Ingabe uzwa ubuhlungu obungazelelwe emalungeni amaningi? Ake sixoxe nge-polyarthritis!

Ingabe uzizwa ubuhlungu nokuqina emalungeni amaningi, hhayi endaweni eyodwa kuphela, uma uvuka ekuseni noma phakathi nosuku? Mhlawumbe kubalulekile ukuthi wazi ngalesi simo esibizwa ngokuthi i-polyarthritis. Ungakhathazeki, ake sixoxe ngakho kalula.

Iyini ngempela i-polyarthritis?

Kalula nje, i-polyarthritis yi -arthritis ethinta amalunga amahlanu noma ngaphezulu emzimbeni wakho ngesikhathi esisodwa . Ungase uyizwe ibizwa ngokuthi "i-polyarticular arthritis." Khumbula, lokhu akuyona uhlobo oluthile lwe-arthritis. Kunalokho, udokotela wakho usebenzisa leli gama ukukutshela ukuthi unezimpawu ze-arthritis emalungeni amaningi akho ngesikhathi esisodwa. Uma sizwa i-arthritis , sonke siyazi ukuthi ithinta amalunga ethu (izindawo lapho amathambo axhumana futhi anyakaza khona). I-arthritis ivame ukubangela ukuvuvukala kwamalunga, okusho ukuvuvukala, ukubomvu, noma ukuwohloka . Yilokhu okubangela ukuba amalunga abe buhlungu, aqine, noma angakwazi ukunyakaza kahle. Amalunga avame ukuthinteka yi-arthritis yilawa:

• Izinyawo zakho namaqakala.
• Izandla, izihlakala kanye neminwe.
• Amalunga esinqeni.
• Amadolo.
• Umhlane ophansi.
• Intamo.

Uma une-polyarthritis, ungase ube nezimpawu ezengeziwe ze-arthritis yakho. Lokhu kungenxa yokuthi ubuhlungu buvela emalungeni amaningi ngesikhathi esisodwa, kunokuba buvele kwelinye. Udokotela wakho angase futhi ahlukanise i-polyarthritis yakho njenge -symmetrical noma i-asymmetrical .

• I-symmetric polyarthritis isho ukuthi amalunga afanayo ezinhlangothini zombili zomzimba wakho ayathinteka. Isibonelo, uma amadolo womabili ethinteka ngokulinganayo.
• I-Asymmetric polyarthritis yilapho ithinta amalunga ohlangothini olulodwa lomzimba kuphela, noma lapho ithinta amalunga angalingani. Kungase kungabi sezingeni elifanayo uma kuthinteka inani elingajwayelekile lamalunga akho.

Uyini umehluko phakathi kwe-oligoarticular arthritis ne-polyarthritis?

Uma une-arthritis emalungeni angaphezu kwelilodwa, udokotela wakho uzoyihlukanisa ngokwenani lamalunga athintekile.

• I-Oligoarticular arthritis iwukuqaqamba kwamalunga amabili kuya kwamane.
• I-Polyarthritis yigama lezokwelapha elisho isifo samathambo emalungeni amahlanu noma ngaphezulu.

I-Polyarthritis ingabangelwa yinoma yisiphi isimo esithinta amalunga akho. Izimpawu zakho (nokuthi zinzima kangakanani) zincike ekutheni yini ebangele i-polyarthritis nokuthi yimaphi amalunga akho athintekile. Uma unezinhlungu ezintsha zamalunga, ukuqina, noma ezinye izimpawu, kubalulekile ukukhuluma nodokotela wakho. Angakha uhlelo lokwelashwa oluqondene nesimo sakho.

Ubani onamathuba amaningi okuthola i-polyarthritis?

Abantu abasengozini enkulu yokuthola isifo samathambo kwasekuqaleni banamathuba amaningi okuthola isifo samathambo esibizwa ngokuthi i-polyarthritis. Eqinisweni, noma ubani angaba nesifo samathambo. Kodwa-ke, abanye abantu basengozini enkulu. Yilaba:

• Abantu abangaphezu kweminyaka engama-50 ubudala: Kuvamile ukuthi amalunga aguge futhi abe buthaka njengoba siguga.
• Abesifazane: Ezinye izinhlobo ze-arthritis, isibonelo i-rheumatoid arthritis, zivame kakhulu kwabesifazane.
• Abantu abanezifo zokuzivikela komzimba : Kulezi zifo, ukuvuvukala kwamalunga kungenzeka ngoba amasosha omzimba ahlasela amangqamuzana awo.
• Abantu abanokukhuluphala ngokweqile : Njengoba isisindo somzimba sikhuphuka, kufakwa ingcindezi eyengeziwe emalungeni athwala isisindo, ikakhulukazi amadolo nezinqe.
• Abasubathi: Ngenxa yokusebenzisa amalunga ngokweqile isikhathi eside kanye nokulimala ngezikhathi ezithile.

