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I-osteoarthritis vs. i-rheumatoid arthritis: Yikuphi enginakho?

Imfundo Yezempilo

Iningi labantu liyazi ngesifo samathambo njengesimo esidala ubuhlungu bamalunga nokuvuvukala, kepha empeleni kukhona izinhlobo ezahlukene zesifo samathambo abantu abangazithuthukisa. I-osteoarthritis ne-rheumatoid arthritis yizinhlobo ezimbili ezivame kakhulu ze-arthritis, futhi zithinta abantu ngezindlela ezahlukene. I-osteoarthritis ithinta izandla, amadolo, umgogodla kanye nezinqulu, kuyilapho isifo samathambo sithinta kakhulu izihlakala, izandla namadolo. Ake sibheke umehluko phakathi kwe-osteoarthritis ne-rheumatoid arthritis.

Izimbangela

I-osteoarthritis

I-Osteoarthritis iyindlela ejwayelekile kakhulu ye-arthritis, ngokusho kweCenters for Disease Control and Prevention ( i-CDC ). Kwesinye isikhathi i-osteoarthritis ibizwa nge-degenerative joint disease ngoba ibanga uqwanga lwamalungu ekugcineni kwamathambo ukuthi luphele ngokuhamba kwesikhathi. Ukuvuvukala noma ukulimala kubangela ukuthi uqwanga luphele, futhi ekugcineni, amathambo angaphansi aqale ukushintsha. Le nqubo ibangela ubuhlungu nokuvuvukala emajoyintweni omunwe, emadolweni, ezinqeni, emgogodleni noma ezinzwaneni.

Isifo samathambo

Isifo samathambo ( KUPHUMILE ) yisifo esizimele esibangela ukuthi amasosha omzimba ahlasele ulwelwesi lwe-synovial oluvikela amalunga omzimba aphilile. Lapho amasosha omzimba ehlasela lolwelwesi oluvikelayo, amalunga angavuvukala futhi alimale. Isifo samathambo sithinta kakhulu izandla, izihlakala, namadolo, futhi singakhomba amalunga amaningi ngasikhathi sinye. Kwezinye izimo, isifo samathambo singathinta inhliziyo, amaphaphu namehlo.

I-osteoarthritis vs. izimbangela zesifo samathambo
I-osteoarthritis	Isifo samathambo
Ukuvuvukala Ukulimala Uqwanga emathanjeni asezandleni, okhalweni, emgogodleni, emadolweni nasezinzwaneni kuyathinteka	Ukuvuvukala Izifo ezizimele Amalunga aphilile ezandla, amadolo nezihlakala athintekile

Ukudlanga

I-osteoarthritis

I-osteoarthritis ithinta abantu abadala abangaphezu kwezigidi ezingama-32 e-United States, futhi cishe abantu abangama-80% kubantu abadala abaneminyaka engaphezu kwengama-55 bakhombisa ubufakazi be-osteoarthritis kuma-X-ray abo. Abantu abadala abangaphezu kwezigidi ezingama-240 emhlabeni wonke balinganiselwa ukuthi bane-osteoarthritis. E-U.S., I-osteoarthritis yamadolo enesifo ivame cishe cishe U-10% wabesilisa no-13% wabesifazane endala kunama-60.

Isifo samathambo

I-rheumatoid arthritis ingenye yezinhlobo ezivame kakhulu ze-arthritis. Ithinta cishe i-1% yabantu bomhlaba wonke kanye nabantu baseMelika abangaphezu kwezigidi eziyi-1.3. Abesifazane bacishe babe namathuba aphindwe kathathu okuthola isifo samathambo kunabesilisa, kanti futhi banamathuba amaningi okuthi bayihlakulele besebancane.

Ukudlanga kwe-Osteoarthritis vs. rheumatoid arthritis
I-osteoarthritis	Isifo samathambo
Uhlobo oluvame kakhulu lwe-arthritis Abantu abadala abayizigidi ezingama-32 e-U.S. Batholakala bene-OA Abantu abadala abayizigidi ezingama-240 emhlabeni jikelele batholakala bene-OA Ama-80% abantu abadala asebekhulile kunama-55 akhombisa izimpawu ze-OA	Enye yezinhlobo ezivame kakhulu ze-arthritis Abantu abadala abayizigidi eziyi-1.3 e-U.S. Batholakala bene-RA 1% wabantu abadala emhlabeni wonke batholakala bene-RA I-RA ithinta abesifazane abaningi kunabesilisa

Izimpawu

I-osteoarthritis

I-osteoarthritis ingadala ubuhlungu, ukuvuvukala, ukuvuvukala, ukuqina, nokwehla kokuguquguquka. Abantu abaningi bazothola ukuthi izimpawu ze-OA ziba zimbi ngokuhamba kwesikhathi njengoba uqwanga oluphakathi kwamathambo luqhubeka nokuwohloka.

