Kumvetsa Kuzindikira Kwako ndi Mapulani a Chithandizo
Si zachilendo kumva anthu akunena kuti "Ndili ndi nyamakazi." Kawirikawiri, iwo ali olondola, koma molondola, ali ndi mtundu wina wa nyamakazi . Pali mitundu yoposa 100 ya nyamakazi. Ambiri mwa mitundu 100 ndi matenda osowa . Mukhoza kudalira manja awiri mitundu yomwe mwinamwake munamvapo, ndi zala ziwiri zomwe zimatchulidwa kwambiri komanso zomwe zimaganiziridwa kwambiri: ( osteoarthritis ndi rhumumidemthritis ).
Zizindikiro Zomwe Zimapatsa Amgumi
Anthu omwe ali ndi zizindikiro zoyambirira, zokhudzana ndi kupweteka kwa pamphuno , kuuma kwa mgwirizano, kutupa pamodzi, kapena kuyenda kochepa kungayambe kuganiza kuti nyamakazi. Koma zizindikiro za nyamakazi, makamaka matenda oyambirira a nyamakazi , zingagwirizane ndi zina.
Ndikofunika kuti dokotala azindikire zizindikiro zanu ndikudziwitseni molondola vuto lanu. Musanayambe kugwiritsira ntchito ma-x-ray kapena kuyesedwa kwa magazi, simungadziwe ngati muli ndi vuto lopweteka kwambiri kapena matenda aakulu . Kuti mudziwe chomwe chimayambitsa zizindikiro zanu, dokotala wanu ayenera kutenga mbiri yanu yachipatala, kukayezetsa thupi , ndi kuyeretsa mayesero owonetsa. Ngakhale kuti zizindikirozo zimapereka zizindikiro, zizindikiro zokha sizimayambitsa matenda.
Kufunika Kutazindikira Mkhalidwe Wabwino
Pankhani ya zizindikiro zoyamba, anthu amadzipangira okha asanakambirane ndi dokotala. Mwina palibe chovulaza chimabwera chifukwa chodzivulaza, koma mwina palibe phindu lalikulu.
Kawirikawiri, anthu amagwiritsa ntchito njira zochiritsira zowonjezera, kuyembekezera kuti chinachake chidzasintha. Anthu ambiri amene amasankha kudzipesa amapeza kuti zizindikiro zikupitirirabe. Amazindikira kuti akupondaponda madzi, ngati sakuyipiraipira, popanda thandizo la dotolo. Ena amapitiriza kudzisamalira okha kapena kukhala ndi zizindikiro zawo, pangozi zowopsa chifukwa chochedwa kuchepetsa chithandizo choyenera.
Zomwe Zimayambitsa Matenda ndi Kuteteza Matendawa zimati ngakhale kuti anthu oposa 10 miliyoni a ku America ali ndi zizindikiro zowonongeka, ambiri samayesedwa kapena kuwachiritsidwa ndi dokotala. Mwa anthu 2.2 miliyoni omwe amakhulupirira kuti ali ndi nyamakazi ya nyamakazi ku US, oposa 700,000 sanapezepo kapena kuwachiritsidwa. Pa 1.5 miliyoni omwe adapezeka kuti ali ndi nyamakazi, amaposa 800,000 akuyang'aniridwa ndi dokotala wamkulu, osati rheumatologist ( katswiri wa matenda a nyamakazi ndi matenda a rheumatic).
Pali ziwalo zochepa zomwe zingakhalepo panthawi yoyamba kukambirana ndi dokotala. Zingakhale zosawonekera kwambiri pamene zotsatira zimachokera ku mayeso a magazi kapena X-rays. Koma dokotala wanu adzalangiza mayeso ochulukirapo mpaka atapangidwanso.
Chithandizo Chakumayambiriro, Chakudwala-Kusintha Kwambiri Kumabweretsa Zotsatira Zabwino
Mitundu ina ya nyamakazi ndi yotupa, pamene ena sali yotupa. Matenda a nyamakazi , nyamakazi ya psoriatic , ndi ankylosing spondylitis ndi zitsanzo za kutupa nyamakazi . Osteoarthritis ndi mtundu wa nyamakazi imene yaikidwa ngati yosakhala yotupa (ngakhale kuti kafukufuku watsopano wanena kuti pangakhale njira yotupa yomwe imakhudza osteoarthritis ).
Gulu la mankhwala lotchedwa anti-rheumatic drugs ( DMARDs ) limathandiza odwala ambiri okhala ndi matenda a nyamakazi.
Pamene DMARD imasonyezedwa, kuchiza msanga n'kofunikira. Kufufuza kwa ma ARV 14 odwala oposa 1,400 akuyambitsa kuti ntchito yoyambirira ya DMARD inali yofunikira, ndipo izi zinakhala zoona ngakhale kuti DMARD ndiyotani. Odwala omwe analandira mankhwala a DMARD oyambirira anali ndi zotsatira zabwino kuposa omwe anachedwa kumwa mankhwala - komanso mwayi wabwino wopewa kuwonongeka kwa mgwirizano.
Ochita kafukufuku akugwira ntchito pa chitukuko cha mankhwala osokoneza bongo odwala matenda osteoarthritis (DMOAD), nawonso. Panopa, palibe mankhwala osteoarthritis omwe amatha kuchepetsa matendawa. Mankhwala osokoneza bongo monga antisteroidal anti-inflammatory drugs (NSAIDs) ndi mankhwala opweteka kwambiri amakhudza zizindikiro, osati matenda.
Pokhapokha ngati pali ziwalo zochepa kapena zochepa chabe, jekeseni ya cortisone kapena Hyalgan ikhoza kugwiritsidwa ntchito kubweretsa kutupa pansi.
Mfundo Yofunika Kwambiri
Ndikofunika kudziwa mtundu wa nyamakazi kuti muthe kulandira chithandizo choyenera. Poyambirira, chithandizo chokwiya ndi chofunika kwambiri kuti abweretse nyamakazi ya nyamakazi ndikuchepetsa kuchepa kwa matendawa. Dokotala wanu adzakutsogolerani ku chithandizo chabwino kwambiri cha chithandizo ndi cholinga choletsa zizindikiro ndikuletsa kuwonongeka kosatha. Kaya mukuyamba ndi NSAIDs ( antisteroidal anti-inflammatory drugs ), corticosteroids , DMARD, biologics, kapena kuphatikiza - mankhwala oyambirira ndi njira yopitira.
Zotsatira:
Matenda a Nyamakazi: Matenda Oyambirira ndi Chithandizo. Masamba 77-83. John J. Cush MD, Michael E. Weinblatt MD, Arthur Kavanaugh, MD. Kusintha kwachitatu. Professional Communications Inc. Copyright 2010.
Choyamba pa Rheumatic Diseases. Mutu 2 - Kuunika kwa Wodwala. John J. Klippel. Arthritis Foundation. Gulu lachitatu.