Pākuʻi

Hoʻomaʻamaʻa a hoʻohaʻahaʻa paha ʻo Arthritis o hoʻokahi a ʻoi paha o nā hono. ʻO ka ami kahi kahi e hui ai nā iwi 2. Aia ma mua o 100 mau ʻano like ʻole o ka rumitis.

Hoʻopili ka artritis i ka haki ʻana o nā hanana o ka ami, ʻo ia hoʻi ka cartilage. Pale ka cartilage maʻamau i kahi hui a ʻae iā ia e neʻe me ka maikaʻi. Hoʻokomo pū ka Cartilage i ka haʻalulu ke kau ʻia kaomi ma ka ami, e like me ke hele wāwae ʻoe. Me ka ʻole o ka nui o ka cartilage, ua hōʻino nā iwi i lalo o ka cartilage a ʻānai pū. ʻO kēia ke kumu o ka pehu (mumū), a me ka ʻoʻoleʻa.

ʻO nā hale ʻē aʻe i hoʻopili ʻia e ka maʻi ʻōmaʻomaʻo:

• ʻO ka synovium
• Ka iwi pili i ka ami
• Nā ligament a me nā uaua
• ʻO nā pale o nā liga a me nā tendons (bursae)

ʻO ka huehue a me nā hōʻino pū paha e hopena ʻia mai:

• ʻO kahi maʻi autoimmune (ʻo ke ʻōnaehana pale o ke kino i kuhi hewa i nāʻiʻo olakino)
• Iwi haʻi
• General "komo a haehae" ma nā ami
• ʻO ka maʻi, pinepine pinepine ʻia e nā bacteria a me nā mea hoʻomaʻi
• ʻO nā aniani e like me uric acid a i ʻole calcium pyrophosphate dihydrate

I ka hapanui o nā hihia, hele aku ka mumuna hui ma hope o ka hala ʻana o ke kumu a i ʻole mālama ʻia. I kekahi manawa, ʻaʻole. Ke kū kēia, loaʻa ʻoe i ka maʻi lōhiu (wā lōʻihi).

Hiki ke hana i nā maʻi o nā poʻe o nā makahiki a me nā kāne. ʻO ka Osteoarthritis, ka mea ma muli o nā kaʻina hana non-inflammatory a hoʻonui me ka makahiki, ʻo ia ka ʻano maʻamau.

ʻO nā mea ʻē aʻe, ʻoi aku ka nui o nā ʻano arthritis o nā mea hōʻeha me:

• Spondylitis Ankylosing
• ʻO ka Crystal arthritis, gout, calcium pyrophosphate deposition maʻi
• ʻO ke kuʻi ʻōpio ʻōpio (i nā keiki)
• Nā maʻi bacteria
• Pāleʻa psoriatic
• Pākuʻi reactive
• Rheumatoid arthritis (i nā mākua)
• Scleroderma
• ʻO systemic lupus erythematosus (SLE)

ʻO ke kumu o ke kuʻi ʻana, he ʻeha pū, he pehu, ʻoʻoleʻa, a me ka neʻe palena ʻia. Hiki i nā ʻōuli ke hoʻohui pū:

• ʻEha hui
• Huʻi hui
• Hoʻoemi i ka hiki ke neʻe i ka hui
• ʻO kaʻulaʻula a me ka mehana o ka ʻili a puni kahi hui
• Pākuʻi paʻa, keu hoʻi i ke kakahiaka

E hana ka mea mālama ola i kahi hoʻokolohua kino a nīnau e pili ana i kāu moʻolelo olakino.

Hōʻike paha ka hoʻokolohua kino:

• Loli a puni kahi hui
• Mahana, ʻulaʻula, nā hui puʻupuʻu
• Ka paʻakikī e neʻe nei i kahi ami (kapa ʻia ʻo "palena palena o ka neʻe")

Hiki i kekahi ʻano o ka arthritis ke hana i ka deformity hui. He hōʻailona paha kēia o ka maʻi ahulau rheumatoid koʻikoʻi, mālama ʻole ʻia.

Hana pinepine ʻia nā hoʻokolohua koko a me nā x-ray hui e nānā no ka maʻi a me nā kumu ʻē aʻe o ka arthritis.

Hiki i ka mea hoʻolako ke hoʻoneʻe i kahi laʻana o ka wai hui pū me kahi nila a hoʻouna iā ia i kahi keʻena e nānā ai no nā aniani a me ka maʻi maʻi.

ʻAʻole hiki ke hoʻōla ʻia ke kumu kumu. ʻO ka pahuhopu o ka mālama ʻana i:

• E hoʻemi i kaʻeha a me ka mumū
• Hoʻonui i ka hana
• Kāohi i ka hōʻino hui pū

NA OLELO OLA

ʻO nā loli nohona ka hoʻomaʻamaʻa makemake ʻia no ka osteoarthritis a me nā ʻanoʻano like o ka huʻi pū. Hiki i ka hoʻoikaika kino ke hōʻoluʻolu i ka ʻoʻoleʻa, hoʻoliʻiliʻi i ka ʻeha a me ka luhi, a hoʻomaikaʻi i ka ikaika o ka mākala a me ka iwi. Hiki i kāu hui olakino olakino ke kōkua iā ʻoe e hoʻolālā i kahi papahana hoʻoikaika maikaʻi loa nāu.

Pākuʻi ʻia paha nā papahana hoʻoikaika kino:

• ʻO ka hana aerobic hopena haʻahaʻa (i kapa ʻia hoʻi ka hoʻoikaika hoʻomanawanui) e like me ka hele wāwae
• Ka laulā o nā hana neʻe no ka maʻalahi
• Hoʻomaʻamaʻa ikaika no ka leo o nā mākala

Kuhi paha kāu mea hāʻawi i ka lāʻau hoʻoikaika kino. Hoʻopili paha kēia:

• Wela a i ʻole hau.
• Splints a i ʻole orthotics e kākoʻo i nā hono a kōkua i ka hoʻomaikaʻi i ko lākou kūlana. Pono pinepine kēia no ka rheumatoid arthritis.
• Hoʻoikaika wai.
• Massage.

Nā mea ʻē aʻe hiki iā ʻoe ke hoʻopili pū:

• E hiamoe nui. ʻO ka hiamoe 8 a 10 mau hola i ka pō a me ka lawe ʻana i nā naps i ke ao hiki ke kōkua iā ʻoe e hoʻi wikiwiki mai kahi lapalapa aʻe, a kōkua paha i ka pale ʻana i nā uila.
• Hōʻalo i ka noho lōʻihi ʻana ma hoʻokahi kūlana.
• Hōʻalo i nā kūlana a i ʻole nā ​​neʻe e hoʻokau i ke koʻikoʻi ma luna o kāu mau hono ʻeha.
• Hoʻololi i kou home e hoʻomaʻalahi i nā hana. ʻO kahi laʻana, e hoʻouka i nā kī kī i ka ʻauʻau, ka paipu, a kokoke i ka lua.
• E hoʻāʻo i nā hana hōʻemi koʻikoʻi, e like me ka noʻonoʻo ʻana, yoga, a i ʻole tai chi.
• ʻAi i kahi papaʻai olakino piha i nā huaʻai a me nā mea kanu, i piha i nā wikamina a me nā minelala, ʻo ia hoʻi ka lāʻau E.
• ʻAi i nā meaʻai i waiwai i nā waikawa momona omega-3, e like me ka iʻa wai anuanu (salmon, mackerel, a me herring), flaxseed, rapeseed (canola) aila, soybeans, soybean oil, ʻumeke, a me nā walnuts.
• Hōʻalo i ka puhī ʻana a me ka inu lama loa.
• E noi i ka cream capsaicin ma luna o kou mau ami ʻeha. Hiki paha iā ʻoe ke hoʻomaikaʻi ma hope o ka hoʻopili ʻana i ka kirimalu no 3 a 7 mau lā.
• Lilo i ke kaupaona, inā ʻoi aku kou kaumaha. Hiki i ke kaupaona ke hoʻonui i ka ʻeha hui i nā wāwae a me nā wāwae.
• E hoʻohana i kahi kō e hōʻemi ai i ka ʻeha mai ka pūhaka, nā kuli, nā kuʻekuʻe wāwae, a me nā kuʻekuʻe wāwae.

NA LAAU LAPAAU

Kau ʻia nā lāʻau lapaʻau me nā loli o ka nohona. Loaʻa nā pilikia i nā lāʻau āpau. E ukali pono ʻoe iā ʻoe e ke kauka ke lawe nei ʻoe i nā lāʻau arthritis, ʻo nā mea āu e kūʻai ai ma kahi kūʻai aku.

Nā lāʻau lapaʻau over-the-counter:

• ʻO Acetaminophen (Tylenol) ka manawa pinepine ka lāʻau mua i hoʻāʻo e hōʻemi i ka ʻeha. Lawe iā 3,000 i kahi lā (2 Tylenol-ikaika arthritis i kēlā me kēia 8 mau hola). I mea e pale aku ai i ka hōʻino ʻana i kou ake, mai lawe i nā mea ʻoi aku ma mua o ka lāʻau i makemake ʻia. No ka loaʻa o nā lāʻau he nui me ka ʻole o ka lāʻau i loaʻa ai ka etaminophen, pono ʻoe e hoʻopili iā lākou i ka 3,000 i kēlā me kēia lā keu. Eia kekahi, e hōʻalo i ka waiʻona i ka lawe ʻana i ka etaminophen.
• ʻO Aspirin, ibuprofen, a naproxen paha nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) i hiki ke hōʻoluʻolu i ka ʻehaʻeha. Eia nō naʻe, hiki iā lākou ke hāpai i nā pilikia ke hoʻohana ʻia no ka manawa lōʻihi. ʻO nā hopena ʻē aʻe e pili pū me ka puʻuwai puʻuwai, hahau ʻana, ʻōpū o ka ʻōpū, kahe ana ke kahe mai ka digestive tract, a me nā hōʻino puʻupaʻa.

