Amaqhuqhuva erheumatoid: Zintoni?

Umxholo

• Zibonakala njani?
• Kutheni babumba?
• Benza phi?
• Ngaba zibuhlungu?
• Ngubani ozifumanayo?
• Ubaphatha njani?
• Nini ukubona ugqirha
• Umgca wezantsi

I-rheumatoid arthritis (RA) sisifo sokuzimela komzimba apho amajoni omzimba ahlasela umgca odibeneyo owaziwa ngokuba yi-synovium. Imeko inokubangela ukuba amaqhuqhuva abuhlungu akhule kula malungu omzimba:

• izandla
• iinyawo
• izihlahla
• iingqiniba
• amaqatha
• iindawo umntu angasoloko ezibonayo, njengemiphunga

Funda ngokufumanisa ukuba zenzeka njani ezi maqhuqhuva kunye naluphi na unyango olunokunceda.

Zibonakala njani?

Amaqhuqhuva erheumatoid arthritis anokuphakama ngokobungakanani ukusuka kwincinci encinci (malunga ne-2 millimeters) ukuya kubankulu (malunga neesentimitha ezi-5). Zihlala zijikeleze imilo, nangona kunokwenzeka ukuba banokuba nemida engavumelekanga.

Amaqhuqhuva ahlala aziva eqinile ekuchukumeni kwaye zihlala zihamba xa ucinezelwe. Ngamanye amaxesha amaqhuqhuva angenza unxibelelwano kunye nezicubu okanye imisipha phantsi kwesikhumba kwaye ayinakushukuma xa icinezelwe.

Amaqhuqhuva anokuba sisinene ekuthinteni. Oku kuhlala kwenzeka xa umntu ene-rheumatoid arthritis flare-up.

Amaqhuqhuva amakhulu kakhulu okanye amaqhuqhuva kwiindawo ezithile anokucinezela kwimithambo-luvo okanye kwimithambo yegazi. Oku kunokubangela ukungonwabi kwaye kuchaphazele amandla omntu okuhambisa izandla, iinyawo, kunye nokunye.

Amaqhuqhuva ahluka ngokobukhulu, imilo, kunye nendawo emzimbeni. Ngamanye amaxesha umntu unokuba ne-nodule enye. Ngamanye amaxesha banokuba nengqokelela yamaqhuqhuva amancinci.

Kutheni babumba?

Oogqirha abazi ngqo ukuba kutheni amaqhuqhuva e-rheumatoid form ngenxa yesifo samathambo. Ngokwesiqhelo, umntu ufumana amaqhuqhuva erheumatoid xa sele eneRA kangangeminyaka eliqela. Amaqhuqhuva enziwe ngezi zinto zilandelayo:

• IFibrin. Le yiprotein edlala indima ekunqandeni igazi kwaye inokubangela ukonakala kwethishu.
• Iiseli ezivuthayo. I-rheumatoid arthritis inokubangela ukudumba emzimbeni okukhokelela kuphuhliso lwamaqhuqhuva.
• Iiseli zolusu ezifileyo. Iiseli zolusu olufileyo ezivela kwiiproteni emzimbeni zinokwakha kumaqhuqhuva.

Amaqhuqhuva anokufana ncam nezinye iimeko, ezinje ngee-cysts ze-epidermoid, i-olecranon bursitis, kunye ne-tophi ebangelwa yi-gout.

Benza phi?

Amaqhuqhuva erheumatoid arthritis angenza kwezi ndawo zilandelayo zomzimba:

• ngasemva kwezithende
• iingqiniba
• iminwe
• amaqhuma
• imiphunga

Ezi ndawo zihlala apho uxinzelelo lubekwa kwindawo yomzimba okanye kumalungu ajikeleze kakhulu, njengeengqiniba neminwe. Ukuba umntu ulele ebhedini, banokuphuhlisa amaqhuqhuva e-rheumatoid arthritis kwi:

• ngasemva kwentloko yabo
• izithende
• ingcwele
• ezinye iindawo zoxinzelelo

Kwiimeko ezinqabileyo, amaqhuqhuva angenza ezinye iindawo, ezinje ngamehlo, imiphunga, okanye imitya yezwi. Oku kunokuba nzima kugqirha ukuba achonge. Nangona kunjalo, la maqhuqhuva angaphakathi anokubangela iziphumo ebezingalindelekanga ezibi, ezinje ngokuphefumla nzima, ukuba i-nodule inkulu kakhulu ngobukhulu.

