Ingabe nawe unezinye izimpawu kanye nalolu hlobo lobuhlungu bamalunga? Ake sifunde nge-Reactive Arthritis!

Ngezinye izikhathi singase sithole ubuhlungu bamalunga ngokuzumayo, akunjalo? Kanye nalokho, kungase kuvele nezinye izimpawu ezifana nobuhlungu bomzimba namehlo abomvu. Ungase ungacabangi ngakho, kodwa lokhu kungaba umphumela wesifo esincane owawunaso ngaphambili. Yilolo hlobo lwesimo esizokhuluma ngaso namuhla, esibizwa ngokuthi i-Reactive Arthritis.

Kuyini i-Reactive Arthritis?

Kalula nje, i-reactive arthritis, ngezinye izikhathi ebizwa ngokuthi i-Reiter's Syndrome, yisimo sesikhashana esibangela ukuba amalunga avuvuke futhi abe buhlungu. Sibangelwa ukutheleleka ngamagciwane. Cabanga ukuthi unesifo samagciwane endaweni ethile emzimbeni wakho, mhlawumbe emgudwini wakho womchamo, ezithweni zangasese, noma emathunjini, futhi ngemva kokusilapha, amasosha omzimba wakho asabela ngendlela engavamile.

Ngokuvamile, amasosha omzimba wethu alwa nezifo futhi azibulale. Kodwa okwenzekayo kulesi sifo samathambo esisabelayo ukuthi ngisho nangemva kokuba ukutheleleka sekuphelile, amasosha omzimba acabanga ukuthi, "Impi ayikapheli." Ngakho-ke kubangela ukuvuvukala ezindaweni lapho kungekho khona ukutheleleka, ikakhulukazi emalungeni akho, emehlweni nasesikhumbeni. Kufana namasosha asadubulana ngemva kwempi, kodwa awakwazi ukuhlala nje alinde.

Nokho, njengezinhlobo eziningi ze-arthritis, lesi akusona isimo sokuphila konke. Sivame ukuphela esikhathini esingaphansi konyaka. Akuyona yini impumuzo enkulu leyo?

Ziyini izimpawu?

Manje ake sibone ukuthi yiziphi izimpawu esingazilindela kulesi sifo samathambo esisabelayo.

Izimpawu ezibaluleke kakhulu nezivamile ubuhlungu nokuqina kwamalunga , ikakhulukazi kulezi zindawo ezilandelayo:

• Umhlane wakho ongezansi ulungile.
• Amadolo
• Iqakala
• Izinyawo

Kodwa ngaphezu kwalokhu, kungase kuvele ezinye izimpawu ezahlukahlukene. Ake sibone ukuthi ziyini:

• Ukubomvu kwamehlo, ukuvuvukala, kanye nobuhlungu (kungase kuzwakale sengathi kukhona okuthile esweni).
• Izimpawu zesisu njengobuhlungu besisu kanye nesifo sohudo.
• Isidingo sokuchama njalo nokuzwa ubuhlungu lapho uchama.
• Ukuqubuka kwesikhumba kanye nezilonda emlonyeni .
• Ubuhlungu besithende, mhlawumbe i-Achilles tendinitis .
• Ukuvuvukala kweminwe, ikakhulukazi iminwe nezinzwane. Abanye abantu bakubiza lokhu ngokuthi 'iminwe yesoseji' ngoba umunwe ngokwawo uvuvukala njengesoseji.
• Izimpawu ezifana nomkhuhlane njengomkhuhlane, izinhlungu zomzimba, kanye nokukhathala okukhulu.

Iyini le 'Triad'?

Ngezinye izikhathi lapho odokotela bekhuluma nge-reactive arthritis, bakhuluma 'nge-triad'. Okusho ukuthi, inhlanganisela yezimpawu ezintathu . Lokhu kusiza ukuhlonza lesi sifo ngokushesha. Izimpawu ezintathu yilezi:

1. Isifo samathambo - Lokhu kusho ukuvuvukala kwamalunga.

2. I-Conjunctivitis - Lokhu kusho ukuvuvukala kwamehlo, ukubomvu kwamehlo.

3. I-Urethritis - Lokhu kusho ukuvuvukala kwe-urethra, okuvutha ngesikhathi sokuchama.

Kodwa khumbula, akubona bonke abantu abanazo zonke lezi zimpawu ezintathu ngesikhathi esisodwa. Abanye abantu abakaze babe nazo zonke ezintathu ngesikhathi esisodwa. Izimpawu ezahlukene zingafika zidlule. Ngakho-ke ungase ube nezinye izimpawu ezingekho kulo 'mkhondo'.

