Nā hopena o ka Rheumatoid Arthritis ma ke Kino

Anter
- Hōʻike Overview
- Nā hopena o ka rheumatoid arthritis ma ke kino
- ʻŌnaehana iwi
- Hiki i nā ʻōuli o RA ke hana i nā hono o ke kino, e like me kāu:
- ʻŌnaehana Kaapuni
- Ka ʻili, nā maka, a me ka waha
- ʻŌnaehana hanu
- ʻŌnaehana paleʻea
- Nā ʻōnaehana ʻē aʻe
Hōʻike Overview
ʻO Rheumatoid arthritis (RA) ka mea i ʻoi aku ma mua o ka ʻeha pū. Hoʻokomo kēia maʻi maʻi autoimmune maʻi i kou kino e kuhi hewa i nā hono olakino a alakaʻi i ka laha ākea.
ʻOiai kaulana ʻo RA no ka hana ʻana i ka ʻeha hui a me ka mumū, hiki iā ia ke kumu i nā ʻōuli ʻē aʻe i ke kino. E heluhelu e aʻo hou e pili ana i nā hōʻailona kūpono o RA a me nā hopena āpau i ke kino.
Nā hopena o ka rheumatoid arthritis ma ke kino
ʻO RA kahi maʻi autoimmune holomua e pili nui i kou mau hono. Wahi a ka Arthritis Foundation, ma kahi o 1.5 miliona mau kānaka U.S. e noho nei me RA.
Hiki i kēlā me kēia mea ke kiʻi iā RA, akā hoʻomaka ia ma waena o nā makahiki o 30 a me 60. Hoʻololi pū kekahi ia i nā wahine ma kahi o ʻekolu mau manawa ma mua o nā kāne.
ʻAʻole ʻike ʻia ke kumu kūpono o RA, akā he mea nui paha nā genetics, nā maʻi, a i ʻole nā hoʻololi hormonal. Hiki i nā lāʻau hoʻoliʻiliʻi maʻi ke kōkua i ka lohi o ka holomua o RA. ʻO nā lāʻau lapaʻau ʻē aʻe, hui pū ʻia me nā loli nohona, hiki ke kōkua i ka mālama ʻana i nā hopena a laila hoʻomaikaʻi i kou nohona holoʻokoʻa.
ʻŌnaehana iwi
ʻO kekahi o nā hōʻailona mua o RA ka mumū o nā hono liʻiliʻi i nā lima a me nā wāwae. ʻO ka hapa nui o ka manawa, hoʻopili nā ʻōuli i nā ʻaoʻao ʻelua o ke kino i ka manawa hoʻokahi.
ʻO nā ʻōuli maʻamau ka ʻeha, ka pehu ʻana, ka palupalu, a me ka ʻoʻoleʻa, ʻoi aku ka maikaʻi o ke kakahiaka. Hiki ke ʻeha ʻo RA kakahiaka no 30 mau minuke a ʻoi paha.
Hiki i ka RA ke hana i ke kani ʻana a i ʻole ka wela i nā ami. Hiki i nā ʻōuli ke hele a hele i loko o ka "lapalapa" a ukali ʻia e ka manawa o ke kala ʻana, akā hiki i nā pae mua ke kū ma ka liʻiliʻi he ʻeono pule.
Hiki i nā ʻōuli o RA ke hana i nā hono o ke kino, e like me kāu:
- manamana lima
- nā kūpeʻe lima
- poʻohiwi
- kuʻekuʻe lima
- pūhaka
- nā kuli
- kuʻekuʻe wāwae
- manamana wāwae

Hiki iā RA ke hopena ma:
- bunion
- manamana wāwae manamana
- manamana wāwae
Ke holo nei ka maʻi, hōʻino a luku ʻia ka iwi iwi a me ka iwi. ʻO ka hopena, nāwaliwali ke kākoʻo ʻana i nā iwi, nā ligament, a me nā mākala. Hiki i kēia ke alakaʻi i kahi palena o ka neʻe a i ʻole ka paʻakikī e neʻe pono i nā hono. I ka wā lōʻihi, hiki i nā hono ke lilo i deformed.
ʻO ka loaʻa ʻana o RA iā ʻoe i ka makaʻu nui o ka hoʻomōhala ʻana i ka osteoporosis, kahi nāwaliwali o nā iwi. Hiki i kēia ke hoʻonui i kou makaʻi o nā haʻi iwi a haki.
Hiki i ka hoʻowahāwahā mau ʻana o nā pūlima ke alakaʻi i ka maʻi palapū carpal, e paʻakikī ana e hoʻohana i kou mau pulima a me kou mau lima. Nā nāwaliwali a nāwaliwali paha nā iwi i ka ʻāʻī a i ʻole ka iwi kuamoʻo hiki ke hōʻeha i ka ʻeha mau.
Kauoha paha kāu kauka i nā kukuna X e noiʻi i ka nui o ka hōʻino ʻia o ka ami a me ka iwi mai RA.
ʻŌnaehana Kaapuni
Hiki i ka RA ke hoʻololi i ka ʻōnaehana no ka hana a lawe ʻana i ke koko ma loko o kou kino pū kekahi.
Hiki i kahi hoʻokolohua koko maʻalahi ke hōʻike i ke alo o kahi antibody i kapa ʻia ka rheumatoid factor. ʻAʻole nā kānaka āpau me ka lāʻau ʻino e hoʻomohala iā RA, akā ʻo ia kekahi o nā ʻōkuhi he nui e hoʻohana ai nā kauka e hōʻoia i kēia ʻano.
Hoʻonui ka RA i kou makaʻi no ka anemia. Loaʻa kēia i ka hoʻemi ʻia o nā hana o ke koko ʻulaʻula. Hiki paha iā ʻoe ke piʻi aʻe i kahi kiʻekiʻe o nā aʻa i hoʻopaʻa ʻia a paʻakikī paha.
