Kodi Vuto Ndilo Kusamala Kwambiri?
Kulephera kugonana ndizodziwika ndi matenda a nyamakazi (RA) . Malingana ndi-rheumatologist.org, anthu oposa theka la anthu onse omwe ali ndi nyamakazi amavutika ndi kugonana. Ngakhale kuti chiwerengero cha anthu chikukhudzidwa, madokotala ambiri ndi odwala samakambirana.
Kugonana ndi gawo lofunikira la moyo komanso mgwirizano wapadera. Ngati pali kugonana kosayenera, sikuyenera kunyalanyazidwa.
Kodi tiyenera kuyembekezera madokotala kuti afunse ngati tili ndi vuto la kugonana? Kapena, kodi ndi udindo wa wodwalayo kufotokoza zomwe zikuchitika? Ngakhale kuti mliri wa ululu wa wodwalayo ndiwe wofunikira kwambiri pa zokambirana za rheumatology, mwina dokotala kapena wodwalayo angasankhe kukambirana mavuto ena achiwiri, omwe amatsatira. Ziribe kanthu kaya ndani akuzibweretsa izo, bola ngati wina atero.
Zambiri zingatheke kuthandiza anthu omwe ali ndi nyamakazi. Kugonana ndi kugonana sikuyenera kukhala chinthu chakale kapena kukumbukira. Matenda a nyamakazi sayenera kukukakamizani kuthetseratu chikondi chenicheni m'moyo wanu. Choyamba ndi kuzindikira ndi kumvetsa mavuto omwe angakhalepo, komanso kudziwa ngati kugonana sikuchitika chifukwa cha thupi kapena maganizo. Kenaka, pitirizanibe kupeza njira zothetsera mavuto.
Ntchito zachiwerewere zowononga pogwiritsa ntchito magawo kuchokera kuukitsidwa kuti ukhale wosangalala. Iyenera kugwirizanitsidwa ndi kumverera kokondweretsa komanso kukhutira ndi kukwaniritsidwa.
Kusokonezeka kwa kugonana kungasokoneze njira yachizolowezi nthawi iliyonse.
Zochitika Zathupi Zokhudzana ndi Kugonana Kwagwiridwe ndi Mafupa a Matenda a Nyamakazi
Zinthu zakuthupi zimakhudza zomwe zimachitika kugonana. Nthaŵi zina amatchedwa kulemala. Zinthu zikuphatikizapo:
- Kupweteka kumodzi (zotsatira za ululu wamagulu pa ntchito yogonana zimagwirizana ndi matenda aakulu)
- Kutopa (mlingo wa kutopa ndi zotsatira zake kumakhudzanso ndi matenda aakulu)
- Zofooka zathupi (zovuta ndi malo ena, nthawi zambiri zokhudzana ndi chiuno ndi mawondo a mawondo)
- Kuuma kwa majeremusi (kungakhale kugwirizana ndi matenda a Sjogren )
- Zotsatira za mankhwala
- Kusokonekera kwa Erectile
Maganizo a maganizo okhudzana ndi kugonana ndi chifuwa chachikulu cha nyamakazi
Zinthu zamaganizo zimakhudza chilakolako chogonana, komanso kukhutira ndi kugonana. Zinthu zamaganizo zimaphatikizapo:
- Kusokonezeka maganizo (kugwirizana ndi kukhala ndi matenda aakulu omwe amachititsa kuti thupi likhale lovuta)
- Chithunzi chosavulaza thupi, kudzichepetsa , kudziletsa (kungakhale kokhudzana ndi kulemera kapena kuwonongeka)
- Nkhawa za zomwe wokondedwa wawo akuganiza ndikumverera
- Kuchepetsa kugonana pagalimoto / otsika libido
Mmene Mankhwala Amakhudzira
Malingana ndi American College of Rheumatology, kaŵirikaŵiri mankhwala omwe amagwiritsidwa ntchito popanga nyamakazi sangasokoneze kugonana. Komabe, pakhala pali vuto la erectile disfectiction limene linafotokozedwa mwa anthu omwe anachitidwa ndi methotrexate , Azulfidine (sulfasalazine) , ndi Plaquenil (hydroxychloroquine) . Libido ikhoza kuchepa chifukwa cha kutenga Voltaren (diclofenac) kapena Naprosyn (naproxen) .
Mankhwala opatsirana pogonana angagwirizane ndi kutayika kwa chilakolako ndi kuvutika ndi zolaula.
Kusokonekera kwa Erectile
Malingana ndi zotsatira za kafukufuku zomwe zimafalitsidwa ndi gulu la kafukufuku waku Irish, lomwe linasonyezanso pamsonkhano wapachaka wa 2009 wa American College of Rheumatology, kuvutika kwa erectile n'kofala kwambiri kwa amuna omwe ali ndi matenda a rheumatic , makamaka nyamakazi ya nyamakazi, poyerekezera ndi anthu ambiri. Ofufuzawa anagwirizananso ndi chiwerengero cha chiopsezo cha kuopsa kwa matenda a mtima kwa anthu omwe ali ndi nyamakazi. Ndipotu, ochita kafukufuku amawatcha "erectile disfection" ya "harbinger yozindikira" ya matenda a mtima m'magulu a nyamakazi.
Phunziro lina, lofalitsidwa mu The Egyptian Rheumatologist mu 2013, linanena kuti nyamakazi ya nyamakazi ingakhudze ma seramu a androgen omwe angakhale chifukwa cha erectile malingaliro. Kafukufukuyu anapeza kusiyana kwakukulu pakati pa seramu DHEA (dehydroepiandrosterone sulfate), testosterone yaulere ndi yaulere poyerekeza amuna ndi nyamakazi ya mafupa ku gulu la amuna abwino.
