Arthritis
IQela leKlinikhi eNgemva kweArthritis. I-arthritis sisifo esixhaphakileyo kodwa asiqondwa kakuhle. Igama elithi arthritis alibonisi isifo esinye kodwa libhekisela kwiintlungu zamalungu okanye izifo ezidibeneyo. I-100 iintlobo ezahlukeneyo ezikhoyo. Abantu bayo yonke iminyaka, isondo kunye neentlanga banokuhlakulela isifo samathambo. Ngoyena nobangela uphambili wokukhubazeka eMelika. Abantu abadala abangaphezu kwezigidi ezingama-50 kunye nabantwana be-300,000 banohlobo oluthile lwentlungu edibeneyo okanye isifo. Ixhaphakile phakathi kwabasetyhini kwaye iyenzeka ngakumbi njengoko abantu besiya bekhula. Iimpawu ziquka ukuvuvukala, intlungu, ukuqina, kunye nokunciphisa uluhlu lokunyakaza (ROM).
Iimpawu zinokuza kwaye zihambe, kwaye zinokuba buthathaka, ziphakathi, okanye ziqatha. Basenokuhlala befana iminyaka kodwa banokuba mandundu ngokuhamba kwexesha. Kwiimeko ezinzima, kunokubangela intlungu engapheliyo, ukungakwazi ukwenza imisebenzi yemihla ngemihla kunye nobunzima bokuhamba okanye ukunyuka izitebhisi. Inokubangela umonakalo odibeneyo osisigxina kunye notshintsho. Olu tshintsho lusenokubonakala, oko kukuthi, amalungu omnwe we-knobby, kodwa aqhele ukubonwa kuphela kwi-x-reyi. Ezinye iintlobo zesifo samathambo zichaphazela amehlo, intliziyo, izintso, imiphunga nolusu.
by UGqr Alex Jimenez | Arthritis
Ukuguga kweArthritis: Indlela umzimba otshintsha ngayo njengoko iminyaka ihamba ixhomekeke kwindlela umntu atya ngayo, ukwenza umthambo/ukuzilolonga, ufuzo, amanqanaba oxinzelelo, indlela yokulala, kunye nokuzinyamekela. Njengoko umzimba uguga, ukuwohloka kwendalo ukusuka ekunxibeni kwansuku zonke kunye nokukrazula kuya kubakho. Ugxininiso kukuqonda indlela ukuwohloka okunxulumene neminyaka kunokuchaphazela ngayo umzimba kunye nokuba wenze ntoni ukukhusela kunye nokunyanga.
Ukuguga kweArthritis
I-arthritis ibhekisela kukuvuvukala kwamalungu kwaye ngoyena nobangela wezifo ezahlukeneyo ezibandakanya:
Osteoarthritis
Fibromyalgia
Isifo samathambo esosulelayo
IGout - isifo samathambo
Irheumatoid arthritis
Lupus
I-arthritis yabantwana
Ukudumba luphawu nje olunye oludla ngokukhatshwa kukudumba, iintlungu, ukuqina, ukungashukumi, nokungasebenzi kakuhle.
Osteoarthritis
Uhlobo oluqhelekileyo lwe-arthritis yi-osteoarthritis, apho i-cartilage ngaphakathi kwamalungu iqala ukuphuka, kwaye amathambo aqala ukubunjwa kwakhona.
Yaziwa ngokuba sisifo samathambo/ukunxiba kunye nokukrazuka kwamathambo.
Izandla, isinqe, kunye namadolo ngawona malungu achaphazeleka kakhulu.
Olu tshintsho luhlala lukhula kancinci kodwa lube mandundu xa lunganyangwa.
Iimpawu ziquka intlungu enzulu, ukuqina, kunye nokudumba.
Fibromyalgia
I-Fibromyalgia yimeko ebangela iintlungu kwiindawo ezahlukeneyo zomzimba, iingxaki zokulala kunye nokudinwa.
Abantu abane-fibromyalgia banokuvakalelwa ngakumbi kwiintlungu.
Unyango kunye nezicwangciso zokulawula ziyafumaneka ukunceda ukuthomalalisa iimpawu kunye nokubuyisela ukusebenza.
I-Arthritis Eyosulelayo
Isifo samathambo esosulelayo okanye isifo samathambo kubangelwa lusulelo kumalungu.
