Unyango olupheleleyo lweArthritis lweMpilo eNgcono yaMalungu
Ukuphila ne-arthritis akuthethi ukwamkela iintlungu ezingapheliyo kunye nokuhamba okulinganiselweyo njengento eqhelekileyo. Unyango olusebenzayo lwe-arthritis ludibanisa iindlela ezininzi zokunciphisa ukudumba, ukugcina ukusebenza kwamalungu, kunye nokuphucula umgangatho wobomi bakho. Nokuba ujongene ne-osteoarthritis evela ekugugeni nasekukrazuleni, i-rheumatoid arthritis evela kwiinkqubo zokuzikhusela komzimba, okanye olunye uhlobo lwesifo samalungu, ukuqonda iindlela zakho zonyango kukunika amandla okulawula impilo yamalungu akho.
Apha eMadison Medical, sigxile kunyango olupheleleyo lwe-arthritis oludlula nje ekulawuleni iimpawu. Indlela yethu ijongana nokudumba okubangelwa kukudumba, ixhasa ukugcinwa kwamalungu, kwaye ibandakanya unyango oluqinisekisiweyo kunye nonyango oluphambili. Ukususela kuvavanyo lwakho lokuqala ukuya kulawulo oluqhubekayo, sisebenzisana nawe ukuze sifumane iziphumo ezilungileyo kakhulu kuhlobo lwakho oluthile lwe-arthritis.
Ukuqonda Iintlobo Ezahlukeneyo ZeArthritis
I-arthritis ayisosifo esinye kodwa ligama eliquka iimeko ezingaphezu kwe-100 ezichaphazela amalungu. I-Osteoarthritis, uhlobo oluqhelekileyo, lubangelwa kukuqhekeka kwe-cartilage kancinci okuvumela amathambo ukuba agudlane. Le arthritis "yokuguguleka" idla ngokuvela emva kweminyaka engama-50, nangona ukwenzakala kunokubangela ukuba iqale kwangoko. Idla ngokuchaphazela amadolo, izinqe, izandla kunye nomqolo.
I-rheumatoid arthritis yimeko yokuzikhusela komzimba apho amasosha omzimba wakho ehlasela ngempazamo iingxinano zamalungu, nto leyo ebangela ukudumba, ukudumba, kunye nomonakalo wamalungu ekugqibeleni. Ngokungafaniyo ne-osteoarthritis, i-rheumatoid arthritis idla ngokuchaphazela amalungu ngokulinganayo kwaye inokwenzeka nakweyiphi na iminyaka. Unyango oluqatha lwasekuqaleni lubalulekile ukuthintela ukutshatyalaliswa kwamalungu ngokusisigxina.
Ezinye iintlobo ziquka isifo samathambo esibizwa ngokuba yi-psoriatic arthritis esinxulunyaniswa ne-psoriasis, isifo samathambo esibangelwa yi-uric acid crystal deposits, kunye neentlobo ezahlukeneyo zesifo samathambo esibangelwa kukudumba. Ngayinye inezizathu ezahlukeneyo kwaye ifuna iindlela zonyango ezilungiselelwe wena. Ukuxilongwa ngokuchanekileyo kuqinisekisa ukuba ufumana unyango olufanelekileyo.
Iimpawu Ezibonisa Ukuba Ufuna Unyango Lweentlungu Zamalungu
Intlungu yamalungu luphawu oluphambili, kodwa isifo samathambo sibonakala ngeendlela ezahlukeneyo kuxhomekeke kuhlobo lwaso. I-Osteoarthritis idla ngokubangela iintlungu eziba mandundu xa usebenza kwaye ziphucuke xa uphumle, kunye nokuqina kwasekuseni okuhlala ngaphantsi kwemizuzu engama-30. Unokubona iimvakalelo zokusila, ukuncipha kokuhamba, okanye ukudumba kwamathambo okukhula kumalungu achaphazelekileyo.