Ivame kangakanani i-polyarthritis?

I-arthritis empeleni iyisimo esivame kakhulu. Ochwepheshe bathi cishe ingxenye eyodwa kwezintathu yabantu abadala abangaphansi kweminyaka engu-64 banohlobo oluthile lwe-arthritis. Ingxenye yamadoda angaphezu kweminyaka engu-65 kanye nezingxenye ezimbili kwezintathu zabesifazane abangaphezu kweminyaka engu-65 kuthiwa bane-arthritis. Kunzima ukusho ukuthi i-polyarthritis ivame kangakanani. Lokhu kungenxa yokuthi abantu abaningi abazi ukuthi banalesi simo noma bathola ukuxilongwa kwaso. Ikakhulukazi lapho belapha i-arthritis kwelinye ilungu, ukwelashwa okufanayo kunganciphisa nezimpawu kwamanye amalunga, angebuhlungu kangako, ngakho-ke kungaphuthelwa.

Ziyini izimpawu ze-polyarthritis?

Izimpawu ezivame kakhulu ze-polyarthritis yilezi:

• Ubuhlungu bamalunga : Hhayi endaweni eyodwa, kodwa emalungeni amaningana.
• Ukuqina kwamalunga: Ubunzima bokuhambisa amalunga, kungaba lapho uvuka ekuseni noma ngemva kokuma ngemuva kokuba sesimweni esifanayo isikhashana.
• Ukuzwa ukufudumala emalungeni.
• Ukushintsha kombala wesikhumba emalungeni (Njengokuphoxeka ).
• Ukuvuvukala kwamalunga.
• Ukuzwa ubuhlungu uma uthinta ilunga noma eduze kwalo.

I-Polyarthritis Yokuvuvukala vs. Engavuvukalanga

Kuye ngembangela ye-polyarthritis, odokotela bayihlukanisa njenge -inflammatory noma i-non-inflammatory .

• I-inflammatory polyarthritis ibangela izimpawu ezifana nokuvuvukala, ukubomvu, nokufudumala kwamalunga akho athintekile. Lokhu kuvame ukubangelwa yisifo sokuzivikela komzimba noma ukutheleleka.
• Ku -polyarthritis engavuvukalanga, amalunga akho awavuvukali. Lokhu kuvame ukubangelwa yizimo ezifana ne-osteoarthritis, lapho i-cartilage evikela amalunga akho iguga ngokuhamba kwesikhathi.

Yiziphi izimbangela ze-polyarthritis?

I-Polyarthritis ingaba nezimbangela eziningana. Abanye abantu bangase babe nohlobo olulodwa lwe-arthritis olusakazeka emzimbeni wonke, okubangela i-polyarthritis. Abanye bangase babe ne-arthritis emalungeni njengophawu noma umphumela ohlangothini wesinye isimo sezokwelapha. Izimbangela ezivame kakhulu ze-polyarthritis yilezi:

Izinhlobo ze-arthritis ezithinta amalunga amaningi

Uma usuvele une-arthritis, kungenzeka ukuthi ikhule ibe yi-polyarthritis ngokuhamba kwesikhathi. Nakuba noma yiluphi uhlobo lwe-arthritis lungaba yi-polyarthritis, oluvame kakhulu yilezi:

• Isifo samathambo esibizwa ngokuthi i-rheumatoid arthritis
• I-Psoriatic arthritis
• I-Osteoarthritis
• I-Gout
• Isifo sokufakwa kwe-calcium pyrophosphate (CPPD, esaziwa nangokuthi i-pseudogout)
• I-Juvenile idiopathic arthritis (JIA)

Izifo ezizenzakalelayo

Isifo sokuzivikela komzimba siwukulapho amasosha omzimba wakho ehlasela ngephutha umzimba wakho esikhundleni sokukuvikela. Akukacaci ukuthi kungani lokhu kwenzeka. Lokhu kuhlasela kungabangela izinhlobo ezithile ze-arthritis nezinye izimo ezibangela i-arthritis. Ezinye izifo zokuzivikela komzimba ezibangela i-polyarthritis zifaka:

• I-Lupus
• I-Sarcoidosis
• I-Scleroderma
• I-rheumatoid arthritis kanye ne-psoriatic arthritis zombili izinhlobo ze-arthritis ezibangelwa izifo ezizimele.

