Uma une-rheumatoid arthritis, wake wayibona yini iqhubu elincane noma iqhubu ngaphansi kwesikhumba ezindaweni ezifana nezindololwane zakho nama-knuckle? Abanye abantu bayesaba kancane uma bebona lokhu, becabanga, "Ingabe lokhu kuyinto engathi sína?" Kodwa ungakhathazeki. Lokhu ngokuvamile akulona ingozi. Namuhla sikhuluma ngalezi ziqhubu ezikhethekile eziza ne-rheumatoid arthritis, ezibizwa ngokuthi ama-rheumatoid nodules.
Ziyini lezi zinhlayiya ze-rheumatoid?
Kalula nje, amaqhubu e-rheumatoid ayizigaxa ezincane ezikhula ngaphansi kwesikhumba noma ngezinye izikhathi ngaphakathi emzimbeni uma une-rheumatoid arthritis (RA). Ngokwezokwelapha, sibhekisela 'kuqhuzu' njengeqhuzu elivame ukuba lincane kune-intshi (cishe amamilimitha amathathu).
Into ebalulekile ukuthi la maqhubu awawona abangela umdlavuza (angabi yingozi). Ukuba nawo akusho ukuthi unomdlavuza noma ukuthi uzoba nomdlavuza esikhathini esizayo. Ngakho ungakhathazeki ngakho.
Lezi zigaxa zakhiwe yinqwaba yamaseli ahlangene ndawonye. Lokho kusho ukuthi:
- Amaseli esikhumba afile
- Amaseli e-Fibrin (lawa ayiprotheni enamandla esiza ukujiya kwegazi)
- Amaseli okuvuvukala ohlelweni lwakho lokuzivikela komzimba
La maseli ayahlangana ukuze akhe leso sigaxa esincane esifana nesigaxa.
Kukuphi lapho lezi ziqhubu zivame ukuvela khona emzimbeni?
Lawa maqhubu avame ukwakheka eduze kwamalunga owasebenzisa kakhulu emisebenzini yakho yansuku zonke futhi abhekene nokucindezeleka okuvamile. Ake sibheke izindawo ezivame kakhulu nezingajwayelekile lapho zingabonakala khona.
| Lapho izigaxa zivame ukubonakala khona | Akuvamile ukuba namaqhubu (ngaphakathi emzimbeni) |
|---|---|
| Indololwane | Amaqhubu ephaphu |
| Iminwe nezinzwane | Ingxenye emhlophe yeso (i-sclera) |
| Izingalo zangaphambili | Izintambo zezwi |
| Eduze kwesithende noma i-Achilles tendon | - |
| Ngokuphathelene nethambo lesinqe | - |
| Umhlane ongezansi (i-Sacrum) | - |
| Ugebhezi (ikakhulukazi ezigulini ezilele embhedeni) | - |
Zizwakala kanjani lezi ziqhubu esandleni? Ingabe kukhona ubuhlungu?
Uma uthinta la maqhubu, amanye angase azwakale eqinile, njengetshe elincane elinamathele ngaphansi kwesikhumba . Amanye angase azizwe ethambile kancane, njengebhola lokucindezeleka, futhi angase azizwe sengathi angachotshozwa .
Ngokuphathelene nobukhulu, lokhu kungasukela ezigaxeni ezincane njenge-eraser yepensela kuya, okungavamile kakhulu, ezigaxeni ezinkulu njengegundane lekhompyutha.
Into ebalulekile ukuthi lezi ziqhumane ngokuvamile azibuhlungu. Kodwa-ke, ungase uzwe ubuhlungu kanye nokuthamba uma ucindezela indawo ezungeze iqhumane. Lokhu kuthamba kungase kubonakale kakhulu uma iqhumane liseduze kwelungu lapho i-arthritis yakho isivele inzima khona.
Awukwazi ukuzwa amaqhubu akhula emzimbeni wakho, njengasemaphashini akho, emehlweni, noma ezinhlungwini zezwi. Avame ukutholakala ngengozi ngesikhathi sokuhlolwa kwe-X-ray noma kweso okwenziwe ngesinye isizathu.
Kungani la maqhuqhuva e-rheumatoid akheka?
Into efanayo ebangela ukuthi ube ne-rheumatoid arthritis nayo ibangela ukuthi kwakheke la maqhubu. Okusho ukuthi, kungenxa yempendulo yokuzivikela komzimba ohlelweni lwakho lokuzivikela komzimba .
Kodwa akubona bonke abantu abane-RA abathola la maqhubu. Odokotela balinganisela ukuthi phakathi kuka-25% no-40% weziguli ezine-RA bangaba nala maqhubu. Futhi abantu abangaphansi kuka-1% bangaba namaqhubu ezindaweni ezifana namaphaphu namehlo.
Ku-RA, amasosha omzimba wakho ahlasela amalunga aphilile, okubangela ukuvuvukala. Lokhu kuvuvukala kubangela ukuthi amalunga avuvuke futhi abe buhlungu. Lapho amasosha omzimba eba matasa kakhulu, kungathinta nezinye izicubu emzimbeni.
