Isifo samathambo esisebenzayo: yintoni, unyango, iimpawu kunye noonobangela

Umxholo

• Iimbangela ze-arthritis esebenzayo
• Iimpawu zesifo samathambo esisebenzayo
• Ukuchongwa kwearthritis esebenzayo
• Unyango lwenziwa njani
• Unyango lwearthritis esebenzayo
• I-Physiotherapy ye-arthritis esebenzayo

Isifo samathambo esisebenzayo, esasisaziwa ngokuba yiReiter's Syndrome, sisifo esidumbisayo esikhula kwakamsinya emva okanye ngexesha losulelo lwebacteria, ngesiqhelo okanye esiswini. Ngenxa yokwenzeka kwesifo, olu hlobo lwesifo samathambo kuthiwa lusebenze.

Isifo samathambo esisebenzayo senziwe ngethathu yonyango: isifo samathambo esosulelayo, urethritis kunye nokudibana. Esi sifo sixhaphake kubantu abadala abancinci abanembali yosulelo kwiiveki ezi-4 ezidlulileyo.

Kwiimeko ezininzi, abantu abafunyaniswe benesifo samathambo esisebenzayo bayangcono emva kweenyanga ezimbalwa ngaphandle kwesidingo sonyango, nangona kunjalo kukho amathuba okuba iphinde yenzeke. Unyango lolu hlobo lwe-arthritis lusekwa ngugqirha oqhelekileyo okanye i-rheumatologist ngokweempawu ezibonakaliswe sisigulana kunye nonobangela wesifo, kunye nokusetyenziswa kwe-anti-inflammatories, analgesics, corticosteroids okanye i-antibiotics kunokucetyiswa.

Iimbangela ze-arthritis esebenzayo

Isifo samathambo esisebenzayo sihlala sivela ngenxa yosulelo lwe-urogenital okanye emathunjini. Kwimeko yosulelo lwe-urogenital, inokubangelwa zizifo ezidluliselwa ngeentlobano zesini, ezinjengechlamydia, umzekelo, ezibangelwa ziintsholongwane I-Chlamydia trachomatis. Xa kungenxa yosulelo lwamathumbu, kunokuba ngenxa yosulelo ngu ICampylobacter sp, Shigella sp okanye ISalmonella sp, umzekelo.

Ezi zifo zingenzeka ngenxa yoqhakamshelwano olungakhuselekanga, kwimeko yezifo ezosulela ngokwabelana ngesondo, ezinxulumene ne-urethritis okanye i-cervicitis, enokuthi ibe ye-asymptomatic, nangona iimeko ezininzi zikhokelela kwintlungu kunye nokutsha kumchamo, ukongeza ukukhutshwa komchamo okanye ukukhutshwa kwilungu lobufazi, okanye ngenxa yetyhefu yokutya, kwimeko yosulelo lwebacteria emathunjini. Ukongeza, isifo samathambo esisebenzayo sinokubangelwa lusulelo lwentsholongwane. Kukho iingxelo zesifo samathambo esisebenzayo emva konyango lwe-immunotherapy yomhlaza wesinyi.

Iimpawu zesifo samathambo esisebenzayo

Isifo samathambo esisebenzayo sibonakaliswa ngophawu lweempawu ezingathandekiyo (isifo samathambo, urethritis kunye nokudibana), oko kukuthi, esi sifo sibonisa iimpawu zosulelo, ukudumba kwamalungu kunye neengxaki zamehlo. Ke, iimpawu eziphambili kunye neempawu ezinxulumene nesifo samathambo esisebenzayo zezi:

• Iimpawu zosulelo:

  • Polyuria, nto leyo imveliso isixa esikhulu umchamo emini;
  • Iintlungu kunye nokutsha xa uchama;
  • Ubukho begazi kumchamo;
  • Umnqweno ongxamisekileyo wokuchama;
  • Iimpawu kunye neempawu ezinxulumene ne-prostatitis emadodeni, njengobunzima bokugcina ulwakhiwo, iintlungu xa usiya ejaculating kunye nobukho begazi kwimbewu;
  • Iimpawu kunye neempawu ezinxulumene ne-cervicitis, i-salpingitis okanye i-vulvovaginitis kubafazi.
• Iimpawu ezidibeneyo, ezinokwahluka ukusuka kwi-monoarthritis yexeshana ukuya kwi-polyarthritis, oko kukuthi, kunokubakho ukubandakanyeka kwelinye okanye ngaphezulu kwamalungu:
  • Intlungu edibeneyo;
  • Kunzima ukuhambisa ngokudibeneyo;
  • Ubuhlungu emazantsi omqolo;
  • Ukudumba kumalungu;
  • Ukudumba kwemisipha kunye nemisipha enxulumana ngokudibeneyo.
• Iimpawu zamehlo:
  • Ubomvu emehlweni;
  • Ukukrazula kakhulu;
  • Ubuhlungu okanye ukutshisa emathanjeni;
  • Ukudumba;
  • Amehlo avuthayo;
  • Ukonyusa uvakalelo ekukhanyeni, okubizwa ngokuba yi-photophobia.

