I-Rheumatoid Arthritis kunye nemiphunga: Yintoni ekufuneka uyazi

Umxholo

• Umqala wemiphunga
• Amaqhuqhuva emiphunga
• Izifo zePleural
• Umqobo omncinci womoya
• Imiba yomngcipheko
• Ngaba oku kuyayichaphazela iminyaka yokuphila?
• Nini ukubona ugqirha
• Umgca wezantsi

I-rheumatoid arthritis (RA) sisifo esineempawu ezitshintshayo ezinokuchaphazela amalungu akho kuphela, kodwa namanye amalungu omzimba. Njengokuba isifo siqhubeka, sinokuchaphazela amalungu akho-kubandakanya nemiphunga yakho.

Siza kuvavanya iindlela ezinokuthi zisebenze ngayo i-RA kwimiphunga yakho ukuze uthethe nogqirha wakho malunga nesicwangciso sonyango lwakho.

Umqala wemiphunga

Isifo semiphunga sangaphakathi (ukonakala kwemiphunga) senzeka kubantu abali-1 kwabali-10 abaneRA, ngokweArthritis Foundation.

Ukunqongophala kubhekisa kwizicubu zemiphunga ezonakeleyo, ezinokuthi zenzeke ngokuhamba kwexesha ukusuka kutshiso olwenziwe yi-RA. Njengokudumba okuqhubekayo, umzimba uqala ukuhlasela iiseli zemiphunga, ekhokelela kolu hlobo lomonakalo obanzi.

Ukuqhaqha kwemiphunga kungakhokelela kubunzima bokuphefumla kunye neempawu ezinxulumene noko. Oku kubandakanya:

• ukuqhawukelwa ngumphefumlo
• ukukhwehlela okungapheliyo
• ukudinwa kakhulu
• ubuthathaka
• ukunciphisa ukutya
• ukunciphisa umzimba ngempazamo

Kungenzeka ukuba xa uqala ukufumana iimpawu, imiphunga yakho sele inenani elibalulekileyo lokuvuvukala okungapheliyo.

Nangona kunjalo, kwangaphambi kokuba ufunyaniswe, kwangoko ungaqala unyango ukunqanda ukuqhubela phambili kwesifo kunye nokuthintela ukonakala. Ukwenza uxilongo, ugqirha wakho uya kuthi ahlele ukuvavanywa kokusebenza kwemiphunga, kunye ne-X-ray okanye i-CT scan yemiphunga.

Eyona ndlela ilungileyo yokunyanga isikhumba semiphunga kwi-RA kukuqinisekisa ukuba unyango lwakho lwe-RA lufikelele kwinqanaba. Ngokunyanga ukuvuvukala okusebenzayo ngokufanelekileyo, kukho ithuba eliphezulu lokuba iiseli zakho zemiphunga ezisempilweni aziyi kuchaphazeleka.

Ngamanye amaxesha, unyango lweoksijini lunokunceda ukuba ujongana nobuthathaka obuninzi kunye nokunciphisa umgangatho wobomi. Ukufakelwa kwemiphunga kunokucetyiswa kwiimeko ezinzima ngakumbi njengendawo yokugqibela.

Ngaphandle konyango, ukonakala kwemiphunga kunokusongela ubomi.

Amaqhuqhuva emiphunga

Amaqhuqhuva aqinile, ayingumhlaza ongenamahloni ngamanye amaxesha ophuhla kumalungu nakwamanye amalungu omzimba. Ukuba namaqhuqhuva emiphunga (yemiphunga) akuthethi ukuba unomhlaza wemiphunga.

Amaqhuqhuva emiphunga amancinci, ngoko ke awabonakali kakhulu. Ngapha koko, iklinikhi yaseCleveland iqikelela ukuba amaqhuqhuva aphakathi ko-1.2 weesentimitha ububanzi. Ziye zixhaphake kakhulu, nokuba iRA ikhona.

Amaqhuqhuva emiphunga akabonisi zimpawu zibonakalayo. Bahlala befunyanwa ngelixa beqhuba iimvavanyo zokucinga ngeminye imicimbi. Ubunzima obukhulu okanye ubunzima obunemiphetho engaqhelekanga inokuba luphawu lomhlaza wemiphunga.

Amaqhuqhuva emiphunga awadingi kususwa ngaphandle kokuba kukho urhano lomhlaza.

Njengokonakala kwemiphunga, eyona ndlela isebenzayo yokuthintela amaqhuqhuva emiphunga abangelwa yiRA kukunyanga ukudumba okungaphantsi okuzisa le micimbi inxulumene noko.

Izifo zePleural

Isifo se-Pleural (ukuchithwa) kwenzeka xa i-pleura, okanye izicubu ezithambileyo (i-membrane) ezijikeleze imiphunga yakho, ziyavutha. Amaxesha amaninzi, olu hlobo lokuvuvukala kwemiphunga lwenzeka ecaleni kolwakhiwo lwamanzi phakathi kwethayile ejikeleze izicubu zemiphunga kunye nodonga lwesifuba (esaziwa njengendawo yokubongoza).

