Kuwoneka pa Oyika Magazi A Magazi Amawonetsera Chifuwa cha Matenda a Nyamakazi
Kodi n'zotheka kukhala ndi nyamakazi (kapena matenda ena a rheumatic) ndi ntchito yamagazi yomwe ili mkati mwa zizindikiro zambiri zotupa? Kodi kuchuluka kwa matendawa kumadalira bwanji kuyesa magazi kwa kutupa ?
Kodi Zotsatira Zowononga Zopaka Magazi Zidzakhala Zosokoneza Matenda?
Odwala ambiri omwe ali ndi matenda a nyamakazi (RA) ali ndi chizindikiro cha matendawa m'magazi.
Izi ziphatikizapo:
- Chowoneka bwino (rf)
- cyclic citrullinated peptide (CCP) antibody
- miyeso yapamwamba ya kutupa
- mlingo wowonjezera wa erythrocyte (ESR)
- Puloteni wothandizira kwambiri (CRP) .
Kumbali ina, nthawi zina wodwala ndi RA akhoza kukhala ndi matenda othandiza ndipo mayesero onsewa ndi achilendo. Mwachidziwikire, odwala omwe alibe zoperewera m'magaziwo sangawonongeke. Pafupifupi odwala onse omwe ali ndi lupus amakhalapo ndi anti- nuclear antibiotic (ANA) kapena ngati alibe, SSA antibody kapena antiphospholipid antibodies (zomwe zimayambitsa chiopsezo cha mavuto monga magazi kapena kupweteka kapena kuperewera kwa amayi). Apanso, pali odwala, ngakhale kuti ndi osowa, omwe ali ndi lupus ngakhale kuti ayesedwa. Odwala ambiri a Sjogren amakhala odwala ESR kapena ali ndi antiA, RF, SSA kapena SSB abwino m'magazi awo.
Ndikofunika kukumbukira kuti ngakhale kuyesera magazi kumathandiza kutsimikizira kuti munthu akudwala matenda odwala matendawa, ndi kofunikira kwambiri kuti apeze ndi kuchiza pogwiritsa ntchito chithandizo chachipatala.
Kodi Matenda a Khunyu Amadziwika Bwanji?
Matenda a nyamakazi amatha kukhala ovuta kudziwa chifukwa zizindikiro za matendawa zimakhala zosaoneka bwino. Mwachitsanzo, kuuma kwa mgwirizano ndi ziwalo zomangirira - makamaka, atadzuka - zikhoza kukhala ndi matenda osiyanasiyana.
Pamapeto pake, matenda a nyamakazi amatha kupangidwa ndi katswiri wa rheumatologist .
Katswiri wa rheumatologist ndi katswiri wodziwa za matenda odwala matenda osokoneza bongo komanso odwala. Kawirikawiri, munthu amapanga mgwirizano ndi dokotala wake woyang'anira chisamaliro yemwe amayamba kukayikira nyamakazi ndikumuuza wodwalayo kwa rheumatologist kuti apitirize kuyesa. Zindikirani, ngati mukuganiza kuti mukudwala nyamakazi, nkofunika kuti muzindikire dokotala wanu wachisamaliro pazinthu izi.
Chidziwitso cha nyamakazi ya nyamakazi imayambira pa zofukufuku zingapo kuphatikizapo zotsatirazi:
- anti-CCP (mtundu wina wa antibody)
- kuperewera kwa magazi
- kukwera ESR (yesero lenileni la kutupa)
- chifuwa chachikulu (pamapeto pake pamapezeka 80 peresenti ya anthu odwala nyamakazi)
- mayesero opatsirana monga x-ray, MRI, ndi ultrasound
- kutentha, kutupa, ndi kupweteka kwa ziwalo
Malangizo Okhudza Rheumatoid Arthritis
Ngati inu kapena wokondedwa wanu mukuganiza kuti nyamakazi imakhala ndi nyamakazi, nkofunika kuti mupeze chithandizo chamankhwala, matenda, ndi chithandizo. Matenda a nyamakazi sikuti amangowonjezera kulemala komanso kusokonezeka kwa umoyo wa moyo koma amathandizidwanso ku matenda ena aakulu monga matenda a mtima.
Matenda a kutupa nyamakazi ndi ofunika komanso kusintha moyo.
Kawirikawiri, anthu amene amapezeka kuti ali ndi matenda a nyamakazi amadzipatula ndipo amamva chisoni. Komabe, zitsimikizirani kuti mwa mankhwala abwino komanso njira zina zomwe zingathandize kuti thupi likhale lamphamvu (monga kuyenda ndi zochitika zina zochepa), anthu ambiri omwe ali ndi nyamakazi amamva bwino kwambiri pakapita nthawi.
Kuchokera
Yankho loperekedwa ndi Scott J. Zashin, MD, pulofesa wothandizira wathandi ku University of Texas Southwestern Medical School, Division of Rheumatology, ku Dallas, Texas. Dr. Zashin nayenso akupita kuchipatala ku chipatala cha Presbyterian ku Dallas ndi Plano. Iye ndi mnzanga wa American College of Physicians ndi American College of Rheumatology ndi membala wa American Medical Association.