Unyango lwe-5 yeRheumatoid Arthritis Back Pain

Umxholo

• Umqolo obuhlungu: oyingozi vs.
• 1. Unyango olushushu nolubandayo lokunciphisa iimpawu
• 2. Amayeza
• Iintlungu
• Iziyobisi ezichasayo ezingasebenziyo
• Iziyobisi eziguqula iziyobisi ezichasayo
• Inaliti yomqolo
• 3. Ukuhlinzwa ngasemva kwiintlungu ezingapheliyo
• 4. Ukunyanga okungapheliyo okunyanga iintlungu
• 5. Ukuzikhathalela ngokuzilolonga
• Ukuthatha

I-rheumatoid arthritis kunye neentlungu zangasemva

I-rheumatoid arthritis (RA) ichaphazela amalungu omzimba afana nalawo asezandleni zakho, izihlahla, iinyawo, iingqiniba, amaqatha kunye nesinqe. Abantu abanokuphazamiseka komzimba bahlala benamava okubuya.

Ukuba unayo i-RA, iintlungu zangasemva zinokubangela amajoni akho omzimba ahlasele ulungelelwaniso lwe-synovial lwamalungu amancinci omqolo wakho. Kwiimeko eziphambili, oku kunokukhokelela ekunyanzelweni kwethambo lomqolo kunye neengcambu zentliziyo. Xa oku kusenzeka, unokuba namava aphakathi ukuya kwintlungu ebuhlungu.

Qhubeka ufunda ukuze ufunde malunga nonyango lwexesha elifutshane kwiintlungu zangasemva kunye namanqanaba okulawula iintlungu emva kwexesha elide.

Umqolo obuhlungu: oyingozi vs.

Ngaphambi kokuba ujonge kunyango lwentlungu yakho yangasemva, kuya kufuneka uyazi ukuba unentlungu engapheliyo okanye engapheliyo.

Intlungu ebuhlungu emva ihlala isisiphumo sokucinezela umqolo wakho. Inokunyangwa ngamayeza kwaye ihlala ibangcono ekuhambeni kwexesha. Ukuzivocavoca akukhuthazwa.

Iintlungu ezingapheliyo zangasemva zahlukile. Ingxaki yexesha elide ebangelwa ziimeko ezinje ngeRA. Inokunyangwa ngeendlela ezininzi, kwaye ukuzilolonga kunokuba luncedo.

1. Unyango olushushu nolubandayo lokunciphisa iimpawu

Iipakethi ezishushu nezibandayo azinakunyanga oonobangela beentlungu zangasemva, kodwa banokukunceda ukunciphisa iintlungu kunye nokuqina okuziva ngexesha lokutsha.

Sebenzisa ipakethi yobushushu ukunceda ukuphucula ukuhamba kwegazi kunye nokunciphisa izihlunu zemisipha. Inokukunceda ukuba iintlungu zakho zilawuleke ngakumbi.

Sebenzisa ipakethe ebandayo yokunceda ukunciphisa ukudumba kweRA. Kuya kufuneka isetyenziselwe ikakhulu i-flare-ups okanye iintlungu ezibi.

Iipakethe ezibandayo zinokuziva zingonwabanga ekuqaleni, kodwa zinokunciphisa ukudumba kwaye zincede iintlungu. Iipakethe ezibandayo mazifakwe kuphela kwimizuzu engama-20 ngexesha, amaxesha ama-3 ukuya kwayi-4 ngosuku.

2. Amayeza

Amayeza angayindlela efanelekileyo yokulawula iintlungu ezingapheliyo. Uhlobo lonyango oluya kuyidinga luxhomekeke ekubeni zibuhlungu kangakanani iintlungu zakho kwaye uzifumana kangaphi.

Iindidi zamayeza zinokunciphisa iintlungu kwaye zingacothisi ukuqhubela phambili kweRA.

Iintlungu

Ukulawula iintlungu zakho yinxalenye ebalulekileyo yokufunda ukuhlala nengxaki engapheliyo yomqolo. I-analgesics, okanye iipilisi zentlungu, yenye yeendlela zokunciphisa iintlungu zangasemva. Iziyobisi ezingaphaya kwekhawunta njenge-aspirin zinokwanela ukulawula iintlungu.

Ugqirha wakho unokukunika amayeza anamandla okuphucula iintlungu, ukuba uyafuna. Nangona kunjalo, amayeza e-narcotic afana ne-oxycodone (Roxycodone, i-Oxaydo) kufuneka isetyenziswe ngononophelo kwizifo ezinganyangekiyo ukuthintela umngcipheko wokuxhomekeka. Kukho amanye amayeza anokunyanga zombini iintlungu kunye nokuvuvukala okungaphantsi.

Iziyobisi ezichasayo ezingasebenziyo

Izidakamizwa ezichasayo ezichasayo (i-NSAIDs) zinokudambisa intlungu kunye nokuvuvukala. Unyango ngokuchasene nokuvuvukala luyanceda kuba kunciphisa ukudumba. Oku kunciphisa uxinzelelo kumqolo wakho kwaye kunceda ukwenza intshukumo ibe lula.

