Izizathu ezi-7 zokuBona iRheumatologist yakho

Umxholo

• 1. Unamava okuqaqamba
• 2. Unentlungu kwindawo entsha
• 3. Kukho utshintsho kwi-inshurensi yakho
• 4. Utshintshe ukulala okanye ukutya
• 5. Ukrokrela iziphumo ebezingalindelekanga
• 6. Unyango alusebenzi njengakuqala
• 7. Ufumana uphawu olutsha
• Ukuthatha

Ukuba une-rheumatoid arthritis (RA), kusenokwenzeka ukuba ubona i-rheumatologist yakho rhoqo.Ukuqeshwa okucwangcisiweyo kunika nobabini ithuba lokujonga inkqubela yesifo sakho, ukulandelela ii-flares, ukuchonga izinto ezibangela, kunye nokulungisa amayeza. Kuya kufuneka uthathe eli xesha uxele naluphi na uhlengahlengiso kwindlela yakho yokuphila njengokunyuka kokuzilolonga okanye utshintsho kwindlela otya ngayo.

Kodwa phakathi kokuqeshwa kwakho okucwangcisiweyo, kunokubakho namaxesha apho ufuna ukubona i-rheumatologist yakho ngokukhawuleza. Nazi izizathu ezisixhenxe ekufuneka uyithathile umnxeba kwaye ucele ukuba zicwangciswe kwakamsinya kunokuba kamva.

1. Unamava okuqaqamba

UNathan Wei, MD, osebenza kwiZiko loNyango lweArthritis eFrederick, Maryland: "Ukutyelela iofisi kungafuneka xa umntu efumana iRA. Xa isifo sivutha, ingxaki ingaphezulu kokubuhlungu - umonakalo odibeneyo kunye nokukhubazeka kunokwenzeka.

Umntu ngamnye one-RA uneempawu ezikhethekileyo zokuqaqamba kunye nobukhali. Ixesha elingaphezulu, njengoko uhlala uhlangana nogqirha wakho ngexesha lokutsha, nina nobabini ninokumisela ezona ndlela zonyango zilungileyo.

2. Unentlungu kwindawo entsha

I-RA ikakhulu ibetha kumalungu, ibangela ubomvu, ubushushu, ukudumba, kunye nentlungu. Kodwa ikwanokubangela iintlungu kwenye indawo emzimbeni wakho. Ukungasebenzi kakuhle komzimba kunokuhlasela izicubu zamehlo nomlomo wakho okanye kubangele ukudumba kwemithambo yegazi. Rhoqo, iRA ihlasela izicwili ezijikeleze imiphunga nentliziyo.

Ukuba amehlo okanye umlomo uyoma kwaye ungonwabi, okanye uqala ukuphuhlisa irhashalala, unokuba nakho ukwanda kweempawu zeRA. Yenza idinga kunye ne-rheumatologist yakho kwaye ucele uvavanyo.

3. Kukho utshintsho kwi-inshurensi yakho

"Ukuba i-ACA iyarhoxiswa, abantu abagulayo banokushiyeka bengenayo i-inshurensi ebalulekileyo yezempilo okanye bahlawule imali eninzi yokufumana ingxelo encinci," utshilo uStan Loskutov, i-CIO ye-Medical Billing Group, Inc Ezinye iinkampani zabucala zeinshurensi ezinokuthi zigubungele imeko esele ikho ukuba Ilahlekile kukhathalelo lwakho. Ukujonga imeko yangoku ye-inshurensi engaqinisekanga, gcina ukuqeshwa kwakho okucwangcisiweyo kwaye ujonge ukungena kugqirha rhoqo ukubonisa ukuqhubeka kokhathalelo.

4. Utshintshe ukulala okanye ukutya

Kunokuba nzima ukuphumla ebusuku xa uneRA. Indawo yokulala inokukhululeka kumalungu achaphazelekayo, kodwa hayi ngamanye amalungu omzimba. Intlungu entsha okanye ubushushu obudibeneyo bunokukuvusa. Kunye noku, ukutya kunokuba nemingeni ekhethekileyo. Amanye amayeza eRA achaphazela ukutya, kubangela ukutyeba okanye isicaphucaphu esikuthintelayo ekutyeni.

