Zifukwa 7 Zowona Rheumatologist Wanu

Zamkati

• 1. Mukukumana ndi vuto
• 2. Muli ndi zowawa m'malo atsopano
• 3. Pali zosintha mu inshuwaransi yanu
• 4. Mwakhala ndi kusintha kwa kugona kapena kudya
• 5. Mukukayikira zovuta zina
• 6. Chithandizo sichikugwiranso ntchito monga kale
• 7. Mukukumana ndi chizindikiro chatsopano
• Kutenga

Ngati muli ndi nyamakazi (RA), mwina mumawona rheumatologist wanu pafupipafupi.Maulendo omwe adakonzedweratu amapatsa awiri nonse mwayi wowunika momwe matenda anu akuyendera, kutsata moto, kuzindikira zomwe zimayambitsa, ndikusintha mankhwala. Muyeneranso kutenga nthawi ino kuti mufotokozere zosintha zilizonse pamoyo monga kuchuluka kwa masewera olimbitsa thupi kapena kusintha kwa zakudya.

Koma pakati pa nthawi yomwe mwasankhidwa, pakhoza kukhala nthawi zina pamene muyenera kuwona rheumatologist wanu mwachangu kwambiri. Nazi zifukwa zisanu ndi ziwiri zomwe muyenera kuyimbira foni ndikupempha kuti zikonzeke posachedwa.

1. Mukukumana ndi vuto

A Nathan Wei, MD, omwe amagwira ntchito ku Arthritis Treatment Center ku Frederick, Maryland anati: "Kuyendera ofesi kungafunike ngati wina wapezeka ndi RA." Kutupa kwa matendawa kukayamba, vutoli limaposa zopweteka - kuwonongeka kwamalumikizidwe kosagwirizana ndi kupunduka kumatha kuchitika.

Munthu aliyense wokhala ndi RA ali ndi mawonekedwe owoneka bwino komanso kuwuma. Popita nthawi, mukamakumana ndi dokotala nthawi zonse pamoto, nonse awiri mutha kudziwa njira zabwino zochiritsira.

2. Muli ndi zowawa m'malo atsopano

RA imagunda kwambiri mafupa, ndikupangitsa kufiira, kutentha, kutupa, ndi kupweteka. Komanso zimatha kupweteketsa kwina kulikonse mthupi lanu. Kulephera kugwira ntchito mthupi kwanu kumatha kuyambitsa matenda am'maso ndi mkamwa mwanu kapena kuyambitsa kutupa kwa mitsempha. Nthawi zambiri, RA imawukira minofu kuzungulira mapapo ndi mtima.

Ngati maso anu kapena pakamwa panu pakuuma komanso kusowa mtendere, kapena mutayamba kuphulika pakhungu, mutha kukhala ndikukula kwa zizindikilo za RA. Pangani msonkhano ndi rheumatologist wanu ndikufunsani kuti muwone ngati mukufuna.

3. Pali zosintha mu inshuwaransi yanu

"Ngati ACA itachotsedwa, anthu odwala akhoza kusiya kukhala opanda chithandizo chofunikira chazaumoyo kapena kulipira zochulukirapo kuchipatala," atero a Stan Loskutov, CIO a Medical Billing Group, Inc Makampani ena a inshuwaransi atha kubisa zomwe zidalipo ngati mudapanda ' ndinali ndi nthawi yosamalira inu. Poganizira za malo osatsimikizika a inshuwaransi, sungani nthawi yomwe mwasankha ndikuwona kupita kuchipatala pafupipafupi kuti muwonetsetse kuti mukusamalirabe.

4. Mwakhala ndi kusintha kwa kugona kapena kudya

Kungakhale kovuta kuti mupumule bwino usiku mukakhala ndi RA. Malo ogona amatha kukhala omasuka pamagulu okhudzidwa, koma osati ziwalo zina za thupi. Kupweteka kwatsopano kapena kutentha molumikizana kumatha kukudzutsani. Kuphatikiza apo, kudya kumatha kubweretsanso zovuta zina. Mankhwala ena a RA amakhudza kudya, kumapangitsa kunenepa kapena nseru zomwe zimakulepheretsani kudya.

