Rheumatoid Arthritis neNhamba: Chokwadi, Statistics, uye Iwe

Zvemukati

• Chii chinonzi rheumatoid arthritis?
• Zviratidzo uye njodzi zviitiko
• Kuwanda
• Matambudziko
• Kurapa
• Maitiro Ehupenyu Shanduko
• Mariro
• Outlook

Chii chinonzi rheumatoid arthritis?

Rheumatoid arthritis (RA) chirwere che autoimmune icho chinonyanya kurwisa ma synovial matishu mukati memapfundo. Zvirwere zvekuzvimiririra zvinoitika kana immune system ikanganisa matishu ayo kune vapambi vekunze, senge mabhakitiriya kana hutachiona. Iyo immune system inovhiringidzika inogadzira masoja ekudzivirira nekutsvaga nekuparadza "vanopinda" mu synovium.

RA chirwere che systemic, zvinoreva kuti chinogona kukanganisa muviri wese. Inogona kurwisa nhengo, senge moyo, mapapu, kana zvimwe zvinyama senge mhasuru, shwashwa, uye mitsipa. RA inokonzera kuzvimba kusingaperi uye kurwadziwa uko dzimwe nguva kwakanyanya, uye kunogona kukonzera kuremara zvachose.

Zviratidzo uye njodzi zviitiko

Pakutanga kweRA, unogona kuona kuti majoini madiki seminwe yako nezvigunwe zvinodziya, zvakaomarara, kana kuzvimba. Zviratidzo izvi zvinogona kuuya nekuenda, uye iwe ungangofunga kuti hazvisi chinhu. RA flare-ups inogona kugara kwemazuva mashoma kana mavhiki mashoma vasati vanyangarika zvakare.

Pakupedzisira, RA inokanganisa majoini mahombe, akadai sehudyu, mapfudzi, nemabvi, uye nguva yekuregererwa ichatapudza. RA inogona kukuvadza majoini mukati memwedzi mitatu kusvika kumatanhatu yekutanga. Makumi makumi matanhatu muzana yevanhu vane RA isina kukwana kurapwa havakwanise kushanda makore gumi mushure mekutanga.

Zvimwe zviratidzo zvinosangana neRA zvinosanganisira:

• kuneta
• fivha yepasi-pasi
• kurwadziwa uye kuomarara kwenguva yakareba kupfuura maminetsi makumi matatu mangwanani kana mushure mekugara
• kupererwa neropa
• kuonda
• rheumatoid nodules, kana mapundu akasimba, pasi peganda, kunyanya mumaoko, magokora, kana makumbo.

RA inogona kuve yakaoma kuongorora nekuti mhando uye kuomarara kwezviratidzo zvinosiyana kubva pamunhu kuenda kumunhu. Izvo zvakafananawo nezviratidzo zveimwe mhando yemajoini, izvo zvinoita kuti kutadza kuziva zvakanaka kuitike.

Chikonzero cheRA hachizivikanwe, asi huwandu hwenjodzi hunogona kubatsira, senge:

• nhaka
• nharaunda
• mararamiro (semuenzaniso, kusvuta)

Kuwanda

Kunze kwevanhu vese zviuru zana, vane RA gore rega. Vanenge mamirioni 1,3 vekuAmerica vane RA.

Vakadzi vangangoita kaviri kana katatu mukana wekuwana RA kupfuura varume. Mahormone mune vese varume kana vakadzi anogona kutora chinzvimbo mukuzvidzivirira kana kuzvikonzera.

RA inowanzotanga pakati pemakore makumi matatu nemakumi matanhatu mumadzimai uye zvimwe gare gare muhupenyu mune varume. Ngozi yehupenyu hwekuvandudza RA iri. Zvisinei, RA inogona kurova chero zera - kunyangwe vana vadiki vanogona kuiwana.

Matambudziko

RA inowedzera njodzi yechirwere chemwoyo kana sitiroko, nekuti inogona kurwisa iyo pericardium (lining yemoyo), uye inokonzeresa kuzvimba kuburikidza nemuviri. Njodzi yekurwadziwa kwemoyo ndeye 60 muzana yakakwira gore rimwe mushure mekuonekwa kuti une RA kupfuura iyo isina chirwere.

Vanhu vane RA vanogona kudzivirira kurovedza muviri nekuda kwekutambudzika kwekubatana, kuisa pangozi kuwedzera uremu uye kuisa mamwe matambudziko pamoyo. Vanhu vane RA vane mukana wakapetwa kaviri wekutambura nekushushikana, izvo zvinogona kunge zvichikonzerwa nekuderera kwekufamba uye kurwadziwa.

Iko kukuvadza kunogona kuitwa RA hakuganhurwe kune majoini. Chirwere ichi zvakare chinogona kukanganisa yako:

• mwoyo
• mapapu
• vascular system
• maziso
• ganda
• ropa

Utachiona hunogona kunge huchiita chikamu chechina chekufa kwevanhu vane RA.

