Kukhala ndi Matenda Awiri Osautsa
Matenda a nyamakazi (RA) ndi fibromyalgia (FMS) ndizo zowawa zomwe zimachitika palimodzi. Ngakhale kuti ali osiyana kwambiri, zizindikiro zawo zimakhala zofanana kwambiri, zomwe zimapangitsa kuti matendawa akhale ovuta. Pamene muli ndi zonsezi, zimakhala zovuta kwambiri.
Akazi ambiri amatha kupeza matendawa, komabe amuna ambiri amawatenga. Onse awiri RA ndi FMS angagwire pa msinkhu uliwonse.
Kwa anthu omwe ali ndi zonsezi, phunziro la 2017 loyendetsedwa ndi MS El-Rabbat limasonyeza kuti FMS sizimafala makamaka mu RA, imakhudza kwambiri moyo. Kufufuza kumeneku kumathandizidwa ndi wina yemwe adafalitsidwa chaka chomwechi mu Rheumatology ndi Therapy anapeza kuti FMS inakhudza kwambiri kuwonetsetsa padziko lonse kuposa chinthu china chilichonse chochepa.
Kusokoneza FMS & RA
Zinthu ziwirizi zimakhala zosiyana kwambiri pa zomwe zikuchitika m'thupi lanu, momwe zimakhalira, komanso momwe amachitira.
Kusiyana kwakukulu kwambiri ndikuti RA amachititsa kuwonongeka ndi kuwonongeka m'magulu anu. FMS siyikugwirizana ndi kuwonongeka kulikonse, kuwonongeka, kapena kuwonongeka.
RA ndi matenda okhaokha , omwe amatanthawuza kuti chitetezo cha mthupi mwanu chimasokoneza minofu yathanzi ngati kuti ndi othawa, monga kachilombo. FMS sichiwerengedwa ngati autoimmune, ngakhale kufufuza kukusonyeza kuti ena milandu angaphatikizepo autoimmunity.
Maphunziro a RA sakudziwika, koma patapita zaka zambiri, pafupifupi khumi mwa anthu omwe ali nawo ali olemala kwambiri ndipo amakhala ndi nthawi yovuta ngakhale ndizofunikira kwambiri. Zimakhala zachilendo kuti anthu akhulupirire kuti wina yemwe ali ndi RA adzatha pa njinga ya olumala, koma izi ndi nthano. Ndi chithandizo choyenera, izi ndi zochepa kwambiri kuposa momwe mungayembekezere.
FMS imadziwikiranso. Akatswiri amati pafupifupi gawo limodzi mwa atatu mwa anthu omwe ali nalo lidzakhala moyipa kwambiri pakapita nthawi, pafupifupi gawo limodzi mwa magawo atatu aliwonse adzapeza bwino kwambiri, ndipo pafupifupi gawo limodzi mwa magawo atatu alionse sadzawona kusintha kwakukulu kwa chidziwitso cha matenda. Pakalipano, sitidziwa zomwe zimakhudza matenda.
Mavuto ena a RA akhala akutuluka nthawi yaitali zomwe zizindikiro zimatha zaka zingapo. Ena ali ndi moto (pamene zizindikiro zimakhala zovuta) ndi nthawi (zizindikiro za kuwala). Ambiri, ali ndi RA, omwe amapitirirabe.
FMS nthawi zambiri imaphatikizapo ziphuphu komanso zowonongeka, koma zina zimaphatikizapo mazenera osiyana kwambiri. Kutaya kwa nthawi yaitali ndi kosavuta koma n'kotheka.
RA ingakhudzire mgwirizano uliwonse ngakhale ziwalo zanu, koma nthawi zambiri zimakhala ndi ziwalo zochepa za manja ndi mapazi. Mafupa a FMS amatha kugwira paliponse, koma amapezeka pamsana kuposa m'mphepete.
Chifukwa Chimene Amagwirizanirana
Ochita kafukufuku samadziwa chomwe chimayambitsa vutoli, kotero sitimvetsetse bwino chifukwa chake FMS ndi RA zimayendera pamodzi.
Kafukufuku akuwonetsa kuti anthu omwe ali ndi RA ali ndi mwayi wokhala ndi FMS, koma anthu omwe ali ndi FMS sangafanane ndi wina aliyense kuti akhale ndi RA. Asayansi ena amakhulupirira kuti kupweteka kosalekeza, kuchokera kwa RA kapena malo ena, kungayambitse ku FMS mwa kuchititsa kusintha kwa kayendedwe kathu kaumanjenje ndikukumana ndi ululu.
Phunziro la 2017 lofalitsidwa mu Arthritis Care & Research linapereka kuti anthu omwe ali ndi RA angathe kukhala ndi mphamvu zozizwitsa zowawa, zomwe zimadziwika ndi FMS. Izi zikusonyeza kufanana kotheka mu thupi lachilengedwe limene lingathandize kufotokozera kawirikawiri.
Ziribe kanthu chifukwa chake muli ndi zikhalidwe zonse ziwiri, ululu wa RA ukhoza kuyambitsa ma FMS ndi kuchititsa kuti zizindikiro zanu zikhale zovuta kulamulira, ndipo FMS imalimbikitsa ululu wa RA.
Kupeza Kuzindikira
Kuyesedwa kwa magazi komwe kumatchedwa kuyesa anti-CCP kupimiritsa thupi kumatha kusiyanitsa RA ndi mitundu ina ya nyamakazi. Dokotala wanu angayambitsenso mayeso ena ambiri kuti atsimikizidwe kuti ali ndi matendawa komanso kuti athandizidwe kudziwa momwe matendawa angapitirire.
