Rheumatoid arthritis: izimpawu nokwelashwa izidakamizwa futhi abantu amakhambi

Rheumatoid arthritis - inqubo ezingamahlalakhona ukuvuvukala ukuthi sihlasela kakhulu emalungeni elincane ezandleni nasezinyaweni. Ngokungafani "ukugqoka" emalungeni, isici osteoarthritis, kulesi simo umonakalo yinto ehlukile: ukuhlupheka kuphela ukuvuvukala igobolondo elibangela ubuhlungu obukhulu kungaholela ithambo ukuguguleka komhlabathi kanye deformity ngokuhlanganyela.

rheumatoid arthritis, izimpawu kanye nokwelashwa okungase kube inkinga yangempela, kuyinto isifo sokuhlasela kwamasosha omzimba futhi kwenzeka lapho isimiso somzimba sokuzivikela ngephutha eyohlasela kwezicubu lalo. Ngaphezu pathologies amalunga, kuhlukumeza kungabangela isifo kanye nezinye izitho zomzimba, kuhlanganise isikhumba, amehlo, emaphashini, nemithambo yegazi.

Nakuba lesi sifo zingaphinde zivele noma ubudala, ngokuvamile kakhulu kuthinta abantu phezu engamashumi amane. Kakhulu kuthinta abesifazane.

Sikhishwe ubunjalo yini samathambo, ukuphathwa (izidakamizwa nezinqubo) okuhloswe ngokuyinhloko at ukulawula izimpawu futhi kuvimbele ukulimala emalungeni.

izimpawu

izimpawu esivamile isifo zihlanganisa:

• ukuvuvukala futhi ngakhula nozwela emalungeni (bangakwazi futhi ahlale efudumele uma uyithinta);
• ekuseni rigidity, okungase kuhlale iminyaka amahora amaningana;
• khona izigaxa okuqinile sezicubu zezinzwa, okungase kuthintwe ngesandla isikhumba (Izigaxana rheumatoid) ;
• ukukhathala, imfiva, engahlelelwe kwesisindo.

rheumatoid arthritis, ukwelashwa, izimpawu kanye izimbangela bachazwa futhi evunyiwe kusaqalwa sifo, ngokuvamile kuthinta emalungeni encane kuqala - ngokuvamile yibo ukuxhuma iminwe ezandleni futhi amathe ezinyawo.

Njengoba zokugula iqhubeka, izimpawu cishe njalo kudlulela esihlakaleni, amadolo, amaqakala izindololwane, ezinqulwini emahlombe. Ezimweni eziningi izimpawu azibonakalisa ukwephula emalungeni efanayo nhlangothi zombili (ngokulandelana ngakwesokudla nasemilenzeni ngakwesokunxele).

Izimpawu ngokuvamile ziyehluka kobukhulu kanye zingase ziphele ngisho isikhashana, khona-ke ukubuyela futhi. Izinkathi ukwanda isifo - uhlobo flash - kushintshane izinkathi ukuthethelelwa isihlobo, lapho ukuvuvukala nobuhlungu ukuncipha noma zinyamalale ngokuphelele. Ngokuhamba kwesikhathi, i-rheumatoid arthritis, izimpawu kanye imithi lapho isiguli usuqale kubangele ukusonteka kanye displacement we emalungeni.

Uxhumane nodokotela wakho uma ubona ukuthi emalungeni Kugcwele njalo ukuvuvukala esibangela ukungakhululeki kwakho.

izizathu

rheumatoid arthritis eba ngesikhathi amasosha omzimba ehlasela ulwelwesi lwamalunga we ulwelwesi ezizungezile emalungeni.

ukuvuvukala Okwalandela sikhula ulwelwesi lwamalunga futhi kungase kuholele ukubhujiswa uqwanga bone.

Imisipha kanye nemisipha ukuthi ubambe ngokuhlanganyela endaweni buthaka bese elula. Kancane kancane, ngokuhlanganyela ulahlekelwa ezakheke bese ihamba.

imithi yesimanje ongakabi esiphethweni kahle ukuthi kubangela isimiso sokuzivikela ezifweni ukuba baphendule ngokwanele ukuba synovium, kodwa ochwepheshe basikisela ukuthi leli phuzu ufuzo abathintekayo. Nakuba isakhi sofuzo ngokwayo iqukethe akukho imfuneko ekuthuthukiseni pathologies ezifana-rheumatoid arthritis (ekwelapheni izimpawu futhi zichazwe ngokugcwele kule iphepha), bangakwazi eziqukethe ulwazi mayelana nezici ezithile ukuze imiphumela emibi imvelo. Lokhu kusho ukuthi ukutheleleka nge zamagciwane ezithile umzimba igciwane noma amagciwane uyakwazi ukuqalisa zokugula ngokuhlanganyela.

