Mlembi: Laura McKinney
Tsiku La Chilengedwe: 9 Epulo 2021
Sinthani Tsiku: 17 Novembala 2024
Anonim
Kodi Pali Kusiyana Pati Pakati pa Matenda a Nyamakazi ndi Matenda Opanda Matenda? - Thanzi
Kodi Pali Kusiyana Pati Pakati pa Matenda a Nyamakazi ndi Matenda Opanda Matenda? - Thanzi

Zamkati

Kodi nyamakazi ndi chiyani?

Matenda a nyamakazi ndi omwe mafupa anu amodzi amatupa. Izi zitha kubweretsa kuuma, kupweteka, ndipo nthawi zambiri, kutupa.

Matenda otupa komanso osafufuma ndi mitundu iwiri yofala kwambiri yamtunduwu.

Pali mitundu ingapo yamatenda osiyanasiyana. Imodzi mwa mitundu yofala kwambiri ya nyamakazi yotupa ndi nyamakazi ya nyamakazi (RA), ndipo mtundu wodziwika bwino wa nyamakazi yopanda kutupa umadziwika kuti osteoarthritis (OA).

Kodi nyamakazi imayambitsidwa bwanji?

OA ndi RA onse ali ndi zifukwa zosiyana.

Zimayambitsa osteoarthritis

Ngakhale amatchedwa nyamakazi yopanda kutupa, OA imatha kupangitsa kutupa kwamalumikizidwe. Kusiyanitsa ndikuti kutupa uku mwina kumadza chifukwa cha kuwonongeka.

OA imachitika pamene khunyu yolumikizana idawonongeka. Cartilage ndi minyewa yoterera yomwe imaphimba ndikuphimba malekezero a mafupa polumikizana.

Kuvulaza cholumikizira kumatha kupititsa patsogolo kukula kwa OA, koma ngakhale zochitika za tsiku ndi tsiku zitha kuchititsa kuti OA adzakhalepo m'moyo. Kukhala wonenepa kwambiri komanso kupanikizika kwambiri pamafundo kumathanso kuyambitsa OA.


Matenda a nyamakazi osafalikira amapezeka m'mabondo, m'chiuno, msana, ndi m'manja.

Zomwe zimayambitsa nyamakazi

RA ndi matenda ovuta kwambiri, koma nthawi zambiri amakhudza:

  • manja
  • manja
  • zigongono
  • mawondo
  • akakolo
  • mapazi

Monga psoriasis kapena lupus, RA ndimatenda amthupi okha. Izi zikutanthauza kuti chitetezo cha mthupi chimaukira minofu yathanzi.

Zomwe zimayambitsa RA zidakali chinsinsi. Chifukwa chakuti amayi amatha kukhala ndi RA kuposa amuna, ofufuza amakhulupirira kuti zimatha kuphatikizira majini kapena mahomoni.

RA imatha kuwonekeranso mwa ana, ndipo imatha kukhudza ziwalo zina za thupi, monga maso ndi mapapo.

Zizindikiro za nyamakazi

Zizindikiro za RA ndi OA ndizofanana, chifukwa zonsezi zimakhudza kuuma, kupweteka, ndi kutupa m'malo olumikizirana mafupa.

Koma kuuma komwe kumalumikizidwa ndi RA kumatha kukhala nthawi yayitali kuposa momwe zimakhalira pakabuka moto wa OA, ndipo nthawi zambiri kumakhala koyipa m'mawa.

Zovuta zomwe zimakhudzana ndi OA nthawi zambiri zimakhazikika m'malo olumikizidwa. RA ndi matenda amachitidwe, motero zizindikilo zake zimatha kuphatikizanso kufooka ndi kutopa.


Kuzindikira nyamakazi

Dokotala wanu atayesa malumikizowo, atha kuyitanitsa mayeso.

MRI imatha kuwulula momwe minofu yofewa ilili, monga cartilage. Ma X-ray wamba amathanso kuwonetsa kuwonongeka kwa karoti, kuwonongeka kwa mafupa, kapena kukokoloka.

Dokotala wanu amatha kuyitanitsa kuyesa magazi kuti adziwe ngati vuto lolumikizana limachokera ku RA. Izi ndizoyang'ana kupezeka kwa "rheumatoid factor" kapena ma cyclic citrullinated antibodies omwe nthawi zambiri amapezeka mwa anthu omwe ali ndi RA.

