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I-Osteoarthritis vs.I-rheumatoid arthritis: Yeyiphi endinayo?

Imfundo yezeMpilo

Uninzi lwabantu luyazi ukuba isifo samathambo yimeko ebangela iintlungu ezidibeneyo kunye nokudumba, kodwa kukho iintlobo ezahlukeneyo zesifo samathambo ezinokuphuhliswa ngabantu. I-Osteoarthritis kunye ne-rheumatoid arthritis zezona ntlobo zimbini ziqhelekileyo zesifo samathambo, kwaye zichaphazela abantu ngeendlela ezahlukeneyo. I-Osteoarthritis ichaphazela izandla, amadolo, umqolo kunye nesinqe, ngelixa isifo samathambo sichaphazela ikakhulu izihlahla, izandla kunye namadolo. Makhe sijonge umahluko phakathi kwe-osteoarthritis kunye ne-rheumatoid arthritis.

Oonobangela

Osteoarthritis

I-Osteoarthritis yeyona ndlela ixhaphakileyo yesifo samathambo, ngokwamaZiko oLawulo lweNtsholongwane kunye noKhusela ( i-CDC ). Ngamanye amaxesha i-osteoarthritis ibizwa ngokuba sisifo esijikajika samalungu kuba ibangela intlala edibeneyo ekupheleni kwamathambo ukuba igqibe ekuhambeni kwexesha. Ukuvuvukala okanye ukwenzakala kubangela ukuba intlala iphele, kwaye ekugqibeleni, amathambo aphantsi aqala ukutshintsha. Le nkqubo ibangela iintlungu kunye nokudumba kumalungu eminwe, amadolo, ihips, umqolo, okanye iinzwane.

Irheumatoid Arthritis

Irheumatoid Arthritis ( NGAPHANDLE ) sisifo esizenzekelayo esenza ukuba amajoni omzimba ahlasele inwebu ye-synovial ekhusela amalungu aphilileyo. Xa amajoni omzimba ehlasela le inwebu yokhuselo, amalungu anokutsha kwaye onakale. I-rheumatoid arthritis ichaphazela ikakhulu izandla, izihlahla, kunye namadolo, kwaye inokujolisa kumalungu amaninzi ngexesha elinye. Ngamanye amaxesha, isifo samathambo sinokuchaphazela nentliziyo, imiphunga kunye namehlo.

I-Osteoarthritis vs i-rheumatoid arthritis ibangela
Osteoarthritis	Irheumatoid Arthritis
Ukudumba Ukwenzakala I-Cartilage emathanjeni ezandleni, ezinqeni, emqolo, emadolweni nasezinzwaneni ziyachaphazeleka	Ukudumba Izifo ezizimeleyo Amalungu aphilileyo ezandla, amadolo kunye nezihlahla ziyachaphazeleka

Ubuninzi

Osteoarthritis

I-Osteoarthritis ichaphazela abantu abadala abangaphezu kwezigidi ezingama-32 eUnited States, kwaye malunga neepesenti ezingama-80 zabantu abadala abangaphezulu kweminyaka engama-55 ubudala babonisa ubungqina be-osteoarthritis kwii-X-ray zabo. Abantu abadala abangaphezu kwezigidi ezingama-240 emhlabeni jikelele baqikelelwa ukuba bane-osteoarthritis. E-US, uphawu lweedolo osteoarthritis luxhaphake malunga I-10% yamadoda kunye ne-13% yabasetyhini ngaphezulu kwe-60.

Irheumatoid Arthritis

I-rheumatoid arthritis yenye yeentlobo eziqhelekileyo zesifo samathambo. Ichaphazela malunga ne-1% yabemi behlabathi kunye nangaphezulu kwesigidi se-1.3 seMelika. Abasetyhini baphantse baphindwe kathathu amathuba okufumana isifo samathambo kunamadoda, kwaye kunokwenzeka ukuba bakhule besebancinci.