engcupheni

Izimo ukuthi kwandisa ingozi yokungenwa nokuthuthukisa lesi sifo yilabo okulandelayo:

• UPawulu. Abesifazane uxilongwe samathambo ngokuvamile.
• Ubudala. Nakuba lesi sifo kungavuka ngasiphi yobudala, ezimweni eziningi, izimpawu zibonakala phakathi neminyaka emashumi mane ayisithupha.
• umlando womndeni. Uma ilungu lomndeni wakho ukuthi nginesifo i-rheumatoid arthritis, izimpawu kanye nokwelashwa okuyinto omamukele udokotela onokwethenjelwa, basengozini.

yezinkinga

Lesi sifo kwandisa ingozi yokuba pathologies ezilandelayo:

• Lokhu kwakubangelwa ukukhumuzeka kwamathambo. rheumatoid arthritis - ngawodwana, noma lihambisana yokwelapha izidakamizwa okuhloswe ngaso ayokwelashwa - kungandisa amathuba kwamathambo. Lesi simo lapho amathambo buthaka bese kuba izacile, okuholela imithelela ngisho encane kungaholela ukubukeka imifantu.
• Umhubhe carpal syndrome (carpal) siteshi. Uma isifo sandile esihlakaleni, ukuvuvukala kungaba cindezela emsipheni oluthinta ukusebenza isandla neminwe.
• Isifo senhliziyo. I zokugula ezifanayo emalungeni kwandisa ingozi ukuqina futhi odla kwemithambo yegazi. Ngaphezu kwalokho, kungabangela nezilonda zasesikhwameni ezungeze inhliziyo.
• wamaphaphu nesifo. Isifo izimpawu arthritis (i ukwelashwa amakhambi abantu kuleli cala akunakwenzeka ukuba siphumelele) elihlanganiswa ezifweni isifo yamaphaphu, kungabangela ukuvuvukala yomoya ephansi futhi wamaphaphu izicubu nezibazi. Ngenxa yalokho, isiguli oyohlushwa kufushane okuqhubekayo umoya.

Ngaphambi Ukuvakashela udokotela

Uma ucabanga ukuthi unayo i-rheumatoid arthritis, izimpawu, ukwelashwa, kubangela yesifo nayo Izibikezelo kungcono ngokushesha ngangokunokwenzeka ukuxoxa nge udokotela. Sincoma ukuthi wenze sibonane owelapha, ngubani, uma kunesidingo, ukukuthumelela udokotela wamathambo - onguchwepheshe ekwelapheni isifo sokuqaqamba kwamalunga kanye nezinye izifo ukuvuvukala. It wamathambo uzohlola isimo sakho.

Ngaphambi kokuya ngemiyalo yezokwelapha, ukwenza uhlu ukuthi kuhlanganisa izinto ezilandelayo:

• incazelo eningiliziwe izimpawu obhekana nazo;
• ulwazi izifo, ukulimala kanye nezinye izinkinga zempilo you jeza esikhathini esidlule;
• idatha ku nezempilo kanye nezifo wahlupheka abazali bakho, abafowenu nodadewenu;
• uhlu oluphelele imithi, Vitamin izakhiwo kanye Izithako zokudla ukuthi uthatha njalo;
• imibuzo ofuna ukuba ibuzwe kudokotela.

Yini udokotela uthi

Lo chwepheshe kungenzeka sikucele ezinye imibuzo elandelayo:

• Lapho benza isaziso izimpawu zokuqala zesifo?
• Ingabe izimpawu zokugula zashintsha njengoba isikhathi siqhubeka?
• Yini emalungeni Ache?
• Imbangela ikhona izinhlobo ukuwohloka umsebenzi noma ubungcono nesimo sakho ngempumelelo?
• Ingabe ukuvimbela izimpawu zokugula enza imisebenzi yakho kwansuku zonke?
• Uma udokotela wakho uqinisekisa ukuthi une samathambo, izimpawu, izimbangela, ukwelashwa kanye Ukudla kuyoba izihloko eyinhloko yokuxhumana.

ukuhlola

rheumatoid arthritis kunzima ukuqaphela okwakuhlalwa kuzo lapho kusaqalwa, njengoba izimpawu eyinhloko futhi izimpawu zenzo ziwukubonakaliswa ezifanayo nezinye izimo zokucabanga okubangelwa isifo. Okwamanje, akukho uhlobo ezinjalo ukuhlolwa kwegazi noma behlolwa ezingase nangokunembile uqinisekise nokucabanga iziguli nodokotela. Nokho, uma ukungakhululeki abalulekile kanye ukuvuvukala kuyadingeka ukuze ukwelashwa, ngoba izazi konke okusemandleni abo ukucacisa uphethwe presumptive.

