Kuwana rubatsiro uye zvidzidzo Unoda
Rheumatoid arthritis haisi kungova nechirwere chezvibatanidzwa. Ichi chiitiko chinoshandura hupenyu chinogona kukanda nyika yako mumatare. Kana uchitarisana nemanzwiro aya, chinhu chekutanga kukuyeuchidza ndechokuti hapana maitiro akaiswa uye kuti zviito zvaunotora iko zvino zvinogona kuita kusiyana kwakanyanya mumabatiro aunoita nawo-uye kukunda-matambudziko ekurarama nehosha.
Kuwana rubatsiro
Mushure mokunge uchinzwa kuti une rheumatoid arthritis, nyanzvi yako yekutanga ingangodaro kuvhara pasi pevhavha uye kuvanza. Uye, zvakanaka. Kuisa musoro wako chimwe chinhu kune izvi zvinogona kutora nguva nekuwana nzvimbo yakanyarara yekufunga inogona kuva kutanga kwakanaka.
Asi, kana iwe ukabuda kubva pasi pezvivharo, chinhu chekutanga chaunofanira kuita ndechokuwana rubatsiro. Izvi zvinosanganisira kutsigirwa kwebasa, rubatsiro rwemari, uye kutsigirwa mupfungwa.
Basa Rinotsigira
Basa rinotsigirwa ndiro iro rinokubatsira kuburikidza nechikamu chimwe nechimwe chekurapa kwako kufambira mberi. Chinangwa ndechekuvaka boka revashandi vehutano uyo waunogona kutaurirana semunhu anoshingaira muhupenyu iwe pachako. Dzinogona kusanganisira:
- Chiremba wako mukuru wekuchengeta (PCP) uyo anotarisira hutano hwako hukuru uye anorongedza vadzidzisi vezvehutano
- A rheumatologist anonyanya kugadzirisa zvirwere zvemasukloskeletal uye zvirwere zvekudzivirira muviri zvakadai se rheumatoid arthritis
- Muongorori wepanyama uyo angakubatsira kuti uwanezve simba rako, kufamba, uye kufamba kwekufamba
- Muongorori wemabasa anokwanisa kukupa matanho, mazano, uye "workarounds" kukunda zvipingamupinyi zvenyama muupenyu hwezuva nezuva
- Muongorori wepfungwa kana chiremba wepfungwa anogona kukubatsira zviri nani kubata nekudzvinyirira, kuzvidya mwoyo, uye kuora mwoyo kwekurarama nehosha
- Mumwe mushandi wepamagariro evanhu anokwanisa kukubatsira kufamba nenzira yehutano
Kuti uwane rubatsiro rwekudzidzisa, haungagoni kuita zviri nani pane kutendeukira kune zvinyorwa zveIndaneti zveArthritis Foundation. Rudo rweTuscon-based runopa mabhuku akazara ezvinyorwa-nyore-kunzwisisa, sayansi-based articles inobatanidza zvinhu zvose kubva kumishonga uye kudya kune hukama nehutano hwekutarisira.
Kuti utsigire hupenyu, ruzivo, kana kutumirwa, danai Arthritis Foundation ye 24- hourline yepaawa pa 1-844-571-HELP (4357) .
Financial Support
Rheumatoid arthritis inogona kuva inodhura, kunyanya kana iwe wakanga uri mukurapa kwekanguva uye unoda mitsva yechizvarwa chechiologic kana JAK inhibitors . Kunyange kana iwe uine inshuwalhu yehutano, deductible uye copay inodhura iyo inogona kuve yakawanda.
Kuzvidzivirira zvimwe zvezvinhu zvakakura zvekurapa, kune hurongwa hwekubatsira mari uye huripo kuvanhu vose vasina kuvimbiswa kana avo vane inshuwarisi vane nguva yakaoma yekufukidza zvinodhaka. Kuti uwane aya mapurogiramu, kune maviri masangano asiri ehurumende unotendeukira kune:
- Kubatana kweKubatsira kwaPecription iyo isangano risina purogiramu rinogona kukubatsira kuwana rusununguko kana kuti rinenge risina rusununguko rheumatoid arthritis mishonga kana iwe usina uninsured, uchitsigirwa, kana kuti mune zvekubhadhara mari. Kubvumirwa kunowanzoenderana nemari yegore negore zvishoma kudarika kashanu Hurumende yeUrombo (FPL) yevanhu, vaviri, kana mhuri.
