5 Hana no ka Rheumatoid Arthritis Back Pain
Anter
- Paʻi kua: huʻi vs. maʻi
- 1. Nā hana wela a me ke anuanu no ka hoʻomaha ʻana i nā ʻōuli
- 2. Nā Lapaʻau
- Nā lāʻau ʻehaʻeha
- Nā lāʻau anti-inflammatory nonsteroidal
- ʻO nā lāʻau lapaʻau antirheumatic e hoʻololi nei i ka maʻi
- Pākuʻi ʻōiwi
- 3. ʻoki kua no ka ʻeha mau
- 4. Kākoʻo mau i ke kua i ke kua
- 5. Ka mālama ʻana iā ʻoe iho ma o ka hoʻoikaika kino
- ʻO ka lawe lawe ʻana
Rheumatoid arthritis a me kaʻeha hope
Hoʻopili pinepine ka Rheumatoid arthritis (RA) i nā hono ākea e like me kēlā i kou mau lima, nā pūlima, nā wāwae, nā kuʻe lima, a me nā pūhaka. ʻO ka poʻe me kēia maʻi pale ʻole ʻike pinepine i ka ʻehaʻeha.
Inā loaʻa iā RA, hiki i ka ʻehaʻeha o ke kua ke hopena i ka pale o kou kino e hoʻouka nei i ka uhi synovial o nā hono liʻiliʻi o kou iwi kuamoʻo. I nā kūlana kiʻekiʻe, hiki i kēia ke alakaʻi i ka compression o ka iwi kuamoʻo a me nā aʻa nerve. Ke hiki kēia, hiki iā ʻoe ke ʻike i ke kaumaha kaulike a ʻeha loa.
E hoʻomau i ka heluhelu ʻana e aʻo e pili ana i nā mālama wā pōkole no ka ʻeha o ke kua a me nā kaʻina mālama ʻeha hoʻi i ka wā lōʻihi.
Paʻi kua: huʻi vs. maʻi
Ma mua o ka nānā ʻana i nā hōʻailona no kou ʻeha hope, pono ʻoe e ʻike inā he ʻeha a ʻeha hoʻi kou kua.
ʻO ka ʻehaʻeha hope ʻeha ka hopena o ke kānana ʻana i kou kua. Hiki ke mālama ʻia me ka lāʻau a ʻoi aku ka maikaʻi ma mua o ka manawa. ʻAʻole koi ʻia ka hoʻoikaika kino.
ʻOkoʻa ka ʻeha hope loa. He pilikia lōʻihi ia ma muli o nā kūlana e like me RA. Hiki ke mālama ʻia i nā ala he nui, a hiki ke lilo i ka hoʻoikaika kino i mea maikaʻi.
1. Nā hana wela a me ke anuanu no ka hoʻomaha ʻana i nā ʻōuli
ʻAʻole hiki i nā ʻeke wela a anuanu ke mālama i nā kumu kumu o ka ʻeha o ke kua, akā hiki iā lākou ke kōkua e hōʻemi i ka ʻeha a me ka ʻoʻoleʻa āu e ʻike ai i ka wā o ka lapalapa ahi.
E hoʻohana i kahi ʻeke pumehana e kōkua i ka hoʻomaikaʻi ʻana i ke kahe o ke koko a hoʻemi i nā spasms o nā mākala. Hiki iā ia ke kōkua i ka mālama ʻana i kou ʻeha.
E hoʻohana i kahi ʻeke anuanu e kōkua i ka hōʻemi ʻana i ka huʻi RA. Hoʻohana nui ʻia ia no ka flare-ups a i ʻole ka ʻeha nui.
Hiki i nā ʻeke anuanu ke ʻoluʻolu ʻole i ka mua, akā hiki iā lākou ke hōʻemi i ka pehu a kōkua i ka ʻeha. Pono e hoʻopili i nā ʻeke anuanu no 20 mau minuke i ka manawa, 3 a 4 mau manawa i ka lā.
