Nguwuphi umahluko phakathi kweArthritis yokuDumba kunye neArthritis engapheliyo?

Umxholo

• Yintoni isifo samathambo?
• Sibangelwa njani isifo samathambo?
• Oonobangela osteoarthritis
• Izinto ezibangela isifo samathambo
• Iimpawu zesifo samathambo
• Ukuchonga isifo samathambo
• Ukunyanga isifo samathambo
• Osteoarthritis
• Irheumatoid Arthritis
• Utshintsho kwindlela yokuphila ye-arthritis
• Nini ukubona ugqirha

Yintoni isifo samathambo?

Isifo samathambo yimeko apho elinye okanye ngaphezulu kwamalungu akho atshisayo. Oku kunokubangela ukuqina, ukukhathazeka, kwaye kwiimeko ezininzi, ukudumba.

Isifo samathambo esidumbisayo kunye nesinganyanzelisiyo zezona ndlela zixhaphakileyo zemeko.

Zininzi iintlobo ezahlukeneyo zamathambo. Enye yeentlobo eziqhelekileyo zesifo samathambo esidumbisayo sisifo samathambo (RA), kwaye olona hlobo luxhaphakileyo lwe-noninflammatory arthritis yaziwa ngokuba yi-osteoarthritis (OA).

Sibangelwa njani isifo samathambo?

I-OA kunye neRA zombini zinezizathu ezahlukeneyo.

Oonobangela osteoarthritis

Nangona ibizwa ngokuba yi-noninflammatory arthritis, i-OA isenokubangela ukudumba kwamalungu. Umahluko kukuba oku kudumba kunokwenzeka kubangelwe kukuwohloka.

I-OA yenzeka xa i-joint cartilage idilizwa. I-Cartilage sisicwili esityibilikayo esigubungela kwaye sibambe amathambo ngamalungu ngokudibeneyo.

Ukonzakala ngokudibeneyo kunokukhawulezisa ukuqhubela phambili kwe-OA, kodwa nakwimisebenzi yemihla ngemihla inokuba negalelo kwi-OA kamva ebomini. Ukutyeba kakhulu kunye nokubeka uxinzelelo kumalungu kunokubangela i-OA.

Isifo samathambo esinganyangiyo sifumaneka kakhulu emadolweni, esinqeni, emqolo nasezandleni.

Izinto ezibangela isifo samathambo

I-RA sisifo esinzima ngakumbi, kodwa sihlala sichaphazela:

• izandla
• izihlahla
• iingqiniba
• amadolo
• amaqatha
• iinyawo

Njenge-psoriasis okanye i-lupus, i-RA sisifo esizimele. Oku kuthetha ukuba amajoni omzimba ahlasela izicwili ezisempilweni.

Unobangela weRA useseyimfihlakalo. Ngenxa yokuba abasetyhini kunokwenzeka ukuba baphuhlise i-RA kunamadoda, abaphandi bakholelwa ekubeni oko kunokubandakanya izinto zofuzo okanye iihomoni.

I-RA inokubonakala nakubantwana, kwaye inokuchaphazela amanye amalungu omzimba, njengamehlo nemiphunga.

Iimpawu zesifo samathambo

Iimpawu ze-RA kunye ne-OA ziyafana, kuba zombini zibandakanya ukuqina, iintlungu kunye nokudumba kumalungu.

Kodwa ukuqina okunxulunyaniswa neRA kuthanda ukuhlala ixesha elide kunokuba kunjalo ngexesha lokuvutha kwe-OA, kwaye yinto embi kakhulu kuqala ekuseni.

Ukuphazamiseka okunxulunyaniswa ne-OA kuhlala kugxile kumalungu adibeneyo. I-RA sisifo esicwangcisiweyo, ke iimpawu zayo zinokubandakanya ubuthathaka kunye nokudinwa.

Ukuchonga isifo samathambo

Emva kokuba ugqirha wakho enze uvavanyo lomzimba lwamalungu, banokuyalela ukuvavanywa kokuvavanywa.

I-MRI inokutyhila imeko yezicubu ezithambileyo kwilungu, njengentlala. I-X-ray esemgangathweni nayo ingabonisa ukwaphuka kwentlala, ukonakala kwethambo, okanye ukhukuliseko lomhlaba.

Ugqirha wakho unokuyalela uvavanyo lwegazi ukumisela ukuba ingxaki yokudibana ibangelwe yiRA. Oku kukujonga ubukho be "rheumatoid factor" okanye ii-cyclic citrullinated antibodies ezihlala zifunyanwa kubantu abane-RA.

