I-Rheumatoid Arthritis (RA): Izimpawu, Izimbangela, Ukuxilongwa, kanye Nokwelashwa

I-Rheumatoid Arthritis yisifo esingelapheki sokuzivikela komzimba esidala ukuvuvukala kwamalunga futhi sibangele ubuhlungu. Kuyisifo esivame ukuphumela ezimweni eziwohlozayo nezinga eliphezulu lempilo kulabo abathintekile. Ingase ilimaze kakhulu izicubu ezizungeze amalunga kanye namalunga ngokwawo uma ishiywe ingagadiwe. Kungase kubangele inhliziyo, amaphaphu, noma ukuphazamiseka kwemizwa. Ukuze ubhekane ngokuphumelelayo nalesi sifo umuntu kufanele aqaphele ngazo zonke izici—kusukela ezinhlotsheni nezimpawu ngokusebenzisa amathuba okwelapha.

Yini I-Rheumatoid Arthritis (RA)?

I-Rheumatoid arthritis iwuhlobo lwesimo sokuzivikela komzimba esihlasela amalunga futhi sibangele izifo, ukuvuvukala, kanye nobuhlungu. Ihlukile kwezinye izinhlobo zesifo samathambo ngendlela esithinta ngayo amalunga kuzo zombili izici zomzimba. 

Izinhlobo ze-Rheumatoid Arthritis

I-arthritis ye-rheumatoid ingabonakala ngezindlela ezihlukahlukene, ngayinye inezici zayo eziyingqayizivele. Ukuqonda lezi zinhlobo kubalulekile ukuze ulungise amakhambi e-rheumatoid arthritis. Izinhlobo eziyinhloko ze-RA zihlanganisa:

• I-Seropositive RA: Uma une-seropositive RA, igazi lakho liqukethe amasosha omzimba angalimaza umzimba wakho futhi abangele ukuvuvukala kwamalunga. Uma unokuhlolwa kwegazi okuqinisekile kwe-anti-cyclic citrullinated peptide (anti-CCP) noma iphrotheni eyaziwa ngokuthi i-rheumatoid factor (RF), umzimba wakho ungase ukhiqize ngenkuthalo ukusabela komzimba ngokumelene nezicubu ezivamile.
• I-Seronegative RA: Uma une-seronegative kusho ukuthi awekho ama-anti-CCPs egazini noma amanani amancane kakhulu. Uma une-SERonegative RA, kusho ukuthi izimpawu zisekhona emzimbeni wakho kanye nokuhlolwa kwe-anti-CCP ukuthi awunayo. Leli fomu lingase libe nzima ukulixilonga njengoba lingenazo izimpawu eziphilayo ezithile.
• I-Juvenile Rheumatoid Arthritis (JRA): I-juvenile idiopathic arthritis igama lesifo sezingane ezineminyaka engu-17 nangaphansi. Ezinye zalezi zimpawu kungase kube ukuvuvukala, ukuqina, ukuqubuka kwemfiva kanye nama-lymph nodes avuvuke njenganoma yiluphi uhlobo lwe-RA. Ukuze ulawule lesi simo ezinganeni, ukuhlonzwa kusenesikhathi nokwelashwa kuyadingeka.

Izigaba ze-Rheumatoid Arthritis

• Isiteji 1: Esigabeni sokuqala se-rheumatoid arthritis, izicubu ezizungezile amalunga akho ziyavuvukala. Ungase uzwe ubuhlungu nokuqina, kodwa uma udokotela wakho eyala ama-X-ray, ngeke kube nezimpawu zokulimala kwamathambo.
• Isiteji 2: Kulesi sigaba, ukuvuvukala sekuqalile ukulimaza uqwanga emalungeni akho. Ungase uqaphele ukwanda kokuqina kanye nebanga elincishisiwe lokunyakaza.
• Isiteji 3: Ukuvuvukala kuba kunamandla kangangokuthi kuqala ukulimaza amathambo akho. Cishe uzozwa ubuhlungu obuningi, ukuqina okukhulu, kanye nokunyakaza okuncane kakhulu kunaseSigabeni 2. Izinguquko zomzimba zingase ziqale ukubonakala.
• Isiteji 4: Kulesi sigaba sokugcina, ukuvuvukala kuyadamba, kodwa amalunga akho ayaqhubeka nokuwohloka. Uzobhekana nobuhlungu obukhulu, ukuvuvukala, ukuqina, nokulahlekelwa okukhulu kokuhamba.

