Kuchiza RA Flares ndi Exacerbations

Zamkati

• Kodi flare ndi chiyani?
• Nchiyani chimayambitsa moto?
• Mankhwala omwe amachiza RA
• Zakudya zomwe zingachepetse zizindikiro
• Dzisamalire
• Njira zochiritsira zochiritsira RA
• Khalani owona mtima ndi ena
• Onani pa RA yanu
• Gwirani pa RA flares

Kuchita ndi RA flares

Matenda a nyamakazi (RA), mtundu wachiwiri wofala kwambiri wa nyamakazi, ndi matenda otupa osachiritsika. RA imapangitsa kuti chitetezo cha mthupi chiwonongeke minyewa ndi ziwalo zake molakwika. Zizindikiro za RA zimaphatikizapo kutupa, kufiira, kuuma, mwina kukokoloka ndi kupunduka m'malo olumikizidwa.

Kwa anthu ena, RA ndi matenda ozungulira: zizindikiro zimatha milungu ingapo, miyezi, kapena zaka. Ndiye matendawa adzayamba ndi kuyambitsanso zizindikiro. Werengani kuti muphunzire maluso ndi njira zothanirana ndi ma RA.

Kodi flare ndi chiyani?

Matenda ofatsa a RA amatha kutha bwino patangopita nthawi yochepa chabe, koma nthawi zambiri RA imakhala yolimba kwambiri ndipo imatha kuyambitsa zizindikilo zanthawi yonse.

Anthu omwe ali ndi RA amatha kukhala ndi nthawi yochulukirapo, kapena ma flares (omwe amatchedwanso flare-ups). Kutha kumatha masiku angapo kapena miyezi ingapo.

RA amathanso kukhala ndi nthawi yomwe imayambitsa pafupifupi zizindikilo, ndipo kutupa kumakhala kotsika kwambiri. Nthawi izi zimatchedwa kuchotsera. Anthu ambiri omwe ali ndi RA amasinthasintha pakati pa zochita zochepa ndi zoyatsa miyoyo yawo yonse. Komabe, chikhululukiro ndichotheka ndi mankhwala othandiza.

Nchiyani chimayambitsa moto?

Tsoka ilo, ofufuza sanadziwebe chomwe chimayambitsa kuyaka kuyamba kapena kutha. Nthawi zina, matenda amtunduwu amatha kuyambitsa RA. Mwanjira ina, kudwala kungakupangitseni kudwala. Kusintha kwa mankhwala kungayambitsenso kuyaka kwa RA. Mukaiwala kumwa mankhwala anu kapena kusiya kumwa kwathunthu, mwina mudzakhala ndi kutupa kwakukulu, komwe kumatha kuyambitsa.

Palibe mankhwala omwe angachiritse RA kapena nthawi zonse kupewa ma RA. M'malo mwake, cholinga cha chithandizo ndikuchepetsa zizindikilo, kuchepetsa kutupa, komanso kupewa kuwonongeka kwamagulu.

Mankhwala omwe amachiza RA

Mankhwala omwe amafunsidwa kuti athetse RA amatha kugawidwa m'magulu atatu:

• Chithandizo chazizindikiro apangidwa kuti athetse ululu waukulu ndi kutupa. Mankhwala omwe ali mgululi akuphatikizapo ma steroids, nonsteroidal anti-inflammatory drugs (NSAIDs), ndi acetaminophen.
• Mankhwala osintha matenda, omwe amadziwikanso kuti mankhwala osokoneza bongo a anti-rheumatic, kapena ma DMARD, adapangidwa kuti achepetse kukula kwa matendawa. Ma DMARD amaletsa kuyankha kwamthupi kotupa, komwe kumachepetsa zizindikilo, kumachepetsa kupita patsogolo, ndikupewa kuwonongeka kwamagulu.
• Zamoyo ndi ma DMARD atsopano, omwe amatsanzira mamolekyulu a chitetezo cha mthupi. Amaletsanso kuyankha kotupa, koma amalimbana kwambiri.

Ma DMARD onse ndi biologics ndi ma immunosuppressants. RA imayambitsidwa ndi yankho lolakwika lamthupi lanu lomwe limabweretsa kutupa kosatha. Ma immunosuppressants adapangidwa kuti ateteze izi, ndikuthandizira kuchepetsa zizindikilo za RA chifukwa chake.

