Nyamakazi

Matenda a nyamakazi ndi kutupa kapena kuchepa kwa gawo limodzi kapena angapo. Olowa ndi malo omwe mafupa awiri amakumana. Pali mitundu yoposa 100 ya nyamakazi.

Nyamakazi imakhudza kuwonongeka kwa mafupa, makamaka chichereŵechereŵe. Cartilage wabwinobwino amateteza mgwirizano ndikupangitsa kuti ziziyenda bwino. Cartilage imayambanso kugwedezeka pamene kupanikizika kumayikidwa palimodzi, monga poyenda. Popanda kachulukidwe kakang'ono, mafupa omwe ali pansi pamatumbawo amawonongeka ndikupaka palimodzi. Izi zimayambitsa kutupa (kutupa), ndi kuuma.

Zina zomwe zimakhudzidwa ndi nyamakazi ndi izi:

• Synovium
• Fupa pafupi ndi cholumikizira
• Magalamenti ndi ma tendon
• Mapangidwe a mitsempha ndi tendon (bursae)

Kutupa pamodzi ndi kuwonongeka kumatha kubwera chifukwa cha:

• Matenda omwe amadzichotsera yokha (chitetezo cha mthupi molakwika chimagunda minofu yathanzi)
• Fupa losweka
• General "kuvala ndi misozi" pamagulu
• Kutenga, nthawi zambiri ndi mabakiteriya kapena kachilombo
• Makhiristo monga uric acid kapena calcium pyrophosphate dihydrate

Nthawi zambiri, kutupa kophatikizana kumatha chifukwa chomwe chimapita kapena kuchiritsidwa. Nthawi zina, sizitero. Izi zikachitika, mumakhala ndi nyamakazi ya nthawi yayitali.

Nyamakazi imatha kupezeka mwa anthu amisinkhu iliyonse komanso kugonana. Osteoarthritis, yomwe imachitika chifukwa chosachita kutupa ndipo imakula chifukwa cha msinkhu, ndiye mtundu wofala kwambiri.

Zina, mitundu yodziwika bwino ya nyamakazi yotupa imaphatikizapo:

• Ankylosing spondylitis
• Matenda a Crystal, gout, calcium pyrophosphate deposition matenda
• Matenda a nyamakazi aana (mwa ana)
• Matenda a bakiteriya
• Matenda a Psoriatic
• Matenda a nyamakazi
• Matenda a nyamakazi (mwa akuluakulu)
• Scleroderma
• Njira ya lupus erythematosus (SLE)

Nyamakazi imayambitsa kupweteka kwa mafupa, kutupa, kuuma, ndi kuyenda pang'ono. Zizindikiro zimatha kuphatikiza:

• Ululu wophatikizana
• Kutupa pamodzi
• Kuchepetsa kuthekera kosunthira cholumikizira
• Kufiira ndi kutentha kwa khungu mozungulira cholumikizira
• Kuuma pamodzi, makamaka m'mawa

Wothandizira zaumoyo adzakuyesani ndikufunsani za mbiri yanu yamankhwala.

Kuyezetsa thupi kumatha kuwonetsa:

• Madzi ozungulira olowa
• Malo ofunda, ofiira, ofewa
• Zovuta kusuntha cholumikizira (chotchedwa "kuyenda pang'ono")

Mitundu ina ya nyamakazi imatha kupangitsa kuphatikizika. Izi zikhoza kukhala chizindikiro cha nyamakazi ya nyamakazi, yosachiritsidwa.

Kuyezetsa magazi ndi ma x-ray olumikizidwa nthawi zambiri amachitidwa kuti aone ngati ali ndi matenda ndi zina zomwe zimayambitsa nyamakazi.

Wothandizirayo amathanso kuchotsa mtundu wa madzi olowa ndi singano ndikuwatumizira ku labu kuti akawone ngati makhiristo otupa kapena matenda.

Zomwe zimayambitsa mavutowa sizingachiritsidwe. Cholinga cha chithandizo ndi:

• Kuchepetsa ululu ndi kutupa
• Sinthani ntchito
• Pewani kuwonongeka kwina kwamagulu

ZINTHU ZIMASINTHA

Kusintha kwa moyo ndi mankhwala omwe amakonda osteoarthritis ndi mitundu ina yotupa. Kuchita masewera olimbitsa thupi kumathandiza kuchepetsa kuuma, kuchepetsa kupweteka komanso kutopa, komanso kulimbitsa mphamvu ya minofu ndi mafupa. Gulu lanu laumoyo lingakuthandizeni kupanga pulogalamu yolimbitsa thupi yomwe ingakukomereni.