Izimpawu Nezimpawu Ze-Rheumatoid Arthritis (RA)

Ukuqaphela izimpawu ze-arthritis ye-rheumatoid kubalulekile ekuhlonzweni kusenesikhathi nokuphatha ngempumelelo. Izimpawu ezivamile ze-rheumatoid arthritis zihlanganisa:

• Ubuhlungu obungapheli kanye nokuvuvukala, ngokuvamile kuthinta amalunga amaningi, ikakhulukazi amalunga amancane njengalawo asezandleni nasezinyaweni.
• Ukuqina kwamalunga, ikakhulukazi ekuseni noma ngemva kwezikhathi zokungasebenzi, okuhlala isikhathi esingaphezu kwemizuzu engama-30.
• Ukukhathala okudlulele kanye nomuzwa ovamile wokungalungi, okungaba nomthelela omkhulu emisebenzini yansuku zonke.
• Ngokuhamba kwesikhathi, i-RA ingaholela ekukhubazekeni kwamalungu kanye nokulahlekelwa umsebenzi ohlangene.
• Ezinye zezimpawu zesistimu ze-rheumatoid arthritis zihlanganisa imfiva, kwesisindo kanye ne-anemia.

Isifo samathambo sasekuqaleni ngokuvamile siqala ukuba nomthelela emalungeni amancane, ikakhulukazi lawo axhumanisa uzwane nomunwe onyaweni. Njengoba lesi sifo siqhubeka, izimpawu ezinzima ze-rheumatoid arthritis zivame ukukhula kusukela ezihlakaleni nasemadolweni ziye ezindololwaneni, ezinqulwini noma emahlombe. Ngokuvamile, izinhlangothi zombili zamalunga akho ziyathinteka.

Ibangelwa Yini I-RA?

I-Rheumatoid arthritis yisimo esizimele. Ngokuvamile, amasosha omzimba asiza ekuvikeleni umzimba wakho ezifweni nasezifweni. Amasosha akho omzimba aqondise izicubu ezinhle emalungeni akho uma unesifo samathambo. Inhliziyo yakho, amaphaphu, imizwa, amehlo, nesikhumba nakho kungase kuthinteke ngenxa yalokho. Izimbangela eziqondile ze-rheumatoid arthritis azikaziwa, nokho kuyamukelwa kabanzi ukuthi inhlanganisela yezakhi zofuzo kanye nemvelo inomthelela kulesi sifo. Ezinye izimbangela ezingenzeka ze-rheumatoid arthritis zihlanganisa:

• Ubudala: Abantu abadala banoma iyiphi iminyaka bangase bathinteke nge-arthritis ye-rheumatoid, kodwa iningi lamacala atholakala phakathi kweqembu leminyaka engu-40 kuya ku-60.
• I-Genetics: Abantu abanomlando womndeni we-RA bangaba nengozi ephindaphindekayo yokuba nesimo esisikisela ukuthambekela kofuzo.
• Izici zendawo ezungezile: Ukuchayeka ezicini ezinhle zendawo ezungezile, kanye nokubhema, kungase kwandise usongo lokwanda kwe-RA, ikakhulukazi kubantu abathambekele efuzo.
• Ukutheleleka: Ezinye izifo ziye zaxhunyaniswa nokuthuthukiswa kwesifo samathambo, nakuba ubuhlobo obuqondile buyinkimbinkimbi futhi abuqondi ngokugcwele.

Izingozi ze-RA

Ezinye izici eziyingozi ze-rheumatoid arthritis (RA) zifaka: 

• I-Genetics: Abantu abanezakhi zofuzo ezithile kusukela ekuzalweni basengozini ye-RA. Ngaphezu kwalokho, i-HLA (human leukocyte antigen) class II genotypes ewumphumela walezi zakhi zofuzo ingase ikhulise amandla akho. ingozi ye-arthritis.
• Ucansi: Abesifazane banethuba eliphindwe ka-2 kuya kwezi-3 lokuthuthukisa i-RA kunabesilisa.
• Iminyaka yobudala: Nakuba i-RA ingaqala kunoma ibuphi ubudala, amathuba okuba nayo ayanda ngokuya ngeminyaka. Iningi labantu abaseminyakeni yawo-60 lihlangabezana nokuqala kwe-RA. 
• Ukubhema: Ukubhema kwandisa kakhulu ingozi ye-RA futhi kwenza izimpawu zibe zimbi.
• Ukukhuluphala ngokweqile: Ukukhuluphala ngokweqile kungaphakamisa ithuba lomuntu lokuthola i-RA.
• Umlando womndeni: Ukuba nesihlobo esiseduze ne-RA kuphakamisa ubungozi bakho.
• Ukutheleleka kwangaphambilini: Amagciwane athile, njenge-Epstein-Barr, angase abe yizicupha.
• Ukudla: Iziphuzo ezinoshukela, inyama ebomvu, nokudla okugayiwe okuhlobene nengozi enkulu.
• Ukucindezeleka: Ukucindezeleka, ngokusho kwezinye izifundo, kungaba nomthelela ku-RA. Isibonelo, izimpawu zingase zibe zimbi kakhulu ngenxa yokusabela komzimba ekucindezelekeni.
• Ubuthi bemvelo: Intuthu kagwayi, i-asbestos, nothuli lwe-silica kuxhunyaniswa nengozi eyengeziwe yalesi simo. 

