Kurarama Neviri Isingarapiki Mamiriro ezvinhu
Rheumatoid arthritis (RA) uye fibromyalgia (FMS) imamiriro ezvinhu anorwadza asingagumi anowanzoenda pamwechete. Kunyange zvazvo vakasiyana chaizvo, zviratidzo zvavo zvinogona kunge zvakafanana zvakafanana, zvichiita kuti kuongororwa kunetseke. Paunenge uine zvose zviri zviviri, zvinowedzera.
Vakadzi vane mikana yekuwana imwe yezvirwere izvi, asi varume vazhinji vanozviwana zvakare. Zvose RA uye FMS zvinogona kutora chero ipi zvayo.
Muvanhu vane mavari maviri, chidzidzo che 2017 chinotungamirirwa na MS El-Rabbat chinoratidza kuti FMS haisi iyo inonyanya kuwanikwa muR RA, inobatsira zvikuru pamararamiro ehupenyu. Kuwana ikoko kunotsigirwa neimwe yakabudiswa mugore rimwechete muRheumatology uye Therapy yakawana kuti FMS yakave nemigumisiro yakakura pakuongorora kwenyika kudarika chero ipi zvayo yakakosha.
Kukanganiswa kweFMS & RA
Mamiriro maviri aya ane zvimwe zvinopesana kana zvichiitika kune zviri kuitika mumuviri wako, kuti vanofambira sei, uye kuti vanobatwa sei.
Zvichida mutsauko unozivikanwa zvikuru ndeyekuti RA inokonzera kukuvadza uye kuora muzvikamu zvako. FMS haisati yakabatanidzwa kune humwe hutano hwakakonzerwa, kuora, kana kuora.
RA chirwere chinotapira muviri , izvo zvinoreva kuti muviri wako wekuzvidzivirira unorwisa zvirwere zvine utano zvakashata sokunge kuti ivo vasiri vokunze, sevirwere. FMS haisati yasarudzwa se autoimmune, kunyange zvazvo tsvakurudzo inoratidza kuti mamwe mamiriro ezvinhu angasanganisira autoimmunity.
Nzira yeR RA haisati yazivikanwa, asi mushure memazana emakore, vanenge gumi kubva muzana yevanhu vane nayo vanove vakaremara zvikuru uye vane nguva yakaoma pamwe nemabasa ekutanga. Zvakajairika kuti vanhu vatende kuti mumwe munhu ane RA achapedza ari muwiricheya, asi iyi inhema. Nekurapa kwakakodzera, izvi ndezvisinganzwisisiki kupfuura zvaungatarisira.
FMS hainawo kutarisirwa. Nyanzvi dzinotaura kuti nechetatu chevanhu vane nayo ichawana zvakanyanyisa kupfuura kwenguva, inenge chetatu ichawana zvakanyanya zviri nani, uye nechetatu chekuona haichazoshanduri kukuru mukurwara kwechiratidzo. Kusvika ikozvino, hatizivi kuti chii chinokonzera chirwere chacho.
Mamwe mamiriro eRA akawedzera kuremurwa umo zviratidzo zvinopera kwemakore akawanda. Vamwe vane mirara (apo zviratidzo zvakanyanya kuoma) uye kukanganiswa (nguva dzechiedza chechiedza). Ruzhinji, zvisinei, rune chimiro chisingagumi, chinopfuurira cheR RA.
FMS inowanzobatanidza marara uye kukonzera zvakare, asi dzimwe nguva zvinosanganisira zvishoma kana zvishoma kusinganzwisisi zviratidzo. Nguva yakareba yakagadziriswa ishoma asi inogoneka.
RA inogona kukanganisa nhengo chero ipi zvayo uye kunyange nhengo dzako, asi inowanzowanzobatanidza zviduku zvamaoko nemaoko. Utano hweFMS hunogona kuitika chero kupi zvako, asi hunova hwakawanda kupfuura mumupfu kupfuura mumagumo.
Chikonzero nei Vakabatana
Vatsvakurudzi havazivi chinokonzera mamiriro ezvinhu, saka hatisati tanyatsonzwisisa nei FMS neRa vachienda pamwe chete kazhinji.
Zvidzidzo zvinoratidza, zvisinei, kuti vanhu vane RA vane mikana yekukudziridza FMS, asi vanhu vane FMS havakwanisi kupfuura chero ani zvake kuti akure RA. Mamwe masayendisiti anotenda kuti kurwadziwa kusingaperi, kubva kuR RA kana zvimwe zvinhu, zvinogona kutungamirira kuFMS kuburikidza nekukonzera kuchinja nenzira iyo manzwiro edu emanzwi anoona nekuita marwadzo.
Chidzidzo che 2017 chakabudiswa muArthritis Care & Research chakaratidza kuti vanhu vane RA vanogona kukudziridza hukuru hwehutambudzo hwekurwadziwa, iyo inonzi inozivikanwa yeFMS. Icho chinotaura kune imwe nguva inogona kufanana muhutano hwehutano iyo inogona kubatsira kutsanangura inogara ichiitika.
Pasinei nokuti iwe unei mamiriro ezvinhu ose, marwadzo eR anogona kukurudzira FMS kutsvaira uye kuita kuti zviratidzo zvako zvive nyore kuronga, uye FMS inowedzera marwadzo eR.
Kuwana Kuongororwa
Rimwe ruzivo rweropa runonzi anti-CCP antibody test rinowanzosiyanisa RA kubva kune mamwe maitiro eArthritis. Chiremba wako anogonawo kuronga zvimwe zviedzo zvakasiyana-siyana kuti aratidze kuongororwa uye kubatsira kubatsira kuwana chirwere chekuti chirwere chinogona kufambira mberi sei.