I-Osteoarthritis vs.ukuxhaphaka kwesifo samathambo
Osteoarthritis	Irheumatoid Arthritis
Uhlobo oluqhelekileyo lwe-arthritis Abantu abadala abazizigidi ezingama-32 base-US bafunyaniswa ukuba bane-OA Abantu abadala abazizigidi ezingama-240 kwihlabathi lonke bafunyaniswe bene-OA Ama-80% abantu abadala abadala kunama-55 abonisa iimpawu ze-OA	Enye yeentlobo eziqhelekileyo zesifo samathambo I-1.3 yezigidi zabantu abadala e-US bafunyaniswa ukuba bane-RA I-1% yabantu abadala kwihlabathi liphela bafunyaniswa bene-RA I-RA ichaphazela abafazi abaninzi kunamadoda

Iimpawu

Osteoarthritis

I-Osteoarthritis inokubangela iintlungu, ukudumba, ukudumba, ukuqina, kunye nokwehla kokuguquguquka. Abantu abaninzi baya kufumanisa ukuba iimpawu ze-OA ziba mandundu ngokuhamba kwexesha njengoko intlala phakathi kwamathambo iqhubeka nokuba mandundu.

Irheumatoid Arthritis

I-rheumatoid arthritis ikakhulu ibangela iintlungu, ukuqaqamba, ukudumba, ukuthamba, kunye nokuqina okuhlangeneyo ezandleni, amadolo kunye nezihlahla. Ihlala ichaphazela amalungu amakhulu namancinci kumacala omabini omzimba, ke inokuchaphazela zombini izandla, izihlahla, okanye amadolo ngaxeshanye. Ngenxa yokuba kukuphazamiseka komzimba, kunokubangela nezinye iimpawu ezinjengokudinwa, ubuthathaka, ukwehla kobunzima, kunye nefiva.

I-Osteoarthritis vs.Iimpawu zamathambo
Osteoarthritis	Irheumatoid Arthritis
Intlungu Ukudumba Ukuqina Ukudumba Ukuncipha kokuguquguquka	Intlungu Ukudumba Ukuqina Ukukhathazeka Ukuthantamisa Ukudinwa Ubuthathaka Ifiva Ukuhla ukusinda Ukuphelelwa ngumdla wokutya

Uxilongo

Osteoarthritis

Ukuchonga i-osteoarthritis, ugqirha okanye ugqirha wamazinyo kuya kufuneka enze uvavanyo lomzimba, afumane imbali yezonyango yomntu opheleleyo, kwaye aqhube uvavanyo lwegazi. IX-reyi ingabona umonakalo odibeneyo kunye nethambo, ngelixa ii-MRIs zinokunika oogqirha ukujonga okungcono kumalungu kunye ne-cartilage. Ngamanye amaxesha kunokuba yimfuneko ukukhupha ulwelo kwilunga (inkqubo ebizwa ngokuba kukudibana ngokudibeneyo) ukubona ukuba indibaniselwano inentsholongwane na.

Irheumatoid Arthritis

I-rheumatoid arthritis ifunyanwa ngendlela efanayo ne-osteoarthritis. Ugqirha okanye i-rheumatologist uya kwenza uvavanyo olupheleleyo lomzimba, abuze isigulana ngembali yakhe yezonyango, kwaye anokwenza uvavanyo lwegazi, ii-X-reyi, ii-ultrasound, okanye ii-MRIs. Ngokwe-CDC, kungcono ukuxilonga i-rheumatoid arthritis kwiinyanga ezintandathu zokuqala ukuze izigulana ziqale unyango ukuze zinciphise ukuqhubela phambili kwesi sifo.

I-Osteoarthritis vs.ukuchongwa kwesifo samathambo
Osteoarthritis	Irheumatoid Arthritis
Uvavanyo lomzimba Imbali yezonyango Uvavanyo lweLebhu X-reyi IMRI Umnqweno odibeneyo	Uvavanyo lomzimba Imbali yezonyango Uvavanyo lweLebhu X-reyi IMRI I-Ultrasound

Unyango

Osteoarthritis

Okwangoku alukho unyango lwe-osteoarthritis. Nangona umonakalo owenziwe yile meko ungenakubuyiselwa umva, kunokwenzeka ukunyanga iimpawu kunye nokuzigcina zingabi mbi. Izicwangciso zonyango lwe-Osteoarthritis ziya kubandakanya enye okanye ezingaphezulu kwezi zilandelayo:

Amayeza

Amayeza eentlungu angaphaya kwamayeza kunye namanye amayeza amiselweyo anokunceda ukunciphisa iimpawu zentlungu, ukuqaqamba kunye nokudumba.

Izidakamizwa ezichasayo ezichasayo (i-NSAID) njenge ibuprofen
ICymbalta
Acetaminophen

Ezinxulumene: I-FDA iyawavuma amayeza esigulo samathambo iVoltaren yokusetyenziswa kwe-OTC

Unyango

Unyango lomzimba kunye nonyango lomsebenzi lunokunceda abo bane-osteoarthritis banciphise iintlungu, bandise ubhetyebhetye babo, kwaye bomeleze izihlunu ezijikeleze amalungu athwele ubunzima.