Kwiimeko ezincinci, isifo se-pleural asikho nzima ngokwaneleyo ukuba sinokubangela naziphi na iimpawu. Ngapha koko, ulwakhiwo olunamanzi oluncinci lunokuzihambela lodwa. Kodwa ukuba kukho ukwakhiwa okukhulu ngokwaneleyo, ungaqala ukufumana ukuphefumla okufutshane okanye iintlungu xa uphefumla kwaye ufuna unyango.

Ngamanye amaxesha isifo se-pleural sinokubangela umkhuhlane ngokunjalo.

Ulwakhiwo olukhulu lwamanzi kwisifo se-pleural ludinga unyango ukususa isixa esigqithisileyo samanzi. Oku kwenziwa nokuba ityhubhu yesifuba okanye inaliti, ekhupha ulwelo kwindawo yokubongoza.

Unyango lunokuphindwa njengoko kufanelekile ukuba isifo se-pleural sibangele ukwanda okungaphezulu kolwelo kwixesha elizayo.

Umqobo omncinci womoya

I-RA inokukhokelela kukukrala ngaphakathi kwomoya omncinci wemiphunga yakho. Ixesha elingaphezulu, ukudumba okungapheliyo kule ndawo kunokubangela ukutyeba kwezi ndlela zomoya kwaye kukhokelele ekuthinteleni i-mucus kwimiphunga yakho. Oku kwaziwa njengothintelo lomoya oluncinci.

Eminye imiqondiso yothintelo lomoya oluncinci inokubandakanya ukukhwehlela owomileyo, ukuphefumla okufutshane kunye nokudinwa.

Ngelixa unyango lweRA lunokuthintela ukuphazamiseka komoya omncinci, alunikezeli ngoncedo olukhawulezileyo kule meko yemiphunga. Thetha nogqirha wakho malunga ne-inhalers yokuhlangula okanye ii-bronchodilators ezinokukunceda uvule iindlela zomoya kwaye uqinisekise ukuphefumla okuthe tye.

Imiba yomngcipheko

Ngelixa i-RA ingumnikeli ophambili, ezinye izinto ezinobungozi zinokunyusa amathuba akho kwezifo zemiphunga ezinxulumene ne-RA. Oku kubandakanya:

• ukutshaya
• ukuba yindoda
• ukuba uneminyaka engama-50 ukuya kwengama-60 ubudala
• ukuba neRA esebenzayo okanye engasebenziyo

Ngaba oku kuyayichaphazela iminyaka yokuphila?

I-RA ngokwayo inokunciphisa ixesha lokuphila ngenxa yeengxaki ezivela kukudumba okubanzi.

Ngokwejenali, ixesha lokuphila eliphakathi liyancipha ngeminyaka eli-10 ukuya kweli-11 xa kuthelekiswa nabo bangenayo i-RA ukuba esi sifo asinyangwa ngokufanelekileyo.

Iingxaki ezivela kwi-RA njengesifo semiphunga yenye yeendlela RA anokunciphisa ixesha lakho lokuphila.

Izifo zemiphunga zizodwa zinokunciphisa ixesha lakho lokuphila kuba zinokuthintela ukubonelelwa kweoksijini ebalulekileyo kuwo onke amalungu omzimba wakho kunye nezicubu zomzimba. Ngokwe-National Rheumatoid Arthritis Society, isifo semiphunga sikwindawo yesibini kuphela kwisifo sentliziyo sazo zonke izizathu ezinxulumene nokufa kwe-RA.

Ukulawula i-RA yakho yenye yeendlela onokunciphisa umngcipheko wezifo zemiphunga ezinxulumene noko. Unokunceda ukugcina imiphunga yakho isempilweni ngokuyeka ukutshaya, uphephe iikhemikhali ezinobuthi kunye nomphunga, kunye nokuzilolonga rhoqo.

Nini ukubona ugqirha

Kubalulekile ukubona ugqirha wakho kutyelelo oluqhelekileyo. Nangona kunjalo, awufuni ukulinda utyelelo lwakho rhoqo ukuba ufumana iimpawu ezintsha okanye ezingaqhelekanga. Jonga ugqirha wakho malunga nesifo semiphunga esivela kwi-RA ukuba ufumana iimpawu ezinje:

• ukuphefumla okubuhlungu
• ukuqhawukelwa ngumphefumlo
• ubunzima bokuphefumla, ngakumbi emva kokusebenza komzimba
• ukukhwehlela okungapheliyo
• ukwanda kobuthathaka kunye nokudinwa
• utshintsho lokutya
• ukunciphisa umzimba ngesiquphe
• ifiva engapheliyo

Ngokukhawuleza ugqirha wakho uyazi malunga neempawu ojamelana nazo, ngokukhawuleza banokukufumanisa kwaye bakunyange isifo esinokubakho semiphunga.

Umgca wezantsi

I-RA ichaphazela ikakhulu amalungu, kodwa inokuzisa ezinye iingxaki zomzimba wonke, kubandakanya nemiphunga yakho.

Ukuba nesifo semiphunga kunciphisa umgangatho wobomi kwaye kusenokunciphisa ixesha lokuphila. Naziphi na iingxaki zokuphefumla kufuneka zijongane nogqirha wakho ngokukhawuleza ukuthintela iingxaki ezinxulumene nemiphunga.