Isifo samathambo esisebenzayo

Umxholo

• Zithini izizathu zesisifo searthritis?
• Ziintoni iimpawu zesifo samathambo esisebenzayo?
• Inkqubo yemisculoskeletal
• Inkqubo yomchamo
• Amehlo nolusu
• Sichongwa njani isifo samathambo esisebenzayo?
• Luthini unyango lwearthritis?
• Amayeza
• Zilolonge
• Ithini imbono yexesha elide?

Yintoni isifo samathambo esisebenzayo?

Isifo samathambo esisebenzayo sisifo samathambo esosulelayo emzimbeni esinokubangela. Eyona nto ixhaphakileyo, usulelo olosulela ngokwabelana ngesondo okanye usulelo lwebacteria emathunjini lubangela ukukhula kwearthritis esebenzayo.

Kuthathwa njengesifo se-autoimmune seqela le-spondyloarthritis. Isifo samathambo asihlali sikhula de kube emva kokuba unyango lunyangwe ngempumelelo.

Abantu abane-arthritis esebenzayo bahlala befumana iimpawu kumalungu amakhulu kumanqanaba asezantsi. Isifo samathambo esisebenzayo sasisaziwa ngaphambili njenge-Reiter's syndrome, i-triad ye-arthritis, ukudumba kwamehlo (i-conjunctivitis), kunye nokudumba komchamo (urethritis).

Le meko ngaphambili yayicingelwa ukuba ayiqhelekanga. Ngokwe-National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS), amadoda aphuhlisa isifo samathambo rhoqo kunabafazi, kodwa ukuxilongwa kunzima kubasetyhini. Umndilili weminyaka yokuqalisa yiminyaka engama-30 ubudala. Amadoda athambekele ekubeni namava ngokudibeneyo kunabafazi.

Zithini izizathu zesisifo searthritis?

Usulelo lwebhakteria lomchamo okanye amathumbu sesona sizathu siqhelekileyo sesifo samathambo esisebenzayo. Eyona bhaktiriya iqhelekileyo inxulunyaniswa nesifo samathambo esisebenzayo ngu I-Chlamydia trachomatis (ejongene nosulelo lwe-chlamydia). Le bhaktiriya ihlala isasazeka ngokudibana ngokwesondo.

Intsholongwane ebangela ityhefu yokutya inokuvelisa neempawu zesifo samathambo. Imizekelo yale bacteria ibandakanya Shigella kwaye Salmonella.

I-Genetics inokuba yinto ebalulekileyo nokuba ngaba awuphuhlisi i-arthritis esebenzayo. Ngokwe-NIAMS, abantu abane-gene I-HLA B27 kunokwenzeka ukuba aphuhlise isifo samathambo esisebenzayo. Nangona kunjalo, ayinguye wonke umntu one I-HLA B27 Imfuza iya kuphuhlisa isifo samathambo ukuba iyasuleleka.

Ziintoni iimpawu zesifo samathambo esisebenzayo?

Kukho iiseti ezintathu zeempawu ezinxulunyaniswa nesifo samathambo esisebenzayo.

Inkqubo yemisculoskeletal

Iimpawu zeMusculoskeletal zibandakanya iintlungu ezidibeneyo kunye nokudumba. Isifo samathambo esisebenzayo sihlala sichaphazela amalunga emadolweni akho, amaqatha, kunye namalungu e-sacroiliac e-pelvis yakho. Unokufumana iintlungu ezidibeneyo, ukuqina, kunye nokudumba kwiminwe yakho, ngasemva, ezinqeni (amalungu e-sacroiliac), okanye izithende (indawo ye-Achilles tendon).

Inkqubo yomchamo

Imeko ebizwa ngokuba yi-urethritis ibangela iimpawu zomchamo. I-urethrais ityhubhu ehambisa umchamo kwisinyi sakho ukuya ngaphandle komzimba wakho. Urethritis kukudumba kwale tyhubhu. Iimpawu zinokubandakanya iintlungu okanye ukutshisa ngokuchama kunye nomnqweno wokuchama rhoqo.

Amadoda anokukhulisa i-prostatitis njengenxalenye ye-arthritis esebenzayo. Prostatitis kukudumba kwedlala lobudoda. I-Cervicitis kukudumba komlomo wesibeleko kubantu ababhinqileyo. Inokuba luphawu lwearthritis esebenzayo.

Amehlo nolusu

Ukudumba kwamehlo yenye yeempawu eziphambili zesifo samathambo esisebenzayo. Isifo samathambo esisebenzayo sinokubandakanya ulusu kunye nomlomo wakho. Ukudibana kukudumba kwenwebu yamehlo. Iimpawu zibandakanya iintlungu, ukurhawuzelela, kunye nokukhutshwa.

