Pākuʻi

Anter

• He aha nā ʻōuli o ka rumati?
• He aha ke kumu o ka maʻi pākī?
• Pehea e ʻike ʻia ai ka maʻi ʻaʻai?
• Pehea e mālama ʻia ai ka maʻi ʻōmaʻomaʻo?
• Laau Lapaʻau
• ʻOki kino
• Hoʻoikaika kino
• He aha nā loli nohona hiki ke kōkua i ka poʻe me ka maʻi pākī?
• He aha ka wā lōʻihi e nānā ai no ka poʻe me ka maʻi pākī?

Hoʻopili mākou i nā huahana a mākou e manaʻo nei he pono no kā mākou poʻe heluhelu. Inā kūʻai ʻoe ma o nā loulou i kēia ʻaoʻao, loaʻa iā mākou kahi kōmike liʻiliʻi. Eia kā mākou hana.

He aha ka maʻi konā?

ʻO ka hānō kahi puhū o nā hono. Hiki iā ia ke hoʻopili i kekahi ami a i ʻole nā ​​ami. Aia ma mua o 100 mau ʻano like ʻole o ka rumitis, me nā kumu like ʻole a me nā ʻano lapaʻau. ʻElua o nā ʻano maʻamau ka osteoarthritis (OA) a me ka rheumatoid arthritis (RA).

Hoʻoulu pinepine nā ʻōuli o ke kuʻuna ma luna o ka manawa, akā hiki ke ʻike ʻia he hikiwawe. ʻIke pinepine ʻia ʻo ka maʻi aritis ma nā mākua ma mua o ka makahiki 65, akā hiki ke hoʻomohala i nā keiki, ʻōpio, a me nā ʻōpio ʻōpio. ʻOi aku ka maʻamau o ka maʻi o nā maʻi ma mua o nā kāne a me nā kānaka i kaupaona

He aha nā ʻōuli o ka rumati?

ʻO ka ʻeha pū, ka ʻoʻoleʻa, a me ka pehu nā ʻōuli maʻamau o ka arthritis. E hoʻemi paha kāu ʻano neʻe, a ʻike paha ʻoe i ka ʻula o ka ʻili a puni ka hono. ʻIke ka hapa nui o nā poʻe me ka maʻi ʻōpū i kā lākou mau hōʻailona ʻoi aku ka maikaʻi i ke kakahiaka.

I ka hihia o RA, ʻike paha ʻoe i ka luhi a i ʻole ke ʻike ʻana i ka nalo ʻana o ka makemake ma muli o ka mumū o ka hana a ka ʻōnaehana pale. Hiki iā ʻoe ke lilo i anemia - ʻo ia hoʻi ka hōʻemi ʻana o ka helu o ke koko ʻulaʻula - a i ʻole he kuni liʻiliʻi. Hiki i ka RA koʻikoʻi ke hana i ka deformity hui inā haʻalele ʻole ʻia.

He aha ke kumu o ka maʻi pākī?

He paʻa paʻa ʻo Cartilage akā maʻalahi ia i nā hono. Pale ia i nā hono ma ke komo ʻana i ke kaomi a me ka haʻalulu i hana ʻia ke neʻe ʻoe a kau i ke koʻikoʻi iā lākou. ʻO ka hoʻemi ʻana i ka nui maʻamau o kēia kino cartilage i kumu i kekahi ʻano o ka maʻi o ka maʻi.

ʻO ke kapa komo maʻamau a me ka waimaka ke kumu o ka OA, kekahi o nā ʻano maʻamau o ka arthritis. Hiki i kahi maʻi a i ʻole ʻeha i nā hono ke hoʻonui i kēia haʻihaʻi maoli o nā kino cartilage. ʻOi aku ka nui o kāu makaʻu i ka hoʻomohala ʻana iā OA inā loaʻa iā ʻoe ka moʻolelo ʻohana o ka maʻi.

ʻO kekahi ʻano maʻamau o ka maʻi kōpaʻa, RA, he maʻi autoimmune. Hana ʻia ia ke hoʻouka aku ka ʻōnaehana pale o kou kino i nā kinona o ke kino. Hoʻopili kēia mau hōʻeha i ka synovium, kahi mea palupalu i kou mau hui e hana i kahi wai e hānai i ka cartilage a lubricates i nā hono.

ʻO RA kahi maʻi o ka synovium e hoʻouka kaua a luku i kahi hui. Hiki iā ia ke alakaʻi i ka luku ʻia o nā iwi ʻelua a me ka cartilage i loko o ka ami.

