I-Rheumatoid Arthritis kunye neMpilo yeNgqondo: Into ekufuneka uyazi

Umxholo

• Abantu abaninzi baphila ngokugula ngengqondo kunye neRA
• Ukuphila ngokugula okunganyangekiyo kwengqondo kunye neRA kunokubenza bobabini babe mandundu
• Unxibelelwano olunokubakho lwebhayiloji
• Uxinzelelo lunokuchaphazeleka
• Ukuthatha

I-rheumatoid arthritis (RA) ineempawu ezininzi zomzimba. Kodwa abo bahlala ne-RA banokufumana imicimbi yezempilo yengqondo enokuthi ihambelane nemeko leyo. Impilo yengqondo ibhekisa kwimpilo yakho yeemvakalelo neyengqondo.

Izazinzulu aziqinisekanga ngalo lonke unxibelelwano phakathi kweRA kunye nokuba sempilweni kwengqondo, kodwa uphando olutsha lubonelela ngengqondo. Ezinye zeenkqubo ezifanayo zokudumba ezibangela i-RA zikwanxulunyaniswa nokudakumba.

Ukuthathela ingqalelo imeko yakho yeemvakalelo kunye neyengqondo yinto ebalulekileyo kwimpilo yakho, kwaye inokuba nefuthe kwindlela olawula ngayo iRA. Ukuba unenkxalabo malunga noxinzelelo, uxinzelelo, okanye utshintsho kwimood, yazisa ugqirha wakho. Ugqirha wakho unokufunda malunga neempawu zakho, abuze imibuzo eyongezelelweyo, kwaye acebise ngeendlela onokukhetha kuzo zokutshintsha indlela ophila ngayo, unyango kunye nonyango.

Funda ngokufunda okungakumbi ngonxibelelwano phakathi kweRA kunye nempilo yengqondo, kubandakanya amakhonkco phakathi kweRA, uxinzelelo kunye noxinzelelo.

Abantu abaninzi baphila ngokugula ngengqondo kunye neRA

Ukudakumba noxinzelelo zizifo ezibini eziqhelekileyo ezixhaphakileyo kubantu abaphila namava eRA. Uphononongo olwenziwe e-Bhritane ngo-2017 lwafumanisa ukuba kwisithuba seminyaka emi-5 yoxilongo lwe-RA, malunga neepesenti ezingama-30 zabantu baba noxinzelelo.

Abantu abaneRA banokufumana uxinzelelo, kwinqanaba elimalunga neepesenti ezingama-20, ngokukahlukileyo kwiBritish Journal of General Practice. Olu phononongo lukwachaze ukuba inqanaba loxinzelelo ukuba liphezulu kakhulu, kwiipesenti ezingama-39.

Nangona uxinzelelo kunye noxinzelelo zingabonakali iimpawu ezifanayo zomzimba njengeRA, beza nemiceli mngeni yabo. Ukuhlala ngaphezulu kwesinye sempilo yexesha elide kunokuba nzima. Abanye abantu bafumana uxinzelelo, uxinzelelo, kunye neRA kunyekanye.

Ukuphila ngokugula okunganyangekiyo kwengqondo kunye neRA kunokubenza bobabini babe mandundu

Ngokwe-Mayo Clinic, uxinzelelo olunganyangekiyo lunokwenza kube nzima ukunyanga i-RA. Oko kuxhaswa luphando lwamva nje.

A kwiphephancwadi lePsychosomatic Medicine lifumene ikhonkco phakathi koxinzelelo kunye neRA lihamba zombini iindlela. Ubuhlungu obuvela kwiRA bunokwenza uxinzelelo lube mandundu, nto leyo eya kuthi ibangele ukuba kube nzima ukulawula iimpawu zeRA.

Oko kuyinxalenye yokuba iintlungu zibangela uxinzelelo, kwaye uxinzelelo lubangela ukukhutshwa kweekhemikhali ezitshintsha imeko. Xa utshintsho lwemozulu, kukho impembelelo yedomino. Kunzima ukulala kwaye amanqanaba oxinzelelo anokunyuka. Ukubeka nje, ukuxhalaba kunye nokudakumba kubonakala kukubi kakhulu kwintlungu okanye kwenza kube nzima ukulawula iintlungu.

Ukugxila kuphela kwi-RA, ngaphandle kokujongana neemeko zempilo yengqondo ezinje ngoxinzelelo okanye uxinzelelo, kunokukhokelela kumgangatho wobomi osezantsi. Ikliniki yaseMayo ithi abantu banokubona ukwehla kwimiba eyahlukeneyo yokuphila kwansuku zonke. Banokuba namanqanaba aphezulu entlungu kunye nomngcipheko omkhulu wesifo sentliziyo. Ubudlelwane bobuqu kunye nemveliso emsebenzini inokuchaphazeleka.

Unxibelelwano olunokubakho lwebhayiloji

Kuyavela ukuba kunokubakho ngokuthe ngqo, unxibelelwano lwebhayoloji phakathi koxinzelelo kunye neRA.

Intlungu kunye nomonakalo odibeneyo weRA uza, ngokuyinxenye, kukudumba. Kwaye kukho ubungqina bokunxibelelana phakathi kokudumba nokudakumba. Amanqanaba eprotein esebenzayo yeC (CRP), enye yeendlela abaphandi abalinganisa ngayo ukudumba, zihlala ziphezulu kubantu abanexinzelelo. Kufunyenwe ukuba i-CRP inokuba phezulu kakhulu kwabo banexinzelelo ekunzima ukubanyanga.

Kusekutsha kakhulu ukuthi ukudumba sisizathu sokuba abantu abaninzi babe nazo zombini ezi meko. Kodwa ikhonkco elinokubakho ligxilwe kuphando olutsha.

Uxinzelelo lunokuchaphazeleka

Ukuhlalisana kokugula kwengqondo ngeendlela ze-arthritis kuyaziwa, kodwa abantu abahlala neRA abasoloko behlolwa. Oku kunokukhokelela kwimeko yezempilo yengqondo enganyangwa.

Isifundo siphawule ukuba abantu banokuqala ukucinga ngokudakumba koxinzelelo okanye uxinzelelo njengesiqhelo. Banokucinga ukuba oogqirha babeka ukubaluleka ekuphatheni iimpawu zomzimba ze-RA endaweni yeemeko zempilo yengqondo ezinxulumene noko.

Abanye abantu banokuba noloyiko lokuxoxa ngempilo yabo yengqondo okanye banenkxalabo yokuba ugqirha wabo angazigxotha iimpawu zabo zengqondo. Kodwa ukufumana izixhobo zokulawula impilo yakho yengqondo ngokufanelekileyo kubalulekile kwimpilo yakho yonke. Nokuba uthetha ugqirha wakho, funa ugqirha ngokwakho, okanye unxibelelane neqela lenkxaso, zininzi iindlela onokukunceda ngazo ukujongana nempilo yakho yengqondo.

Ukuthatha

Ukuba uhlala ne-RA, kubalulekile ukuba uqwalasele impilo yakho yengqondo kunye nempilo yakho yomzimba. Kunokubakho unxibelelwano phakathi kweRA kunye neemeko ezithile zempilo yengqondo, ngakumbi uxinzelelo. Ukufuna unyango ngemeko yempilo yengqondo kunokukunceda ulawule i-RA ngokufanelekileyo. Ukuba unomdla ngempilo yakho yengqondo, thetha nogqirha malunga noluphi unyango kunye nezixhobo ezikhoyo zokunceda.