Nyamakazi Yogwira Ntchito

Zamkati

• Kodi zimayambitsa matenda a nyamakazi ndi chiyani?
• Kodi zizindikiro za nyamakazi yogwira ntchito ndi ziti?
• Minyewa yamafupa
• Dongosolo kwamikodzo
• Maso ndi khungu
• Kodi matenda a nyamakazi amapezeka?
• Kodi njira zochizira matenda a nyamakazi ndizotani?
• Mankhwala
• Chitani masewera olimbitsa thupi
• Kodi chiyembekezo chanthawi yayitali ndichotani?

Kodi Arthritis Matenda Ndi Chiyani?

Matenda a nyamakazi ndi mtundu wa nyamakazi yomwe matenda m'thupi angayambitse. Nthawi zambiri, matenda opatsirana pogonana kapena mabakiteriya m'matumbo amayambitsa kukula kwa nyamakazi.

Amadziwika kuti ndi matenda omwe amadzimangirira okha pagulu la spondyloarthritis. Matenda a nyamakazi nthawi zambiri samakula pokhapokha atachiritsidwa bwino.

Anthu omwe ali ndi nyamakazi yowonongeka nthawi zambiri amakhala ndi zizindikilo m'magulu akuluakulu am'munsi. Matenda a nyamakazi kale ankadziwika kuti Reiter's syndrome, nyamakazi itatu, kutupa m'maso (conjunctivitis), ndi kutupa kwamikodzo (urethritis).

Vutoli limaganiziridwa kuti silachilendo. Malinga ndi National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS), abambo amakhala ndi nyamakazi yowonongeka nthawi zambiri kuposa akazi, koma matendawa ndi ovuta kwambiri kwa amayi. Avereji ya zaka zoyambira ali ndi zaka 30. Amuna amakhalanso ndi ululu wophatikizika kwambiri kuposa azimayi.

Kodi zimayambitsa matenda a nyamakazi ndi chiyani?

Matenda a bakiteriya am'mikodzo kapena m'matumbo ndi omwe amayambitsa matenda a nyamakazi. Mabakiteriya omwe amapezeka kwambiri ndimatenda a nyamakazi ndi Chlamydia trachomatis (yomwe imayambitsa matenda a chlamydia). Mabakiteriyawa nthawi zambiri amafalikira kudzera mukugonana.

Mabakiteriya omwe amachititsa poyizoni wazakudya amathanso kubweretsa zizindikiritso za nyamakazi. Zitsanzo za mabakiteriyawa ndi monga Chinthaka ndipo Salmonella.

Chibadwa chingakhale chothandizira kuti mukhale ndi matenda a nyamakazi kapena ayi. Malinga ndi NIAMS, anthu omwe ali ndi jini HLA B27 ali ndi chiopsezo chotenga nyamakazi yowonongeka. Komabe, si aliyense amene ali ndi HLA B27 jini imayamba kudwala nyamakazi ngati itenga matenda.

Kodi zizindikiro za nyamakazi yogwira ntchito ndi ziti?

Pali mitundu itatu yazizindikiro zomwe zimakhudzana ndi nyamakazi.

Minyewa yamafupa

Zizindikiro za minofu ndi mafupa zimaphatikizapo kupweteka kwamalumikizidwe ndi kutupa. Matenda a nyamakazi nthawi zambiri amakhudza ziwalo zamaondo anu, akakolo, ndi ziwalo za sacroiliac m'chiuno mwanu. Muthanso kumva kupweteka molumikizana, kulimba, ndi kutupa zala zanu, kumbuyo, matako (mafupa a sacroiliac), kapena zidendene (Achilles tendon area).

Dongosolo kwamikodzo

Matenda omwe amatchedwa urethritis amachititsa zizindikiro za mkodzo. Urethrais chubu chomwe chimanyamula mkodzo kuchokera m'chikhodzodzo chanu kupita kunja kwa thupi lanu. Urethritis ndikutupa kwa chubu ichi. Zizindikiro zimatha kuphatikizira kupweteka kapena kuwotcha ndi kukodza komanso kufuna kukodza pafupipafupi.

Amuna amatha kukhala ndi prostatitis ngati gawo la nyamakazi. Prostatitis ndikutupa kwa prostate gland. Cervicitis ndikutupa kwa khomo pachibelekeropo mwa akazi. Ikhozanso kukhala chizindikiro cha nyamakazi yogwira ntchito.