I-arthritis evuthayo ibangela iintlungu, ukudumba, kunye nokuqina okunokuba kubi kakhulu kusasa okanye emva kokungasebenzi, okuhlala ixesha elingaphezu kweyure. Amalungu anokuziva efudumele xa ephathwa. Ukudinwa, umkhuhlane ophantsi, kunye nokungakhululeki ngokubanzi kudla ngokuhamba neempawu zamalungu. Amalungu amaninzi achaphazeleka rhoqo, ngamanye amaxesha ngokulinganayo.
Nayiphi na intlungu yamalungu engapheliyo ehlala iiveki ezimbalwa ifanelwe luvavanyo. Ukungenelela kwangoko kunokucothisa ukuqhubela phambili kwesifo, kugcine ukusebenza kwamalungu, kwaye kuthintele ukukhubazeka—ingakumbi okubaluleke kakhulu kwi-arthritis evuthayo apho umonakalo wamalungu unokuqokelelwa ngokukhawuleza ngaphandle konyango.
Yintoni Ebangela Isifo Samathambo?
I-osteoarthritis ikhula ngenxa yoxinzelelo lwamalungu oluqokelelweyo ngokuhamba kwexesha. I-cartilage iyawohloka kancinci kancinci, ilahlekelwa ngamandla ayo okuhlala ihleli. Ukulimala kwangaphambili, ukutyeba kakhulu, uxinzelelo oluphindaphindayo emsebenzini, kunye nofuzo konke oku kunegalelo. Ukungazinzi kwamalungu ngenxa yokwenzakala kwe-ligament kukhawulezisa ukuwohloka kwe-cartilage.
Isifo samathambo esibangelwa kukungasebenzi kakuhle kwenkqubo yomzimba yokuzikhusela, nangona eyona nto ibangela oku ingacaci. Izinto ezibangela ufuzo zibangela ukuba umntu angakwazi ukuzikhusela, ngelixa izinto ezibangela ukugula—mhlawumbi usulelo, ukutshaya, okanye izinto ezibangela iihomoni—zinokubangela ukuba umntu angakwazi ukuzikhusela. Abafazi banesifo samathambo esibangelwa kukungasebenzi kakuhle kwenkqubo yomzimba yokuzikhusela kunamadoda.
I-Gout ikhula xa amanqanaba e-uric acid enyuka ngokwaneleyo ukwenza iikristale kumalungu. Ukutya, ukusebenza kwezintso, kunye ne-genetics zonke zichaphazela amanqanaba e-uric acid. Ezinye iintlobo ze-arthritis ezivuthayo zinezizathu ezahlukeneyo, ukusuka kwiintsholongwane ukuya kwiinkqubo zokuzikhusela komzimba ukuya kwiingxaki ze-metabolic.
Izinto Ezibangela Umngcipheko Wokuphuhlisa I-Arthritis
- Age: Umngcipheko uyanda ngokukhula, nangona isifo samathambo esidumbayo sinokwenzeka nakweyiphi na iminyaka.
- isini: Abafazi basengozini enkulu ye-rheumatoid arthritis; amadoda asengozini enkulu ye-gout
- Ubukhulu: Ubunzima obugqithisileyo bubangela uxinzelelo kumalungu athwala ubunzima kwaye bukhuthaza ukudumba
- Ukwenzakala kwangaphambili: Ukulimala kwamalungu kukhawulezisa uphuhliso lwe-osteoarthritis
- Imbali yentsapho: Izinto zemfuza zinefuthe ekuthambekeni kwiintlobo ezininzi ze-arthritis
- Umsebenzi: Imisebenzi efuna uxinzelelo lwamalungu oluphindaphindayo yonyusa umngcipheko we-osteoarthritis
Uvavanyo lokuxilonga lweArthritis
Ukuxilongwa ngokuchanekileyo kukhokela unyango olusebenzayo. Uvavanyo lomzimba luvavanya ukudumba kwamalungu, ukuthamba, umgama wokunyakaza, kunye nokufudumala. Ugqirha wakho uza kuvavanya indlela yokubandakanyeka kwamalungu—ngawaphi amalungu achaphazelekileyo kunye nokuba ukubandakanyeka kuyalingana na—ukwahlula phakathi kweentlobo ze-arthritis.