- Murwere Mutevedzeri Foundation Co-Pay Relief ndeimwe sangano rinokubatsira rinogona kukubatsira kuwana rubatsiro rwekubhadhara. Rubatsiro runopiwa nemishonga yose yakakura. Mvumo yakanyanya kudarika uye inongodzinga avo avo vane mishonga yakafukidzwa neMedare, Medicaid, uye mamwe madiki ekubhadhara mari. Kukodzera kunowanzosimbiswa pane mari.
Kutsigira Mupfungwa
Izvozvo zvinokonzerwa nehutatoid arthritis zvinogona kuva zvese zvakanyanyisa sezvinoitwa panyama. Kunyanya paunotanga kurapwa, kunogona kuve nekukwirira uye pasi apo iwe ungave wakaoma kubata nawo.
Nei vachitambura mukunyarara?
Kuudza munhu waunoda zvauri kuitika hakusi "kunyunyuta." Inobatsira kuti vanzwisise zvauri kutarisana nazvo uye usvinudze meso avo kune zvaunoda uye zvinetso. Izvo chete nokugovana iwe unobvumira vamwe kukubatsira.
Inobatsirawo kuti usvike kune vamwe vane hutachiona hwehutukutu. Masangano ekutsigira ndiwo nzvimbo dzakakwirira dzekuwana nyaradzo, kutsvaga mazano, uye kubatana nevamwe vanoziva chaizvo zvauri kuitika. Kana iwe usingagoni kuwana boka pedyo newe, taura neArthritis Foundation kuti ikubatanidze iwe kune inotsigirwa network munzvimbo yako. Vanogona kukupa iwe kurovedzwa kutanga nhengo yehutano hwako.
Dzimwe sarudzo dzinotsigira dzinosanganisira:
- Kubatanidza ku rheumatoid arthritis support group pa FaceBook
- Kutanga boka rekutsigira rega rako paMateup
- Kutsvaga rubatsiro rweboka rekutsigira pane zvisingabatsiri website yeCreakyJoints (kana kuronga boka rako rekutsigira)
Kune rumwe rutivi, kana manzwiro ekuora mwoyo kana kushungurudzika kuchiripo pasinei nekusigirwa, bvunza chiremba wako kuti atumire kune mumwe chiremba wepfungwa kana chirwere chepfungwa chinowanikwa mune zvirwere zvisingaperi
Lifestyle Changes
Zvimwe zviviri zvinokonzerwa nehutachiona hunokonzerwa nehutamuid arthritis ndekuwedzeredza uye kusvuta. Kuti kuderedze njodzi idzi, unofanirwa kusanganisira kuora muviri, kuraira muviri, uye kubvisa kusvuta chikamu cherongwa hwekurapa kwako.
Zvokudya Zvinangwa
Kunyange zvazvo pasina rheumatoid arthritis "kudya" kwega, pane mitemo yakawanda inogona kukutungamirira mukuedza kwako kuderedza uremu uye kudzora rheumatoid arthritis zviratidzo :
- Tanga nezvokudya zvakanyatsogadziriswa umo zvikamu zviviri kubva muzvitatu zvekudya kwako zvinobva kunezvibereko, miriwo, uye zviyo zvose, asi imwe yechitatu inouya nemidziyo yakakodzwa yakawanda yemafuta uye yakasimba yemaprotheni.
- Edza kuisa hove dzakawanda dzehove dzinotonhorera muzvokudya zvako (zvakadai se tuna, salmon, mackerel, trout, uye herring) iyo inowanikwa mune anti-inflammatory omega-3 fatty acids . Kana iwe uchida kutora mafuta ehove kuwedzera , usazvinyanyisa sezvo inogona kupindira mune zvimwe zvinodhaka, kusanganisira kuwedzerwa kwemishonga yeropa.
- Mamwe mairi maorivhi amaorivhi ane chizivo chinonzi oleocanthal chinovhara simbi inokonzera kuvhiringidzika se-nonsteroidal painkillers.
