Ukuchonga nokunyanga isifo seswekile esidibeneyo

Umxholo

• Isifo seswekile kunye nentlungu edibeneyo
• Ukuqonda isifo seswekile
• Ukudibana kukaCharcot
• OA kunye nohlobo 2
• RA kunye nohlobo 1
• Imbonakalo

Ifoto nguGeber86 / Getty Izithombe

Isifo seswekile kunye nentlungu edibeneyo

Isifo seswekile kunye nentlungu edibeneyo ithathwa njengeemeko ezizimeleyo. Intlungu edibeneyo inokuba yimpendulo kwisifo, ukonzakala, okanye isifo samathambo. Isenokuba yinto engapheliyo (yexesha elide) okanye ebukhali (yexesha elifutshane). Isifo seswekile sibangelwa ngumzimba ongasebenzisi i-hormone insulin ngokuchanekileyo, okanye imveliso engonelanga kuyo, echaphazela amanqanaba eswekile yegazi. Ngaba imeko yehomoni kunye neswekile egazini inxulumene nantoni nempilo edibeneyo?

Isifo seswekile sinxulunyaniswa neempawu ezixhaphakileyo kunye neengxaki. Ngokwe-, iipesenti ezingama-47 zabantu abane-arthritis nabo banesifo sikashukela. Kukho ikhonkco elingenakuphikwa elinamandla phakathi kwezi meko zimbini.

Ukuqonda isifo seswekile

Isifo seswekile singonakalisa amalungu, imeko ebizwa ngokuba sisifo seswekile. Ngokungafaniyo neentlungu ezibangelwa kukukhathazeka ngokukhawuleza, iintlungu zesifo samathambo senzeka ngokuhamba kwexesha. Ezinye iimpawu zibandakanya:

• ulusu olungqindilili
• utshintsho ezinyaweni
• amagxa abuhlungu
• Isifo seCarpal tunnel

Idibeneyo yindawo apho amathambo amabini ahlangana khona. Xa isihlanganisi siphelile, ukhuseleko esilunikezelayo lulahlekile. Intlungu edibeneyo evela kwisifo seswekile iArthropathy iza ngeendlela ezahlukeneyo.

Ukudibana kukaCharcot

Umdibaniso weCharcot wenzeka xa umonakalo wesifo seswekile ubangela ukuba indibaniselwano idilike. Ikwabizwa ngokuba yi-neuropathic arthropathy, le meko ibonwa ezinyaweni nasemaqatheni kubantu abanesifo seswekile. Umonakalo wemithambo ezinyaweni uqhelekile kwisifo seswekile, esinokukhokelela kwindibaniselwano yeCharcot. Ukuphulukana nomsebenzi we-nerve kukhokelela kubundindisholo. Abantu abahamba ngeenyawo ezibuthathaka kunokwenzeka ukuba bajije kwaye bonzakalise iigaments ngaphandle kokwazi. Oku kubeka uxinzelelo kumalungu, anokuthi ekugqibeleni abangele ukuba banxibe. Umonakalo omkhulu ukhokelela kwiziphene elunyaweni nakwamanye amalungu achaphazelekayo.

Ukukhubazeka kwamathambo kwindibaniselwano kaCharcot kunokuthintelwa ngongenelelo lwakwangoko. Iimpawu zale meko zibandakanya:

• amalungu adibeneyo
• ukudumba okanye ukuba bomvu
• ukuba ndindisholo
• indawo eshushu ngokuthinta
• utshintsho kwinkangeleko yeenyawo

Ukuba ugqirha wakho ufumanisa ukuba iintlungu zakho ezidibeneyo zinxulumene nelungu leswekile likaCharcot, kubalulekile ukunciphisa ukusetyenziswa kweendawo ezichaphazelekayo ukunqanda ukonakala kwamathambo. Ukuba uneenyawo ezindindisholo, cinga ngokunxiba ii-orthotic ngenkxaso eyongezelelweyo.

OA kunye nohlobo 2

I-Osteoarthritis (OA) yeyona ndlela ixhaphakileyo yesifo samathambo. Isenokubangelwa okanye ichukunyiswe bubunzima obugqithisileyo, ingxaki eqhelekileyo kwabo bane-2 yeswekile. Ngokungafaniyo nokudibana kukaCharcot, i-OA ayibangelwa ngqo sisifo seswekile. Endaweni yokuba ukutyeba kakhulu kwandisa umngcipheko wokuphuhlisa zombini uhlobo lweswekile kunye ne-OA.

