Chilichonse Chimene Mukufuna Kudziwa Zokhudza Matenda a Nyamakazi

Zamkati

• Matenda a nyamakazi
• Matenda a nyamakazi
• Kuyezetsa magazi kwa nyamakazi ya nyamakazi
• Chithandizo cha nyamakazi
• Mankhwala a nyamakazi
• Zithandizo zapakhomo za nyamakazi ya nyamakazi
• Chitani masewera olimbitsa thupi
• Muzipuma mokwanira
• Ikani kutentha kapena kuzizira
• Yesani zipangizo zothandizira
• Gulani mankhwala apakhomo
• Matenda a nyamakazi
• Mitundu ya nyamakazi
• Matenda a nyamakazi osakanikirana
• Matenda a nyamakazi amachititsa
• Matenda a nyamakazi m'manja
• Zithunzi za nyamakazi
• Kusiyana pakati pa nyamakazi ndi nyamakazi
• Kodi nyamakazi ya nyamakazi imabadwa?
• Lankhulani ndi wothandizira zaumoyo wanu

Timaphatikizapo zinthu zomwe timaganiza kuti ndizothandiza kwa owerenga athu. Ngati mutagula maulalo omwe ali patsamba lino, titha kupeza ndalama zochepa. Nayi njira yathu.

Kodi nyamakazi ndi yotani?

Matenda a nyamakazi (RA) ndimatenda omwe amatha kupweteketsa thupi komanso kuwonongeka mthupi lanu.

Zowonongeka zomwe RA imayambitsa zimachitika mbali zonse ziwiri za thupi.

Chifukwa chake, ngati cholumikizira chikukhudzidwa ndi dzanja lanu kapena miyendo yanu, cholumikizira chimodzimodzi m'manja kapena mwendo wina chidzakhudzidwanso. Imeneyi ndi njira imodzi yomwe madokotala amasiyanitsira RA ndi mitundu ina ya nyamakazi, monga osteoarthritis (OA).

Mankhwala amathandiza kwambiri RA akapezeka msanga, motero ndikofunikira kuphunzira zizindikirazo. Pemphani kuti muphunzire zonse zomwe mukufuna kudziwa za RA, kuchokera pamitundu ndi zizindikiritso mpaka kuchipatala, zakudya, ndi zina.

Matenda a nyamakazi

RA ndi matenda osachiritsika omwe amadziwika ndi zizindikilo za kutupa ndi kupweteka kwamafundo. Zizindikirozi zimapezeka munthawi yotchedwa flares kapena exacerbations. Nthawi zina zimadziwika ngati nthawi zakhululukidwe - ndipamene zizindikiro zimasowa kwathunthu.

Ngakhale kuti RA imatha kukhudza ziwalo zingapo m'thupi, zizindikilo za RA ndiz:

• kupweteka pamodzi
• kutupa pamodzi
• kuuma molumikizana
• kutaya ntchito yolumikizana ndi zolakwika

Zizindikiro zimatha kusiyanasiyana mpaka kufooka. Ndikofunika kuti musanyalanyaze zizindikiro zanu, ngakhale zitabwera ndikupita. Kudziwa zizindikilo zoyambirira za RA kudzakuthandizani inu ndi omwe amakuthandizani kuti muzisamalira bwino.

Matenda a nyamakazi

Kuzindikira RA kumatha kutenga nthawi ndipo kungafune mayeso angapo a labu kuti mutsimikizire zomwe apeza pakufufuza kwamankhwala. Wothandizira zaumoyo wanu adzagwiritsa ntchito zida zingapo kuti adziwe RA.

Choyamba, adzafunsa za zizindikiro zanu komanso mbiri yazachipatala. Adzayesanso mwakuthupi kulumikizana kwanu. Izi ziphatikizapo:

• kufunafuna kutupa ndi kufiira
• kuwunika ntchito yolumikizana komanso mayendedwe osiyanasiyana
• kukhudza zimfundo zomwe zakhudzidwa kuti muwone ngati kutentha ndi kutentha
• kuyesa kulingalira kwanu ndi mphamvu ya minofu

Ngati akukayikira RA, mwachidziwikire adzakutumizirani kwa katswiri wotchedwa rheumatologist.

