Kuzindikira Kuopsa kwa Kupitirira Mafupa a Matenda a Nyamakazi
Ngakhale pali mitundu yambiri ya nyamakazi , odwala nthawi zonse sagwirizana ndi magulu omwe amadziwika bwino komanso odziwika bwino. Wodwala angakhale pachiyambi cha nyamakazi yotupa , koma zizindikiro sizigwirizana ndi mtundu wina wa nyamakazi. Pakhoza kukhala zizindikiro zowonjezereka zomwe zikugwirizana ndi nthendayi yokha.
Pamene wodwala ali ndi zizindikiro zofanana ndi nyamakazi yotupa koma osati mtundu winawo, iwo amadziwika kuti ali ndi matenda a nyamakazi. Ndi njira yonena kuti palibe chitsimikizo chotsimikizirika chomwe chingapangidwe.
N'chifukwa Chiyani Kulimbana ndi Matenda Opanda Matenda N'kofunika?
Akuti odwala 40 mpaka 50% omwe ali ndi nyamakazi osayanjanitsika amatha kukhululukidwa modzidzimutsa. Pafupifupi 30 peresenti ya anthu omwe ali ndi nyamakazi yosafalikira amakhala ndi nyamakazi ya nyamakazi , pamene ena amapanga zina. Popeza cholinga cha chithandizo kwa odwala matenda a nyamakazi ndi kuletsa kukula kwa matendawa, ndibwino kuyesa kulongosola kuti odwala omwe ali ndi nyamakazi yosasokonezeka akhoza kukhala ndi nyamakazi yambiri.
Mu 2008, ulosi unanenedwa ku Ulaya ndipo unafalitsidwa mu nyuzipepala, Arthritis & Rheumatism . Poganizira za msinkhu wake, chiwerewere, chiwerengero cha ziwalo zakhudzidwa, kuuma kwachisanu cha m'mawa , CRP , chifuwa chachikulu , ndi anti-CCP , chiopsezo chokhala ndi nyamakazi ya nyamakazi chinali chodziŵika kwambiri kwa odwala omwe ali ndi nyamakazi yosasamala.
Mu 2010, American College of Rheumatology inagwirizanitsa ndi European League Against Rheumatism kuti akambirane njira zogwiritsira ntchito matenda a nyamakazi. Ndondomeko zowonongeka zogwirizana ndi magawo oyambirira a matenda m'malo mwa masewera a masitepe omwe anali okhudzana ndi nyamakazi yotsalira.
Malinga ndi ndondomekoyi, ndondomeko yeniyeni ya nyamakazi imachokera ku chitsimikizo cha kukhalapo kwa synovitis mu osachepera limodzi, kusowa kwa chidziwitso china chomwe chimamveka bwino chithunzithunzi cha synovitis, ndi kupindula kwa chiwerengero cha 6 kapena kuposa (kuchokera pa 10) kuchokera Maphunziro aliwonse pa zotsatirazi zotsatirazi: chiwerengero ndi malo omwe amagwiritsidwa ntchito (mapiritsi otalika 0-5), serologic yosaoneka bwino (chifuwa chachikulu kapena kachilombo ka anti-CCP 0-3); Mapikidwe a 0-1), ndi nthawi ya chizindikiro (masiteji awiri; 0-1).
Ngakhale kufotokozera mafilimu (mwachitsanzo, ma x-ray kapena MRI), makamaka machitidwe a manja ndi mapazi, angapereke chidziwitso choonjezera kwa wodwalayo, akugwiritsa ntchito nthawi komanso sagwiritsidwa ntchito ngati chida chowonetsera kuti adziwe chiopsezo chotenga Matenda a nyamakazi odwala matenda a nyamakazi.
Kukula kwa nyamakazi ya nyamakazi ndi ofanana ndi odwala omwe amayamba kupeza kuti alibe matenda a nyamakazi koma amayamba kukhala ndi nyamakazi yambiri komanso omwe amapezeka kuti ali ndi nyamakazi yoyamba. Kuchepetsa mankhwala ndi mankhwala osokoneza bongo kapena mankhwala osokoneza bongo kwa odwala omwe ali ndi nyamakazi yosasokonezeka akhoza kuchepetsa chithandizo chosayenera cha odwala omwe angapitirizebe kukhululukidwa mwadzidzidzi, koma chithandizo cham'tsogolo chimapereka mpata wabwino woteteza matenda, kulemala, ndi kuchepa kwa khalidwe wa moyo pakati pa omwe ali pangozi yotenga nyamakazi ya nyamakazi.
Ichi ndichifukwa chake kufotokozera za chiopsezo kumathandiza kusankha odwala omwe samayenera kuchepetsa mankhwala.
Kodi Chithandizo Chiyenera Kuchedwa?
Pakhala pali maphunziro ang'onoang'ono omwe adafufuza kugwiritsa ntchito mankhwala osokoneza bongo omwe amatsutsana ndi matendawa kuti asamayambe matenda a nyamakazi chifukwa cha nyamakazi. Ngakhale zotsatira zimasonyeza kuti methotrexate ndi Orencia (abatacept) zinalepheretsa kupita patsogolo kwa nyamakazi ya nyamakazi poyerekeza ndi placebo, Remicade sanachite. Kuphunzira kwakukulu n'kofunika.
Zotsatira
2010 Rumatoid Arthritis Classification Zolinga: An American College of Rheumatology / European League Yotsutsa Rheumatism Coalative Initiative. Aletaha, Daniel et al. Arthritis & Rheumatism. August 10, 2010.
Kuletsa Kukula Kuchokera ku Matenda a Matenda Osavomerezeka Kuchokera ku Matenda a Nyamakazi: Matenda a Clinical ndi Economic. Michael H. Schiff, MD. The American Journal of Careed Care. November 19, 2010.
Kuvomerezeka kwa Ulosi wotsutsa Mavuto a Matenda kwa Odwala Amene Ali ndi Matenda a Kachilendo Aposachedwa. Arthritis & Rheumatism. van der Helm-van Mil, AHM, et al. Vesi 58, Ndime 8. August, 2008.