Ukuqubuka kolusu, kubandakanya i-keratoma blennorrhagica (iipustules ezincinci ezinyaweni zeenyawo), nazo zinokwenzeka. Izilonda zomlomo aziqhelekanga. Nangona kunjalo, banokuhamba nezinye iimpawu zesifo samathambo esisebenzayo.

Sichongwa njani isifo samathambo esisebenzayo?

Ugqirha wakho uya kuvavanya imbali yakho yezonyango, enze uvavanyo lomzimba lweempawu zakho, kwaye aqhube uvavanyo lwegazi ukukhangela usulelo okanye ukudumba. Uvavanyo lwegazi lunokumisela ukuba uyaqhuba na I-HLA B27 Uhlobo lomzimba olonyusa amathuba okuba nesifo samathambo esisebenzayo.

Ugqirha wakho unokuqhuba iimvavanyo ezongezelelweyo ukulawula usulelo olosulela ngokwabelana ngesondo ukuba iimpawu zakho zibonisa usulelo lwe-chlamydia. Ugqirha wakho uya kuguqula i-urethra emadodeni kwaye uya kwenza uvavanyo lwe-pelvic kunye ne-swab yomlomo wesibeleko kubafazi. Ugqirha wakho unokwenza i-arthrocentesis, ebandakanya ukususa ulwelo ngokudibeneyo nenaliti. Uvavanyo lwenziwa ke kulwelo.

Luthini unyango lwearthritis?

Unyango lwe-arthritis esebenzayo luxhomekeke kwisizathu sale meko. Ugqirha wakho uya kukunika amayeza okunyanga usulelo olusisiseko. Banokukuyalela amayeza ongezelelweyo kwi-conjunctivitis, izilonda zomlomo, okanye irhashalala ukuba iyafuneka.

Amayeza

Injongo yonyango nje ukuba usulelo luphantsi kolawulo luguqulela kwintlungu kunye nolawulo. Izidakamizwa ezichasayo ezichasayo (i-NSAID) ezifana ne-ibuprofen (Advil) kunye ne-naproxen (Aleve) inceda ukunciphisa intlungu kunye nokunciphisa ukuvuvukala.

Ugqirha wakho unokukunika amachiza anamandla okulwa nokudumba ukuba amayeza e-counter awayiphelisi intlungu yakho. Iicorticosteroids ngamachiza enziwe ngabantu alingisa icortisol, ihomoni eveliswa ngumzimba wakho ngokwendalo. La machiza asebenza ngokucinezela ngokubanzi ukudumba emzimbeni.

Ungathatha i-corticosteroidsorally okanye uyitofe ngqo kumalungu achaphazelekayo. Ngamaxesha athile xa ezi zingancedi, iiarhente zokukhusela umzimba, njenge-sulfasalazine (Azulfidine), kunokuba yimfuneko. I-Doxycycline (Acticlate, Doryx) ikwasetyenziselwa unyango, inikwe iipropathi zayo ezichasayo. Kwiimeko ezinzima ezingaphenduliyo kunyango oluqhelekileyo, i-TNF inhibitors (i-biologics) inokusebenza.

Zilolonge

Faka umthambo kwindlela yakho yemihla ngemihla ukukhuthaza impilo edibeneyo. Ukuzivocavoca kugcina amalungu akho eguquguqukayo kwaye kukunceda ugcine uluhlu lwakho lokuhamba. Uluhlu lwesindululo yindlela onokutshintsha ngayo kwaye wandise amalungu akho.

Thetha nogqirha wakho ukuba ubunzima kunye neentlungu zinciphisa uluhlu lwakho lokuhamba. Banokukuthumela kunyangi. Unyango lomzimba yinkqubo yonyango ethe chu. Injongo kukubuyela kuluhlu lwakho olusempilweni lokuhamba ngaphandle kwentlungu.

Ithini imbono yexesha elide?

Umbono wabantu abane-arthritis esebenzayo uqinisekile. Uninzi lwenza ukubuyiswa ngokupheleleyo. Nangona kunjalo, ixesha lokufumana kwakhona linokuvela kwiinyanga ezimbalwa ukuya phantse kunyaka kwezinye iimeko. Ngokuka-NIAMS, phakathi kwe-15 kunye ne-50 yepesenti yabantu abanamava e-arthritis asebenzayo ukubuyela kwakhona kweempawu emva konyango lokuqala.