Maso ndi khungu

Kutupa kwamaso ndi chimodzi mwazizindikiro zazikulu za nyamakazi yogwira ntchito. Matenda a nyamakazi amathanso kuphatikizira khungu ndi pakamwa. Conjunctivitis ndikutupa kwa nembanemba yamaso. Zizindikiro zake zimaphatikizapo kupweteka, kuyabwa, ndi kutuluka.

Ziphuphu zakhungu, kuphatikizapo keratoma blennorrhagica (timadzi tating'ono tating'ono pamapazi), amathanso kuchitika. Zilonda za pakamwa sizodziwika. Komabe, amatha kutsagana ndi zizindikilo zina zamatenda achilengedwe.

Kodi matenda a nyamakazi amapezeka?

Dokotala wanu adzawunika mbiri yanu yazachipatala, kuyesa zidziwitso zanu, ndikuyesa magazi kuti muwone ngati ali ndi matenda kapena kutupa. Kuyezetsa magazi kumatha kudziwa ngati muli ndi HLA B27 jini yomwe imakulitsa mwayi wanu wokhala ndi nyamakazi yowonongeka.

Dokotala wanu akhoza kuyesa mayeso ena kuti athetse matenda opatsirana pogonana ngati zizindikiro zanu zikuwonetsa matenda a chlamydia. Dokotala wanu adzasokosera mkodzo mwa amuna ndipo amayesa kuyeza m'chiuno ndi khomo lachiberekero kwa amayi. Dokotala wanu amathanso kupanga arthrocentesis, yomwe imakhudza kuchotsa madzi mumalumikizidwe anu ndi singano. Mayeso amachitika pamadzi awa.

Kodi njira zochizira matenda a nyamakazi ndizotani?

Chithandizo cha matenda a nyamakazi chimadalira chifukwa cha vutoli. Dokotala wanu adzakupatsani mankhwala a maantibayotiki kuti athetse matenda oyambitsa. Akhoza kukupatsirani mankhwala owonjezera a conjunctivitis, zilonda zam'kamwa, kapena zotupa pakhungu pakafunika kutero.

Mankhwala

Cholinga cha chithandizo kamodzi kachilombo koyambitsa matendawa kali m'manja kumatembenukira ku kupumula kwa ululu ndi kusamalira. Mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs) monga ibuprofen (Advil) ndi naproxen (Aleve) amathandiza kuthetsa ululu ndikuchepetsa kutupa.

Dokotala wanu akhoza kukupatsani mankhwala amphamvu opatsirana pogonana ngati mankhwala ochokera kutsitsi sakuthetsa ululu wanu. Corticosteroids ndi mankhwala opangidwa ndi anthu omwe amatsanzira cortisol, mahomoni omwe thupi lanu limapanga mwachilengedwe. Mankhwalawa amagwira ntchito poletsa kutupa m'thupi.

Mutha kutenga corticosteroidsorally kapena kuwabaya jekeseni m'malo olumikizidwa. Nthawi zina pamene izi sizithandiza, ma immunomodulating agents, monga sulfasalazine (Azulfidine), angafunike kutero. Doxycycline (Acticlate, Doryx) yagwiritsidwanso ntchito ngati mankhwala, chifukwa chotsutsana ndi zotupa. Pazovuta zazikulu zomwe sizikugwirizana ndi mankhwala wamba, TNF inhibitors (biologics) itha kukhala yothandiza.

Chitani masewera olimbitsa thupi

Phatikizani zolimbitsa thupi m'zochita zanu za tsiku ndi tsiku kuti mulimbikitse thanzi lanu. Kuchita masewera olimbitsa thupi kumathandiza kuti mafupa anu azitha kusintha komanso kuti muzitha kuyendetsa bwino. Kuyenda kosiyanasiyana ndi momwe mungasinthire ndikukulitsa zimfundo zanu.

Lankhulani ndi dokotala wanu ngati kuuma ndi kupweteka kumachepetsa kuyenda kwanu. Amatha kukutumizirani kwa othandizira. Thandizo lakuthupi ndi njira yothandizira pang'onopang'ono. Cholinga ndikubwerera kuzomwe mumayenda musanapweteke.

Kodi chiyembekezo chanthawi yayitali ndichotani?

Maganizo a anthu omwe ali ndi matenda a nyamakazi ndi abwino. Ambiri amachira kwathunthu. Komabe, nthawi yobwezeretsa imatha kuyambira miyezi ingapo mpaka pafupifupi chaka nthawi zina. Malinga ndi NIAMS, pakati pa 15 ndi 50 peresenti ya anthu omwe ali ndi nyamakazi yogwira ntchito amayambiranso zizindikirazo atalandira chithandizo choyambirira.