Ukuqina kwe-Rheumatoid Arthritis? Izimpawu, Izimbangela, & Ukwelashwa

Ukuqina kwe-rheumatoid kuyisimo somzimba lapho isimo sakho sokuvikela umzimba sihlasele amajoyinti akho, kubangele ubuhlungu, ukukhula, nokuqina. Ngokungafani nokuqina kwamajoyinti okuqala ngokuqina kwamajoyinti, ukuqina kwe-rheumatoid kuvame ukubamba amajoyinti afanayo ngakwesobunxele nangakwesokudla somzimba wakho futhi kungathinta wonke umzimba wakho.

Lesi simo sithinta abantu abacishe babe yi-1.3 million baseMelika, futhi nakuba kungase kuzwakale kukhulu ekuqaleni, ukuqonda ukuthi kwenzekani emzimbeni wakho kungakusiza ukusebenzisana neqembu lakho lokunakekelwa kwezempilo ukulawula izimpawu ngokuphumelelayo. Ngokusebenzisa izindlela zokwelapha zanamuhla, abantu abaningi abane-rheumatoid arthritis baphila impilo egcwele, esebenzayo.

Iyini i-Rheumatoid Arthritis?

Ukuqina kwe-rheumatoid kwenzeka lapho isimo sakho sokuvikela umzimba sidideka futhi siqala ukuhlasela ukugqoka kwamajoyinti akho, okuthiwa yi-synovium. Cabanga nge-synovium njengesiponji esivikelekile esenza amajoyinti akho aqhubeke ehamba kahle.

Uma isimo sakho sokuvikela umzimba sihlasela le lining, siqala ukuvuvukala futhi siqine. Lolu vuvukalo lukhipha amakhemikhali abhubhisa kancane kancane i-cartilage, ithambo, ama-tendon, nama-ligament aseduze namajoyinti akho. Ngokuhamba kwesikhathi, lokhu kungabangela ukuguquka kwamajoyinti nokulahleka kokusebenza uma kungelashwa.

Lesi simo sibhekwa njengesimo somzimba jikelele, okusho ukuthi singathinta ezinye izingxenye zomzimba wakho ngaphandle kwamajoyinti akho. Inhliziyo yakho, amaphaphu, amehlo, nemithambo yegazi ngezinye izikhathi ingabandakanyeka, nakuba izimpawu zamajoyinti zivame ukubonakala kakhulu.

Ziyini Izimpawu ze-Rheumatoid Arthritis?

Isici esibaluleke kakhulu sokuqina kwe-rheumatoid ubuhlungu nokuqina kwamajoyinti okuthinta amajoyinti afanayo ngakwesobunxele nangakwesokudla somzimba wakho. Ungase uqaphele ukuthi ama-knuckles akho, izipiko zakho, noma iminwe yakho ibuhlungu ngokulinganayo ngakwesobunxele nangakwesokudla.

Nawa zimpawu ezivamile ongazihlangabezana nazo:

• Ukuqina kwasekuseni okuphephela ngaphezu kwemizuzu engama-30
• Ubuhlungu nobuhlungu bezingqondo, ikakhulukazi ezandleni, ezinzwini nasezinzwini
• Ukukhula ezingqondweni ezihlaselekayo
• Ukukhathala okubhekwa njengokukhathala okukhulu kunokujwayelekile
• Ukuvuvukala okuncane
• Ukulahlekelwa ukudla
• Ubuthakathaka ezingqondweni ezihlaselekayo

Izimpawu ezingavamile kodwa ezibalulekile zingabandakanya amehlo nomlomo owomile, ubuhlungu esifubeni, noma ukungathandabuzeki nokuthamba ezandleni nasezinzwini. Abanye abantu baphuthuma ama-bumps amancane, aqinile ngaphansi kwesikhumba okuthiwa yi-rheumatoid nodules, ngokuvamile eduze kwama-elbows.

