Nabani na ongazi into yokuba i-rheumatologist iyayiphatha ngayo, kufuneka ukhumbule ukuba le ngcali isifo kunye nokunyangwa kwezifo ze-rheumatological. Imisebenzi yaloo gqirha ibandakanya ukuchongwa kwezigulane ezisengozini, kubonisa iindlela zokukhusela ezinciphisa amathuba okuphuhlisa isifo esibi.
Rheumatology - yintoni na?
Ngaphambi kokuba uqale uqhelane nemisebenzi ye-rheumatologist, kufuneka ukwazi ukuba yintoni i-rheumatology ngokubanzi. I-Rheumatology yilebe lonyango lwangaphakathi elenza uphando olwenyukayo-i-dystrophic, izifo ezidibeneyo ezifayo, izifo zesistim zoqhagamshelwano. Kwintliziyo ye-pathogenesis yezifo kungekhona nje ukuvuvukala, kodwa neendlela zokuzivikela. I-Rheumatology ibambisana ngokunye namanye amasebe eyeza:
- i-traumatology;
- mazinyo,
- i-purulent-septic, i-vascular surgery;
- endocrinology;
- hematology;
- nephrology;
- i cardiology;
- i-infectology;
- i-oncology;
- I toxicology;
- immunology;
- neuralgia;
- neurosurgery.
I-Rheumatologist - ngubani na oku kunye nokuphilisa?
Igama elithi "rheumatism" liye laziswa ngumgqirha wasendulo uClaudius Galen, owathi wachaza izifo zesistim. Kodwa ulwahlulo oluzimeleyo lwamayeza, olu lathiso luphela kuphela ngasekupheleni kwe-20 leminyaka. Namhlanje, i-rheumatologist ingcali ejongene nezifo ezibangelwa ukuguqulwa kwamanzi kunye nokuguqulwa kwamathambo, i-pathologies ye-system of tiscues, iziganeko ezizimeleyo.
I-Rheumatologist - yintoni ephilisa abantu abadala?
Uninzi lwabantu luyazi nje kuphela ngezifo ezithintekayo, ezimele zihanjiswe kwi-rheumatologist. Ukuxilonga kuyinkimbinkimbi yinto yokuba izifo ezininzi zenzeka ngeempawu ezifanayo. Ngenxa yezibonakaliso ezahlukileyo, izifo ze-rheumatological zihlala ziphathwa ngamacandelo avela kumashishini athile. Ukuqonda - i-rheumatologist yabantu abadala - ngubani na - kufuneka ufumanise ngezifo ezisebenzayo. Yintoni i-rheumatologist iphatha abantu abadala:
- Ngokugqithiseleyo umntu omdala we-rheumatologist unceda abantu abane- osteoarthritis , eyanciphisa umsebenzi okhuphayo okhulileyo.
- Izigulane ze-Rheumatologist nazo zikhona abantu abane-rheumatoid arthritis, enokuqala ngexesha elimncinci kwaye libuhlungu kakhulu kwibadala.
- I-Rheumatologist ijongene nokunyangwa kwezigulane ngesifo seBechterew, isifo se-arthritis esisisigxina kunye nesifo se-rheumatic, i-arthritis esebenzayo, ingozi apho kuphuculwe ngokukhawuleza kwe-ankylosis (ukungahambi kakuhle).
- I-Gout yisifo esibalulekileyo esihlawulayo ngenxa yokunyuka kwinqanaba le-uric acid egazini, okubangela ukuba amajoyina kubantu abadala kunye nabangaphakathi-basebenze.
- I-scleroderma yesistim i-systemic sclerosis ebangelwa ukuvuvukala kweempahla ezincinci zomzimba, ezibangela ukuba utshintsho lwe-fibro-sclerotic amathambo, imisipha, isikhumba kunye nezitho zangaphakathi.
- Kanye kunye nezinye iingcali, i-rheumatologists ziphatha i-vasculitis, i-collagenoses ye-system.
Yintoni i-rheumatologist yokuphatha abantwana?
Ngaphandle komntu omdala, kumaziko amaninzi ezonyango kukhona i-rheumatologist yabantwana. Ingcali yolu lwazi lubaluleke kakhulu, njengoko izifo ze-rheumatological zezingane zinobugwenxa kwaye zifuna uphando olunzulu kunye nonyango lonke. Ngokwezibalo ze-WHO, inani labantwana abagulayo likhula njalo ngonyaka. Into eyenziwa yi-rheumatologist kwizigulane zobuntwaneni:
- i-rheumatoid arthritis;
- i-arthropathy;
- Isifo sikaBechterew;
- scleroderma;
- nodular polyarthritis;
- dermatopolymiosis.
Xa udibana ne-rheumatologist?
