7 Zvikonzero zvekuona Rheumatologist Yako

Zvemukati

• 1. Uri kusangana nemoto
• 2. Une marwadzo munzvimbo nyowani
• 3. Pane shanduko muinishuwarenzi yako
• 4. Wakave neshanduko muhope kana tsika dzekudya
• 5. Unofungidzira mhedzisiro
• 6. Mushonga haushande sezvakamboita
• 7. Uri kusangana nechiratidzo chitsva
• Kutora

Kana iwe uine rheumatoid arthritis (RA), ungangoona rheumatologist yako nguva dzose.Kusarudzwa kwakarongwa kunopa imi vaviri mukana wekutarisa kufambira mberi kwechirwere chenyu, kuteedzera mazhenje, kuona zvinokonzeresa, uye kugadzirisa mishonga. Iwe unofanirwa zvakare kutora ino nguva yekumhan'ara chero mararamiro maratidziro akadai sekuwedzera kwekurovedza muviri kana dhayeti shanduko.

Asi pakati pekugadzwa kwako kwakarongwa, panogona kunge paine nguva apo iwe paunofanirwa kuona yako rheumatologist nekukurumidza. Heano zvikonzero zvinomwe zvaunofanirwa kutora foni uye kukumbira kurongwa nekukurumidza kwete kupfuura gare gare.

1. Uri kusangana nemoto

"Kushanyira kuhofisi kunogona kudikanwa kana mumwe munhu achinge aona kupisa kweRA yavo," anodaro Nathan Wei, MD, anoshanda kuArthritis Treatment Center muFrederick, Maryland. Kana kuzvimba kwechirwere kwapera, dambudziko rinopfuura rinorwadza - kusingaperi kwekubatana kwemajoini nekuremara kunogona kuitika.

Munhu wega wega ane RA ane akasarudzika mafirita zviratidzo uye kuomarara. Nekufamba kwenguva, sezvo iwe uchigara uchisangana nachiremba wako panguva yemoto, imi vaviri munogona kuona nzira dzakanakisa dzekurapa.

2. Une marwadzo munzvimbo nyowani

RA inonyanya kurova majoini, ichikonzera kutsvuka, kupisa, kuzvimba, uye kurwadziwa. Asi zvakare inogona kukonzera marwadzo kumwe kunhu mumuviri wako. Iko autoimmune kusashanda kunogona kurwisa nyama dzemaziso ako nemuromo kana kukonzera kuzvimba kwemitsipa yeropa. Kazhinji, RA inorwisa zvinyama zvakakomberedza mapapu nemoyo.

Kana maziso ako kana muromo ukaoma uye usina kugadzikana, kana iwe ukatanga kukura kuputika kweganda, unogona kunge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchitsvaga Ita musangano neiyo rheumatologist uye ukumbire kuongororwa.

3. Pane shanduko muinishuwarenzi yako

"Kana ACA ikabviswa, vanhu vanorwara vanogona kusiiwa vasina hutano hwakakosha kana kubhadhara mari yakawanda kuti vawane mari shoma," anodaro Stan Loskutov, CIO weMedical Billing Group, Inc Mamwe makambani einishuwarenzi akazvimirira anogona kubhadhara mamiriro akambovapo kana iwe usina ' ndakange ndisisina hanya newe. Tichifunga nezveazvino isina chokwadi inishuwarenzi nzvimbo, chengetedza yako yakarongedzwa nguva uye funga kutarisa mukati nachiremba wako kazhinji kuratidza kuenderera kwekutarisira.

4. Wakave neshanduko muhope kana tsika dzekudya

Zvinogona kuva zvakaoma kuwana zororo rakanaka usiku kana uine RA. Nzvimbo yekurara inogona kugadzikana kune akabatana majoini, asi kwete kune mamwe mativi emuviri. Kurwadziwa kutsva kana kubatana kwemajoini kunogona kukumutsa. Pamwe chete neizvi, kudya kunogona zvakare kuunza akakosha matambudziko. Mimwe mishonga yeRA inokanganisa kudya, ichikonzera kuwedzera uremu kana kusvotwa kunokutadzisa kudya.

Kana iwe ukaona kuti uri kurara kushoma kana kuchinja kuti unodya sei uye riini, ona chiremba wako. Izvo zvakakosha kuti udzidze kana shanduko mukurara uye kudya dzakabatana nezvimwe zveRA zvakanyanya kukanganisa maitiro, kushushikana uye kushushikana. Chiremba wako anogona kutaura newe nezve shanduko yemararamiro uye mishonga inogona kukubatsira.

5. Unofungidzira mhedzisiro

Mishonga inowanzo gadzirirwa yeRA ndeye nonsteroidal anti-anogumbura madhiragi (NSAIDs), corticosteroids, chirwere-chinogadzirisa antirheumatic zvinodhaka (DMARDs), uye mishonga mitsva inonzi biologics. Kunyangwe kurapwa uku kuchivandudza hupenyu hwevakawanda vane RA, vane mhedzisiro.

Mimwe yemigumisiro yeNSAIDs inosanganisira edema, chirungurira, uye kusagadzikana kwemudumbu. Corticosteroids inogona kukwidziridza cholesterol neshuga yeropa, uye kuwedzera chishuwo chekudya, zvichitungamira mukuwedzera huremu. DMARD uye biologics inopindirana neyako immune system uye inogona kutungamira kune humwe hutachiona, kana kashoma zvimwe zviratidzo zve autoimmune (psoriasis, lupus, multiple sclerosis). Kana iwe ukava nemhedzisiro kubva kune yako RA mishonga, ona chiremba wako.

6. Mushonga haushande sezvakamboita

RA isingagumi uye inogona kufambira mberi. Nepo vazhinji vachitanga kutora kumberi RA kurapa senge NSAIDs uye maDMARD nekukurumidza pavanenge vaonekwa, iwo marapirwo anogona kunge achifanira kuwedzerwa nekufamba kwenguva.

Kana kurapwa kwako kusiri kukupa zororo raunoda, ita musangano newavo rheumatologist. Inogona kunge iri nguva yekuchinja mishonga kana kufunga nezvekurapa kwepamberi kurerutsa kusagadzikana uye kudzivirira kwenguva refu kusangana kwekukuvara.

7. Uri kusangana nechiratidzo chitsva

Vanhu vane RA vanogona kuve neshanduko muzviratidzo zvavo zvinomiririra shanduko yakakura mune chinzvimbo chekurapa. Dr. Wei vanonongedza kuti zviratidzo zvitsva zvinoita senge zvine hukama zvinogona kunge zvichikonzerwa nechirwere chepasi.

Semuenzaniso, zvaive zvakafungidzirwa kwenguva refu kuti vanhu vane RA havazogadzi gout, chimwe chirwere chemuviri. Asi haichisiri kutsigira kufunga ikoko. "Varwere veGout vanogona kuva nematombo eitsvo," anodaro Dr. Wei.

Kana iwe ukagadzira chiratidzo chitsva chausingakurumidze kubatana neRA, unofanirwa kubvunza rheumatologist nezvazvo.

Kutora

Kuva RA kunoreva kuti iwe unosvika pakuziva yako yese yekurapa timu yekutsigira chaizvo. Rheumatologist yako ndiyo inonyanya kukosha pane iro timu. Vanogona kukubatsira kuti unzwisise mamiriro ako uye shanduko yazvo pamwe nekubvunza kune vamwe vanokuchengeta kuti vabatanidze kuchengetwa. Ona yako "rheumy" nguva dzose, uye usazeze kutaura navo kana iwe uine mibvunzo kana mamiriro ako achinja.