Ngaba zibuhlungu?

Amaqhuqhuva erheumatoid arthritis akasoloko ebuhlungu, nangona kunokuba njalo. Ngamanye amaxesha ukudumba ngenxa yamaqhuqhuva kunokubangela imeko ebizwa ngokuba yi-vasculitis. Oku kukudumba kwemithambo yegazi ekhokelela kwintlungu kumaqhuqhuva.

Ngubani ozifumanayo?

Zininzi izinto ezinokukubeka emngciphekweni wokuphuhliswa kwamaqhuqhuva. Oku kubandakanya:

• Ukwabelana ngesondo. Abasetyhini kunokwenzeka kakhulu ukuba bafumane isifo samathambo kunamadoda.
• Ixesha. Ixesha elide umntu ene-rheumatoid arthritis, kokukhona baya kuphuhlisa amaqhuqhuva.
• Ubunzima. Ngokuqhelekileyo, xa umntu esiba mandundu isifo samathambo, maninzi amathuba okuba babe neziqhuqhuva.
• Into yeRheumatoid. Abantu abanamanqanaba aphezulu e-rheumatoid factor egazini labo banamathuba okufumana amaqhuqhuva. I-rheumatoid factor ibhekisa kwiiproteni ezisegazini ezinxulunyaniswa nokuphazamiseka komzimba, njenge-rheumatoid arthritis kunye neSjögren's syndrome.
• Ukutshaya. Ukongeza kwisifo samathambo esibi, ukutshaya yenye yezinto ezinobungozi kumaqhuqhuva e-rheumatoid.
• Imfuza. Abantu abaneentsholongwane ezithile banomngcipheko ophezulu wokuphuhlisa i-rheumatoid arthritis.

Ubaphatha njani?

Amaqhuqhuva erheumatoid arthritis akasoloko efuna unyango. Nangona kunjalo, ukuba zibangela iintlungu okanye zithintele ukuhamba, ugqirha wakho unokucebisa unyango.

Ukuthatha amayeza abizwa ngokuba sisifo esiguqula i-antirheumatic drug (DMARDs) kunokunceda ukunciphisa ubungakanani bezinye iziqhuqhufu zesifo samathambo.

Oogqirha badibanise elinye iyeza le-rheumatoid arthritis, i-methotrexate, ngokwandisa amathuba okuba amaqhuqhuva aya esiba makhulu. Eli yeza licinezela amajoni omzimba. Ukuba amaqhuqhuva ayingxaki, ugqirha wakho unokucebisa ngokutshintsha ukusuka kwimethotrexate uye kwelinye iyeza, ukuba kukho imfuneko.

Ngamanye amaxesha inaliti ye-corticosteroids inokunciphisa ukudumba kwaye inyange amaqhuqhuva erheumatoid. Ukuba oku akusebenzi, ugqirha wakho unokucebisa ukuba utyando lususe i-nodule okanye amaqhuqhuva. Nangona kunjalo, maqhuqhuva abuya rhoqo emva kokususwa kotyando.

Nini ukubona ugqirha

Amaqhuqhuva erheumatoid akasoloko ebangela iingxaki. Nangona kunjalo, kunokwenzeka ukuba kwiindawo zoxinzelelo olukhulu, ezinjengeenyawo, ulusu ngaphezulu kwamaqhuqhuva lunokucaphuka okanye lusuleleke. Iziphumo zinokuba bubomvu, ukudumba, kunye nokufudumala kumaqhuqhuva.

Amaqhuqhuva achaphazelekayo afuna unyango. Ii-antibiotics zinokufuneka ukuba zinyange usulelo lwe-nodule.

Jonga ugqirha wakho ukuba unezintlungu ezibi okanye eziya zisanda nakweyiphi na maqhuqhuva onokuba nawo okanye amaqhuqhuva achaphazela ngamandla ukukwazi ukuhamba.

Amaqhuqhuva asezantsi kweenyawo anokwenza ukuba kube nzima ukuhamba, kubangele ukungahambi kakuhle, okanye ukutshintsha uxinzelelo kwamanye amalungu, akhokelela emadolweni, esinqeni, okanye kwiintlungu ezisezantsi.

Umgca wezantsi

Amaqhuqhuva e-rheumatoid arthritis anokubakho ukusuka ekucaphukiseni ukuya kubuhlungu. Ngelixa bahlala bengafuni unyango, thetha nogqirha wakho ukuba iimpawu zakho ziqala ukuba buhlungu okanye unengxaki yokuhamba.