Ekubeni ezinye izifo zesifo se-rheumatic zilungele ukuphuhliswa kokusebenza kwaye phantse zonke zikhokelela ekukhubazekeni, kufuneka wazi ukuba udibanisa ne-rheumatologist:
- Ngentsasa yosuku olusenyongweni olunzima lwamajoyina, olubonakalisa ubunzima okanye akunakwenzeka ukuguqa ngamadolo okanye izandla kwiingxube zeelbow. Iimpawu ezinjalo ze-osteoarthritis zihamba imizuzu engama-30-40, kodwa emva kokulala komhla kubonakala kwakhona.
- Xa ukuvuvukala okanye ukuvuvukala kokubambisana - le mpawu ibonakala nge-arthritis.
- Ngobuhlungu kudibaniselwano, okuyiyo ingxaki rhoqo okanye ibonakale ngokuhlwa. Ubuhlungu bubonisa ukuqala kwenkqubo yokuvuvukala kunye nokutshatyalaliswa kokubambisana.
- Ngobuhlungu obunzekayo kunye neziphambano zangasemva zeenyawo nezandla.
Ukuqeshwa kwe-rheumatologist njani?
Kwi-receptionist yokuqala ye-rheumatologist, abantu baninzi bayazi ukuba i-rheumatologist iyayiphatha kwaye iye yabona ezinye iimpawu zezifo ze-rheumatological. Emva koviwo kunye noviwo olubanzi, ugqirha uya kunika unyango olujoliswe ekunciphiseni inkqubo yokuvuvukala, ukususa okanye ukunciphisa intlungu (izidakamizwa ezingenayo i-steroidal anti-inflammatory, i-painkillers), ukulungisa amanxeba awonakalisiweyo (ukusikwa, ukuguqulwa kwe-physiotherapy, unyango osebenzayo, i-simulators).
Uviwo luvela njani kwi-rheumatologist?
Ngophando lwangaphandle ugqirha-rheumatologist ekuqaleni ugxininisa kwimeko yamalungu - ingaba kukho isisu, i-edema, i-morbidity. Ngokuxhomekeka kwendawo yokufakelwa kwamalungu, kukwazi ukufumana izigqibo malunga nesigaba sesifo-ezikhulu izihlanganisi zichaphazelekayo, umonakalo omkhulu kunokwenzeka. Ukongezelela, ugqirha ugxininisa ukulingana kwamalungu axhatshaziweyo - oku ngenye yeempawu zesifo se-rheumatoid arthritis.
Uhlalutya kwi-rheumatology
Ukucacisa ukuxilongwa, ugqirha ubeka iimvavanyo zegazi. I-Rheumatologist - zeziphi iimvavanyo zegazi ziya kufuneka:
- uhlalutyo lwezinto eziphilayo;
- kwiprotheyini esebenzayo yeC;
- ESR;
- kwi-rheumatoid factor (okanye uphando lwe-synovial fluid);
- kwiintsholongwane ze-nuclear ne-anti-citrulline.
Ukubonisana kwe-rheumatologist
Ukufumana i-rheumatologist kungaquka ukuphulaphula imiphunga kunye nentliziyo, njengezifo ze-rheumatological ezinezinga eliphezulu kakhulu lokubangela ukuba umonakalo kula malungu. Ngokuqhelekileyo, kunye nezifo ze-rheumatological, ubuthathaka obuthakathaka okanye i-dystrophy nayo iyaqwalaselwa. Kwiimeko ezinjalo kucetyiswa ukuba zibonisane neengcali ezifanelekileyo. Ukuhlola okujoliswe ngakumbi, ugqirha ubeka iimviwo zokuxilonga:
- electrocardiogram ;
- i-electromyogram;
- Uvavanyo lwe-X-ray;
- tomography ;
- uvavanyo lwe-ultrasound;
- densitometry .
Iingcebiso zeRheumatologist
Ukuba impilo yesigulane ayiguquki, kuyimfuneko ukwazi izinto ezibuhlungu imeko yabantu abanezifo ze-rheumatological. Ezi zinto zibandakanya: imithwalo engqongqo, ubunzima obunzima, ukunyamekela, ukungasebenzi ngokwaneleyo kwemoto, ubudala obudala, ubudala.
Ukongeza kwonyango elichanekileyo lonyango, isigulane esinesifo se-rheumatological, kubalulekile ukulandela isiluleko se-rheumatologist ngenxa yentlungu ehlangene:
- Kubalulekile ukuba uqaphele emsebenzini nasemakhaya kwaye ugweme ukulimala okonakalisa impilo ye-musculoskelet system.
- Kubaluleke kakhulu ukugcina umqhubi wemoto, kodwa ngaphandle kobuqili.
- Kubalulekile ukulahla iipilisi ezingaphezulu - lo ngumthwalo owongezelelweyo.
- Kubalulekile ukutya ngokufanelekileyo-kubalulekile ukugcina ingqibelelo yamalungu ngokukhawuleza.