Ingaba unamalungu aqinileyo namalungu abuhlungu kusasa? Ngaba oku kungaba sisifo samathambo?

Ngaba ngamanye amaxesha uziva uqinile xa uvuka kusasa? Kufana nokuba iqhekeza lomthi libethelwe emzimbeni wakho, okwenza kube nzima ukugoba okanye ukushukuma? Ukuba amalungu akho nawo abuhlungu kwaye adumbile, ingakumbi kwiminwe yakho, ezihlahleni, nasemadolweni... usenokungazinaki kakhulu ezi zinto. Usenokucinga, "Mhlawumbi kukudinwa nje kancinci" okanye " Yindlela okhula ngayo." Nangona kunjalo, ukuba ezi mpawu ziyaqhubeka, inokuba luphawu lokuqala lwesifo esibizwa ngokuba yiRheumatoid Arthritis (RA) . Makhe sithethe ngale nto ngokweenkcukacha namhlanje, akunjalo?

Yintoni iRheumatoid Arthritis? Ngamafutshane...

Ngamafutshane, isifo samathambo esibizwa ngokuba yi-rheumatoid arthritis sisifo esinganyangekiyo , okanye esiqhubekayo. Ngoku usenokuba uzibuza, "Siyintoni esi sifo sokuzikhusela komzimba?" Kaloku, imizimba yethu inenkqubo yokuzikhusela yomzimba. Ifana nomkhosi wethu. Ifanele ukuba isikhusele kwiintsholongwane nezifo ezivela ngaphandle. Kodwa kwi-rheumatoid arthritis, inkqubo yethu yokuzikhusela iqala ngempazamo ukuhlasela amalungu ethu, ingakumbi i-membrane encinci ewagubungelayo, i-synovium . Khawucinge nje, kufana nomkhosi wethu ohlasela amakhaya ethu!

Idla ngokuchaphazela amalungu kwiminwe, ezandleni, ezihlahleni, emadolweni, emaqatheni, ezinyaweni, nasezinzwaneni . Okunomdla kukuba i-RA idla ngokuchaphazela amalungu afanayo kumacala omabini omzimba. Oko kuthetha ukuba ukuba ichaphazela isandla esisesandleni sasekunene, kusenokwenzeka ukuba ichaphazele nesandla esisesandleni sasekhohlo. Esi sesinye sezizathu zokuba i-RA yahluke kwezinye iintlobo ze-arthritis.

Oku kuvutha okungalawulekiyo, okubangela ukudumba, ukuba bomvu, kunye nentlungu, konakalisa i-cartilage emalungwini ethu. I-cartilage ifana 'ne-shock absorber', umqamelo othintela amalungu ukuba angakhuhlani kunye kwaye uwancede ashukume ngokulula. Ekuhambeni kwexesha, lo monakalo we-cartilage unokubangela ukuba amalungu aguge kwaye ekugqibeleni amathambo aguge. Oku kunokubangela ukuba amalungu ahlangane, okuwenza anganyakazi.

Le nkqubo ibandakanya iiseli ezikhethekileyo kunye neekhemikhali ezivela kwinkqubo yethu yokuzikhusela komzimba. Nangona ezi ziveliswa ngaphakathi kwamalungu, zinokuhamba emzimbeni wonke ngegazi kwaye zibangele ezinye iimpawu. Oku kuthetha ukuba i-rheumatoid arthritis ayipheleli nje kumalungu. Ngamanye amaxesha le yile:

• Ulusu
• Amehlo
• Umlomo
• Imiphunga
• Intliziyo

Ingachaphazela nezinye iindawo zomzimba.

Ziziphi iimeko zesi sifo?

Singathetha nge-rheumatoid arthritis ikakhulu ngamanqanaba amane. Kodwa ayizizo zonke ezi zigaba ezifika ngexesha elinye kumntu wonke, kwaye abanye abantu banokudlula kwezi zigaba kangangeminyaka.