Ugqirha

Abanye abantu abane-osteoarthritis banokugqibela ngokufuna utyando. Nazi ezinye zeenkqubo eziqhelekileyo ze-osteoarthritis:

Utyando oludibeneyo lokutshintsha endaweni yelungu elichaphazelekayo
Inaliti yeCortisone
Ukudibanisa amalungu

Irheumatoid Arthritis

Okwangoku alukho unyango lwe-rheumatoid arthritis, kodwa unyango olululo lunokulawula iimpawu. Nazi ezinye zonyango oluqhelekileyo lwe-rheumatoid arthritis:

Amayeza

Amayeza e-rheumatoid arthritis agxile ekunyangeni iintlungu, ukunciphisa isifo, kunye nokuthintela ukukhubazeka ngokudibeneyo. La mayeza angabandakanya:

Iziyobisi ezichaphazela isifo se-antirheumatic (DMARDs), ezinje nge imethotrexate kwaye isulfasalazine
Izinto eziguqula iimpendulo zebhayoloji
IiSteroids
Izidakamizwa ezichasayo ezichasayo (i-NSAID) njenge iqeqsha
ICelebrex (celecoxib)

Ezinxulumene: Yintoni iCelebrex?

Unyango

Unyango lomzimba okanye lomsebenzi unokunceda abantu abane-rheumatoid arthritis bandise uluhlu lwabo lokuhamba kunye nokunciphisa iintlungu zemihla ngemihla.

Ugqirha

Abantu abane-rheumatoid arthritis enzima banokufuna ukuba kwenziwe inkqubo yokunceda ukuphelisa iintlungu kunye nokwandisa uluhlu lwazo lokuhamba:

Utyando oludibeneyo lokutshintsha
Utyando lokulungisa iTendon
Ukuhlanganiswa okuhlangeneyo
I-Synovectomy

Osteoarthritis vs. unyango lwe-rheumatoid arthritis
Osteoarthritis	Irheumatoid Arthritis
Ii-NSAID ICymbalta (duloxetine) Acetaminophen Ulungiso lwenyama Unyango emsebenzini Utyando oludibeneyo lokutshintsha Inaliti yeCortisone Ukudibanisa amalungu	Ii-NSAID ICelebrex (celecoxib) Iziyobisi eziguqula iziyobisi ezichasene ne-antirheumatic (DMARDs) Imethotrexate Isulfasalazine Izinto eziguqula iimpendulo zebhayoloji IiSteroids Ulungiso lwenyama Unyango emsebenzini Utyando oludibeneyo lokutshintsha Utyando lokulungisa iTendon Ukuhlanganiswa okuhlangeneyo I-Synovectomy

Ezinxulumene: Unyango lwe-Arthritis kunye namayeza

Imiba yomngcipheko

Osteoarthritis

Abanye abantu banokufumana i-osteoarthritis kunabanye. Nazi izinto eziphambili zomngcipheko we-osteoarthritis:

Ukutyeba kakhulu
Ukuba ngumfazi
Ukwaluphala
Ukulimala ngokudibeneyo okanye ukudibanisa amalungu
Imbali yosapho ye-osteoarthritis
Ukukhubazeka kwamathambo
Seswekile

Irheumatoid Arthritis

Abanye abantu banethuba eliphezulu lokufumana isifo samathambo. Nazi izinto eziphambili zomngcipheko wale meko:

Ukutyeba kakhulu
Ukuba ngumfazi
Ukwaluphala
Ukutshaya
Imbali yosapho yesifo samathambo
Ukuvezwa kokusingqongileyo (i-asbestos, uthuli, umsi wesundu, njl.

I-Osteoarthritis vs.umngcipheko wamathambo
Osteoarthritis	Irheumatoid Arthritis
Ukutyeba kakhulu Ubudala Ibhinqa Ukulimala ngokudibeneyo Ukusetyenziswa kakhulu kwamalungu Imbali yosapho Ukukhubazeka kwamathambo Seswekile	Ukutyeba kakhulu Ubudala Ibhinqa Ukutshaya Imbali yosapho Ukuvezwa kokusingqongileyo

Uthintelo

Osteoarthritis

I-Osteoarthritis ayinakukhuselwa nge-100%, kodwa ungawanciphisa amathuba okuyifumana. Ngokwe- IYunivesithi yaseRochester Medical Centre Ukwenza ezi zinto zilandelayo kunokunciphisa amathuba okufumana isifo samathambo:

