Samathambo, isifo sokuqaqamba kwamalunga: Izimpawu, Ihlahlubo, ngemithi ezinganeni nakubantu abadala

ukuvuvukala Okungalapheki we ezicutshini, esithinta emalungeni ibizwa ngokuthi i-rheumatoid arthritis. Izimpawu, ukuxilongwa kanye nokwelashwa yalesi sifo, kuzoxoxwa ngakho mathiriyeli lo sihloko.

Kuyini i-rheumatoid arthritis?

Lena ngempela isifo esiyingozi kakhulu eminyakeni embalwa ungavula umuntu ngokuphelele enempilo endaweni ayivumelekile athuthumelayo. Kuyaziwa ukuthi rheumatoid arthritis isigaba ubalwe njengenye izifo sokuhlasela kwamasosha omzimba. Wakha uhlelo elula. Imihlobo ehlukeneko egazi amhlophe ngenxa ukuchayeka nezici ezithile sebeqala ngokushesha abhubhise kudala nezihlanganiso zazo siqu. Bona zigcwala, futhi ngemva kwesikhathi esithile zikhona ukuguguleka kwenhlabathi. Ngezinga elincane kuthinta imisipha kanye nemisipha. Sam uqwanga phansi ngokuphelele.

I zokugula libhekene ezingamahlalakhona ukuvuvukala okuqhubekayo ulwelwesi lwamalunga. Ezimweni eziningi, le nqubo sisebenza izinyawo, amadolo, ezinqulwini emalungeni ngezandla. Njengoba isifo siqhubeka ithambo uqwanga abathintekayo nezihlanganiso babe sikhubazekile. Ngo ukubonakaliswa okukhulu letindzala zingenzeka ukunqotshwa kanyekanye imithambo yegazi, isikhumba, imisipha kanye inhliziyo.

Imininingwane zomlando

Lesi sifo samathambo yaziwa kusukela ezikhathini zasendulo. Rheuma elihunyushwe kusuka lesiGreki lisho "ukugeleza". Izizathu nokusetshenziswa kwegama elithi, kukhona izinguqulo eziningana. Abanye abacwaningi bakholelwa ukuthi lesi sifo elihlobene ne kokuphela isikhwehlela, okuyinto kancane kancane buthelela ebuchosheni. Abanye ukuchaza nencazelo yalo yemvelo ubuhlungu, okwenzeka ngaso sonke isikhathi uma ukuhlasela. Ngokuhamba kwesikhathi, kwaba sobala ukuthi lutho futhi akukho ndawo sokuqaqamba kwamalunga akusho flow, kodwa sanquma ukugcina igama.

Lesi sifo izingxenye walondoloza kakhulu zomzimba womuntu - amathambo. Phakathi abavubukuli zasemizaneni ososayensi bathola nobuntu rheumatoid arthritis ubunzima izinsalela lwamathambo. Ngo yezokwelapha izincwadi ungathola amagama ambalwa zesifo: rheumatism ezingamahlalakhona ezithathelwanayo, isifo samathambo deformans, isifo okulimaza isikhumba, kodwa igama wanamathela kuyinto.

Okokuqala, igama elithi "i-rheumatoid arthritis" kwahlongozwa e 1858 A. Garro ngonyaka. Nokho, incazelo eningiliziwe yalesi sifo lachazwa ekuqaleni njengoba 1800 m Augustine Bove. Wayebheka ke omunye izinhlobo sifo. Ngo 1892, Harry owethulwa kube nomehluko ocacile phakathi kwalokhu okubili.

Izimbangela samathambo

Uma wazi izizathu ekuthuthukiseni rheumatoid arthritis, uphethwe, ukwelashwa kanye nokuvimbela ngokuvamile akakubangeli nobunzima kakhulu. Ngaphezu kwalokho, lokhu kungavimbela inchubekelembili kwaleso sifo nabanye okungenzeka. zokuvimbela yayo, njengoba umthetho, kusekelwe nokuqedwa isenzo yezici ingqondo.

