Rheumatologist - ngubani? Lapho kudingekile ukuze uxhumane udokotela wamathambo?

Rheumatologist - owenza lokho? Udokotela onguchwepheshe sitholakele, ukwelashwa kanye nokuvinjelwa kwezifo of emalungeni kanye ezicutshini. I izifo eziyinhloko njengoba esethembise umshado - kuyinto samathambo, osteoarthritis, rheumatism kanye sifo. Isihloko sethu Sizokwenza mbuzo: "? wamathambo - ukuthi ungubani nokuthi ukuthi ubaphatha"

Ubani ongaba udokotela ngakho

Lo chwepheshe bangaba kakhulu owelapha onekhono abembambile ukuqeqeshwa ahlukene wezifo zamathambo. Udokotela kufanele bazi kahle kamhlophe ubunjalo izifo rheumatism, ukuze balukhulume kahle izindlela zokwelashwa kanye uphethwe, ukuze ngiwufeze ngesikhathi emisha emkhakheni kwezokugoma, amathambo, Neurology, futhi njalo uthuthukise amakhono abo.

Kunini lapho kufanele ngithinte kuye?

Abantu abaningi bayazibuza mayelana nokuba khona noma yimuphi izimpawu kufanele uvakashele onguchwepheshe ezinjalo. Isizathu ukwenza aphoyintimenti, udokotela wamathambo kungaba ubuhlungu emalungwini ahlukahlukene kanye nokuhlukumezeka endaweni yabo. Njengoba sazi ukuthi lokhu kuye kwaba izifo Uchwepheshe imvelo ukuvuvukala futhi esiwohlozayo ezithinta amalunga omzimba kanye ezicutshini, kwase kuba kwabayishumi izinkomba eshiwo ngenhla ukuze bayothola ukwelashwa kungase kwengezwe futhi ngezinye izizathu.

Uma umuntu beyizidlova yizifo ezihlukahlukene ezithathelwanayo noma okuvela njalo angina, isizathu esihle siphenye wamathambo. Kubaluleke ngokufanayo ukuba banake ukungqubuzana kwezingqimba ezinkulu emalungeni noma ukuvuvukala kuzo kanye nomgogodla - kungcono futhi ithuba uthintane nodokotela onguchwepheshe.

Ngasiphi yobudala akazange avele izifo rheumatism

zokugula okunjalo ingavela ngasiphi yobudala. Nokho, iningi lezi zifo zenzeka kubantu emva kweminyaka 45. Ezinye izinhlobo izifo rheumatism cishe akukho intsha. Ngaphezu kwalokho, kukhona izifo, okuyinto 95% amacala iyathinteka kuphela abesifazane noma abantu.

Rheumatology kanye amathambo

Lezi zindawo ezimbili eduze munye. Njengoba yaziwa, amathambo - endaweni ukuhlinzwa lapho esebenzelana nama-ukuxilongwa kanye nokwelashwa of the system zemisipha. Eziningi zalezi zimpawu ukuthi abantu abaphendukela udokotela wamathambo abayohlanganiswa kwasekuzalweni, kanye nemiphumela yokulimala noma izifo ngaphambilini adlulisiwe. Ezimweni ezinjalo, udokotela wamathambo uxhuma ukwelashwa kanye nabanye abasebenzi, ezifana nokuhlinzwa kanye amathambo.

A wamathambo isebenza eduze ne odokotela osekukhulunywe ngakho, njengoba ezinye iziguli zakhe zidinga ukwelashwa eziyinkimbinkimbi. Ngo izibhedlela ezinkulu abasebenza udokotela labantjintja, ezifana udokotela wamathambo, udokotela wezifo zamathambo, iziqu nesipiliyoni evumela ukuba enze imisebenzi Ochwepheshe eziningana.