Izimpawu zivame ukuza futhi zihambe kulokho odokotela abakubiza ngokuthi "ama-flares" ne-"remissions." Ngesikhathi se-flare, izimpawu zakho ziyanda, kuyilapho isikhathi sokuphumula siletha impumuzo nokunciphisa ukuvuvukala.

Yini ebangela i-Rheumatoid Arthritis?

Imbangela eqondile ye-rheumatoid arthritis ayiqondakali ngokuphelele, kodwa abacwaningi bakholelwa ukuthi ithuthukiswa ngokuhlanganiswa kokuthambekela kwezakhiwo nezici zemvelo. I-genes yakho ayikuqinisekisi ukuthi uzophuthuma le meko, kodwa zingakwenza kube lula ukuphendula ezinye izici.

Izici eziningi zingase zinikezele ekuthuthukiseni i-rheumatoid arthritis:

• Izici ze-genetic, ikakhulukazi ukuguqulwa kwe-gene efana ne-HLA-DR4
• Ukutheleleka okungase kuqalise impendulo ye-autoimmune
• Ukushintsha kwe-hormonal, ikakhulukazi kwabesifazane
• Ukubhema, okwandisa kakhulu ingozi
• Ukuqina noma ukulimala emzimbeni
• Izinto eziyingozi zemvelo noma izinto ezingcolisayo

Abesifazane banethuba elingaba kathathu lokukhula kwe-rheumatoid arthritis kunamadoda, okubonisa ukuthi ama-hormones adlala indima. Isimo sivame ukuqala phakathi kweminyaka engama-30 no-60, yize singaqala kunoma iyiphi iminyaka.

Kubalulekile ukwazi ukuthi i-rheumatoid arthritis ayithatheki futhi ayibangelwa yilutho olulimazayo olukwenzile. Ukuhlangana phakathi kwezakhiwo nezindawo kuyingozi, futhi abantu abaningi abanemizamo yokusongela abaphuthumi le meko.

Nini Okufanele Ubone Udokotela NgeRheumatoid Arthritis?

Kufanele ubheke udokotela uma uhlushwa ubuhlungu bezingqondo, ubunzima, nokuvuvukala okuphela amasonto amaningana, ikakhulukazi uma kuchaphazela izingqondo eziningi ngokulinganayo. Ukuxilongwa kwasekuqaleni nokuphathwa kungathuthukisa kakhulu ukubheka kwakho kwesikhathi eside.

Funani ukunakekelwa kwezokwelapha ngokushesha uma uqaphela ubunzima bokusa obuhlala isikhathi esingaphezu kwemizuzu engama-30, ubuhlungu bezingqondo obuphazamisa imisebenzi yansuku zonke, noma ukukhathala okungaphuli ngokuphumula. Lezi zimpawu, ikakhulukazi uma zichaphazela kokubili izinhlangothi zomzimba wakho ngokulinganayo, zidinga ukuhlolwa okuqeqeshwe.

Ungalindi uma uhlushwa ubuhlungu obukhulu bezingqondo, ukuqala ngokuzumayo kwezimpawu, noma izimpawu zokutheleleka njengobushushu nobomvu ezingqondweni. Ukwelashwa kwasekuqaleni phakathi nezinyanga ezimbalwa zokuqala kokutholwa kwezimpawu kungasiza ukuvimbela ukonakala kwezingqondo nokugcina umsebenzi.

Ziyini Izici Zengozi Ze-Rheumatoid Arthritis?

Ukuqonda izici zakho zengozi kungakusiza ukuthi uqaphele izimpawu ngokushesha futhi uthathe izinyathelo zokuvimbela lapho kungenzeka. Ezinye izici zengozi awukwazi ukuzishintsha, kanti ezinye ungazithonya ngokukhetha indlela yokuphila.