Etiology lesi sifo bengayiqondi ngokugcwele. Ochwepheshe ukhombe ezicini eziningana, okuyinto ndawonye kungaba avuse ukuthuthukiswa isifo. Iqhaza main udlalwa by nezici ezithile sitholwa njengefa. Ngokuvamile, ama-leukocyte kufanele nimbulale izakhi alien. Lezi zihlanganisa amagciwane, amangqamuzana omdlavuza. Uma kunesici ohlelweni somzimba sokuzivikela ezakhini zofuzo, amangqamuzana amhlophe egazi kancane kancane balahlekelwa ikhono ukuqaphela izakhi "okuhle" futhi "okubi". Ngakolunye uhlangothi, eshintsha ezakhini zofuzo ukuthi banesibopho ukusebenza kwezinhlobo ezithile leukocyte, okuholela ukuphazamiseka cell isilinganiso. Lokhu kuzoqala ukuvuvukala ukuthi akuyona izitobhi esifike ngesikhathi futhi kuba amahlala khona. Ngakho kancane kancane-rheumatoid arthritis. Izimpawu, ukuxilongwa kanye nokwelashwa - imibuzo embalwa ukuthi bonke abantu kufanele bazi umuntu engozini nesenzakalo yalesi sifo.

Ngesikhathi eziseduze idluliselwa akuyona nje kwesifo ngokwaso, kanye ezifweni ukuba ukuphazamiseka kwesimiso somzimba sokuzivikela ezifweni njengoba kuchaziwe ngenhla. Kungaba igcwaliseke ngesimo sifo. Amathuba okuvela samathambo kuncike degree of nokuzwelana, kanye nomthelela yezizathu ezithile kukho konke ukuphila. Lezi zingozi zihlanganisa ama:

• Ukubhema. Ukuhlobana phakathi kulo mkhuba kanye arthritis, ososayensi baye baphawula ku 70-yalolucwaningo kwekhulu elidlule. Ukubhema ugwayi angaphezu kwangu-25 ngosuku (oneminyaka engaphezu kwengu-20) ukuze uthole isikhathi eside kwandisa ingozi yesifo. Izingxenye lentuthu kagwayi kuthinte ukubulawa amasosha omzimba, okuholela ekuqaleni yokugcina ukukhiqiza autoantibodies.
• Ubulili nobudala. It is wafakazela ukuthi ubulili fair ziyashesha kakhulu-rheumatoid arthritis. Ukugula ativete ngasiphi yobudala, kodwa ngokuvamile iningi kwenzeka emhlabeni iminyaka 40-50.
• Ukutheleleka. Iziguli samathambo ungase uphawule eziya ziba zimbi yesifo ngemva muva othola SARS.
• iziyaluyalu kwama-hormone. Ososayensi baye babonisa ukuthi izinto zokuvimbela inzalo temlomo iyehlisa kwesifo samathambo. Ukukhulelwa abesifazane nale komdlavuza ngokuvamile kubangela ukuthethelelwa nabasebenzi, ngokuphambene nalokho, laba kanjani nesandla okubi kakhulu.

Ngaphansi isenzo omzimba amaseli izici ezichazwe ziqala ukuhlasela amagobolondo izici ngokuhlanganyela, okuyinto kuphakamisa ukuvuvukala kubo. Skin endaweni ethintekile liyovutha, futhi kabuhlungu. imiphumela emibi amasosha omzimba amaseli kusebenza futhi imithambo yegazi, echaza ukubonakaliswa extra-articular lesi sifo.

emitholampilo isithombe

Nezinye pathologies imvelo efanayo akakwazi kudidaniswe zakudala i-rheumatoid arthritis. Izimpawu zokuqala zalesi sifo ziqala ukuvela phakathi namasonto ambalwa, kuze ukuvuvukala akusho sobala. Ekuqaleni, lesi sifo sihlasela Inkomba neminwe phakathi isandla. Kulokhu, kukhona ukuvuvukala kukhona ukuvuvukala kancane emalungeni metacarpophalangeal. Basuke sise kumila iminwe. A uphawu sici sifo ukubhujiswa ngesikhathi esisodwa emalungeni ngakolunye uhlangothi. Ubuhlungu syndrome singenzeka ezimbalwa enyakeni owodwa. Lokhu ukungakhululeki ngokuvamile kwenzeka ekuseni futhi kuthathe kwaze kwaba semini, bese uya ku ukwehla. Ngemva umsebenzi noma umsebenzi ubuhlungu ukudlula.

Ngo parallel inqubo sokugembula zokujoyina emalungeni encane izinyawo, okuyinto zitholakala ngasesinqeni se iminwe. Iziguli kubika ubuhlungu ngaphansi pads lapho sicindezelwe. Njengoba ukuqhubeka kwesifo abavusa wonke amalunga amakhulu (iqakala, amadolo nesiphanga).

