Mibvunzo 10 Yako Rheumatologist Anoda Iwe Kuti Ubvunze

Zvemukati

• Pakutanga kuongororwa
• 1. Ini nemaonero angu ndeapi?
• 2. Inhaka here?
• 3. Ndirini pandinogona kurovedza muviri zvakare?
• 4. Inguva yakareba sei kusvikira ma meds angu achishanda?
• Chirwere chiripo
• 5. Ndingaita nhumbu here?
• 6. Ko kana mamedhi angu akamira kushanda?
• 7. Ndeapi marapiro matsva aripo?
• 8. Chii chiri kukonzera moto wangu?
• 9. Ko kudyidzana kwezvinodhaka?
• 10. Ndinofanira here kutora mishonga yangu zvachose kana ndichinzwa zvakanaka?
• Kutora

Kana iwe uine rheumatoid arthritis (RA), iwe unoona yako rheumatologist pane anogara akarongwa kugadzwa. Iyi sub-hunyanzvi internist ndiyo inonyanya kukosha nhengo yeboka rako rekutarisira, ichikupa ongororo yemamiriro ako uye kufambira mberi kwawo pamwe nekuziva pane marapirwo azvino.

Asi kuteedzera autoimmune kutadza kushanda kunogona kunge kuri basa rakaoma. Zviratidzo zvakaita sekuzvimba uye maronda majoini zvinouya zvichingoenda, uye matambudziko matsva anomuka. Mishonga inogona zvakare kumira kushanda. Izvo zvakawanda zvekurangarira, uye iwe unogona kukuwana uchikanganwa kubvunza mibvunzo yakakosha panguva yako yekugadzwa. Hezvino zvimwe zvinhu zvekuchengetedza mupfungwa kuti wako rheumatologist anoshuvira iwe kuti ubvunze.

Pakutanga kuongororwa

Iyo nguva yekuongororwa inogona kukonzera kushushikana kune vakawanda, asi vamwe vanonzwawo pfungwa yekusununguka kuti mamiriro akaonekwa uye anogona kurapwa. Paunenge uchitora ruzivo rwese rutsva urwu, zvichave zvinobatsira kutanga kuchengeta bhuku rekuchengetedza kana danda raunouya naro kune ese mahofisi uye unoshandisa kuteedzera mamiriro ako kumba. Munguva yako yekutanga kuongororwa kusarudzwa, bvunza rheumatologist yako iyi mibvunzo inokosha:

1. Ini nemaonero angu ndeapi?

Kunyangwe RA ichiita zvakasiyana muvarwere vese, zvakakosha kuti unzwisise zvimwe zvakajairika. Chirwere ichi chisingaperi, zvichireva kuti chingango gara hupenyu hwako. Zvisinei, kusingaperi hakurevi kusingagumi. RA ine macircule uye inogona kupinda mukuregererwa.

Mishonga mitsva, senge chirwere-chinogadzirisa antirheumatic zvinodhaka (DMARDs) uye biologics, chengetedza varwere kubva mukukuvara kwekubatana kusingaperi uye kuvabvumidza kunakidzwa nehupenyu hwakazara. Kumbira chiremba wako nezvemaonero ako, uye edza kucherechedza mashoko akanaka pamwe neruzivo runonyanya kunetsa.

2. Inhaka here?

Elyse Rubenstein, MD, rheumatologist kuProvidence Saint John's Health Center muSanta Monica, California, inoratidza kuti zvakakosha kuti utarise maitiro eRA kumhuri yako. Kana iwe uine vana, iwe ungangoda kubvunza kana ivo vanogona kuvandudza RA.

Kunyange iko kugona kweRA kwakaomarara, zvinoita kunge kune mukana mukuru wekuvandudza RA kana mumwe munhu mumhuri yako ainayo.

3. Ndirini pandinogona kurovedza muviri zvakare?

Kuneta, kurwadziwa, kushaya hope, uye kushushikana zvinogona kukanganisa kugara uchirovedza muviri. Kunyangwe kana uchinge waongororwa, ungatya kutya kuita maekisesaizi nekuda kwekukanganisa majoini ako akabatwa.