Izici zengozi ezingashintshiwe zihlanganisa:

• Ukuba owesifazane (ingozi enkulu kathathu kunamadoda)
• Iminyaka, ngokuqala okuphezulu phakathi kweminyaka engama-30-60
• Umlando womndeni we-rheumatoid arthritis noma ezinye izimo zokuzimela komzimba
• Amanye amamaki ejeni, ikakhulukazi ukuguqulwa kwe-HLA gene
• Ubuzwe, ngezilinganiso eziphezulu kwabanye abantu

Izici zengozi ezingashintshwa ongazinaka zihlanganisa:

• Ukubhema, okwanda kabili ingozi yakho futhi kubenza izimpawu zibe zimbi
• Ukukhuluphala, ikakhulukazi kwabesifazane
• Ukuvezwa ezintweni ezinobuthi ezizungezile
• Ukutheleleka, ikakhulukazi isifo samahlombe
• Amazinga aphezulu engcindezi isikhathi eside

Ukuba nezingozi akusho ukuthi uzophuka ngokuqinisekile isifo se-rheumatoid arthritis. Abantu abaningi abanengozi eziningi abaphuli leli gciwane, kanti abanye abanengozi ezimbalwa bayaphuka. Okubalulekile ukuqaphela umzimba wakho nokuthola usizo uma izimpawu zivela.

Ziyini Izingozi Ezingase Zenzeke Ngokuqondene Ne-Rheumatoid Arthritis?

Nakuba i-rheumatoid arthritis ikakhulukazi ithinta izintambo zakho, ngezinye izikhathi ingathinta ezinye izingxenye zomzimba wakho. Ukuqonda izingozi ezingase zenzeke kuzokusiza ukusebenzisana neqembu lakho lokunakekelwa kwezempilo ukuze liqaphe futhi lizivimbele.

Izingozi ezihlobene nezintambo zingase zivele ngokuhamba kwesikhathi:

• Ukuphambuka kwentambo nokulahleka kokusebenza
• Ukuqothulwa kwamathambo eduze kwezintambo ezithintekile
• Ukuqhekeka kwemisipha ngenxa yokuvuvukala okuqhubekayo
• I-Carpal tunnel syndrome ngenxa yokuvuvukala kwezandla
• Ukungaqini komgogodla we-cervical ezimweni ezinkulu

Izingozi zesimiso zingathinta ezinye izitho:

• Isifo senhliziyo kanye nengozi enkulu ye-cardiovascular
• Ukuvuvukala noma ukunqanyulwa kwamaphaphu
• Ukoma nokuvuvukala kwamehlo
• Ukungena kwezifo ngenxa yemithi
• I-Osteoporosis ngenxa yokuvuvukala okuqhubekayo
• Ukuntuleka kwegazi nokukhathala

Izingozi ezingavamile kodwa ezingathi sína zihlanganisa ukuvuvukala kwezitho eziphatha igazi, ukucindezelwa kwama-nerve, nezingozi zezinkalweni. Kodwa-ke, ngokwelashwa kwamanje nokubhekwa njalo, eziningi zalezi zingozi zingavikelwa noma ziphathwe kahle.

Izindaba ezinhle ukuthi ukwelashwa okusheshayo, okuqine kakhulu kunciphisa kakhulu ingozi yezingozi. Iqembu lakho lokunakekelwa kwezempilo lizokubheka njalo ukuze libone noma yiziphi izinkinga ekuqaleni futhi lilungise ukwelashwa njengoba kudingeka.

I-Rheumatoid Arthritis Ihlonishwa Kanjani?

Ukuhlola i-rheumatoid arthritis kuhilela ukuhlanganisa izimpawu zakho, ukuhlolwa komzimba, ukuhlolwa kwegazi, nokufunda izithombe. Ayikho i-test eyodwa ebonisa ngokuqinisekile leli gciwane, ngakho-ke udokotela wakho uzohlanganisa izinkomba eziningi.

Udokotela wakho uzoqala ngokubuza ngezimpawu zakho, umlando womndeni, nokuthi isimo likuthinta kanjani impilo yakho yansuku zonke. Bazohlola izikhonkwane zakho ukuze babone ukukhuluphala, ukushisa, ubuhlungu, kanye nokujikeleza kwazo, begxila kakhulu ekubeni kuhileleke kokubili.