Popeza palibe mayesero amodzi omwe angatsimikizire kuti RA ndi wodwala, wothandizira zaumoyo wanu kapena wa rheumatologist atha kugwiritsa ntchito mitundu ingapo ya mayeso.

Amatha kuyesa magazi anu ngati ali ndi ma antibodies, kapena aone kuchuluka kwa zinthu zina monga zomwe zimakwezedwa munthawi yotupa. Izi zitha kukhala chizindikiro cha RA ndikuthandizira kuthandizira matendawa.

Akhozanso kufunsa mayeso ena azithunzi, monga ultrasound, X-ray, kapena MRI.

Kuyesa sikungowonetsa kokha ngati kuwonongeka kwa olowa kwachitika komanso kuwonongeka kwakukuluko.

Kuwunika kwathunthu ndikuwunika ziwalo zina kungalimbikitsidwe kwa anthu ena omwe ali ndi RA, nawonso.

Dziwani zambiri za njira yodziwira RA.

Kuyezetsa magazi kwa nyamakazi ya nyamakazi

Pali mitundu ingapo yoyeserera magazi yomwe imathandizira wothandizira zaumoyo wanu kapena rheumatologist kudziwa ngati muli ndi RA. Mayesowa akuphatikizapo:

• Kuyesa kwaminyewa. Kuyezetsa magazi kwa RF kumafufuza puloteni yotchedwa rheumatoid factor. Kuchuluka kwa nyamakazi kumalumikizidwa ndi matenda amthupi okha, makamaka RA.
• Chiyeso cha anti-protein protein anti-anti-CCP. Kuyesaku kumayang'ana antibody yemwe amagwirizanitsidwa ndi RA. Anthu omwe ali ndi mankhwalawa amakhala ndi matendawa. Komabe, si onse omwe ali ndi RA omwe amayesa kulandira mankhwalawa. Anti-CCP Ab imafotokoza kwambiri za RA kuposa mayeso a RF
• Mayeso a antiinuclear antibody. Gulu la anti-nyukiliya limayesa chitetezo chanu kuti muwone ngati likupanga ma antibodies. Thupi lanu limatha kupanga ma antibodies poyankha mitundu yambiri yazinthu, kuphatikiza RA.
• Mlingo wa sedimentation wa erythrocyte. Mayeso a ESR amathandizira kudziwa kuchuluka kwa kutupa mthupi lanu. Zotsatira zake zimawuza dokotala wanu ngati kutupa kulipo. Komabe, sizikuwonetsa chomwe chimayambitsa kutupa.
• Mayeso othandizira mapuloteni a C. Matenda akulu kapena kutupa kwakukulu kulikonse mthupi lanu kumatha kuyambitsa chiwindi chanu kuti apange mapuloteni othandizira C. Mkulu wa chikhomo chotupa ichi chimalumikizidwa ndi RA.

Pezani zambiri zamayeso osiyanasiyana amtundu wa RA.

Chithandizo cha nyamakazi

Palibe mankhwala a RA, koma pali mankhwala omwe angakuthandizeni kuwongolera.

Matenda a nyamakazi (RA) amatha kusunga odwala ndi asing'anga kumapazi awo pamene akupeza njira zabwino zochizira matendawa ndikuchepetsa kukula kwa vutoli.

Posachedwapa, kupita patsogolo kwa njira zamankhwala kwadzetsa zotsatira zabwino komanso zabwino kwa iwo omwe ali ndi nyamakazi. Kuchiza kwa Target Rheumatoid Arthritis ndi nzeru zochizira zomwe akatswiri am'magazi amagwiritsa ntchito pochiza matendawa.

Njira yothandizirayi yakhala ndi zochepa zochepa komanso kukhululukidwa kwakukulu kwa iwo omwe ali ndi RA. Njira yothandizira imaphatikizapo:

• kukhazikitsa cholinga choyesera chomwe chimawonetsa kukhululukidwa kapena matenda ochepa
• kuyesa magawo oyambitsa magawo oyeserera ndikuwunika mwezi uliwonse kuti awone momwe chithandizo chikuyendera ndi kasamalidwe kake
• kusinthitsa njira zamankhwala mwachangu ngati sizikuyenda bwino.