Iintsholongwane ezisuka komnye ummandla womzimba zinokuhlasela ilungu okanye ulwelo olulijikelezileyo.
Iintsholongwane zinokungena emzimbeni ukusuka kumanxeba avulekileyo, iinaliti, okanye utyando.
Isifo samathambo esosulelayo sikholisa ukubakho kwindawo enye kuphela.
Staphylococcus aureus yibhaktheriya ehlala eluswini olusempilweni kwaye ingunobangela weziganeko ezininzi ezosulelayo zamathambo.
Intsholongwane okanye umngundo nazo zinokuvelisa iimpawu zokudumba kwe-arthritis.
Gout
I-Gout luhlobo oluqhelekileyo lwe-arthritis olubangela ukuvuvukala kunye neentlungu.
Idla ngokuchaphazela ilungu elinye kuphela, ubukhulu becala ubhontsi lwenzwane enkulu.
Iimpawu zinokuqina , yaziwa njenge I flares , kunye namanye amaxesha angenazo iimpawu, aziwa ngokuba uxolelo .
Iziqendu eziphindaphindiweyo zegawuthi zinokuhla zibe isifo samathambo , uhlobo olubi kakhulu lwesifo samathambo.
Irheumatoid arthritis
I-Rheumatoid arthritis sisifo esizimelayo kunye nesokuvuvukala apho amajoni omzimba ahlasela iiseli eziphilileyo, ezibangela ukuvuvukala.
Isifo samathambo sihlasela amalungu amaninzi ngaxeshanye, ngakumbi ezandleni, ezihlahleni, nasemadolweni.
I-Rheumatoid arthritis ibangela ukuba i-joint lining ivuthe kwaye iqalise ukonakalisa izicubu ezikufutshane.
Ukulimala kwezicubu ezinobunzima okanye ezingapheliyo ngokwaneleyo kunokubangela intlungu, iingxaki zokulinganisela, kunye nokukhubazeka okubonakalayo.
I-Rheumatoid arthritis inokuchaphazela amalungu, njengemiphunga, intliziyo kunye namehlo, ngokubangela ukuvuvukala.
Lupus
Lupus sisifo se-autoimmune esichaphazela iinkqubo ezahlukeneyo zomzimba.
Isifo se-autoimmune kuxa amajoni omzimba enza iimpazamo kwizicubu zawo zebhaktiriya, intsholongwane, okanye ifungal intruders kwaye ihlasele.
Iimpawu ze-lupus zingacacanga, nto leyo eyenza kube nzima ukuxilonga isifo.
Esi sifo saziwa ngokuba ngumxelisi omkhulu kuba iimpawu zinokuxelisa ezinye izifo .
Iimpawu ziqala ukusuka komncinci ukuya kubeka ubomi esichengeni.
Ukubona a rheumatologist kucetyiswa, njengoko ziingcali ezinokuxilonga kwaye zinyange isifo samathambo, i-lupus, kunye nezinye izifo ezinxulumene namalungu.
I-Arthritis yabantwana
I-arthritis kubantwana yaziwa ngokuba Ulutsha okanye isifo samathambo .
I-Juvenile idiopathic arthritis/ i-juvenile rheumatoid arthritis yeyona ndlela ixhaphakileyo.
Imeko inokubangela umonakalo odibeneyo wexesha elide onokukhokelela ekukhubazekeni.
Ukuguga kweArthritis kunye neChiropractic Care
Ukunyamekela kwe-Chiropractic kunconywa kunyango lwalo naluphi na uhlobo lwe-arthritis. Ukunyamekela kwe-Chiropractic kunokusebenza kunye nezinye iindlela zonyango zokunciphisa ukuvuvukala nokuvuvukala, ukunciphisa intlungu, nokuphucula ukuhamba kunye nokuguquguquka.
I-chiropractor iya kusebenzisa umfanekiso womzimba ngaphambi kokuqala unyango.
Ukucinga kunika ingqiqo kwimeko yamalungu, kwaye okubonakalayo, kudibaniswa nengxelo yokuzimela evela kumntu, ivumela i-chiropractor ukuba yenze isicwangciso sonyango lomntu.