Izivivinyo zegazi udokotela wakho angazenza zihlanganisa:

• I-Rheumatoid factor (RF) - ivela kubantu abangaba ngu-70% abane-RA
• Ama-anti-CCP antibodies - atholakala kakhulu kubantu abane-rheumatoid arthritis
• I-ESR ne-CRP - izimpawu zokuvuvukala emzimbeni wakho
• Ukuhlonzwa okuphelele kwegazi ukuhlola ukungabi khona kwama-red blood cells

Izifundo zokwakha izithombe zisiza ekuboneni ukulimala kwezikhonkwane nokuvuvukala. I-X-rays ingabonisa izinguquko emathanjeni, nakuba isifo esiseqaleni singase singabonakali kwi-X-rays. I-Ultrasound ne-MRI zingabonisa ukuvuvukala kanye nezinguquko zokuqala zezikhonkwane ezingase zingabonakali kwi-X-rays.

Udokotela wakho angase futhi ahlole i-joint fluid uma kukhona ukukhuluphala okukhulu. Lokhu kusiza ukuqeda ezinye izimo ezifana ne-gout noma ukutheleleka okungafana nezimpawu ze-rheumatoid arthritis.

Iyini Ukwelashwa kwe-Rheumatoid Arthritis?

Ukuphathwa kwe-rheumatoid arthritis kugxila ekulawuleni ukuvuvukala, ukunciphisa izimpawu, nokuvimbela ukulimala kwezikhonkwane. Umgomo ukufinyelela ekuphumuleni noma ekuhambeni kancane kwesifo ukuze ukwazi ukugcina ikhwalithi yempilo yakho.

Uhlelo lwakho lokwelashwa luzohlanganisa imithi njengesisekelo sokwelashwa:

• Imithi yokuguqula isifo (DMARDs) efana ne-methotrexate ukuthambisa ukuqhubeka kwesifo
• Imithi ye-Biologic ehlose izingxenye ezithile zesimiso somzimba sokuvikela
• Imithi yokulwa nokuvuvukala ukuze kuphephe izimpawu
• I-Corticosteroids ukulawula ukuvuvukala okwesikhashana ngesikhathi se-flares

Ukuphathwa okungeyona imithi kudlala indima ebalulekile ekunakekelweni kwakho. Ukwelashwa komzimba kusiza ekugcineni ukujikeleza kwezikhonkwane namandla emisipha. Ukwelashwa komsebenzi kukufundisa ukuthi ungazivimbela kanjani izikhonkwane zakho ngesikhathi semisebenzi yansuku zonke futhi kungase kunconywe amadivayisi awusizo.

Ukuzivocavoca njalo, ikakhulukazi imisebenzi engenamthelela njengokubhukuda noma ukuhamba, kusiza ekuqondiseni umsebenzi wamajoyinti nokuhlala impilo. Ukwelashwa ngobushushu nokupholisa kungasiza ekunciphiseni izimpawu ngesikhathi se-flares.

Ezimweni ezinzima lapho amajoyinti elilimale ngokukhulu, izinketho zokucutshungulwa njengokufakwa kwamajoyinti amasha kungacatshangelwa. Kodwa-ke, ngokwelashwa kwasekuqaleni nelikhulu, abantu abaningi abadingi ukuhlinzwa.

Kufanele Uzinakekele Kanjani Ekhaya Ngesikhathi Une-Rheumatoid Arthritis?

Ukuphatha i-rheumatoid arthritis ekhaya kuhilela ukulinganisa umsebenzi nokuphumula nokwenza izinguquko zendlela yokuphila ezisekela impilo yakho yonke. Izinguquko ezincane, eziqhubekayo zingenza umehluko omkhulu endleleni ozizwa ngayo usuku nosuku.

