Zachidule za Chifuwa cha Matenda a Nyamakazi
Matenda a kutupa nyamakazi ndi matenda aakulu opweteka omwe amakhudza zambiri kuposa ziwalo zanu. Mosiyana ndi mafupa a osteoarthritis, omwe amayamba chifukwa chokhala ndi ubweya wamagazi wa nthawi yaitali, matenda a nyamakazi ndi matenda omwe amachititsa kuti chitetezo cha mthupi chiteteze matupi ndi maselo awo, kuphatikizapo ziwalo, khungu, maso, mtima, mapapo, ndi misempha.
Pakapita nthawi, kutupa kosalekeza kungayambitse kuperewera kwa kuyenda, kupweteka, ndi kufooka.
Ngakhale asayansi asanalandire mankhwala a nyamakazi ya nyamakazi, physiotherapy ndi mankhwala atsopano a biologic akupereka chithandizo kwa anthu okwana 1.5 miliyoni a ku America omwe akudwala matendawa.
Zizindikiro
Matenda a nyamakazi amakhudza kwambiri ziwalo. Chitsanzo ndi zizindikiro za matendawa zimasiyana mosiyana ndi munthu wina. Kwa ena, zizindikirozo zidzachitika modzidzimutsa ndi zoopsa. Kwa ena, zizindikiro zimatha kuyamba pang'onopang'ono, kawirikawiri zimayamba ndi kupweteka kovuta kapena kuuma mu ziwalo zing'onozing'ono, makamaka zala zala kapena zala, zisanakhale zoipiraipira.
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Patapita nthawi, ziwalo zina zingakhudzidwe. Chitsanzo chokhudzidwa chimakhala chofanana, kutanthauza kuti zizindikiro zomwe zimachitika kumbali imodzi ya thupi zidzasinthidwa mbali inayo.
Zizindikiro ndi zizindikiro za matenda a nyamakazi zimakhala:
- Chisoni, kutentha, kutupa, ndi ululu
- Kutopa, kutentha thupi kwambiri, ndi kulemera
- Kuuma kwa m'mawa kumatha pafupi ola limodzi
Pamene matendawa akupita, timagulu ting'onoting'ono tingagwirizane palimodzi. Kutuluka kwa karoti, mitsempha, ndi fupa kumatha kumapangitsa kuti mgwirizanowo uwonongeke kwathunthu ndi mawonekedwe ake, zomwe zimapangitsa kuvulaza kwakukulu komanso nthawi zina mosagwirizana.
Zina Zogwidwa
Kutupa komwe kumayambitsa matenda a nyamakazi kungathe kuvulaza ziwalo zina komanso kuwonetsa zizindikiro zonse zapadziko lapansi. Zowonjezereka za mavuto osagwirizanitsa ndi awa:
- Mafupa a chifuwa chowombera, zipsinjo zolimba zomwe zimapangidwa pansi pa khungu, nthawi zambiri kuzungulira zitsulo, zidendene, kapena zikopa
- Pleuritis , kutupa kwa chipinda cha m'mapapo, kupangitsa kupuma pang'ono, kupuma mofulumira, ndi chifuwa chouma
- Pericarditis , kutupa kwa nembanemba mozungulira mtima, kuchititsa kupweteka kwa chifuwa, chifuwa cholimba, ndi kutopa
- Vasculitis , kutupa kwa mitsempha ya magazi, kuchititsa kutentha, kutopa, kutaya thupi, ndi kupweteka kwa thupi
- Scleritis , kutupa kwa woyera wa diso, kuchititsa kupukuta, kuvulaza, kuwonetsa kuwala, ndi kutayika kwa masomphenya
Nthawi zambiri, ziwalo zina monga impso, chiwindi, mafupa, ndi mitsempha ya mitsempha zingakhudzidwe.
> Zizindikiro zambiri za nyamakazi ya nyamakazi mu dzanja.
Zimayambitsa
Mofanana ndi matenda ena osadziwika , chifukwa chenicheni cha nyamakazi ya nyamakazi sichidziwika.
Poyankhula mwachidule, amayi amakhala ndi mwayi wokwanira katatu kuposa matendawa. Chiopsezo chimayamba kuwonjezeka ndi msinkhu, pomwe chiyambi cha zizindikiro kawirikawiri chikuchitika pakati pa zaka 40 ndi 60.
Genetics ikuwoneka kuti ikuthandiza kwambiri pa chitukuko cha matendawa, omwe amawerengera pakati pa 40 peresenti ndi 65 peresenti ya milandu yonse, malinga ndi kafukufuku wa 2017 wofalitsidwa ku The Lancet. Ngakhale kuti njira zeniyeni zisanadziwike, anthu omwe ali ndi matenda omwe amadzimadzimadzimadzi amakhulupirira kuti ali ndi kusintha kapena kusinthika kwa chibadwa komwe kumasintha njira yomwe chitetezo cha mthupi chimadziwira ndi kuyambitsa matenda opatsirana.