Mapulogalamu olimbitsa thupi atha kuphatikiza:

• Zochita zolimbitsa thupi zochepa (zomwe zimatchedwanso kupirira zolimbitsa thupi) monga kuyenda
• Zochita zingapo zoyenda kuti zisinthike
• Kulimbitsa mphamvu pakulankhula kwa minofu

Wopereka chithandizo wanu atha kupereka lingaliro lamankhwala. Izi zingaphatikizepo:

• Kutentha kapena ayezi.
• Zitsulo kapena mafupa othandizira mafupa ndikuthandizira kukonza malo awo. Izi nthawi zambiri zimafunikira nyamakazi ya nyamakazi.
• Mankhwala amadzi.
• Kusisita.

Zinthu zina zomwe mungachite ndi izi:

• Muzigona mokwanira. Kugona maola 8 mpaka 10 usiku ndikumagona masana kungakuthandizeni kuti mubwezere msanga msanga, komanso zitha kuthandiza kupewa.
• Pewani kukhala pamalo amodzi nthawi yayitali.
• Pewani maudindo kapena mayendedwe omwe amapanikizika kwambiri ndi mafupa anu.
• Sinthani nyumba yanu kuti zinthu zizikhala zosavuta. Mwachitsanzo, ikani mipiringidzo yosamba, bafa, ndi pafupi ndi chimbudzi.
• Yesani zochepetsa nkhawa, monga kusinkhasinkha, yoga, kapena tai chi.
• Idyani chakudya chopatsa thanzi chodzaza ndi zipatso ndi ndiwo zamasamba, zomwe zimakhala ndi mavitamini ndi michere, makamaka vitamini E.
• Idyani zakudya zokhala ndi omega-3 fatty acids, monga nsomba zamadzi ozizira (saumoni, mackerel, ndi hering'i), mafuta a fulakesi, rapese (canola), soya, mafuta a soya, nthanga za dzungu, ndi walnuts.
• Pewani kusuta ndi kumwa mowa kwambiri.
• Ikani mafuta a capsaicin cream pamagulu anu opweteka. Mutha kumva bwino mutapaka kirimu masiku atatu kapena asanu ndi awiri.
• Kuchepetsa thupi, ngati muli wonenepa kwambiri. Kuchepetsa thupi kumatha kusintha kwambiri kulumikizana kwamiyendo ndi mapazi.
• Gwiritsani ntchito ndodo kuti muchepetse kupweteka kwa m'chiuno, bondo, bondo, kapena nyamakazi ya phazi.

MANKHWALA

Mankhwala atha kuperekedwa limodzi ndi kusintha kwa moyo. Mankhwala onse ali ndi zoopsa zina. Muyenera kumutsatiridwa kwambiri ndi dokotala mukamamwa mankhwala a nyamakazi, ngakhale omwe mumagula pamsika.

Mankhwala owonjezera pa kauntala:

• Acetaminophen (Tylenol) nthawi zambiri ndimankhwala oyamba kuyesa kuchepetsa kupweteka. Tengani mpaka 3,000 patsiku (2 nyamakazi-mphamvu Tylenol maola 8 aliwonse). Pofuna kupewa kuwonongeka kwa chiwindi, musatenge zochuluka kuposa momwe mungafunire. Popeza mankhwala angapo amapezeka popanda mankhwala omwe mulinso ndi etaminophen, muyenera kuwaphatikiza mu 3,000 patsiku. Komanso, pewani mowa mukamamwa etaminophen.
• Aspirin, ibuprofen, kapena naproxen ndi mankhwala osagwiritsa ntchito zotupa (NSAIDs) omwe angathetsere kupweteka kwa nyamakazi. Komabe, amatha kukhala ndi zoopsa akagwiritsidwa ntchito kwakanthawi. Zotsatira zoyipa zimaphatikizapo matenda amtima, sitiroko, zilonda zam'mimba, kutuluka magazi m'mimba, komanso kuwonongeka kwa impso.