Ezinye izimpawu zihlanganisa Izigaxana samathambo futhi ekuseni ukuqina syndrome. Iziguli bathi ukungakhululeki livela ngemuva kokulala. Okubizwa ngokuthi Izigaxana rheumatoid akhiwa endaweni ngezansi nje endololwaneni, izinyawo nezandla. Emongweni tiniketwe nge ekuqongeleleni ukubulawa amasosha omzimba akhe azungeze indawo kwezicubu efile.

Kwezinye iziguli, isithombe emtholampilo is kwahambisana by Ukuwohloka isimo jikelele. Izinga lokushisa likhuphuka, nobuthongo babo kanye nenhliziyo emnyama. rheumatoid arthritis neminwe at esiteji eziphambili libhekene ukusonteka emabhulashini. Lesi simo sihambisana okuthiwa ulnar ukuphambuka, ukuhamba emalungeni kancane kancane. Lapho ohlanganiswe ukuvuvukala inqubo vertebral amalunga omzimba, okubangela ubuhlungu obunzima entanyeni nape.

esigabeni isifo

Thola zindlela eziningana eyenza umuntu bangahlela ngokunembile esiteji-rheumatoid arthritis. I ulwazi kakhulu yilezo okuncike imiphumela X-ray.

Basuke izigaba ezine:

• Ngesikhathi besanda kuqala, i-ukubonakala izimpawu zokuqala ukwehla kwamathambo. Lona kuphela okubonakalisa isifo, okungase kunqunywe radiographs. Izicubu ezithambile kancane ohlangene. Ngezinye izikhathi ithambo ungakwazi ukuhlukanisa izindawo ukukhanya. Lokhu okuthiwa izinhlumba. Uma izikhala ngokuhlanganyela mincane, ungakwazi ukukhuluma ukuthuthukiswa ngokushesha lesi sifo, futhi ngokushesha ushintsho yakhe esigabeni esilandelayo. Isici esiphawulekayo lokhu nesigaba lesi sifo kungapheli ngoba azikho izimpawu zokwelapha sobala. Isiguli singase singakuboni izinkinga zempilo, ngakho musa ugijimele ukuya kudokotela.
• Isigaba sesibili libhekene ukuqhubeka inqubo sokugembula nokubandakanyeka emathanjeni akhe. Eyokuqala ukuhlupheka ezandleni indawo ye izindololwane futhi izihlakala. Uma ukuguguleka itholakala eduze uqwanga kule ndawo ukuhamba elinganiselwe. Kulokhu, nezicubu oqwangeni ngokwalo obungahlala bunjalo, kodwa imisipha kakade seziqalile yoma. Bursa babe ukuvuvukala kancane elikhanyayo. Iziguli e-acute ngokuvamile esekhala namahlaba.
• Ngo-rheumatoid arthritis, esigabeni sesithathu esithombeni kuyofikwa imisipha yoma futhi ukusonteka we ngokuhlanganyela. Uma usawoti ezifakwa waphawula lapho besanda kuqala lesi sifo, kukhona ngokucacile calcification akachazeki ku x-ray.
• Ngo esigabeni sesine iba iziyaluyalu ithambo. Ku-X-ray libonisa ngokucacile kwamathambo, erosions amaningi futhi izinhlumba. I Ilunga kulapho ngokuphelele imisipha sikhubazekile futhi atrophied nxazonke.

Isiteji samathambo ivumela ukukhetha yokwelapha esebenza kahle kakhulu, futhi ukuvimbela yezinkinga kungenzeka.

ngihlolwa

rheumatoid arthritis esibalwa esigabeni izifo of omsakazo engaziwa, ngakho ukuthola yayo Ngokuvamile kunzima. Ngo-1997, i-American College of ophikweni olubhekene nezifo zamathambo ezihlongozwayo zindlela eziningana ukuze kuhlonzwe lokhu zokugula ukuthi abantu bahlale bemazi kuze kube yilolu suku. Nge ezine izinto eziyisikhombisa kusukela uhlu izimpawu kwesifo kungenziwa njengomuntu onokwethenjelwa.