Izifo

Ezinye izifo ezibangelwa amagciwane kanye namagciwane nazo zingabangela i-polyarthritis. Cabanga ngakho, lapho amasosha omzimba wakho elwa negciwane noma amabhaktheriya, leyo mpendulo ngezinye izikhathi ingaba namandla kakhulu, futhi njengomphumela ongemuhle wokulwa, ingathinta namalunga akho, ibangele i-polyarthritis. Ezinye zalezi zifo zifaka:

• I-hepatitis ebangelwa yigciwane
• Isifo seLyme
• Umkhuhlane we-rheumatic
• I-Mononucleosis (i-Mononucleosis - mono)
• I-Parvovirus
• Isifo se-Whipple
• Igciwane le-HIV (i-HIV)

I-polyarthritis itholakala kanjani?

Udokotela wakho uzoxilonga i-polyarthritis ngokwenza ukuhlolwa ngokomzimba kanye nokuhlolwa okuthile. Uzobheka amalunga akho abuhlungu bese ezwa. Uzokubuza ukuthi izimpawu zakho ziqale nini nokuthi zinzima kangakanani. Uzohlola nobubanzi bokunyakaza kwakho, okuwukuthi ungalishukumisa kangakanani ilunga. Udokotela uzohlola nezinye izimo ezingaba imbangela yezimpawu zakho. Lokhu kubizwa ngokuthi i-differential diagnosis . Lokhu kubavumela ukuthi bakhiphe ezinye izinkinga futhi baqinisekise ukutholakala kwe-polyarthritis. Ezinye izimpawu nezimo abangazihlola zifaka:

• Ama-lymph node avuvukele
• Umphimbo obuhlungu (i-pharyngitis)
• I-Fibromyalgia
• I-Hemochromatosis
• Isifo samathumbu esivuvukalayo
• Isenzakalo sikaRaynaud

Yiziphi izivivinyo ezenziwayo?

Kungase kudingeke ukuthi wenze izivivinyo ezithile ukuze uthathe izithombe zamalunga akho:

• Ama-X-ray
• I-MRI (Umfanekiso Wokuzwakala Kwamagnetic - I-MRI)
• I-Ultrasound

Uma uvuvukele amalunga, udokotela wakho angase akwenzele i-aspiration yamalunga . Lokhu kuhilela ukufaka inalithi encane elungeni lakho bese kususwa inani elincane loketshezi. Isampula yalolo ketshezi ithunyelwa elebhu ukuze ihlolwe ukuze kutholakale ukuthi yini ebangele ukuthi uketshezi luqongelelane. Ukuhlolwa kwegazi nezinye izivivinyo zelebhu kungadingeka futhi ukuze kuhlolwe izifo noma ezinye izimo.

Iphathwa kanjani i-polyarthritis?

Indlela ophatha ngayo i-polyarthritis yakho incike ezintweni eziningana:

• Iyini imbangela yalokho?
• Uhlobo luni lwesifo samathambo onaso?
• Izimpawu zakho zimbi kangakanani.

Udokotela wakho uzokutshela ukuthi yiluphi ukwelashwa okudingayo ngokusekelwe ezimpawini zakho ezithile. I-Polyarthritis ivame ukwelashwa ngalezi zindlela:

• Imithi:
• Imithi yokwelapha ukuvuvukala kwamalunga (i-DMARD): Lokhu kusiza ukushintsha indlela yesifo ezimweni ezifana ne-rheumatoid arthritis.
• Ama-NSAID athengiswa ngaphandle kwemithi kadokotela (OTC) (imithi elwa nokuvuvukala engeyona eye-steroidal) kanye ne-paracetamol (acetaminophen/paracetamol): Lawa asiza ekunciphiseni ubuhlungu nokuvuvukala.
• Ukwelashwa ngokomzimba: Udokotela wakho noma uchwepheshe wezokwelapha ngokomzimba uzokunikeza ukwelula nokuzivocavoca ukuze wandise ububanzi bokunyakaza kwakho futhi aqinise imisipha ezungeze ilunga elithintekile. Kubalulekile ukukwenza lokhu ngendlela efanele.
• Imijovo: Abanye abantu kungadingeka bathole imijovo ngqo emalungeni, njenge -corticosteroids (umuthi onamandla onciphisa ukuvuvukala) noma i-viscosupplementation ( umjovo we-lubricant emalungeni).
• Ukuhlinzwa kokufakelwa kwamalunga (i-Arthroplasty): Kwezinye izimo ezinzima, uma ilunga seligugile, ukuhlinzwa kokufakelwa kwamalunga kungase kudingeke. Udokotela wakho noma udokotela ohlinzayo uzokutshela okwengeziwe ngalokhu.

Unganciphisa kanjani ingozi yokuthola i-polyarthritis?

