Aliyense yemwe sakudziwa zomwe rheumatologist akuchiza, ayenera kukumbukira kuti uyu ndi katswiri wodziwa matenda ndi matenda a rheumatological. Ntchito za dokotala woterewa zikuphatikizapo kudziwitsa odwala omwe ali pangozi, kusonyeza njira zothandizira kuchepetsa kukhala ndi matenda aakulu.
Rheumatology - ndi chiyani?
Musanayambe kudziwa za ntchito ya rheumatologist, muyenera kudziŵa kuti rheumatology ndi yani. Rheumatology ndi nthambi yothandizira mkati mwake yomwe imaphunzira kuwonongeka-matenda opatsirana, omwe amachititsa kutupa, matenda okhudza thupi. Pa mtima wa pathogenesis wa matenda sangakhale kokha kutupa, komanso chitetezo cha mthupi. Rheumatology imagwirizana kwambiri ndi nthambi zina zamankhwala:
- chowopsa;
- mafupa,
- purulent-septic, opaleshoni yapamwamba;
- chiphunzitso;
- hematology;
- nephrology;
- matenda;
- infectology;
- oncology;
- Toxicology;
- chithunzi;
- chisokonezo;
- nthenda zamakono.
Rheumatologist - ndani uyu ndi yemwe amachiritsa?
Mawu akuti "rheumatism" kamodzi anauzidwa ndi dokotala wina wakale Claudius Galen, amene potero adayambitsa matenda a minofuyi. Koma kudzipatula kwadzidzidzi kwa mankhwala, malangizo awa anali kumapeto kwa zaka za m'ma 2000. Masiku ano, rheumatologist ndi katswiri yemwe ali ndi matenda omwe amayamba chifukwa cha kusintha kwa thupi, kusintha kwa maonekedwe, ndi zinthu zina zomwe zimagwira ntchito.
Rheumatologist - chimachiza anthu akuluakulu?
Anthu ambiri amadziwa bwino matenda ochepa omwe ayenera kutumizidwa ku rheumatologist. Kuzindikira kumakhala kovuta chifukwa chakuti matenda ambiri amapezeka ndi zizindikiro zofanana. Chifukwa cha zizindikiro zosiyana, matenda a rheumatological nthawi zambiri amathandizidwa ndi akatswiri ochokera ku mafakitale omwe amagwirizana nawo. Kuti mumvetse - munthu wamkulu-rheumatologist - yemwe ndi-muyenera kudziwa ndi matenda omwe amagwira ntchito. Kodi rheumatologist imatani anthu akuluakulu:
- Kawirikawiri munthu wamkulu wa rheumatologist amathandiza anthu omwe ali ndi matenda odwala matenda a m'magazi , omwe amachepetsa anthu okalamba.
- Odwala a Rheumatologist ndi anthu omwe ali ndi nyamakazi, yomwe ingayambike ali wamng'ono ndipo akuipiraipira kwambiri okalamba.
- Rheumatologist imakhudzanso chithandizo cha odwala omwe ali ndi matenda a Bechterew, ovuta komanso odwala matenda a rheumatic, nyamakazi yowonongeka, yomwe ndi ngozi yomwe ikukula mofulumira ndi ankylosis (osagwirizana).
- Gout ndi matenda aakulu omwe amayamba chifukwa cha kuchuluka kwa uric acid m'magazi, zomwe zimachititsa kuti anthu okalamba ndi okalamba azitha kupweteka kwambiri.
- Matenda otchedwa scleroderma ndi machitidwe a sclerosis omwe amayamba chifukwa cha kutupa kwa zida zazing'ono za thupi, zomwe zimayambitsa kusintha kwa fibro-sclerotic mafupa, minofu, khungu ndi ziwalo.
- Pamodzi ndi akatswiri ena, akatswiri a rheumatologists amachititsa kuti asagulisite, yogwiritsidwa ntchito kosakaniza.
Kodi rheumatologist ikuchitira chiyani ana?
Pamodzi ndi munthu wamkulu, m'mabungwe ambiri azachipatala muli mwana wa rheumatologist. Katswiri wa mbiri imeneyi ndi ofunikira kwambiri, chifukwa matenda a rheumatological a ana ndi amwano ndipo amafunika kuphunzira kwambiri komanso mankhwala onse. Malingana ndi kafukufuku wa WHO, chiwerengero cha ana odwala chikuwonjezeka chaka chilichonse. Zimene rheumatologist zimachita pa odwala aunyamata:
- nyamakazi ya mwana wamphongo;
- chiwonongeko chokhazikika;
- Matenda a Bechterew;
- scleroderma;
- nodular polyarthritis;
- dermatopolymiosis.
Kodi mungakambirane ndi rheumatologist?
Popeza matenda ena a chifuwa chachikulu ndi omwe amachititsa kuti chitukuko chitheke ndipo pafupifupi onsewa amatsogolera kulemala, muyenera kudziwa nthawi yoyankhulana ndi a rheumatologist:
- Ndikumangika kwa mmawa tsiku ndi tsiku, zomwe zimawoneka kuti ndi zovuta kapena zosatheka kugwada mawondo kapena manja mu ziwalo za m'mphuno. Zizindikiro zotere za osteoarthritis zimatha mphindi 30-40, koma atatha kugona kwa tsiku akhoza kubwerezanso.
- Pamene kutupa kapena kutupa kwa mgwirizano - chizindikiro ichi chikuwonekera ndi nyamakazi.
- Ndikumva kupweteka mu mgwirizano, womwe ukhoza kusokoneza nthawi zonse kapena kuwonekera madzulo. Ululu umasonyeza kusamba kwa kutupa ndi kuwonongedwa kwa mgwirizano.
- Ndikumva kupweteka kumene kumachitika ndi zomangira zowonongeka za mapazi ndi manja.
Kodi olemba za rheumatologist ali bwanji?
Pomwe amalandira chidziwitso cha anthu ambiri, nthawi zambiri amadziwa kuti katswiri wa matenda odwala matendawa amatha kuchiza ndipo awona zizindikiro za matenda a rheumatological. Pambuyo pofufuza ndikufufuza bwinobwino, dokotalayo amapereka chithandizo chothandizira kuchepetsa kupweteka, kuchotsa kapena kuchepetsa ululu (mankhwala osagwiritsiridwa ntchito ndi mankhwala osakanikirana ndi opaleshoni), kukonza ziwalo zoonongeka (massage, physiotherapy, ntchito zochizira, zojambula).
Kodi kufufuza kwa rheumatologist kuli bwanji?
Pa kafukufuku wakunja, dotolo-rheumatologist poyamba amaganizira za chikhalidwe cha ziwalo - kaya pali tumescence, edema, morbidity. Malingana ndi malo a ziwalo zotsekemera, ndizotheka kupeza zokhudzana ndi siteji ya matenda - zikuluzikulu zimakhudzidwa, zimakhala zovuta kwambiri. Kuonjezera apo, dokotala amamvetsera kuyanjana kwa ziwalo zomwe zakhudzidwa - ichi ndi chimodzi mwa zizindikiro za nyamakazi ya nyamakazi.
Kufufuza mu rheumatology
Kuti afotokoze za matendawa, adokotala amatipatsa mayeso a magazi. Rheumatologist - ndi mayesero ati a magazi omwe adzafunike:
- kusanthula kwachilengedwe;
- pa mapuloteni a C-reactive;
- pa ESR;
- pa chifuwa chachikulu (kapena pofufuza za synovial fluid);
- pa antitinuclear ndi anti-citrulline antibodies.
Kuyankhulana kwa rheumatologist
Kulandira katswiri wa rheumatologist kungaphatikizepo kumvetsera mapapu ndi mtima, monga matenda a rheumatological omwe ali ndi chiwopsezo chachikulu kwambiri amachititsa kuti ziwalo izi ziwonongeke. Kawirikawiri, ndi matenda a rheumatological, minofu yofooka kapena dystrophy imayambanso. Zikatero zimalimbikitsa kufunsa akatswiri oyenera. Pofuna kufufuza zambiri, dokotala amapereka mayeso oyeza:
- electrocardiogram ;
- chodabwitsa;
- Kufufuza X-ray;
- chiwerengero ;
- kuyeza;
- densitometry .
Malangizo a Rheumatologist
Kuti moyo wa wodwalayo suli kuzunzika, m'pofunika kudziwa zinthu zomwe zimaipitsa mkhalidwe wa anthu omwe ali ndi matenda a rheumatological. Zinthu izi zikuphatikizapo: katundu wambiri, kulemera kwakukulu, kupwetekedwa mtima, kusagwirizana ndi magalimoto, ukalamba, umphawi.
Kuwonjezera pa mankhwala oyenera, mankhwala odwala matenda a rheumatological, ndikofunika kutsatira malangizo a rheumatologist chifukwa cha ululu m'magulu:
- Ndikofunika kukhala osamala kuntchito ndi kunyumba ndi kupeŵa kuvulala komwe kumawononga thanzi la minofu.
- Ndikofunika kwambiri kuyendetsa galimoto, koma popanda kutengeka.
- Ndikofunika kuchotsa mapaundi owonjezera - ichi ndi katundu wambiri.
- Nkofunika kudya bwino - ndikofunika kusungabe umphumphu wa ziwalo malinga ndi momwe mungathere.