FMS inoratidzirwa nevekunyatsotarisa -kuongorora kana zvikamu pane zvakagadziriswa kuongororwa, pamwe nekuedzwa kuti ione zvimwe zvinokonzera zviratidzo.
Zviratidzo
Zviratidzo zveRA neFMS zvinogona kunge zvakafanana. Izvo zvose dzinosanganisira:
- joint pain
- chienzanidzo (marwadzo munzvimbo imwechete kumativi ose maviri)
- kuneta uye kurasikirwa kwesimba
- kuora mwoyo
RA zvakare inogona kukonzera zviratidzo zvisingabatanidzwi neFMS, zvakadai se:
- kubatana kwekudzivirira, nekudziya kwakapoteredzwa pamwe
- kurasikirwa nechido
- joint deformity
- kunokwana huwandu hwekufamba
FMS inosanganisira zviratidzo zvakawanda zvisingabatanidzwi neR RA, kusanganisira:
- kusanganisa kusagadzikana
- kunzwisiswa kuedza, ruzha , uye kunhuwira
- kurwadziwa kunotenderera muviri
- asingabatsiri kurara
Kana iwe uine chirwere chimwe chezviitiko izvi asi une zviratidzo zvinogona kuratidzira imwe, iva nechokwadi chekuunza naro nachiremba wako.
Mishonga
Mishonga yakawanda inowanika mukurapa RA. Dzinosanganisira:
- marwadzo anowanzofanana, akafanana neTylenol (acetaminophen)
- kwete-steroidal anti-inflammatories (NSAIDs) , zvakadai seMotrin / Advil (ibuprofen) uye Aleve (naproxen)
- COX-2 inhibitors , dzakadai seCelebrex (celecoxib)
- glucocorticoids, kusanganisira prednisone uye methylprednisolone
- zvirwere-modifying antirheumatic drugs (DMARDs) , kusanganisira Trexall / Rheumatrex (methotrexate), Imuran (azathioprine), uye Azulfidine (sulfasalazine)
- TNF blockers , dzakadai seEnbrel (etanercept), Remicade (infliximab) uye Humira (adalimumab)
Dzimwe nguva, kuvhiyiwa kunogona kubatsira vanhu vane hutano hwakakomba.
FMS inowanzoda nzira yakasiyana-siyana, iyo inogona kusanganisira:
- chiremba mishonga
- supplement
- imwe yakagadziriswa, yakarongeka yekuita purogiramu
- kubatanidza / dzimwe nzira dzokurapa
Kana uri kutora mishonga yeR RA neFMS, iva nechokwadi chokuti utaure nachiremba wako uye wemhizimisi pamusoro pezvinobvira kushandiswa kwemishonga.
Dzimwe nyanzvi dzeFMS dzinofunga kuti corticosteroids dzimwe nguva inoshandiswa kurapa RA inogona kuita zviratidzo zveFMS zvakanyanya kuipa. Nokushanda pamwe chete nechiremba wako, unofanira kukwanisa kuwana mishonga inobata zvose zviri mumamiriro ako.
Kuti uwane mamwe maitiro ekugadzirisa nzira yakanakisisa yekurapa RA neFMS, verenga Fibromyalgia vs. Rheumatoid Arthritis Pain - Ndezvipi Zvinogadzirisa Kurapa?
Shoko kubva
Zvose RA uye FMS zvinogona kuita kuti hupenyu hwako huve hwakaoma zvikuru uye hunogadzirisa kushanda kwako. Nokuwana nekutevera kurapwa / kuronga regimen, unogona kuchengetedza mabasa ako nekuzvimirira.
Nokuti zvose zviri zviviri zvinogona kutungamirira ku kuora mwoyo uye kuparadzana, zvakakosha kuti iwe uve nehutsigiri hwehutano. Chengetedza mitsetse yekukurukurirana yakazaruka nachiremba wako uye vanhu vaunoswedera pedyo, uye tora rubatsiro rwekutanga kana iwe uchifunga kuti uri kuora mwoyo. Mapoka ekutsigira -ari paIndaneti uye munharaunda yako-angava rubatsiro rukuru kwauri, zvakare.
Sources:
American College of Rheumatology. "Rheumatoid Arthritis"
Challa DNV, Crowson CS, Davis M 3rd. Muongorori wehutano hwehutachiona hwehutachiwana hwehutachiwana arthritis: kujekesa kwechikonzero chezvinhu zvakasara. Rheumatology uye therapy. 2017 Jun; 4 (1): 201-208. doi: 10.1007 / s40744-017-0063-5.
El-Rabbat MS, Mahmoud NK, Gheita TA. Chiremba chinorehwa ne fibromyalgia syndrome mune zvirwere zvakasiyana-siyana zverheumatic; hukama nehutano hwemabasa uye hupenyu hwehupenyu. Reumatologia clinica. 2017 Apr 11. pii: S1699-258X (17) 30048-7. doi: 10.1016 / j.reuma.2017.02.008.
Lee YC, Bingham CO 3, Edwards RR, et al. Kunzwisiswa kwepfungwa kunobatanidza nehutachiwana hwehutachiona muhutachi hutachiona hwevarwere; chidzidzo chemuchinjikwa. Arthritis care & research. 2017 Apr 24. chii: 10.1002 / acr.23266.
The Johns Hopkins Arthritis Center. "Rheumatoid Arthritis Clinical Presentation"