- Idya yakakura-yepamusoro uye kudya kwezuva rimwe pakati pemagiramu 25 ne30 inozivikanwa kuderedza mazinga eC-reactive protein (CRP) muropa rako. Ichi ndicho chimwe chezvikamu zviviri zvakakosha zvatinoshandisa kuyera kupisa mu rheumatoid arthritis ropa.
Paunotangisa kutanga, funga musangano nemunhu anokwanisa kudya zvinovaka muviri anogona kukubatsira kuti ugadzirise zvinangwa zvekuderedza zvinorema. Kukurumidza kuora kurasikirwa kunogona kukonzera kushushikana kwemagetsi kunogona kuwedzera mungozi ye rheumatoid arthritis flare . Zvinononoka uye zvakasimba nguva dzose ndiyo nzira yakanakisisa.
Dzidzira
Iwe unogona kukwanisa kushaya kurasikirwa kwemazivi pazvokudya uri woga asi hazvizogoni kuichengeta pasina chiito chekuita . Chero chipi nechipi chetachiona chechirwere chako, kurovedza muviri kunobatsira zvikuru, kukurudzira kuwirirana kushanduka uye huwandu hwekufamba asi uchidzikisa ngozi yekudzoka zvakare. Sezvokudya, nzira yakarongeka ichakuitira zvakanyanya kunaka pane kusungirira zvakaoma uye kukurudzira kuputika.
Maererano neAmerican College yeRheumatology, pane zvinangwa zvakawanda zvaunofanira kuzvigadzirira paunotanga chirongwa chekufambisa:
- Basa rakanaka-rakasimba aerobic basa rinofanira kuitwa vhiki imwe neimwe kwemazana emaminitsi 150 akapararira kwemazuva mashoma. Kushambira nekufamba ndezemienzaniso yezvinhu zvisingabatsiri izvo zvinogona kushandira cardio yako pasina kunyanya kuisa majoini ako.
- Kutora maitiro kunofanira kuitwa kwemazuva matatu kusvika mashanu pavhiki, kubata imwe neimwe kutora kwemaminitsi 15 kusvika ku30.
- Simba rinokurudzirwa rinofanira kuitwa zviviri kusvika katatu pavhiki uye rinosanganisira mashure masere kusvika gumi ekudzokorora kwemasere kusvika ku10 kuburikidza nekushanda. Vanhu vakwegura vangada kuita 10 kusvika ku15 kudzokorora nezviremu zvishoma.
- Range-of--ma-kutenderera inogona kunge inogona kuitwa mairi kusvika kune gumi mangwanani kuitira kuti majoi acho afambe kana mashanu kusvika 10 usiku usiku asati avata. Iwe unogona kunge uchibatanidza gorofu rakanyorova rottor , muromo , uye mabvi anotambanudza sechikamu chemuitiro wako.
Muongorori wako wepanyama anogona kukupa chirongwa chakakwana chebasa rekushanda chakakodzera kuzera rako nemamiriro.
Kusvuta Kupedza
Kurega fodya hakusi nyore asi chinhu chimwe chaunofanira kuita kana uri kutambura zvirwere zvehutu zvirwere. Sezvo mutemo, kusanganiswa kwekupa mazano uye kubatsira kusvuta kuchakupa mukana wakanakisisa wekubudirira pane kuenda kunotonhorera. Mukuwedzera kune-over-the-counter nicotine patches, gum, uye lozenges, US Food and Drug Administration yakagamuchira madhiragi mana emishonga anokwanisa kukubatsira iwe mukutsvaga kwako:
- Nicotine inhalers
- Nicotine namasipirasi
- Zyban (bupropion)
- Chantix (varenicline)
Kusvuta kupedza kurapwa kunofukidzwa neMedicaid, Medicare, uye yakawanda yega purogiramu inshuwarisi. Kana iwe uchida rubatsiro, sidza America Cancer Society pa 1-800-227-2345 kuti ubatane nefoni inorega kurega ndiyo nyika yako. Vanogonawo kukubatanidza iwe neboka rinotsigira munharaunda yako.
