Mob caj dab caj dab thiab cev xeeb tub

Cov txheej txheem:

Mob caj dab caj dab thiab cev xeeb tub
Mob caj dab caj dab thiab cev xeeb tub
Anonim

Yog tias koj muaj mob rheumatoid mob caj dab (RA) thiab tab tom xav txog kev pib tsev neeg, tej zaum koj yuav muaj ntau cov lus nug thiab kev txhawj xeeb. Koj tus RA puas yuav cuam tshuam koj txoj kev xeeb tub? Koj cov tshuaj puas muaj kev nyab xeeb thaum cev xeeb tub? Yuav ua li cas yog tias koj txiav txim siab tso tseg lawv? Puas yog koj tus RA yuav tawg?

Cov no yog tag nrho cov lus nug uas yuav tsum tau tham nrog koj tus kws kho mob rheumatologist, nyiam ua ntej cev xeeb tub, hais tias Shreyasee Amin, MD, kws kho mob rheumatologist ntawm Mayo Clinic hauv Rochester, Minn.

RA, tus kab mob autoimmune uas lub cev koom nrog hauv kev sib raug zoo hluav taws tiv thaiv nws tus kheej cov pob qij txha, feem ntau ntaus cov poj niam uas muaj hnub nyoog yug menyuam. Cov xov xwm zoo yog tias tsis zoo li lwm yam kab mob autoimmune, RA tsis zoo li cuam tshuam rau poj niam txoj kev xeeb tub lossis muaj peev xwm ua kom cev xeeb tub noj qab haus huv. Koj cov tsos mob tseem yuav zoo dua thaum cev xeeb tub, tab sis lawv tuaj yeem tshwm sim li peb lub hlis tom qab yug me nyuam (txog lub sij hawm uas pw tsaug zog los ntawm kev muaj menyuam yug tshiab)

"Tshwj tsis yog koj muaj lwm yam teeb meem RA xws li mob ntsws lossis mob hauv siab, RA yuav tsum tsis txhob cuam tshuam koj lub peev xwm xeeb tub, nqa tus menyuam mus rau ib lub sijhawm, thiab xa tawm ib txwm muaj," Amin hais. Uas tau hais tias, kev qhia tshuaj me me mus ntev mus rau kev ua tiav cov hom phiaj no, nws hais.

Qhia koj cov tshuaj

Cov poj niam uas muaj RA yuav tsum tau ua haujlwm nrog lawv tus kws kho mob obstetrician thiab rheumatologist kom paub tseeb tias lawv tau txais cov tshuaj muaj kev nyab xeeb ua ntej xeeb tub, thiab yog tias lawv tsis yog, lawv yuav tsum hloov lossis txiav lawv cov tshuaj raws li lawv cov kab mob thiab kev nyiam.,”nws hais.

Qee cov tshuaj RA uas cov poj niam cev xeeb tub yuav tsum tsis txhob noj suav nrog methotrexate thiab Arava (leflunomide). Cov poj niam yuav tsum tau tshem cov tshuaj no rau ib lub sij hawm ua ntej cev xeeb tub. Sib tham txog kev nyab xeeb ntawm lwm cov tshuaj xws li azathioprine (Imuran), hydroxychloroquine (Plaquenil), prednisone, thiab sulfasalazine, thiab nrog koj tus kws kho mob. Pawg neeg txiav txim tau tawm ntawm qee cov tshuaj biologic tshiab xws li adalimumab (Humira), etanercept (Enbrel), thiab infliximab (Remicade), Amin hais.

Yuav ua li cas yog tias koj tsis xis nyob noj tshuaj thaum koj cev xeeb tub? "Qee tus poj niam xav txiav lawv cov tshuaj tag nrho, thiab kuv tham txog kev pheej hmoo ntawm qhov muaj feem cuam tshuam nrog lawv, tab sis kuv kuj piav qhia tias muaj feem cuam tshuam rau lawv cov kab mob tuaj yeem txhim kho thaum cev xeeb tub," Amin hais. Tus kws kho mob tsis paub tseeb tias yog vim li cas RA nyiam mus rau hauv kev zam txim thaum cev xeeb tub, tab sis nws tshwm sim.

Tsis tau hais tias koj yuav zoo siab rau koj cev xeeb tub tag nrho. Tab sis yog tias koj mob nraub qaum lossis koj pob taws o, tsis txhob xav tias qhov phem tshaj, Amin hais. "Cov tsos mob no tsuas yog ib feem ntawm cev xeeb tub."

Thawj, Tsis Txhob Ua Phem

Bonnie Soos, 32-xyoo-laus tus kws qhia ntawv hauv Adina, Ohio, tau kuaj pom tus mob RA 11 xyoo dhau los. Nws tau siv ib nrab ntawm ob xyoos dhau los no kom xeeb tub.

"Kuv yuav tsum tau tawm ntawm methotrexate thiab tawm ntawm nws tau peb lub hlis ua ntej kuv tuaj yeem pib sim," Soos hais. Nws kuj tau phais lub hauv caug nyob ib puag ncig lub sijhawm no. "Thaum kuv tawm ntawm methotrexate, kuv pib flare thiab ua haujlwm tsis tau," nws hais. “Kuv tsis tuaj yeem hnav lossis nqa kuv txhais tes. Kuv ntshai sawv ntxov sawv ntxov."