Izici mkhakha futhi sezifo ezinkulu rheumatism

Rheumatologist - ngubani? Kungase kubonakale sengathi lokhu okukhethekile lincane, kodwa eqinisweni sinzima. Rheumatologist - udokotela owelapha izifo ngisho namalungu ezicutshini. Njengoba kushiwo ngenhla, lokhu Uchwepheshe ibambisene eziningi nezinye ukulapha kuhlanganiswe. Ngaphezu amathambo, kukhona enkulu indima ukudlala ngisho arthrology. Kuyinto okukhethekile ewumngcingo, elimalungu alo bekwi ukwelashwa kuhlinzwa amalunga. Ngo odokotela lanamuhla bayindlala kakhulu, ukwazi ukusebenzisa zombili izindlela zokwelapha kanye kuhlinzwa. Zibizwa ngokuthi rheumatologists-arthrology.

Ake sihlole ezinye zezifo ezinkulu ezikhathaza wamathambo:

• Rheumatic imfiva - a letindzala zezinzwa izicubu isifo ukuthi zithinta isikhumba futhi inhliziyo. Kungaba kuthinte isikhumba, izinso, emaphashini, isibindi kanye nesimiso sezinzwa. Rheumatism bavame ukubanga yezinkinga scarlet fever noma angina ezithathelwanayo: streptococcus, okuyinto ehlaselwa emphinjeni wakhe futhi ngegciwane nezinye izitho.
• Isifo Sokuqaqamba Kwamalunga - yisishiso emalungeni. Kukhona kweshumi eziningana zezinto eziphilayo yakhe. Ngezinye izikhathi kubangele komzimba, psoriasis, sifo.
• Osteoarthritis - isifo ovamile kakhulu. Wahlupheka 15% labantu emhlabeni. It is a non-ukuvuvukala isifo ngokuhlanganyela, uqwanga nezicubu eziseduze. Njengoba emalungeni isifo kancane kancane balahlekelwa ukuhamba kwabo.

Ukuze uthole ukuthi izimbangela lezi zifo, udokotela ehlola izinqubo sokugembula emzimbeni, futhi wembula foci ezithathelwanayo. Kwezinye izimo kungase ubuhlungu bamalunga kubangelwa izifo yezitho zangaphakathi, izinyawo flat, ukukhuluphala, kanye nezifo ngisho ezithathelwana ngobulili.

Ukuphi udokotela wamathambo: lapho ukuya

Lokhu udokotela isebenza emitholampilo abavamile futhi izibhedlela, kanye nemitholampilo ezikhethekile. Kulesi umsebenzi yezimfanelo ezibaluleke kakhulu yilezi nokuhleleka, umthwalo, ukuthambekela ukuzithiba imfundo, kanye intelligence ezinhle. Futhi ewusizo ukuzethemba kanye izenzo zabo, nesihawu abagulayo.

Lokho ephatha udokotela wamathambo?

Rheumatologist - ngubani? Njengoba sesibonile, specialist ekubhekaneni iziyaluyalu emalungeni kanye ezicutshini. Iphrofayela ke ubanzi ngokwanele. Izifo njengoba kuchaziwe ngenhla, umane nje ezivamile. Linani selilonkhe lebantfu labange engaphezu kwamakhulu amabili futhi betholakala zonke izakhamuzi yesihlanu kule planethi yethu. izifo Rheumatic ehlangana nabanye abaningi, lapho izimpawu concomitant manifest efomini nolokubhujiswa kwemisipha izicubu, amalunga, amathambo nomgogodla. Futhi uma lesi sifo sihlasela izicubu kakhudlwana futhi zezinzwa, kubhekwa ukuba letindzala.

izifo Rheumatic sina ukunciphisa induduzo yokuphila komuntu. Ngezinye izikhathi, ngenxa ukuhamba elilinganiselwe enhlanganisweni yebhantshi lensimbi, isiguli angase alahlekelwe umsebenzi wakhe ngoba asikwazi ukufeza imisebenzi yabo oqondile. Kwezinye izimo, izifo rheumatism bungaholela ekukhubazekeni. Kaningi umuntu ogulayo ngokulambisa ukuvuka embhedeni futhi ahlale esihlalweni. Konke lokhu kuthinta isimo ngokwengqondo isiguli, futhi ezindla ukuphila komkhaya wakhe. Ngo-70% amacala izifo rheumatism kukhona okungamahlalakhona, njengoba sivame ukuba okubi kakhulu babo.