ʻAʻole maopopo ke kumu maoli o ka hoʻouka kaua ʻana o ka ʻōnaehana pale. Akā ua ʻike ka ʻepekema i nā māka genetic e hoʻonui ai i kou makaʻu i ke kūkulu ʻana iā RA ʻelima mau pā.

Pehea e ʻike ʻia ai ka maʻi ʻaʻai?

ʻO ka ʻike ʻana i kāu kauka mālama mua kahi hana maikaʻi inā ʻaʻole maopopo iā ʻoe ka mea e ʻike ai no ka ʻike maʻi arthritis. E hana lākou i kahi hoʻokolohua kino e nānā i ka wai a puni nā hono, mehana a ʻulaʻula paha, a me ka palena o ka neʻe i nā hono. Hiki i kāu kauka ke kuhikuhi iā ʻoe i kahi loea inā pono.

Inā ʻoe e ʻike nei i nā ʻōuli koʻikoʻi, hiki iā ʻoe ke koho i kahi hoʻonohonoho manawa me kahi rheumatologist ma mua. Hiki i kēia ke alakaʻi i kahi hōʻailona wikiwiki a me ka lāʻau.

ʻO ka lawe ʻana a me ke kālailai ʻana i nā pae kukuna i loko o kou koko a me nā wai hui e hiki ke kōkua i kāu kauka e hoʻoholo i ke ʻano o ka maʻi pākī āu. ʻO nā hoʻokolohua koko e nānā i nā ʻano pilikino ʻē aʻe e like me anti-CCP (peptide citrullined anti-cyclic), RF (factor rheumatoid), a me ANA (antinuclear antibody) nā hōʻike diagnostic maʻamau hoʻi.

Hoʻohana maʻamau nā kauka i nā kiʻi kiʻi e like me X-ray, MRI, a me CT scans e hana i kiʻi o kou mau iwi a me ka cartilage. ʻO kēia no ka mea hiki iā lākou ke kāpae i nā kumu ʻē aʻe o kāu mau hōʻailona, ​​e like me ka iwi kuʻi.

Pehea e mālama ʻia ai ka maʻi ʻōmaʻomaʻo?

ʻO ka pahuhopu nui o ka mālama ʻana e hōʻemi i ka nui o ka ʻeha āu e ʻike nei a pale i ka hōʻino hou ʻana i nā hono. E aʻo ʻoe i ka mea e pono loa iā ʻoe ma ka kaohi ʻana i ka ʻeha. ʻIke kekahi poʻe i nā pale pumehana a me nā ʻeke hau e hoʻoluʻolu. Hoʻohana nā poʻe ʻē aʻe i nā hāmeʻa kōkua neʻe, e like me nā kōkō a i ʻole nā ​​mea hele wāwae, e kōkua ai e lawe i ke kaomi mai nā ʻehaʻeha.

He mea nui ka hoʻomaikaʻi ʻana i kāu hana hui. Kauoha paha kāu kauka iā ʻoe i kahi hui o nā hana lapaʻau e loaʻa ai nā hopena maikaʻi loa.

Kūʻai i nā pale hoʻomehana no ka hoʻomaha ʻeha.

Laau Lapaʻau

ʻO kekahi ʻano o nā ʻano lāʻau like ʻole e mālama ai i ka maʻi kō.

• ʻAnaliko, e like me ka hydrocodone (Vicodin) a i ʻole acetaminophen (Tylenol), maikaʻi no ka mālama ʻana i ka ʻeha, akā mai kōkua i ka hōʻemi ʻana i ka pehu.
• Nā lāʻau anti-inflammatory nonsteroidal (NSAIDs), e like me ibuprofen (Advil) a me salicylates, kōkua i ka mālama ʻana i ka ʻeha a me ka pehu. Hiki i nā salicylates ke lahilahi i ke koko, no laila e akahele pono lākou me nā lāʻau hoʻomāliʻi hou aʻe o ke koko.
• Menthol a i ʻole capsaicinnā kalima ālai i ka lawe ʻana o nā hōʻailona ʻeha mai kou mau hono.
• Nā Immunosuppressants e like me prednisone a i ʻole cortisone kōkua i ka hoʻēmi ʻana i ka pehu.

