Kulimbana ndi Matenda a Nyamakazi

Kupeza thandizo ndi zowonjezera zomwe mumazifuna

Matenda a nyamakazi sikuti ndi matenda okhaokha. Ndizo kusintha kosintha moyo komwe kungaponyetse dziko lanu kukhala mchira. Ngati mukukumana ndi vutoli, chinthu choyamba kukukumbutsani ndikuti palibe njira yothetsera ndipo zomwe mukuchita panopa zingapangitse kusiyana kwakukulu ndi momwe mungapiririre-komanso kuthana ndi mavuto omwe mukukumana nacho ndi matendawa.

Kupeza Thandizo

Mukapeza kuti muli ndi nyamakazi, nyamayi yoyamba ikhoza kukhala yophimba pansi pa zophimbazo. Ndipo, ndizo zabwino. Kuyika mutu wanu kuzungulira izi kungatenge nthawi ndikupeza malo osungira kuganiza kungakhale chiyambi chabwino.

Koma, mutangotuluka pansi pa zophimba, chinthu choyamba muyenera kuchita ndi kupeza chithandizo. Izi zikuphatikizapo kuthandizira, kuthandizira ndalama, komanso kuthandizira maganizo.

Thandizo logwira ntchito

Thandizo logwira ntchito ndilo limene limakuthandizani kupyolera muyeso iliyonse ya chithandizo chanu kupita patsogolo. Cholinga chake ndikumanga gulu la akatswiri a zaumoyo omwe mungathe kuyanjana nawo monga wokondedwa mnzanuyo. Zingaphatikizepo izi:

• Dokotala wanu wamkulu wathandi (PCP) yemwe amayang'anira thanzi lanu lonse ndikugwirizanitsa akatswiri azachipatala
• Katswiri wa matenda a mitsempha amene amadziwika kwambiri ndi matenda a minofu ndi zovuta zapadera monga nyamakazi ya nyamakazi

• Wodwala wathanzi yemwe angakuthandizeni kubwezeretsanso mphamvu zanu, kuyenda, ndi kayendetsedwe kake
• Wothandizira ogwira ntchito omwe angakupatseni zipangizo, njira, ndi "ntchito" kuti muthane ndi zopinga zathupi pamoyo wa tsiku ndi tsiku
• Katswiri wa zamaganizo kapena wamaganizo omwe angakuthandizeni kuthana ndi vuto, nkhawa, ndi kuvutika maganizo ndi matenda

• Wothandizira anthu omwe angathe kukuthandizani kuti muyambe njira yathandizira

Pothandizira maphunziro, simungachite bwino kusiyana ndi kuyang'ana pa intaneti pa Arthritis Foundation. Chikondi chochokera ku Tuscon chimapereka mabuku ofotokoza mosavuta, nkhani zokhudzana ndi sayansi zokhudzana ndi chirichonse kuchokera ku mankhwala ndi zakudya ku maubwenzi ndi kukondwa.

Kuti mupeze chithandizo chamoyo, mauthenga, kapena kutumizidwa, itanani antthritis Foundation yamaola 24 pa 1-844-571-HELP (4357) .

Zothandizira zachuma

Matenda a nyamakazi amatha kukhala okwera mtengo, makamaka ngati mwakhala mukuchiritsidwa kwa kanthawi ndipo mumafunikira mankhwala osokoneza bongo atsopano kapena JAK inhibitors . Ngakhale muli ndi inshuwalansi ya zaumoyo, deductible ndi copay ndalama zomwe zingakhale zovuta kwambiri.