• Inqanaba loku-1: Eli lelona nqanaba lokuqala . Ngeli xesha, izicubu ezijikeleze amalungu akho ziqala ukudumba, okanye ukudumba. Ungaziva iintlungu nokuqina kwamalungu akho. Ukuba ugqirha wenza i-X-ray ngeli xesha, usenokungaboni naluphi na utshintsho olukhulu okanye umonakalo emathanjeni.
• Inqanaba lesi-2: Ngoku ukudumba okukhankanyiweyo ngaphambili kuqalile ukonakalisa i-cartilage emalungu akho. Usenokuziva ukuqina ngakumbi kumalungu akho, kwaye umgama wokunyakaza kwakho unokuncipha kancinci.
• Inqanaba lesi-3: Okwangoku, ukudumba sele kukhulu kakhulu kwaye namathambo aqala ukonakala. Intlungu nokuqina kukhulu kakhulu kunakwinqanaba lesi-2. Umgama wokuhamba kwamalungu uyancipha ngakumbi. Ngeli xesha, utshintsho kwimbonakalo yamalungu (ukuthamba, ukudumba) lunokuqala ukubonakala.
• Inqanaba lesi-4: Ngeli xesha, ukudumba okukhulu okwakukho ngaphambili kuyekile, kodwa amalungu ayaqhubeka nokuwohloka. Usenokuba neentlungu eziqatha, ukudumba, ukuqina, kunye nokulahlekelwa kukuhambahamba ngokupheleleyo .

Khumbula, ayinguye wonke umntu odlula kuzo zonke izigaba ezine. Abanye abantu bayakwazi ukulawula esi sifo kwinqanaba elinye, ingakumbi ukuba bafumana unyango olufanelekileyo ngexesha elifanelekileyo .

Ngaba kukho ubudala apho le meko idla ngokuvela khona?

I-rheumatoid arthritis ixhaphake kakhulu kubantu abaphakathi kweminyaka engama-30 ukuya kwengama-60. Nangona kunjalo, inokuchaphazela abantu bayo nayiphi na iminyaka. Kubantwana nakubantu abadala abaselula, abadla ngokuba phakathi kweminyaka eli-16 ukuya kwengama-40, ibizwa ngokuba yi -Young-Onset Rheumatoid Arthritis (YORA) . Kubantu abafumana iimpawu emva kweminyaka engama-60, ibizwa ngokuba yi-Later-Onset Rheumatoid Arthritis (LORA) .

Ziziphi iimpawu eziphambili ze-rheumatoid arthritis?

Iimpawu zesi sifo zingahluka kumntu nomntu, kodwa kukho ezinye iimpawu eziqhelekileyo:

• Intlungu, ukudumba, ukuqina, kunye nokuthamba kwamalungu angaphezu kwelinye.
• Ukuqina, ingakumbi kusasa okanye emva kokuma ixesha elide. Kwabanye, oku kuqina kunokuhlala iiyure ezininzi.
• Intlungu nokuqina kwamalungu afanayo kumacala omabini omzimba. Umzekelo, ukuba kusedolweni lasekunene, kuyafana nasedolweni lasekhohlo.
• Ukudinwa. Oku akukokudinwa nje okuqhelekileyo, kodwa kukudinwa okukhulu okukwenza uzive ngathi awunamandla, nokuba ulala kangakanani na.
• Ubuthathaka.
• Ifiva.

I-RA ayichaphazeli ubomi bomntu wonke ngendlela efanayo. Kwabanye, iimpawu zikhula kancinci kancinci, ngokuhamba kweminyaka. Kwabanye, iimpawu zinokuvela ngokukhawuleza. Abantu abaninzi banexesha lokwanda kweempawu ( ukudumba ), xa isifo siba sibi kakhulu, kunye namaxesha okungabi nazimpawu, amaxesha abonakala esempilweni ( ukuxolelwa ).

Ziziphi iimpawu ezibonakala kwizigaba zokuqala zesifo?

Iimpawu zokuqala ze-rheumatoid arthritis zinokuba bubuhlungu okanye iintlungu kumalungu amancinci, njengeminwe neenzwane zakho . Okanye zisenokuqala njengentlungu kumalungu amakhulu, njengedolo okanye igxalaba lakho. Ezi mpawu zokuqala zifana ne-alamu emiselwe ukungcangcazela. Usenokungazinaki. Kodwa ezi mpawu zokuqala zibaluleke kakhulu. Okukhona uqaphela ngokukhawuleza ukuba une-RA, kokukhona ungaqala unyango ngokukhawuleza. Kwaye unyango kwangoko lunokunceda ukuthintela umonakalo ohlala uhleli nobuhlungu kumalungu.

Yintoni isizathu soku? Kutheni oku kusenzeka?

Isizathu esichanekileyo se-rheumatoid arthritis asikaziwa. Abaphandi bakholelwa ukuba isenokuba yindibaniselwano yemfuza, iihomoni, kunye nezinto ezingqongileyo .

Ngokwesiqhelo, inkqubo yethu yokuzikhusela komzimba ikhusela umzimba kwizifo. Kodwa kwi-RA, kukho into (i-trigger) ebangela ukuba le nkqubo yokuzikhusela yomzimba ihlasele amalungu ethu. Oku kunokubangelwa lusulelo, ukutshaya, okanye uxinzelelo lomzimba okanye lwengqondo .

Ngaba isifo samathambo sibangelwa yimfuza?

Izazinzulu ziye zafunda inani lee-genes ezinokuchaphazela uphuhliso lwe-RA. Ezinye iinguqu ze-genetic kunye nezinto ezingezizo ze-genetic ziyadibana ukuze zonyuse umngcipheko womntu wokuba ne-RA. Izinto ezingezizo ze-genetic ziquka izinto ezifana nesini kunye nokuchaphazeleka kwizinto ezifana nomsi.

Ngokukodwa, abantu abazalwa beneenguqu ezithile kwiijini zeHuman Leukocyte Antigen (HLA) kufunyaniswe ukuba banamathuba amaninzi okufumana isifo samathambo esibizwa ngokuba yi-rheumatoid arthritis. Ezi jini ze-HLA zinceda inkqubo yethu yomzimba yokuzikhusela ukuba yahlule phakathi kweeproteni eziveliswa ngaphakathi emzimbeni kunye neeproteni ezivela kubahlaseli bamanye amazwe njengeentsholongwane kunye neebhaktheriya.

Ngubani osengozini enkulu yokuhlaselwa sesi sifo?

Kukho izinto ezininzi ezinokubangela umngcipheko ekuphuhlisweni kwe-rheumatoid arthritis. Nazi:

• Imbali yosapho: Ukuba umntu kusapho lwakho une-RA, nawe unokuba nayo.
• Isini: Abafazi banamathuba aphindwe kathathu okuba ne-RA kunamadoda.
• Ukutshaya:Ukutshaya akunyusi nje kuphela umngcipheko wokuba ne-RA, kodwa kunokwenza isifo sibe sibi kakhulu.
• Ukutyeba kakhulu: Ukuba ubunzima bomzimba wakho buphezulu kunesiqhelo, oko kukuthi, ukuba utyebile kakhulu, unamathuba amaninzi okuba ne-RA.

Zeziphi iingxaki ezinokwenzeka ukuba azinyangwa?

Ukuba i-rheumatoid arthritis ayinyangwa kakuhle, kukho ezinye iingxaki ezininzi ezinokubakho. Ezinye zazo zezi:

• Ukonakala kwamalungu okanye ukukhubazeka kwamalungu
• Kulula ukusuleleka zizifo ezibangelwa ziintsholongwane
• Amehlo omileyo nomlomo owomileyo (iimeko ezifana ne -Sjögren's syndrome )
• I-Carpal tunnel syndrome (imeko ebangelwa kukucinezelwa komthambo esandleni)
• I-Osteoporosis ( amathambo ayabhitya aze aphuke lula)
• Isifo sentliziyo
• Isifo semiphunga esingaphakathi kwesisu (imeko echaphazela imiphunga)
• I-Lymphoma ( umhlaza wenkqubo ye-lymphatic)

Kungoko ke kubaluleke kakhulu ukubona ugqirha ngokukhawuleza kwaye uqale unyango olufunekayo ukuba uneempawu.

Sifunyaniswa njani esi sifo? (Ukuxilongwa)

Ukuze afumanise ukuba unayo na i-rheumatoid arthritis, ugqirha wakho angakuthumela kwi -rheumatologist , ugqirha ogxile kwi-arthritis. Ingcali ye-rheumatologist iya kufumanisa ukuba unayo na i-RA ngokuqwalasela izinto ezahlukeneyo.

Baza kuqala benze uvavanyo lomzimba , babuze ngembali yakho yezonyango kunye neempawu, baze ba-odole uvavanyo lwegazi kunye novavanyo lwemifanekiso .

Uvavanyo lwegazi lujonga ikakhulu ukudumba emzimbeni kunye neeproteni ezithile zegazi (ii-antibodies) ezikhethekileyo kwi-rheumatoid arthritis. Ezi vavanyo ziquka:

• Izinga lokuTyalwa kweErythrocyte (ESR okanye “izinga lokuTyalwa kweSedimentation”)
• Iprotheyini esebenzayo ye-C (CRP)
• Ii-antibodies ze-Rheumatoid Factor (RF)
• Ii-antibodies zeCyclic Citrullinated Peptide (CCP)

Izinto ezinje zingabandakanywa.