Hmoov tsis zoo, qhov no tuaj yeem yog qhov xwm txheej zoo sib xws, piav qhia Amin. Thiab nws yog qhov tseeb tias tus poj niam tawm ntawm lub siab xav sim thiab xeeb tub. "Leej twg xav sim thiab xeeb tub thaum muaj mob hnyav heev?" Soos asks.

Nws tau noj prednisone ib ntus, thiab tsis ntev los no tau hloov mus rau lwm cov tshuaj uas muaj kev nyab xeeb noj thaum sim xeeb tub. Nws hais tias, "Kuv tau hnov zoo li yav tas los," nws hais.

Rau qee tus poj niam, tos kom txog thaum lawv RA tswj tau ua ntej sim cev xeeb tub yuav yog ib qho kev xaiv ntse, hais tias Emilio B. Gonzalez, MD, tus thawj coj ntawm rheumatology ntawm University of Texas Medical ceg hauv Galveston, Texas. "Kuv zaum thiab qhia lawv tias ntau yam kev kho mob rau RA tsis sib haum nrog cev xeeb tub thiab yog tias lawv raug kev txom nyem tiag tiag, tej zaum qhov tseem ceeb yog kom tau txais RA tswj hwm thiab pib npaj lawv tsev neeg tom qab," nws hais. "Yog tias koj muaj RA, nws tsis tau txhais hais tias koj yuav tsum tsis txhob xeeb tub, tab sis nws tuaj yeem yog qhov nyuaj los tswj RA ua ntej thiab tom qab cev xeeb tub."

Yog tias koj tus RA tswj tau zoo ua ntej cev xeeb tub, muaj lub sijhawm zoo nws yuav nyob li ntawd.

Tswj RA Flares Thaum Cev Xeeb Tub

Rau cov poj niam uas xaiv kom tsis txhob noj tshuaj thaum cev xeeb tub, "Peb saib xyuas lub cev xeeb tub kom pom tias lawv muaj flares, [thiab] peb tuaj yeem siv cov tshuaj uas muaj kev nyab xeeb los tswj cov nplaim taws," Amin hais.

Thaum prednisone muaj kev nyab xeeb thaum cev xeeb tub, nws tuaj yeem ua rau niam muaj kev pheej hmoo siab ntshav qab zib thiab ntshav siab, yog li koj yuav tsum tau saib xyuas cov qib ze. Cov ntshav siab thaum cev xeeb tub yog qhov muaj feem cuam tshuam rau preeclampsia, uas tuaj yeem ua rau muaj kev phom sij rau lub neej. Cov ntshav qab zib siab yuav txhais tau tias muaj ntshav qab zib gestational. Steroids kuj ua rau muaj kev pheej hmoo ntawm pob txha poob.

Tsis muaj qhov no txhais tau tias cov poj niam uas muaj RA yuav tsum suav tias muaj kev pheej hmoo siab, nws hais. "Lub cev xeeb tub tuaj yeem ua raws li tus kws kho menyuam yaus tsis tu ncua," Amin hais tias. "Txawm li cas los xij, yog tias tus kws kho menyuam yaus tsis xis nyob nrog cov tshuaj, tus poj niam yuav xav ua raws li tus kws kho menyuam yaus uas pheej hmoo siab."

Ntau tus poj niam cev xeeb tub nrog RA ua haujlwm ze nrog ob tus kws kho menyuam yaus thiab lawv tus kws kho mob rheumatologist los tswj lawv lub cev xeeb tub. "Yog tias tus kws kho menyuam yaus tsis paub meej tias nws puas yog flare lossis tsis yog flare, lawv tuaj yeem sab laj nrog tus kws kho mob rheumatologist," hais tias Manju Monga, MD, Berel Held xibfwb thiab tus thawj coj ntawm cov tshuaj niam-fetal hauv University of Texas.

Qee qhov teeb meem yuav tshwm sim, tab sis feem ntau lawv tuaj yeem daws tau ua ntej, nws hais. Piv txwv li, kev siv cov tshuaj epidural thaum yug me nyuam tuaj yeem tsim teeb meem rau cov poj niam uas RA cuam tshuam rau lawv tus txha caj qaum, Monga hais. "Qhov no tsis tshua muaj, tab sis nws yog ib lub tswv yim zoo los sab laj nrog tus kws tshuaj loog yog tias lawv xav tau tshuaj loog es tsis txhob siv tus txha nraub qaum," nws hais.

Txhua yam, qhov kev cia siab yog qhov zoo, Monga hais. "Feem ntau, cov neeg mob RA ua tau zoo nrog cev xeeb tub," nws hais.

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Yog, koj tuaj yeem! Ua kom nquag plias yog ib qho zoo tshaj plaws uas koj tuaj yeem ua rau koj txoj kev noj qab haus huv, txawm tias koj muaj mob caj dab rheumatoid (RA). Koj tsuas yog yuav tsum paub ua haujlwm li cas hauv koj qhov kev txwv.