Iziphumo zeRheumatoid Arthritis eMzimbeni

Umxholo

• Ushwankathelo
• Iziphumo zesifo samathambo emzimbeni
• Inkqubo yamathambo
• Iimpawu ze-RA zinokubakho nakuliphi na ilungu lomzimba, kubandakanya lakho:
  
• Inkqubo yokujikeleza kwegazi
• Ulusu, amehlo, nomlomo
• Inkqubo yokuphefumla
• Inkqubo yomzimba
• Ezinye iinkqubo

Ushwankathelo

I-rheumatoid arthritis (RA) ingaphezulu nje kwentlungu edibeneyo. Esi sifo esingapheliyo sokudumba komzimba senza ukuba umzimba wakho uhlasele ngempazamo amalungu kunye nokukhokelela ekuvukeleni.

Ngelixa i-RA idume ngokubangela iintlungu ngokudibeneyo kunye nokudumba, inokubangela ezinye iimpawu kuwo wonke umzimba. Funda ngokufunda ngakumbi malunga neempawu ezinokubakho ze-RA kunye neziphumo zayo emzimbeni.

Iziphumo zesifo samathambo emzimbeni

I-RA sisifo se-autoimmune esiqhubela phambili esichaphazela ikakhulu amalungu akho. Ngokwe-Arthritis Foundation, malunga ne-1.5 yezigidi zabantu base-US bahlala ne-RA.

Nabani na onokufumana i-RA, kodwa ngokubanzi iqala phakathi kweminyaka engama-30 nama-60. Ikwayabachaphazela abasetyhini phantse kathathu kunamadoda.

Isizathu ngqo seRA asaziwa, kodwa imfuza, usulelo, okanye utshintsho lwehomoni lunokudlala indima. Amayeza aguqula izifo anokunceda ekucothiseni ukuqhubela phambili kweRA. Olunye unyango, oludibene notshintsho kwindlela yokuphila, lunokunceda ukulawula iziphumo kunye nokuphucula umgangatho wobomi.

Inkqubo yamathambo

Olunye lweempawu zokuqala zeRA kukudumba kwamalungu amancinci ezandleni nasezinyaweni. Uninzi lwexesha, iimpawu zichaphazela omabini amacala omzimba ngaxeshanye.

Iimpawu eziqhelekileyo zibandakanya iintlungu, ukudumba, ukuthamba, kunye nokuqina, okubonakala kakhulu kusasa. Intlungu ye-RA kusasa inokuhlala imizuzu engama-30 okanye ngaphezulu.

I-RA nayo inokubangela ukurhawuzelela okanye ukuvutha kweemvakalelo kumalungu. Iimpawu zinokuza zihambe "kwiifutha" zilandelwe lixesha lokuxolelwa, kodwa amanqanaba okuqala anokuhlala ubuncinci iiveki ezintandathu.

Iimpawu ze-RA zinokubakho nakuliphi na ilungu lomzimba, kubandakanya lakho:

• iminwe
• izihlahla
• amagxa
• iingqiniba
• isinqe
• amadolo
• amaqatha
• iinzwane

I-RA inokubangela ukuba:

• iibhanyoni
• uzipho kwiinzwane
• iinzwane isando

Njengoko esi sifo siqhubeka, intlala kunye nethambo ziyonakala zize zitshatyalaliswe. Ekugqibeleni, ukuxhasa imisipha, iigaments, kunye nezihlunu ziba buthathaka. Oku kunokukhokelela kuluhlu olulinganiselweyo lokuhamba okanye ubunzima bokuhambisa amalungu ngokufanelekileyo. Kwixesha elide, amalungu angakhubazeka.

Ukuba ne-RA nako kukubeka emngciphekweni omkhulu wokukhula kwamathambo, ukuphelelwa ngamandla kwamathambo. Oku kunokunyusa umngcipheko wokuqhekeka kwethambo kunye nokwaphuka.

Ukudumba okungapheliyo kwezihlahla kungakhokelela kwi-carpal tunnel syndrome, okwenza kube nzima ukusebenzisa izihlahla zakho nezandla zakho. Amathambo abuthathaka okanye onakeleyo entanyeni okanye emqolo wesibeleko kunokubangela iintlungu ezingapheliyo.

Ugqirha wakho angayalela i-X-ray ukuba iphande ngobungakanani bomonakalo odibeneyo kunye nowethambo ovela kwiRA.

Inkqubo yokujikeleza kwegazi

I-RA inokuchaphazela inkqubo enoxanduva lokwenza kunye nokuhambisa igazi emzimbeni wakho, nawo.

Uvavanyo lwegazi olulula lunokubonisa ubukho be-antibody ebizwa ngokuba yi-rheumatoid factor. Asingabo bonke abantu abane-antibody abaphuhlisa i-RA, kodwa yenye yeendlela ezininzi oogqirha abazisebenzisayo ukufumanisa le meko.

I-RA inyusa umngcipheko we-anemia. Oku kungenxa yokuhla kwemveliso yeeseli ezibomvu zegazi. Unokuba nomngcipheko ophezulu weemithambo ezivaliweyo okanye ezinzima.

