Mitsempha Yam'mimba: Kodi Ndi Chiyani?

Zamkati

• Kodi amawoneka bwanji?
• Nchifukwa chiyani amapanga?
• Amapanga kuti?
• Kodi ndizopweteka?
• Ndani amawapeza?
• Mumawachita motani?
• Nthawi yoti muwonane ndi dokotala
• Mfundo yofunika

Matenda a nyamakazi (RA) ndimatenda amthupi omwe chitetezo chamthupi chimagwiritsa ntchito cholumikizira chotchedwa synovium. Vutoli limatha kupangitsa kuti ma nodule opweteka amveke mbali izi za thupi:

• manja
• mapazi
• manja
• zigongono
• akakolo
• madera omwe munthu sangathe kuwona nthawi zonse, monga mapapu

Pitirizani kuwerenga kuti muwone momwe mitunduyi imapangidwira komanso chithandizo chilichonse chomwe chingathandize.

Kodi amawoneka bwanji?

Matenda a nyamakazi amatha kukula kuchokera kuzing'ono kwambiri (pafupifupi 2 millimeters) mpaka kukulira (pafupifupi 5 sentimita). Nthawi zambiri amakhala ozungulira, ngakhale ndizotheka atha kukhala ndi malire osakhazikika.

Mitunduyi imakhala yolimba mpaka kukhudza ndipo nthawi zambiri imayenda ikakamizidwa. Nthawi zina mitunduyi imatha kulumikizana ndi minofu kapena minyewa pansi pa khungu ndipo imatha kusuntha ikapanikizika.

Mitunduyi imakhala yofewa mpaka kukhudza. Izi zimachitika nthawi zambiri munthu akadwala nyamakazi.

Tinthu tina tating'onoting'ono tambiri tambiri pamadera ena titha kupitiriza minyewa kapena mitsempha. Izi zitha kuyambitsa mavuto ndikukhudza kuthekera kwa munthu kusuntha manja, mapazi, ndi zina zambiri.

Mitsempha yamagulu imasiyana kukula, mawonekedwe, ndi malo pathupi. Nthawi zina munthu amatha kukhala ndi nodule imodzi. Nthawi zina amatha kukhala ndi tinthu tating'onoting'ono tating'onoting'ono.

Nchifukwa chiyani amapanga?

Madokotala sadziwa kwenikweni chifukwa chomwe mitsempha yamagazi imapangidwira chifukwa cha nyamakazi. Nthawi zambiri, munthu amatenga tinyezi tating'onoting'ono tomwe ali ndi RA kwa zaka zingapo. Mitunduyi imakhala ndi zinthu zotsatirazi:

• Fibrin. Ichi ndi puloteni yomwe imathandizira kuphimba magazi ndipo imatha chifukwa cha kuwonongeka kwa minofu.
• Maselo otupa. Matenda a nyamakazi amatha kuyambitsa kutupa m'thupi komwe kumabweretsa chitukuko cha ma nodule.
• Maselo akhungu akufa. Maselo akhungu akufa kuchokera ku mapuloteni m'thupi amatha kukhala mumadulalo.

Mitunduyi imatha kufanana ndi zinthu zina, monga ma epidermoid cysts, olecranon bursitis, ndi tophi yoyambitsidwa ndi gout.

Amapanga kuti?

Matenda a nyamakazi amatha kukhala m'magawo otsatirawa:

• kumbuyo kwa zidendene
• zigongono
• zala
• zigamba
• mapapo

Maderawa nthawi zambiri amakhala opanikizika pamatupi amthupi kapena mozungulira zolumikizira, monga zigongono ndi zala. Ngati munthu sakugona, atha kukhala ndi misempha ya nyamakazi pa:

• kumbuyo kwa mutu wawo
• zidendene
• sacrum
• madera ena opanikizika

Nthawi zambiri, tinthu timene timatulutsa timinato timapangika m'malo ena, monga maso, mapapo, kapena zingwe zamawu. Izi zingakhale zovuta kuti dokotala adziwe. Komabe, ma nodule amkati amtunduwu amatha kuyambitsa zovuta zina, monga kupuma movutikira, ngati noduleyo ndi yayikulu kwambiri.