Zakudya zomwe zingachepetse zizindikiro

Pali kafukufuku yemwe akuwonetsa kuti pakhoza kukhala kulumikizana pakati pa zomwe mumadya ndi momwe mumamvera mukakhala ndi RA. Chakudya chamagulu chingathandize kuchepetsa kutentha kwa RA ndikupewa kutupa. Zakudya izi ndi izi:

• Zakudya zolemera za omega-3, monga saumoni, tuna, walnuts, ndi fulakesi
• zakudya zokhala ndi antioxidant, monga ndiwo zamasamba zokongola ndi zipatso, nyemba, mtedza, vinyo wofiira, chokoleti chakuda, ndi sinamoni
• mafuta a azitona owonjezera, omwe awonetsedwa kuti ali ndi ma anti-inflammatory

Dzisamalire

Njira imodzi yofunikira kwambiri yothanirana ndi ma RA ndi kudzisamalira moyenera. Zoyipa zimakupangitsani kuti mukhale otopa, zimapweteka komanso zimakhala zolimba m'malo mwanu, ndipo zimatha kulepheretsa kuchita ntchito zatsiku ndi tsiku. Zina mwazinthu zofunika kwambiri zodzisamalira ndizo:

• kuchita masewera olimbitsa thupi pafupipafupi komanso kutambasula
• kuonda ndi kasamalidwe
• kudya chakudya chamagulu
• kupuma mokwanira

Kambiranani ndi dokotala za kadyedwe ndi kadyedwe. Kumbukirani kuti kuthekera kwanu kukhoza kukhala kosiyana mukamayaka.

Njira zochiritsira zochiritsira RA

Lankhulani ndi dokotala musanayambe kugwiritsa ntchito njira zina zochiritsira. Anthu ena sangathe kugwiritsa ntchito ena mwa mankhwalawa chifukwa chothandizidwa ndi mankhwala akuchipatala.

Odwala ena atha kupindula ndi mankhwala ena, monga mavitamini ndi zowonjezera, zitsamba, kapena njira zopumulira. Ngakhale kafukufuku wokhudzana ndi chithandizo cha mankhwalawa akadali osadziwika, mankhwalawa atha kukupindulitsani.

Odwala RA ambiri adzapindula pogwiritsa ntchito kutentha ndi kuzizira kuti athandize kupumula minofu, kuchepetsa kutupa kwamafundo, komanso kupweteka pang'ono. Njira ina yogwiritsira ntchito mapaketi otenthetsera kapena mapaketi oundana pamalumikizidwe omwe akhudzidwa panthawi yamoto.

Khalani owona mtima ndi ena

RA yanu ikakhala pakatikati, mutha kumva kuti simungakwanitse kukwaniritsa zomwe mwadzipereka, ntchito yanu, ndi mapulani anu. Lankhulani zomwe mukukumana ndi anzanu, abale anu, ndi anzanu. Kuyankhulana momasuka kumawathandiza kumvetsetsa zomwe mukukumana nazo komanso kumakuthandizani kupeza anthu omwe angakhale ofunitsitsa kukuthandizani pamene zizindikiro zanu zimakhala zovuta kwambiri.

Musaope kuvomereza pamene simungathe kuchita kanthu. Kupanikizika thupi lanu kuposa momwe lingathetsere kutha kukulitsa kuyatsa kwanu.

Onani pa RA yanu

Wothandizira zaumoyo wanu adzafuna kukuyang'anirani ngati muli ndi zizindikiro za matenda. Kuwunika kungaphatikizepo kuyesa magazi nthawi zonse kuwunika ngati ali ndi zotupa. Akhozanso kufunsa mayeso amthupi nthawi zonse. Mayesowa amawathandiza kuwunika momwe thupi lanu likugwiritsira ntchito mankhwala omwe mukumwa, momwe RA ikukhudzira mafundo anu ndi mayendedwe anu, komanso momwe mumayankhira kuchipatala chanu. Kufufuzaku kumapereka ziwonetsero zomwe dokotala angagwiritse ntchito kuti awone momwe RA ikukhudzira thupi lanu.

Gwirani pa RA flares

Simuyenera kuvutika kudzera mu RA mukungokhala chete. Lankhulani ndi dokotala wanu zomwe mukukumana nazo komanso momwe thupi lanu likuyankhira kuchipatala. Fufuzani njira zothandizira thupi lanu kuthana ndi zovuta zina zomwe zimayambitsidwa ndi moto. Njira zothanirana ndi matendawa zingaphatikizepo mankhwala azachipatala kapena njira zina zochiritsira. Mankhwalawa atha kuthandiza thupi lanu kuthana ndi zovuta zina zomwe zimadza chifukwa cha kuwotcha. Dongosolo la munthu aliyense lidzakhala losiyana. Mothandizidwa ndi dokotala wanu, mutha kupeza mapulani omwe angakuthandizeni.