Samathambo kwamalunga: iimpawu kunye nonyango amayeza iziyobisi abahlala

isifo samathambo - inkqubo esinganyangekiyo ukudumba ochaphazela becala amalungu ezincinane ezandleni nasezinyaweni. Ngokungafaniyo "banxibe" amalungu, uphawu osteoarthritis, kule meko umonakalo ezikumila ezahlukeneyo: ukubandezeleka kuphela umtshiso iqokobhe leyo ebangela ubuhlungu obukhulu kunokukhokelela kukhukuliseko amathambo kunye ukukhubazeka ezidibeneyo.

isifo samathambo, iimpawu kunye nonyango leyo ube yingxaki kakhulu, sisifo samathambo yaye kwenzeka xa amajoni omzimba omzimba ngempazamo ehlasela kwizihlunu alo. Ukongeza ezimbi amalungu, le waphula kunokubangela izifo kunye namanye amalungu omzimba, kuquka ulusu, amehlo, imiphunga, yaye imithambo yegazi.

Nangona esi sifo zisenokuvela nanini na ubudala, oko amaninzi kuchaphazela abantu iminyaka emashumi mane ngaphezu. Kakhulu kuchaphazela amabhinqa.

Ngenxa yobume yintoni na isifo samathambo, unyango (iziyobisi neenkqubo) ejoliswe kakhulu ekulawuleni iimpawu kunye nokunqanda umonakalo amalungu.

iimpawu

Iimpawu zazo idla ngokuba zezifo zibandakanya:

• ukudumba nokwandisa ubuntununtunu namalungu (ukuba unako ishushu xa uyibamba);
• kusasa nokoma, leyo ungatsala kangangeeyure ezininzi;
• ubukho engenamaqhuma esiluqilima kwizicwili, leyo obungqingqwa solusu ngesandla (maqhuqhuva onaso) ;
• ukudinwa, ifiva, icetywe umzimba.

isifo samathambo, unyango, iimpawu noonobangela ziyachongwa zize zivunywe nisaqala sifo, uninzi ngokuqhelekileyo uchaphazela amalungu amancinane lokuqala - ngokuqhelekileyo abo adibanayo iminwe izandla iintende zeenyawo.

Njengoko ngezifo iqhubeka, iimpawu phantse lonke kudlulela iwotshi, amadolo, Amaxhwele, iingalo, esinqeni kunye namagxa. Kwiimeko ezininzi ezi mpawu azibonakalisa ukunyhashwa amalungu efanayo macala omabini (ngokulandelelana ngasekunene kunye nemilenze ekhohlo).

Iimpawu badla ayahluka ubucaka yaye nokuba ibuye okwethutyana, aze abuye kwakhona. Iba mandundu nezifo - uhlobo flash - enye kunye nexesha kuxolelwe isalamane, xa ukufukuka kunye neentlungu ukuncipha okanye shwaka ngokupheleleyo. Ekuhambeni kwexesha, isifo samathambo, iimpawu kunye nonyango leyo isigulane sele uqalile kubangela deformation kunye ukubana namalungu.

Dibana nogqirha wakho xa uphawula ukuba amalungu Kugcwele rhoqo ukudumba ezikwenza ukuqaleka.

izizathu

isifo samathambo olubakho xa amajoni omzimba ehlasela synovia le inwebu ejikeleze amalungu.

ukudumba elandelayo sikhula synovia kwaye ekugqibeleni kukhokelela ekutshatyalalisweni intlala bone.

Imisipha kunye nemisipha abayibambe ndibanisela ndawo buthathaka kwaye twa. Ngokuthe ngcembe, ilunga ulahlekelwa imilo kunye uhamba.

yesilungu ayifakanga noko wayeyinxalenye hle ibanga ukuba umxokomezelo wokugonyeka ukuba uphendule ngokwanelisayo ukuya synovium, kodwa iingcali zibonisa ukuba le nkalo ufuzo ezibandakanyekayo. Nangona gene ngokwayo iqulathe akukho prerequisite kuphuhliso ezimbi ezifana isifo samathambo (unyango lwe iimpawu yaye zichazwe ngokupheleleyo kweli phepha), ukuba unako siqulathe ulwazi malunga ukuthambekela neziphumo ezibi kakhulu kokusingqongileyo. Oku kuthetha ukuba bosulelwe iintlobo ezithile eziphilayo le ntsholongwane okanye neentsholongwane uyakwazi umkhwetha ngezifo ngokudibeneyo.

ubungozi

Iimeko kwandisa ingozi yokuba esi sifo zezi zilandelayo:

