis?
Ungathatha amanyathelo okunciphisa umngcipheko wakho okanye ukulawula impilo yamalungu:
- Ziphephe iimveliso zecuba: Ukutshaya kuyandisa ukudumba kwaye kuyonakalisa impilo yakho iyonke.
- Yenza umthambo ongenampembelelo ingako: Imisebenzi efana nokudada nokuhambahamba iluncedo kakhulu kwimpilo yamalungu.
- Landela ukutya okunempilo kunye nesicwangciso sokuqina komzimba: Ukutya okunesondlo kunye nokuzilolonga rhoqo kunceda ukugcina ubunzima obusempilweni, nto leyo enciphisa uxinzelelo kumalungu akho.
- Sebenzisa izixhobo zokuzikhusela: Nxiba izixhobo zokhuseleko ezifanelekileyo ngexesha lokuzivocavoca umzimba ukuthintela ukwenzakala kwamalungu.
Yintoni Onokuyilindela Nge-Polyarthritis
Usenokuba ne -acute polyarthritis , eyenzeka okwexeshana kwaye ihlala iphela xa usulelo olungaphantsi luphelile. Okanye, usenokuba ne -chronic polyarthritis , eyenzeka ixesha elide okanye eqhubekayo.
Nangona iintlobo ezininzi ze-arthritis zingenalo unyango olupheleleyo, uninzi lwabantu lunokulawula ngempumelelo le meko ixesha elide. Musa ukudimazeka; eNirogi Lanka, iqela lakho lezonyango liza kusebenza nawe ukufumana indibaniselwano efanelekileyo yonyango ukunciphisa iimpawu zakho.
Ufanele Ufune Nini Ingcebiso Yezonyango?
Bona ugqirha ngokukhawuleza xa ubona naziphi na iimpawu ezichaphazela amalungu. Ngenxa yokuba i-polyarthritis inezizathu ezininzi ezinokubangela, kubalulekile ukuba naziphi na iintlungu ezintsha, ukudumba, okanye ukutshintsha kombala wolusu zihlolwe ngokukhawuleza.
Musa ukuyityeshela iimpawu zakho. Ukuba usulelo luyimbangela, unyango lwasekuqaleni lubalulekile ukuze luthintelwe ukuba lungaqhubeki okanye lusasazeke.
Ixesha lokutyelela iSebe leNgxamiseko
Ukuba ufumana iintlungu eziqatha, ukulahlekelwa ngumsebenzi wamalungu ngequbuliso, okanye ukungakwazi ukuhambisa inxalenye yomzimba wakho, funa unyango olungxamisekileyo ngokukhawuleza kwisibhedlele esikufutshane nawe okanye ngokufowunela u-911.
Imibuzo Omele Uyibuze Ugqirha Wakho
Kuyanceda ukubuza le mibuzo ilandelayo ngexesha ledinga lakho:
- Luhlobo luni lwesifo samathambo endinaso?
- Yintoni unobangela wale meko?
- Zeziphi iimvavanyo zokuxilonga ekufuneka ndizenze?
- Zeziphi iindlela zonyango ezilungileyo kum?
- Ndingalindela ukuba ezi mpawu ziqhubeke ixesha elingakanani?
Yintoni umahluko phakathi kwePolyarthritis kunye neRheumatoid Arthritis?
I-Polyarthritis ligama elisetyenziswa xa ufumana ukudumba kumalungu amahlanu okanye ngaphezulu ngaxeshanye. Ayisosifo sithile ngokwaso, kodwa yinkcazo yeklinikhi ebonisa ukuba amalungu amaninzi achaphazeleka ngaxeshanye.
I-rheumatoid arthritis (RA) yimeko ethile yokuzikhusela komzimba. Ukuba une-RA, inkqubo yakho yomzimba ihlasela ngempazamo ulwelo lwamalungu akho kumacala omabini omzimba wakho. Ngenxa yokuba inokuchaphazela amalungu amaninzi, idla ngokuqhubekela phambili ifikelele kwinqanaba apho ikwabizwa ngokuba yi-polyarthritis.
Yintoni iSeronegative Polyarthritis?
I-Seronegative arthritis luhlobo olwahlukileyo lwe-inflammatory arthritis. Njengezinye iintlobo, inokubandakanya amalungu amahlanu nangaphezulu, nto leyo eyenza ukuba ibe yi-polyarthritis. Ukuba ukhathazekile malunga noku kuchongwa, okanye ukuba sele ufunyenwe une-rheumatoid arthritis kwaye ubona iimpawu ezintsha, nceda uqhagamshelane nogqirha wakho oyintloko okanye ingcali ye-rheumatologist (ingcali kwiimeko zamalungu kunye ne-autoimmune) eNirogi Lanka.
Izinto ezibalulekileyo ekufuneka ziqwalaselwe
Ukuphila ne-polyarthritis kunokuba buhlungu kwaye kube nzima, kodwa nceda wazi ukuba awuwedwa. Iqela lakho lezonyango eNirogi Lanka liza kukunceda uchonge unobangela wokudumba kwakho kwaye likuchazele ukuba ungazibona nini iimpawu ezingaqhelekanga. Silapha ukukunceda ufumane isicwangciso sonyango esisebenzayo sokulawula iimpawu zakho kunye nokubuyisela amandla akho okonwabela imisebenzi yakho yemihla ngemihla.
Ukuba ubona naluphi na utshintsho kwiimpawu zakho, ingakumbi ukuba ziya zisiba mandundu ngokukhawuleza, nxibelelana nogqirha wakho okanye undwendwele isebe likaxakeka elikufutshane nawe ngoko nangoko. Ukungenelela ngokukhawuleza kwezonyango kubalulekile ukuze ulawulo olusebenzayo luphumelele.