Mazano anobatsira
Usarega rheumatoid arthritis imire munzira yako yekurarama hupenyu hunogutsa. Dzimwe nguva zvese zvinotora zvigadzirisho zvishomanana zvekukunda matambudziko emumuviri uye nemanzwiro aungatarisana nawo. Heano mazano mashomanana anogona kubatsira:
- Rongazve mashefuti ako. Kana uine dambudziko rekukwira kumusoro kana kupfugama pasi, isa zvinhu izvo zvaunoshandisa zvakanyanya pavharasi rezasi rebhadhiro kana muhodhi yepamusoro. Usazvidzivirira kune "mitemo." Hapana chikonzero nei iwe uchigona kuendesa zvinhu kubva pasi pemvura kune rimwe rafu rinogona kuwanikwa kana richiponesa muviri wako kushungurudzika.
- Shandura nzvimbo nguva zhinji. Paunenge uchinyora, kusunungura kubata kwako kwemaminitsi gumi kana kupfuura kuitira kuti ruoko rwako rurege kusimbiswa. Paunenge uchiona terevhizheni kana kushanda pafoni yako, simuka nguva dzose kuti utanhire makumbo ako.
- Tsvaga zvidzidzo zvaungashandisa. Kune midziyo yakawanda uye zvishandiso zvinowanikwa nhasi izvo zvakaitwa kuvanhu vane arthritis. Iko kunokonzerwa nemakisi ekiki anoita basa rose rejena rako uye rinorwisa-vibration rinokubvumira kubata mashizha pasina marwadzo. Ongorora teknolojia yekombiyuta ine majekiti anochengetedzwa nezwi anokubvumira kuenda nemaoko asingabhadhari.
- Chengetedza simba. Kuenzanisa nguva dzezororo uye basa kana iwe uri kubasa rekutamba. Rongedza zuva rako pachine nguva kuitira kuti iwe unogona kumhanya-shanduka kana kuenda kumisangano apo une simba guru uye uwane nguva yakanyarara pakati pakudzosera.
- Shandisai kupisa kuti mubatanidze kuoma kwekubatana. Panzvimbo pokusvika kumapiritsi, tsvaga dzimwe nzira dzekuzvifambisa mangwanani. Utsi hunowedzera kupararira kweropa uye hunoita kuti tisiye. Mune magetsi kana kuti microwaveable kupisa pad rinowanzobatsira kukurira chero upi noupi hwekuoma kwaungave uri kuitika.
- Shandisa zvinotonhora kuporesa kurwisa kwakaoma. Cold inoderedza kuzvidzora paunenge uchivhara marwadzo. Kana ukashandisa gorosi, usaisa chidimbu chechando pane ganda rako kana kuti usiye panzvimbo imwe kwemaminitsi gumi nemashanu. Kuita izvi kunogona kutungamirira kune frostbite .
- Ongorora pfungwa-muviri kurapwa. Pfungwa-muviri kurapwa inoziva kuti mafungiro edu nemafungiro edu zvinokanganisa zvose zvatinoita pakurwadziwa uye mamiriro edu ose ehupenyu. Imwe yenyanzvi dzinowanzoshandiswa kutsigira rheumatoid arthritis therapy inosanganisira kufungisisa , mifananidzo yakatungamirirwa, biofeedback , kufambira mberi kwemasimba ekuzorodza (PMR), nekufema zvakanyanya muviri (pranayama).
> Sources:
> National Centre yeKubatsira uye Mimwe Mishonga. "Nyaya Yokutsvakurudza: Rheumatoid Arthritis uye Inowedzera uye Mimwe Mishonga Mishonga." Bethesda, Maryland; yakarongedzwa naMay 4, 2016.
> Singh, J .; Saag, K .; Mabhiriji, L. et al. "2015 American College of Rheumatology Guideline for the Treatment of Rheumatoid Arthritis." Arthritis Care Res. 2016: 68 (1); 1-25. DOI: 10.1002 / acr.22783 .
> Sugiyama, D .; Nishimura, K .; Tamaki, K. et al. "Kukanganisa kwekuputa semugove wekutengesa rheumatoid arthritis: meta-kuongorora kwekuongorora zvidzidzo. " Anals Rheum Dis. 2010; 69 (1): 70-81. DOI: 10.1136 / ard.2008.096487.