Ngaba nawe unezinye iimpawu kunye nolu hlobo lwentlungu yamalungu? Masifunde nge-Reactive Arthritis!

Ngamanye amaxesha singafumana iintlungu zamalungu ngequbuliso, akunjalo? Kunye noko, ezinye iimpawu ezifana nobuhlungu bomzimba kunye namehlo abomvu zinokuvela. Usenokungacingi nokucinga ngako, kodwa oku kungaba sisiphumo esingesihle sosulelo oluncinci owawunalo ngaphambili. Lolo hlobo lwesimo esiza kuthetha ngaso namhlanje, esibizwa ngokuba yiReactive Arthritis.

Yintoni iReactive Arthritis?

Ngamafutshane, isifo samathambo esibizwa ngokuba yiReiter's Syndrome, sisifo sexesha elifutshane esibangela ukuba amalungu adumbe aze abe buhlungu. Sibangelwa sisifo sebhaktheriya. Khawuthelekelele ukuba unesifo sebhaktheriya kwindawo ethile emzimbeni wakho, mhlawumbi kwindlela yakho yomchamo, kwizitho zangasese, okanye emathunjini, kwaye emva kokuba usinyangile, inkqubo yakho yomzimba yokuzikhusela isabela ngendlela engaqhelekanga.

Ngokwesiqhelo, inkqubo yethu yokuzikhusela komzimba ilwa nezifo ezibangelwa zizifo kwaye izibulale. Kodwa okwenzekayo kule arthritis esabelayo kukuba nangona usulelo luphelile, inkqubo yokuzikhusela yomzimba icinga ukuba, "Idabi alikapheli." Ngoko ke ibangela ukudumba kwiindawo apho bekungekho zifo, ingakumbi kumalungu akho, emehlweni, naselusu. Kufana namajoni asadubulana emva kwemfazwe, kodwa akanakuhlala nje alinde.

Nangona kunjalo, njengeentlobo ezininzi ze-arthritis, le ayisiyongxaki yobomi bonke. Idla ngokuphela kungekapheli nonyaka. Ayisosiqabu esikhulu eso?

Zithini iimpawu?

Ngoku makhe sibone ukuba zeziphi iimpawu esinokuzilindela kule ntsholongwane yesifo samathambo.

Iimpawu ezibalulekileyo neziqhelekileyo ziintlungu kunye nokuqina kwamalungu , ingakumbi kwezi ndawo zilandelayo:

• Umqolo wakho ongezantsi ulungile.
• Amadolo
• Iqatha
• Iinyawo

Kodwa ukongeza koku, ezinye iimpawu zinokuvela. Masibone ukuba zithini:

• Ukubomvu kwamehlo, ukudumba, kunye nentlungu (kusenokuvakala ngathi kukho into esweni).
• Iimpawu zesisu ezifana nentlungu yesisu kunye norhudo.
• Isidingo sokuchama rhoqo kunye nokuva iintlungu xa uchama.
• Amaqhuqhuva eluswini kunye nezilonda emlonyeni .
• Intlungu yesithende, mhlawumbi i-Achilles tendinitis .
• Ukudumba kweminwe, ingakumbi iminwe neenzwane. Abanye abantu babiza oku ngokuthi 'iminwe yesoseji' kuba umnwe ngokwawo uvuvukala njengesoseji.
• Iimpawu ezifana nomkhuhlane ezifana nomkhuhlane, iintlungu zomzimba, kunye nokudinwa kakhulu.

Yintoni le 'Triad'?

Ngamanye amaxesha xa oogqirha bethetha nge-reactive arthritis, bathetha nge-'triad'. Oko kukuthi, indibaniselwano yeempawu ezintathu . Oku kunceda ekuchongeni esi sifo ngokukhawuleza. Iimpawu ezintathu zezi:

1. I-Arthritis - Oku kuthetha ukudumba kwamalungu.

2. I-Conjunctivitis - Oku kuthetha ukudumba kwamehlo, ukubomvu kwamehlo.

3. I-Urethritis - Oku kuthetha ukudumba kwe-urethra, ukutsha ngexesha lokuchama.

Kodwa khumbula, ayinguye wonke umntu onazo zonke ezi mpawu zintathu ngaxeshanye. Abanye abantu abaze babe nazo zonke ezi mpawu zintathu ngaxeshanye. Iimpawu ezahlukeneyo zinokufika zize zidlule. Ngoko ke usenokuba nezinye iimpawu ezingekhoyo kule 'triad'.