I-OA yenzeka xa ukuhlangana phakathi kwamalungu (intlala) kuyaphela. Oku kubangela ukuba amathambo akhuhle omnye komnye, kwaye kubangele iintlungu ezidibeneyo. Ngelixa ukunxiba ngokudibeneyo kunye nokulila kuyinto yendalo ukuya kuthi ga kwinqanaba elithile kubantu abadala, ubunzima obugqithisileyo bukhawulezisa inkqubo. Unokubona ubunzima obandayo bokuhambisa imilenze yakho, kunye nokudumba kumalungu. Isinqe namadolo zezona ndawo zichaphazeleka kakhulu kwi-OA.

Eyona ndlela yokunyanga i-OA kukulawula ubunzima bakho. Ubunzima obugqithisileyo bubeka uxinzelelo ngakumbi emathanjeni. Ikwenza ukuba kube nzima ukulawula isifo seswekile, ke ukuphulukana neepawundi ezongezelelekileyo akunakuphelisa kuphela ukudibana okungapheliyo, kunokunciphisa ezinye iimpawu zeswekile.

Ngokwe-Arthritis Foundation, ukuphulukana neepawundi ezili-15 kunokunciphisa iintlungu zedolo ngama-50 epesenti. Ukuzilolonga rhoqo kunokwenza okungaphaya kokugcina ubunzima bomzimba. Ukuhamba komzimba kuyanceda ekuthambiseni amalungu akho. Ngenxa yoko, unokuziva ungaphantsi kweentlungu. Ugqirha wakho unokuyalela amayeza entlungu ukuba uwasebenzise xa ukungaphatheki kakuhle ngokudibeneyo okuvela kwi-OA kunganyamezeleki. Utyando, njengokutshintsha kwamadolo, kunokufuneka kwiimeko ezinzima.

RA kunye nohlobo 1

Njengokuba kukho iintlobo ezahlukeneyo zesifo seswekile, iintlungu ezidibeneyo kunye nesifo samathambo ziza ngeendlela ezahlukeneyo. I-rheumatoid arthritis (RA) yimeko yokuvuvukala ebangelwa sisifo sokuzimela. Ngelixa ukudumba nobomvu kunokuba khona, njengakwi-OA, i-RA ayibangelwa bubunzima obugqithisileyo. Ngapha koko, oyena nobangela weRA awaziwa. Ukuba unembali yosapho yesifo somzimba, unokuba semngciphekweni weRA.

Uhlobo lwe-1 yeswekile lukwabizwa ngokuba sisifo sokuzimela, esichaza unxibelelwano olunokubakho phakathi kwezi zimbini. Iimeko zikwabelana ngamanqaku okumakisha. Zombini i-RA kunye nohlobo lwe-1 yeswekile zibangela ukwanda kwamanqanaba e-interleukin-6 kunye ne-C-protein esebenzayo. Amanye amayeza e-arthritis anokunceda ukunciphisa la manqanaba kunye nokuphucula iimeko zombini.

Ubuhlungu kunye nokudumba zizinto eziphambili ze-RA. Iimpawu zinokuza zidlule ngaphandle kwesilumkiso. Akukho lunyango lwezifo ezizimele njenge-RA, ke unyango ekugxilwe kulo kukunciphisa ukudumba okubangela iimpawu. Amachiza amatsha e-RA abandakanya:

• I-etanercept (i-Enbrel)
• adalimumab (Humira)
• infliximab (I-Remicade)

La mayeza mathathu anokuba luncedo ekwehliseni umngcipheko wohlobo lweswekile 2. Uhlobo lwe-2 lweswekile luye lwayanyaniswa nokudumba, ethi la machiza ancede ekulawuleni. Kwisifundo esinye, umngcipheko wohlobo lweswekile 2 wawusezantsi kwabo bakula mayeza, ngokweArthritis Foundation.

Imbonakalo

Isitshixo sokubetha iintlungu ezinxulumene neswekile kukuyibona kwangoko. Ngelixa le meko ingenakunyangeka, lukhona unyango olufumanekayo lokunceda ukunciphisa iintlungu kunye nokuphazamiseka. Fowunela ugqirha wakho ukuba uziva nokudumba, ukuba bomvu, iintlungu, okanye ukuba ndindisholo ezinyaweni nasemilenzeni. Ezi mpawu kufuneka zikhathalelwe ngokukhawuleza. Ukuba unesifo seswekile okanye ukholelwa ukuba unokuba semngciphekweni, cinga ukuthetha nogqirha wakho malunga nomngcipheko wakho weentlungu ezidibeneyo.