Mafunso 10 Rheumatologist Wanu Akufuna Kuti Mufunse

Zamkati

• Matenda oyamba
• 1. Maganizo anga ndi otani?
• 2. Kodi ndi cholowa?
• 3. Kodi nditha kuchita masewera olimbitsa thupi liti?
• 4. Mpaka liti mankhwala anga agwire ntchito?
• Matenda omwe alipo
• 5. Kodi ndingakhale ndi pakati?
• 6. Nanga bwanji ngati mankhwala anga atasiya kugwira ntchito?
• 7. Ndi mankhwala ati omwe alipo?
• 8. Nchiyani chikuyambitsa moto wanga?
• 9. Bwanji ponena za kuyanjana kwa mankhwala?
• 10. Kodi ndiyeneradi kumwa mankhwala anga kosatha ngati ndikumva bwino?
• Kutenga

Ngati muli ndi nyamakazi (RA), mumakumana ndi rheumatologist wanu nthawi yoikidwiratu. Wophunzitsidwa bwinoyu ndi membala wofunikira kwambiri pagulu lanu losamalira, kukuwonetsani momwe muliri komanso momwe zikuyendera komanso zidziwitso zamankhwala aposachedwa.

Koma kutsatira kuwonongeka kwa autoimmune kungakhale ntchito yovuta. Zizindikiro monga kutupa ndi mafupa opweteka amabwera ndikutha, ndipo mavuto amayamba. Mankhwala amathanso kusiya kugwira ntchito. Ndizokumbukira zambiri, ndipo mwina mungaone kuti mwaiwala kufunsa mafunso ofunikira panthawi yomwe mwasankhidwa. Nazi zinthu zina zofunika kukumbukira zomwe rheumatologist wanu akufuna kuti mufunse.

Matenda oyamba

Nthawi yodziwitsidwa imatha kubweretsa nkhawa kwa ambiri, ngakhale ena amadzimva kukhala omasuka kuti vutoli ladziwika ndipo lingathe kuchiritsidwa. Mukamalandira zambiri zatsopanozi, zingakhale zothandiza kuyamba kusunga zolemba kapena zolembera zomwe mumabweretsa ku maimidwe onse ndikugwiritsa ntchito kuwunika momwe zinthu zilili kunyumba. Mukamalandira chithandizo choyambirira, funsani rheumatologist mafunso ofunika awa:

1. Maganizo anga ndi otani?

Ngakhale RA amachita mosiyana mwa odwala onse, ndikofunikira kumvetsetsa zina mwazofanana. Matendawa ndi osachiritsika, kutanthauza kuti atha kukhala moyo wanu wonse. Komabe, matenda samatanthauza kusakhazikika. RA imakhala ndi mayendedwe ndipo imatha kukhululukidwa.

Mankhwala atsopano, monga mankhwala osokoneza bongo (DMARDs) ndi biologics, amapulumutsa odwala kuti asawonongeke limodzi ndikulola kuti azisangalala ndi moyo wathunthu. Funsani dokotala wanu za malingaliro anu, ndipo yesani kuona uthenga wabwino pamodzi ndi chidziwitso chovuta kwambiri.

2. Kodi ndi cholowa?

Elyse Rubenstein, MD, katswiri wa mafupa ku Providence Saint John's Health Center ku Santa Monica, California, akuwonetsa kuti ndikofunikira kulingalira momwe RA ingakhudzire banja lanu. Ngati muli ndi ana, mungafune kufunsa ngati atha kukhala ndi RA.

Ngakhale kuti kusakhazikika kwa RA kuli kovuta, zikuwoneka kuti pali mwayi wokulira RA ngati wina m'banja mwanu ali nawo.

3. Kodi nditha kuchita masewera olimbitsa thupi liti?

Kutopa, kupweteka, kusowa tulo, ndi kukhumudwa kumatha kusokoneza masewera olimbitsa thupi nthawi zonse. Ngakhale mutapezeka kuti muli ndi matendawa, mungaope kuchita masewera olimbitsa thupi chifukwa chakukhudzidwa kwamafundo anu omwe akhudzidwa.

