Zotsatira za Matenda a Nyamakazi M'thupi

Zamkati

• Chidule
• Zotsatira za nyamakazi yamatenda m'thupi
• Mafupa dongosolo
• Zizindikiro za RA zimatha kupezeka pamagulu aliwonse amthupi, kuphatikiza:
  
• Njira yoyendera
• Khungu, maso, ndi pakamwa
• Dongosolo kupuma
• Chitetezo cha mthupi
• Machitidwe ena

Chidule

Matenda a nyamakazi (RA) ndioposa kungomva kuwawa. Matenda osachiritsika omwe amachititsa kuti thupi lanu liwononge molakwika ziwalo zabwino ndipo zimayambitsa kutupa.

Ngakhale RA imadziwika kuti imayambitsa kupweteka molumikizana ndi kutupa, imathanso kuyambitsa zizindikilo zina mthupi lonse. Pemphani kuti mudziwe zambiri pazomwe zingachitike ndi RA komanso zomwe zimakhudza thupi.

Zotsatira za nyamakazi yamatenda m'thupi

RA ndi matenda omwe amayamba pang'onopang'ono omwe amakhudza kwambiri mafupa anu. Malinga ndi Arthritis Foundation, pafupifupi anthu 1.5 miliyoni aku America amakhala ndi RA.

Aliyense atha kupeza RA, koma imayamba pakati pa zaka 30 mpaka 60. Imakhudzanso azimayi pafupifupi katatu kuposa amuna.

Zomwe zimayambitsa RA sizikudziwika, koma chibadwa, matenda, kapena kusintha kwama mahomoni kumatha kugwira ntchito. Mankhwala osintha matenda angathandize kuchepetsa kukula kwa RA. Mankhwala ena, kuphatikiza kusintha kwa moyo wanu, atha kuthana ndi zotsatirazi komanso kusintha moyo wanu wonse.

Mafupa dongosolo

Chimodzi mwazizindikiro zoyambirira za RA ndikutupa kwa zimfundo zazing'ono mmanja ndi m'mapazi. Nthawi zambiri, zizindikilo zimakhudza mbali zonse ziwiri za thupi nthawi imodzi.

Zizindikiro zodziwika bwino zimaphatikizapo kupweteka, kutupa, kukoma mtima, ndi kuuma, zomwe zimadziwika kwambiri m'mawa. Kupweteka kwa Morning RA kumatha mphindi 30 kapena kupitilira apo.

RA amathanso kuyambitsa kulira kapena kuyaka kwamalo am'malo olumikizirana mafupa. Zizindikiro zimatha kupitilira "kuyaka" kutsatiridwa ndi nthawi yakukhululukidwa, koma magawo oyambilira amatha masabata osachepera asanu ndi limodzi.

Zizindikiro za RA zimatha kupezeka pamagulu aliwonse amthupi, kuphatikiza:

• zala
• manja
• mapewa
• zigongono
• mchiuno
• mawondo
• akakolo
• zala zakumiyendo

RA itha kuchititsanso kuti:

• magulu
• khomera zala zakumiyendo
• nyundo zala

Matendawa akamakula, chichereŵechereŵe ndi mafupa zimawonongeka ndi kuwonongeka. Potsirizira pake, kuthandizira tendon, ligament, ndi minofu kumafooka. Izi zitha kuyambitsa mayendedwe ochepa kapena zovuta kusuntha malumikizowo moyenera. M'kupita kwanthawi, mafupa amatha kupunduka.

Kukhala ndi RA kumakuyikiranso pachiwopsezo chachikulu chotenga kufooka kwa mafupa, kufooketsa mafupa. Izi zitha kukulitsa chiopsezo chathyoka mafupa ndikuthyoka.

Kutupa kwamankhwala kosatha kumatha kubweretsa matenda a carpal tunnel, zomwe zimapangitsa kuti zikhale zovuta kugwiritsa ntchito mikono ndi manja anu. Mafupa ofooka kapena owonongeka pakhosi kapena khomo lachiberekero amatha kupweteka kwambiri.

Dokotala wanu akhoza kuyitanitsa ma X-ray kuti afufuze kukula kwa mafupa ndi mafupa a RA.

Njira yoyendera

RA ingakhudze dongosolo lomwe limapanga ndikupanga magazi mthupi lanu lonse.

Kuyezetsa magazi kosavuta kumatha kuwulula kupezeka kwa mankhwala otchedwa rheumatoid factor. Sikuti anthu onse omwe ali ndi antibody amakhala ndi RA, koma ndichimodzi mwazinthu zambiri zomwe madokotala amagwiritsa ntchito kuti apeze vutoli.

RA imawonjezera chiopsezo chokhala ndi kuchepa kwa magazi m'thupi. Izi ndichifukwa chakuchepa kwama cell ofiira. Muthanso kukhala ndi chiopsezo chachikulu cha mitsempha yotsekedwa kapena yolimba.