Uvavanyo lwelabhoratri lubonelela ngolwazi olubalulekileyo. Uvavanyo lwegazi lunokuchonga iimpawu zokudumba, i-rheumatoid factor, ii-anti-CCP antibodies, kunye namanqanaba e-uric acid. Oku kunceda ukwahlula i-arthritis yokudumba kwi-non-inflammatory kwaye kuchonge iimeko ezithile ezifana ne-rheumatoid arthritis okanye i-gout.
Izifundo zomfanekiso zibonisa umonakalo wamalungu. Ii-X-ray zibonisa utshintsho lwamathambo, ukuncitshiswa kwendawo yamalungu, kunye nokuqhekeka kwamathambo. I-MRI ibonelela ngemifanekiso eneenkcukacha zezicubu ezithambileyo, ityhila utshintsho lokuqala lokudumba ngaphambi kokuba kwenzeke umonakalo wamathambo. I-Ultrasound inokubhaqa ukudumba kwe-synovial kwaye ikhokhele iinkqubo zokuxilonga kunye nezonyango.
Iindlela Zonyango Ezigcina Ulondolozo
Ngokumangalisayo, umthambo lolunye lolona nyango lusebenzayo kwi-arthritis, nangona kukho imvakalelo yokuphumza amalungu abuhlungu. Ukuzilolonga okufanelekileyo kuqinisa ukuxhasa izihlunu, kugcina ukuguquguquka, kwaye kondla i-cartilage ngokushukuma kwamalungu. Iindlela ezingasebenzi kakuhle ezifana nokudada, ukukhwela ibhayisekile, kunye nokuhamba zibonelela ngeenzuzo ngaphandle koxinzelelo olukhulu lwamalungu.
Ukulawula ubunzima kuchaphazela kakhulu impilo yamalungu athwele ubunzima. Ikhilogram nganye yobunzima bomzimba ithetha ukuba kukho iikhilogram ezininzi zoxinzelelo emadolweni nasezinqeni xa uhamba. Nokuba ukunciphisa ubunzima okuncinci kunokunciphisa kakhulu iintlungu kunye nokukhula kancinci kwe-osteoarthritis.
Unyango lomzimba luphuhlisa iinkqubo zokuzilolonga ezenzelwe wena ezijongana nemida yakho ethile. Iingcali zonyango zifundisa iindlela zokukhusela amalungu, zicebisa izixhobo zokuncedisa xa ziluncedo, kwaye zisebenzisa iindlela ezifana nobushushu, umkhenkce, kunye ne-ultrasound ukulawula iimpawu.
Amayeza anika isiqabu kwiimpawu, kwaye kwi-arthritis evuthayo, aguqula izifo. Iindlela ezithengiswa ngaphandle kwekhawuntara ziquka i-acetaminophen yentlungu kunye ne-NSAIDs yentlungu kunye nokudumba. Amayeza anikezelwa ngogqirha aqala kwi-anti-inflammatories enamandla ukuya kwi-medics eguqula izifo ezicothisa ukuqhubela phambili kwe-arthritis evuthayo.
Unyango oluPhambili noluvuselelayo
Iinaliti ezidityanisiweyo zihambisa amayeza ngqo apho kufuneka khona. Iinaliti ze-corticosteroid zibonelela ngemiphumo enamandla yokulwa nokuvuvukala, zinciphisa iintlungu kunye nokudumba kangangeeveki ukuya kwiinyanga. Iinaliti ze-hyaluronic acid zongeza ukuthambisa amalunga kwi-osteoarthritis, okunokunciphisa iintlungu kunye nokuphucula ukusebenza.