1. Morning ukuqina.
2. Izigaxana samathambo.
3. Hlula amalunga omzimba angaphezu kwamathathu.
4. Positive isici samathambo.
5. Ukunqotshwa kwe-esihlakaleni.
6. izinguquko Radiographic.
7. Lesinesitfombe-sibuko isifo ngokuhlanganyela.

Ngeshwa, izimpawu ngenhla kungashintshwa kuphela Kutholwe emazingeni kamuva yentuthuko isifo. Yingakho uma ekuseni ukuqina nobuhlungu emalungeni udinga ukuya esibhedlela. Uma sisheshe samathambo, izimpawu, uphethwe, ukwelashwa kanye izinyathelo zokuvimbela yalesi sifo kufanele yaziwe zonke udokotela.

Ukuze lokhu ngoba uyayazi imbangela eqondile isiguli linqume saziso x-ray of ezandleni nasezinyaweni, ukuhlolwa igazi for ukuthola isici samathambo kanye nokuhlola ESR. Emva, udokotela ukukhethela ukwelashwa okufanele. Ngokuvamile, sinzima futhi unezigaba eziningana. On samuntu ngamunye uchaze ngezansi.

ukwelashwa eyisisekelo

Ukuqeda "ngesisekelo isifo" lisetshenziswa ukwelashwa eyisisekelo-rheumatoid arthritis. Nemithi oyinikezwe udokotela, musa ukuqeda ubuhlungu kanye nezinye izimpawu zesifo. Ziklanyelwe ukuba ziphazamise ukuthuthukiswa kwaleso sifo. Umphumela omuhle izidakamizwa uba obonakalayo kuphela ngemva nezinyanga zokwelashwa.

amalungiselelo Igolide zokunqanda isifo ziye zasetshenziswa iminyaka ecishe ibe ikhulu. Isenzo sabo siyasebenza ikakhulukazi kusaqalwa sifo nge sezinhlungwini ezinzima emalungeni kanye Izigaxana samathambo. Phakathi kungenzeka emibi ibandakanya okuvela "segolide" dermatitis kanye mucositis.

izidakamizwa Immunosuppressive nazo kabanzi esetshenziswa ekwelashweni ( "MTX", "Azathioprine"). Le mithi i-rheumatoid arthritis ahloselwe ukucindezelwa yokufakelwa of umzimba ozivikela. Ngenxa yokuthi athathwa umdlavuza, abaningi bayesaba ukuzisebenzisa. Nokho, lokhu kuyinto yokwesaba zamanga. Ukuze nokwelashwa arthritis usebenzisa imithamo ephansi, imiphumela emibi ngakho ezingajwayelekile kakhulu.

Kwezinye izimo, iziguli sulfonamides enqunyiwe. Lokhu izidakamizwa elwa namagciwane, okuyinto zivimbela ukukhula eziphilayo pathogenic. Amathuba nesenzakalo izigigaba ezingezinhle liphansi kakhulu. kahle labo kancane kuqhathaniswa ne izidakamizwa immunosuppressive negolide. Dynamics Lomuhle zokwelapha iziguli kwathiwa unesifo "samathambo neminwe," kuphawula kuphela ngemuva kwezinyanga eziyisithupha zale ndlela yokwelapha.

izidakamizwa eqeda ukuvuvukala

izidakamizwa eqeda ukuvuvukala Nonsteroidal (ama-NSAID) nethonya analgesic futhi antipyretic ( "meloxicam" "Diclofenac"). Basuke engabelwe ahlekise emalungeni. Le mithi kakhulu ngcono ngezimo zesiguli. Kuyadingeka ukuba ukuziyeka njengoba isifo ngokushesha wabuya. Ama-NSAID abakwazi ukunqoba ngokuphelele lesi sifo, bona kuphela kuqede izimpawu ezingezinhle. Cishe zonke imithi kufanele Izimo, ngakho ngaphambi kokuqala Yiqiniso yokwelapha Kunconywa uye kudokotela uyofuna icebiso.

izidakamizwa okukhethwayo i-rheumatoid arthritis azisetshenziselwa ngakho kudala. Lona igama elisha zokwelapha zanamuhla. izidakamizwa ezinjalo zenzelwe kakhulu ukunciphisa inani side effects, ngoba usebenze kuphela isayithi ukuvuvukala musa kuthinte olunye uhlaka izinhlelo. izidakamizwa okukhethwayo ngokukhetha zivimbela ukukhiqizwa ejenti ukuvuvukala kule uqwanga ngokuhlanganyela. Izidakamizwa aziyona evumelana ukuyisebenzisa. amaphutha Okungenzeka kufanele nomthelela ukwanda igazi ekunqandeni kuphawulwe. Lokhu, kungabangela isifo senhliziyo noma unhlangothi.