Koma kuyenda ndikofunikira pakuwongolera ndi kuthana ndi RA. A 2011 adapeza kuti kuchita masewera olimbitsa thupi kuli ndi phindu kwa anthu omwe ali ndi RA. Funsani dokotala wanu nthawi yomwe mungasunthirenso ndi zomwe zingakupindulitseni kwambiri. Kusambira kapena madzi othamangitsa ndimabwino makamaka kwa iwo omwe ali ndi RA.

4. Mpaka liti mankhwala anga agwire ntchito?

Kwa zaka makumi angapo zaka za m'ma 1990 zisanafike, mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs) ndi corticosteroids anali njira zoyambirira zopangira anthu omwe ali ndi RA. Amapereka mpumulo wofulumira wa kutupa ndi kupweteka ndipo akugwiritsabe ntchito. (Mankhwala opatsirana opiate ochepetsa mphamvu akuchepa chifukwa chakuchuluka kwawo kwa mankhwala osokoneza bongo. Drug Enforuction Administration yalamula kuti muchepetse kuchuluka kwa kapangidwe kake ka 2017.)

Komabe, mankhwala awiri -DMARD, omwe methotrexate ndiofala kwambiri, komanso biologics - ali ndi njira ina. Zimakhudza njira zamagulu zomwe zimayambitsa kutupa. Awa ndi mankhwala abwino kwambiri kwa anthu ambiri omwe ali ndi RA, chifukwa kuyimitsa kutupa kumatha kuletsa kuwonongeka kwa zimfundo. Koma amatenga nthawi yayitali kuti agwire ntchito. Funsani dokotala wanu kuti adziwe momwe amagwiritsira ntchito mankhwalawa.

Matenda omwe alipo

Ngati mwakhala mukuyang'anira RA wanu kwakanthawi, mwina mumakhala ndi chizolowezi chakuimikirani madokotala anu. Mudzafika, mutenge thanzi lanu ndikukoka magazi, kenako mudzakumanenso ndi dokotala wanu kuti mukambirane za momwe muliri komanso zochitika zatsopano. Nawa mafunso omwe mungaganizire kubweretsa:

5. Kodi ndingakhale ndi pakati?

Pafupifupi 90 peresenti ya anthu omwe ali ndi RA atenga DMARD methotrexate nthawi ina. Kawirikawiri zimawoneka ngati zotetezeka kuti zigwiritsidwe ntchito nthawi zonse ndipo zimakhala ndi zotsatirapo zoyipa.

Komabe, mankhwalawa opita ku RA nawonso amachotsa mimba, kutanthauza kuti amachititsa kuti mimba ithe. Nthawi zonse muyenera kugwiritsa ntchito njira zakulera mukamamwa methotrexate. Ndipo nthawi zonse muyenera kufunsa dokotala ngati mukuganiza zokhala ndi pakati. Stuart D. Kaplan, MD, yemwe ndi mkulu wa zamankhwala pachipatala cha South Nassau Communities Hospital ku Oceanside, New York anati: "Tiyenera kuuza odwala za mimba popanda kuwafunsa."

Ngati ndinu mayi wokhala ndi RA, mutha kukhala ndi pakati wathanzi (mutha kusangalalanso ndi tchuthi kuchokera kuzizindikiro za RA) ndi ana athanzi. Onetsetsani kuti mwaonana ndi rheumatologist wanu pafupipafupi.

6. Nanga bwanji ngati mankhwala anga atasiya kugwira ntchito?

Ma NSAID ndi ma corticosteroids amathandiza anthu omwe ali ndi vuto la RA komanso kutupa, pomwe ma DMARD amachepetsa kuchepa kwa matenda ndipo amatha kupulumutsa mafupa. Muyenera kuti munapatsidwa mankhwalawa mutangopezedwa. Koma mwina sangagwire ntchito nthawi zonse.

Kufunika kwa mankhwala owonjezera kapena osiyanasiyana kumatha kukhala kwakanthawi. Mwachitsanzo, panthawi yamoto, mungafunike kupumula kwakanthawi kwakanthawi. Muyeneranso kusintha kapena kuwonjezera chithandizo pakapita nthawi.

Lankhulani ndi rheumatologist wanu munthawi yonse yamankhwala anu kuti mumvetsetse momwe munganenere ngati mankhwala sakugwiranso ntchito komanso momwe mungakonzekerere zosintha zamankhwala zikafunika.