I nā hihia maʻamau, hiki i ka RA ke alakaʻi i ka mumū o ka ʻeke a puni ka puʻuwai (pericarditis), ka puʻuwai puʻuwai (myocarditis), a i ʻole kūleʻa puʻuwai congestive.
ʻO kahi paʻakikī a paʻakikī ʻole o RA ka mumū o nā kīʻaha koko (rheumatoid vasculitis, a i ʻole RA rash). Nāwaliwali nā kīʻaha koko a hoʻonui a hāiki paha, keakea i ke kahe o ke koko. Hiki i kēia ke alakaʻi i nā pilikia me nā aʻa, ʻili, puʻuwai, a me ka lolo.
Ka ʻili, nā maka, a me ka waha
ʻO nā nodule Rheumatoid he puʻupuʻu paʻakikī i hoʻokumu ʻia e ka mumū i lalo o ka ʻili, ma kahi kokoke i nā hono. Hiki iā lākou ke hoʻoluhi, akā ʻaʻole maʻamau ka ʻeha.
Aia ma kahi o 4 miliona mau kānaka US i loaʻa i kahi maʻi hōʻeha i kapa ʻia ʻo Sjogren's syndrome, e like me ka Sjogren's Syndrome Foundation. Ma kahi o ka hapalua o kēia mau kānaka i loaʻa iā RA a i ʻole kahi maʻi autoimmune like. Ke loaʻa nā maʻi ʻelua, kapa ʻia ʻo Sjogren's syndrome lua.
ʻO Sjogren's ke kumu o ka maloʻo nui - keu hoʻi o nā maka. ʻIke paha ʻoe i kahi wela a ʻoluʻolu paha. Hoʻonui ka maka maloʻo lōʻihi i ka makaʻu o ka maʻi maka a i ʻole ka hōʻino ʻana o ke kole. ʻOiai he kakaikahi ia, hiki i ka RA ke hoʻoulu i ka maka o ka maka.
Hiki i ka Sjogren's ke kumu i ka waha maloʻo a me ka puʻu, e paʻakikī i ka ʻai ʻana a i ʻole ke ale ʻana, ʻo ia hoʻi nā meaʻai maloʻo. Hiki i ka waha maloʻo maloʻo ke alakaʻi i:
- palaho niho
- gingivitis
- maʻi maʻi waha
Hiki paha iā ʻoe ke ʻike i nā ʻōpū pehu i ka maka a me ka ʻāʻī, nā ala ihu maloʻo, a me ka ʻili maloʻo. Hiki i nā wahine ke ʻike i ka maloʻo maloʻo.
ʻŌnaehana hanu
Hoʻonui ka RA i ka makaʻu o ka mumū a i ʻole ka ʻili ʻana o nā pale o nā akemāmā (pleurisy) a me ka hōʻino ʻana i nāʻiʻo o ka lolo (lung rheumatoid) ʻO nā pilikia ʻē aʻe:
- ālai airways (bronchiolitis obliterans)
- wai i loko o ka umauma (pleural effusion)
- kiʻekiʻe ke koko kiʻekiʻe i loko o ka akemāmā (pulmonary hypertension)
- scarring o ka akemāmā (pulmonary fibrosis)
- rheumatoid nodules ma nā akemāmā
ʻOiai hiki iā RA ke hōʻino i ka ʻōnaehana hanu, ʻaʻole nā kānaka āpau nā ʻōuli. Hiki paha i ka poʻe hana ke loaʻa ka hanu, kahe, a me ka ʻeha o ka umauma.
ʻŌnaehana paleʻea
Ke hana nei kāu ʻōnaehana pale pale pūʻali me ka pūʻali koa, e pale ana iā ʻoe mai nā mea ʻino e like me nā virus, bacteria, a me nā toxins. Hana ia i kēia me ka hana ʻana i nā mea ʻohola e hoʻouka i kēia poʻe hoʻouka.
I kekahi manawa, kuhi hewa ka ʻōnaehana pale i kahi ʻaoʻao olakino o ke kino ma ke ʻano he komo haole. Ke kū kēlā, hoʻouka nā antibodies i nāʻaʻaola olakino.
I RA, hoʻouka kāu ʻōnaehana pale i kou mau ami. ʻO ka hopena intermittent a i ʻole ka mumū mau ma loko o ke kino.
Kūleʻa nā maʻi Autoimmune, a kau ka lāʻau i ka lohi o ka holomua a me nā hōʻailona hōʻali. Hiki nō hoʻi ke loaʻa ma mua o hoʻokahi maʻi autoimmune.
Nā ʻōnaehana ʻē aʻe
Hiki i ka ʻeha a me ka hōʻoluʻolu ʻole o RA ke paʻakikī i ka hiamoe. Hiki i ka RA ke alakaʻi i ka luhi nui loa a me ka nele o ka ikaika. I kekahi mau hihia, hiki i ka RA flare-up ke hana i nā ʻōuli like ʻole e like me:
- fever fever
- ka houʻu ʻana
- nele i ka makemake ʻole
Hiki ke kōkua i ka ʻike mua a me ka mālama ʻana i ka lohi o ka holomua o RA. ʻO nā lāʻau e hoʻololi ana i nā maʻi, nā mea hōʻalo hōʻailona, a me nā loli nohona hiki ke hoʻomaikaʻi maikaʻi i kou ola.
He mea nui e hoʻomaopopo i kāu kauka no nā loli i nā hōʻailona āu e ʻike ai me kāu RA, i hiki ai iā ʻoe ke hoʻoponopono i kāu papa hana e pono ai.