Ake uzicabange ungumbazi noma ungumthayiphi. Izandla neminwe yakho kusetshenziswa ngaso sonke isikhathi. Ngakho-ke uma une-RA, kungenzeka ukuthi ukhule la maqhubu azungeze amalunga akho asetshenziswa njalo.
Abantu abanamazinga aphezulu ama-antibodies e-Rheumatoid Factor noma e-CCP egazini labo basengozini enkulu yokuthola la maqhubu. Udokotela wakho angawalinganisa ngokuhlolwa kwegazi okulula.
Yiziphi izindlela zokwelapha ukususa la maqhubu?
Ngezinye izikhathi la maqhubu awadingi ukwelashwa. Angakheka futhi anyamalale ngokwawo, njengoba nje izimpawu ze-RA zingavela ngezinye izinsuku futhi ziphele ngezinye izinsuku.
Ukuthi iqhubu lihlala isikhathi esingakanani kuncike ekutheni lakheka kuphi, isigaba se-RA yakho, kanye nempilo yakho iyonke.
Kodwa-ke, uma amaqhubu ebuhlungu, ungawapheli wodwa, noma uma ukubukeka kwawo kuthinta ukuzethemba kwakho, udokotela wakho uzokunikeza ukwelashwa.
Izindlela zokwelapha ezivame ukusetshenziswa:
- Ama-Corticosteroids: Lawa uhlobo lomuthi onciphisa ukuvuvukala. Ngezinye izikhathi udokotela wakho angakunikeza umjovo we-cortisone eduze kweqhubu.
- I-DMARD (imithi yokwelapha amalunga eguqula izifo): Le mithi ilawula ukusebenza ngokweqile kwesimiso somzimba sokuzivikela futhi inciphise ukuvuvukala emzimbeni.
- Ama-NSAID: Lawa futhi ayimithi yokwelapha izinhlungu enciphisa ukuvuvukala. Udokotela wakho uzoncoma uhlobo olufanele wena.
- Ama-antibodies e-Monoclonal: Lawa angama-antibodies enziwe ngokwenziwa. Asiza ekulawuleni isimiso somzimba sokuzivikela. Isibonelo umjovo we-rituximab.
Ingabe la maqhubu adinga ukususwa ngokuhlinzwa?
Ukuhlinzwa ngokuvamile akudingeki, kodwa udokotela wakho angase akuncome ukuhlinzwa ezimweni ezilandelayo:
- Uma iqhubu lisesitho somzimba noma eduze kwaso, futhi lingazange liziphelele lodwa.
- Uma iqhubu likhulu kakhulu ngobukhulu.
- Uma iqhubu lingapheli naphezu kokuzama ezinye izindlela zokwelapha.
- Uma la maqhubu enza kube nzima ukusebenzisa isitho noma ukwenza imisebenzi yansuku zonke (isb., uma uqhudelana nento ethile njalo).
Ngingayibona nini udokotela?
Uma ubona noma yiziphi izinguquko ezintsha, amaqhubu, noma amaqhubu esikhumbeni sakho noma ngaphansi kwaso, qiniseka ukuthi ubona udokotela ukuze akuhlole.
Uma usuvele welashwa i-RA futhi uzizwa sengathi imithi yakho ayisebenzi kahle njengakuqala, tshela udokotela wakho ngalokho.
Kuvamile ukumangala nokwesaba kancane uma ubona iqhubu lesikhumba elisha. Kodwa izindaba ezinhle ukuthi amaqhubu e-rheumatoid ngokuvamile awayona ingozi futhi avame ukuphela ngaphandle kokwelashwa. Ngisho noma kudingeka ukwelashwa, iningi lawo liyindlela efanayo yokwelapha osuvele uyisebenzisela i-RA.
Into ebaluleke kakhulu ukuthi udokotela ahlole noma yisiphi isigaxa esisha. Lena yindlela ephephile yokwazi ngokuqinisekile ukuthi isigaxa esinesifo samathambo noma okunye.
Futhi, uma la maqhubu ephazamisa imisebenzi yakho yansuku zonke noma izinto ozithandayo, noma uma ukhathazekile ngokubukeka kwakho, khuluma nodokotela wakho ngalokho futhi. Uzokuchazela izinketho zokunciphisa noma zokususa lawo maqhubu.
Umlayezo Wokuya Nawe Ekhaya
- Amaqhubu e-rheumatoid uhlobo lwesigaxa esingesona umdlavuza esitholakala sihambisana ne-rheumatoid arthritis (RA).
- Lokhu kuvame kakhulu ukwenzeka eduze kwamalunga asetshenziswa njalo njengezindololwane neminwe, kodwa akuvamile ukwakheka ezithweni zangaphakathi njengamaphaphu.
- Lezi zivame ukungabi buhlungu, kodwa kubalulekile ukuthi udokotela ahlole noma yiziphi izigaxa ezintsha.
- Ukwelashwa akudingeki ngaso sonke isikhathi. Amanye amaqhubu ayanyamalala ngokwawo. Kodwa uma ebuhlungu noma eyinkinga, kunezindlela zokwelapha ezisebenzayo.
- Khuluma nodokotela wakho ngokukhululekile nganoma yiziphi izinguquko ezintsha noma amaqhubu owabonayo esikhumbeni sakho.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho