Chithandizo cha 5 cha Rheumatoid Arthritis Back Back

Zamkati

• Ululu wammbuyo: pachimake vs.chosatha
• 1. Mankhwala otentha komanso ozizira ochepetsa zizindikiro
• 2. Mankhwala
• Opweteka
• Mankhwala osagwiritsidwa ntchito poletsa kutupa
• Mankhwala osintha matenda opatsirana pogonana
• Majekeseni a msana
• 3. Opaleshoni yam'mbuyo yopweteka kwambiri
• 4. Matendawa amathandizanso
• 5. Kudzisamalira mwa kuchita masewera olimbitsa thupi
• Kutenga

Matenda a nyamakazi ndi kupweteka kwa msana

Matenda a nyamakazi (RA) amakhudza kwambiri ziwalo zotumphukira monga zomwe zili m'manja mwanu, manja, mapazi, zigongono, akakolo, ndi chiuno. Anthu omwe ali ndi vuto la chitetezo cha mthupi nthawi zambiri amakumananso ndi ululu wammbuyo.

Ngati muli ndi RA, kupweteka kwa msana kumatha kubwera chifukwa cha chitetezo chamthupi chanu chomwe chimaukira kulumikizana kwa tinthu tating'onoting'ono ta msana wanu. Milandu yayikulu, izi zitha kuchititsa kuti msana wam'mimba ndi mizu ya mitsempha ipsinjike. Izi zikachitika, mutha kumva kupweteka pang'ono.

Pitilizani kuwerenga kuti muphunzire zamankhwala akanthawi kochepa opweteketsa msana komanso njira zoyeserera zopweteka kwakanthawi.

Ululu wammbuyo: pachimake vs.chosatha

Musanayang'ane chithandizo cha kupweteka kwa msana, muyenera kudziwa ngati muli ndi ululu wopweteka kwambiri kapena wammbuyo.

Kupweteka kwakumbuyo nthawi zambiri kumachitika chifukwa chakukusowani msana. Itha kuthandizidwa ndimankhwala ndipo nthawi zambiri imachira pakapita nthawi. Kuchita masewera olimbitsa thupi sikuvomerezeka.

Kupweteka kwakumbuyo kosiyana ndikosiyana. Ndi vuto lalitali lomwe limayambitsidwa ndi mikhalidwe ngati RA. Titha kuchiritsidwa m'njira zingapo, ndipo kuchita masewera olimbitsa thupi kungakhale kopindulitsa.

1. Mankhwala otentha komanso ozizira ochepetsa zizindikiro

Mapaketi otentha komanso ozizira sangathe kuthana ndi zomwe zimayambitsa kupweteka kwakumbuyo, koma zitha kuthandiza kuchepetsa kupweteka komanso kuuma komwe mumamva mukamayaka.

Gwiritsani ntchito paketi yotentha kuti muthandizire kusintha kwa magazi ndikuchepetsa kuchepa kwa minofu. Zingathandizenso kuti ululu wanu ukhale wosavuta.

Gwiritsani ntchito phukusi lozizira kuti muchepetse kutupa kwa RA. Iyenera makamaka kugwiritsidwa ntchito pophulika kapena kupweteka kwambiri.

Ma phukusi ozizira amatha kukhala omangika poyamba, koma amatha kuchepetsa kutupa ndikuthandizira kupweteka. Mapaketi ozizira amayenera kugwiritsidwa ntchito kwa mphindi 20 nthawi imodzi, katatu kapena kanayi patsiku.

2. Mankhwala

Mankhwala angakhale njira yothandiza yothetsera kupweteka kwakumbuyo kosatha. Mtundu wa mankhwala omwe mungafune umadalira momwe ululu wanu umakhalira komanso kuti mumakumana nawo kangati.

Mankhwala osiyanasiyana amatha kuchepetsa ululu komanso amachepetsa kuchepa kwa RA.

Opweteka

Kusamalira ululu wanu ndi gawo lofunikira pakuphunzira kukhala ndi vuto lakumbuyo. Ma analgesics, kapena othetsa ululu, ndi njira imodzi yochepetsera kupweteka kwakumbuyo. Mankhwala osokoneza bongo monga aspirin akhoza kukhala okwanira kuthana ndi ululu wofatsa.

Dokotala wanu akhoza kukupatsani mankhwala amphamvu kwambiri ochepetsera ululu, ngati mukufuna. Komabe, mankhwala ozunguza bongo monga oxycodone (Roxycodone, Oxaydo) ayenera kugwiritsidwa ntchito mosamala ku matenda osapewa kuti apewe kudalira. Pali mankhwala ena omwe amatha kuchiza ululu wanu komanso kutupa komwe kumayambitsa.

Mankhwala osagwiritsidwa ntchito poletsa kutupa

Mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs) amatha kutonthoza ululu ndi kutupa. Mankhwala oletsa kutupa amathandiza chifukwa amachepetsa kutupa. Izi zimachepetsa kupanikizika kumbuyo kwanu ndikuthandizira kuyenda kosavuta.