Itholakala kanjani i-RA?

Ukuxilongwa kwe-arthritis ye-rheumatoid kuhlanganisa inhlanganisela yalokhu:

• Umlando wezokwelapha kanye nokuhlolwa komzimba: Udokotela wakho uzobuza mayelana nemvelo, ubukhali, kanye nobude besikhathi sezimpawu zakho. Ngemva kwalokho, bazohlola ububanzi bokunyakaza, ukuqina, i-edema, nokungakhululeki kwamalunga.
• Ukuhlolwa kwegazi: Lokhu kulinganisa amasosha omzimba athile afana ne-rheumatoid factor, i-anti-cyclic citrullinated peptide), kanye nezinkomba zokuvuvukala, Amaprotheni asebenzayo, izinga le-erythrocyte sedimentation.
• Ukuhlolwa kwesithombe: Ukuze uhlole izinkomba zokuthi amalunga akho ayawohloka, udokotela wakho wamathambo angase akunikeze izifundo zokuthwebula izithombe. Ama-X-ray aveza ukulimala kwamalunga, kuyilapho ama-ultrasound nama-MRI anikeza imibono enemininingwane yezicubu ezithambile nokuguguleka kwamathambo.

Ukwelashwa kwe-Rheumatoid Arthritis

I-Rheumatoid arthritis yelashwa ngemithi, ukuhlinzwa, ukwelashwa, kanye nokuguqulwa kwendlela yokuphila. Lapho ukhetha ukwelashwa kwe-rheumatoid arthritis, udokotela wakho ucabangela iminyaka yakho, impilo, umlando wezokwelapha, kanye nobukhulu bezimpawu zakho. Okulandelayo yizindlela zokwelapha ezivame ukuphakanyiswa ze-RA:

• Imithi
  • I-arthritis ye-rheumatoid ngokuvamile iphathwa ngokusebenzisa le mithi elandelayo:
  • Izidakamizwa ezingezona ukuvuvukala (ama-NSAID): Isetshenziselwa ukudambisa izinhlungu ze-rheumatoid arthritis nokuvuvukala (ibuprofen, naproxen).
  • Izidakamizwa eziguqula izifo (ama-DMARD): Ukuqhubekela phambili kwesifo kancane futhi kuvimbele ukulimala kwamalunga.
  • I-Corticosteroids: Imithi elwa nokuvuvukala enamandla yokuvutha okukhulu (i-prednisone), ngokuvamile esetshenziswa ekuqhumeni okufushane.
  •  Ukwelashwa kwe-Biologic: Udokotela wakho angancoma ama-agent empendulo ye-biologic (biologics) uma ungaphenduli kahle kuma-DMARD. Amakhemikhali adala ukuvuvukala emalungeni akho agxile ku-biologics.
• Izokwelapha
  • Ukwelapha ngokomzimba: Izivivinyo zokuthuthukisa ukusebenza kwamalunga, ukuguquguquka, namandla.
  • Ukwelapha emsebenzini: Amasu emisebenzi yansuku zonke nokuvikelwa ngokuhlanganyela.
  • Ukuphathwa kobuhlungu: Amasu afana nokwelashwa kokuziphatha kwengqondo, ukuphumula, nokwelashwa okushisa/okubandayo.
• Ukuhlinzwa
  • Ezimweni ezimbi kakhulu, ukuhlinzwa okuhlangene kungathuthukisa umsebenzi kanye nobuhlungu be-arthritis ye-rheumatoid. Uma umuthi ungalawuli ubuhlungu bakho, udokotela angase aphakamise ukuthi uhlinzwe. Ukwelashwa kwe-RA ngokuhlinzwa kufaka:
  • Ukushintshwa kwedolo.
  • Ukushintshwa kwe-Hip.
  • Okunye ukuhlinzwa ukulungisa ukukhubazeka.