Pofuna kupereka zina mwazofunikira kwambiri zothandizira, pali mapulogalamu othandizira zachuma omwe angapezeke kwa anthu omwe sali othandizidwa kapena omwe ali ndi inshuwalansi omwe ali ndi nthawi yovuta kuikapo ndalama. Kuti mupeze mapulogalamuwa, pali mabungwe awiri omwe si aboma omwe mumapitako:

• Chiyanjano cha kuthandizira kwalembedwa Ndi bungwe lopanda phindu limene lingakuthandizeni kupeza mankhwala auphalare kapena opanda mphamvu a nyamakazi ngati simukulimbikitsidwa, mukulimbikitsidwa, kapena mukuyenera ndalama. Kuyenerera kumakhala kochokera pafupipafupi pachaka zomwe zimakhala zosachepera kasanu ku Fuko la Umphawi (FPL) kwa munthu, banja, kapena banja.

• Bungwe Lolimbikitsa Oleza Mtima Co-Pay Relief ndi bungwe lina lothandiza lomwe lingakuthandizeni kupeza thandizo la ndalama. Thandizo limaperekedwa ndi madokotala onse aakulu. Kuyenerera kuli kovuta kwambiri ndipo samapatula anthu omwe mankhwala awo ali ndi Medicare, Medicaid, ndi zina zotsika ndalama. Kuyenerera sikunapangidwe phindu.

Thandizo Labwino

Maganizo a nyamakazi ya nyamakazi angakhudzidwe kwambiri monga momwe zimakhalira. Makamaka pamene mukuyamba chithandizo, pangakhale zovuta ndi zochepa zimene mungakhale zovuta kuzimbana nazo.

N'chifukwa chiyani mukuvutika maganizo?

Kuuza wokondedwa wanu zomwe mukukumana nazo si "kudandaula." Zimathandiza kumvetsetsa zomwe mukuchita ndi kutsegula maso awo pa zosowa zanu. Ndikugawana zomwe mumalola ena kuti akuthandizeni.

Zimathandizanso kuthandiza ena omwe akudwala nyamakazi. Magulu othandizira ndi malo abwino oti mutonthozedwe, funsani malangizo, ndikuyankhulana ndi ena omwe mukudziwa zomwe mukukumana nazo. Ngati simungapeze gulu pafupi ndi inu, funsani Arthritis Foundation kuti akugwirizanitseni ndi chithandizo chothandizira m'dera lanu. Iwo akhoza kukupatsani inu maphunziro kuti muyambe membala wa membala wanu.

Njira zina zothandizira ndizo:

• Kugwirizanitsa ndi gulu lothandizira nyamakazi la nyamakazi pa FaceBook
• Kuyambitsa gulu lanu lothandizira pa Meetup
• Kufufuza mndandanda wa gulu lothandizira pa webusaiti yopanda phindu (CreakyJoints website) (kapena kutchula gulu lanu lothandizira)

Koma, ngati kumverera kwa kupsinjika maganizo kapena nkhawa zikupitiriza ngakhale mutathandizidwa, funsani dokotala wanu kuti atumizidwe kwa katswiri wa zamaganizo kapena matenda odwala matenda aakulu

Kusintha kwa Moyo

Ziwiri mwazimene zimayambitsa matenda a nyamakazi ndi kunenepa kwambiri ndi kusuta. Pochepetsa zoopsazi, muyenera kuphatikiza kulemera kwa thupi, kuchita masewera olimbitsa thupi, ndi kusuta fodya kukhala gawo la dongosolo lanu la mankhwala.

Zolinga Zakudya

Ngakhale palibe nthendayi ya "rheumatoid" yomwe imapezeka pa se, pali mfundo zingapo zomwe zingakutsogolereni kuti muchepetse thupi ndi kuchepetsa zizindikiro za nyamakazi :

