Kukwaniritsa Zolinga Zothandizira
"Kuchitapo kanthu" ndi mfundo kapena njira yomwe yathandizira matenda ena. Njira yoyamba idagwiritsidwa ntchito pochiza matenda oopsa, cholesterol, ndi shuga. Koma, chiwerengero chawo chawonjezeka ndi kuchilera kuti chilowetsedwe chakhala chikulowetsa m'maganizo a akatswiri odwala matendawa .
Cholinga chokhazikitsa njira ziyenera kukhala ndi zinthu zitatu izi:
- cholinga
- njira yowunikira ngati cholinga chake chagwedezeka kapena kukwaniritsa
- Njira zothandizira zothandizira zomwe zimapangitsa kuti zitheke
Pokhudzana ndi matenda oopsa, kupatsirana kwa magazi kumapitirira 150/100 mm Hg, osachepera 140/90 kukhala othandiza kwambiri kuchepetsa zochitika za mtima. Pofuna kukwaniritsira zolinga zamtundu wa cholesterol wathunthu ndi LDL, ma statins amalembedwa. Kwa odwala matenda a shuga, pali malangizo othandizira kuti magazi azikhala ndi shuga komanso magazi a hemoglobin A1C. Kodi ndi chiani chomwe chimawoneka kuti chikuwoneka mu rheumatology?
Gwiritsani Ntchito Zopangira Mafupa Amagazi
Mu nyamakazi ya nyamakazi , cholinga chachikulu ndi kukhululukira . Ntchito yochepa ya matenda ndichinthu china chomwe chimakwaniritsidwanso, mwinanso chotheka kwambiri komanso nthawi zambiri. Kuti agwire chandamale, kutupa kuyenera kulamulidwa kapena kuponderezedwa. Izi zimayesedwa poyesa matenda. DAS28 (Maphunziro a Ntchito Zolimbana ndi Matenda) kapena CDAI (Clinical Disease Activity Index) ndi zina mwa njira zomwe matenda angathe kuyendera.
Kuchuluka kwafupipafupi kwa kayendedwe ka matenda koyambitsa matenda sikungatsimikizidwe, koma DAS28 zosachepera 2.6 ndiyomwe imawonedwa kuti ikusonyeza kukhululukidwa mu matenda a nyamakazi.
Chophimba china chofunika chomwe sichiyenera kunyalanyazidwa - zolinga za mankhwala ziyenera kukhala payekha. Kugonjetsedwa , mbiri ya zochitika zosokoneza bongo, ndi ziwalo zomwe zimakhudzidwa ziyenera kuganiziridwa pakukhazikitsa njira yowunikira.
Chitani Zomwe Mukufuna Ku Lupus
Ntchito yapadziko lonse yakhala ikukonzekera njira yothetsera lupus . Ntchitoyi inakhazikitsa kuti chiwonetsero cha thupi, komanso zizindikiro za lupus, ndizofunikira kwambiri pa mankhwala a lupus. Chinthu chinanso chomwe chingalimbikitse cholinga cha lupus chimaphatikizapo kupewa mazira , kuphatikizapo nephritis , matenda a neuropsychiatric, ndi matenda a lupus. Kupewa kuwonongeka kunakhazikitsidwa ngati cholinga chake, ndi cholinga cholepheretsa kuwonongeka kwa chiwalo ndi kuyang'anira matenda opatsirana ndi poizoni kuchokera ku mankhwala. Chisamaliro chomwe chinaperekedwa kwa khalidwe la wodwala ndilofunikanso.
Kupitabe patsogolo, gululi likufuna kupanga malingaliro a lupus remission ndi zochepa zomwe zimavomerezedwa ndi matenda. Palinso kufunika kokambirana bwino za moto.
Ngakhale pali chiyembekezo cha mankhwala atsopano m'tsogolo, pakhala pali zambiri zomwe zakhala zikugulitsidwa ndi kugulitsidwa kwa nyamakazi ya nyamakazi kuyambira mu 1998 (pamene Enbrel anakhala mankhwala oyambirira a biologic ovomerezedwa ndi nyamakazi ya nyamakazi). Ponena za mankhwala omwe akugwiritsidwa ntchito pothana ndi lupus, gulu la ntchito lidzafuna kudziwa ngati pali mankhwala ochepa omwe angatengedwe kuti ali otetezeka pakulera njira.
Ndiponso, mafunso okhudza kuyenerera kwa hydroxychloroquine kwa odwala onse a lupus alipobe.