Kaukaʻi ʻia i ke ʻano o ka arthritis, hiki ke kuhikuhi ʻia kekahi mau lāʻau ʻē aʻe:

• Kōkua ʻo Corticosteroids ("steroid") i ka hōʻemi ʻana i ka lī. Hoʻokomo ʻia lākou i loko o nā hono ʻeha a hāʻawi ʻia e ka waha.
• Hoʻohana ʻia nā lāʻau lapaʻau anti-rheumatic (DMARDs) e hoʻoponopono ai i ka maʻi autoimmune arthritis a me SLE.
• Hoʻohana ʻia nā meaolaola biologics a me nā kinase no ka mālama ʻana i ka maʻi autoimmune. Hāʻawi ʻia lākou i ka ʻoki a i ʻole ka waha.
• No ka gout, hiki ke hoʻohana ʻia kekahi mau lāʻau e hoʻohaʻahaʻa ai i nā pae uric acid.

He mea nui ia e lawe i kāu mau lāʻau e like me ke kuhikuhi a kāu mea hāʻawi. Inā loaʻa iā ʻoe nā pilikia e hana pēlā (no ka laʻana, no nā hopena ʻaoʻao), pono ʻoe e kamaʻilio me kāu mea hāʻawi. E hoʻomaopopo hoʻi i ka ʻike o kāu mea lawelawe e pili ana i kāu lāʻau āpau āu e lawe nei, e like me nā huaora a me nā mea hoʻopihapiha i kūʻai ʻia me ka ʻole o ka lāʻau.

KE ANA ANA A ME NA LOA ANA

I kekahi mau hihia, hiki ke hana ʻia ke ʻoki ʻana inā ʻaʻole i hana ʻia nā ʻano lāʻau ʻē aʻe a hōʻino nui ʻia kahi hui.

Hoʻopili paha kēia:

• Hoʻololi hui, e like me ka huina o ke kuʻina hui kuapo

Hiki i kekahi mau maʻi e pili ana i ka maʻi lūlū ke hoʻōla piha ʻia me ka lapaʻau kūpono. Eia nō naʻe, lilo ka hapa nui o kēia mau maʻi i nā pilikia olakino lōʻihi (mau) akā hiki ke kaohi maikaʻi ʻia. Hiki ke loaʻa nā hopena aggressive o kekahi mau ʻano arthritic i nā hopena nui i ka neʻe ʻana a alakaʻi ʻia i ke komo ʻana o nā kino ʻē aʻe a i ʻole nā ​​ʻōnaehana.

ʻO nā pilikia o ka maʻi ʻōmaʻomaʻo:

• Lōʻihi lōʻihi (mau) ʻeha
• Kīnā ʻole
• Ka paʻakikī e hana nei i nā hana o kēlā me kēia lā

Kāhea i kāu mea hāʻawi inā:

• Ke hoʻomau nei kou ʻeha hui ma mua o 3 mau lā.
• Loaʻa iā ʻoe ka ʻeha puʻupuʻu koʻikoʻi ʻole.
• Hoʻohū nui ʻia ka ami pili.
• He paʻakikī kāu e neʻe i ka ami.
• ʻUlaʻula a wela paha kou ʻili a puni ka hono i ka hoʻopā.
• He kuni kou a i ole ua lilo kaupaona me ka manaʻo ʻole.

Hiki i ke kuhi mua a me ka lāʻau ke kōkua i ka pale ʻana i ka hōʻino pū. Inā loaʻa iā ʻoe ka moʻolelo ʻohana o ka maʻi ʻōmaʻomaʻo, e haʻi i kāu mea lawelawe, ʻoiai inā ʻaʻohe ou ʻeha pū.

Ke pale nei i nā neʻe nui, nā neʻe pinepine ʻana e kōkua iā ʻoe e pale iā ʻoe i ka osteoarthritis.

Huʻi hui; Hoʻohaʻahaʻa hui

• ʻO Osteoarthritis
• ʻO Osteoarthritis
• Rheumatoid arthritis
• Rheumatoid arthritis
• ʻO Osteoarthritis vs. rheumatoid arthritis
• Pākuʻi ma ka uha
• Rheumatoid arthritis
• Hoʻololi hui kuʻi - series
• Hoʻololi hui pū ʻia Hip - moʻo

ʻO Bykerk VP, Crow MK. Hele i ka mea maʻi me ka maʻi rumatika. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 241.

Inman RD. ʻO nā spondyloarthropathies. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 249.

ʻO Kraus VB, ʻo Vincent TL. ʻO Osteoarthritis. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 246.

ʻO Mcinnes I, O'Dell JR. Rheumatoid arthritis. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 248.

Singh JA, Saag KG, Bridges SL Jr, et al. 2015 Ke Kulanui ʻAmelika o Rheumatology alakaʻi no ka mālama ʻana i ka rheumatoid arthritis. Rumatika rumitis. 2016; 68 (1): 1-26. PMID: 26545940 pubmed.ncbi.nlm.nih.gov/26545940/.