He aha ka ʻokoʻa ma waena o ka maʻi hānai a me ka maʻi noninflam inflammatory?

Anter

• He aha ka maʻi konā?
• Pehea ke kumu o ka maʻi palū?
• Nā kumu o ka osteoarthritis
• Kumu o ka rheumatoid arthritis
• Nā ʻōuli o ka maʻi ahulau
• Kānā ʻana i ka maʻi kō
• Ka mālama ʻana i ka maʻi kō
• ʻO Osteoarthritis
• Rheumatoid arthritis
• Hoʻololi ka nohona no ka maʻi kō
• Ka wā e ʻike ai i ke kauka

He aha ka maʻi konā?

ʻO kahi maʻi he maʻi kahi i puhi ʻia ai kekahi o kāu mau ami. Hiki i kēia ke hopena i ka ʻoʻoleʻa, ʻeha, a i nā manawa he nui, ka pehu.

ʻO ke kuʻi ʻana a me ka noninflammatory arthritis ka ʻelua mau ʻano maʻamau o ke ʻano.

Aia he mau ʻano like ʻole o ke ʻano o ka arthritis. ʻO kekahi o nā ʻano maʻamau o ka arthritis arthritis he rheumatoid arthritis (RA), a ʻo ka ʻano maʻamau o ka noninflam inflammatory arthritis ua kapa ʻia ʻo osteoarthritis (OA).

Pehea ke kumu o ka maʻi palū?

He mau kumu like ʻole ko OA a me RA.

Nā kumu o ka osteoarthritis

ʻOiai ua kapa ʻia ʻo ka noninflammatory arthritis, hiki nō i ka OA ke hopena i kekahi mumū o nā hono. ʻO ka ʻokoʻa ka hopena o kēia mumū mai ka hele a haehae.

Kū ka OA i ka wā e haki ai ka iwi iwi kuʻi. ʻO ka cartilage ka mānoanoa e uhi a uhi i nā wēlau o nā iwi i kahi hui.

Hiki i ka hōʻeha ʻana i kahi hui ke hoʻonui i ka holomua o ka OA, akā hiki i nā hana o kēlā me kēia lā ke kōkua i ka OA ma hope o ke ola. ʻO ke kaumaha nui a kau i ke kānana keu ma nā hono hiki ke kumu iā OA.

ʻIke pinepine ʻia ka maʻi noninflammatory i nā kuli, nā pūhaka, nā ʻāʻī, a me nā lima.

Kumu o ka rheumatoid arthritis

He maʻi ʻoi aku ka paʻakikī ʻo RA, akā pili pinepine ia i ka:

• lima
• nā kūpeʻe lima
• kuʻekuʻe lima
• nā kuli
• kuʻekuʻe wāwae
• wawae

E like me psoriasis a lupus paha, ʻo RA kahi maʻi autoimmune. ʻO kēia ke kumu o ka pale ʻana o ke kino i nā mea ola maikaʻi.

Ke waiho nei ke kumu o RA i mea pohihihi. Ma muli o ka hoʻomohala ʻana o nā wahine i ka RA ma mua o ka noho ʻana o nā kāne, manaʻo ka poʻe noiʻi he pili paha i nā genetona a i ʻole nā ​​mea hormonal.

Hiki pū ke RA i nā keiki, a hiki ke hoʻopili i nā ʻāpana o ke kino, e like me nā maka a me nā akemāmā.

Nā ʻōuli o ka maʻi ahulau

Ua like nā ʻōuli o RA a me OA, no ka mea pili lāua i ka ʻoʻoleʻa, ʻeha, a me ka pehu ʻana i nā hono.

Akā ʻo ka ʻoʻoleʻa e pili ana me RA e ʻoi aku ka lōʻihi o ka lōʻihi ma mua o ka hana ʻana i ka wā o OA, a ʻoi aku ka maikaʻi o ka mea mua i ke kakahiaka.

ʻO ka discomfort e pili ana iā OA ka mea maʻamau i nā hono i hoʻopili ʻia. He maʻi ʻōnaehana ʻo RA, no laila hiki i kāna mau hōʻailona ke hoʻopili pū i ka nāwaliwali a me ka luhi.

Kānā ʻana i ka maʻi kō

Ma hope o kāu kauka e hana ai i kahi hoʻokolokolo kino o nā hono, kauoha paha lākou i nā hoʻokolohua kānana.

Hiki i kahi MRI ke hōʻike i ke kūlana o nā mea palupalu i kahi hui, e like me ka cartilage. Hiki i nā kukuna X maʻamau ke hōʻike i ka haki ʻana o ka cartilage, ka pōʻino o ka iwi, a me nā ʻaʻai ʻana.

Hiki i kāu kauka ke kauoha i kahi hoʻokolohua koko e hoʻoholo inā pili ka pilikia hui ma muli o RA. E nānā kēia no ke kū ʻana o ka "rheumatoid factor" a i ʻole nā ​​cyclic citrullined antibodies i ʻike pinepine ʻia i ka poʻe me RA.