Mukawona kuti mukugona pang'ono kapena kusintha momwe mumadyera komanso nthawi yomwe mudya, onani dokotala wanu. Ndikofunika kudziwa ngati kusintha kwa kugona ndi kudya ndizokhudzana ndi zovuta zina za RA, kukhumudwa komanso kuda nkhawa. Dokotala wanu akhoza kuyankhula nanu za kusintha kwa moyo wanu komanso mankhwala omwe angakuthandizeni.

5. Mukukayikira zovuta zina

Mankhwala omwe RA amapatsidwa kwambiri ndi ma nonsteroidal anti-inflammatory drugs (NSAIDs), corticosteroids, anti -heatatic antirheumatic drugs (DMARDs), ndi mankhwala atsopano otchedwa biologics. Ngakhale mankhwalawa amathandizira miyoyo ya ambiri omwe ali ndi RA, amakhala ndi zotsatirapo zake.

Zina mwa zoyipa za NSAID zimaphatikizapo edema, kutentha pa chifuwa, komanso kusapeza bwino m'mimba. Corticosteroids imatha kukweza mafuta m'magazi ndi shuga m'magazi, ndikuwonjezera chilakolako chofuna kunenepa. Ma DMARD ndi biologics amalumikizana ndi chitetezo chanu cha mthupi ndipo amatha kuyambitsa matenda ambiri, kapena matenda ena obisika (psoriasis, lupus, multiple sclerosis). Ngati mukumana ndi zovuta kuchokera ku mankhwala anu RA, onani dokotala wanu.

6. Chithandizo sichikugwiranso ntchito monga kale

RA ndi yayitali ndipo imatha kupita patsogolo. Ngakhale ambiri amayamba kulandira chithandizo chamtsogolo cha RA monga ma NSAID ndi ma DMARD atangopezeka, mankhwalawa angawonjezeredwe pakapita nthawi.

Ngati chithandizo chanu sichikukupatsani mpumulo womwe mukufuna, pangani msonkhano ndi rheumatologist wanu. Itha kukhala nthawi yosintha mankhwala kapena kulingalira zamankhwala apambali kuti muchepetse kusapeza bwino ndikuletsa kuwonongeka kwakanthawi kwamalumikizidwe.

7. Mukukumana ndi chizindikiro chatsopano

Anthu omwe ali ndi RA atha kusintha pazizindikiro zawo zomwe zikuyimira kusintha kwakukulu pamankhwala. Dr. Wei akuwonetsa kuti zizindikiro zatsopano zomwe sizikuwoneka kuti zikugwirizana zitha kukhala chifukwa cha matenda oyambitsa.

Mwachitsanzo, kwa nthawi yayitali amaganiza kuti anthu omwe ali ndi RA sangapange gout, matenda ena amthupi okha. Koma sichithandiziranso malingaliro amenewo. "Odwala a Gout amatha kukhala ndi miyala ya impso," akutero Dr. Wei.

Ngati mupanga chizindikiro chatsopano chomwe simukugwirizana nacho nthawi yomweyo RA, muyenera kufunsa katswiri wanu wa za mafupa.

Kutenga

Kukhala ndi RA kumatanthauza kuti mumalidziwa bwino gulu lanu lonse lazachipatala. Rheumatologist wanu ndiye gwero lofunikira kwambiri pagululi. Amatha kukuthandizani kumvetsetsa za matenda anu komanso kusintha kwake komanso kulumikizana ndi omwe amakusamalirani kuti mugwirizane ndi chisamaliro. Onani "rheumy" yanu pafupipafupi, ndipo musazengereze kulumikizana nawo ngati muli ndi mafunso kapena kusintha kwanu.