Isifo samathambo

I-rheumatoid arthritis ibanga kakhulu ubuhlungu, ukuqaqamba, ukuvuvukala, isisa, nokuqina okuhlangene kwezandla, amadolo nezihlakala. Kuvame ukuthinta amalunga amakhulu namancane ezinhlangothini zombili zomzimba, ngakho-ke kungathinta zombili izandla, izihlakala, noma amadolo ngasikhathi sinye. Ngoba kuyisifo sokuzilimaza, kungadala nezinye izimpawu njengokukhathala, ubuthakathaka, ukwehla kwesisindo, nemfiva.

I-Osteoarthritis vs. izimpawu zesifo samathambo
I-osteoarthritis	Isifo samathambo
Ubuhlungu Ukuvuvukala Ukuqina Ukuvuvukala Ukwehla kokuguquguquka	Ubuhlungu Ukuvuvukala Ukuqina Ubuhlungu Ubumnene Ukukhathala Ubuthakathaka Imfiva Ukwehla kwesisindo Ukuphelelwa isifiso sokudla

Ukuxilongwa

I-osteoarthritis

Ukuxilonga i-osteoarthritis, udokotela noma udokotela wamathambo kuzodingeka enze ukuhlolwa komzimba, athole umlando ophelele wezokwelapha womuntu, futhi ahlole igazi. Ama-X-ray angakwazi ukubona ukulimala kwamalunga namathambo, kuyilapho ama-MRIs anganikeza odokotela ukubheka kangcono amalunga noqwanga. Kwesinye isikhathi kungadingeka ukukhipha uketshezi ejoyinini (inqubo ebizwa ngokuhlanganyela ukulangazelela) ukubona ukuthi ijoyini linalo yini igciwane.

Isifo samathambo

I-rheumatoid arthritis itholakala ngendlela efanayo ne-osteoarthritis. Udokotela noma i-rheumatologist uzokwenza ukuhlolwa okuphelele ngokomzimba, acele isiguli ngomlando waso wezokwelapha, futhi akwazi nokuhlola igazi, ama-X-ray, ama-ultrasound noma ama-MRIs. Ngokwe-CDC, kungcono ukuxilonga i-rheumatoid arthritis ezinyangeni eziyisithupha zokuqala ukuze iziguli ziqale ukwelashwa ukwehlisa ukukhula kwesifo.

I-Osteoarthritis vs. ukuxilongwa kwesifo samathambo
I-osteoarthritis	Isifo samathambo
Ukuhlolwa ngokomzimba Umlando wezokwelapha Ukuhlolwa kwelebhu Ama-X-ray I-MRI Isifiso esihlangene	Ukuhlolwa ngokomzimba Umlando wezokwelapha Ukuhlolwa kwelebhu Ama-X-ray I-MRI I-Ultrasound

Ukwelashwa

I-osteoarthritis

Okwamanje alikho ikhambi le-osteoarthritis. Noma umonakalo owenziwe yilesi simo ungeke uhlehliswe, kungenzeka ukwelapha izimpawu nokuzigcina zingabi kubi kakhulu. Izinhlelo zokwelashwa kwe-Osteoarthritis zingabandakanya okukodwa noma ngaphezulu kokulandelayo:

Imithi

Imithi yezinhlungu ezithengiswa emithini kanye nemithi ethile kadokotela ingasiza ekunciphiseni izimpawu zobuhlungu, ukuqaqamba nokuvuvukala.

Izidakamizwa ezingezona ukuvuvukala (ama-NSAID) njenge ibuprofen
ICymbalta
I-Acetaminophen

OKUSHIWO: I-FDA ivuma imishanguzo yama-topical arthritis Voltaren yokusetshenziswa kwe-OTC

Ukwelashwa

Ukwelashwa ngokomzimba nokwelashwa komsebenzi kungasiza labo abane-osteoarthritis ukunciphisa ubuhlungu, kwandise ukuguquguquka kwabo, futhi kuqinise imisipha ezungeze amalunga athwala isisindo.