Kwiimeko ezinqabileyo, i-RA inokukhokelela kukudumba kwengxowa ejikeleze intliziyo (i-pericarditis), imisipha yentliziyo (i-myocarditis), okanye ukungaphumeleli kwentliziyo.

Ingxaki enqabileyo kodwa enzulu yeRA kukudumba kwemithambo yegazi (rheumatoid vasculitis, okanye RA rash). Imithambo yegazi evuthayo iyancipha kwaye iyanda okanye imxinwa, iphazamisane nokuhamba kwegazi. Oku kunokukhokelela kwiingxaki zemithambo-luvo, ulusu, intliziyo kunye nengqondo.

Ulusu, amehlo, nomlomo

Amaqhuqhuva erheumatoid ngamaqhuma alukhuni abangelwa kukudumba okubonakala phantsi kolusu, kuhlala kufutshane namalungu. Ziyakwazi ukukhathazeka, kodwa ngokuqhelekileyo azibuhlungu.

Abantu abamalunga ne-4 yezigidi base-US banesifo esidumbisayo esibizwa ngokuba yi-Sjogren's syndrome, ngokwe Sjogren's Syndrome Foundation. Phantse isiqingatha saba bantu bane-RA okanye isifo esifanayo somzimba. Xa ezi zifo zimbini zikhona, ibizwa ngokuba yi-Sjogren's syndrome yesibini.

I-Sjogren's ibangela ukoma kakhulu - ngakumbi kwamehlo. Ungaqaphela ukutsha okanye uburharha. Amehlo owomileyo ixesha elide anyusa umngcipheko wosulelo lwamehlo okanye ukonakala kwe-corneal. Nangona kunqabile, i-RA inokubangela nokudumba kweliso.

I-Sjogren's nayo inokubangela umlomo owomileyo nomqala, yenze kube nzima ukutya okanye ukugwinya, ngakumbi ukutya okomileyo. Umlomo owomileyo ongapheliyo ungakhokelela ku:

• ukubola kwamazinyo
• gingivitis
• usulelo lomlomo

Unokuba namava okuvuvukala ebusweni nasentanyeni, iipaseji ezomileyo zempumlo, kunye nolusu olomileyo. Abasetyhini banokuziva ngathi bomile kwilungu lobufazi.

Inkqubo yokuphefumla

I-RA inyusa umngcipheko wokudumba okanye ukunqunyulwa kwamaphiko (i-pleurisy) kunye nomonakalo kwizicubu zemiphunga (rheumatoid lung). Ezinye iingxaki zibandakanya:

• Iindlela ezivaliweyo zomoya (i-bronchiolitis obliterans)
• Umkhuhlane esifubeni (ukucocwa komzimba)
• uxinzelelo lwegazi oluphezulu emiphungeni (uxinzelelo lwegazi)
• ukutyhafa kwemiphunga (pulmonary fibrosis)
• amaqhuqhuva rheumatoid emiphungeni

Nangona iRA ingonakalisa inkqubo yokuphefumla, ayinguye wonke umntu oneempawu. Abo benzayo banokuphefumla kancinci, ukukhohlela kunye neentlungu esifubeni.

Inkqubo yomzimba

Amajoni akho omzimba asebenza njengomkhosi, ekukhusela kwizinto ezinobungozi ezinjengeentsholongwane, iintsholongwane, kunye neetyhefu. Ikwenza oku ngokuvelisa ii-antibodies zokuhlasela aba bahlaseli.

Ngamaxesha athile, amajoni omzimba achaza ngempazamo indawo yomzimba njengomhlaseli welinye ilizwe. Xa oko kusenzeka, izilwa-buhlungu zihlasela izicwili ezisempilweni.

Kwi-RA, amajoni akho omzimba ahlasela amalungu akho. Isiphumo kukudumba okungapheliyo okanye okungapheliyo emzimbeni wonke.

Izifo ezizimeleyo azinasifo, kwaye unyango lujolise ekucothiseni inkqubela phambili kunye nasekunciphiseni iimpawu. Kwakhona kunokwenzeka ukuba ube neengxaki ezingaphezu kweyodwa.

Ezinye iinkqubo

Intlungu kunye nokungonwabi kweRA kunokwenza ukuba kube nzima ukulala. I-RA inokukhokelela ekukhathaleni okukhulu kunye nokungabikho kwamandla. Ngamanye amaxesha, i-RA flare-ups inokubangela iimpawu ezinje ngomkhuhlane njenge:

• umkhuhlane wexesha elifutshane
• ukubila
• ukungabikho komdla

Ukuchongwa kwangoko kunye nonyango kunokunceda ukucothisa ukuqhubela phambili kwe-RA. Amayeza aguqula izifo, ukunciphisa iimpawu, kunye nokutshintsha indlela ophila ngayo kunokubuphucula kakhulu ubomi bakho.

Kubalulekile ukugcina ugqirha wakho unolwazi malunga naluphi na utshintsho kwiimpawu ozifumanayo kwi-RA yakho, ngoko unokuhlengahlengisa isicwangciso sakho sonyango njengoko kuyimfuneko.