Uvavanyo lwemifanekiso lukhangela iimpawu zokuguguleka kwamalungu akho. I-rheumatoid arthritis inokubangela ukuba iziphelo zamathambo angaphakathi kwamalungu akho ziguge. Uvavanyo olusetyenziselwa oku zezi:

• Ii-X-reyi
• Izikrweqe ze-ultrasound
• Iskeni seMagnetic Resonance Imaging (MRI)

Ngamanye amaxesha, ugqirha uya kuyixilonga ngokuqinisekileyo i-RA emva kokubona iimpawu zakho okwethutyana.

Ziziphi iindlela zonyango lwe-rheumatoid arthritis?

Eyona njongo iphambili yokunyanga isifo samathambo kukunciphisa iintlungu kunye nokudumba kwamalungu. Ukwenza njalo kunceda ukugcina okanye ukuphucula ukusebenza kwamalungu. Injongo yexesha elide kukunciphisa okanye ukuyeka umonakalo wamalungu. Xa ukudumba kwamalungu kulawulwa, iintlungu zakho zinokuncitshiswa kwaye umgangatho wobomi bakho unokuphuculwa.

Unyango lwe-RA ludla ngokubandakanya iyeza elinye okanye ngaphezulu. Kwezinye iimeko, ugqirha unokucebisa utyando. Ugqirha wakho uya kugqiba ngesicwangciso sonyango ngokusekelwe kwizinto ezifana neminyaka yakho, impilo, imbali yezonyango, kunye nobunzima beempawu zakho.

Amayeza e-rheumatoid arthritis

Ukuqala amayeza athile kwangethuba kwesi sifo kunokuyiphucula kakhulu impilo yakho yexesha elide. Kukwafunyaniswe ukuba ngamanye amaxesha ukusebenzisa amayeza amaninzi kunye kunokuba luncedo ngakumbi kunokusebenzisa amayeza elinye kuphela.

Kukho iintlobo ezininzi zamayeza anokusetyenziswa ukunciphisa iintlungu zamalungu, ukudumba, kunye nokudumba, kunye nokuthintela okanye ukulawula ukusasazeka kwesi sifo. Iindidi eziphambili zamayeza ziquka:

• Amayeza Okunciphisa Izifo Alwa Nesifo Samathambo (DMARDs): La luhlobo oluphambili lwamayeza asetyenziselwa ukunyanga i-RA. Asebenza ngokulawula inkqubo yomzimba yokuzikhusela nokunciphisa umonakalo kumalungu.
• Amayeza Angengo-Steroidal Anti-Inflammatory (NSAIDs): La anciphisa iintlungu nokudumba. Nangona kunjalo, awawuthinteli umonakalo kumalungu omalungu obangelwa sisifo.
• IiCorticosteroids: Ezi ziziyobisi ezinamandla zokulwa nokuvuvukala. Zinceda ekunciphiseni iintlungu nokudumba ngokukhawuleza. Nangona kunjalo, kuba zinokubangela iziphumo ebezingalindelekanga xa zisetyenziswa ixesha elide, oogqirha bazinika ngononophelo.
• Izithinteli zikaJanus Kinase (JAK): Ezi ziluhlobo olutsha lwamayeza. Zikwathintela eminye yemisebenzi yenkqubo yomzimba yokuzikhusela kwaye zinciphisa ukudumba.
• I-Biologics: Ezi zikwaluhlobo olutsha kwaye zibiza kakhulu lwamayeza. Zenziwe kusetyenziswa ubuchwepheshe bobunjineli bemfuza. Zisebenza ngokujolisa kwiindawo ezithile zenkqubo yomzimba yokuzikhusela ezibangela ukudumba.

Iyeza elikhuselekileyo kuwe lelo liza kukunika inzuzo enkulu kunye nemiphumo emibi embalwa . Oku kuya kwahluka ngokuxhomekeke kwimbali yakho yempilo kunye nobunzima beempawu zakho ze-RA. Ugqirha wakho uza kwenza isicwangciso sonyango esifanelekileyo kuwe.

Lusetyenziswa nini utyando?

Utyando lunokuba yindlela yokubuyisela ukusebenza kwamalungu onzakeleyo kakhulu. Kwakhona, ukuba amayeza awayilawuli intlungu yakho, ugqirha wakho unokucebisa utyando. Utyando lwe-RA luquka:

• Ukutshintshwa kwedolo
• Ukutshintshwa kwesinqe
• Olunye utyando lokulungisa iziphene

Kubandakanya izinto ezinje.

Ithini ingqikelelo yomntu onesi sifo?