Ngesikhathi se-flares, ukwelashwa ngobushushu obuthambile njengokugeza amanzi afudumele noma ama-heating pads kungasiza ekuqedeni ubunzima nobuhlungu. Ukwelashwa ngokubanda ngama-ice packs kunganciphisa ukukhuluphala ngesikhathi sokuvuvukala okukhulu. Lalela umzimba wakho bese usebenzisa lokho okuzizwa kukhululeka kakhulu.

Gcina uhlelo olujwayelekile lokuzivocavoca oluhlanganisa ukwelula okuthambile, imisebenzi yokunyakaza kwamajoyinti, nemisebenzi ye-aerobic engenamthelela. Ukubhukuda kusiza kakhulu ngoba amanzi asekela amajoyinti akho ngenkathi enikeza ukumelana ukuze kuqiniswe.

Gxila ekudleni okulwa nokuvuvukala okunomafutha e-omega-3, izithelo, imifino, nama-whole grains. Abanye abantu bathola ukuthi ukudla okuthile kubangela i-flares, ngakho ukugcina idayari yokudla kungasiza ekutholeni izinto ezikubangela wena.

Vivi amajoyinti akho ngokusebenzisa amajoyinti amakhulu, aqinile uma kungenzeka. Isibonelo, thwala izikhwama ngezandla zakho kunokubamba ngeminwe. Cabanga ngezinsiza nezinsiza ze-ergonomic ezinciphisa ukucindezeleka kwamajoyinti amancane.

Beka phambili ukulala nokuphatha ukucindezeleka, njengoba kokubili kungathinta kakhulu amazinga okuvuvukala. Hlose ukuthola amahora angu-7-9 okulala okuhle futhi uhlole izindlela zokunciphisa ukucindezeleka njengokucamngca, ukuphefumula okujulile, noma i-yoga ethambile.

Kufanele Uzilungiselele Kanjani Ukuya Kudoctor?

Ukulungiselela i-aphoyintimenti yakho kuzokusiza ukuthi uthole okuningi ngesikhathi sakho nomhlinzeki wakho wezinsizakalo zezempilo futhi kuqinisekise ukuthi ulwazi olubalulekile alukhohlwe. Ukulungiselela okuhle kuholela ekuxhumaneni kangcono nasezinqumweni zokwelashwa eziphumelelayo.

Gcina idayari yezimpawu amasonto ambalwa ngaphambi kwe-aphoyintimenti yakho, ubhale ukuthi yiziphi izigxobo ezibuhlungu, lapho izimpawu zibi kakhulu, yini esiza noma eziyenza zibe zimbi, nokuthi zithinta kanjani imisebenzi yakho yansuku zonke. Faka ulwazi mayelana nobude bokuqina ekuseni nanoma yiziphi izindlela zokukhathala.

Lungiselela uhlu oluphelele lwemithi yonke, izithasiselo, nemithi yokuthengwa ngaphandle komthetho oyithathayo, kufaka phakathi imithamo. Letha noma yiziphi iziphumo zezivivinyo zakamuva, izifundo zokubonisa izithombe, noma amarekhodi avela kwabanye abahlinzeki bezempilo abahilelekile ekunakekelweni kwakho.

Bhala imibuzo yakho ngaphambili ukuze ungayikhohlwa ngesikhathi se-aphoyintimenti. Cabanga ukubuza ngezinketho zokwelashwa, isikhathi esilindelekile sokuthuthuka, ukuguqulwa kwesitayela sokuphila, nezimpawu ezifanele zikukhuthaze ukuba ucingo.

Letha umngani noma ilungu lomndeni omethembayo uma kungenzeka, ikakhulukazi ezi-aphoyintimenti ezibalulekile. Bangakusiza ukuba ukhumbule ulwazi oluxoxiwe futhi banikeze ukwesekwa ngokomzwelo ngesikhathi sokubonisana okungase kube nzima mayelana nokuxilongwa kwakho nokwelashwa.

Ingabe i-Rheumatoid Arthritis Ingavinjelwa?