Yini ebangela lokhu?

Sesishilo kakade ukuthi i-reactive arthritis iqala ngokutheleleka ngamagciwane . Yilokhu okungenzeka kaningi:

• Ukutheleleka Komgudu Womchamo (UTI) .
• Isifo esithathelwana ngocansi (STI) .
• Ukutheleleka kwesisu, njengokungenwa yisifo sofuba .
• Umphimbo obuhlungu .

Kukhona nezinhlobo ezithile zamagciwane ezingathinta lokhu:

• I-Chlamydia
• I-Gonorrhea
• I-Salmonella
• I-Shigella
• I-Campylobacter
• I-Yersinia
• I-Mycoplasma
• C. kunzima
• I-Streptococcus

I-Reiter's Syndrome iqala ezinsukwini ezimbalwa noma amasonto ngemva kokutheleleka kokuqala. Futhi akwenzeki kuwo wonke umuntu, kuphela kumaphesenti amancane abantu abathola ukutheleleka. Kubonakala sengathi kubangelwa ukutheleleka okubangela impendulo yokuzivikela komzimba ohlelweni lwakho lokuzivikela komzimba. Okusho ukuthi, uhlelo lwakho lokuzivikela komzimba luqala ngephutha ukuhlasela izingxenye zomzimba wakho ezinempilo, okubangela ukuvuvukala.

Kodwa ngenhlanhla, ngokungafani nezifo eziningi zokuzivikela komzimba, i-reactive arthritis ngokuvamile iyisimo sesikhashana.

I-reactive arthritis ingeyeqembu le-inflammatory arthritis ebizwa ngokuthi i-spondyloarthritis. Eziningi zalezi yizifo ezizimele. Ososayensi abakaqiniseki ukuthi kungani abanye abantu bethola lezi zifo kanti abanye abazemukeli. I-reactive arthritis ayidingi ukutheleleka okukhulu nokunzima ukuze ikhule.

Esinye isici esingathonya lokhu yi -gene ebizwa ngokuthi i-HLA-B27 . Abantu abaningi abathola i-spondyloarthritis kanye ne-Reiter's syndrome banalesi gene.

Ubani okungenzeka kakhulu ukuthi athinteke yilokhu?

Nakuba noma ubani angaba nesifo samathambo esibangela ukuqaqamba kwamalunga, abanye abantu basengozini enkulu yokuba naso. Lokhu kufaka phakathi:

• Amadoda angaphansi kweminyaka engama-40 ubudala.
• Uma unegciwane le-HIV .
• Uma unesinye isifo sokuzivikela komzimba .
• Uma une- gene ye-HLA-B27 eshiwo ngaphambilini emzimbeni wakho.

Ukubona kanjani lokhu?

Uma usanda kuqala ukuba nezimpawu ze-arthritis, njengobuhlungu bamalunga nokuvuvukala, kufanele utshele udokotela wakho. Uzokuhlola. Uma izimpawu ezithile zihlangana, udokotela wakho angase asole i-arthritis esabelayo. Ikakhulukazi, uzobuza ukuthi usanda kululama yini ekuthelelekeni okungenzeka ukuthi kubangele lokho.

Kungadingeka ukuhlolwa okuhlukahlukene ukuze kutholakale lesi sifo ngokunembile. Isibonelo:

• Ukuhlolwa kwe-X-ray .
• I-CT scan (i-Computed Tomography - i-CT scan) .
• Iskeni se-MRI (Magnetic Resonance Imaging - MRI) .
• Ukufuthwa kwamalunga/i-arthrocentesis: Lokhu kwenzelwa ukuhlola ukuvuvukala kanye nezinye izifo ngaphakathi kwamalunga.
• Ukuhlolwa komphimbo (uma kusolwa ukuthi unesifo somphimbo).
• Ukuhlolwa komchamo .
• Ukuhlolwa kwegazi : Lokhu kungahlola ukuvuvukala, ukuba khona kwesakhi sofuzo se-HLA-B27, kanye nezinye izifo.

