Ukuba une-rheumatoid arthritis, ngaba wakha wayibona iqhuma elincinci okanye iqhuma phantsi kolusu kwiindawo ezifana neengqiniba zakho kunye namaqhina? Abanye abantu bayoyika kancinci xa bebona ezi zinto, becinga, "Ingaba oku kuyinto enzulu?" Kodwa ungakhathazeki. Ezi azisoloko ziyingozi. Namhlanje sithetha ngezi qhuma zikhethekileyo eziza ne-rheumatoid arthritis, ezibizwa ngokuba zii-rheumatoid nodules.
Zithini ezi nodules zerheumatoid?
Ngamafutshane, ii-rheumatoid nodules zii-dumps ezincinci ezikhula phantsi kwesikhumba okanye ngamanye amaxesha ngaphakathi emzimbeni xa une-rheumatoid arthritis (RA). Ngokwezonyango, sibhekisa kwi-'dump' njenge-dump edla ngokuba ncinci kune-intshi (malunga neemilimitha ezi-3).
Into ebalulekileyo kukuba la maqhuqhuva awangomhlaza (angabi yingozi). Ukuba nawo akuthethi ukuba unomhlaza okanye uza kuba nomhlaza kwixesha elizayo. Ngoko ke ungakhathazeki ngaloo nto.
Ezi ziqwenga zenziwe liqela leeseli ezidibeneyo. Oko kuthetha ukuba:
- Iiseli zolusu ezifileyo
- Iiseli zeFibrin (ezi ziiproteni ezinamandla ezinceda ukujiya kwegazi)
- Iiseli ezivuthayo kwinkqubo yakho yomzimba yokuzikhusela
Ezi seli ziyadibana ukuze zenze elo qhuma lincinci lifana neqhuma.
Ziphi apha emzimbeni ezi ziqhuma zidla ngokuvela khona?
La maqhuqhuva adla ngokwenzeka ejikeleze amalungu owasebenzisa kakhulu kwimisebenzi yakho yemihla ngemihla kwaye ahlala exinezelekile. Makhe sijonge iindawo ezixhaphakileyo nezingaqhelekanga apho anokubonwa khona.
| Apho kuxhaphake khona amaqhuma | Azifane zibe namaqhuma (ngaphakathi emzimbeni) |
|---|---|
| Ingqiniba | Amaqhuqhuva eempumlo |
| Iminwe neenzwane | Inxalenye emhlophe yeliso (i-sclera) |
| Iingalo zangaphambili | Iintambo zelizwi |
| Kufuphi nesithende okanye i-Achilles tendon | - |
| Ngokuphathelele ithambo lesinqe | - |
| Umqolo osezantsi (iSacrum) | - |
| Ukhakhayi (ingakumbi kwizigulana ezilele ebhedini) | - |
Zivakala njani ezi ziqhuma esandleni? Ngaba kukho intlungu?
Xa uchukumisa la maqhuqhuva, amanye angathi aqinile, njengelitye elincinci elinamathele phantsi kwesikhumba . Amanye angathi athambile, njengebhola yoxinzelelo, kwaye angathi angatyumzwa .
Ngokuphathelele ubukhulu, ezi zinokuqala kwiingqumba ezincinci njengerabha yepensile ukuya, ngokungaqhelekanga, kwiingqumba ezinkulu njengemawusi yekhompyutha.
Into ebalulekileyo kukuba la maqhuqhuva adla ngokungabi nantlungu. Nangona kunjalo, ungaziva iintlungu kunye nokuthamba xa ucinezela indawo ejikeleze iqhuqhuva. Oku kuthamba kunokubonakala ngakumbi ukuba iqhuqhuva likufutshane nelungu apho i-arthritis yakho sele inzima khona.
Awunakuziva iziqwenga ezikhula emzimbeni wakho, njengakwimiphunga yakho, emehlweni, okanye kwiintambo zomlomo. Zihlala zifunyanwa ngengozi ngexesha lovavanyo lwe-X-ray okanye lwamehlo olwenziwe ngesinye isizathu.
Kutheni le nto la maqhuqhuva e-rheumatoid esenzeka?
Into efanayo ebangela ukuba ube ne-rheumatoid arthritis ikwabangela ukuba kubekho la maqhuqhuva. Oko kukuthi, kungenxa yempendulo ye-autoimmune kwinkqubo yakho yomzimba yokuzikhusela .
Kodwa ayinguye wonke umntu one-RA ofumana la maqhuma. Oogqirha baqikelela ukuba phakathi kwama-25% nama-40% ezigulane ezine-RA zinokufumana la maqhuma. Kwaye ngaphantsi kwe-1% yabantu bafumana amaqhuma kwiindawo ezifana nemiphunga namehlo.
Kwi-RA, inkqubo yakho yokuzikhusela komzimba ihlasela amalungu aphilileyo, nto leyo ebangela ukudumba. Oku kudumba kubangela ukuba amalungu adumbe aze abe buhlungu. Xa inkqubo yokuzikhusela yomzimba isebenza kakhulu, inokuchaphazela nezinye izicwili zomzimba.