Ukuzilolonga rhoqo
Ukuthintela ukwenzakala kumalungu akho
Ukugcina ubunzima bomzimba obusempilweni
Ukulawula iswekile yegazi lakho

Irheumatoid Arthritis

Awunakukuthintela ngokupheleleyo isifo samathambo, kodwa kukho iindlela ezithile zokunciphisa amathuba okufumana kunye nokunciphisa ubungqongqo beempawu kwabo banazo. Nazi ezinye zeendlela ezilungileyo zokwenza njalo:

Ukuyeka ukutshaya
Ukugcina ubunzima bomzimba obusempilweni
Ukunciphisa umda ekuboniseni iityhefu zokusingqongileyo kunye nezinto ezingcolisayo

Ungayikhusela njani i-osteoarthritis vs. i-rheumatoid arthritis
Osteoarthritis	Irheumatoid Arthritis
Ukuzilolonga rhoqo Ukugcina ubunzima bomzimba obusempilweni Ukulawula amanqanaba eswekile yegazi Ukuthintela ukulimala kumalungu	Ukuyeka ukutshaya Ukugcina ubunzima bomzimba obusempilweni Ukunciphisa umda ekuboniseni iityhefu kunye nezinto ezingcolisayo

Nini ukubona ugqirha kwi-osteoarthritis okanye i-rheumatoid arthritis

Ukuba unentlungu, ukungonwabi, ukuqina, okanye ukudumba kumalungu akho angayiyo, kungcono ubone ugqirha ngokukhawuleza. Ezi zimpawu zingabonisa ukuba unayo i-osteoarthritis okanye i-rheumatoid arthritis. Ukufumana isifo kwangoko kuyo nayiphi na kwezi meko kubalulekile ukunceda ukunciphisa inkqubela phambili. Ugqirha wokhathalelo oluphambili uya kuba nakho ukukufumanisa, okanye ungathunyelwa kwi-rheumatologist okanye kwi-orthopaedist.

Imibuzo ebuzwa rhoqo malunga ne-osteoarthritis kunye ne-rheumatoid arthritis

Ndazi njani ukuba ndine-osteoarthritis okanye i-rheumatoid arthritis?

Intlungu ye-Osteoarthritis ihlala ikhula ngokuthe chu ngokuhamba kwexesha, ngelixa isifo samathambo sibangela iintlungu eziba mandundu kwiiveki okanye kwiinyanga ezininzi. Ekuphela kwendlela yokwazi ngokuqinisekileyo ukuba loluphi uhlobo lwesifo samathambo onalo kukufumana uxilongo olusemthethweni kwingcali yezonyango.

Ngaba i-X-ray ingabonisa umahluko phakathi kwe-osteoarthritis kunye ne-rheumatoid arthritis?

IX-reyi inokunceda ekufumaneni umonakalo odibeneyo kunye nethambo, kodwa ngekhe bakwazi ukuxelela ugqirha kanye ukuba loluphi uhlobo lwesifo samathambo umntu analo. Kwakhona kunokwenzeka ukuba i-X-ray ingabonakali umonakalo odibeneyo, kodwa umntu usenayo i-arthritis.

Ngaba unayo i-rheumatoid arthritis kunye ne-osteoarthritis?

Nangona kunqabile, kunokwenzeka ukuba ube ne-rheumatoid arthritis kunye ne-osteoarthritis ngexesha elifanayo. Ukulimala kungakhokelela kuzo zombini iintlobo zesifo samathambo, kwaye njengokuba umntu eneminyaka ubudala, banokuphuhlisa iintlobo ezininzi zesifo samathambo.

Ziziphi iimpawu ezahlukileyo phakathi kwe-osteoarthritis kunye ne-rheumatoid arthritis?

I-Osteoarthritis ibangela iintlungu, ukuqina, ukudumba, kunye nokuncipha kokuguquguquka ikakhulu emadolweni, ezandleni nasezinqeni. I-rheumatoid arthritis ibangela iintlungu, ukuqina, ukudumba, ukuthamba, kunye nokuqaqamba ezandleni, izihlahla kunye namadolo. Inokubangela nokudinwa, ukunciphisa umzimba, kunye nokuba buthathaka. Enye yezona ntlukwano ezibaluleke kakhulu kwiimpawu ze-RA kunye ne-OA kukuba i-rheumatoid arthritis ibangela ukuqina kwasekuseni okuthatha malunga neyure ukuphela.