Mmene thupi limatetezera , chitetezo cha mthupi chimatulutsa maselo ake kuchokera kwa anthu omwe amatha kupha anzawo monga mavairasi ndi mabakiteriya. Ndi nyamakazi ya nyamakazi, kusintha kwina kwa HLA kungaphunzitse thupi mosavuta kuti liukire maselo ake. Chimodzi mwazofala kwambiri ndi kusintha kwadzidzidzi komwe kumatchedwa HLA-DR4 .
Osadandaula, nyamakazi ya nyamakazi imayamba kuthamanga m'banja.
Ndipotu, kukhala ndi mbiri ya banja lachilomboko kungakulepheretseni ngozi yanu pafupifupi 300 peresenti.
Zinthu zina, monga kunenepa kwambiri ndi kusuta, zingathandizenso. Kunenepa kwambiri sikungowonjezera kupanikizika pa ziwalo zokhudzidwa, kuwonjezeka kwa maselo a mafuta kumayambitsa zowononga kwambiri. Kusuta , komabe, kungapangitse chiopsezo cha matenda opatsirana ndi pafupifupi 300 peresenti, makamaka mwa azungu omwe amakhala nthawi yaitali, osuta kwambiri,
Kudziwa
Palibe kafukufuku umodzi kapena X-ray yomwe ingathe kupeza nyamakazi ya nyamakazi. Kuti adziwe matendawa, adokotala ayenera kuwonanso mbiri yakale ya zamankhwala, kukayezetsa thupi, ndikukonza mayesero osiyanasiyana a labati ndi mafano.
Mayesero a labu omwe amagwiritsidwa ntchito ndi awa:
- Chifuwa chachikulu (RF) , kachilomboka kamene kamapezeka 80 peresenti ya anthu omwe ali ndi matendawa
- Mlingo wa Erythrocyte sedimentation (ESR) , womwe umatengera kutupa thupi
- Puloteni wodalirika wa CR (CRP) , chinthu chomwe chimapangidwa ndi chiwindi chomwe ndi chizindikiro cha kutupa
- Peptide ya anti-cyclic citrullinated (anti-CCP) , yomwe imayang'ana wodwala wina yemwe amapezeka mwa anthu omwe ali ndi nyamakazi ya nyamakazi
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Mungakhale ndi Pulogalamu Yopanda Kugonana Ngati Muli ndi Matenda a Matenda a Chifuwa
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X-ray ndi maginito maginito (MRI) angagwiritsidwe ntchito nthawi yonse ya matendawa kuti aone momwe matendawa akuyendera komanso kuyang'ana momwe ntchitoyo ikuyendera.
Chithandizo
Ngakhale palibe mankhwala a nyamakazi, nyamayi yatsopano yatsopano imapatsa chiyembekezo kwa iwo amene alephera kupeza chithandizo ndi kupweteka kwachibadwa ndi steroid. Chithandizo masiku ano chimaphatikizapo kuphatikiza mitundu ya mankhwala.
Mwa iwo:
- Mankhwala otsutsana ndi kutupa (nonsteroidal anti-inflammatory drugs (NSAIDs) monga Advil (ibuprofen) ndi Aleve (naproxen) amathandiza kuchepetsa ululu ndi kutupa kwa nyamakazi ya nyamakazi yofatsa. Zida zolimba zimapezeka ndi mankhwala. Zotsatira zake zimaphatikizapo kukwiya m'mimba, kuthamanga kwa magazi, kumveka m'makutu, zilonda za m'mimba, ndi chiwindi cha chiwindi.
- Mankhwala a corticosteroid , monga prednisone , angapereke chithandizo chafupikitsa cha ululu ndi kutupa pamene akuchepetsanso kuwonongeka kwa mgwirizano. Zotsatira zake zingaphatikizepo matenda otupa thupi, kupweteka kwa kulemera, kupweteka kosavuta, cataracts, glaucoma, ndi shuga.
- Mankhwala oletsa matenda a antirheumatic (DMARDs) amagwira ntchito poyendetsa chitetezo cha mthupi komanso kuchepetsa kukula kwa matendawa. Ma DMARD ambiri amagwiritsa ntchito methotrexate , Arava (leflunomide), Azulfidine (sulfasalazine), ndi Plaquenil (hydroxychloroquine). Zotsatira zake zingaphatikizepo chiopsezo chowonjezeka cha matenda ndi chiwindi cha chiwindi.