Ukuba uqaphela ukuba ulele kancinci okanye utshintsha indlela kwaye xa usitya, jonga ugqirha wakho. Kubalulekile ukuba ufunde ukuba utshintsho ekulaleni nasekutyeni luhambelana nezinye zeempembelelo ze-RA, uxinzelelo kunye noxinzelelo. Ugqirha wakho angathetha nawe malunga notshintsho kwindlela yokuphila kunye namayeza anokukunceda.

5. Ukrokrela iziphumo ebezingalindelekanga

Amachiza amiselweyo rhoqo kwi-RA zii-nonsteroidal anti-inflammatory drug (NSAIDs), i-corticosteroids, isifo esiguqula amachiza e-antirheumatic (DMARDs), kunye nonyango olutsha olubizwa ngokuba yi-biologics. Nangona olu nyango luphucula ubomi babaninzi abaneRA, baneziphumo ebezingalindelekanga.

Ezinye zeziphumo ebezingalindelekanga ze-NSAID zibandakanya i-edema, ukubola kwentliziyo, kunye nesisu esibuhlungu. I-Corticosteroids inokunyusa i-cholesterol kunye noshukela wegazi, kunye nokwandisa ukutya, okukhokelela ekuzuzeni ubunzima. Ii-DMARD kunye ne-biologics zisebenzisana namajoni akho omzimba kwaye zinokukhokelela kusulelo olungaphezulu, okanye kunqabile ukuba ezinye iimpawu zokuzimela (i-psoriasis, lupus, multiple sclerosis). Ukuba ufumana iziphumo ebezingalindelekanga kumayeza akho eRA, jonga ugqirha wakho.

6. Unyango alusebenzi njengakuqala

I-RA ihlala ihleli kwaye inokuba nenkqubela phambili. Ngelixa abaninzi beqala ukuthatha unyango lwangaphambili lwe-RA njengee-NSAID kunye nee-DMARD ngokukhawuleza ukuba zichongiwe, olo nyango lunokunyanzeliswa njengoko ixesha lihamba.

Ukuba unyango lwakho alukuniki isiqabu osifunayo, yenza idinga nengcali yakho yamathambo. Isenokuba lixesha lokutshintsha amayeza okanye uthathele ingqalelo unyango oluphambili ukuphelisa ukungonwabi kunye nokuthintela ukonzakala ngokudibeneyo kwexesha elide.

7. Ufumana uphawu olutsha

Abantu abaneRA banokuba notshintsho kwiimpawu zabo ezibonisa utshintsho olukhulu kwimeko yezonyango. Ugqirha Wei uthi iimpawu ezintsha ezingabonakali zinxulumene zinokubangelwa sisifo esisisiseko.

Umzekelo, kwakukudala kucingwa ukuba abantu abane-RA abayi kuphuhlisa i-gout, esinye isifo sokuzimela. Kodwa ayisayixhasi loo ngcinga. UGout Wei uthi: “Izigulana ezinamalungu egawuthi zinokuba namatye kwizintso.

Ukuba uhlakulela uphawu olutsha ongahambelani ngokukhawuleza ne-RA, kufuneka ubuze i-rheumatologist malunga nalo.

Ukuthatha

Ukuba ne-RA kuthetha ukuba ulazi kakuhle lonke iqela lakho lenkxaso yezonyango. I-rheumatologist yakho iyona nto ibaluleke kakhulu kwiqela. Banokukunceda uqonde imeko yakho kunye nokuvela kwayo kunye nokubonisana nabanye abakhathalelayo ukulungelelanisa ukhathalelo. Bona "i-rheumy" yakho rhoqo, kwaye unganqikazi ukuqhagamshelana nabo ukuba unemibuzo okanye imeko yakho iguquka.