Yintoni ebangela oku?

Sele sitshilo ukuba isifo samathambo esibangelwa kukusabela kwamalungu omzimba siqala ngosulelo lwebhaktheriya . Nantsi into enokwenzeka rhoqo:

• Usulelo lwendlela yomchamo (UTI) .
• Usulelo oludluliselwa ngesondo (STI) .
• Usulelo lwesisu, olufana nokutyhefeka kokutya .
• Umqala obuhlungu .

Kukwakho nezinye iintlobo ezithile zeebhaktheriya ezinokuchaphazela oku:

• I-Chlamydia
• I-Gonorrhea
• I-Salmonella
• IShigella
• I-Campylobacter
• IYersinia
• I-Mycoplasma
• C. nzima
• I-Streptococcus

I-Reiter's Syndrome iqala emva kweentsuku ezimbalwa okanye iiveki emva kokuba usulelo lokuqala luqalile. Kwaye akwenzeki kubo bonke abantu, kodwa kwipesenti encinci yabantu abafumana usulelo. Kubonakala ngathi lubangelwa lusulelo olubangela impendulo ye-autoimmune kwinkqubo yakho yomzimba. Oko kukuthi, inkqubo yakho yomzimba iqala ngempazamo ukuhlasela amalungu asempilweni omzimba wakho, ibangele ukudumba.

Kodwa ngethamsanqa, ngokungafaniyo nezifo ezininzi zokuzikhusela komzimba, isifo samathambo esisabelayo sidla ngokuba yimeko yexeshana.

I-reactive arthritis ikwiqela le-inflammatory arthritis ebizwa ngokuba yi-spondyloarthritis. Uninzi lwazo zizifo ezizikhuselayo emzimbeni. Izazinzulu azikaqiniseki ukuba kutheni abanye abantu befumana ezi zifo kanti abanye bengenazo. I-reactive arthritis ayifuni usulelo olukhulu nolunzima ukuze iphuhle.

Enye into enokuba nefuthe koku yijini ebizwa ngokuba yiHLA-B27 . Abantu abaninzi abafumana i-spondyloarthritis kunye ne-Reiter's syndrome banale jini.

Ngubani onokuthi achaphazeleke kakhulu koku?

Nangona nabani na enokuba nesifo samathambo esibizwa ngokuba yi-reactive arthritis, abanye abantu basengozini enkulu yokuba naso. Ezi ziquka:

• Amadoda angaphantsi kweminyaka engama-40 ubudala.
• Ukuba unosulelo lwe-HIV .
• Ukuba unesinye isifo sokuzikhusela komzimba .
• Ukuba une -HLA-B27 gene ekhankanyiweyo ngaphambili emzimbeni wakho.

Uyibona njani le nto?

Ukuba usandul’ ukubonakalisa iimpawu ze-arthritis, ezinje ngentlungu yamalungu kunye nokudumba, kufuneka uxelele ugqirha wakho. Uza kukuhlola. Xa iimpawu ezithile zidibana, ugqirha wakho unokurhanela ukuba i-arthritis iyasebenza. Ngokukodwa, uza kubuza ukuba usandul’ ukuchacha kwisifo esinokubangela loo nto.

Kunokufuneka iimvavanyo ezahlukeneyo ukuze kufunyaniswe esi sifo ngokuchanekileyo. Umzekelo:

• Uvavanyo lwe-X-ray .
• I-CT scan (i-Computed Tomography - i-CT scan) .
• Iskeni se-MRI (Magnetic Resonance Imaging - MRI) .
• Ukufunxa/ukudumba kwamalungu: Oku kwenzelwa ukujonga ukudumba kunye nezinye izifo ngaphakathi kwamalungu.
• Ukuthatha i-throat culture (ukuba kukho ukrokrelo lokuba unosulelo lomphimbo).
• Uhlalutyo lomchamo .
• Uvavanyo lwegazi : Olu vavanyo lunokujonga ukudumba, ubukho be-HLA-B27 gene, kunye nezinye izifo.

Iphathwa njani?

Oogqirha banokucebisa iindlela ezahlukeneyo zonyango lwe-reactive arthritis.

• Amayeza okubulala iintsholongwane: Ngokuxhomekeke kusulelo olusisiseko kunye nokuba lusasebenza na, amayeza okubulala iintsholongwane afana ne -doxycycline kunye ne-rifampin anokunikwa. La mayeza anokunceda ekumiseni okanye ekukhawuleziseni ukuphiliswa kwe-reactive arthritis.
• Ii-NSAID (Amayeza okulwa nokuvuvukala angengawo awe-steroidal): La ngamayeza okulwa nokuvuvukala angengawo awe-steroidal . I-NSAID enamandla efana ne-Indomethacin inokunikwa ngeedosi eziphezulu okwethutyana. Idosi iyancitshiswa xa iimpawu ziphela.
• Ii-DMARD (amayeza alwa nezifo aguqula isifo samathambo): Ii-DMARD, ezifana ne-sulfasalazine, zinyanga isifo samathambo esidumbayo ngokuthintela umsebenzi othile wenkqubo yakho yokuzikhusela komzimba. Ezi zinokunceda ukuba ii-NSAID azilawulwa kakuhle.
• IiCorticosteroids:La ngamayeza anamandla okulwa nokuvuvukala. Nangona ii-steroids zomlomo zingabangeli nzuzo ingako kubantu abaninzi abane-Reiter's Syndrome, ngamanye amaxesha zinokusetyenziswa eluswini njengeekhrimu okanye zifakwe njengenaliti ngqo kwilungu elibuhlungu.

Kubalulekile: Zonke ezi ndlela zonyango mazithathwe kuphela phantsi kwengcebiso kagqirha. Ukuzinyanga ngokwakho kunokuyenza imeko ibe mandundu ngakumbi.

Ngaba oku kunganyangwa ngokupheleleyo?

Uninzi lwexesha, iReiter's Syndrome 'iyazincipha' . Oko kukuthi, iya kuziphelela ngokwayo ngokuhamba kwexesha (ngesiqhelo kwiinyanga ezi-3 ukuya kwezili-12). Okwangoku, unyango lunokunceda ukulawula iimpawu kwaye lukuncede uphile ngokukhawuleza.

Nangona kunjalo, kuba isifo samathambo esibangelwa kukusabela komzimba sisifo sokuzikhusela komzimba, akukho sifo sokuzikhusela komzimba esinokunyangwa ngokwenene. Oku kuthetha ukuba kusoloko kukho ithuba lokuba iimpawu ziya kubuya. Umzekelo, ukuba ufumana olunye usulelo.

Kwinani elincinci kakhulu labantu, isifo sikaReiter sinokukhokelela kuhlobo olunzima noluhlala ixesha elide lwe-arthritis olubizwa ngokuba yi-spondyloarthritis. Banokudumba kwamalungu ixesha elide, okunokukhokelela ekulimaleni kwamalungu. Kunzima ukutsho ngokuqinisekileyo ukuba le yi-chronic reactive arthritis okanye ingaba yimbangela yesinye isifo. Isifo esinye sokuzikhusela komzimba sinokukhokelela kwesinye, kwaye abanye abantu banokuba ne-arthritis engaphezulu kwesinye.

Yintoni onokuyenza ngelixa uphila nale meko?

Nangona kuyinto yexeshana, isifo samathambo esibangela ukugula sinokuba nefuthe elikhulu kubomi bakho bemihla ngemihla. Abanye abantu baneempawu ezibuthathaka, ezifika zihambe, ngelixa abanye banokudinwa kakhulu kwaye bangonwabi. Kusenokufuneka wenze utshintsho oluthile kwimisebenzi yakho yemihla ngemihla kunye neshedyuli yomsebenzi ngeli xesha.