Izinkinga ze-Rheumatoid Arthritis

I-Rheumatoid arthritis (RA) ingaholela ezinkingeni ezihlukahlukene ezingaphezu kobuhlungu bamalunga. Nazi ezinye zezinkinga ezijwayelekile ezihlobene ne-RA:

• Ukulimala Okuhlangene: Ngokuhamba kwesikhathi, i-RA ingabangela ukulimala kwamalunga, okuholela ekukhubazekeni nasekulahlekelweni komsebenzi, okwenza kube nzima ukwenza imisebenzi yansuku zonke.
• Ukukhathala: Abantu abaningi abane-RA bakhathala kakhulu, ngokuvamile ngenxa yobuhlungu obungapheli nokuvuvukala.
• Izinkinga Zenhliziyo: I-RA ingandisa ingozi yesifo senhliziyo. Ukuvuvukala kungase kubangele ukunqwabelana kwe-plaque emithanjeni, okungaholela ekuhlaselweni yinhliziyo noma unhlangothi.
• Izinkinga zamaphaphu: I-RA ingathinta amaphaphu, ibangele izimo ezenza kube nzima ukuphefumula, njengokuvuvukala nokuba nezibazi.
• Ukutheleleka Okunyukile: Ukwelashwa kwe-RA, ikakhulukazi lezo ezicindezela amasosha omzimba, zingenza kube lula ukuthola izifo.
• Izinkinga zamehlo: Abantu abane-RA bangase babe nezinkinga zamehlo, njengokoma noma ukuvuvukala, okungaholela ebuhlungwini noma ezinkingeni zokubona.
• I-anemia: Ukuvuvukala okungapheli kungaholela ku-anemia, kubangele izimpawu ezifana nokukhathala nokuba buthakathaka.
• Imiphumela Yempilo Yengqondo: Ukuphila ne-RA kungaholela ekukhathazekeni noma ekucindezelekeni ngenxa yezinselele zokulawula ubuhlungu obungapheli.

Izinguquko Zendlela Yokuphila Ukuze Ulawule I-Rheumatoid Arthritis

Ukuphila nempilo yakho yonke njenge-rheumatoid arthritis (RA) ngezinye izikhathi kungakwenza uzizwe sengathi awukwazi ukulawula izinga lakho lempilo. Nakuba kunezici ezithile ze-RA ongaphezu kwamandla akho, zikhona nezinyathelo ongazithatha ukuze uthuthukise inhlalakahle yakho.

Nazi izinguquko ezibalulekile zendlela yokuphila okufanele uzicabangele:

• Ukuphumula: Uma amalunga akho evuvukele, kukhona ingozi enkulu yokuwalimaza kanye nezicubu ezithambile ezizungezile, njengama-tendon nemigqa. Ngakho-ke, kubalulekile ukunikeza amalunga akho avuvukele okunye akudingayo. Nokho, kubalulekile futhi ukuzibandakanya nokuzivocavoca. Ukugcina amalunga akho evumelana nezimo nokugcina ukuqina okuphelele kubalulekile ekulawuleni i-RA.
• Ukuzivocavoca: Ubuhlungu nokuqina kungase kwehlise ijubane, okuholela abanye abantu abane-rheumatoid arthritis ukuba bangasebenzi. Ngeshwa, ukungasebenzi kungaholela ekunciphiseni ukunyakaza kwamalunga namandla emisipha, okungase kunciphise ukuzinza kwamalunga futhi kwandise ubuhlungu nokukhathala. Ukuvivinya umzimba njalo kungasiza ekuvimbeleni nasekuhlehliseni le miphumela emibi. Kungumqondo omuhle ukubonisana nomelaphi womzimba noma womsebenzi ukuze uthole isiqondiso sendlela yokuzivocavoca ephephile. Izinhlobo ezizuzisayo zokujima zihlanganisa:
  • Ukuzivocavoca okuhlukahlukene kokunyakaza ukuze ugcine futhi ubuyisele ukuguquguquka kwamalunga.
  • Izivivinyo zokuqeqesha amandla ukwakha imisipha.
  • Ukuzivocavoca umzimba okukhuthazela, njengokuhamba, ukubhukuda, noma ukugibela ibhayisikili, ukuze kuthuthukiswe ukuqina.

Amakhambi Asekhaya

Nawa amanye amakhambi asekhaya ongawazama angasiza ekudambiseni izimpawu zakho ze-rheumatoid arthritis (RA):

• Amafutha Ezinhlanzi: Lezi zithako zingasiza ekunciphiseni ubuhlungu nokuqina okuhlobene ne-RA. Kodwa-ke, uma unquma ukuwathatha, qaphela ukuthi angabangela imiphumela engemihle njengokucanuzela kwenhliziyo, ukungagayeki kahle kokudla, kanye ne-aftertaste enofishi. Ukwengeza, amafutha ezinhlanzi angasebenzisana nemithi ethile, ngakho-ke kubalulekile ukubonana nodokotela wakho ngaphambi kokuqala.
• Amafutha Ezitshalo: Amafutha afana ne-evening primrose, borage, ne-black currant angasiza ekunciphiseni ubuhlungu nokuqina kwasekuseni. Abanye abantu baphathwa yikhanda elibuhlungu noma isisu esibuhlungu lapho bethatha la mafutha. Zingaphazamisa nemithi futhi zibe nomthelela empilweni yesibindi, ngakho kuwukuhlakanipha ukuxoxa ngokusetshenziswa kwazo nodokotela wakho ukuze ubone ukuthi zingakuzuzisa yini.
• I-Tai Chi: Lolu hlobo lokuzivocavoca oluthambile luhlanganisa ukunyakaza okuhamba kancane, ukwelula, nokuphefumula okujulile. Ucwaningo luphakamisa ukuthi ingase ithuthukise izinga lempilo yalabo abane-RA. Uma uzijwayeza nomfundisi oqeqeshiwe, i-tai chi ngokuvamile iphephile, kodwa kubalulekile ukugwema noma yikuphi ukunyakaza okubangela ubuhlungu.

Uyombona Nini Udokotela?

Ukuxilongwa kusenesikhathi nokungenelela kubalulekile ekulawuleni ngempumelelo isifo samathambo. Kubalulekile ukubonana nodokotela uma uhlangabezana:

• Ubuhlungu obuqhubekayo bamalunga nokuvuvukala.
• Ukuqina kwasekuseni kuthatha imizuzu engaphezu kwengama-30.
• Ukukhathala kanye nokuba buthakathaka okuthinta imisebenzi yansuku zonke.
• Ukukhubazeka kwamalunga noma ukulahlekelwa umsebenzi wamalunga.

Isiphetho

I-Rheumatoid arthritis ingaba nethonya elikhulu ekuphileni komuntu. Uphenyo ngezizathu kanye nokwelashwa okungenzeka kwe-RA lwenziwa njalo, okunikeza labo abaphethwe yilesi sifo esinzima ithemba lemiphumela engcono kanye nezinga lempilo elingcono. 

Imibuzo Evame Ukubuzwa

Q1. Ngingakwazi ukuphila impilo ende ngine-arthritis ye-rheumatoid?

Izimpendulo. Yebo, ngokuphathwa okufanele kwezokwelapha, ukulungiswa kwendlela yokuphila, nentuthuko ekwelashweni, abantu abaningi abanesifo samathambo bangaphila ukuphila okwanelisayo nokuhlala isikhathi eside. 

Q2. Yikuphi ukudla okungalungile ku-arthritis ye-rheumatoid?

Izimpendulo. Ukudla okugayiwe okusindayo kuma-carbohydrate namafutha aguquguqukayo, kanye nokudla okuqinile enyameni ebomvu, kungenza izimpawu zeziguli ezinesifo samathambo zibe zimbi kakhulu futhi kwandise ukuvuvukala. Kungase kube nenzuzo ukulandela ukudla okulinganiselayo okubeka kuqala ukudla okune-omega-3 fatty acids kanye nezithelo nemifino eqeda ukuvuvukala.

Q3. Ingabe i-rheumatoid arthritis iyingozi?

Izimpendulo. I-Rheumatoid arthritis yisifo esiyingozi sokuzivikela komzimba esingalimaza ikhwalithi yempilo iyonke, sibangele ukukhubazeka, futhi sibulale amalunga uma singalashwa. Ubunzima bayo bungancishiswa futhi imiphumela ingathuthukiswa ngokuxilongwa kusenesikhathi nokunakekelwa okufanele kwezokwelapha.

Q4. Ingabe ukushintsha ukudla kwami ​​​​kuzosiza isifo sami samathambo?