Kutengera mtundu wa nyamakazi, mankhwala ena angapo amatha kupatsidwa:

• Corticosteroids ("steroids") amathandiza kuchepetsa kutupa. Amatha kubayidwa m'malo opweteka kapena kuperekedwa pakamwa.
• Mankhwala osokoneza bongo a anti-rheumatic (DMARDs) amagwiritsidwa ntchito pochiza nyamakazi yokhayokha komanso SLE
• Biologics ndi kinase inhibitor amagwiritsidwa ntchito pochiza nyamakazi yokhayokha. Amatha kupatsidwa jakisoni kapena pakamwa.
• Kwa gout, mankhwala ena ochepetsa uric acid amatha kugwiritsidwa ntchito.

Ndikofunika kwambiri kumwa mankhwala anu monga momwe woyang'anira wanu akuuzira. Ngati mukukumana ndi mavuto kutero (mwachitsanzo, chifukwa cha zoyipa), muyenera kuyankhula ndi omwe amakuthandizani. Onetsetsani kuti omwe akukuthandizani amadziwa za mankhwala anu onse omwe mumamwa, kuphatikiza mavitamini ndi zowonjezera zomwe zagulidwa popanda mankhwala.

OGWIRITSA NTCHITO NDI CHithandizo CHINA

Nthawi zina, opareshoni imatha kuchitidwa ngati njira zina zamankhwala sizinagwire ntchito ndipo kuwonongeka kwakukulu kwa mgwirizano kumachitika.

Izi zingaphatikizepo:

• Kulowa m'malo, monga bondo lathunthu

Matenda ochepa okhudzana ndi nyamakazi amatha kuchiritsidwa ndi mankhwala oyenera. Komabe, zovuta zambiri zimakhala zovuta zanthawi yayitali koma nthawi zambiri zimatha kuyendetsedwa bwino. Mitundu yankhanza yamatenda ena imatha kukhala ndi vuto lalikulu pakuyenda ndipo imatha kubweretsa ziwalo zina za thupi kapena machitidwe.

Mavuto a nyamakazi ndi awa:

• Kupweteka kwanthawi yayitali
• Kulemala
• Zovuta kuchita zochitika za tsiku ndi tsiku

Itanani omwe akukuthandizani ngati:

• Kupweteka kwanu molumikizana kumapitilira masiku atatu.
• Muli ndi ululu wophatikizika wopanda tanthauzo.
• Ophatikizana omwe akhudzidwa amatupa kwambiri.
• Muli ndi zovuta kuti musunthire cholumikizira.
• Khungu lanu mozungulira chophatikizira ndi lofiira kapena lotentha mpaka kukhudza.
• Muli ndi malungo kapena mwachepa thupi mosadziwa.

Kuzindikira koyambirira ndi chithandizo kumathandizira kupewa kuwonongeka kwamagulu. Ngati muli ndi mbiri ya nyamakazi, auzeni omwe amakupatsani, ngakhale mutakhala kuti mulibe zowawa.

Kupewa kuchita zinthu mobwerezabwereza kungakuthandizeni kupewa matenda a nyamakazi.

Kutupa olowa; Kupanda pamodzi

• Nyamakazi
• Nyamakazi
• Matenda a nyamakazi
• Matenda a nyamakazi
• Osteoarthritis vs. nyamakazi
• Nyamakazi m'chiuno
• Matenda a nyamakazi
• Kulowa m'malo molumikizana - mndandanda
• Kulowa m'malo mwa chiuno - mndandanda

Bykerk VP, Khwangwala MK. Njira kwa wodwala matenda enaake ophwanya. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 241.

Inman RD. Mitundu ya spondyloarthropathies. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 249.

Kraus VB, Vincent TL. Nyamakazi ya nyamakazi. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 246.

Mcinnes Ine, O'Dell JR. Matenda a nyamakazi. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 248.

Singh JA, Saag KG, Bridges SL Jr, ndi al. 2015 American College of Rheumatology malangizo othandizira kuchiza nyamakazi. Nyamakazi Rheumatol. 2016; 68 (1): 1-26. PMID: 26545940 pubed.ncbi.nlm.nih.gov/26545940/.