- Mapulogalamu a kusintha kwa zamoyo ndi malasi atsopano a DMARD omwe amagwiritsidwa ntchito mophatikiza ndi methotrexate. Zina mwazo zikuphatikizapo Cimzia (certolizumab), Enbrel (etanercept), Humira (adalimumab), Orencia (abatacept), ndi Remicade (infliximab). Mosiyana ndi DMARD za m'badwo wakale, zamoyo zomwe zimagwiritsidwa ntchito poyambitsa chitetezo cha mthupi m'malo mwa chitetezo cha m'thupi. Zotsatirapo zimaphatikizapo chiopsezo chowonjezeka cha matenda.
Physiotherapy ndi gawo lalikulu la mankhwala a nyamakazi ndipo amatha kugwiritsa ntchito kutentha, ayezi, kuyendetsa magetsi, ultrasound, machitidwe othamanga, komanso zochita zolimbitsa thupi. Thandizo la ntchito lingathandizenso ngati nyamakazi imasokoneza moyo wanu wa tsiku ndi tsiku kapena ntchito yanu.
Mankhwala amodzi othandizira komanso othandizira (CAMs), monga nsomba za mafuta, borage, ndi madzulo primrose apindula kuti athandizire kuchiza matenda a nyamakazi.
Kulimbana
Chifuwa chachikulu ndi matenda opitirira moyo omwe angathe kuchepetsa umoyo wanu ndi kudzidalira ngati mutalola. Pogwiritsa ntchito njira zowonjezera kuti mukhale ndi thanzi labwino, mungathe kulimbana ndi kuthana ndi zina mwazovuta kwambiri pa matendawa.
Kuwonjezera pa mankhwala, kulemera kwa thupi ndi kuchita masewera olimbitsa thupi kungakuthandizeni kuti musinthe maulendo anu komanso muthe kuyenda bwino. Ngakhale mutakhala kale ndi vutoli, zochitika zochepa zofanana ndi kuyenda, kusambira, njinga, yoga, ndi tai zikhoza kusuntha ziwalo popanda kusunthira molakwika pamatenda.
Mofananamo, mankhwala amalingaliro amatha kukhala othandiza kuthana ndi ululu, kutopa , ndi nkhawa zomwe nthawi zambiri zimayambitsa matenda. Zosankha zikuphatikizapo kusinkhasinkha, biofeedback, kupuma kupuma, ndi zithunzi zothandizidwa. Poyang'anira bwino momwe mumamvera pamayesero anu, simungangokhala ndi mtendere wokhazikika koma mutha kupweteka kwambiri.
Mawu Ochokera
Matenda a nyamakazi amatha kukhala okhaokha kwa anthu omwe akudwala kwambiri. Zingakhale zosavuta kuti mulowe muzomwe mumachita tsiku ndi tsiku, zingakulepheretseni kukhala ndi chidaliro komanso kudziwonetsa nokha ngati matenda akuthupi amayamba kuwonekera.
Musalole kuti inuyo kapena wokondedwa wanu mupite nokha. Lankhulani ndi anzanu kapena banja lanu ndi kuwauza zomwe mukukumana nazo. Anthu ambiri samangomvetsa kuti nyamakazi ya nyamakazi ndi yotani kapena mavuto omwe anthu omwe ali ndi matendawa amakumana nawo nthawi zonse. Mukamatsegula kwambiri ndikuwathandiza kumvetsa, amatha kukuthandizani kwambiri.
Zimathandizanso kufalitsa ena omwe akukhudzidwa ndi nyamakazi ya nyamakazi. Ngati simungapeze gulu lothandizira pafupi ndi inu, mukhoza kulumikizana ndi makina othandizira a m'dera mwanu kupyolera mu Tucson-based Arthritis Foundation.
> Zotsatira:
> Singh, J .; Saag, K .; Mabwalo, L. et al. "2015 College of America ya Rheumatology Guideline ya Chithandizo cha Matenda a Chifuwa Chakumwa. 2016: 68 (1); 1-25. DOI: 10.1002 / acr.22783.
> Smolen, J ;; Aletaha, D .; ndi McInnes, I. "Matenda a nyamakazi. " Lancet. 2017; 388 (10055): 2023-38. DOI: 10.1016 / So140-6736 (16) 30173-8.
> Sugiyama, D .; Nishimura, K .; Tamaki, K. et al. "Zotsatira za kusuta zimayambitsa matenda a nyamakazi: nyota yofufuza zofufuza. " Annals Rheum Dis. 2010; 69 (1): 70-81. DOI: 10.1136 / ard.2008.096487.