Kodi ndizopweteka?

Matenda a nyamakazi samapweteka nthawi zonse, ngakhale atha. Nthawi zina kutupa chifukwa cha tinthu tating'onoting'ono titha kuyambitsa vuto lotchedwa vasculitis. Uku ndikutupa kwamitsempha yamagazi komwe kumabweretsa kupweteka kwamavuto.

Ndani amawapeza?

Zinthu zingapo zimatha kukuikani pachiwopsezo chotenga timinatake. Izi zikuphatikiza:

• Kugonana. Azimayi ali ndi mwayi wambiri wodwala nyamakazi kuposa amuna.
• Nthawi. Kutalika komwe munthu ali ndi nyamakazi, amatha kukhala ndi mitsempha.
• Kukhwima. Kawirikawiri, matenda a nyamakazi a munthu akakhala ovuta kwambiri, amakhala ndi zotupa zambiri.
• Chifuwa cha nyamakazi. Anthu omwe ali ndi vuto lalikulu la chifuwa m'magazi awo nawonso amakhala ndi zotupa. Rheumatoid factor amatanthauza mapuloteni m'magazi omwe amalumikizidwa ndimatenda amthupi, monga nyamakazi ndi matenda a Sjögren's.
• Kusuta. Kuphatikiza pa nyamakazi ya nyamakazi, kusuta ndichinthu chinanso chomwe chimayambitsa mitsempha ya nyamakazi.
• Chibadwa. Anthu omwe ali ndi majini ena ali pachiwopsezo chachikulu chotenga nyamakazi.

Mumawachita motani?

Matenda a nyamakazi safuna chithandizo nthawi zonse. Komabe, ngati akupweteka kapena amaletsa kuyenda, dokotala akhoza kukulangizani zamankhwala.

Kumwa mankhwala omwe amadziwika kuti matenda osintha matenda (DMARDs) kungathandize kuchepetsa kukula kwa mitsempha ina ya nyamakazi.

Madokotala alumikiza mankhwala ena a nyamakazi, methotrexate, ndikuwonjezera mwayi woti mitsempha ikuluikulu. Mankhwalawa amapondereza chitetezo cha mthupi. Ngati ma nodule ali ovuta, adokotala angafune kuti musinthe kuchokera ku methotrexate kupita ku mankhwala ena, ngati kuli kofunikira.

Nthawi zina jakisoni wa corticosteroids amatha kuchepetsa kutupa ndikuchiza misempha yaminyewa. Ngati izi sizigwira ntchito, dokotala wanu angakulimbikitseni kuti muchotsedwe pamutu kapena pamutu. Komabe, ma nodule nthawi zambiri amabwerera pambuyo pochotsedwa opaleshoni.

Nthawi yoti muwonane ndi dokotala

Mitsempha yamagazi samayambitsa mavuto nthawi zonse. Komabe, ndizotheka kuti m'malo opanikizika kwambiri, monga mapazi, khungu lomwe limadutsa mitsempha limatha kukwiya kapena kutenga kachilomboka. Zotsatira zimatha kukhala kufiira, kutupa, ndi kutentha pamavuto.

Mitsempha yamagulu omwe ali ndi kachilomboka amafunika kuchipatala. Maantibayotiki angafunike kuchiza matenda a nodule.

Onani dokotala wanu ngati mukumva kuwawa kwakukulira kapena kukulira mu mitsempha iliyonse yomwe mungakhale nayo kapena ma nodulewa akukhudza kwambiri kusuntha kwanu.

Ma nodule apansi pamapazi amathanso kukupangitsani kukhala kovuta kuyenda, kuyambitsa zovuta, kapena kusunthira nkhawa kumagulu ena, zomwe zimabweretsa bondo, chiuno, kapena kupweteka kwakumbuyo.

Mfundo yofunika

Matenda a nyamakazi amatha kukhala okhumudwitsa mpaka opweteka. Ngakhale kuti nthawi zambiri samafuna chithandizo, lankhulani ndi dokotala ngati zizindikiro zanu zikuyamba kukhala zopweteka kapena mukuvutika ndi kuyenda.