Ukuhlinzwa

Abanye abantu abane-osteoarthritis bangagcina bedinga ukuhlinzwa. Nazi ezinye zezinqubo ezivame kakhulu ze-osteoarthritis:

Ukuhlinzwa okuhlanganyelwe kokufaka esikhundleni sokujoyina okuthintekile
Imijovo yeCortisone
Ukwakha kabusha amalunga

Isifo samathambo

Okwamanje alikho ikhambi le-rheumatoid arthritis, kepha ukwelashwa okufanele kungaphatha izimpawu. Nazi ezinye izindlela zokwelashwa ezivame kakhulu ze-rheumatoid arthritis:

Imithi

Imithi yokwelashwa kwamathambo igxile ekwelapheni izinhlungu, ukunciphisa isifo, nokuvimbela ukukhubazeka okuhlangene. Le mithi ingafaka:

Imishanguzo yokuguqula izifo (i-DMARD), efana ne- imethotrexate futhi sulfasalazine
Izinguquko zokuphendula ze-Biologic
Ukuphuza ama-steroid
Izidakamizwa ezingezona ukuvuvukala (ama-NSAID) njenge umabhebhana
I-Celebrex (celecoxib)

OKUSHIWO: Kuyini iCelebrex?

Ukwelashwa

Isazi somzimba noma somsebenzi singasiza abantu abane-arthritis ye-rheumatoid ukuthi bandise ukunyakaza kwabo futhi banciphise izinhlungu zansuku zonke.

Ukuhlinzwa

Abantu abanesifo samathambo esinzima bangadinga ukuthi kwenziwe inqubo yokusiza ukuqeda ubuhlungu nokwandisa ukuhamba kwabo:

Ukuhlinzwa okuhlanganyelwe okuhlanganyelwe
Ukuhlinzwa kokulungiswa kweTendon
Ukuhlanganiswa okuhlangene
I-Synovectomy

I-osteoarthritis vs. ukwelashwa kwesifo samathambo
I-osteoarthritis	Isifo samathambo
Ama-NSAID ICymbalta (duloxetine) I-Acetaminophen Ukwelashwa ngokomzimba Ukwelashwa emsebenzini Ukuhlinzwa okuhlanganyelwe okuhlanganyelwe Imijovo yeCortisone Ukwakha kabusha amalunga	Ama-NSAID I-Celebrex (celecoxib) Izidakamizwa zokuguqula izidakamizwa (i-DMARD) IMethotrexate I-Sulfasalazine Izinguquko zokuphendula eziphilayo Ukuphuza ama-steroid Ukwelashwa ngokomzimba Ukwelashwa emsebenzini Ukuhlinzwa okuhlanganyelwe okuhlanganyelwe Ukuhlinzwa kokulungiswa kweTendon Ukuhlanganiswa okuhlangene I-Synovectomy

OKUSHIWO: Ukwelashwa kwe-arthritis nemithi yokwelashwa

Izici zobungozi

I-osteoarthritis

Abanye abantu banamathuba amaningi okuthola i-osteoarthritis kunabanye. Nazi izici eziphezulu zobungozi be-osteoarthritis:

Ukukhuluphala
Ukuba ngowesifazane
Ukuguga
Ukulimala ngokuhlanganyela noma ukusebenzisa amalunga ngokweqile
Umlando womndeni we-osteoarthritis
Ukukhubazeka kwamathambo
Isifo sikashukela

Isifo samathambo

Abanye abantu banethuba eliphakeme lokuthola isifo samathambo. Nazi izici eziphezulu zobungozi zalesi simo:

Ukukhuluphala
Ukuba ngowesifazane
Ukuguga
Ukubhema
Umlando womndeni wesifo samathambo
Ukuvezwa kwemvelo (i-asbestos, uthuli, intuthu kagwayi, njll.)