Ukunyanga isifo samathambo

Isifo samathambo siphathwa ngokwahlukileyo ngokuxhomekeke kuhlobo:

Osteoarthritis

Ugqirha wakho unokucebisa iziyobisi ezingezizo ezokulwa nokudumba (ii-NSAID) ezinje nge-ibuprofen yokuqhambuka okuncinci okanye iimeko ezincinci zesifo samathambo.

ICorticosteroids, enokuthathwa ngomlomo okanye ngenaliti, inokunciphisa ukudumba kumalungu.

Unyango lomzimba lunokunceda ukuphucula amandla emisipha kunye noluhlu lwakho lokuhamba. Izihlunu ezomeleleyo zinokuxhasa ngcono ukudibana, kunokwenzeka ukunciphisa iintlungu ngexesha lokuhamba.

Xa umonakalo odibeneyo unzima, ugqirha wakho unokuncoma ukuhlinzwa ukulungisa okanye ukubuyisela indawo. Oku kwenziwa kuphela emva kokuba olunye unyango lusilele ukukunika isiqabu seentlungu kunye nokuhamba.

Irheumatoid Arthritis

Ii-NSAID kunye nee-corticosteroids zinokusetyenziselwa ukunceda ukunciphisa iintlungu kunye nokudumba kwabantu abane-RA, kodwa kukwakho neziyobisi ezithile ezenzelwe ukunyanga olu hlobo lwe-arthritis.

Ezinye zezi ziquka:

• Iziyobisi eziguqula iziyobisi (i-DMARD): Ii-DMARD zivimba ukuphendula komzimba wakho, okunceda ukunciphisa ukuqhubela phambili kweRA.
• Ibhayoloji: La machiza aphendula impendulo yamajoni omzimba ebangela ukudumba endaweni yokuvimba onke amajoni omzimba.
• UJanus kinase (JAK) inhibitors: Olu luhlobo olutsha lwe-DMARD oluthintela iimpendulo ezithile zamajoni omzimba ukukhusela ukudumba kunye nomonakalo odibeneyo.

Amachiza amatsha ayaqhubeka nokuvavanywa ukunceda ukunyanga i-RA kunye nokunciphisa ubukhulu beempawu. Kwaye njenge-OA, iimpawu zeRA ngamanye amaxesha zinokuhlangulwa ngonyango lomzimba.

Utshintsho kwindlela yokuphila ye-arthritis

Ukuhlala ne-OA okanye i-RA kunokuba ngumceli mngeni. Ukuzilolonga rhoqo kunye nokwehla kobunzima kunokunceda ukunciphisa umthwalo kumalungu akho. Ukuzivocavoca umzimba akuncedisi kuphela ekunciphiseni ubunzima, kodwa kunokunceda ukuxhasa amajoyina ngokudibanisa izihlunu ezibajikelezileyo.

Izixhobo zokuncedisa, ezinjengeemilenze, izihlalo zangasese eziphakanyisiweyo, okanye izixhobo zokukunceda uqhube imoto kwaye uvule izivalo zebhotile, ziyafumaneka ukukunceda ugcine ukuzimela kunye nokusebenza kwemihla ngemihla.

Ukutya ukutya okusempilweni okubandakanya iziqhamo ezininzi, imifuno, iiproteni ezinamafutha asezantsi, kunye neenkozo ezipheleleyo kunokunceda ekunciphiseni ukudumba kunye nokuthintela ukutyeba.

Nini ukubona ugqirha

Nangona lungekho unyango lwe-OA okanye i-RA, zombini iimeko ziyanyangeka. Njengakwimiceli mngeni emininzi yezempilo, ukufumana isifo kwangoko kunye nentloko ukuqala kunyango kuhlala kukhokelela kwiziphumo ezilungileyo.

Sukuqina nje ngokuqina kwitshokhwe ngokudibeneyo ukuya komnye umqondiso ongenakuphepheka wokwaluphala. Ukuba kukho ukudumba, iintlungu, okanye ukuqina, licebo elihle ukwenza idinga nogqirha wakho, ngakumbi ukuba ezi mpawu ziphazamisa imisebenzi yakho yemihla ngemihla.

Unyango olunobundlongondlongo kunye nokuqonda ngcono imeko yakho ethile kunokukunceda uhlale ukhuthele kwaye ukhululeke ngakumbi kwiminyaka ezayo.