FMS imapezeka ndi kafukufuku wamakono kapena zolemba pazomwe zimayesedwa bwino, pamodzi ndi mayesero kuti athetse zifukwa zina zomwe zimayambitsa zizindikiro.
Zizindikiro
Zizindikiro za RA ndi FMS zingakhale zofanana kwambiri. Zonsezi zikuphatikizapo:
- ululu wamkati
- zofanana (kupweteka kumalo omwewo kumbali zonse)
- kutopa ndi kutaya mphamvu
- kudandaula
RA ingayambitsenso zizindikiro zosagwirizana ndi FMS monga:
- Kutupa kotseguka, ndi kutentha komwe kuli pafupi
- kusowa kwa njala
- kupunduka pamodzi
- zochepa zoyendayenda
FMS imaphatikizapo zizindikiro zambiri zomwe sizigwirizana ndi RA, kuphatikizapo:
- kusokonezeka maganizo
- kuzindikira mphamvu, phokoso , ndi fungo
- ululu umene umayenda mozungulira thupi
- kugona kosabwerera
Ngati mwapezeka ndi chimodzi mwazimenezi koma muli ndi zizindikiro zomwe zingasonyeze winayo, onetsetsani kuti muli ndi dokotala wanu.
Kuchiza
Mankhwala ambiri amapezeka pochiza RA. Zikuphatikizapo:
- zowawa zofala, monga Tylenol (acetaminophen)
- osati steroidal anti-inflammatories (NSAIDs) , monga Motrin / Advil (ibuprofen) ndi Aleve (naproxen)
- COX-2 inhibitors , monga Celebrex (celecoxib)
- glucocorticoids, kuphatikizapo prednisone ndi methylprednisolone
- Matenda a antirheumatic drugs (DMARD) , kuphatikizapo Trexall / Rheumatrex (methotrexate), Imuran (azathioprine), ndi Azulfidine (sulfasalazine)
- Mankhwala a TNF , monga Enbrel (etanercept), Remicade (infliximab) ndi Huma (adalimumab)
Nthawi zina, opaleshoni ikhoza kuthandiza anthu omwe amawonongeka kwambiri.
FMS kawirikawiri imafuna njira yowonjezera, yomwe ingaphatikizepo:
- mankhwala osokoneza bongo
- kumalimbikitsa
- pulogalamu yochita masewero olimbitsa thupi
- mankhwala othandizira
Ngati mukugwiritsa ntchito mankhwala a RA ndi FMS, onetsetsani kuti mumalankhula ndi dokotala ndi wazamankhwala za momwe mungagwiritsire ntchito mankhwala.
Akatswiri ena a FMS amakhulupirira kuti corticosteroids nthawi zina amagwiritsidwa ntchito pochiza RA ingapangitse zizindikiro za FMS kukhala zovuta kwambiri. Pogwira ntchito limodzi ndi dokotala, muyenera kupeza mankhwala omwe amagwira ntchito zonsezi.
Kuti mudziwe zambiri pa momwe mungasankhire njira yabwino yopaleshoni kwa RA ndi FMS, werengani Fibromyalgia vs. Matenda a Matenda a Nyamakazi - Kodi Ndi Zifukwa Ziti Zomwe Zimatsimikizira Kuchiza?
Mawu ochokera
Onse awiri RA ndi FMS angapangitse moyo wanu kukhala wovuta kwambiri ndi kuchepetsa momwe mungakhalire ogwira ntchito. Mwa kupeza ndi kutsatira ndondomeko ya mankhwala / kasamalidwe, mukhoza kusunga ntchito yanu ndi ufulu wanu.
Chifukwa zikhalidwe zonsezi zingayambitse kupanikizika ndi kudzipatula, ndikofunikira kuti mukhale ndi chithandizo. Pitirizani kulankhulana ndi dokotala wanu komanso anthu omwe muli pafupi nawo, ndipo pitirizani kuthandizira ngati mukuganiza kuti mukuvutika maganizo. Magulu othandizira -amapezeka pa intaneti komanso m'dera lanu-angakhale thandizo lalikulu kwa inu, nanunso.
Zotsatira:
American College of Rheumatology. "Matenda a Khunyu"
Challa DNV, Crowson CS, Davis M 3rd. Mmene wodwalayo akuyendera pa matenda a nyamakazi. Rheumatology ndi mankhwala. 2017 Jun; 4 (1): 201-208. lembani: 10.1007 / s40744-017-0063-5.
El-Rabbat MS, Mahmoud NK, Gheita TA. Kufunika kwa matenda a fibromyalgia matenda osiyanasiyana matenda a rheumatic; kugwirizana ndi zochitika za matenda ndi khalidwe la moyo. Reumatologia clinica. 2017 Apr 11. pii: S1699-258X (17) 30048-7. lembani: 10.1016 / j.reuma.2017.02.008.
Lee YC, Bingham CO 3, Edwards RR, et al. Kudziwa kupweteka kumayenderana ndi matenda odwala matenda a nyamakazi; phunziro la mtanda. Kusamalira nyamakazi ndi kufufuza. 2017 Apr 24. do: 10.1002 / acr.23266.
The Johns Hopkins Arthritis Center. "Mauthenga Ophatikiza M'magulu a Matenda a Chifuwa"