Kuwopsa Kugonana Kugwirizana ndi Rheumatoid Arthritis
Kulankhulana kumayenera kutsogolera ndondomeko iliyonse yothandizira kugonana kosagwirizana ndi matenda a nyamakazi. Ngati njira zothetsera vutoli zikupezeka, wodwalayo ayenera kuulula mavuto ake kwa dokotala wawo. Chofunika kwambiri ndi kulankhulana momasuka ndi mnzanuyo. Zidzatheka kuthetsa zinthu monga mantha pochititsa / kuwonjezera ululu wa wokondedwa wanu kapena kupeza malo abwino ngati mutakambirana ndi kuyesetsa.
Pali njira zamankhwala zomwe adokotala angakulimbikitseni, monga kumwa mankhwala oopsa, kutentha (kapu yotentha kapena magetsi), ndi kupumula kwa minofu- makamaka, mkati mwa ola limodzi. Ganizirani zochitika zosiyanasiyana zoyendayenda , zomwe zingakuphunzitseni ndi wodwalayo. Chilichonse chomwe chingagwiritse ntchito kumasula thupi lanu chidzakhala chothandiza.
Kugonana sikutanthauza kugonana. Ngakhale kuti kufunitsitsa kulenga kungakuthandizeni, kumbukirani kuti kugwira, kukupsompsona, kugwira, ndi kugwedeza ndizofunika kwambiri. Musaiwale kuti malingaliro anu akusewera, naponso. Ngati mumamva kuti mukukondedwa ndipo mukusonyeza chikondi, mwanjira iliyonse, muli m'njira yoyenera ndipo mukhoza kuthetsa mavuto ambiri, nthawi zambiri.
2016 Msonkhano wa EULAR Unalembetsa Kusokonezeka kwa kugonana ndi Matenda a Chifuwa
Pa 2016 European League Against Rheumatism Annual Congress (EULAR), zotsatira zafukufuku zinafotokozedwa kuti kuwonetsa kwa kugonana kwapezeka mwa magawo atatu mwa atatu aliwonse a matenda a nyamakazi omwe alibe amuna ndi akazi ogonana. Ngakhale kuti pali zinthu zambiri zomwe zingapangidwe, panalibe mgwirizano wowerengeka pakati pa kugonana kosagwirizana ndi matenda odwala matenda a nyamakazi (mwachitsanzo, kusagwira ntchito sikungakhudze matenda). Chiyanjano chinapezeka pakati pa kusachita zachiwerewere ndi matenda, komabe.
Ochita kafukufuku anafufuzanso zinthu zowonongeka, zinthu zowonongeka, ndi zinthu zosamalira zokhudzana ndi kugonana ndi matenda a nyamakazi. Zinthu zochepetsera zikuphatikizapo:
- Kusakhulupirika (amayi 33 peresenti; 6 peresenti ya amuna)
- Kusatetezeka (akazi 32 peresenti; amuna 16 peresenti)
- Zomwe zimayambitsa (amayi 17 mwa amayi, 3peresenti ya amuna)
Zinthu zojambulidwa ndizo:
- Chithunzi chikusintha (amuna 14 peresenti; amuna 21 peresenti)
- Kusakhulupirika (amayi 13 peresenti; amuna 7 peresenti)
- Nkhawa (2 peresenti ya amayi ndi 2 peresenti ya amuna)
- Kutaya chidwi (1.4 peresenti ya amayi; 10 peresenti ya amuna)
Zosungirako kapena zinthu zopitilirapo zikuphatikizapo:
- Zomwe zimayambitsa chilengedwe kapena thupi (11 peresenti ya amayi; amuna 15 peresenti)
- Kusakhulupirika (amayi 9 peresenti, 4 peresenti ya amuna)
- Kusintha kwa ubale (amayi 9 peresenti; amuna 19 peresenti)
- Kulephera kwa kugonana kwa mnzanu (3 peresenti ya amayi; 0,8 peresenti ya amuna)
- Kusokonezeka maganizo kapena nkhawa (1.9 peresenti ya amayi; 5 peresenti ya amuna)
Mgwirizanowu pakati pa zowonongeka, zowonongeka, kapena zosamalidwa ndi matenda sizinali zofunikira kwambiri.
Mawu Ochokera
Sikuti kugonana kosagwirizana kokha pakati pa madokotala ndi odwala matenda a nyamakazi, sizimawonekera pa mafunso okhudzana ndi thanzi omwe amagwiritsidwa ntchito kuti awonetse ntchito za thupi ndi umoyo wa moyo. Mwachiwonekere, bungwe la zachipatala liyenera kugwira ntchito pa izo. Ntchito yanu ndi kuganizira zomwe mungachite kuti mugonjetse kusokonezeka kwa kugonana, mutatha kuzindikira zomwe zikuchitika.
> Zotsatira:
> Holzman, David C. Rheumatologists Angathandize Odwala Odwala Matenda a Matenda a Nyamakazi Akugonjetsa Zopinga Zogonana. The Rheumatologist. July 1, 2014.
> Leong, Amye, MBA. Kugonana ndi Arthritis. American College of Rheumatology. April 2015.
Nasr, Mohamad Mahmoud et al. Kuchita Zogonana M'mafupa Odwala Matenda a Nyamakazi - Matenda Osadziwika. Wachijeremani Wachiheberi Wachiheberi. (2013) 35: 201-205.
> Stein, Jill. E ED, Matenda a Matenda a Chifuwa Amatha Kuphatikizidwa. Mbiri Yotsutsana ndi Urology. December 10, 2009.
> Tristano, Antonio G. Mphamvu ya Mthempha Yachifuwa Kwambiri pa Kugonana. World Journal of Orthopedics. April 18, 2014: 5 (2) 107-111.