Nthawi zambiri, RA imatha kubweretsa kutupa kwa thumba mozungulira mtima (pericarditis), minofu yamtima (myocarditis), kapena ngakhale kuperewera kwa mtima.

Vuto losowa koma lalikulu la RA ndikutupa kwamitsempha yamagazi (rheumatoid vasculitis, kapena RA rash). Mitsempha yamagazi yotupa imafooka ndikukula kapena yopapatiza, kusokoneza magazi. Izi zitha kubweretsa mavuto ndimitsempha, khungu, mtima, komanso ubongo.

Khungu, maso, ndi pakamwa

Mitsempha yamagazi ndi mabala olimba omwe amayamba chifukwa cha kutupa komwe kumawonekera pansi pa khungu, nthawi zambiri pafupi ndi mafupa. Amatha kukhala ovuta, koma nthawi zambiri samapweteka.

Anthu pafupifupi 4 miliyoni aku US ali ndi matenda otupa otchedwa Sjogren's syndrome, malinga ndi Sjogren's Syndrome Foundation. Pafupifupi theka la anthuwa alinso ndi RA kapena matenda omwewo omwe amadzichitira okha. Matenda awiriwa akakhalapo, amatchedwa sekondale Sjogren's syndrome.

Sjogren's imayambitsa kuuma kwakukulu - makamaka kwa maso. Mutha kuwona kumverera koyaka kapena kwamwano. Maso owuma kwa nthawi yayitali amawonjezera chiopsezo chotenga matenda amaso kapena kuwonongeka kwa diso. Ngakhale ndizosowa, RA amathanso kuyambitsa kutupa kwa diso.

Sjogren's amathanso kuyambitsa mkamwa ndi pakhosi youma, zimapangitsa kuti zikhale zovuta kudya kapena kumeza, makamaka zakudya zowuma. Pakamwa pouma kungayambitse:

• kuwola mano
• gingivitis
• matenda am'kamwa

Muthanso kukhala ndi zotupa zotupa kumaso ndi kukhosi, malo owuma amphuno, ndi khungu louma. Amayi amathanso kumva kuuma kwa nyini.

Dongosolo kupuma

RA imawonjezera chiopsezo chotupa kapena mabala am'mapapo (pleurisy) ndi kuwonongeka kwa minofu yamapapo (rheumatoid lung). Mavuto ena ndi awa:

• ma airways oletsedwa (bronchiolitis obliterans)
• madzimadzi m'chifuwa (pleural effusion)
• kuthamanga kwa magazi m'mapapu (kuthamanga kwa magazi)
• kupweteka kwa mapapo (pulmonary fibrosis)
• misempha ya m'mapapo

Ngakhale RA imatha kuwononga dongosolo la kupuma, sikuti aliyense ali ndi zizindikilo. Omwe amatero amatha kupuma movutikira, kutsokomola, komanso kupweteka pachifuwa.

Chitetezo cha mthupi

Chitetezo cha mthupi lanu chimakhala ngati gulu lankhondo, kukutetezani kuzinthu zoyipa monga mavairasi, mabakiteriya, ndi poizoni. Imachita izi popanga ma antibodies kuti iwukire owukirawa.

Nthawi zina, chitetezo chamthupi chimazindikiritsa molakwika gawo labwino la thupi ngati lochokera kunja. Izi zikachitika, ma antibodies amalimbana ndi minyewa yathanzi.

Mu RA, chitetezo chanu cha mthupi chimagunda malumikizidwe anu. Zotsatira zake ndikutupa kwakanthawi kapena kwakanthawi m'thupi.

Matenda omwe amadzimadzimitsa okha ndi osatha, ndipo chithandizo chimayang'ana pang'onopang'ono pakuchepetsa komanso kuchepetsa zizindikiro. Ndizothekanso kukhala ndimatenda opitilira autoimmune.

Machitidwe ena

Kupweteka ndi kusokonezeka kwa RA kumatha kukhala kovuta kugona. RA imatha kubweretsa kutopa kwambiri komanso kusowa mphamvu. Nthawi zina, kuwonongeka kwa RA kumatha kuyambitsa matenda ngati chimfine monga:

• kutentha pang'ono
• thukuta
• kusowa njala

Kuzindikira koyambirira ndi chithandizo kumatha kuchepetsa kuchepa kwa RA. Mankhwala osintha matenda, kuchepetsa zizindikiro, komanso kusintha kwa moyo wanu kumathandizanso kuti mukhale ndi moyo wabwino.

Ndikofunika kuti dokotala wanu adziwitse za kusintha kulikonse kwa zizindikiritso zomwe mumakumana nazo ndi RA yanu, kuti musinthe dongosolo lanu lazachipatala ngati kuli kofunikira.