Rheumatologist - udokotela owelapha isifo, evamile ihlukaniswe izigaba ezimbili: (ezicutshini) ngokuhlanganyela kanye ehlasela umzimba. Manje sibheke kubo kabanzi.

ezihlukahlukene izifo

Cabanga kuqala izifo emalungeni:

• Osteoarthritis.
• rheumatoid arthritis.
• Idiopathic sokuqaqamba kwamalunga engamahlongandlebe.
• sokuqaqamba kwamalunga ezithathelwanayo.
• sokuqaqamba kwamalunga esisheshayo (Reiter Syndrome).
• Namanje kungcono isifo.
• Ankylosing spondylitis.
• Ukuvuvukala Kwamalunga futhi pseudogout.
• I-Arthritis, ezikhula ku ngemuva izifo emathunjini.

isifo ehlasela umzimba:

• I-scleroderma.
• Omzimba izicubu erythematosus.

Kukhona esinye isifo esithinta amalunga, imisipha, amathambo, imithambo yegazi kanye izitho zangaphakathi. Futhi ephatha wamathambo. Lezi zihlanganisa:

• imfiva Rheumatic (acute ifomu).
• isifo Behcet sika.
• Fibromyalgia.
• Relapsing polychondritis.
• Polymyalgia rheumatica.
• Lokhu kwakubangelwa ukukhumuzeka kwamathambo kanye nabanye.

Iqembu ahlukene emelelwa vasculopathy kanye iziyaluyalu ezilandelayo:

• Horton arteritis.
• Kawasaki isifo.
• aortoarteriit Nonspecific.
• Polyarteritis nodosa.
• Kriofibrinogenemicheskaya vasculopathy.
• vasculitis ezincane.
• vasculitis Krioglobulinematichesky.
• Henoch-Schönlein purpura.
• vasculitis Hypereosinophilic.
• Antiphospholipid syndrome nabanye.

udokotela Ukuthola

Rheumatologist - ngubani? Lena Uchwepheshe ophatha izifo amalunga omzimba. Ngesikhathi wamathambo reception ngokuvamile abantu bayawa ngokushesha, kodwa isiqondiso nezinye odokotela: isibonelo, udokotela ohlinzayo noma udokotela. Uma iziguli uvakashele udokotela uyilalela yonke izikhalazo zakhe, nesithakazelo odlule esivimba amanzi izifo, komzimba kanye ukulimala. Wabuye ebuza indlela yokuphila isiguli kanye nokuguliswa nasezihlotsheni zakhe ', okungase ngofuzo.

Njengoba sazi ukuthi wezifo zamathambo ihlobene eduze nezinye emikhakheni yezokwelapha, akumangalisi ukuthi isifo, okuyinto ngokukhethekile lokhu udokotela, efana ezihlukahlukene ezithathelwanayo, inhliziyo, hematologic, kanye nezinye izifo.

Kaningi, izifo ngisho namalungu ezidinga ukuthi kungenelelwe ngokushesha kuhlinzwa. manipulations enjalo yenza arthrology. Yena ukuhlinza iziguli, imijovo ku egobolondweni lelunga no D. nokunye. Uma isiguli kuyadingeka ukushintsha ngokuhlanganyela (sokwenziwa supply), liye ikwenza traumatologist.

ukuhlola

Isisekelo uphethwe kokuqala inqubo-X ray. Ngamanye amazwi, it enza zonke evamile ze-X ray. Ngesisekelo le miphumela udokotela kokuqhuba wokubonisana neziqinile. Kwezinye izimo, udokotela wamathambo angasebenzisa ezinye izindlela zokuxilonga, kodwa-X ray - kuyindlela elula futhi iningi ulwazi.