Nje ukuba i-chiropractor ichonge ukuba zeziphi iindlela umzimba onokuzisebenzisa, unyango luya kuqala olunokubandakanya:
Unyango lokunyanga
I-massage ye-Percussive
omoya
Unyango lwe-elektroniki
Unyango lwelaser olusezantsi olusezantsi
Ubushushu obungapheliyo
Injongo ye-Chiropractor kukulungelelanisa, ukulungelelanisa kunye nokomeleza umzimba, ukunciphisa uxinzelelo okanye uxinzelelo ekudibaneni kwamalungu, kunye nokukhawulezisa ukuphilisa kunye nokubuyisela.
Unyango lweLaser LLT
VIDEO
Ucaphulo
I-Abyad, A, kunye ne-JT Boyer. "I-arthritis kunye nokuguga." Uluvo lwangoku kwi-rheumatology vol. 4,2 (1992): 153-9. doi:10.1097/00002281-199204000-00004
UChalan, uPaulina, kunye nabanye. "I-Rheumatoid Arthritis, Immunosenescence kunye neempawu zokuguga." Inzululwazi yokuguga yangoku vol. 8,2 (2015): 131-46. doi:10.2174/1874609808666150727110744
UGoronzy, uJorg J et al. "Ukuguga komzimba, kunye nesifo samathambo." Iikliniki zezifo zeRheumatic zaseMntla Melika vol. 36,2 (2010): 297-310. doi:10.1016/j.rdc.2010.03.001
Greene, MA, kunye neRF Loeser. "Ukuvuvukala okunxulumene nokuguga kwi-osteoarthritis." I-Osteoarthritis kunye ne-cartilage vol. 23,11 (2015): 1966-71. doi:10.1016/j.joca.2015.01.008
Sacitharan, Pradeep Kumar. "Ukuguga kunye ne-Osteoarthritis." I-sub-cellular biochemistry vol. 91 (2019): 123-159. doi:10.1007/978-981-13-3681-2_6
by UGqr Alex Jimenez | Arthritis , Chiropractic , LweMpilo , impilo , Unyango , I-Viscerosomatic Reflex , Ukuphila
intshayelelo
Umzimba unempendulo yokuzikhusela eyaziwa ngokuba yi-immune system eza kuhlangula xa iziganeko ezibuhlungu okanye ukulimala kuchaphazela iindawo ezithile zomzimba. I inkqubo yomzimba ikhupha ii-cytokines ezivuthayo kwindawo echaphazelekayo kwaye iqala inkqubo yokuphilisa ukulungisa umonakalo ngelixa ikhupha abangeneleli bangaphandle emzimbeni. Ukuvutha inokuba luncedo kwaye ibe yingozi emzimbeni, kuxhomekeke kwindlela ukwenzakala okunokuthi kube nefuthe ngayo kwindawo. Xa ukuvuvukala kuqala kubangela impembelelo kwimisipha ejikelezileyo, iigaments, kunye namalungu, kunokukhokelela kwimiba engapheliyo ehambelana nentlungu. Ukuza kuthi ga ngoku, kubangela ukuba umzimba ungasebenzi kakuhle ngelixa ulingisa ezinye iimpawu. Inqaku lanamhlanje liphonononga indlela iimpendulo ezingapheliyo zokudumba ezichaphazela amalungu, iimpawu ezihambelana nazo, kunye nendlela yokulawula ukudumba okudibeneyo okungapheliyo. Sithumela izigulana kubaboneleli abaqinisekisiweyo abakhethekileyo kunyango oluchasene nokudumba ukunceda abantu abaninzi abajongene nokudumba okungapheliyo kwamalungu. Sikwakhokela izigulana zethu ngokubhekisa kubaboneleli bethu bezonyango abanxulumeneyo ngokusekelwe kuvavanyo lwabo xa kufanelekile. Sifumanisa ukuba imfundo sisisombululo sokubuza ababoneleli bethu imibuzo ecacileyo. UDkt Alex Jimenez DC unikezela ngolu lwazi njengenkonzo yemfundo kuphela. isikhanyeli
Ingaba impendulo engapheliyo yokudumba ichaphazela njani amalungu?