Ngakho, ukuhlolwa kwezempilo kokuqala uqhutshwa ukuhlola isimo amalunga khona ukuvuvukala, ububomvu nokushisa. Ngaphezu kwalokho, kule, udokotela uhlola ikhaliphe futhi imisipha amandla.

Kwezinye izimo, indlela-X-ray ukuqapha izinguquko emalungeni ngokuhamba kwesikhathi.

ukuhlolwa kwegazi

Iziguli ukuthi nginesifo rheumatoid arthritis (i izimpawu kanye amakhambi ukwelashwa Folk ezisohlwini umbhalo), une-likhuphuke ESR (erythrocyte sedimentation rate), okhombisa khona ukuvuvukala emzimbeni. Okunye assays igazi lula ukuhlonzwa yezici samathambo kanye namasosha omzimba elwisana eyindilinga peptide citrullinated.

ukwelashwa

Nakuba i-rheumatoid arthritis (izimpawu, ukwelashwa, uphethwe, zokuvimbela - konke lokhu namanje ngaphansi cwaningo ngochwepheshe) ukuphazamiseka lalivamile, kuze kube manje akukho indlela eyodwa ekwelapheni lesi sifo. yokwelapha izidakamizwa ungakwazi kuphela ukwehlisa ukuvuvukala kwamalunga, okudambisa ubuhlungu futhi kuvinjelwe noma ijubane ukubhujiswa kwezicubu.

nemithi

Ukulandela kokutholakala isifo samathambo, izimbangela, izimpawu, kanye nokwelashwa izici okufanele ukuchaza ngokuningiliziwe udokotela wakho, esimisiwe yokwelapha wezokwelapha. Njengoba kusebenza kakhulu Kulokhu, izidakamizwa nemiphumela engemihle, ochwepheshe ozama okokuqala ukubhala izidakamizwa okungenani eziyingozi. Nokho, njengoba intuthuko isifo usadinga imithi enamandla - noma inhlanganisela izindlela eziningana.

• izidakamizwa Nonsteroidal eqeda ukuvuvukala lula ubuhlungu futhi ukunciphisa ukuvuvukala. Abanye babo edayiswa Pharmacy ngaphandle imithetho kadokotela. Lokhu, isibonelo, i-ibuprofen, futhi naproxen sodium. izidakamizwa okuningi ngempumelelo yaleli qembu okunikelwa kadokotela. Le miphumela emibi bangase balwisane njengoba tinnitus, kolwelwesi, iziyaluyalu umonakalo inhliziyo, isibindi nezinso.
• Ama-steroid. Corticosteroids, ezifana prednisone, ukunciphisa ukushisa bese ubuhlungu bese wehlisa umonakalo ngokuhlanganyela. Imiphumela engemihle zihlanganisa ithambo thinning, isisindo somzimba nesifo sikashukela. Odokotela bavame akunikeze imithi enjalo ukuze izimpawu oyingozi futhi batusa eminye kancane kancane senqabe ukwamukela corticosteroids.
• izidakamizwa Basic antiinflammatory (disease-modifying imithi enqanda ukuhlasela). Uma uxilongwe samathambo, ukuphathwa (izidakamizwa nezinqubo) kungase kuhilele e ingasheshi inqubo ekubhujisweni ngokuhlanganyela futhi kuvimbele ukulimala kwezinye izicubu. Ngenxa yale njongo, aqokwe izidakamizwa eqeda ukuvuvukala eziyisisekelo, kuhlanganise ngokuvamile ezisetshenziswa methotrexate, leflunomide, hydroxychloroquine futhi sulfasalazine. Imiphumela engemihle zihlanganisa ukulimala kwesibindi, umnkantsha ukucindezelwa futhi ngamagciwane okunzima yamaphaphu.

amakhambi abantu

Uma ufunda mayelana izimpawu nokwelashwa isifo samathambo onaso sibe encwadini noma kwi-Inthanethi ngezizathu zomuntu siqu engathandi ukubona udokotela (Maye, kwenzeka), zama ukuba ubhekane nezingcindezi amakhambi ukugula Folk - Kunoma yikuphi, okungenani abazi zibangele ezifana nemiphumela emibi, njengoba imithi ekhemisi.

Ukuze ukwelashwa kwe-abasekeli ahlangene Omunye umuthi ukusebenzisa uwoyela imbewu, evening primrose, currants omnyama borage, kanye nokudla eziphila abakhuthele okufakiwe nge wokuqukethwe lelisetulu namafutha kafishi. Konke lokhu izinto ongahlanganyela ezihlukahlukene izidakamizwa, ngakho ngaphambi kokuba uyisebenzise qiniseka ukuthola umbono udokotela noma wamathambo.