Okwangoku akukho nyango lwe-rheumatoid arthritis. Nangona kunjalo, kukho unyango oluninzi olusebenzayo olunokunceda ukunciphisa iintlungu zakho kunye nokudumba, kunye nokucothisa ukuqhubela phambili kwesi sifo. Ukuxilongwa kwangoko kunye nonyango olufanelekileyo kubalulekile.

Ukuba awuboni ugqirha kwaye awufumani unyango lwe-RA, esi sifo sinokubangela umonakalo osisigxina kwi-cartilage yakho kwaye ekugqibeleni amalungu akho adibane. Akupheleli apho, i-RA ingonakalisa amalungu omzimba afana nemiphunga nentliziyo yakho.

Ndingazinyamekela njani? (Ukuzinyamekela)

Kubalulekile ukubona ugqirha wakho rhoqo ukuze ujonge iimpawu zakho. Kwakhona, ukuba uneziphumo ebezingalindelekanga ezivela kumayeza owasebenzisayo, kufuneka uxelele ugqirha wakho . Ugqirha wakho unokukwazi ukulungisa idosi yakho okanye akunike elinye iyeza. Kubalulekile nokuqhubeka nokuthatha amayeza akho njengoko kuyalelwe de ube uthethe nogqirha wakho.

Ngaphandle koko, unga:

• Yitya ukutya okunempilo .
• Yenza umthambo wemihla ngemihla (njengoko kuyalelwe ngugqirha wakho).
• Ukuba ungumtshayi, ukuyeka ngokuqinisekileyo yinto omele uyenze.
• Phumla kakuhle.
• Fumana iindlela zokunciphisa uxinzelelo .

Imibuzo omele uyibuze ugqirha wakho

Xa usiya kugqirha, kuyanceda ukubuza imibuzo efana nale:

• Ngaba ndine-RA, okanye olunye uhlobo lwe-arthritis?
• Ngawaphi amayeza ondicebisa wona?
• Zithini iziphumo ebezingalindelekanga zala mayeza? Ndingazazi njani?
• Ndingenza ntoni ukuthintela ukudumba kwe-RA?
• Ngaba ndiza kufuna utyando?
• Ngaba esi sifo singadluliselwa ebantwaneni bam ngee-genes?

Ukuba une-rheumatoid arthritis (RA), ngamanye amaxesha kunokuvakala ngathi ubomi bakho buhamba kancinci ngenxa yeentlungu nokudinwa. Kubalulekile ukuthetha nogqirha wakho ngale mvakalelo kunye neempawu zakho. Kunye nee-X-reyi kunye novavanyo lwegazi, oko ukuxelela ugqirha wakho ngemeko yakho kuyamnceda ukuba acwangcise isicwangciso sonyango. Ugqirha wakho uya kuvavanya iimpawu zakho aze acebise isicwangciso sonyango esifanelana neemfuno zakho. Abantu abaninzi abane-rheumatoid arthritis bayakwazi ukwenza izinto abazithandayo kwaye baphile ubomi obanelisayo.

Okokugqibela, eyona nto ibalulekileyo (Umyalezo Wokuya Ekhaya)

Kulungile, ngoko ke sithethe kakhulu nge-rheumatoid arthritis (RA) namhlanje. Nazi ezinye zezinto ezibalulekileyo ekufuneka uzikhumbule:

• I-RA sisifo apho amajoni akho omzimba ahlasela amalungu akho.
• Ukuqina kwasekuseni, iintlungu zamalungu, kunye nokudumba zezona mpawu ziphambili.
• Ukuxilongwa kwangoko kunye nonyango kunokunciphisa kakhulu umonakalo wamalungu.
• Nangona okwangoku kungekho nyango lupheleleyo, kukho unyango olusebenzayo lokulawula esi sifo nokuphila ubomi obulungileyo.
• Kubaluleke kakhulu ukuhlala unxibelelana rhoqo nogqirha wakho, uthabathe amayeza owanikwe ngugqirha ngokuchanekileyo, kwaye ulandele indlela yokuphila esempilweni.

Ukuba unayo nayiphi na kwezi mpawu, ungoyiki, bonana nogqirha ngokukhawuleza ukuze akunike icebiso. Ukuthatha amanyathelo ngokukhawuleza kunokuba nefuthe elikhulu kwimpilo-ntle yakho yexesha elizayo.

I- rheumatoid arthritis, iintlungu zamalungu, i-arthritis, izifo zokuzikhusela komzimba, ukudumba kwamalungu, ukuqina kwasekuseni, i-rheumatoid