2. Nā Lapaʻau
Hiki i ka lāʻau ke lilo i ala maikaʻi e kaohi ai i ka ʻehaʻeha hope. ʻO ke ʻano o ka lāʻau āu e pono ai ma muli o ka ʻeha o kou ʻeha a me ka manawa pinepine āu e ʻike ai.
Hiki i nā ʻano lāʻau like ʻole ke hōʻemi i ka ʻeha a lohi hoʻi i ka holomua o RA.
Nā lāʻau ʻehaʻeha
ʻO ka mālama ʻana i kou ʻeha kahi ʻāpana nui o ke aʻo ʻana e ola me kahi pilikia o ke kua mau. ʻO nā analgesics, a i ʻole nā painkillers, kekahi ala e hoʻomāmā ai i ka ʻeha o ke kua. ʻO nā lāʻau lapaʻau over-the-counter e like me ka aspirin lawa paha e hoʻokele i ka ʻeha haʻahaʻa.
Hiki i kāu kauka ke kuhikuhi i nā lāʻau i ʻoi aku ka ikaika no ka hoʻomaha ʻana i ka ʻeha, inā pono ʻoe. Eia nō naʻe, pono e hoʻohana akahele nā lāʻau narcotic e like me ka oxycodone (Roxycodone, Oxaydo) no nā maʻi maʻi e hōʻalo i ka makaʻu o ka hilinaʻi. Aia kekahi mau lāʻau lapaʻau ʻē aʻe e hiki ke mālama i kāu ʻeha ʻelua a me ka hoʻohaunaele kumu.
Nā lāʻau anti-inflammatory nonsteroidal
Hiki i nā lāʻau anti-inflammatory Nonsteroidal (NSAIDs) ke hōʻoluʻolu i ka ʻeha a me ka mumū. He mea kōkua nā lāʻau anti-inflammatory no ka mea hoʻemi lākou i ka pehu. Māmā kēia i ke kaomi ma kou kua a kōkua i ka maʻalahi o ka neʻe.
ʻO Ibuprofen (Advil, Motrin IB) a me naproxen (EC-Naprosyn) ʻelua mau NSAID e kuhikuhi pinepine ʻia. Hiki i nā NSAID ke kumu i nā hopena, e like me ke kahe ʻana o ka ʻōpū. Hiki i kāu kauka ke kōkua iā ʻoe e hoʻoholo inā kūpono nā NSAID iā ʻoe ma muli o kāu moʻolelo olakino.
ʻO nā lāʻau lapaʻau antirheumatic e hoʻololi nei i ka maʻi
Hoʻonohonoho ʻia nā lāʻau lapaʻau antirheumatic (DMARDs) e kōkua i ka hōʻoluʻolu i ka ʻeha a hoʻolohi i ka holomua o RA. Hiki iā lākou ke kōkua e hōʻoki i ka hōʻeha ʻeha o ka wā e hiki mai ana. ʻO ka DMARD i kuhikuhi pinepine ʻia he methotrexate.
Hana nā DMARD ma ka pale ʻana i nā kemika i hoʻokuʻu ʻia i ka wā e hoʻouka aku ai nā mea ʻohola i nā mea hui. Pale kēia i ka hōʻino hou ʻana i kou mau iwi a me ka cartilage.
Hiki i nā DMARD ke hana i nā hopena ʻē aʻe, e like me:
- nausea
- huʻi ʻili
- luhi
- hōʻino ka ate
- helu helu keʻokeʻo keokeo maʻamau, hiki i ka maʻi
Hiki i kāu kauka ke kōkua iā ʻoe e hoʻokele i kēia mau hopena inā kū lākou.
Pākuʻi ʻōiwi
Hiki i ke kuʻi ʻōiwi ke ala wikiwiki e hōʻoluʻolu i ka ʻehaʻeha hope. ʻO ke kumu o ka hoʻokomo ʻana i kahi corticosteroid a i ʻole anesthetic i loko o ke aʻalolo wahi e hoʻopili ʻia e ka mumū RA.