Ukongeza, ezinye iimpawu ngokubanzi zinokuvela, njengokudinwa kakhulu, iintlungu zomqolo, umkhuhlane ongaphezulu kwe-38ºC, ukwehla kobunzima, itrush, iintlungu esiswini okanye urhudo, umzekelo Xa ezi zimpawu zibonakala, kuyacetyiswa ukuba ubonane nogqirha jikelele ukuvavanya ingxaki kwaye ubonise isidingo sokudibana ne-rheumatologist ukuqala unyango olufanelekileyo.

Ukuchongwa kwearthritis esebenzayo

Ukuchongwa kwesifo samathambo esisebenza ngokusisiseko sisonyango, apho kuvavanywa khona ukuba ngaba akukho zimpawu ziimpawu zethathu, oko kukuthi, ubukho beempawu kunye neempawu ezinxulumene nosulelo, ukudumba kwamalungu kunye neengxaki zamehlo.

Ukongeza, ugqirha unokucela ukuba kwenziwe uvavanyo lofuzo ukuze kuchongwe i-HLA-B27, enokuthi ithathelwe ingqalelo njengophawu oluqinisekileyo kwizigulana ezine-arthritis esebenzayo. Ngokubodwa, i-HLA-B27 inexabiso elincinci lokuqonda isifo kwaye ayiboniswanga kukhathalelo oluqhelekileyo lwezi zigulana.

Unyango lwenziwa njani

Unyango lwe-arthritis esebenzayo lwenziwa ngokweempawu ezibonakaliswe ngumntu kunye nesizathu sesifo, kunye nokusetyenziswa kwamachiza okulwa nokuvuvukala kunye ne-analgesic, njengeParacetamol okanye i-Ibuprofen, ngokuqhelekileyo kuboniswa yi-rheumatologist. Kwezinye iimeko, ukusetyenziswa kwe-corticosteroids, njengePrednisolone, kunokucetyiswa ukunciphisa ukudumba kwiindawo ezahlukeneyo zomzimba kunye nokunciphisa iimpawu.

I-rheumatologist ingabonisa nokusetyenziswa kwee-antibiotics, ukuba i-arthritis esebenzayo ibangelwa usulelo lwebhaktheriya kwaye umzimba awukwazi ukuphelisa ibhaktheriya, nangona kunjalo ukusetyenziswa kwee-antibiotics akukho mpembelelo malunga nokuphuhliswa kwesi sifo. Ukongeza, kwimeko apho amalungu achaphazeleka khona, unyango lomzimba lunokuboniswa, olwenziwa ngokuzivocavoca okunceda ekubuyiseni ukuhamba kwamalungu kunye nokuphelisa iintlungu.

Nangona kunjalo, akusoloko kunokwenzeka ukukhulula ngokupheleleyo zonke iimpawu zesifo samathambo esisebenzayo, ukuphuhlisa imeko engapheliyo ebangela ukuba iimpawu ziphinde zivele kwiiveki ezimbalwa.

Unyango lwearthritis esebenzayo

Kwiimeko ezininzi zesifo samathambo esisebenzayo, ugqirha ucebisa ukuba kusetyenziswe iziyobisi ezingekho-steroidal ezichasayo (i-NSAIDs) ukulungiselela ukukhulula iimpawu, kunye nokusetyenziswa kwe-Ibuprofen okanye iDiclofenac kunokucetyiswa ukunciphisa iintlungu kunye nokwenza lula intshukumo edibeneyo. Kwimeko apho ukusetyenziswa kwee-NSAID akwanelanga, ukusetyenziswa kwamanye amayeza, anje ngala:

• ICorticosteroids, ezinje ngePrednisolone okanye iBetamethasone, ukunciphisa iimpawu zokudumba xa iziyobisi ezichasayo zingonelanga;
• Amayeza okubulala iintsholongwane, eyohluka ngokwendlela yesifo esosulelayo ejongene nosulelo kunye neprofayili yobuntununtunu be-microorganism.

Unyango lwe-arthritis esebenzayo luhlala malunga neenyanga ezi-6, kodwa kwezinye iimeko lunokufikelela kwiminyaka eli-1 ngokuxhomekeka kubukhali beempawu kunye nempendulo yomntu kunyango.

I-Physiotherapy ye-arthritis esebenzayo

Unyango lwe-Physiotherapy lubalulekile kunyango lolu hlobo lwe-arthritis ukunqanda ukuqina kwelungu. Ke, unyango lomzimba lubonisa kwaye lwenza ezinye iimithambo ukunciphisa iimpawu zokudibana, ukwandisa uluhlu lwesindululo kunye nokuthintela ukukhubazeka okunokubakho ngenxa yesi sifo.

Jonga le vidiyo ilandelayo ngokwenza umthambo othile we-arthritis: