Yini ephilisa i-rheumatologist, nini ukuya kudokotela, futhi yisiphi iseluleko okufanele silandele?

Noma ubani ongazi ukuthi i-rheumatologist iyiphatha kanjani, kufanele akhumbule ukuthi lo mchwepheshe uthola ukuxilongwa nokuphathwa kwezifo ze-rheumatological. Imisebenzi yodokotela onjalo ihlanganisa nokuhlonza iziguli ezisengozini, kubonisa izinyathelo zokuzivikela ezinciphisa amathuba okuthuthukisa isifo esibi.

I-Rheumatology - iyini?

Ngaphambi kokuba uqale ukujwayelana nemisebenzi ye-rheumatologist, kufanele wazi ukuthi yiyiphi i-rheumatology ejwayelekile. I-rheumatology igatsha lomuthi wangaphakathi ohlola izifo ezixubile, izifo ezihlangene ezivuthayo, izifo ezihambisanayo zesishukela. Enhliziyweni ye-pathogenesis yezifo angeke ibe kuphela ukuvuvukala, kodwa futhi nemishini yokuzivikela. I-rheumatology ibambisana kakhulu namanye amagatsha omuthi:

• i-traumatology;
• ama-orthopedics,
• i-purulent-septic, ukuhlinzeka nge-vascular;
• i-endocrinology;
• i-hematology;
• i-nephrology;
• i-cardiology;
• i-infectology;
• i-oncology;
• I-Toxicology;
• i-immunology;
• i-neuralgia;
• i-neurosurgery.

I-Rheumatologist - ngubani lo futhi yini ephilisa?

Igama elithi "rheumatism" liye lakhuliswa udokotela wasendulo uClaudius Galen, owabeka kanjalo izifo zesimiso se-musculoskeletal. Kodwa ukuhlukaniswa okuzimele kwemithi, lesi siqondiso sasizophela ngasekupheleni kwekhulu le-20 leminyaka. Namuhla, i-rheumatologist inguchwepheshe onomthwalo ohlanganisa izifo ezibangelwa izinguquko eziguquguqukayo-dystrophic and inflammatory emajoyini, ama-pathologies ohlelweni lwezicubu ezixhunyiwe, izici ezizimele.

I-Rheumatologist - yini ephilisa abantu abadala?

Iningi labantu lijwayele kuphela izifo ezilinganiselwe, okufanele zihanjiswe ku-rheumatologist. Ukuxilongwa kuyinkimbinkimbi yokuthi izifo eziningi zenzeka ngezimpawu ezifanayo. Ngenxa yezibonakaliso ezahlukana, izifo ze-rheumatological zivame ukuphathwa ngabachwepheshe bezimboni ezihlobene. Ukuze uqonde - i-rheumatologist omdala-ukuthi ngubani - udinga ukuthola ukuthi yiziphi izifo ezisebenzayo. Yini i-rheumatologist yokuphatha abantu abadala:

1. Ngokuvamile i-rheumatologist esemdala isiza abantu abane- osteoarthritis , okunciphisa ukuqhutshwa kwemishini yabasebekhulile.
2. Iziguli ze-Rheumatologist nazo zikhona abantu abane-arthritis ye-rheumatoid, engase iqale ngesikhathi esencane futhi ibuhlungu kakhulu kubantu asebekhulile.
3. I-Rheumatologist ibuye isebenzise ukwelashwa kweziguli ezinezifo zikaBechterew, isifo samathambo esibuhlungu nesifo se-rheumatic, i-arthritis esebenzayo, engozini yokuthuthukiswa okusheshayo kwe-ankylosis (ukungahambi kahle).
4. I-Gout yisifo esibucayi esivela ngenxa yokwanda kwezinga le-uric acid egazini, okubangela ukuba amalunga kubantu asebekhulile nabaphakathi avule ubuhlungu.
5. I-scleroderma yesistimu i-systemic sclerosis ebangelwa ukuvuvukala kwezitsha ezincane zomzimba, okubangela ushintsho lwe-fibro-sclerotic emathanjeni, emisipha, esikhunjeni nasesithombeni sangaphakathi.
6. Kanye nabanye ochwepheshe, ama-rheumatologists aphatha i-vasculitis, i-collagenoses yesistimu.

Iyiphi i-rheumatologist yokuphatha izingane?

Kanye nomuntu omdala, ezindaweni eziningi zezokwelapha kukhona i-rheumatologist yezingane. Ochwepheshe bephrofayli enjalo kubaluleke kakhulu, njengoba izifo ze-rheumatological zezingane zihlukumeza kakhulu futhi zidinga ukutadisha okujulile kanye nokwelapha impilo yonke. Ngokwezibalo ze-WHO, inani labantwana abagulayo liyaqhubeka njalo ngonyaka. Okushiwo yi-rheumatologist kwiziguli zobuntwana:

• i-arthritis ye-rheumatoid yezingane;
• i-arthropathy engasebenzi;
• Isifo sikaBechterew;
• i-scleroderma;
• i-nodular polyarthritis;
• i-dermatopolymiosis.

Ngesikhathi sokuxhumana no-rheumatologist?

