Nyamakazi

Zamkati

• Kodi zizindikiro za nyamakazi ndi ziti?
• Kodi chimayambitsa nyamakazi ndi chiyani?
• Kodi matenda a nyamakazi amapezeka bwanji?
• Kodi matenda a nyamakazi amachiritsidwa bwanji?
• Mankhwala
• Opaleshoni
• Thandizo lakuthupi
• Ndi kusintha kotani kwa moyo komwe kumathandiza anthu omwe ali ndi nyamakazi?
• Kodi anthu omwe ali ndi nyamakazi amawaona bwanji nthawi yayitali?

Timaphatikizapo zinthu zomwe timaganiza kuti ndizothandiza kwa owerenga athu. Ngati mutagula maulalo omwe ali patsamba lino, titha kupeza ndalama zochepa. Nayi njira yathu.

Kodi nyamakazi ndi chiyani?

Matenda a nyamakazi ndi kutupa kwa mafupa. Zitha kukhudza gawo limodzi kapena zingapo. Pali mitundu yoposa 100 ya nyamakazi, yokhala ndi zifukwa zosiyanasiyana komanso njira zochizira. Mitundu iwiri yodziwika kwambiri ndi osteoarthritis (OA) ndi nyamakazi (RA).

Zizindikiro za nyamakazi zimakula pakapita nthawi, koma zimatha kuwonekeranso mwadzidzidzi. Matenda a nyamakazi amapezeka kwambiri kwa anthu azaka zopitilira 65, koma amathanso kukula mwa ana, achinyamata, komanso achikulire. Matenda a nyamakazi amapezeka kwambiri mwa akazi kuposa amuna komanso mwa anthu onenepa kwambiri.

Kodi zizindikiro za nyamakazi ndi ziti?

Kupweteka pamodzi, kuuma, ndi kutupa ndizo zizindikiro zofala kwambiri za nyamakazi. Mayendedwe anu amathanso kuchepa, ndipo mutha kukhala ndi khungu lofiira kuzungulira palimodzi. Anthu ambiri omwe ali ndi nyamakazi amazindikira kuti matendawa akuchuluka m'mawa.

Pankhani ya RA, mutha kumva kutopa kapena kukhala ndi njala chifukwa cha kutupa komwe chitetezo chamthupi chimayambitsa. Muthanso kukhala ndi magazi m'thupi - kutanthauza kuti kuchuluka kwanu kwama cell ofiira kumachepa - kapena kukhala ndi malungo pang'ono. RA wowopsa amatha kupunduka molumikizana ngati sanalandire chithandizo.

Kodi chimayambitsa nyamakazi ndi chiyani?

Cartilage ndi cholimba koma chosinthika cholumikizira minofu m'malo anu. Zimateteza malo molumikizana ndi kukakamizidwa ndi mantha omwe amapangidwa mukamayenda ndikuwapanikiza. Kuchepetsa kuchuluka kwa minofu iyi kumayambitsa mitundu ina ya nyamakazi.

Kutha ndi kubadwa kumayambitsa OA, imodzi mwanjira zambiri zamatenda am'mimba. Matenda kapena kuvulala kwamalumikizidwe kumatha kukulitsa kuwonongeka kwachilengedwe kwamatumba. Chiwopsezo chanu chokhala ndi OA chikhoza kukhala chachikulu ngati muli ndi mbiri yakubadwa kwa matendawa.

Mtundu wina wofala wa nyamakazi, RA, ndimatenda amthupi okha. Zimachitika pamene chitetezo cha mthupi lanu chikaukira ziwalo za thupi. Kuukira kumeneku kumakhudza synovium, minofu yofewa m'malumikizidwe anu yomwe imatulutsa kamadzimadzi kamene kamadyetsa chichereŵechereŵe ndi kupangitsa mafupa kulumikizana.

RA ndi matenda a synovium omwe adzaukire ndikuwononga olowa. Zitha kubweretsa chiwonongeko cha mafupa ndi cartilage mkati molumikizira.

Zomwe zimayambitsa chitetezo cha mthupi sizikudziwika. Koma asayansi apeza zolemba za majini zomwe zimawonjezera chiopsezo chanu chokhala ndi RA kasanu.

Kodi matenda a nyamakazi amapezeka bwanji?

Kuwona dokotala wanu wamkulu ndi gawo loyamba labwino ngati simukudziwa yemwe angamuwone ngati ali ndi matenda a nyamakazi. Adzayesa thupi kuti awone ngati pali madzi ozungulira, malo ofunda kapena ofiira, komanso mayendedwe ochepa pamalumikizidwe. Dokotala wanu angakutumizireni kwa katswiri ngati pakufunika kutero.

Ngati mukukumana ndi zizindikilo zowopsa, mutha kusankha kukonzekera nthawi yoyamba ndi rheumatologist. Izi zitha kupangitsa kuti munthu azindikire ndi kulandira chithandizo mwachangu.

Kuchotsa ndi kusanthula kuchuluka kwa kutupa m'magazi anu komanso madzi amadzimadzi olumikizana kumatha kuthandiza dokotala kudziwa mtundu wamatenda omwe muli nawo. Kuyezetsa magazi komwe kumayang'ana mitundu ya ma antibodies monga anti-CCP (anti-cyclic citrullinated peptide), RF (rheumatoid factor), ndi ANA (antinuclear antibody) nawonso ndimayeso ofala odziwika.

Madokotala amagwiritsa ntchito zithunzi zojambulajambula monga X-ray, MRI, ndi CT kuti apange chithunzi cha mafupa anu ndi cartilage. Izi ndizotheka kuti athetse zina zomwe zimayambitsa matenda anu, monga mafupa.