• Paul. Abasetyhini abafunyaniswe isifo samathambo rhoqo.
• Age. Nangona esi sifo zisenokuvela nanini na ubudala, kwiimeko ezininzi, iimpawu kuvela phakathi iminyaka emashumi mane mathandathu.
• imbali yosapho. Ukuba ilungu losapho lwakho kwafunyaniswa ukuba isifo samathambo, iimpawu kunye nonyango elithe evunyiweyo ugqirha oluthembekileyo, usengozini.

ukungaphili

Isifo kwandisa ingozi ezimbi zilandelayo:

• Kwamathambo. isifo samathambo - ngokwawo, okanye xa zidityaniswe ne kunyango ngamachiza ezijoliswe kunyango lwakhe - kungandisa amathuba kwamathambo. Le meko apho amathambo buthathaka kwaye aselula, umphumela ube iimpembelelo ezincinci kungakhokelela inkangeleko neentanda.
• Itonela carpal syndrome (carpal) channel. Ukuba siqhenqethile isibetho kunene, inkqubo yokukrala nga compress le luvo esichaphazela ukusebenza ngesandla neminwe.
• isifo sentliziyo. Le ngezifo efanayo namalungu kwandisa umngcipheko ukuqina kunye odla kwemithambo. Ukongezelela, oko kunokukhokelela ukudumba kwisingxobo ezingqonge intliziyo.
• isifo semiphunga. Iimpawu isifo samathambo (unyango amayeza zizixhamlele kulo mzekelo akunakwenzeka ukuba isebenze) leyo kudityaniswe susceptibility ukuba isifo imiphunga, kunokubangela ukudumba yomoya aphantsi kunye nemiphunga inyama loloyiko. Ngenxa yoko, isigulana siya ubunzima ukusuka ukuphelelwa okuqhubekayo umoya.

Phambi utyelelo kugqirha

Ukuba ucinga ukuba isifo samathambo, iimpawu, unyango, ebangela kwezifo kunye ALS kungcono ngokukhawuleza kangangoko kunokwenzeka ukuba bayixoxe ugqirha. Sicebisa ukuba wenze idinga eyingcali, owathi, ukuba kuyimfuneko, ukukuthumelela ukuba wamathambo - oyingcali ukunyanga isifo kunye nezinye izifo arhabaxa. It wamathambo liya kuhlalutya imeko yakho.

Phambi kokuba uye yeengcebiso zezonyango, yenza uluhlu equka izinto ezilandelayo:

• inkcazelo eneenkcukacha impawu kuwe;
• iinkcukacha ngezifo, ukwenzakala kunye nezinye iingxaki zempilo ukuba ubunzima kwixesha elidlulileyo;
• data kwi zempilo kunye nezifo ubunzima ngabazali bakho, abazalwana noodade;
• uluhlu olupheleleyo amayeza, izakhiwo vitamin kunye nezongezo zokutya ukuba ukuthatha rhoqo;
• imibuzo ofuna ukuyibuza ugqirha.

Oko ugqirha uthi

Yingcali angacela ukuba ezinye mibuzo ilandelayo:

• Xa wenza imiqondiso yokuqala isaziso sifo?
• Ngaba iimpawu zokugula zatshintsha ekuhambeni kwexesha?
• Yintoni amalungu inobuhlungu?
• Cause kukho iintlobo zomsebenzi ngezimvo okanye ukuphucuka imeko yakho?
• Musa ukunqanda iimpawu zokugula ukwenza imisebenzi yakho yesiqhelo yemihla ngemihla?
• Ukuba ugqirha wakho siqinisekisa ukuba samathambo, iimpawu, oonobangela, unyango kunye ukutya liza kuba izihloko jelo lothetha-thethwano.

ekuxilongweni

isifo samathambo kunzima ukubona kwi sisaqala, njengoko nemiqondiso zaseprayimari iimpawu ezibonisa twatse kwezinye iimeko zophendlo lwezifo. Okwangoku, akukho uhlobo enjalo lovavanyo kwegazi okanye nokuxilongwa kwemizimba ukuba akwazi ayintsokothanga ukuqinisekisa Kwingcingane izigulane kunye kumagqirha. Noko ke, ukuba ubuhlungu ezibalulekileyo kunye nokudumba kuyimfuneko ukuba unyango kwangoko, ngenxa yokuba iingcali benza konke okusemandleni abo ukuze ukucacisa uxilongo presumptive.