Unyango lwe-plasma (PRP) olutyebileyo ngeeplatelet lugxila kwizinto zokuphilisa ezivela egazini lakho kwaye luzifake kumalungu achaphazelekileyo. Le ndlela yokuvuselela inokukhuthaza ukulungiswa kwezicubu kwaye inciphise ukudumba. Uphando luyaqhubeka nokuchaza iindlela ezifanelekileyo kunye nokukhetha izigulana.
Unyango lweeseli ze-stem kunye nezinye iindlela zonyango lokuvuselela zinika ithuba lokukhuthaza ukuphiliswa kwezicubu endaweni yokulawula iimpawu. Nangona uphando luqhubeka, olu nyango lubonisa imida enomdla kunyango lwamathambo.
Iindlela Zokutyanda Xa Kufuneka
Xa unyango oluhlala lusetyenziswa ngokuqhelekileyo lungasaniki ncedo lwaneleyo, iindlela zotyando zinokubuyisela ukusebenza kakuhle. I-Arthroscopy ivumela ukucocwa nokulungiswa kwamalungu angangeni kakhulu. I-Osteotomy ilungelelanisa amathambo ukuze asuse ubunzima kwiindawo ezonakeleyo. Ukutshintshwa kwamalungu endaweni yezinto ezenziweyo zamalungu awonakele kakhulu.
Iindlela zanamhlanje zokutshintshwa kwamalungu kunye nokufakelwa kwamalungu zibonelela ngeziphumo ezibalaseleyo kubantu abafanelekileyo. Ukutshintshwa kwamalungu esinqeni namadolo ngokukodwa kubonelela ngamanqanaba aphezulu empumelelo kunye nokunciphisa okukhulu iintlungu kunye nokuphucula ukusebenza. Ukubuyela esimeni kuye kwanda ngokukhawuleza ngeenkqubo eziphuculweyo.
Kutheni iMadison Medical ifuna unyango lweArthritis?
Iingcali zethu ze-rheumatology kunye ne-orthopedic zizisa ubuchule obupheleleyo kulawulo lwe-arthritis. I-Madison Medical ibona izigulane ezingaphezu kwe-1,200 veki nganye, inika amava afunekayo ukuze kuchongwe ngokuchanekileyo kwaye kunyangwe ngokufanelekileyo zonke iintlobo ze-arthritis. Sinikezela ngononophelo olupheleleyo ukusuka kumayeza ukuya kwiinaliti ukuya ekuthunyelweni kotyando xa kufuneka.
Inkqubo yethu yamayeza okuvuselela inika ukufikelela kwi-PRP, unyango lweeseli ze-stem, kunye nolunye unyango oluphambili. Siququzelela unyango olukhethekileyo ukuqinisekisa ulawulo olupheleleyo lwempilo yamalungu akho. Izicwangciso zeinshorensi eziphambili zamkelwe kwiindawo zethu ezikufutshane eNew Jersey.
Bukela ukuze ufunde okungakumbi
Lawula Impilo Yakho Yamalungu
I-arthritis isenokuba yinto eqhelekileyo, kodwa ukubandezeleka buthule akuyomfuneko. Iindlela zonyango zanamhlanje zilawula ngempumelelo iimpawu, zicotha inkqubela, kwaye zigcina ukusebenza kakuhle kwezigulane ezininzi. Okukhona ufuna unyango kwangethuba, kokukhona ufumana iindlela ezininzi kwaye iziphumo zakho zexesha elide zingcono.
Nxibelelana neMadison Medical ukuze ucwangcise uvavanyo lwakho lwe-arthritis. Iingcali zethu ziya kuxilonga imeko yakho ethile, zichaze iindlela zonyango lwakho, kwaye zenze isicwangciso sakho sokunciphisa iintlungu nokugcina ukusebenza kwamalungu. Nokuba ufuna unyango oluzinzileyo okanye ukungenelela okuphambili, silapha ukukunceda uhlale usebenza.