Asi kufamba kwakakosha mukugadzirisa uye kubata neRA. A2011 yakawana kuti kurovedza muviri kwakanangana nehutano hwakanaka kune vanhu vane RA. Kumbira chiremba wako paunokwanisa kufamba zvakare uye kuti zvii zviitwa zvinokubatsira zvakanyanya. Kushambira kana mvura maeerobics zvakanyanya kunaka kune avo vane RA.

4. Inguva yakareba sei kusvikira ma meds angu achishanda?

Kwemakumi emakore pamberi pema1990, nonsteroidal anti-inflammatory drug (NSAIDs) uye corticosteroids ndiyo yaive yekutanga gadziriso mhinduro kune vanhu vane RA. Vanopa runyararo nekukurumidza kuzvimba uye kurwadziwa uye vachiri kushandiswa. (Kuraira kweanodzora marwadzo opiate kuri kudzikira nekuda kwehuwandu hwavo hwekupindwa muropa. Iyo Drug Enforcing Administration yakaraira kudzikiswa kwehuwandu hwavo hwekugadzira hunoshanda 2017.)

Nekudaro, maviri ekurapa -DMARDs, ayo methotrexate ndiyo yakajairika, uye biologics - vane imwe nzira. Ivo vanokanganisa nzira dzemaseru dzinotungamira mukuzvimba. Aya ndiwo marapiro akanakisa kune vanhu vazhinji vane RA, nekuti kumisa kuzvimba kunogona kudzivirira kukuvara kusingaperi kwemajoini. Asi ivo vanotora nguva yakareba kuti vashande. Kumbira chiremba wako ruzivo rwavo pakushandisa mishonga iyi.

Chirwere chiripo

Kana iwe wanga uchinge uchitarisira RA yako kwechinguva, iwe unogona kunge uine yakasarudzika maitiro ekugadzwa kwako kwechiremba. Iwe unosvika, utore hutano hwako uye utore ropa, wobva wasangana nachiremba wako kuti ukurukure chimiro chako uye chero zvitsva zvitsva. Heano mimwe mibvunzo yekufunga kuunza:

5. Ndingaita nhumbu here?

Vanenge makumi mapfumbamwe muzana vevanhu vane RA vachatora iyo DMARD methotrexate pane imwe nguva. Inowanzoonekwa yakachengeteka kuti ishandiswe nguva dzose uye ine zvinokwanisika mhedzisiro

Nekudaro, ichi kuenda-kuRA chinodhaka zvakare chiri kubvisa mimba, zvichireva kuti kuchakonzera nhumbu kupera. Iwe unofanirwa kushandisa nguva dzese kuberekwa kana uchitora methotrexate. Uye iwe unofanirwa kugara uchibvunza chiremba wako kana iwe uri kufunga nezve kubata nhumbu. "Chaizvoizvo, isu tinofanirwa kunge tichiudza varwere nezve nhumbu vasina kukumbira," anodaro Stuart D. Kaplan, MD, mukuru werheumatology kuSouth Nassau Communities Hospital muOceanside, New York.

Kana iwe uri mukadzi ane RA, iwe unogona kuve nemimba ine hutano (ungatonakidzwa nekuzorora kubva kuzviratidzo zveRA) uye vana vane hutano. Ingo ita chokwadi chekubvunza rheumatologist yako nguva dzose.

6. Ko kana mamedhi angu akamira kushanda?

NSAID uye corticosteroids dzinobatsira vanhu vane RA kudzora kurwadziwa uye kuzvimba, nepo maDMARD anononoka kufambira mberi kwechirwere uye anogona kuchengetedza majoini. Iwe ungangodaro wakanyorerwa mishonga iyi nguva pfupi mushure mekunge waonekwa. Asi vanogona kusashanda nguva dzose.

Iko kudiwa kwekuwedzera kana kwakasiyana zvinodhaka kunogona kuve kwenguva pfupi. Semuenzaniso, panguva yemoto, iwe ungangoda imwe yekuwedzera kurwadziwa kwekusuwa. Iwe unogona zvakare kuda kuchinja kana kuwedzera marapirwo nekufamba kwenguva.

Taura newa rheumatologist mukati mekurapa kwako kuti unzwisise kuti ungataure sei kana kurapwa kusisiri kushanda uye maitiro ekuronga shanduko pakurapa pazvinenge zvichidikanwa.