I-Ibuprofen (Advil, Motrin IB) kunye ne-naproxen (EC-Naprosyn) zimbini ii-NSAID ezihlala zichazwa. Ii-NSAID zinokubangela iziphumo ebezingalindelekanga, njengokuphuma kwesisu. Ugqirha wakho uya kuba nakho ukukunceda uthathe isigqibo sokuba ngaba ii-NSAID zilungile kuwe ngokusekwe kwimbali yakho yonyango.

Iziyobisi eziguqula iziyobisi ezichasayo

Iziyobisi ezichaphazela isifo se-antirheumatic (i-DMARDs) zimiselwe ukunceda ukuthomalalisa iintlungu kunye nokucothisa ukuqhubela phambili kwe-RA. Banokukunceda ukumisa iintlungu ezizayo. I-DMARD eqhelekileyo emiselweyo yimethotrexate.

Ii-DMARD zisebenza ngokuthintela iikhemikhali ezikhutshwayo xa izilwa-buhlungu zihlasela izicwili ezidibeneyo. Oku kuthintela ukonakala ngakumbi kumathambo akho nakwintlala.

Ii-DMARD zinokubangela iziphumo ebezingalindelekanga ezininzi, ezinje:

• isicaphucaphu
• irhashalala
• ukudinwa
• ukulimala kwesibindi
• ukubalwa kweeseli ezimhlophe ngokungaqhelekanga, okukhokelela kusulelo

Ugqirha wakho unokukunceda ulawule ezi ziphumo bezingalindelekanga ukuba ziyenzeka.

Inaliti yomqolo

Inaliti yomqolo inokuba yindlela ekhawulezayo yokuphelisa iintlungu ezingapheliyo. Ngokuqhelekileyo kuthetha ukujoba i-corticosteroid okanye i-anesthetic kwingingqi yentsholongwane echaphazelekayo yi-RA.

Iziphumo zenaliti yomqolo zinokuhlala iiveki okanye iinyanga. I-Corticosteroids inokubangela ezinye iingxaki zempilo njengokufumana ubunzima kunye ne-osteoporosis. Ngesi sizathu, ugqirha wakho unokucebisa ukuba ulinde iinyanga ezininzi ngenaliti yakho elandelayo.

3. Ukuhlinzwa ngasemva kwiintlungu ezingapheliyo

Ugqirha luqhele ukuba sisigqibo sokugqibela kunyango lwentlungu. Okwangoku, inokusebenza kakhulu ekuncedeni ukunciphisa iintlungu ezingapheliyo.

Umzekelo, ugqirha wakho unokucebisa inkqubo ye "fusion": Oku kubandakanya ukusika indibaniselwano yesifo kunye nokudibanisa amathambo kunye, ukunciphisa ukuhamba. Kwezinye iimeko, oku kuya kunciphisa intlungu kuloo ndawo.

Ukuhlengahlengisa nokuzinzisa umqolo wakho ukunciphisa uxinzelelo kwiimbilini zomqolo wakho yenye indlela. Oku kunokunciphisa iintlungu kwaye kuphucule ukuhamba.

4. Ukunyanga okungapheliyo okunyanga iintlungu

Uluhlu lonyango lunokunceda ukuxhasa unyango lwentlungu yakho. Umzekelo, i-physiotherapy inokuphucula ubhetyebhetye kunye namandla omsipha.

Unyango emsebenzini lunokuba luncedo. Olu hlobo lonyango lukufundisa ngeendlela zokukhusela ngokudibeneyo. Umzekelo unokuba yindlela yokuchola kunye nokuphatha izinto ngaphandle kokubangela iintlungu zangasemva.

Unyango lweChiropractic ngesiqhelo alucebisi kubantu abane RA abafumana iintlungu emva.

5. Ukuzikhathalela ngokuzilolonga

Ukuzivocavoca umzimba ngokufanelekileyo kunokunceda ukuthatha uxinzelelo emqolo wakho kwaye ugcine amalungu edibene nokuba unentlungu engapheliyo yomqolo ngenxa yeRA. Ukuzilolonga kuyanceda ukugcina impilo yomzimba iyonke.

IZiko leLizwe leArthritis kunye neMisculoskeletal kunye neZifo zeSikhumba lucebisa ukuzilolonga njengokuhamba nokuzolula ukunceda ukunqanda iintlungu zomqolo. Imisebenzi efana ne-tai chi kunye nokuzivocavoca okusekwe emanzini njengokuqubha okanye i-aerobics yamanzi nako kunokuba luncedo.

Njalo qhagamshelana nodokotela ngaphambi kokuba uqalise nayiphi na inkqubo yokomelela kwintlungu yakho yangemva.

Ukuthatha

Ukuba unayo i-RA kwaye ucinga ukuba uneentlungu ezingapheliyo zomqolo, funa ingcebiso kugqirha wakho. Baza kuba nakho ukukunceda ufumane unyango olufanelekileyo kwimeko yakho ethile, nokuba oko kuthetha ukuba izisombululo zexesha elifutshane ezifana neepakethe zomkhenkce kunye namayeza okanye iindlela zokulawula iintlungu zexesha elide ezinje nge-physiotherapy okanye isicwangciso esifanelekileyo sokuzilolonga.