Ugqirha wakho unokucebisa izinto ezifana nezi:

• Unyango lomzimba: Ingcali yonyango lomzimba ingakufundisa indlela yokuzilolonga kancinci izihlunu kunye nemisipha exhasa amalungu akho abuhlungu. Oku kunokunceda ukunciphisa ukuqina kwamalungu kunye nokunciphisa uxinzelelo kumalungu. Khawuthelekelele ukuba uSameera wayenobunzima bokuhamba ngenxa yentlungu yamadolo. Ngokwenza imithambo elula imihla ngemihla, ingcali yonyango lomzimba yanciphisa kancinci intlungu yakhe yaza yamvumela ukuba asebenze ngokuqhelekileyo kwakhona.
• Iingcali zokulungisa amalungu omzimba: Ingcali yezonyango zomsebenzi ingakunika iingcebiso malunga nendlela yokuxhasa okanye yokutshintsha indlela osebenzisa ngayo amalungu akho. Ungazuza ngokusebenzisa i-brace, i-splint, okanye i-insert yezihlangu.
• Unyango olushushu/olubandayo: Iipakethi zomkhenkce kunye neepakethi zobushushu zinokunceda ekunciphiseni iintlungu ngeendlela ezahlukeneyo. Umzekelo, ugqirha wakho unokucebisa ukuba ufake umkhenkce kumalungu abuhlungu okanye ubushushu kwizihlunu eziqinileyo.
• Ukulala ngamandla: Ukudinwa okungapheliyo kunokukwenza udinwe. Kodwa ukuhlala ebhedini ixesha elide akulunganga kumalungu akho abuhlungu okanye izihlunu eziqinileyo. Endaweni yoko, thatha ikhefu ngamandla uze uzame ukuhambahamba kancinci ngexesha lolo hambo.

Khawuthelekelele, xa ucinga ukuba usulelo lwakho luphelile, kuvela lo mntu ungamaziyo obizwa ngokuba yi-reactive arthritis ngequbuliso, ekubuyisela iimpawu zosulelo lokuqala, kunye neempawu ezintsha, ingakumbi ukudumba kwamalungu. Nokuba kukuchaphazeleka kancinci okanye kakhulu, kunzima kakhulu ukuhlala nokungaqiniseki ukuba oku kuza kuphela nini. Kodwa, kubantu abaninzi, kuyaphela, kwaye kude kube ngoko, unyango lunokunceda.

Izinto ekufuneka uzikhumbule ngokufutshane

Kulungile, masishwankathele izinto ekufuneka uzikhumbule malunga neReactive Arthritis.

• I-reactive arthritis kukudumba okwethutyana kwamalungu okwenzeka emva kosulelo lwebhaktheriya.
• Oku kunokubangela iimpawu ezifana neentlungu zamalungu, ukudumba, amehlo abomvu, kunye nosulelo lomchamo.
• Ayingabo bonke abantu abafumana iimpawu ezifanayo, kwaye iimpawu zinokufika ziphinde ziphele.
• Esi asisosifo esosulelayo, kodwa usulelo olusibangelayo (umz. ii-STIs, ukutyhefeka kokutya) lunokosulela.
• Oku kudla ngokuphiliswa kwiinyanga ezimbalwa ukuya kunyaka.
• Unyango lunokulawula iimpawu. Qiniseka ukuba ulandela imiyalelo kagqirha wakho.
• Ngenxa yokuba le yimeko yokuzikhusela komzimba, ayinakuphinda ivele okanye ihlale ixesha elide.
• Ukuba unale mpawu, nceda udibane nogqirha ukuze akunike ingcebiso. Ungakhathazeki, le meko ingalawuleka ngonyango olufanelekileyo kunye nolawulo.

Isifo samathambo esisabelayo, isifo sikaReiter, ukudumba kwamalungu, usulelo, iintsholongwane, inkqubo yomzimba yokuzikhusela, iintlungu zamalungu, iintlungu zamalungu, isifo sikaReiter, isifo samathambo esisabelayo