Ungenza lezi zinto ukunciphisa ingozi yakho yokuthola i-polyarthritis:

• Gwema ukusebenzisa imikhiqizo kagwayi: Ukubhema kwandisa ukuvuvukala futhi kuyingozi empilweni iyonke.
• Ukwenza izivivinyo ezingaba nomthelela omkhulu emalungeni: izinto ezifana nokubhukuda nokuhamba zilungile.
• Ukulandela ukudla okunempilo kanye nohlelo lokuzivocavoca olukufanele: Ukudla okunempilo kanye nokuzivocavoca njalo kungasiza ekulawuleni isisindo somzimba nokugcina amalunga ephilile.
• Ukugqoka imishini yokuzivikela efanele ngesikhathi sokuzivocavoca umzimba: Lokhu kunganciphisa ingozi yokulimala kwamalunga.

Yini ongayilindela uma une-polyarthritis?

Ungase ube ne -acute polyarthritis, eyenzeka okwesikhashana, mhlawumbe ngesikhathi usalulama ekuthelelekeni. Noma, i-chronic polyarthritis, ehlala isikhathi eside futhi evame ukuvela.Kungase kube nesimo.

Ngenxa yokuthi ayikho ikhambi lezinhlobo eziningi ze-arthritis, abantu abaningi kuzodingeka baphathe isimo sabo impilo yabo yonke. Kodwa ungakhathazeki, udokotela wakho angakusiza ukuthola inhlanganisela efanele yokwelashwa ukusiza ukunciphisa izimpawu zakho.

Kufanele ufune nini iseluleko sezokwelapha?

Bona udokotela ngokushesha nje lapho ubona noma yiziphi izimpawu emalungeni akho. Njengoba i-polyarthritis ingaba nezimbangela eziningi, kubalulekile ukuthi uhlolwe ngokushesha uma unobuhlungu obusha, ukuvuvukala, noma umbala wesikhumba ushintshashintsha. Ungazinaki izimpawu zakho. Uma unesifo, kubalulekile ukuthola ukwelashwa ngokushesha ngaphambi kokuba sisakazeke noma sibe sibi kakhulu.

Kufanele uye nini e-Emergency Treatment Unit (ETU) ?

Uma uzwa ubuhlungu obukhulu, noma uma ngokuzumayo ungakwazi ukuhambisa ilunga noma ingxenye yomzimba wakho, hamba uye ekamelweni eliphuthumayo ngokushesha.

Imibuzo okufanele uyibuze udokotela wakho

Kuyasiza ukubuza le mibuzo uma uvakashela udokotela wakho:

• Uhlobo luni lwesifo samathambo enginaso?
• Iyini imbangela yalokhu?
• Hlobo luni lokuhlolwa okuzodingeka ngenze?
• Hlobo luni lokwelashwa engiludingayo?
• Izimpawu zami zizohlala isikhathi esingakanani?

Uyini umehluko phakathi kwe-polyarthritis ne-rheumatoid arthritis?

I-Polyarthritis isho ukuthi une-arthritis emalungeni amahlanu noma ngaphezulu ngesikhathi esisodwa. Akusona isifo esisodwa esithile. Kuyisifo esitholakalayo, okusho ukuthi une-arthritis emalungeni amaningi akho ngesikhathi esisodwa. I-rheumatoid arthritis uhlobo oluthile lwe-arthritis. Uma une-rheumatoid arthritis, amasosha omzimba wakho ahlasela izicubu ezimboza amalunga ezinhlangothini zombili zomzimba wakho. Ingathinta noma yiliphi inani lamalunga, kanti i-rheumatoid arthritis ingathinta amalunga akho ngokwanele ukuthi ahlukaniswe njenge-polyarthritis.

Kuyini i-Seronegative Polyarthritis?

I-Seronegative arthritis uhlobo lwe-rheumatoid arthritis. Ingathinta futhi amalunga amahlanu noma ngaphezulu, ibe yi-polyarthritis. Uma unemibuzo ngalokhu, noma uma utholakale une-rheumatoid arthritis futhi uhlangabezana nezimpawu ezintsha, khuluma nodokotela wakho noma udokotela wamathambo (udokotela ochwepheshe bezifo zamalunga).

Izinto okufanele uzikhumbule

I-Polyarthritis uhlobo lwe-arthritis oluthinta amalunga amaningi ngesikhathi esisodwa. Lungaba buhlungu futhi lungakhululeki. Kodwa ungakhathazeki. Udokotela wakho angakusiza uqonde ukuthi yini ebangela i-polyarthritis nokuthi nini lapho kungenzeka khona ukuthi ube nezimpawu. Bangakusiza ukuthola inhlanganisela yezindlela zokwelapha ezingasiza ekunciphiseni izimpawu zakho futhi zikubuyisele emisebenzini yakho evamile ngokushesha okukhulu.

Uma ubona noma yiziphi izinguquko ezimpawu zakho, ikakhulukazi uma ziba zimbi ngokushesha, khuluma nodokotela wakho ngokushesha. Ukwelashwa kusenesikhathi kubaluleke kakhulu!