Hiki i nā hopena o ke kuʻi ʻōiwi ke hala i mau pule a i ʻole mau mahina. Hoʻokumu paha ʻo Corticosteroids i nā pilikia olakino ʻē aʻe e like me ka loaʻa ʻana o ke kaupaona a me ka osteoporosis. No kēia kumu, hiki i kāu kauka ke ʻōlelo iā ʻoe e kali i kekahi mau mahina no kāu ʻoki aʻe.
3. ʻoki kua no ka ʻeha mau
ʻO ke ʻoki kino kahi mahele hope loa no ka mālama ʻana i ka ʻeha o ke kua. Eia nō naʻe, hiki ke lilo i mea maikaʻi loa i ke kōkua ʻana e hōʻoluʻolu i ka ʻeha hope mau.
ʻO kahi laʻana, hiki i kāu kauka ke koi aku i kahi hana "fusion": pili kēia i ka ʻoki ʻana i ka hui maʻi a me ka hoʻopaʻa pū ʻana i ka vertebrae, e hoʻemi ana i ka neʻe. I kekahi mau hihia, e hōʻemi kēia i ka ʻeha ma kēlā wahi.
ʻO ka hoʻonohonoho hou ʻana a me ka hoʻokūpaʻa ʻana i kou iwikuamoʻo e hoʻomāmā ai i ke kaomi ma nā ʻāʻī o kou ʻaoʻao kahi ala ʻē aʻe. Hiki i kēia ke hoʻemi i ka ʻeha a hoʻomaikaʻi i ka neʻe.
4. Kākoʻo mau i ke kua i ke kua
Hiki i ke ʻano o nā therapies ke kōkua i ke kākoʻo ʻana i kou ʻehaʻeha. ʻO kahi laʻana, hiki i ka physiotherapy ke hoʻomaikaʻi i kou maʻalahi a me ka ikaika i nā mākala.
ʻOi aku ka maikaʻi o ka hoʻomaʻamaʻa hana. Ke aʻo nei kēia ʻano hoʻomaʻamaʻa iā ʻoe i nā kaʻina pale pale like. ʻO kahi laʻana e pehea paha e kiʻi ai a lawe i nā mea me ka ʻole o ke ʻeha o ke kua.
ʻAʻole i koi pinepine ʻia ʻo Chiropractic therapy no ka poʻe me RA e ʻike nei i ka ʻeha o ke kua.
5. Ka mālama ʻana iā ʻoe iho ma o ka hoʻoikaika kino
Hiki i ka hoʻoikaika kino kūpono ke kōkua i ke kaomi o kou kua a mālama i nā hono inā maʻalahi ʻoe i ka ʻeha hope mau ma muli o RA. Kōkua pū ka hoʻoikaika kino i ka mālama ʻana i ke olakino holoʻokoʻa.
Paipai ka National Institute of Arthritis and Musculoskeletal and Skin Diseases i nā hoʻoikaika kino e like me ka hele ʻana a me ke kīloi ʻana e kōkua i ka pale ʻana i ka ʻeha hope. ʻO nā hana e like me tai chi a me nā hoʻomaʻamaʻa wai e like me ka ʻauʻau ʻana a i ʻole ka aerobics wai hiki ke kōkua.
E nīnau mau i ke kauka ma mua o ka hoʻomaka ʻana i kahi papahana hoʻoikaika kino no kou ʻehaʻeha.
ʻO ka lawe lawe ʻana
Inā loaʻa iā RA a manaʻo ʻoe he ʻehaʻeha hope kou, e ʻimi i ka ʻōlelo aʻo a kāu kauka. Hiki iā lākou ke kōkua iā ʻoe e ʻike i ka lāʻau kūpono no kāu kūlana, inā paha ʻo ia hoʻi nā hopena pōkole e like me nā ʻeke a me nā lāʻau a i ʻole nā hoʻolālā mālama ʻeha lōʻihi e like me ka physiotherapy a i ʻole kahi hoʻolālā hoʻoikaika kūpono.