Nakuba ungakwazi ukuvimbela ngokuphelele i-rheumatoid arthritis, ikakhulukazi uma unamano amahle anezinkinga zezinto ezihlala zifana, ungathatha izinyathelo zokunciphisa ingozi yakho futhi mhlawumbe ulibambezele ukuqala kwalo. Gxila ezintweni ezingozi onazo.

Isinyathelo esibaluleke kakhulu sokuvimbela ukugwema noma ukuyeka ukubhema. Ukubhema akusikhukhumezi nje kuphela ingozi yokuthuthukisa i-rheumatoid arthritis, kodwa futhi kwenza isimo sibe sibi futhi kube nzima ukusiphela uma sivela.

Ukugcina isisindo esinempilo kunciphisa ukucindezela ezigxobeni zakho futhi kunganciphisa ukuvuvukala emzimbeni wakho wonke. Ukuzivocavoca njalo nokudla okulinganiselwe kusekela impilo ye-immune system yonke futhi kungasiza ukuvimbela izimo ze-autoimmune.

Ukuhlanzeka okuhle kwamazinyo kubalulekile ngoba isifo samagingi siye saxhunyaniswa nokungandisi kwezingozi ze-rheumatoid arthritis. Geza bese uhlanza ngentambo njalo, bese ubona udenti yakho ukuze uthole ukuhlanzwa okujwayelekile nokuhlolwa.

Ukuphatha ukucindezeleka ngezindlela zokubhekana nezimo ezinempilo, ukulala okwanele, kanye nokusekelwa komphakathi kungasiza ekuqondiseni izinga lokusebenza le-immune system. Nakuba ukucindezeleka ngokwalo kungabangeli i-rheumatoid arthritis, ukucindezeleka okuqhubekayo kungase kube nomthelela ekubeni khona kokuvuvukala futhi kungenzeka ukuthi kubangele lesi simo kubantu abathintekayo.

Iyini Iphuzu Eliyinhloko Mayelana Ne-Rheumatoid Arthritis?

I-Rheumatoid arthritis iyisimo esilawuleka uma itholakala ngokushesha futhi iphelelwe ngokufanele. Nakuba kuyisimo esingapheli sokuhlupheka komzimba esidinga ukunakekelwa okuqhubekayo, abantu abaningi abane-rheumatoid arthritis baphila impilo egcwele, esebenzayo ngokunakekelwa okufanele kwezokwelapha nokuphatha kwabo.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi ukwelashwa kwasekuqaleni kwenza umehluko omkhulu embonini yakho yesikhathi eside. Uma ubhekene nobuhlungu obuqhubekayo bezingqondo, ubunzima, nokuvuvukala, ikakhulukazi okuthinta izinhlangothi zombili zomzimba wakho, ungangabazi ukufuna ukwelashwa kwezokwelapha.

Amathuba okwelashwa namuhla aphezu kokuba yiphumelelo kunangaphambili, ngemithi eminingi engase ihambise noma iyeke ukuqhubeka kwesifo. Ngokuhlanganiswa nezinguquko zendlela yokuphila, ukuqeqeshwa komzimba, nezindlela zokunakekela, ungagcina ikhwalithi yempilo yakho bese uqhubeka wenze imisebenzi oyithandayo.

Khumbula ukuthi ukuphatha i-rheumatoid arthritis kuyimisebenzi yeqembu ehilela wena, i-rheumatologist yakho, nabanye abahlinzeki bezempilo. Hlala uhileleke ekunakekelweni kwakho, xhumana ngokukhululekile ngezimpawu zakho nezinkathazo zakho, futhi ungangabazi ukubuza imibuzo mayelana nelenkani yakho yokwelashwa.

Imibuzo Evame Ukubuzwa Mayelana Ne-Rheumatoid Arthritis

Q1: Ingabe i-rheumatoid arthritis ifana ne-arthritis ejwayelekile?