• Yambani ndi chakudya chabwino chomwe magawo awiri mwa magawo atatu a chakudya chanu amachokera ku zipatso, ndiwo zamasamba, ndi mbewu zonse, pamene gawo limodzi mwa magawo atatu ali ndi mkaka wochepa mkaka ndi mapuloteni owonda.
• Yesetsani kuphatikiza nsomba zambiri zamadzi ozizira (monga tuna, salimoni, mackerel, dzimbiri, ndi herring) zomwe zili ndi omega-3 fatty acids zotsutsana ndi zotupa. Ngati mukufuna kutenga mafuta ophera nsomba , pewani kumwa mopitirira muyeso monga momwe zingasokonezere mankhwala ena, kuphatikizapo mankhwala apamwamba a magazi.
• Mafuta ena a azitona omwe ali namwali amakhala ndi mankhwala otchedwa oleocanthal omwe amachititsa kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda.
• Zakudya zapamwamba kwambiri zomwe zimadya pakati pa 25 ndi 30 magalamu zimadziwika kuti zitha kuchepetsa mapuloteni a C-othetsera (CRP) m'magazi anu. Ichi ndi chimodzi mwa magulu awiri oyambirira omwe timagwiritsa ntchito poyeza kutupa m'mayesero a magazi a nyamakazi.

Poyamba kuyamba, ganizirani zokambirana ndi munthu wodya zakudya zomwe angathe kukuthandizani kukhazikitsa zolinga zowononga zolemera. Kulemera kofulumira kungayambitse kupanikizika kwapadera komwe kungapangitse chiopsezo cha mthempha ya nyamakazi . Pang'onopang'ono ndi molimbika nthawi zonse ndi njira yabwino kwambiri.

Kuchita masewera olimbitsa thupi

Mutha kuchepetsa kulemera kwa chakudya chokha koma simungathe kuchipirira popanda kuchita masewera olimbitsa thupi . Pomwe palipakati pa matenda anu, kuchita masewero olimbitsa thupi kumapindulitsa kwambiri, kumathandizira mgwirizanowu kuphatikizapo kuyenda mochulukirapo pochepetsa chiopsezo cha kubwereranso. Mofanana ndi chakudya, njira yolingalira bwino idzapindulitsani kwambiri kuposa kukankhira mwamphamvu ndi kulimbikitsa kutupa.

Malingana ndi American College of Rheumatology, pali zolinga zingapo zomwe muyenera kudzikhazika nokha mukamapanga dongosolo labwino:

• Ntchito yowonongeka moyenera yapamwamba imayenera kuchitika mlungu uliwonse kwa mphindi zokwanira 150 kutayika masiku angapo. Kusambira ndi kuyenda ndizo zitsanzo za ntchito zochepa zomwe zingagwiritse ntchito cardio yanu popanda kuwonjezera ziwalo zanu.
• Zochita zolimbitsa thupi ziyenera kuchitidwa masiku osachepera atatu kapena asanu pa sabata, ndikugwira nawo mbali iliyonse kwa masekondi 15 mpaka 30.
• Ntchito yomanga mphamvu iyenera kuchitidwa kawiri kapena katatu pa sabata ndipo imaphatikizapo masewera 8 mpaka 10 ndi kubwereza masabata asanu ndi atatu kapena khumi pazochita. Anthu okalamba angafunike kubwereza 10 mpaka 15 ndi zolemera zolemera.
• Kutambasula kwamtunda kungathe kuchitidwa kasanu kapena kawiri m'mawa kuti agwirizane ndi maulendo asanu kapena asanu usiku asanakagone. Mutha kuyika chikho , chokopa , ndi bondo lofatsa ngati mbali ya chizoloŵezi chanu.

Wodwala wanu wathanzi angakupatseni dongosolo lonse la masewera olimbitsa thupi lomwe likuyenera kuti mulingalire zaka zanu.

Kusuta Fodya

Kusiya ndudu sikophweka koma ndi chinthu chomwe muyenera kuchita ngati mukudwala zizindikiro za nyamakazi. Monga lamulo, kuphatikizapo uphungu ndi zothandizira kusuta zidzakupatsani mwayi wapamwamba kwambiri wopambana kuposa kupita ku ozizira. Kuphatikiza pa zikhomo zamagetsi, malungo, ndi lozenges, US Food and Drug Administration avomereza mankhwala anayi ovomerezeka omwe angathe kukuthandizani pakufuna kwanu:

• Nicotine inhalers
• Ziphuphu zamphuno zamphongo
• Zyban (bupropion)
• Chantix (varenicline)

Kusuta fodya mankhwala akuphimbidwa ndi Medicaid, Medicare, ndi mapulani ambiri a inshuwaransi. Ngati mukusowa thandizo, funsani American Cancer Society pa 1-800-227-2345 kuti mugwirizane ndi kuleka foni ndi dziko lanu. Angathenso kukugwirizanitsani ndi gulu lothandizira m'deralo.