Gwiritsani Ntchito Zopangira Spondyloarthritis
Mu 2013, bungwe lina la akatswiri linkaona ngati odwala ali ndi spondyloarthritis angapindule ndi chithandizo chomwe akufuna. Iwo anatsimikiza kuti kugwiritsira ntchito malingaliro kungagwiritsidwe ntchito kwa spondyloarthritis koma kuti zitsogozo pa momwe mungafotokozere, kuyeza kapena kukwaniritsa zolinga za kukhululukidwa kapena matenda osatetezeka zimachepa m'gululi. Mayesero salipobe omwe amatsindika njira zowonjezereka za matenda opatsirana mu spondyloarthritis. Ntchito iyenera kuchitidwa. Pakalipano, malangizi anapangidwa mothandizidwa ndi umboni weniweni.
Komabe, kafukufuku wina, wokhudzana ndi matenda a psoriatic , poyerekeza gulu la odwala omwe amalandira chisamaliro choyenera ndi methotrexate ku gulu linanso omwe adalandira chisamaliro chokwanira ndi mankhwala. Malingana ndi Rheumatology News, gulu lalikululi linatsatira ndondomeko yolimba ndipo ngati zovuta zochepa za matenda sizinakwaniritsidwe, ndiye kuti mlingo wa methotrexate unakula. Apanso, ngati odwala alephera kukumana ndi zochitika za matenda, adapatsidwa mphamvu ya DMARD . Ngati akadapanda kukwaniritsa zolingazo, gulu lalikulu linapatsidwa choyimira cha TNF . Zotsatira zinawonetsa kuti gulu lalikulu likuposa bwino gulu lomwe linatsalira pa methotrexate popanda ndondomeko yowonjezera mankhwala kapena zochitika za matenda.
Komanso pa bungwe la European Congress of Rheumatology (EULAR 2014), kuwonjezereka kwa zaka zisanu za mayesero osavuta komanso olamuliridwa a Simponi (golimumab) odwala omwe ali ndi matenda a psoriatic anawonetsa zotsatira zabwino za nthawi yaitali kwa odwala omwe angakwanitse kupeza zochepa zolimbana ndi matenda. chithandizo choyang'ana njira.
Mfundo Yofunika Kwambiri
Ochita kafukufuku anafufuza kafukufuku wotsutsa zolemba za sayansi (Schoels, M. et al.) Pankhani yothandizira kulumikizana ndi rheumatology. Iwo anatsimikizira kuti "kafukufuku owerengeka chabe adagwiritsa ntchito njira zopitilirapo kuti ayese kufunika kwa chithandizo pazowonjezereka, komabe zonsezi zinapereka umboni wovomerezeka wokhudzana ndi njira zoterozo. ndipo odwala omwe amakhala ndi RA [rhumumida] nyamakazi] sanafufuze mokwanira. "
Zopeka, kukhala ndi zolinga zamankhwala, makamaka zolinga zothandizira, zogwira mtima. Pofuna kuzigwiritsa ntchito, zolinga kapena zolinga ziyenera kukhala zowonongeka kwambiri pa matenda a rheumatic.
> Zotsatira:
> 'Gwiritsani Ntchito Zolinga': Kusuntha Zolinga za Kuchulukitsika, Hyperlipidaemia ndi Matenda a Shuga ku Matenda a Khunyu. Dan Atar et al. Annals wa Rheumatic Diseases . April 2010.
> Umboni Wochizira Matenda a Matenda a Nyamakazi Kuti Akawonekere: Zotsatira za Zambiri Zamakono Zofufuza. Schoels M. et al. Annals wa Rheumatic Diseases . April 2010.
> Kuchita-Ku-Target mu Lupus Erythematosus Yodalirika: Malangizo ochokera ku Gulu Lonse la Ntchito. Van Vollenhoven RF et al. Annals wa Rheumatic Diseases . Inasindikizidwa pa intaneti pa 16 April, 2014.
> Kuchiza Spondyloarthritis, Kuphatikizapo Ankylosing Spondylitis ndi Psoriatic Arthritis, ku Target: Zopereka za Gulu Lonse la Ntchito. Smolen JS et al. Annals wa Rheumatic Diseases . June 8, 2013.
> Njira Yopangira Njira Yopangira Matenda a Psoriatic Inapindulitsa. Rheumatology News . Doug Brunk. November 4, 2013.
> Kuchita Zolinga Kuwonetsa Zosintha Zowonongeka mu Psoriatic Arthritis. Internal Medicine News . Jennie Smith. June 12, 2014.