Njengoba ezinye izifo ze-rheumatic zijwayele ukuthuthukiswa okusebenzayo futhi cishe zonke ziholele ekukhubazekeni, kufanele wazi ukuthi ungaxhumana nini nesifo se-rheumatologist:

1. Ngama-joints esabonakala nsuku zonke ekuseni, okubonakala ukuthi kunzima noma akunakwenzeka ukuguqa ngamadolo noma izandla ezinhlangothini ze-elbow. Izimpawu ezinjalo ze-osteoarthritis zidlula emaminithini angu-30-40, kodwa emva kokulala komuntu kungabonakalisa futhi.
2. Uma ukuvuvukala noma ukuvuvukala kwe-joint - lesi sibonakaliso sibonakala nge-arthritis.
3. Ngokweqile ekuhlanganyeleni, okungahle kuphazamise njalo noma kuvele kusihlwa. Ubuhlungu bubonisa ukuqala kwenqubo yokuvuvukala nokubhujiswa kombuthano.
4. Ngokweqile okwenzeka ngezingqinamba ezingezansi zezinyawo nezandla.

Ukuqashwa kuka-rheumatologist kanjani?

Ngesimweni esiyinhloko samukeli we-rheumatologist, abantu bavame ukwazi ukuthi i-rheumatologist iyaphatha futhi iye yabona ezinye izimpawu zezifo ze-rheumatological. Ngemuva kokuhlolwa nokuhlolwa okuphelele, udokotela uzohlinzekela ukwelashwa okuhloswe ukunciphisa inqubo yokuvuvukala, ukususa noma ukunciphisa ubuhlungu (izidakamizwa ezingezona isifo sokuvuvukala, ama-painkillers), ukulungisa amakhemikhali awonakele (ukusikhipha umzimba, i-physiotherapy, i-exercising therapy, i-simulators).

Uhlolo luvela kanjani ku-rheumatologist?

Ekucwaningweni kwangaphandle udokotela-rheumatologist ekuqaleni ugxila esimweni samalungu - kungakhathaliseki ukuthi kune-tumescence, i-edema, i-morbidity. Kuye ngokuthi indawo yamajoyini avuliwe, kungenzeka ukudweba iziphetho mayelana nesiteji sesifo - ama-joints amakhulu athintekile, ukulimala okungenzeka kakhulu. Ngaphezu kwalokho, udokotela uyakunaka ukulinganisa kwamalungu ahloswe - lokhu kungenye yezimpawu zesifo samathambo esifubeni se-rheumatoid arthritis.

Ihlaziya nge-rheumatology

Ukuze kucacise ukuxilongwa, udokotela ubeka ukuhlolwa kwegazi. I-Rheumatologist - yiziphi izivivinyo zegazi ezizodingeka:

• ukuhlaziywa kwamakhemikhali;
• ku-pro-protein esebenzayo;
• ku-ESR;
• kwi-rheumatoid factor (noma ucwaningo lwe-synovial fluid);
• on anti-nuclear anti-citrulline antibodies.

Ukubonisana kwe-rheumatologist

Ukwamukelwa kwe-rheumatologist kungafaka phakathi ukulalela amaphaphu nenhliziyo, njengoba izifo ze-rheumatological ezinezinga eliphakeme kakhulu lamathuba zidala ukulimala kulezi zitho. Ngokuvamile, ngezifo ze-rheumatological, ubuthakathaka obuthakathaka noma i-dystrophy nayo ibonakala. Ezimweni ezinjalo kunconywa ukuba uthintane nochwepheshe abafanele. Ukuze kuhlolwe okuhloswe ngokwengeziwe, udokotela ubeka izivivinyo zokuxilonga:

• i-electrocardiogram ;
• i-electromyogram;
• Ukuhlolwa kwe-X-ray;
• i-tomography ehlanganisiwe ;
• ukuhlolwa kwe-ultrasound;
• i-densitometry .

Iseluleko se-Rheumatologist

Ukuthi impilo yesiguli ayiguquki, kuyadingeka ukwazi izici ezenza kube nzima kakhulu abantu abanezifo ze-rheumatological. Lezi zici zihlanganisa: imithwalo eningi ngokweqile, isisindo esiningi, ukuhlukumezeka, ukungasebenzi ngokwanele kwemishini, ubudala obudala, ubudala.

Ngaphandle kwendlela yokwelashwa enqunyiwe, isiguli esinesifo se-rheumatological, kubalulekile ukulandela iseluleko se-rheumatologist ngenxa yobuhlungu emajoyini:

1. Kubalulekile ukuba uqaphele emsebenzini nasekhaya futhi ugweme ukulimala okulimaza impilo yesistimu ye-musculoskeletal.
2. Kubaluleke kakhulu ukugcina umsebenzi wezimoto, kodwa ngaphandle kokushiseka.
3. Kubalulekile ukuqeda amakhilogremu engeziwe - lokhu kungumthwalo owengeziwe.
4. Kubalulekile ukuba udle kahle - kubalulekile ukulondoloza ubuqotho bamalungu isikhathi eside ngangokunokwenzeka.