Corticosteroids ( "prednisolone", "Dexamethasone") zisetshenziselwa ukulwisana-rheumatoid arthritis. Lokhu izidakamizwa hormone eklanyelwe ukwehlisa ubuhlungu futhi ekuseni ukuqina kwamalunga. Isilinganiso odokotela yombuzo ukusetshenziswa corticosteroids edidayo. Abanye bathambekele ingasetshenziswa ukwelapha izifo hormone, abanye - ngokumelene. Kwakamuva ukuchaza imibono yabo ezihlukahlukene amathuba okuba nemiphumela engemihle. Kuthiwa ama-hormone, ngaphezu umthelela jikelele emzimbeni, kungakhuphula izinga likashukela egazini, ukunciphisa amasosha omzimba, ingabangela umfutho wegazi ophakeme. Yingakho ngaphambi enquma ukwelashwa, udokotela uhlole "kochwepheshe" futhi "nebubi."

ukuphathwa endawo samathambo

Ahamba kahle amalungiselelo ezichazwe ngenhla ayifanele okwazo zonke iziguli. Kwezinye kukhona isici esiyingqayizivele ingxenye yezingxenye, abanye awuligubhi umphumela zokwelapha omuhle. Ngakho-ke, kwezinye izimo, odokotela abaphendukela ukwelashwa ngezihloko ezihlukene.

Phakathi isifo esingelapheki usebenzisa laser ngemisebe. Lokhu ukwelashwa inika umphumela omnene eqeda ukuvuvukala. Cishe ama-80% eziguli waphawula ubungcono isimo jikelele.

Enye kwelashwa cryotherapy. Ngesikhathi inqubo, onguchwepheshe kuthinta Ukupholisa ezijulile emalungeni ethintekile. Cryotherapy nakanjani ayinangozi futhi alinaso Izimo.

Ukusebenzisa amafutha okhilimu ahlukahlukene inikeza usizo lwesikhashana. Into wukuthi isikhumba akusho miss ezingaphezu kuka-7% izithako ezisebenzayo. Lokhu akwanele ukuthola nomphumela oqabulayo esitebeleni. Naphezu ezahlukene izinzuzo ukwelashwa nge yokugcoba, usizo lwabo izimo ezingavamile.

Physiotherapy

Ngemva ukususwa ifomu ngokujulile isifo ingasetshenziswa massage kanye nezinye izindlela Physiotherapy. Into wukuthi le ndlela yokwelapha kunomphumela Ugqozi kusiza ukunciphisa ukuvuvukala wendawo. Lezi zokwelapha ngcono igazi ligeleze emalungeni ethintekile kanye kanyekanye yenyuse yabo. Zokwelapha namuhla ngenkuthalo esetshenziswa upharafini, UHF, phonophoresis, kanye amaza okushisa.

umsoco ofanele

Ukuhambisana nokudla okuqinile kuboniswa ezigulini ezixilongwa nge-rheumatoid arthritis. Izimpawu, ukuxilongwa kanye nenkambo yalesi sifo kunganquma imbangela yayo. Noma kunjalo, kungakhathaliseki ukuthi yiziphi izici, ukulungiswa kokudla kuhlinzekwa kuzo zonke iziguli.

Odokotela bakholelwa ukuthi imikhiqizo ethile ifaka isandla ekwakhiweni kwezinqubo zokuvuvukala kwezicubu. Lezi zihlanganisa ingulube, yonke i-citrus, ukolweni kanye ne-rye, imikhiqizo yobisi, kanye nommbila. Odokotela batusa ukuthi badle inhlanzi eningi, i-pearl yebhaleji kanye ne-phalgi ye-buckwheat, amaqanda ezinkukhu. Indawo ekhethekile ekudleni kufanele ibe ngezithelo nemifino ecebile amavithamini. Kuzo zonke izindlela zokwelapha, kunconywa ukuba kungabandakanyi ukudla okunamafutha nokuthosiwe. Ukudla kufanele kuqhutshwe, futhi ngokuvamile kudle ezinxenyeni ezincane. Kanye kanye nokwelashwa kwezidakamizwa, ushintsho ekudleni okuvamile kunomthelela omuhle emadodeni wokuthola kabusha.