Mankhwala a RA amathandizira kuthana ndi ululu ndikuwongolera kuyankha kotupa komwe kumatha kubweretsa kukhululukidwa nthawi zambiri. Kuchepetsa kutupa kumathandizanso kupewa kuwonongeka kwamagulu ndi ziwalo.

Chithandizo chitha kukhala:

• mankhwala
• njira zina kapena zothandizira kunyumba
• kusintha kwa zakudya
• mitundu yapadera yochitira masewera olimbitsa thupi

Wothandizira zaumoyo wanu adzagwira nanu ntchito kuti mupeze njira yabwino kwambiri yothandizira pazosowa zanu zamankhwala.

Kwa anthu ambiri, mankhwalawa amawathandiza kuti azikhala achangu komanso amachepetsa zovuta zomwe zingachitike kwanthawi yayitali.

Dziwani zambiri zamankhwala amtundu wa RA ndi momwe mungachitire ndi ma flares.

Mankhwala a nyamakazi

Pali mitundu yambiri ya mankhwala a RA. Ena mwa mankhwalawa amathandiza kuchepetsa ululu ndi kutupa kwa RA. Zina zimathandiza kuchepetsa kuyatsa ndikuchepetsa kuwonongeka komwe RA imachita pamafundo anu.

Mankhwala otsatirawa omwe amagulitsidwa amathandizanso kuchepetsa ululu ndi kutupa panthawi yamoto wa RA:

• mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs)
• corticosteroids
• acetaminophen

Mankhwala otsatirawa amagwira ntchito kuti achepetse kuwonongeka komwe RA ingayambitse thupi lanu:

• Mankhwala osokoneza bongo (DMARDs). Ma DMARD amagwira ntchito poletsa chitetezo chamthupi lanu. Izi zimathandiza kuchepetsa kukula kwa RA.
• Zamoyo. Ma DMARD am'badwo watsopanowu amapereka yankho lolimbana ndi kutupa m'malo molepheretsa chitetezo cha mthupi lanu lonse. Atha kukhala chithandizo chothandiza kwa anthu omwe samayankha ma DMARD achikhalidwe ambiri.
• Janus kinase (JAK) zoletsa. Awa ndi magulu atsopano a ma DMARD omwe amaletsa mayankho ena amthupi. Awa ndi mankhwala omwe wothandizira zaumoyo wanu angagwiritse ntchito popewa kutupa ndikusiya kuwonongeka kwa malo anu pomwe ma DMARD ndi ma biardic DMARD sakukuthandizani.

Zithandizo zapakhomo za nyamakazi ya nyamakazi

Zithandizo zina zapakhomo ndi kusintha kwa moyo wanu kumatha kuthandizira kukonza moyo wanu mukamakhala ndi RA. Izi zimaphatikizapo zolimbitsa thupi, kupumula, ndi zida zothandizira.

Chitani masewera olimbitsa thupi

Zochita zochepa zomwe zingakhudze zingakuthandizeni kusintha kayendedwe kanu m'magulu anu ndikuwonjezera kuyenda kwanu. Kuchita masewera olimbitsa thupi kumathandizanso kulimbitsa minofu, yomwe ingathandize kuti muchepetse kupsinjika kuchokera kumalumikizidwe anu.

Muthanso kuyesa yoga yoga yomwe ingakuthandizeni kuti mupezenso mphamvu komanso kusinthasintha.

Muzipuma mokwanira

Mungafunike kupumula kwambiri pakamachitika zolimbitsa thupi komanso zochepa mukakhululukidwa. Kugona mokwanira kumathandiza kuchepetsa kutupa komanso kupweteka komanso kutopa.

Ikani kutentha kapena kuzizira

Mapaketi oundana kapena ma compress ozizira amatha kuthandiza kuchepetsa kutupa ndi kupweteka. Zitha kukhala zothandiza kuthana ndi mitsempha ya minofu.

Mutha kusinthasintha kuzizira ndi mankhwala otentha monga madontho otentha ndi ma compress otentha. Izi zitha kuthandiza kuchepetsa kuuma.

Yesani zipangizo zothandizira

Zida zina monga ziboda ndi zolimba zimatha kupangitsa malo anu kupumula. Izi zitha kuthandiza kuchepetsa kutupa.