I-Osteoarthritis vs. i-rheumatoid arthritis engcupheni
I-osteoarthritis	Isifo samathambo
Ukukhuluphala ngokweqile Ubudala Owesifazane Ukulimala okuhlangene Ukusetshenziswa ngokweqile kwamalunga Umlando womndeni Ukukhubazeka kwamathambo Isifo sikashukela	Ukukhuluphala ngokweqile Ubudala Owesifazane Ukubhema Umlando womndeni Ukudalulwa kwemvelo

Ukuvimbela

I-osteoarthritis

I-osteoarthritis ayikwazi ukuvinjelwa i-100%, kepha unganciphisa amathuba okuthola. Ngokusho kwe- Isikhungo Sezokwelapha i-University of Rochester , ukwenza lezi zinto ezilandelayo kunganciphisa amathuba okuthola i-osteoarthritis:

Ukuzivocavoca umzimba njalo
Ukuvimbela ukulimala emajoyintini akho
Ukugcina isisindo somzimba esinempilo
Ukulawula ushukela wegazi lakho

Isifo samathambo

Awukwazi ukuvimbela ngokuphelele isifo samathambo, kodwa kunezindlela ezithile zokwehlisa amathuba okuba usithole futhi unciphise ubunzima bezimpawu zalabo abanaso. Nazi ezinye zezindlela ezinhle zokwenza lokhu:

Ukuyeka ukubhema
Ukugcina isisindo somzimba esinempilo
Kukhawulela ukuvezwa kobuthi bezemvelo nokungcola

Ungayivimbela kanjani i-osteoarthritis vs. i-rheumatoid arthritis
I-osteoarthritis	Isifo samathambo
Ukuzivocavoca umzimba njalo Ukugcina isisindo somzimba esinempilo Ukulawula amazinga kashukela egazini Ukuvimbela ukulimala emajoyintini	Ukuyeka ukubhema Ukugcina isisindo somzimba esinempilo Kukhawulela ukuvezwa ubuthi nokungcola

Ungabona nini udokotela we-osteoarthritis noma isifo samathambo

Uma unezinhlungu, ukungaphatheki kahle, ukuqina, noma ukuvuvukala emajoyintini akho angapheli, kungcono ukubona udokotela ngokushesha okukhulu. Lezi zimpawu zingakhombisa ukuthi une-osteoarthritis noma i-rheumatoid arthritis. Ukuthola ukuxilongwa kusenesikhathi nganoma yisiphi salezi zimo kubalulekile ukusiza ukunciphisa ijubane labo. Udokotela wokunakekelwa okuyisisekelo uzokwazi ukukuxilonga, noma ungathunyelwa ku-rheumatologist noma ku-orthopaedist.

Imibuzo ebuzwa njalo mayelana ne-osteoarthritis ne-rheumatoid arthritis

Ngazi kanjani ukuthi ngine-osteoarthritis noma i-rheumatoid arthritis?

Ubuhlungu be-osteoarthritis buvame ukukhula kancane ngokuhamba kwesikhathi, kuyilapho isifo samathambo sibangela ubuhlungu obedlulela ngaphezu kwamasonto noma izinyanga ezimbalwa. Ukuphela kwendlela yokwazi ukuthi uluphi uhlobo lwe-arthritis onalo ukuthola ukuxilongwa okusemthethweni kochwepheshe bezokwelapha.

Ngabe i-X-ray ingakhombisa umehluko phakathi kwe-osteoarthritis ne-rheumatoid arthritis?

Ama-X-ray angasiza ekutholeni ukulimala kwamalunga namathambo, kodwa ngeke akwazi ukutshela udokotela kahle ukuthi hlobo luni lwe-arthritis umuntu analo. Kungenzeka futhi ukuthi i-X-ray ingakhombisi ukulimala okuhlangene, kodwa ukuthi umuntu abe nesifo samathambo.

Ungaba nayo i-rheumatoid arthritis ne-osteoarthritis?

Yize kungavamile, kungenzeka ukuba nesifo samathambo kanye ne-osteoarthritis ngasikhathi sinye. Ukulimala kungaholela kuzo zombili izinhlobo zesifo samathambo, futhi njengoba umuntu eseneminyaka yobudala, angaba nezinhlobo eziningi zesifo samathambo.

Ziyini izimpawu ezihlukile phakathi kwe-osteoarthritis ne-rheumatoid arthritis?

I-osteoarthritis ibangela ubuhlungu, ukuqina, ukuvuvukala, nokwehla kokuguquguquka ikakhulukazi emadolweni, ezandleni nasesinqeni. I-rheumatoid arthritis ibangela ubuhlungu, ukuqina, ukuvuvukala, isisa, nokuqaqamba ezandleni, izihlakala, namadolo. Kungadala nokukhathala, ukunciphisa umzimba, nobuthakathaka. Umehluko ophawuleka kakhulu ezimpawu ze-RA ne-OA ukuthi isifo samathambo sibangela ukuqina kwasekuseni okuthatha cishe ihora ukuphela.