Ngaba ukhe waziva iintlungu kwiindawo ezithile zomzimba wakho? Kuthekani ngokuba nokuthantamisa kwezihlunu zakho? Ngaba amalungu akho abuhlungu xa usenza imisebenzi yemihla ngemihla? Ukuba ubukhe wajongana nale miba, inokuba kungenxa yeempendulo ezingapheliyo zokudumba ezichaphazela amalungu akho e-musculoskeletal. Njengoko bekutshiwo ngaphambili, ukudumba kunokuba luncedo kwaye kube yingozi emzimbeni, kuxhomekeke kubunzima befuthe elithathwe ngumzimba. Kwimo yayo enenzuzo, umzimba wenza kusebenze amajoni omzimba kwaye asuse iintsholongwane kwiibhaktheriya, iintsholongwane, kunye nezinye izinto ezibangela ukusingqongileyo ukukhuthaza ukuphilisa kunye nokulungiswa kwezicubu. Oku kunokwenza indawo echaphazelekayo ibe bomvu kwaye ivuthe, ngaloo ndlela ilungisa iiseli ezonakalisiweyo.
Nangona kunjalo, kwimo yayo eyingozi, izifundo zityhila ukuba iimpendulo ezivuthayo ezingapheliyo ziyakwazi ukuphula ukunyamezela komzimba, kubangela ukuguqulwa okuphawulekayo kuzo zonke izicubu, izitho kunye namalungu. Ukuza kuthi ga ngelo xesha, iziphumo ezishiyekileyo zokudumba okuphezulu kunokubangela ingozi kumalungu kunye ne-cartilage, okwenza ukuba babandakanyeke kwintlungu kunye nokukhubazeka ngexesha. Amalungu anceda ukugcina umzimba uhamba, ujikelezwe ngamathambo adibanisayo anceda ukuzinzisa umzimba; xa iimpendulo ezivuthayo ezingapheliyo ziqala ukuchaphazela amalunga, zinokuba ngumlamli wentlungu kunye nokungahambi kakuhle ngelixa zibangela ukuphazamiseka kwe-musculoskeletal. Uphando lutyhila ukuba ukuvuvukala kwamalungu kunokubangela umonakalo kwi-cartilage kwaye kubangele utshintsho olubi emzimbeni. Oku kubandakanya ukulahleka komsebenzi, ukungazinzi kwamalungu, kunye nezinye iimpawu ezinxulumene nokuvuvukala okungapheliyo.
Iimpawu eziNxulunyaniswe noKudumba okuManyeneyo okungapheliyo
Xa kuziwa ekudumbeni okungapheliyo kwamalungu, kunokulinganisa ezinye iimeko ezingapheliyo ezibonisa ukungazinzi kwamalungu ngelixa zigubungela izifo ezingapheliyo. Oku kwenza ukuxilongwa kube nzima, ngakumbi ukuba umntu ujongene nokudumba kwelinye icala lomzimba wakhe, kodwa kuchaphazela elinye ilungu. Oku kwaziwa ngokuba iintlungu ezibhekisiweyo , yaye izifundo zityhila ukuba ezininzi iifom ezivuthayo ezichaphazela amalungu ngamanye amaxesha zine-arthritis kwaye zineempawu zenkqubo ezinokuthi zenzeke kwiindawo ezahlukeneyo zomzimba. Ezinye ze iimpawu ezinxulumene kunye nokudumba kwamalungu okungapheliyo kunokubandakanya:
Ukuvuvukala
Ubunzima
Izandi zokusila
Ukuhamba nzima
Ubungqina
Ukudibana kwesiphene
Umahluko phakathi kwaMajoyinti aphilileyo kunye neZidibaniselwano ezivuthayo-Ividiyo
VIDEO
Ngaba ujongene neentlungu zamalungu ubomi bakho bonke? Ngaba uziva ukuqina kwemisipha kwiindawo ezithile xa uhamba? Okanye ngaba uziva uthambile izihlunu kwiindawo ezithile? Uninzi lwezi mpawu zinxulunyaniswa nokudumba okudibeneyo, okunokuthi kugqitywe ngeentlungu ze-musculoskeletal. Ividiyo engentla ichaza umahluko phakathi kwamalungu aphilileyo kunye namalungu avuthayo. Amalungu aphilileyo asetyenziswa xa izihlunu ezijikelezileyo zomelele kwaye zisebenza ngelixa kungekho ntlungu ifakwe emzimbeni. Amalungu avuthayo asenokubangelwa zizinto ezininzi ezifana neendlela zokuphila, ukungasebenzi komzimba, okanye iimeko zangaphambili ezinxulumene neentlungu ezidibeneyo ezivuthayo. Uphando lutyhila ukuba i-cytokines evuthayo inokuthi ikhulise ukungahambi kakuhle kwe-musculoskeletal echaphazela izicubu ze-musculoskeletal ezijikeleze amalunga. Ukuza kuthi ga ngelo xesha, ukudumba kwenkqubo ye-musculoskeletal kunokudibana neentlungu ezidibeneyo, ngaloo ndlela kuchaphazele ngokuthe ngqo umgangatho wobomi bomntu. Ngethamsanqa, kukho iindlela zokulawula ukudumba okudibeneyo okungapheliyo kunye nokubuyisela impilo kunye nokuphila komntu.