Iphathwa kanjani?

Odokotela bangase batuse izindlela ezahlukene zokwelapha isifo samathambo esisabelayo.

• Ama-antibiotic: Kuye ngokuthi isifo esibangelwa yiso sikhona yini nokuthi sisasebenza yini, ama-antibiotic anjenge -doxycycline ne-rifampin anganikezwa. Lawa angasiza ekumiseni noma ekusheshiseni ukuphulukiswa kwe-reactive arthritis.
• Ama-NSAID (Imithi elwa nokuvuvukala engeyona eye-steroidal): Lawa yimithi elwa nokuvuvukala engeyona eye-steroidal . I-NSAID enamandla njenge-Indomethacin inganikezwa ngemithamo ephezulu okwesikhashana. Umthamo uyancishiswa uma izimpawu ziphela.
• Ama-DMARD (imithi yokulwa namathambo eguqula izifo): Ama-DMARD, njenge-sulfasalazine, elapha isifo samathambo esivuvukalayo ngokucindezela umsebenzi othile wesimiso sakho somzimba sokuzivikela. Lokhu kungasiza uma ama-NSAID engalawulwa kahle.
• Ama-Corticosteroids:Lezi yimithi enamandla yokulwa nokuvuvukala. Nakuba ama-steroid omlomo enganikeli izinzuzo eziningi kubantu abaningi abane-Reiter's Syndrome, ngezinye izikhathi angafakwa esikhumbeni njengokhilimu noma anikezwe njengomjovo ngqo esilungwini esibuhlungu.

Okubalulekile: Zonke lezi zindlela zokwelapha kufanele zithathwe kuphela ngaphansi kweseluleko sikadokotela. Ukuzelapha ngokwakho kungenza isimo sibe sibi kakhulu.

Ingabe lokhu kungelapheka ngokuphelele?

Esikhathini esiningi, i-Reiter's Syndrome 'iyazikhawulela' . Okusho ukuthi, izozixazulula ngokwayo ngokuhamba kwesikhathi (ngokuvamile zingakapheli izinyanga ezi-3 kuya kweziyi-12). Okwamanje, ukwelashwa kungasiza ekulawuleni izimpawu futhi kukusize ululame ngokushesha.

Kodwa-ke, ngoba i-reactive arthritis iyisifo sokuzivikela komzimba, asikho isifo sokuzivikela komzimba esingelapheka ngempela. Lokhu kusho ukuthi kuhlale kunethuba lokuthi izimpawu zizobuya. Isibonelo, uma uthola olunye ukutheleleka.

Kwabantu abambalwa kakhulu, i-Reiter's syndrome ingaholela ohlotsheni olubi kakhulu noluhlala isikhathi eside lwe-arthritis olubizwa ngokuthi i-spondyloarthritis. Banokuvuvukala kwamalunga isikhathi eside, okungagcina kuholele ekulimaleni kwamalunga. Kunzima ukusho ngokuqinisekile ukuthi lokhu kuyi-arthritis engapheli noma ukuthi kuwumphumela wesinye isimo. Isifo esisodwa sokuzivikela komzimba singaholela kwesinye, kanti abanye abantu bangase babe nezingaphezu kwesisodwa.

Yini ongayenza ngenkathi uphila nalesi simo?

Nakuba kungokwesikhashana, isifo samathambo esisabelayo singaba nomthelela omkhulu empilweni yakho yansuku zonke. Abanye abantu banezimpawu ezincane, ezifika zibuye zihambe, kanti abanye bangase babe nokukhathala okukhulu nokungakhululeki. Kungase kudingeke futhi wenze izinguquko ezithile endleleni yakho yansuku zonke kanye nesimiso somsebenzi phakathi nalesi sikhathi.