Analogs ungabahlukanisa kusukela i-magnetic resonance imaging (MRI) futhi computed tomography (i-CT). MRI Kuyasiza ukwazi isimo samanje izicubu lesiguli elithambile, akwazi ukugcina yayo intervertebral, izinyanda neurovascular zemicu imithambo yegazi. Ukutadishwa amathambo usebenzisa CT.

indlela entsha

Okusanda kuyanda is indlela kuqhathaniswa entsha ye ukuhlola - densitometry. Lolu cwaningo ukuhlola ukuminyana izicubu. Lokhu zokuxilonga esiwusizo ngokukhethekile kwamathambo.

Iphinde inikeze udokotela wamathambo begodu nesihlahlubo esipheleleko segazi (Kla). It ikuvumela ukuthola ukuvuvukala emzimbeni, kanye nezinye izici okuqondile okungakusiza ukuletha ngokunembe kakhudlwana uphethwe wokugcina.

wezingane

Kaningi, khona nendaba yokukhula kuyinto determinative. Uma kuziwa izifo ezihambelana izingane ke ukubhekana nazo kufanele kube kudokotela elifanele. Kulokhu, a izingane wamathambo. Lokhu kungachazwa nesenzakalo yobudala eqondene izifo rheumatism, umehluko okukhulu ezicini ezithile, kanye amacebo ukwelashwa.

Angina njengoba ingane futhi omdala kuyisici ungalokothi uphuze sokuthuthukiswa esizayo izifo rheumatism. Uma ingane wahlupheka imfiva ye-rheumatism, kungaba nomthelela ezifweni inhliziyo esikhathini esizayo. Ngenxa yalesi sizathu, ukwelapha lesi sifo Kwenziwa ngaphandle nokusetshenziswa kwamaphilisi.

Therapy, esizolokhu wamathambo zezingane, ngempela esekelwe ezicini eziningana futhi acabangele ukuthi izingane akumele sithathe imithi ethile ukuthi aphathe abadala. A umthamo imithi kuvunyelwe ezikhethwe ngokucophelela ngesisekelo endaweni ingqikithi umzimba wengane nesisindo sakhe.

Manje umfundi owazi impendulo yombuzo othi: "? Rheumatologist - ngubani?" Lena udokotela owelapha izifo ngisho namalungu ezicutshini. amasevisi wezifo zamathambo ngesikhathi samanje zihamba phambili. Lokhu akusona isimanga, ngoba imvelo eziwohlokayo, izimo zokuphila futhi kungabi nekudla lokondla umtimba neqhaza ukwehla amasosha omzimba. izifo Rheumatic zingatholakala ku wonke umuntu yesihlanu.

Njengoba kushiwo ngenhla, namuhla yafuna labantjintja onekhono. Njalo izikhungo kwezokwelapha ungathola udokotela wamathambo, udokotela wezifo zamathambo, ethandwa futhi arthrology wamathambo. Nobufakazi kusuka iziguli odokotela afanelekayo omuhle kakhulu.

Ngeshwa, wezifo zamathambo Awekho amacala nge yokutakula ngokushesha noma kuqhathaniswa okusheshayo. Ngokuvamile lezi zifo siguqulelwa yizifo ezingamahlalakhona futhi uhlupha indoda kukho konke ukuphila kwakhe, ngezinye izikhathi lantambama kanye imimese. Lokhu kusho ukuthi abantu babe iminyaka ilandelana nedlanzana ezimbalwa ukuya udokotela wamathambo.

Ingabe lokhu kusho ukuthi umsebenzi udokotela esingenathemba? Cha, akunjalo. Isisiza udokotela wamathambo abagulayo isimo sabo, aqede ubuhlungu bese ibuyisela injabulo ekuphileni. Lapho lesi siguli kubangcono, udokotela kuyamsiza ugweme kokwehluleka okwalandela. Lona umsebenzi oyinhloko lo msebenzi.