Ukulawula uKudumba okuManyeneyo okuNgapheliyo
Ekubeni ukuvuvukala kunenzuzo kwaye kuyingozi kumzimba, kukho iindlela ezahlukeneyo zokulawula iimpawu ezivuthayo ezingapheliyo ezibangela intlungu edibeneyo. Abantu abaninzi abafuna ukunciphisa ukudumba kumalungu abo baya kuqala ukufaka iindlela zendalo zokunciphisa iintlungu. Ukutya ukutya okuphezulu kwi-fiber kunokunceda ukunciphisa iimpawu zokuvuvukala, kubandakanywa nemisebenzi yomzimba yokuphucula i-musculoskeletal kunye nokuzinza ngokubambisana kunye nokusebenzisa ukhathalelo lwe-chiropractic. Uphando lutyhila ukuba ukudumba joint ezingapheliyo ezinxulumene neentlungu kuchaphazela ukukwazi komntu ukulala kunye nempilo ngokweemvakalelo. Ukuza kuthi ga ngoku, ukubandakanya unyango lokulawula iziphumo zokudumba kunokuphucula ukusebenza kakuhle komntu. Ngoku ukunakekelwa kwe-chiropractic kunceda njani ukulawula ukuvuvukala okuhlangeneyo okungapheliyo? Ukhathalelo lweChiropractic ibandakanya iindlela zokunciphisa ukudumba ezinceda ukukhulula izihlunu eziqinileyo ezijikeleze amalunga adumbileyo. Ukudumba okudibeneyo kusenokuba ngenxa ukuchukumisa (ukungahambi kakuhle komqolo) ezinxulumene nemiba yokusingqongileyo. Ukusebenzisa ukunakekelwa kwe-chiropractic akugcini nje ukunciphisa iimpawu ezibangelwa ukuvuvukala okuhlangeneyo kodwa kunokunciphisa unobangela wokuvuvukala. Xa umntu sele egqibile unyango lwakhe lwe-chiropractic, banokubuyela kwimisebenzi eqhelekileyo ngaphandle komngcipheko wokulimala kunye nokuvuvukala kwakhona.
isiphelo
Ukuvuvukala emzimbeni kunokuba luncedo kwaye kube yingozi kuxhomekeke kwindawo echaphazelekayo. Umzimba ukhulula i-cytokines evuthayo xa isiganeko esibuhlungu okanye ukulimala senzeke kwiindawo ezithile zomzimba. Oku kubangelwa ukuba amajoni omzimba aphendule ngokwemvelo kwiiseli ezonakalisiweyo, ngaloo ndlela ebangela ukuba indawo ibe bomvu, ishushu, kwaye idumbe ukukhuthaza ukuphilisa. Ukuza kuthi ga ngoku, ukuvuvukala kunokuchaphazela izihlunu ezijikelezileyo, iigaments, kunye namalungu, ezinokukhokelela kwimicimbi engapheliyo ehambelana nentlungu. Ukuvuvukala okuhlangeneyo okungapheliyo yimiphumo eseleyo yokuvuvukala ephezulu eyenza umonakalo kwi-cartilage kunye nezakhiwo ezidibeneyo, ngaloo ndlela zibenza babandakanyeke kwiintlungu kunye nokukhubazeka okunokwenzeka. Ngethamsanqa, unyango olufana ne-fiber ephezulu kunye nokutya okuchasayo, ukufumana umthambo owaneleyo, kunye nokunyamekela kwe-chiropractic kunokunceda ukulawula ukuvuvukala okungapheliyo kunye neempawu zentlungu ezinxulumene nazo. Ngale ndlela, abantu abaninzi banokuphinda baqalise imisebenzi yabo eqhelekileyo.