I-arthritis ye-rhinotic arthritis

Izimpawu, ukwelashwa, ukuxilongwa ezinganeni zalesi sifo cishe akufani nezezifundo kanye nokwelashwa kweziguli ezikhulile. I-arthritis ye-rheumatoid yezinsizwa zezingane zibhekwa ngokuthuthukiswa okusheshayo. Kuzo zonke izingane eziyizinkulungwane eziyikhulu lesi sifo sitholakala kuzo zonke iziguli ezingu-15.

Lesi sifo senziwa ngokuyinhloko kuze kube yiminyaka engu-16 futhi singahlala iminyaka eminingana. Ukuthuthukiswa kwayo kuvame ukuphumela emiphumeleni ehlukahlukene, kusukela ekutheleleni okubangelwa yi-viral kanye nokuphela kokuzwela kwezimo ezithile zemvelo.

Uphawu oluyinhloko lwe- arthritis ye-rheumatoid ezinganeni yi-syndrome yobuhlungu esikhathini esisodwa noma ngesikhathi esisodwa amalunga amaningana. Uma kuhlolwe, ukuguqulwa kwabo kubonakala, okuqala ukubonakalisa ngesimo sokuvuvukala. Kancane kancane, ukusebenza kwamalungu kuyancipha. Kwezinye izimo, ezigulini ezincane, ama-lymph nodes akhula, izinga lokushisa likhuphuka.

Ukwelapha kufaka phakathi ukusetshenziswa kwama-NSAID ("i-Orthofen", "i-Brufen") ngokuhlanganiswa ne-salti yegolide namagciwane omzimba. Esigabeni esingafaneleki sesifo, ukunakekelwa kwempilo kunconywa kubantwana, lapho kusetshenziswa khona izinyathelo ezehlukene zezempilo kungenzeka ukuba kulungele ukusebenza kwemoto.

I-arthritis ye-juvenile i-rheumatoid arthritis akufanele inganakwa. Izimpawu, ukwelashwa, ukuxilongwa kwalesi sifo ezigulini ezincane kudinga indlela efanelekayo. Uma uthatha zonke izinyathelo zokwelapha ezidingekayo ngesikhathi sokuqeda lesi sifo, ungakwazi ukugwema ukuthuthukiswa kwezinkinga ezinkulu. Ngaphezu kwalokho, ukwelashwa kwekhwalithi emazingeni okuqala akuthinti impilo ezayo yesiguli esincane.

Ukuvimbela

Iziguli eziningi zinentshisekelo yokwelapha isifo samathambo. Ukuxilongwa kuzwakala kusabeka, kodwa akufanele ukwesabe. Ngeshwa, ayikho i-panacea yalesi sifo. Lena inqubo engapheli evame ukudinga ukwelapha impilo yonke. Into ebaluleke kakhulu ukuyiqala ngokushesha.

Namuhla, izazi ezivela emhlabeni wonke zilokhu zifuna izindlela ezintsha zokwelashwa ezingahambisani nemiphumela emibi. Le nkinga ibaluleke kakhulu kubesifazane besesimweni esibhekene nesifo samathambo. Phela, kulokhu, ukuthatha imithi eminingi kungavunyelwe.

Abaningi bayavuma ukuthi ukwelashwa okungcono kunoma yikuphi ukugula kungukuvimbela okwesikhashana. Ukuqinisekisa ukuvikelwa kwamalungu, odokotela batusa indlela yokuphila enempilo. Kusho ukuqedwa kwemikhuba emibi, ukudla okulinganiselayo, umsebenzi owenziwe ngokwanele. Akuyona indima yokugcina iwukuqinisa ukuzivikela komzimba nokulwa nokunciphisa umzimba.

Manje uyazi ukuthi iziphi izimpawu ezihambisana ne-rheumatoid arthritis. Izimpawu, ukuxilongwa, ukwelashwa kwesifo yizindaba eziningana ezihlangene ezidinga izindlela ezifanelekayo. I-arthritis ye-rheumatoid ihlukaniswa njengesifo ngesifo esingahle sithathwe. Uma uthatha zonke izinyathelo zokuqeda inqubo yokuvuvukala ngesikhathi esifanele, landela izincomo zodokotela ngokucacile, ungadlulisela i-pathology ibe ifomu elingapheli.