Inā loaʻa iā RA, hiki i kāu kauka ke hoʻokau iā ʻoe ma corticosteroids a i ʻole nā ​​lāʻau antirheumatic (DMARDs) e hoʻololi nei i ka maʻi, nāna e kāohi i kāu ʻōnaehana pale Nui aʻe kekahi mau lāʻau lapaʻau e mālama iā OA i loaʻa ma luna o ka papa kūʻai a i 'ole ma ke kauka

E kūʻai i nā kalima capsaicin no ka hōʻoluʻolu ʻeha.

ʻOki kino

ʻO ke ʻoki kino e pani i kāu hui me kahi mea kuʻi paha he koho. Hana pinepine ʻia kēia ʻano ʻoki e hoʻololi i nā pūhaka a me nā kuli.

Inā ʻoi aku ka koʻikoʻi o kou maʻi maʻi i kou mau manamana lima a i ʻole nā ​​pūlima, e hana paha kāu kauka i kahi fusion ami. I kēia kaʻina hana, ua laka pū nā wēlau o kou mau iwi a hiki i ko lākou hoʻōla ʻana a lilo i hoʻokahi.

Hoʻoikaika kino

ʻO ke olakino kino e pili ana i nā hana e kōkua i ka hoʻoikaika ʻana i nā mākala a puni ka ami i hoʻopili ʻia he kumu nui ia o ka mālama ʻana i ka maʻi o ka maʻi.

He aha nā loli nohona hiki ke kōkua i ka poʻe me ka maʻi pākī?

ʻO ke kaupaona ʻana a me ka mālama ʻana i kahi kaupaona olakino e hoʻemi i ka makaʻu o ka hoʻomohala ʻana iā OA a hiki ke hōʻemi i nā hōʻailona inā loaʻa iā ʻoe.

ʻO ka ʻai ʻana i ka papaʻai olakino ka mea nui no ka hōʻemi kino. Ke koho ʻana i kahi papaʻai me nā antioxidants he nui, e like me nā huaʻai hou, nā mea kanu, a me nā mea kanu, hiki ke kōkua i ka hoʻohaʻahaʻa ʻana i ka lī. ʻO nā meaʻai e hoʻemi ana i ka mumū me nā iʻa a me nā nati.

ʻO nā meaʻai e hoʻoliʻiliʻi a hōʻalo paha inā loaʻa iā ʻoe ka maʻi kōkō i nā meaʻai palai, nā meaʻai i hana ʻia, nā huahana waiū, a me nā ʻai kiʻekiʻe o ka ʻiʻo.

Hōʻike kekahi mau noiʻi e hiki i nā gluten antibodies ke loaʻa i ka poʻe me RA. Hiki i kahi papaʻai gluten-ʻole ke hoʻomaikaʻi i nā hōʻailona a me ka holomua o ka maʻi. Paipai pū kekahi noi ma 2015 i kahi papaʻai gluten-ʻole no nā poʻe āpau i loaʻa i kahi hōʻailona o ka maʻi ʻaʻa pili ʻole.

E mālama ka hoʻoikaika mau i kou mau hono i maʻalahi. ʻO ka ʻauʻau pinepine ka hana hoʻoikaika kino no ka poʻe me ka maʻi pākī no ka mea ʻaʻole ia e hoʻokau i kou mau ami i ke ʻano o ka holo a me ka hele wāwae. He mea nui ka noho mau ʻana, akā pono nō ʻoe e hoʻomaha i ka wā e pono ai a pale i ka hoʻonui ʻana iā ʻoe iho.

Hiki i nā hoʻoikaika kino ʻana ma ka home ke hoʻāʻo pū:

• ke kuli o ke poʻo, ka hoʻohuli ʻana o ka ʻāʻī, a me nā hana ʻē aʻe e hoʻomaha ai i ka ʻeha ma kou ʻāʻī
• kūlou nā manamana lima a kūlou nā manamana lima e hōʻoluʻolu i ka ʻeha ma kou mau lima
• ala ka wāwae, hāpai i ka hamstring, a me nā hana maʻalahi ʻē aʻe no ka arthritis arthritis

He aha ka wā lōʻihi e nānā ai no ka poʻe me ka maʻi pākī?

ʻOiai ʻaʻohe mea e ola ai no ka maʻi kōpaʻa, hiki i ka lapaʻau kūpono ke hōʻemi nui i kāu mau hōʻailona.

Ma waho aʻe o nā mālama ʻana a kāu kauka i koi ai, hiki iā ʻoe ke hana i nā loli ola e hiki ai ke kōkua iā ʻoe e hoʻokele i kou maʻi maʻi.