Ndodo ndi ndodo zingakuthandizeni kuti muziyenda bwino, ngakhale nthawi yamoto. Muthanso kukhazikitsa zida zapakhomo, monga mipiringidzo yolanda ndi ma handrails m'malo osambira komanso masitepe.

Gulani mankhwala apakhomo

• mapaketi oundana
• ndodo
• kugwira mipiringidzo
• zojambulajambula
• NSAIDs

Dziwani zambiri za izi ndi njira zina zokuthandizani kusamalira moyo ndi RA.

Matenda a nyamakazi

Wothandizira zaumoyo wanu kapena wodyetsa zakudya angakulimbikitseni zakudya zotsutsana ndi zotupa kuti zikuthandizeni ndi zizindikiro zanu. Zakudya zamtunduwu zimaphatikizaponso zakudya zomwe zili ndi omega-3 fatty acids ambiri.

Zakudya zomwe zili ndi omega-3 fatty acids zimaphatikizapo:

• nsomba zamafuta monga saumoni, tuna, hering'i, ndi mackerel
• mbewu za chia
• mbewu za fulakesi
• mtedza

Antioxidants, monga mavitamini A, C, ndi E, ndi selenium, amathanso kuthandizira kuchepetsa kutupa. Chakudya chokhala ndi ma antioxidants ndi awa:

• zipatso, monga blueberries, cranberries, goji zipatso, ndi strawberries
• chokoleti chakuda
• sipinachi
• nyemba za impso
• pecans
• artichokes

Kudya ma fiber ambiri ndikofunikanso. Malinga ndi ofufuza ena, fiber ingathandize kuchepetsa mayankho otupa omwe angachepetse kuchuluka kwa mapuloteni a C. Sankhani zakudya zonse zambewu, masamba atsopano, ndi zipatso. Strawberries akhoza kukhala opindulitsa makamaka.

Zakudya zomwe zili ndi flavonoids zitha kuthandizanso kuthana ndi kutupa mthupi. Zikuphatikizapo:

• mankhwala a soya, monga tofu ndi miso
• zipatso
• tiyi wobiriwira
• burokoli
• mphesa

Zomwe simudya ndizofunikira monga momwe mumadyera. Onetsetsani kuti mupewe zakudya zoyambira. Izi zimaphatikizapo chakudya chamafuta ndi mafuta okhathamira kapena opitilira muyeso.

Kupewa zakudya zoyambira ndikusankha zakudya zoyenera poyesa kutsatira zakudya zotsutsana ndi zotupa kungakuthandizeni kuyang'anira RA yanu.

Mitundu ya nyamakazi

Pali mitundu yosiyanasiyana ya RA. Kudziwa mtundu womwe muli nawo kungathandize othandizira zaumoyo wanu kukupatsani chithandizo chabwino kwambiri.

Mitundu ya RA imaphatikizapo:

• Wopanda RA. Ngati muli ndi RA yopanda seropositive, muli ndi zotsatira zabwino zamagazi. Izi zikutanthauza kuti muli ndi ma antibodies omwe amachititsa kuti chitetezo chamthupi chanu chiwononge ziwalo.
• Wopanda RA. Ngati muli ndi zotsatira zoyipa zoyesa magazi za RF komanso zotsatira zoyipa za anti-CCP, komabe muli ndi zizindikilo za RA, mutha kukhala ndi seronegative RA. Mutha kukhala ndi ma antibodies, kusintha matenda anu kukhala RA yoperewera.
• Matenda achichepere a nyamakazi (JIA). Matenda aamuna achichepere amatanthauza RA mwa ana azaka 17 kapena kupitilira apo. Vutoli limadziwika kuti juvenile rheumatoid arthritis (JRA). Zizindikirozi ndizofanana ndi zamtundu wina wa RA, koma zimaphatikizaponso kutupa kwamaso komanso zovuta zakukula kwakuthupi.

Pezani zambiri zamitundu ya RA ndi kusiyana kwawo.

Matenda a nyamakazi osakanikirana

Seropositive RA ndiye mtundu wofala kwambiri wa RA. Matenda amtunduwu amatha kuyenda m'mabanja. Seropositive RA imatha kubwera ndi zizindikilo zowopsa kuposa seronegative RA.

