Kuqhelekile ukuba neentlungu ezincinci emalungeni ethu ngamanye amaxesha. Oku kunokwenzeka xa sisebenza nzima imini yonke, xa sihleli kakubi, okanye xa sifumana ukwenzakala okuncinci. Kodwa ukuba le ntlungu iyaqhubeka kangangeentsuku okanye iiveki inganciphi, ukuba amalungu avuvukile, abomvu, kwaye aqinile xa sivuka ebhedini kusasa, oko akwenzeki rhoqo. Kulapho ke sidinga uncedo lwe -'Rheumatologist' .
Ngubani kanye kanye 'iRheumatologist'?
Ngamafutshane, 'iRheumatologist' ngugqirha ogxile ekuxilongeni nasekunyangeni izifo ezinxulumene namalungu ethu, izihlunu, amathambo, kunye nezicubu ezinxibelelanayo (ii-ligaments, imisipha). Ugxila ngakumbi kwizifo ezibangelwa kukudumba komzimba .
Ngoku usenokuba uzibuza ukuba zeziphi ezi zifo zokuzikhusela komzimba. Khawuthelekelele ukuba inkqubo yokuzikhusela yomzimba wakho, inkqubo yakho yokuzikhusela , ngempazamo iqala ukuhlasela iiseli zakho ezisempilweni, ezifana nezo zikwilungu lakho, ulusu, namehlo. Yiloo nto eyenzekayo. Olu hlaselo lubangela iimpawu ezifana nokudumba, iintlungu, kunye nokubomvu (ukudumba) kwiindawo ezichaphazelekayo.
Ugqirha wakho wosapho (ugqirha oyintloko) unokukuthumela kwingcali yamathambo ngokweempawu zakho. Uza kwenza uvavanyo olufunekayo, agqibe unobangela wemeko yakho, aze akunike isicwangciso sonyango esifanelekileyo.
Ziziphi izifo eziphambili ezinyangwa yingcali yezifo zamathambo?
Ingcali yezifo zamathambo inyanga izifo ezingaphezu kwe-100 zamalungu, izihlunu kunye namathambo. Le theyibhile ingezantsi idwelisa ezinye zezona meko zixhaphakileyo.
| Imeko yezonyango | Ingcaciso elula |
|---|---|
| Irheumatoid arthritis | Intlungu kunye nokudumba okubangelwa yinkqubo yomzimba yokuzikhusela ehlasela amalungu. |
| I-Osteoarthritis | Imeko ebangelwa kukuguguleka kwe-cartilage phakathi kwamalungu ngokwanda okanye ngenxa yokusetyenziswa kakhulu. |
| Igawuthi | Intlungu ebuhlungu ebangelwa kukuphakama kwamanqanaba e-uric acid emzimbeni kunye nokugcwala kwamaqhekeza amancinci ayo emalungeni. |
| I-Lupus | Isifo esichaphazela amajoni omzimba kwizitho ezahlukeneyo, ezinje ngamalunga, ulusu, izintso kunye nengqondo. |
| I-Fibromyalgia | Imeko ebangela iintlungu emzimbeni wonke, ukudinwa, kunye neengxaki zokulala. |
| I-Osteoporosis | Amathambo aba buthathaka aze aphuke lula. |
Ngenxa yokuba ezi zifo zinokuchaphazela iindawo ezingaphezu kwesinye zomzimba, ingcali yesifo samathambo iya kusebenza nezinye iingcali, ezinje ngeengcali zesikhumba, iingcali zentliziyo, kunye neengcali zonyango lomzimba, ukukunyanga ukuba kuyimfuneko.
Kutheni ufanele ubone iRheumatologist?
Ukuba sele unenye okanye ngaphezulu kwezi mpawu zilandelayo ixesha elide, kubaluleke kakhulu ukuba uqale ubonane nogqirha wosapho lwakho, kwaye, ngokweengcebiso zabo, bonane nogqirha wamathambo.
- Intlungu engapheliyo, ukudumba, okanye ukuqina kwelinye ilungu okanye ngaphezulu.
- Ukuqina kwamalungu okusebenza okuhlala ngaphezulu kwemizuzu engama-30 emva kokuvuka kusasa.
- Umkhuhlane ongapheliyo, ukudinwa, okanye ukwehla kobunzima obungachazekiyo.
- Ukuba kukho umntu kusapho lwakho onesifo sokuzikhusela komzimba (umz. iRheumatoid Arthritis, iLupus) kwaye nawe ufumana ezi mpawu zingasentla.
Kubaluleke kakhulu ukuxilonga nokunyanga ezi meko kwangethuba, kuba kungenjalo, umonakalo osisigxina kumalungu unokwenzeka ngokuhamba kwexesha.
Kwenzeka ntoni xa usiya kubona ingcali yamathambo?