Malangizo Othandiza

Musalole kuti nyamakazi ya nyamakazi ikuyimire moyo wanu wopindulitsa. Nthawi zina zonse zimatengera kusintha pang'ono kuti muthane ndi mavuto omwe mukukumana nawo. Pano pali nsonga zingapo zomwe zingathandize:

• Bwezeretsani masamulo anu. Ngati muli ndi vuto lofika pamwamba kapena kuponyera pansi, ikani zinthu zomwe mumagwiritsa ntchito kwambiri pamsasa wa kabati kapena pa kabati. Musalole kuti "muzilamulira." Palibe chifukwa chomwe mungasamutsire zinthu pansi pa dzenje kupita kumalo osungirako ngati atetezera thupi lanu.
• Sinthani malo nthawi zambiri. Mukamalemba, mutulutseni maminiti khumi kapena asanu kuti musamapanike. Mukamaonera TV kapena mukugwira ntchito pa laputopu yanu, tulukani nthawi zonse kuti mutambasule miyendo yanu.
• Pezani zipangizo zomwe mungagwiritse ntchito. Pali zida zambiri ndi zipangizo zomwe zilipo lero zomwe zimapangidwa kwa anthu omwe ali ndi nyamakazi. Pali mkasi wakukhitchini umene umagwira ntchito yonse pamagolovesi anu omwe amatsutsana ndi kugwedezeka omwe amakulolani kugwirana ntchito popanda kupweteka. Fufuzani zipangizo zamakono ndi zipangizo zolamulidwa ndi mawu zomwe zimakulolani kupita mmanja.
• Sungani mphamvu. Nthawi yopumula ndi ntchito ngakhale mukugwira ntchito. Sungani tsiku lanu pasadakhale kuti muthe kuthamanga kapena kupita kumisonkhano mukakhala ndi mphamvu yambiri ndikupeza nthawi yokhala pakati kuti mubwererenso.
• Gwiritsani ntchito kutentha kuti mukhale wolimba. M'malo mofikira mapiritsi, fufuzani njira zina zodzipangira nokha m'mawa. Kutentha kumawonjezera kufalikira kwa magazi ndi kubwezeretsanso matenda. Kutentha kwa magetsi kapena microwaveable pad kungapambane kuthana ndi kuuma kwa m'mawa kulikonse kumene mungakhale nako.
• Gwiritsani ntchito kuzizira kuti muchitire vuto lalikulu. Cold amachepetsa kutupa pamene akudandaula ululu. Ngati mumagwiritsa ntchito madzi oundana, musaike khungu lachangu pakhungu lanu kapena muzisiya pamalo amodzi kwa mphindi zoposa 15. Kuchita zimenezi kungachititse kuti azizirala .
• Fufuzani zamaganizo zamaganizo. Matenda a maganizo amadziwa kuti malingaliro athu ndi maganizo athu zimakhudza zonse zomwe timachita powawa komanso moyo wathu wonse. Zina mwa njira zomwe zimagwiritsidwa ntchito pochizira matenda a nyamakazi ndi monga kusinkhasinkha , kujambulidwa, kujambula biofeedback , kupuma msanga (PMR), ndi kupuma kwambiri (pranayama).

> Zotsatira:

> Padziko Lonse la Mankhwala Opatsirana Ndi Omwe Amawonjezera. "Lipoti la Kafufuzidwe: Matenda a Matenda a Matenda a Mitsempha ndi Othandizira Omwe Amawathandiza." Bethesda, Maryland; zasinthidwa pa May 4, 2016.

> 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 .

> 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.