Ka mālama ʻana i ka maʻi kō

Mālama ʻokoʻa ʻia ka maʻi ʻōmaʻomaʻo ma muli o ka ʻano:

ʻO Osteoarthritis

Hiki i kāu kauka ke koi aku i nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) e like me ka ibuprofen no nā mumū liʻiliʻi a i ʻole nā ​​hihia liʻiliʻi o ka arthritis.

Hiki i nā Corticosteroids, i hiki ke lawe waha ʻia a i ʻole ke kī ʻana, hiki ke hōʻemi i ka mumū i nā hono.

Hiki i ke olakino kino ke kōkua i ka hoʻomaikaʻi ʻana i ka ikaika o ka mākala a me kāu neʻe ʻana. Hiki i nā mākala ikaika ke kākoʻo ʻoi aku i kahi hui, malia paha e hoʻomāmā i ka ʻeha i ka neʻe ʻana.

Ke koʻikoʻi ka hōʻino ʻana i ka ami, hiki i kāu kauka ke koi aku i ke ʻoki e hoʻoponopono a hoʻololi paha i ka hono. Hana pinepine ʻia kēia ma hope o ka pau ʻole o nā lāʻau ʻana e hāʻawi iā ʻoe i ka hōʻoluʻolu ʻeha a me ka neʻe.

Rheumatoid arthritis

Hiki paha ke hoʻohana ʻia nā NSAID a me nā corticosteroids e kōkua i ka hoʻēmi ʻana i ka ʻeha a me ka pehu ʻana no ka poʻe me RA, akā aia kekahi mau lāʻau lapaʻau kikoʻī i hoʻolālā ʻia e mālama i kēia ʻano lī.

ʻO kekahi o kēia mau mea:

• ʻO nā lāʻau e hoʻoponopono ai i nā maʻi antirheumatic (DMARDs): Paʻa nā DMARD i ka pane o ka ʻōnaehana pale o kou kino, kahi e kōkua ai e hoʻolohi i ka holomua o RA.
• ʻO Biologics: Pane kēia mau lāʻau i ka pane a ka ʻōnaehana pale e hoʻonāukiuki ma kahi o ka pale ʻana i ka ʻōnaehana pale āpau.
• Nā mea kāohi ʻo Janus kinase (JAK): ʻO kēia kahi ʻano hou o DMARD e ālai ana i kekahi mau pane o ka ʻōnaehana pale e pale ai i ka mumū a me ka hōʻino pū.

Hoʻomaʻo mau ʻia nā lāʻau hou e kōkua i ka mālama ʻana iā RA a hoʻēmi i ka ikaika o ka ʻōuli. A e like me ka OA, hiki ke hoʻomaha ʻia nā hōʻailona RA ma o ka hoʻoikaika kino.

Hoʻololi ka nohona no ka maʻi kō

ʻO ka noho ʻana me OA a i ʻole RA paha he mea paʻakikī. ʻO ka hoʻoikaika mau a me ka pohō kaumaha hiki ke kōkua i ka hōʻemi i ka ukana ma kāu mau ami. ʻAʻole hāʻawi ka hoʻoikaika i ka hoʻohaʻahaʻa kaumaha, akā hiki ke kōkua i ke kākoʻo i nā hono ma ka hoʻoikaika ʻana i nā io a puni lākou.

ʻO nā hāmeʻa kōkua, e like me nā kō, nā noho ʻauʻau i hāpai ʻia, a i ʻole nā ​​pono hana e kōkua iā ʻoe e kalaiwa i kahi kaʻa a me nā poʻi hāmama hāmama, i loaʻa e kōkua iā ʻoe e mālama i ke kūʻokoʻa a me ka hana o kēlā me kēia lā.

ʻO ka ʻai ʻana i kahi papaʻai olakino e hoʻopili ana i nā huaʻai, nā mea kanu, nā protein momona momona, a me nā kīʻaha āpau ke hiki ke kōkua i ka hōʻoluʻolu a pale i ka loaʻa ʻana o ke kaupaona.

Ka wā e ʻike ai i ke kauka

ʻOiai ʻaʻohe mea lapaʻau no OA a RA paha, hiki ke mālama ʻia nā kūlana ʻelua. E like me ka nui o nā luʻi olakino, ke kiʻi ʻana i kahi hōʻailona mua a me kahi poʻo e hoʻomaka i ka mālama ʻana pinepine i nā hopena maikaʻi loa.

Mai chalk wale i ka paʻakikī o ka ami a hiki i kahi hōʻailona ʻē aʻe i hiki ʻole ke ʻelemakule. Inā loaʻa ka pehu, ʻeha, a ʻoʻoleʻa, maikaʻi ke hana i kahi manawa me kāu kauka, keu hoʻi inā keakea kēia mau ʻōuli i kāu hana o kēlā me kēia lā.

ʻO ka hoʻomaʻamaʻa hōʻino a me ka ʻike ʻoi aku ka maikaʻi o kāu kūlana kikoʻī e kōkua ai iā ʻoe e hana hou a ʻoluʻolu hoʻi i nā makahiki e hiki mai ana.