Akukho nto yokoyika xa ubona ugqirha wamathambo. Injongo kukuthatha amanyathelo afunekayo ukuze uxilonge kakuhle imeko yakho.
1. Ukuthetha nawe nokufumana iinkcukacha
Okokuqala, ugqirha uza kuthetha nawe ngononophelo aze akubuze ngeempawu zakho. Uza kukubuza imibuzo emininzi, njengokuthi intlungu iqale nini, xa intlungu iba mandundu, ngaba ukwenza nantoni na kuyenza ibe mandundu intlungu, kunye nokuba kukho umntu kusapho lwakho onale meko. Kubaluleke kakhulu ukuxelela wonke umntu omaziyo ngaphandle kokufihla nantoni na.
2. Uvavanyo lomzimba
Okulandelayo, ugqirha uza kuhlola umzimba wakho, ingakumbi amalungu abuhlungu. Baza kujonga ukuba amalungu avuvukile, abomvu, okanye ashushu na xa uwachukumisa. Baza kukucela nokuba ugobe kwaye wolule amalungu afana neengalo zakho, amagxa, kunye nezinqe. Oku kuya kukunceda ubone ukuba ingakanani intshukumo elinganiselweyo kumalungu akho.
3. Uvavanyo lwelebhu kunye nolwe-radiological
Usenokucelwa ukuba wenze iimvavanyo ezininzi ukuqinisekisa ukuxilongwa nokufumanisa ubunzulu baso.
| Uhlobo lovavanyo | Ingaba ujonge kwintoni? |
|---|---|
| Uvavanyo lwegazi | Ivavanya iimpawu zokudumba emzimbeni (ESR, CRP) kunye nee-antibodies ezinxulumene nezifo ezifana ne-rheumatoid arthritis (Rheumatoid Factor - RF) . |
| Uvavanyo lokuFanekisa | Ii-X-reyi zinokubonisa umonakalo emathanjeni. Ii-MRI okanye ii-ultrasound scans zinokubonisa ngokucacileyo umonakalo kunye nokudumba kwezicubu ezithambileyo ezifana namalungu, izihlunu kunye ne-cartilage. |
| Ezinye iimvavanyo | Ngamanye amaxesha kuthathwa isampuli yolwelo lwamalungu ukuze kuvavanywe (ukuze kufunyanwe i-gout ). Ukuba kuyimfuneko, isampuli encinci yesikhumba okanye izicubu zemisipha (i-biopsy) nayo ingathathwa ukuze kuvavanywe. |
4. Ukunika unyango ngokumisela
Emva kokuqwalasela konke oku, ugqirha wakho uza kuqalisa unyango olukufaneleyo. Angacebisa enye okanye ezingaphezulu kwezi zilandelayo:
- Amayeza: Amayeza anciphisa iintlungu nokudumba (ii-corticosteroids), amayeza alawula ukusebenza kwenkqubo yomzimba yokuzikhusela, njl.
- Iinaliti ezidityanisiweyo: Ukufaka amayeza ngqo kwilungu ukuze kuncitshiswe iintlungu nokudumba ngokukhawuleza.
- Unyango Lomzimba: Ukufundisa imithambo kunye neendlela zokunciphisa iintlungu, ukonyusa ukuhamba kwamalungu, kunye nokonyusa amandla emisipha.
- Unyango Lomsebenzi: Ukufundisa indlela yokwenza imisebenzi yemihla ngemihla ngokulula nangokukhuselekileyo kunye nokucebisa izixhobo ezifunekayo zokuncedisa (umz. ii-splints).
Uninzi lwezi zifo azipheli, nto leyo ethetha ukuba kunzima ukuzinyanga ngokupheleleyo. Nangona kunjalo , ngokuqhubeka nonyango kunye nokulandela imiyalelo kagqirha wakho, ungasilawula ngempumelelo esi sifo kwaye uphile ubomi obuqhelekileyo ngaphandle kweentlungu .
Umyalezo Wokuya Ekhaya
- 'Ingcali yeRheumatologist' ngugqirha ogxile ekunyangeni izifo zamalungu, izihlunu kunye namathambo, ingakumbi izifo ezibangelwa kukuzikhusela komzimba.
- Musa ukuyityeshela intlungu engapheliyo yamalungu, ukudumba, kunye nokuqina kwamalungu kusasa njengesiqhelo.
- Ngokuxilonga nokunyanga esi sifo kwasekuqaleni, umonakalo ongapheliyo kumalungu unokuthintelwa.
- Ukuba unale mpawu, ungathandabuzi ukubona ugqirha wakho ukuze akunike ingcebiso. Uza kukuthumela kwingcali yezifo zamathambo ukuba kuyimfuneko.
- Nangona uninzi lwezi zizifo ezingapheliyo, ngonyango olufanelekileyo, zinokulawulwa ngempumelelo kwaye ubomi obutofotofo bunokuphilwa.
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