Luluphi unxibelelwano phakathi kotywala kunye neRheumatoid Arthritis (RA)?

Umxholo

• Ukuqonda isifo samathambo (RA)
• RA kunye notywala
• Isifundo seRheumatology sika-2010
• U-2014 uBrigham kunye nesibhedlele sabafazi
• Ijenali ye-2018 yaseScandinavia yoPhando lweRheumatology
• Ukumodareyitha kubalulekile
• Utywala kunye namayeza eRA
• Ukuthatha

Ukuqonda isifo samathambo (RA)

I-rheumatoid arthritis (RA) isifo esizenzekelayo. Ukuba unayo i-RA, amajoni akho omzimba aya kuhlasela ngempazamo amalungu akho.

Olu hlaselo lubangela ukudumba kwenxalenye ejikeleze amalungu. Inokubangela iintlungu kwaye ikhokelele kwilahleko yokuhamba ngokudibeneyo. Kwiimeko ezinzima, umonakalo odibeneyo ongenakulungiswa ungenzeka.

Malunga nabantu abayi-1.5 yezigidi eUnited States baneRA. Phantse kathathu abasetyhini banesi sifo kunamadoda.

Iiyure ezininzi zophando zenziwe ukuqonda ngqo ukuba yintoni ebangela i-RA kunye neyona ndlela yokuyinyanga. Kukho nezifundo ezibonisa ukuba ukusela utywala kunokuba luncedo ukunciphisa iimpawu ze-RA.

RA kunye notywala

Olunye uphando lubonisa ukuba utywala busenokungabi yingozi njengokucinga kokuqala kwabantu abane-RA. Iziphumo bezilungile, kodwa izifundo zilinganiselwe kwaye ezinye iziphumo bezingqubana. Uphando oluninzi luyafuneka.

Isifundo seRheumatology sika-2010

Olunye uphononongo luka-2010 kwiphephancwadi iRheumatology lubonakalisile ukuba utywala bunokunceda kwiimpawu zeRA kwabanye abantu. Isifundo siphande umanyano phakathi kwesiqhelo ukusela kotywala kunye nomngcipheko kunye nobukrakra beRA.

Yayisisifundo esincinci, kwaye kukho ukusikelwa umda. Nangona kunjalo, iziphumo zibonakala zixhasa ukuba ukusela utywala kwehlile umngcipheko kunye nobukrakra be-RA kweli qela lincinci. Xa kuthelekiswa nabantu abane-RA kwaye basele utywala kancinane, bekukho umahluko obonakalayo kubukhali.

U-2014 uBrigham kunye nesibhedlele sabafazi

Isifundo se-2014 esenziwe yiBrigham kunye ne-Women's Hospital sigxile ekusetyenzisweni kotywala kubafazi nakubudlelwane bayo neRA. Uphononongo lufumanise ukuba ukusela isixa esilinganiselweyo sebhiya kunokuchaphazela ngokuqinisekileyo ifuthe lophuhliso lweRA.

Kubalulekile ukuba uqaphele ukuba kuphela ngabafazi ababesela ngokulinganayo ababona izibonelelo kwaye ukuba ukusela kakhulu kuthathwa njengokungenampilo.

Kuba abasetyhini yayizizo kuphela izifundo zovavanyo, iziphumo ezivela kolu phando oluthile azisebenzi emadodeni.

Ijenali ye-2018 yaseScandinavia yoPhando lweRheumatology

Olu phononongo lujonge kwiziphumo zotywala ekuqhubekeni ngemitha kwizandla, izihlahla, kunye neenyawo.

Kwinkqubela ye-radiological, amaX-reyi amaxesha ngamaxesha asetyenziselwa ukumisela ukuba ungakanani ukhukuliseko oludibeneyo okanye indawo edibeneyo yokuncipha yenzekile ekuhambeni kwexesha. Kuyanceda oogqirha ukubeka iliso kwimeko yabantu abane-RA.

Uphononongo lufumanise ukuba ukusetyenziswa gwenxa kotywala kukhokelele ekunyukeni kwenkqubela ye-radiology kwabasetyhini kunye nokwehla kwenkqubela yemitha emadodeni.

Ukumodareyitha kubalulekile

Ukuba uthatha isigqibo sokusela utywala, ukumodareyitha kubalulekile. Ukusela ngomndilili kuchazwa njengesiselo esinye ngosuku kubafazi kunye neziselo ezimbini ngosuku emadodeni.

Inani lotywala elibalwa njengesiselo esinye, okanye ukukhonza, lahlukile ngokuxhomekeka kuhlobo lotywala. Umsebenzi omnye ulingana no:

• Ii-ounces ezili-12 zebhiya
• Ii-ounces ezi-5 zewayini
• I-1/2 i-ounces ye-80-proof proof distilled

Ukusela kakhulu kunokukhokelela ekusebenziseni gwenxa kotywala okanye ekuxhomekekeni. Ukusela ngaphezulu kweiglasi ezimbini zotywala ngosuku kunokunyusa amathuba okuba semngciphekweni wezempilo, kubandakanya nomhlaza.

Ukuba unayo i-RA okanye unamava, kufuneka ubonane nonyango. Ugqirha wakho uya kukuyalela ukuba ungadibanisi utywala kunye namayeza akho eRA.

Utywala kunye namayeza eRA

Utywala abuphenduli kakuhle kumayeza amaninzi amiselweyo eRA.

Izidakamizwa ezichasayo ezichasayo (i-NSAID) zihlala zichazwe ukuba zinyange i-RA. Banokuba ngaphezulu kwe-counter-counter (OTC) iziyobisi ezinjenge-naproxen (Aleve), okanye banokuba ngamachiza amiselweyo. Ukusela utywala ngezi ntlobo zeziyobisi kwandisa umngcipheko wokuphuma kwesisu.

Ukuba uthatha i-methotrexate (Trexall), i-rheumatologists icebisa ukuba ungaseli nabuphi na utywala okanye unciphise ukusela kwakho utywala kungadluli kwiiglasi ezimbini ngenyanga.

Ukuba uthatha i-acetaminophen (iTylenol) ukunceda ngeentlungu kunye nokudumba, ukusela utywala kungakhokelela kumonakalo wesibindi.

Ukuba uthatha nawaphi na amayeza akhankanywe ngaphambili, kuya kufuneka uyeke utywala okanye uthethe nogqirha wakho malunga neengozi ezinokubakho.

Ukuthatha

Izifundo malunga notywala kunye neRA zinomdla, kodwa okuninzi akukaziwa.

Kuya kufuneka usoloko ufuna unyango lweengcali ukuze ugqirha wakho anyange imeko yakho. Imeko nganye yeRA yahlukile, kwaye into esebenzela omnye umntu ayinakusebenzela.

Utywala bungasabela gwenxa kumayeza athile eRA, ke kubalulekile ukuba uqonde izinto ezinobungozi. Umgaqo olungileyo wesithupha wokuqinisekisa impilo yakho kunye nokhuseleko kukusoloko uthetha nogqirha wakho ngaphambi kokuzama naluphi na unyango olutsha lweRA.