Izimpendulo. Yebo, ukulungisa ukudla kwakho kungasiza ekulawuleni isifo samathambo. Ukudla okunomsoco okucebile izithelo, imifino, okusanhlamvu, namafutha anempilo kungase kunciphise ukuvuvukala futhi kuthuthukise izimpawu. Ukudla okuphezulu ku-omega-3 fatty acids, njengezinhlanzi ezinamafutha, nakho kungaba yinzuzo.

Q5. Ingabe i-rheumatoid arthritis iwufuzo?

Izimpendulo. Yebo, isifo samathambo singaba nezakhi zofuzo. Uma unomlando womndeni we-RA, ingozi yakho yokuba nayo ingase ibe phezulu, kodwa izici zemvelo nazo zidlala indima ebalulekile.

Q6. Ingabe i-rheumatoid arthritis ibangela ukukhathala?

Izimpendulo. Yebo, ukukhathala kuwuphawu oluvamile lwe-rheumatoid arthritis. Ubuhlungu obungapheli nokuvuvukala kungaholela ekukhathaleni, okwenza kube inselele ukugcina amazinga wamandla.

Q7. Ingakanani iminyaka yokuqala ye-arthritis ye-rheumatoid?

Izimpendulo. I-arthritis ye-rheumatoid ingenzeka kunoma ibuphi ubudala, kodwa ngokuvamile iqala phakathi kweminyaka engama-30 nengama-60 ubudala. Nokho, izingane kanye nabantu abadala abadala nabo bangathinteka.

Q8. Kudingeka nini ukuhlinzwa ukuze kutholakale isifo samathambo?

Izimpendulo. Ukuhlinzwa kungase kudingeke ku-arthritis ye-rheumatoid uma umonakalo ohlangene unzima futhi ukwelapha okuvamile (njengemithi nokwelashwa ngokomzimba) kungasebenzi. Izinketho zokuhlinzwa zingabandakanya ukushintshwa okuhlangene noma ukulungiswa.

Q9. Kungani ukuphumula nokuzivocavoca kubalulekile ku-RA?

Izimpendulo. Ukuphumula kusiza ukunciphisa ukuvuvukala nokukhathala, kuyilapho ukuzivocavoca kuqinisa imisipha futhi kuthuthukisa ukuguquguquka, kusiza impilo ehlangene. Indlela elinganiselayo yakho kokubili ibalulekile ekulawuleni i-RA ngempumelelo.

Q10. Ngingakwazi ukuphila impilo evamile ngine-rheumatoid arthritis?

Izimpendulo. Yebo, abantu abaningi abanesifo samathambo baphila ukuphila okugcwele, okumatasa. Ngokwelashwa okusebenzayo kanye nokulungiswa kwendlela yokuphila, ungakwazi ukulawula izimpawu zakho futhi ugcine ikhwalithi yokuphila enhle.

Q11. Yikuphi ukudla okungafanele ukudle nge-rheumatoid arthritis?

Izimpendulo. Gwema ukudla okugayiwe, ukudla okulula okunoshukela, utshwala ngokweqile nokudla okunamafutha amaningi, ngoba kungandisa ukuvuvukala. Abanye abantu bangathola nokuthi imifino ye-nightshade (njengotamatisi namazambane) idala izimpawu.

Q12. Imuphi umuthi ophephe kakhulu we-rheumatoid arthritis?

Izimpendulo. Umuthi ophephe kakhulu uncike ezimweni zomuntu ngamunye, kodwa eziningi ziqala ngezidakamizwa ezingezona ukuvuvukala (ama-NSAID) noma izidakamizwa eziguqula izifo (ama-DMARD) njenge-methotrexate. Xhumana nodokotela wakho ukuze akutholele ukwelashwa okungcono kakhulu.

Q13. Ingabe ukuhamba kuhle ku-rheumatoid arthritis?

Izimpendulo. Yebo, ukuhamba kunenzuzo ku-rheumatoid arthritis. Kuyasiza ukugcina ukuhamba kwamalunga futhi kuqinise imisipha ezungezile ngaphandle kokubeka ubunzima obuningi emalungeni.

Q14. I-rheumatism iqala eminyakeni emingaki?

Izimpendulo. I-Rheumatism yigama elibanzi elingabhekisela ezimweni ezihlukahlukene, kuhlanganise nesifo samathambo. I-RA ivame ukuqala phakathi kweminyaka engama-30 nengama-60, kodwa ingakhula kunoma ibuphi ubudala.