Khawucinge nje ukuba ungumchweli okanye ungumchweli. Izandla neminwe yakho isetyenziswa rhoqo. Ngoko ke ukuba une-RA, kusenokwenzeka ukuba ube nala maqhuqhuva ajikeleze amalungu akho asetyenziswa rhoqo.
Abantu abanamanqanaba aphezulu e-Rheumatoid Factor okanye ii-CCP antibodies egazini labo basengozini enkulu yokuba nezi ziqhuma. Ugqirha wakho angazilinganisa ngovavanyo olulula lwegazi.
Ziziphi iindlela zonyango zokususa la maqhuqhuva?
Ngamanye amaxesha la maqhuqhuva awadingi nyango. Anokuvela aze anyamalale ngokwawo, njengokuba iimpawu ze-RA zinokuvela ngezinye iintsuku zize ziphele ngezinye iintsuku.
Ukuba iqhuma lihlala ixesha elingakanani kuxhomekeke ekubeni lenzeka phi, inqanaba le-RA yakho, kunye nempilo yakho iyonke.
Nangona kunjalo, ukuba amaqhuma abuhlungu, musa ukuziyeka ngokwawo, okanye ukuba inkangeleko yawo ichaphazela ukuzithemba kwakho, ugqirha wakho uya kukunika unyango.
Unyango olusetyenziswa rhoqo:
- IiCorticosteroids: Ezi luhlobo lwamayeza anciphisa ukudumba. Ngamanye amaxesha ugqirha wakho angakunika inaliti ye-cortisone ecaleni kweqhubu.
- Ii-DMARD (amayeza okuguqula izifo): La mayeza alawula ukusebenza ngokugqithisileyo kwenkqubo yomzimba yokuzikhusela kwaye anciphisa ukudumba emzimbeni.
- Ii-NSAID: Ezi zikwayi-painkillers ezinciphisa ukudumba. Ugqirha wakho uza kucebisa uhlobo olufanelekileyo kuwe.
- Ii-antibodies ze-Monoclonal: Ezi zii-antibodies ezenziwe ngokwenziwa. Zinceda ekulawuleni inkqubo yomzimba yokuzikhusela. Umzekelo yi-rituximab injection.
Ngaba la maqhuqhuva kufuneka asuswe ngotyando?
Utyando alusoloko luyimfuneko, kodwa ugqirha wakho unokucebisa utyando kwiimeko ezilandelayo:
- Ukuba iqhuma likwilungu okanye kufutshane nelungu elingaphakathi emzimbeni, kwaye alikaphumi lodwa.
- Ukuba iqhuma likhulu kakhulu ngobukhulu.
- Ukuba iqhuma alipheli nangona kuzanywa ezinye iindlela zonyango.
- Ukuba la maqhuqhuva enza kube nzima ukusebenzisa ilungu okanye ukwenza imisebenzi yemihla ngemihla (umz., ukuba uhlala ungqubana nento ethile).
Ndifanele ndibonane nogqirha nini?
Ukuba ubona naluphi na utshintsho olutsha, amaqhuma, okanye amaqhuma eluswini lwakho okanye ngaphantsi kwalo, qiniseka ukuba ubona ugqirha uze uhlolwe.
Ukuba sele unyangwa i-RA kwaye uvakalelwa kukuba amayeza akho awasebenzi kakuhle njengangaphambili, xelela ugqirha wakho ngaloo nto.
Kuqhelekile ukumangaliswa nokoyika kancinci xa ubona iqhuma elitsha lolusu. Kodwa iindaba ezimnandi zezokuba amaqhuqhuva e-rheumatoid adla ngokuba yingozi kwaye ahlala ephela ngaphandle konyango. Nokuba kufuneka unyango, uninzi lwalo lunyango olufanayo osele ulusebenzisa kwi-RA.
Eyona nto ibalulekileyo kukujonga naliphi na iqhuma elitsha ngugqirha. Le yeyona ndlela ikhuselekileyo yokwazi ngokuqinisekileyo ukuba liqhuma elinesifo samathambo okanye yinto enye.
Kwakhona, ukuba la maqhuqhuva aphazamisana nemisebenzi yakho yemihla ngemihla okanye izinto ozithandayo, okanye ukuba ukhathazekile ngenkangeleko yakho, thetha nogqirha wakho ngaloo nto. Uza kukuchazela iindlela zokunciphisa okanye zokususa la maqhuqhuva.
Umyalezo Wokuya Ekhaya
- Ii-rheumatoid nodules luhlobo lweqhubu elingengomhlaza elivela kunye ne-rheumatoid arthritis (RA).
- Ezi zixhaphake kakhulu kufutshane namalungu asetyenziswa rhoqo njengeengqiniba neminwe, kodwa azifane zikhule kwizitho zangaphakathi ezifana nemiphunga.
- Ezi zihlala zingenabuhlungu, kodwa kubalulekile ukuba ugqirha ahlole naziphi na iziqwenga ezintsha.
- Unyango alusoloko luyimfuneko. Amanye amaqhuma ayaphela ngokwawo. Kodwa ukuba abuhlungu okanye ayakhathaza, kukho unyango olusebenzayo.
- Thetha ngokukhululekileyo nogqirha wakho malunga naluphi na utshintsho olutsha okanye amaqhuma owabonayo kulusu lwakho.
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