Kurapa

Kunyangwe pasina mushonga weRA, kune zvakawanda zvakasiyana nzira dzekurapa dzinogona kubudirira kubvisa zviratidzo uye kudzivirira kukuvara kwenguva refu kwekubatana. Vanachiremba vanokwanisa kunyorera mishonga, mararamiro ehupenyu, kana mubatanidzwa wezvose zviri zviviri, nechinangwa chekuwana mamiriro ekuregererwa.

Ikozvino pane mana akasiyana makirasi emishonga anoshandiswa pakurapa RA:

• Nonsteroidal anti-inflammatory drug (NSAIDs), iyo yakapfava kirasi yemishonga, inonyanya kushanda kudzikamisa marwadzo nekudzora kuzvimba, asi usaite kufambira mberi kweRA.
• Corticosteroids inoshanda zvine simba kuti ikurumidze kudzika, uye ndeyekushandisa kwenguva pfupi.
• Zvirwere-zvinoshandura antirheumatic zvinodhaka (DMARDs), iyo yakajairika RA kurapwa, inoshanda kudzikisira kufambira mberi kweRA, asi inogona kukonzera zvine mwero kune zvakakomba mhedzisiro.
• Biologic response modifiers (biologic DMARDs), inowanzoshandiswa pamwe chete neDMARD, shanda kugadzirisa immune system ine dambudziko kupindura maDMARD.

Maitiro achangobva kuitwa ekurapwa kweRA anoratidza kushandiswa kwekurapa nehasha mumatanho ekutanga ekutanga kweRA kuitira kuti zvidzivirire kubva pakupedza kudzidza kusvika kune yakakomba uye inogara kwenguva refu.

Maitiro Ehupenyu Shanduko

Kugara neRA hakugone kungobata mutero chete, asi zvakare kunetsa pamoyo.

Izvo zvinokurudzirwa kune vanhu vane RA kuti vawane chiyero pakati pekuzorora uye kurovedza muviri kuti vachengetedze kuzvimba kwavo pasi vachiri kuramba vachichengetedza simba uye kuchinjika. Chiremba wako anowanzo kurudzira mamwe maekisesaizi kutanga nekutambanudza, uyezve kushanda kumusoro kune simba rekudzidzisa, maekisesaizi eroobic, kurapa kwemvura, uye tai chi.

Kuedza neshanduko yekudya, senge kudya kwekubvisa, kunogona kubatsira vanhu vane RA kuwana zvimwe zvekudya zvinogona kukonzera kana kubvisa zviratidzo zveRA. Kune humwe humbowo hwesainzi hunobatanidza kudya uye RA kurapwa, senge kudzikira kweshuga, kubvisa gluten, uye kuwedzera omega-3's. Kune zvakare akawanda mishonga yemakwenzi inoshandiswa pakurapa RA, kunyangwe iko kutsvagisa kwesainzi kwazvino kunoratidza kushanda kwavo kunoramba kuchinetsa.

Nekuti vanhu vazhinji vanogara neRA vanowanzo sangana nekurwadziwa kusingaperi, zvinogona kubatsira zvikuru kudzidza kushushikana uye nzira dzekuzorora, senge kufungisisa kwakatungamirwa, kufunga, kurovedza muviri, biofeedback, journaling, uye mamwe maitiro ekugadzirisa zvakakwana.

Mariro

RA inogona kuita mabasa akareruka sekumuka pamubhedha uye kupfeka mangwanani anonetsa, ndoda kurega kubata basa renguva dzose. Vanhu vane RA vanowanzoita ku:

• chinja mabasa
• kuderedza maawa avo ebasa
• vanorasikirwa nebasa ravo
• kurega mangwanani
• kutadza kuwana basa (uchienzaniswa nevanhu vasina RA)

A kubva 2000 inofungidzira kuti RA inodhura $ 5,720 pamunhu ane chirwere ichi gore rega. Mari yegore negore yekurapa inogona kusvika pakurapwa neye biologic mumiriri, kunyangwe paine sarudzo dzakawanda.

Mukuwedzera kune mari yemari yechirwere ichi, mutengo wehupenyu hwehupenyu wakakwira. Kuenzaniswa neavo vasina arthritis, vanhu vane RA vanowanzo kuita:

• taura zvakanaka kana kushaya hutano hutano
• vanoda rubatsiro nehanya wega
• kuve nehutano hwakanangana nehutano

Outlook

RA haina mushonga panguva ino. Mishonga yakawanda inoshanda yakagadziriswa mukati memakore makumi matatu apfuura, asi hapana imwe yadzo "inorapa" RA. Panzvimbo iyoyo, vanovavarira kudzikisa kuzvimba uye marwadzo, kudzivirira kukuvara kwemajoini, uye kunonoka kufambira mberi nekukuvara kwechirwere.