7. Ndeapi marapiro matsva aripo?

RA kurapwa kwekutsvaga uye kusimudzira kuri kukurumidza kufambira mberi. Mukuwedzera kune maDMARD akare akadai semethotrexate, mishonga mitsva inonzi biologics ikozvino inowanika. Izvi zvinoshanda zvakafanana kumaDMARD, ichivharira kupisa kwemaseru, asi zvakanyanya kutarisana mukubatana kwavo nema immune system.

Masero emashizha anogona kubata chivimbiso seR RA kurapwa. "Varwere vasiri kupindura kurapwa kwechinyakare uye vari kutarisira kudzikisira kuvimba kwavo nemishonga vanofanirwa kubvunza chiremba wavo nezve stem cell therapy," anodaro Andre Lallande, DO, director wezvekurapa weStemGenex Medical Group.

8. Chii chiri kukonzera moto wangu?

Iyo yekuregerera-flare pateni yeRA inogona kunzwa kunyanya kusarongeka. Rimwe zuva urikunzwa zvakanaka, rinotevera haugone kumuka pamubhedha. Iwe unogona kutora kumwe kurira kunze kwekusarongeka uku kana iwe ukaratidza kuti nei uchiwana marasha - zvirinani ipapo iwe une zano reizvo zvekudzivirira kana unogona kuve wakangwarira kune iri kuuya flare.

Kuchengeta diary yekuchengetedza kunogona kukubatsira kuti utarise zvinokonzeresa, uye nekudaro uchabvunzana neyako rheumatologist. Bvunza nezve ruzivo rwavo nevamwe varwere. Pamwe chete, tarisai zvinyorwa zvavo zvekugadzwa kuti muone zvingave zviri kukonzera zviratidzo zvehosha.

9. Ko kudyidzana kwezvinodhaka?

Kurongeka kwemishonga yeRA kunogona kukurisa. Kunyangwe kana iwe ukasaita RA comorbidities senge matambudziko emoyo kana kushushikana, iwe ungangotora mushonga unorwisa-kupisa, corticosteroid, ingangoita imwe DMARD, uye pamwe biologic. Iyi mishonga inoonekwa seyakachengeteka kutora pamwechete, asi kana iwe uchishamisika kuti mishonga yako ingabatana sei nezvimwe zvinhu, bvunza chiremba wako.

10. Ndinofanira here kutora mishonga yangu zvachose kana ndichinzwa zvakanaka?

Zvichida iwe une rombo rakanaka uye RA yako yapinda mukuregererwa kwakakura. Iwe unoona kuti unokwanisa kufamba sezvawaimboita, uye kurwadziwa kwako uye kuneta zvaserera. Zvingave RA yako inopora here? Uye ungarega kutora yako meds? Mhinduro kumibvunzo iyi miviri kwete.

RA haisati yave nemushonga, kunyangwe marapirwo azvino anogona kuunza zororo uye kudzivirira kumwe kukuvara. Unofanira kuramba uchinwa mishonga yako kuti uve noutano hwakanaka. “Kamwe kuregererwa pawanikwe pamishonga, varwere vanozochengetedza chirwere chakaderera kana mune zvimwe zviitiko hapana chinozivikanwa chirwere chirwere nekuenderera mberi nemishonga. Kana mishonga ikamiswa, pane mikana yakawanda yekuti chirwere chishandiswe uye mazhenje aite zvakare, ”anodaro Rubenstein.

Zvisinei, chiremba wako anogona kufunga nezvekudzikisa muyero wemishonga yako uye / kana kurerutsa musanganiswa wako wemishonga nekutarisisa.

Kutora

Rheumatologist wako ndiye shamwari yako pane izvo zvaunotarisira kuti richava rwendo rune hutano kurapa RA yako. Rwendo irworwo rurefu uye runogona kuoma zvakanyanya paunenge uchiwedzera nekubvisa marapirwo uye sezvo hosha yako ichibuda, ichipora, kana kuvandudza hunhu hutsva. Chengeta bhuku rekutarisira kuti unyore pasi zviitiko zvako pachako, nyora mishonga yako, uye zviratidzo zvekutevera. Uyezve shandisa bhuku rino senzvimbo yekunyora mibvunzo kune yako inotevera rheumatology musangano. Ipapo usazeza kuvabvunza.