Ngenxa yoko, uvavanyo lonyango lokuqala kuqhutyelwa ukukhangela ukuba imeko amalungu phambi ukudumba, ububomvu kunye nobushushu. Ukongeza, kolu viwo, ugqirha lijonga i ingqondo kunye ukomelela kwezihlunu.

Kwezinye iimeko, indlela X-ray ukuze iliso utshintsho kwamalunga ekuhambeni kwexesha.

iimvavanyo zegazi

Izigulane unesifo samathambo samathambo (iimpawu kunye namancedo intsomi unyango ezibhalwe kwisicatshulwa), ube ukunyuka kweqondo ESR (neentlenge rate erythrocyte), nto leyo ibonisa ubukho ukudumba emzimbeni. Ezinye zePCR igazi lula ukuchongwa yeemeko samathambo kunye antibodies peptide anti-elibujikele citrullinated.

unyango

Nangona isifo samathambo (iimpawu, unyango, uphethwe, uthintelo - konke oku isephantsi sifundo ziingcali) na ukuphazamiseka eliqhelekileyo, ukuza kuthi ga ngoku akukho ndlela olunye unyango lwesi sifo. therapy Drug kunciphisa kuphela ukudumba kwamalunga, ephelisa intlungu nokuthintela okanye isantya ukutshatyalaliswa izicwili.

amayeza

Emva kokufunyanwa sifo isifo samathambo, ebangela, iimpawu, kunye neempawu unyango ekufuneka ukuchaza ngokweenkcukacha ugqirha wakho, amisiweyo unyango zonyango. Ekubeni inkoliso esebenzayo kulo mzekelo, amachiza zinokubanga iziphumo ebezingalindelekanga ezimandundu, iingcali bazama kuqala ukubhala amachiza ubuncinane yingozi. Noko ke, njengoko inkqubela isifo usafuna amayeza kakhulu - okanye indibanisela ngeendlela ezininzi.

• amachiza Nonsteroidal anti-ukudumba lula intlungu kunye nokunciphisa ukudumba. Ezinye zazo kuthengiswa nakwiikhemisti ngaphandle imithetho kagqirha. Oku, umzekelo, ibuprofen, kunye naproxen sodium. iziyobisi Okuninzi ngokukuko eli qela kukho okunikelwa kagqirha. Ezi ziphumo bezingalindelekanga ukuze ibonakale njengoba ukuduma, gastritis, ukuphazamiseka zentliziyo, isibindi kunye kidney umonakalo.
• Steroid. Corticosteroids, ezifana prednisone, ukunciphisa nangokurhala, iintlungu ngokucotha umonakalo ezidibeneyo. Iziphumo ebezingalindelekanga ziquka ukuxozwa ithambo, ukutyeba seswekile. Oogqirha ngokuqhelekileyo ukumisela amayeza hlobo ukuze kuphele iimpawu etsolo nokucebisa phambili ngokuthe ngcembe ukwala ngokwamkela corticosteroids.
• amachiza Basic antiinflammatory (disease-uguqulo kancincane amachiza antirheumatic). Ukuba ngaba une-isifo samathambo, unyango (iziyobisi neenkqubo) anokuba ekunqandeni phantsi inkqubo wentshabalalo ngokudibeneyo kwaye kuthintela umonakalo kwezinye iithishu. Ukulungiselela le njongo, oqeshwe yi amachiza ezisisiseko anti-ukudumba, kuquka ezisetyenziswa ngokuxhaphakileyo methotrexate, leflunomide, hydroxychloroquine kunye sulfasalazine. Iziphumo ebezingalindelekanga ziquka ukonakala kwesibindi, lomongo wethambo ingcinezelo kunye nosulelo kakhulu nezengekho miphungeni.

amayeza abantu

Ukuba ufunda malunga iimpawu kunye nonyango lwe isifo samathambo encwadini okanye Internet ngenxa yezizathu zobuqu onganqweneli ukubona ugqirha (yeha, loo nto yenzeka), zama ukumelana amayeza yokugula iintsomi - kuyo nayiphi na imeko, ubuncinane ke musa kwabanga nemiphumela emibi kakhulu, njengamayeza ekhemesti.

Ukunyanga i abaxhasi kunye Alternative Medicine afakwe i-oyile kwimbewu, primrose ngokuhlwa, currants abamnyama kunye borage, ngokunjalo additive ukutya eziphilayo esebenzayo ezinomthamo ophezulu fish oil. Zonke ezi zinto angasebenzisana ezahlukahlukeneyo iziyobisi, ngoko ngaphambi kokuba uyisebenzise qiniseka ukufumana phandle i uluvo ugqirha okanye wamathambo.