Kodi matenda a nyamakazi amachiritsidwa bwanji?

Cholinga chachikulu cha chithandizo ndikuchepetsa ululu womwe mukukumana nawo ndikupewa kuwonongeka kwina kwamafundo. Muphunzira zomwe zimakuthandizani kwambiri pokhudzana ndi kupweteka. Anthu ena amawona kuti ma pads otentha ndi mapaketi oundana ndizolimbikitsa. Ena amagwiritsa ntchito zida zothandizira kuyenda, monga ndodo kapena zoyenda, kuti athandize kuthana ndi ziwalo zopweteka.

Kupititsa patsogolo mgwirizano wanu ndikofunikanso. Dokotala wanu akhoza kukupatsani njira zingapo zothandizira kuti mupeze zotsatira zabwino.

Gulani zotchingira kutentha kwa ululu.

Mankhwala

Mitundu ingapo yamankhwala amathandizira nyamakazi:

• Zotsatira, monga hydrocodone (Vicodin) kapena acetaminophen (Tylenol), ndi othandiza kuthana ndi ululu, koma sizithandiza kuchepetsa kutupa.
• Mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs), monga ibuprofen (Advil) ndi salicylates, amathandiza kuchepetsa ululu ndi kutupa. Ma salicylate amatha kuchepa magazi, chifukwa chake amayenera kugwiritsidwa ntchito mosamala kwambiri ndi mankhwala owonjezera magazi.
• Menthol kapena kapisimafuta lembetsani kutumizidwa kwa zisonyezo zopweteka kuchokera kumalo anu.
• Odwala matenda opatsirana pogonana monga prednisone kapena cortisone amathandizira kuchepetsa kutupa.

Ngati muli ndi RA, dokotala wanu akhoza kukupatsani ma corticosteroids kapena mankhwala osokoneza bongo (DMARDs), omwe amalepheretsa chitetezo chanu cha mthupi. Palinso mankhwala ambiri ochiritsira OA omwe amapezeka pa kauntala kapena mwa mankhwala.

Gulani mafuta a capsaicin kuti muchepetse ululu.

Opaleshoni

Kuchita opaleshoni kuti musinthe cholumikizira chanu ndi chochita mwina kungakhale kotheka. Njira yovutayi imachitika nthawi zambiri m'malo mwa chiuno ndi maondo.

Ngati nyamakazi yanu ili yovuta kwambiri m'manja kapena m'manja, dokotala wanu amatha kulumikizana. Pochita izi, malekezero a mafupa anu amatsekedwa limodzi mpaka atachira ndikukhala amodzi.

Thandizo lakuthupi

Chithandizo chamthupi chokhudzana ndi zolimbitsa thupi chomwe chimathandiza kulimbitsa minofu kuzungulira cholumikizira chomwe chakhudzidwa ndichofunikira kwambiri pakuthandizira nyamakazi.

Ndi kusintha kotani kwa moyo komwe kumathandiza anthu omwe ali ndi nyamakazi?

Kuchepetsa thupi komanso kukhala wathanzi kumachepetsa chiopsezo chotenga OA ndipo kumatha kuchepetsa zizindikilo ngati muli nazo kale.

Kudya chakudya chopatsa thanzi ndikofunikira kuti muchepetse thupi. Kusankha zakudya zokhala ndi ma antioxidants ambiri, monga zipatso, ndiwo zamasamba, ndi zitsamba, zitha kuthandiza kuchepetsa kutupa. Zakudya zina zochepetsa kutupa ndi nsomba ndi mtedza.

Zakudya zomwe mungachepetse kapena kupewa ngati muli ndi nyamakazi zimaphatikizapo zakudya zokazinga, zakudya zopangidwa ndi mkaka, komanso nyama yambiri.

Kafukufuku wina akuwonetsanso kuti ma antibodies a gluten atha kupezeka mwa anthu omwe ali ndi RA. Zakudya zopanda thanzi zimatha kusintha zizindikilo komanso kukula kwa matenda. Kafukufuku wa 2015 amalimbikitsanso kudya zakudya zopanda thanzi kwa anthu onse omwe amapezeka kuti ali ndi matenda osagwirizana.

Kuchita masewera olimbitsa thupi nthawi zonse kumathandiza kuti ziwalo zanu zisinthe. Kusambira nthawi zambiri kumakhala njira yabwino yochitira masewera olimbitsa thupi kwa anthu omwe ali ndi nyamakazi chifukwa siyimakakamiza malo anu momwe kuthamanga ndi kuyenda kumathandizira. Kukhalabe wokangalika ndikofunikira, koma onetsetsani kuti mukupuma pomwe mukufunikira ndikupewa kudziwonjezera.

Zochita zapakhomo zomwe mungayesere ndi monga:

• kupendeketsa mutu, kusinthasintha khosi, ndi zochitika zina kuti muchepetse kupweteka m'khosi mwanu
• Kupindika chala ndi chala chachikulu kuti muchepetse ululu m'manja mwanu
• mwendo umakweza, kutambasula khosi, ndi machitidwe ena osavuta a nyamakazi ya mawondo

Kodi anthu omwe ali ndi nyamakazi amawaona bwanji nthawi yayitali?

Ngakhale kulibe mankhwala a nyamakazi, chithandizo choyenera chitha kuchepetsa kwambiri zizindikilo zanu.

Kuphatikiza pa chithandizo chomwe dokotala akukulangizani, mutha kusintha zina ndi zina pamoyo wanu zomwe zingakuthandizeni kuthana ndi nyamakazi.