Udokotela wakho angase ancome izinto ezifana nalezi:

• Ukwelashwa ngokomzimba: Udokotela wezokwelapha ngokomzimba angakufundisa ukuthi ungazivocavoca kanjani imisipha nemisipha esekela amalunga akho abuhlungu. Lokhu kungasiza ekunciphiseni ukuqina kwamalunga nokunciphisa ingcindezi emalungeni. Cabanga ukuthi uSameera wayenenkinga yokuhamba ngenxa yobuhlungu bedolo. Ngokwenza izivivinyo ezilula nsuku zonke, udokotela wezokwelapha ngokomzimba wanciphisa kancane kancane ubuhlungu bakhe futhi wamvumela ukuthi asebenze ngendlela evamile futhi.
• Ama-Orthotics: Udokotela wezifo zomsebenzi angakweluleka ngokuthi ungayisekela noma uyishintshe kanjani indlela osebenzisa ngayo amalunga akho. Ungazuza ngokusebenzisa i-brace, i-splint, noma i-insert yezicathulo.
• Ukwelapha ngokushisa/ngokubandayo: Amaphakethe eqhwa kanye namaphakethe okushisa kungasiza ekunciphiseni ubuhlungu ngezindlela ezahlukene. Isibonelo, udokotela wakho angase ancome ukusebenzisa iqhwa emalungeni abuhlungu noma ukushisa emisipheni eqinile.
• Ukulala kancane: Ukukhathala okungapheli kungakwenza ukhathale. Kodwa ukuhlala embhedeni isikhathi eside akukuhle emalungeni akho abuhlungu noma emisipheni eqinile. Kunalokho, thatha ukulala kancane bese uzama ukuhambahamba kancane phakathi nakho.

Cabanga nje, lapho nje ucabanga ukuthi ukutheleleka kwakho sekuphelile, lo muntu ongamazi obizwa ngokuthi i-reactive arthritis uvele ngokuzumayo, ekubuyisela izimpawu zokutheleleka kokuqala, kanye nezimpawu ezintsha, ikakhulukazi ukuvuvukala kwamalunga. Kungakhathaliseki ukuthi kukuthinta kancane noma kakhulu, kunzima kakhulu ukuphila nokungaqiniseki kokuthi lokhu kuzophela nini. Kodwa, kubantu abaningi, kuyaphela, futhi kuze kube yileso sikhathi, ukwelashwa kungasiza.

Izinto okufanele uzikhumbule kafushane

Kulungile, ake sifingqe izinto okudingeka uzikhumbule nge-Reactive Arthritis.

• I-reactive arthritis ukuvuvukala kwesikhashana kwamalunga okwenzeka ngemva kokutheleleka ngamagciwane.
• Lokhu kungabangela izimpawu ezifana nobuhlungu bamalunga, ukuvuvukala, amehlo abomvu, kanye nokutheleleka komgudu womchamo.
• Akuwona wonke umuntu obhekana nezimpawu ezifanayo, futhi izimpawu zingafika ziphinde zidlule.
• Lesi akusona isifo esithathelwanayo, kodwa izifo ezisibangelayo (isib. izifo ezithathelwana ngocansi, ubuthi bokudla) zingathelelana.
• Lokhu kuvame ukuphola phakathi kwezinyanga ezimbalwa kuya onyakeni.
• Ukwelashwa kungalawula izimpawu. Qiniseka ukuthi ulandela imiyalelo kadokotela wakho.
• Ngenxa yokuthi lesi yisimo sokuzivikela komzimba, asivamile ukuphinda sibuye noma sihlale isikhathi eside.
• Uma unalezi zimpawu, sicela uxhumane nodokotela ukuze uthole iseluleko. Ungakhathazeki, lesi simo singalawulwa ngokwelashwa nokuphathwa okufanele.

I - arthritis esabelayo, i-Reiter's syndrome, ukuvuvukala kwamalunga, ukutheleleka, amabhaktheriya, isimiso somzimba sokuzivikela, ubuhlungu bamalunga, ubuhlungu bamalunga, i-Reiter's Syndrome, i-Reactive Arthritis