Ibuprofen (Advil, Motrin IB) ndi naproxen (EC-Naprosyn) ndi ma NSAID awiri omwe nthawi zambiri amapatsidwa. Ma NSAID amatha kuyambitsa zovuta, monga kutuluka m'mimba. Dokotala wanu adzakuthandizani kusankha ngati NSAID zili zoyenera kwa inu malinga ndi mbiri yanu yachipatala.

Mankhwala osintha matenda opatsirana pogonana

Mankhwala osinthira matenda opatsirana pogonana (DMARDs) amaperekedwa kuti athandize kuchepetsa ululu ndikuchepetsa kukula kwa RA. Amatha kuthandiza kuyimitsa kupweteka kwamtsogolo. DMARD yodziwika bwino ndi methotrexate.

Ma DMARD amagwira ntchito poletsa mankhwala omwe amatulutsidwa pomwe ma antibodies amaukira minofu yolumikizana. Izi zimalepheretsa kuwonongeka kwa mafupa anu ndi cartilage.

Ma DMARD amatha kuyambitsa zovuta zina, monga:

• nseru
• zotupa pakhungu
• kutopa
• kuwonongeka kwa chiwindi
• kuchuluka kwa maselo oyera amwazi, zomwe zimabweretsa matenda

Dokotala wanu akhoza kukuthandizani kuthana ndi zotsatirazi ngati zingachitike.

Majekeseni a msana

Jekeseni ya msana ikhoza kukhala njira yachangu yothetsera kupweteka kwakumbuyo kosatha. Nthawi zambiri amatanthauza kubaya corticosteroid kapena mankhwala ochititsa dzanzi m'dera lamitsempha lomwe limakhudzidwa ndi kutupa kwa RA.

Zotsatira za jakisoni wamtsempha zimatha milungu ingapo kapena miyezi. Corticosteroids imatha kubweretsa mavuto ena azaumoyo monga kunenepa komanso kufooka kwa mafupa. Pachifukwa ichi, adokotala angakuuzeni kuti mudikire miyezi ingapo jekeseni wanu wotsatira.

3. Opaleshoni yam'mbuyo yopweteka kwambiri

Opaleshoni nthawi zambiri imakhala njira yomaliza yothandizira kupweteka kwammbuyo. Komabe, zitha kukhala zothandiza kwambiri pakuchepetsa kupweteka kwakumbuyo kosatha.

Mwachitsanzo, dokotala wanu angakulimbikitseni njira "yosakanikirana": Izi zimaphatikizapo kudula cholumikizira chodwalacho ndikulumikiza ma vertebrae palimodzi, kuchepetsa kuyenda. Nthawi zina, izi zimachepetsa kupweteka kwanuko.

Kuzindikiritsa ndikukhazikitsa msana wanu kuti muchepetse kupanikizika kwa mitsempha yanu ya msana ndi njira ina. Izi zitha kuchepetsa kupweteka komanso kusintha kuyenda.

4. Matendawa amathandizanso

Njira zochiritsira zingapo zitha kuthandizira kuthandizira kwanu kupweteka kwakumbuyo. Mwachitsanzo, physiotherapy imatha kukulitsa kusinthasintha kwanu komanso nyonga yamphamvu.

Thandizo lantchito lingathandizenso. Chithandizo chamtunduwu chimakuphunzitsani njira zodzitetezera palimodzi. Chitsanzo chingakhale momwe mungatengere ndi kunyamula zinthu popanda kupweteka kwakumbuyo.

Mankhwala a chiropractic nthawi zambiri samalimbikitsa anthu omwe ali ndi RA omwe akumva kupweteka kwakumbuyo.

5. Kudzisamalira mwa kuchita masewera olimbitsa thupi

Kuchita masewera olimbitsa thupi moyenera kumatha kuthandizira kuti musamapanikizike kumbuyo kwanu ndikusunga mafupa ngati mukukumana ndi ululu wopweteka kwambiri chifukwa cha RA. Kuchita masewera olimbitsa thupi kumathandizanso kukhala ndi thanzi lathunthu.

National Institute of Arthritis and Musculoskeletal and Skin Diseases imalimbikitsa zolimbitsa thupi monga kuyenda ndi kutambasula kuti muchepetse kupweteka kwakumbuyo. Zochita monga tai chi ndi masewera olimbitsa thupi monga kusambira kapena madzi othamangitsanso amathanso kukhala othandiza.

Nthawi zonse muziyang'ana dokotala musanayambe pulogalamu iliyonse yolimbitsa thupi chifukwa cha kupweteka kwanu.

Kutenga

Ngati muli ndi RA ndipo mukuganiza kuti muli ndi ululu wopweteka kwambiri, pitani kuchipatala. Adzakuthandizani kupeza chithandizo choyenera cha vuto lanu, ngakhale zitanthauza mayankho akanthawi kochepa monga mapaketi a ayezi ndi mankhwala kapena njira zothanirana ndi ululu kwa nthawi yayitali monga physiotherapy kapena dongosolo loyenera lochita masewera olimbitsa thupi.