7. Ndi mankhwala ati omwe alipo?

Kafukufuku wa chithandizo cha RA ndikukula kukukulirakulira mwachangu. Kuphatikiza pa ma DMARD akale monga methotrexate, mankhwala atsopano otchedwa biologics tsopano akupezeka. Izi zimagwira ntchito mofananamo ndi ma DMARD, kutsekereza kutupa kwama cell, koma zimayang'aniridwa kwambiri polumikizana ndi chitetezo chamthupi.

Maselo amadzimadzi amatha kukhala ndi lonjezo ngati chithandizo cha RA. "Odwala omwe sakulabadira mankhwala azikhalidwe zomwe akufuna kuti achepetse kudalira kwawo mankhwala ayenera kufunsa adotolo za mankhwala a stem cell," atero a Andre Lallande, DO, director director a StemGenex Medical Group.

8. Nchiyani chikuyambitsa moto wanga?

Njira yokhululukirana ya RA imatha kumva ngati yopanda chilungamo. Tsiku lina mukumva bwino, tsiku lotsatira simungathe kudzuka pabedi. Mutha kuchotsa zina mwazisalungamo izi ngati mungadziwe chifukwa chomwe mumayambira - ndiye kuti muli ndi lingaliro loti mupewe kapena kukhala tcheru ndi zomwe zikuchitika.

Kusunga zolemba tsiku lililonse kumatha kukuthandizani kuti muwone zoyambitsa, momwemonso kufunsira kwa rheumatologist wanu. Funsani za zomwe akumana nazo ndi odwala ena. Pamodzi, onaninso zolemba zawo za omwe adasankhidwa kuti muwone zomwe zitha kuyambitsa matenda.

9. Bwanji ponena za kuyanjana kwa mankhwala?

Mankhwala osiyanasiyana a RA akhoza kukhala ochuluka kwambiri. Ngakhale simukukhala ndi zovuta za RA monga mavuto amtima kapena kupsinjika, mungatenge mankhwala odana ndi zotupa, corticosteroid, osachepera DMARD imodzi, ndipo mwina biologic. Mankhwalawa amawerengedwa kuti ndi otetezeka kutenga nawo limodzi, koma ngati mukudabwa momwe mankhwala anu angagwirire ndi zinthu zina, funsani dokotala wanu.

10. Kodi ndiyeneradi kumwa mankhwala anga kosatha ngati ndikumva bwino?

Mwinamwake muli ndi mwayi ndipo RA wanu walowa mu chikhululukiro chachikulu. Mukupeza kuti mumatha kusuntha monga kale, kupweteka kwanu ndi kutopa kwanu kwatsika. Kodi RA wanu akhoza kuchiritsidwa? Ndipo kodi mungaleke kumwa mankhwala anu? Yankho la mafunso onse awiriwa ndi ayi.

RA ilibe mankhwala, ngakhale mankhwala amakono atha kubweretsa mpumulo ndikupewa kuwonongeka kwina. Muyenera kupitiriza kumwa mankhwala anu kuti mukhale bwino. “Akalandira chithandizo pamankhwala, odwala azikhala ndi matenda ochepa kapena nthawi zina sadzadziwikanso ndi matenda ena mwa kupitiriza kumwa mankhwalawo. Mankhwala akayimitsidwa, pamakhala mwayi wambiri woti matenda ayambitsidwe ndipo ziphuphu zimayambanso, ”akutero Rubenstein.

Komabe, dokotala wanu angaganizire zochepetsa kuchuluka kwa mankhwala anu komanso / kapena kupeputsa mankhwala anu ndikuwunika mosamala.

Kutenga

Katswiri wanu wa rheumatologist ndi mnzake pazomwe mukuyembekeza kuti zidzakhala ulendo wathanzi wothandizira RA wanu. Ulendowu ndi wautali ndipo umatha kukhala wovuta kwambiri mukamawonjezera ndikuchotsa mankhwala ndipo matenda anu amayamba, kuchira, kapena kukulitsa mikhalidwe yatsopano. Sungani zolemba zosamalira kuti mulembe zomwe mwakumana nazo, lembani mankhwala anu, ndikuwunika zomwe zikuwonetsa. Komanso gwiritsani ntchito kope ili ngati malo oti mulembe mafunso mukamadzaphunzira rheumatology. Ndiye musazengereze kuwafunsa.