Cha, isifo se-rheumatoid arthritis sihlukile kakhulu kunesifo se-osteoarthritis, esiyinhlobo evamile kunazo zonke ze-arthritis. I-Osteoarthritis ibangelwa ukugqwala nokukhahlela kwamajoinyi ngokuhamba kwesikhathi, kuyilapho i-rheumatoid arthritis iyisimo sokuhlupheka komzimba lapho isimo sakho sokuvikela umzimba sihlasela amajoinyi akho. I-Rheumatoid arthritis ngokuvamile ithinta amajoinyi afanayo ngezikhathi zombili zomzimba wakho futhi ingabangela izimpawu zesimo somzimba jikelele njengokukhathala nokuqabuka, kuyilapho i-osteoarthritis ngokuvamile ithinta amajoinyi ngamanye futhi ayibangeli izimpawu zomzimba wonke.

UMbuzo 2: Ingabe ngizokhubazeka ngokuqinisekile uma ngine-rheumatoid arthritis?

Akuyona into eqinisekile. Nakuba i-rheumatoid arthritis ingabangela ukonakala kwamajoinyi nokukhubazeka uma ingaphathwa, ukutholakala kwesifo ngokushesha nokuphathwa kwamanje kuye kwathuthukisa kakhulu imiphumela. Abantu abaningi abane-rheumatoid arthritis baqhubeka besebenza, beqeqesha, futhi bephila ngokuzimela. Okubalulekile ukuqala ukwelashwa ngokushesha nokusebenzisana eduze neqembu lakho lokunakekelwa kwezempilo ukulawula ukuvuvukala nokunciphisa ukonakala kwamajoinyi.

UMbuzo 3: Ingabe ukukhulelwa kungathinta izimpawu ze-rheumatoid arthritis?

Yebo, ukukhulelwa kuvame ukuletha ukuthuthuka okwesikhashana ezimpawu ze-rheumatoid arthritis kwabesifazane abaningi, mhlawumbe ngenxa yokushintsha kwamahomoni okuvimba ngokwemvelo isimo sokuvikela umzimba. Noma kunjalo, izimpawu zivame ukubuyela ngaphakathi kwezinyanga ezimbalwa ngemva kokubeletha. Kubalulekile ukusebenzisana nodokotela wakho we-rheumatologist nodokotela wakho we-obstetrician ukulawula isimo sakho ngokuphephile ngesikhathi sokukhulelwa, njengoba amanye amaphilisi adinga ukulungiswa noma ukuyeka.

UMbuzo 4: Ingabe kukhona ukudla okufanele ngikugweme ngine-rheumatoid arthritis?

Nakuba kungekho ukudla okuqondene ngokuqondile ‘ne-rheumatoid arthritis,’ abanye abantu bathola ukuthi ukudla okuthile kubangela izimpawu zabo. Izinto ezivame ukubangela lokhu zihlanganisa ukudla okuthuthukiswe okune-shuga eningi ne-trans fats, inyama ebomvu eningi kakhulu, futhi ngezinye izikhathi imifino ye-nightshade njengamatamatisi nepepe. Noma kunjalo, ukudla okubangela lokhu kuhluka kakhulu kubantu. Gxila ekudleni okulwa nokuvuvukala okuno-omega-3 fatty acids, izithelo, imifino, no-whole grains, bese ucabanga ukuthi ugcine idayari yokudla ukuze ubone izinto ezibangela lokhu kuwe.

Q5: Kuthatha isikhathi esingakanani ukuba imithi ye-rheumatoid arthritis isebenze?

Isikhathi sihluka kuye ngemithi. Imithi yokulwa nokuvuvukala ne-corticosteroids inganika impumuzo phakathi kwamahora kuya ezinsukwini. Imithi eguqula isifo njenge-methotrexate ithatha cishe amasonto angu-6-12 ukukhombisa intuthuko enkulu, kuyilapho imithi ye-biologic ingasebenza phakathi kwamasonto angu-2-6. Udokotela wakho uzolandelela indlela ophendula ngayo futhi angase alungise imithi uma ungaboni intuthuko ngaphakathi kwesikhathi esilindelekile. Ukubekezela kubalulekile, njengoba ukuthola ukuxuba okulungile kokwelashwa kungathatha isikhathi.