Kuwonetsa zizindikiritso za RA chosasinthika kungaphatikizepo:

• kuuma m'mawa kumatenga mphindi 30 kapena kupitilira apo
• kutupa ndi kupweteka m'magulu angapo
• kutupa ndi kupweteka m'malo olumikizana
• mitsempha ya nyamakazi
• malungo
• kutopa
• kuonda

RA sikuti nthawi zonse imangokhala m'malo olumikizirana mafupa. Anthu ena omwe ali ndi kachilombo koyambitsa matendawa RA amatha kutupa m'maso, minyewa yamatumbo, misempha, impso, mapapo, mtima, khungu, ndi mitsempha yamagazi.

Matenda a nyamakazi amachititsa

Zomwe zimayambitsa RA sizidziwika. Komabe, zinthu zina zikuwoneka kuti zimathandizira kukulitsa chiwopsezo chokhala ndi RA kapena kuyambitsa kuyambika kwake.

Zinthu zomwe zingakuchulukitsireni RA zimaphatikizapo:

• kukhala mkazi
• kukhala ndi mbiri yabanja ya RA

Zinthu zomwe zingayambitse kuyambika kwa RA zimaphatikizapo:

• Kuwonetsedwa ku mitundu ina ya mabakiteriya, monga omwe amakhudzana ndi matenda a periodontal
• kukhala ndi mbiri yokhudzana ndi matenda a ma virus, monga Epstein-Barr virus, yomwe imayambitsa mononucleosis
• kukhumudwa kapena kuvulala, monga kuphwanya fupa kapena kusweka, kusunthika kwa cholumikizira, ndi kuwonongeka kwa mitsempha
• kusuta ndudu
• kukhala ndi kunenepa kwambiri

Choyambitsa sichingadziwike koma pali zowopsa zingapo ndi zoyambitsa.

Matenda a nyamakazi m'manja

Matenda a nyamakazi m'manja amatha kuyamba ngati kutentha pang'ono komwe mumamva kumapeto kwa tsiku. Pamapeto pake, mutha kumva kupweteka komwe sikutanthauza kugwiritsa ntchito manja anu. Kupweteka kumeneku kumatha kukhala kovuta ngati simukuchiza.

Muthanso kumva:

• kutupa
• kufiira
• kutentha
• kuuma

Katemera m'malumikizidwe anu atatha, mutha kuwona zolakwika m'manja mwanu. Muthanso kukhala ndi malingaliro opera m'malo olumikizana ndi manja anu, zala zanu, ndi zimfundo zazikulu, ngati chichereŵechereŵe chitawonongeka kwathunthu.

Matendawa akamakulirakulira, matumba odzaza madzi kapena ma synovial cysts amapezeka m'manja, mawondo, zigongono, akakolo komanso mozungulira mikono yaying'ono. Ziphuphuzi sizikhala ndi zovuta ndipo kutuluka kwa tendon kumatha kuchitika nthawi zina.

Muthanso kukhala ndi zophukira, zotchedwa bone spurs, m'malo olumikizidwa. Popita nthawi, mafupa amatha kupanga zovuta kuti mugwiritse ntchito manja.

Ngati muli ndi RA m'manja mwanu, wothandizira zaumoyo wanu adzagwira nanu masewera olimbitsa thupi omwe angakuthandizeni kuti musamayende bwino.

Zochita zolimbitsa thupi, komanso mitundu ina ya chithandizo, zitha kuthandiza kuchepetsa kutupa ndikuletsa kupitilira kwa matendawa.

Onani ndendende momwe zovuta za RA zimawonekera m'manja mwanu.

Zithunzi za nyamakazi

RA ikhoza kuwonekera kwambiri m'manja ndi m'mapazi anu, makamaka matendawa akamakula makamaka ngati mulibe dongosolo lamankhwala pakadali pano.

Kutupa kwa zala, manja, mawondo, akakolo, ndi zala ndizofala. Kuwonongeka kwa mitsempha ndi kutupa pamapazi kumatha kupangitsa kuti munthu yemwe ali ndi RA asavutike kuyenda.

Ngati simupeza chithandizo cha RA, mutha kupunduka kwambiri m'manja ndi m'mapazi. Kupunduka kwa manja ndi zala kumatha kuyambitsa mawonekedwe opindika, ngati zikhomabo.