Kuchiza nyamakazi

Matenda a nyamakazi amachiritsidwa mosiyanasiyana kutengera mtundu:

Nyamakazi

Dokotala wanu angakulimbikitseni mankhwala osagwiritsidwa ntchito ndi anti-inflammatory (NSAIDs) monga ibuprofen kwa zochepa zazing'ono kapena matenda a nyamakazi.

Corticosteroids, yomwe imatha kutengedwa pakamwa kapena jekeseni, imatha kuchepetsa kutupa kwamafundo.

Thandizo lakuthupi lingathandize kukulitsa mphamvu ya minofu ndi mayendedwe anu osiyanasiyana. Minofu yolimba imatha kuthandizira bwino kulumikizana, mwina kuchepetsa ululu poyenda.


Ngati kuwonongeka kwa cholumikizira kuli kovuta, dokotala wanu angakulimbikitseni kuchitidwa opaleshoni kuti mukonze kapena m'malo mwake. Izi zimachitika kokha pambuyo poti mankhwala ena alephera kukupatsani mpumulo wokwanira komanso kuyenda.

Matenda a nyamakazi

Ma NSAID ndi ma corticosteroids atha kugwiritsidwa ntchito kuthandizira kuchepetsa kupweteka ndi kutupa kwa anthu omwe ali ndi RA, koma palinso mankhwala enaake omwe apangidwa kuti athetse nyamakazi iyi.

Zina mwa izi ndi izi:

  • Mankhwala osokoneza bongo (DMARDs): Ma DMARD amalepheretsa chitetezo cha mthupi lanu, chomwe chimathandizira kuchepetsa kupita kwa RA.
  • Zamoyo: Mankhwalawa amayankha kuyankha kwa chitetezo cha mthupi komwe kumayambitsa kutupa m'malo molepheretsa chitetezo chonse cha mthupi.
  • Janus kinase (JAK) zoletsa: Uwu ndi mtundu watsopano wa DMARD womwe umalepheretsa mayankho ena amthupi kuti athane ndi kutupa komanso kuwonongeka kwamagulu.

Mankhwala atsopano akupitilizabe kuyesedwa kuti athandizire kuchiza RA ndikuchepetsa mphamvu yazizindikiro. Ndipo monga OA, RA nthawi zina amatha kuthana ndi mankhwala.

Moyo amasintha nyamakazi

Kukhala ndi OA kapena RA kungakhale kovuta. Kuchita masewera olimbitsa thupi pafupipafupi komanso kuchepa thupi kumatha kuthandiza kuchepetsa nkhawa pamagulu anu. Kuchita masewera olimbitsa thupi sikuti kumangothandiza kuti muchepetse kunenepa, komanso kumathandizanso kuthandizira mafupa polimbitsa minofu yowazungulira.

Zipangizo zothandizira, monga ndodo, mipando yazimbudzi zokweza, kapena zida zokuthandizani kuyendetsa galimoto ndikutsegula zivindikiro zamtsuko, zilipo zokuthandizani kuti mukhale odziyimira pawokha komanso kugwira ntchito tsiku lililonse.

Kudya chakudya chopatsa thanzi chomwe chimaphatikizapo zipatso zambiri, ndiwo zamasamba, mapuloteni ochepa mafuta, ndi mbewu zonse zitha kuthandizanso kuchepetsa kutupa komanso kupewa kunenepa.

Nthawi yoti muwonane ndi dokotala

Ngakhale kulibe mankhwala a OA kapena RA, zikhalidwe zonse ndizotheka. Monga momwe zimakhalira ndi zovuta zambiri zathanzi, kuzindikira koyambirira ndi kuyamba kwa mankhwala nthawi zambiri kumabweretsa zotsatira zabwino.

Osangokhala choko cholimba cholumikizira mpaka chizindikiro china chosapeweka cha ukalamba. Ngati pali kutupa, kupweteka, kapena kuuma, ndibwino kuti mupange nthawi yokumana ndi dokotala, makamaka ngati zizindikirazi zikusokoneza zochitika zanu za tsiku ndi tsiku.

Chithandizo chaukali komanso kumvetsetsa bwino zaumoyo wanu zingakuthandizeni kuti mukhalebe achangu komanso otakasuka m'zaka zikubwerazi.

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