Kurapa Kwokurapa Kushandura kuDanho rechitatu Matenda
Rheumatoid arthritis chirwere chokudzivirira muviri chinoputika umo muviri wechirwere chemuviri unorwisa shamnovial fluid iyo inobatanidza majoini. Chikonzero chayo hachizivikanwi zvachose asi chinotendwa zvakasimba kune chokuita nejeneti.
ICentral for Disease Control and Prevention estimates kuti vazhinji vanenge 1.5 mamiriyoni veAmerica vanokanganiswa nehutumatoid arthritis ine zviratidzo kubva kubva pemazuva ano uye kurwadziwa kusvika kuremara zvakakomba.
Apo zviratidzo zve rheumatoid arthritis zvakanyanya, vanachiremba vanotora chiito chinorwadza kuderedza kupisa nekudzivirira maitiro ezvirwere zvemuviri. Kana isina kusiya, rheumatoid arthritis inogona kuchinja zvinopfuura kungofamba kwako; izvo zvinokonzera kupisa zvinogona kukonzera kushungurudza kwakakomba mune dzimwe nhengo dzomuviri, zvakare.
Kuoma kwe rheumatoid arthritis kunoshandiswa nezvikamu, nechitambo chimwe chiri chiduku chakanyanya uye sendima yechina ndiyo yakanyanya.
Kuratidza Kuwedzera Rheumatoid Arthritis
Kana uchitarisisa kuoma kwerheumatoid arthritis, vanachiremba vachatarisa zviratidzo zvenyu, chiyero chekubatana kwekubatana, uye zvinokonzerwa nebasa rako rekunyama kuti zvive nani kutarisa nzira yekurapa.
Zviratidzo zvehutachiona hutachiona hunowanzobatanidza hurefu hwakanyanya hwekutambudzika, kuoma , uye / kana kuputika kwezvikamu zvakagadzirirwa. Iwe unogona kunge uine dambudziko kuita mabasa ezuva nezuva kana kuona hutachiona hwehutano hweArthritic, kunyanya avo emaoko .
Kuita kupisa kunogona kukanganisawo dzimwe nhengo, zvichiita kuti zviratidzo zve systemic zvakadai sekuneta kuneta , pericarditis (kuputika kwemuviri unopoteredza mwoyo), vasculitis (kuvhiringidza kwemidziyo yeropa), uye chiruritis (kuvhiringidza kwekamuri yemapapu).
Kuoma kwezviratidzo zvehutachiona hweArthritis zviratidzo zvinokonzera kukwanisa kwemunhu kuita uye kunogona kukanganisa kukwanisa kwemunhu kushanda.
Chidzidzo cha2008 kubva kuBoston University chakashuma kuti, kunyange nehuwandu hwakanyanya huripo hwechi biologic nemishonga, kufambira mberi kwechirwere kunobatanidza nekuwedzera kwemazuva ekugumira kwebasa vasati vava nemakore makumi matanhatu nemakumi matanhatu vari kuitika:
- 23 muzana yevanhu vakuru avo vane chirwere cherheumatoid arthritis kwemakore matatu kusvika matatu
- 35 muzana yevaya vakagara nehosha iyi kwemakore gumi
- 51 muzana yeavo vakagara nehosha iyi makore makumi maviri nemashanu
Kuongorora Kuwanda Kwemafuro Arthritis
Kunyangwe kuongororwa kwepanyama, zvidzidzo zvekufungidzira, uye miedzo yebazi ndiyo chinhu chinokosha pakugadzirisa kuoma kwemamiriro ako, saka, zvakare, ndiwo maonero ako pachako ekurwadziwa kwako nekuremara. Izvozvi, izvi zvakakosha sezvimwewo mimwe miedzo mukugadzirisa hurongwa hwako hwokurapa.
Vamwe vanhu, somuenzaniso, vanowanzoratidza kukuvara kwepanyama mishoma pane maitiro ekuongorora asi vane pfungwa huru yekuremara iyo inowanzoshandura kuwedzera kwehutachiona uye kuora mwoyo.
Kusiyana neizvi, munhu ane mukana wakawandisa anowanzova anoshanda uye anokwanisa kukunda. Kunyange zvazvo izvi zvisingarevi kubvisa zvimwe zvirwere zvinoshungurudza (kana kungoita kuti zvirwere zvishoma nezvishoma zvirambe zvichiendesa uye kudzivirira zvirwere zvinoshandiswa), zvinogona kusarudza kuti ndeapi mapepa ekuwedzera (kusanganisira kurovedza muviri kana kuti kurapa muviri ).
Kuti uongorore utano hwako hunoshanda, vanachiremba vanowanzoita maongororo ekuzviongorora, akadai seHealth Assessment Questionnaire, iyo iwe unogona kubvunzwa kuti uone mafungiro ako, urombo hwehutano, uye chiyero chekuora mwoyo.
Kana uchinge uchitarisana nedhematoid arthritis, chero ipi zvayo yehutano hwehurema, nyanzvi ye rheumatologist inogona kudiwa kutarisira kutarisira kwako. Ava vanachiremba vanonzwisisa zviri nani nezvemasimba ehutachiona huri-husingarevi uye vanogona kuongororwa nezvirwere zvemazuva ano kana kuedza.
Kurapa Kwemafupa Akaoma Arthritis
Zvikamu zve rheumatoid arthritis zvinorondedzerwa sepakutanga (danho rimwe), zvishoma (chetatu maviri), uye rakaoma (gadziriro 3).
Chikamu chechina chinoonekwa sekuguma kwechirwere chirwere apo kupisa kwemaitiro kunoguma uye mapfundo anorega kushanda zvachose.
Kudzivirira kupfuurira kubva pachigamba chechitatu kusvika kune zvina, kurapwa kuchavimba nemishonga yakasimba. Kwakaitika kare, ungangodaro wakanunurwa nekurwadziwa ne-over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) , iwe zvino unogona kutsvaga cortisone shots uye / kana kuti mapeiniti ane simba kuti aite zvakafanana.
Mukuwedzera, chiremba wako angangokuisa pane kumwe kusanganiswa kwemishonga inoshandiswa kuderedza chirwere chechirwere. Izvi zvinosanganisira:
- Disease-modifying antirheumatic drugs (DMARD) kusanganisira methotrexate, hydroxychloroquine, sulfasalazine, leflunomide, cyclophosphamide, uye azathioprine
- Biologic zvinodhaka izvo zvakakonzerwa kana kuti zvinowanikwa nekodzero yekugadzirisa mhinduro ye autoimmune
- JAK inhibitors , nhengo itsva yeDMARD, iyo inodzivisa Janus kinase (JAK) nzira dzinobatanidzwa mumuviri wekudzivirira muviri
Mune zvimwe zviitiko, kuvhiyiwa kunogona kudiwa kune nzvimbo dzakasvibiswa dzekuvhiringidza uye kudzorera kusununguka uye kutarisa kwekutenderera kumubatanidzwa akabatanidzwa.
> Sources:
> Allaire, S .; Wolfe, F .; Niu, J. et al. "Kuwanda kwemazuva ano uye chiitiko chekuremara kwebasa kunobatanidza rheumatoid arthritis muUnited States." Arthritis Rheum. 2008; 59 (4): 474-80. DOI: 10.1002 / mifananidzo.23538.
> Centres for Disease Control and Prevention. "Rheumatoid Arthritis." Atlanta, Georgia; yakagadziriswa July 17, 2017.