Zala zako zakumaso zimatha kutenga mawonekedwe ngati zikhadabo, nthawi zina zimaweramira m'mwamba ndipo nthawi zina zimapindika pansi pa mpira.

Muthanso kuwona zilonda zam'mimba, zotupa, ndi zotupa pamapazi anu.

Ziphuphu, zotchedwa mitsempha ya nyamakazi, zimatha kuwonekera paliponse pathupi lanu pomwe mafupa amatupa. Izi zimatha kukula kuyambira zazing'ono mpaka kukula kwa mtedza kapena zokulirapo, ndipo zimatha kuchitika m'magulu.

Izi ndi zomwe ma misempha yamatenda ndi ziwonetsero zina za RA zimawoneka.

Kusiyana pakati pa nyamakazi ndi nyamakazi

Monga RA, anthu omwe ali ndi matenda a osteoarthritis (OA) amatha kukhala ndimalo opweteka komanso olimba omwe amapangitsa kuyenda kukhala kovuta.

Anthu omwe ali ndi OA amatha kukhala ndi zotupa polumikizana atatha ntchito yayitali, koma OA siyimayambitsa zotupa zilizonse zomwe zimabweretsa kufiira kwa mafupa omwe akhudzidwa.

Mosiyana ndi RA, OA si matenda okhaokha. Zimakhudzana ndi kuwonongeka kwachilengedwe kwamalumikizidwe mukamakalamba, kapena amatha kukula chifukwa chovulala.

OA nthawi zambiri imawoneka mwa achikulire. Komabe, nthawi zina zimawonekera mwa achikulire omwe amagwiritsa ntchito molumikizana - monga osewera tenesi ndi othamanga ena - kapena omwe adakumana ndi vuto lalikulu.

RA ndimatenda amthupi okha. Zowonongeka zolumikizana kuchokera ku RA sizimayambitsidwa ndi kuwonongeka kwanthawi zonse. Zimayambitsidwa ndi thupi lanu likudziukira lokha.

Dziwani zambiri za mitundu iwiri iyi ya nyamakazi.

Kodi nyamakazi ya nyamakazi imabadwa?

Matenda a nyamakazi samatengedwa ngati matenda obadwa nawo, komabe amawoneka ngati akuyenda m'mabanja. Izi zitha kukhala chifukwa cha chilengedwe, zomwe zimayambitsa chibadwa, kapena kuphatikiza zonse ziwiri.

Ngati muli ndi abale anu omwe ali ndi RA kapena amene analipo, lankhulani ndi omwe amakuthandizani azaumoyo, makamaka ngati muli ndi zizindikilo zopitilira kuphatikizana, kutupa, ndi kuuma kosagwirizana ndi kugwiritsidwa ntchito mopitirira muyeso kapena kupsinjika.

Kukhala ndi mbiri yabanja ya RA kumawonjezera chiopsezo chanu chotenga matendawa, ndipo kuzindikira koyambirira kumatha kusiyanitsa kwambiri momwe mankhwala angathandizire.

Chifukwa chake, kodi mungalandire RA? Mwina - phunzirani zambiri apa.

Lankhulani ndi wothandizira zaumoyo wanu

RA ndi matenda osachiritsika omwe alibe mankhwala. Izi zati, anthu ambiri omwe ali ndi RA alibe zizindikilo zosasintha. M'malo mwake, amakhala ndi zotulukapo zomwe zimatsatiridwa ndi nthawi yopanda zizindikilo yotchedwa kuchotsera.

Matendawa amasiyana pamunthu wina, ndipo zizindikilo zimatha kukhala zofewa mpaka zovuta.

Ngakhale zizindikilo zimatha kuyimilira kwakanthawi, mavuto olumikizana ndi RA amayamba kukulirakulira pakapita nthawi. Ndicho chifukwa chake chithandizo choyambirira chili chofunikira kwambiri kuti tithandizire kuchepetsa kuwonongeka kwamalumikizidwe.

Ngati mukukumana ndi zizindikiro zilizonse kapena mukudandaula za RA, lankhulani ndi omwe amakuthandizani pa zaumoyo.