Ucaphulo
UFurman, uDavid, et al. "Ukudumba okungapheliyo kwi-Etiology yeSifo kulo lonke ixesha loBomi." Nature Medicine , ILayibrari yeSizwe yezeMithi yase-US, ngoDisemba 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC7147972/ .
UKim, Yeesuk, et al. "Uxilongo kunye noNyango lweZifo eziManyeneyo eziKhulekayo." Ihip kunye nePelvis , Korean Hip Society, Dec. 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5729162/ .
Lee, uYvonne C. "Isiphumo kunye noNyango lweeNzululwazi eziNgapheliyo kwi-Arthritis eKhulayo." Iingxelo zangoku zeRheumatology , ILayibrari yeSizwe yezeMithi yase-US, uJanuwari 2013, www.ncbi.nlm.nih.gov/pmc/articles/PMC3552517/ .
Poudel, Pooja, et al. "I-Arthritis evuthayo-i-Statpearls-ithala leencwadi le-NCBI." Ku: StatPearls [Internet]. Isiqithi saseTreasure (FL) , iStatPearls Publishing, 21 Epreli 2022, www.ncbi.nlm.nih.gov/books/NBK507704/ .
Puntillo, Filomena, et al. "I-Pathophysiology ye-Musculoskeletal Pain: Uphononongo oluBalisayo." Inkqubela phambili yoNyango kwiSifo se-Musculoskeletal , SAGE Publications, 26 Feb. 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC7934019/ .
isikhanyeli
by UGqr Alex Jimenez | Arthritis , Chiropractic , Ubuhlungu obungapheliyo , LweMpilo , I-Hip Pain kunye nokuphazamiseka , Unyango , I-Viscerosomatic Reflex , Ukuphila
intshayelelo
Izinqe ezisezantsi zomzimba zinceda ukuzinzisa ubunzima besiqingatha esiphezulu ngelixa unikezela ukunyakaza kwisiqingatha esisezantsi. I ikhefu kwakhona vumela umzimba ukuba ujije, ujike, kwaye ugobe umva naphambili. Amalungu e-hip adibanisa ngaphakathi kwithambo le-pelvic, ngelixa ithambo le-pelvic lidibene ne-sacroiliac joint, edibanisa nomqolo. Nini ukonakala kwendalo ichaphazela amalungu njengoko ubudala bomzimba, imiba efana neentlungu ze-hip kunye ne-osteoarthritis ehambelana nayo low iqolo kwenzeka, kubangela ukuba kuvele iimpawu ezahlukeneyo emzimbeni. Inqaku lanamhlanje lijonga i-osteoarthritis, indlela eyichaphazela ngayo isinqe, kunye nendlela yokulawula i-hip osteoarthritis. Sithumela izigulane kubaboneleli abaqinisekisiweyo abakhethekileyo kunyango lwe-musculoskeletal ukuze bancede abo banentlungu ye-hip kunye ne-osteoarthritis. Sikwakhokela izigulana zethu ngokubhekisa kubaboneleli bethu bezonyango abanxulumeneyo ngokusekelwe kuvavanyo lwabo xa kufanelekile. Sifumanisa ukuba imfundo sisisombululo sokubuza ababoneleli bethu imibuzo ecacileyo. UDkt Alex Jimenez DC unikezela ngolu lwazi njengenkonzo yemfundo kuphela. isikhanyeli
Yintoni iOsteoarthritis?
Ngaba ukhe wafumana iintlungu ezinqeni okanye ezantsi kumqolo? Kuthekani ngokuqina kwezihlunu kufutshane negroin? Ngaba iimpawu ezinxulumene ne-sciatica zibonakala zivutha kufuphi nezinqe zakho kunye nomva womlenze wakho? Uninzi lwezi mpawu luphawu lokuba unokuba semngciphekweni wokuphuhlisa i-osteoarthritis kufuphi nesinqe sakho. Ngelixa i-arthritis ibhekiselele ekudumbeni kwamalungu omzimba, i-osteoarthritis luhlobo lwe-arthritis olubangela ukuwohloka kwe-cartilage edibeneyo, ibangele intlungu kunye nokulahleka komsebenzi. Nangona kukho amakhulu amaninzi eentlobo ze-arthritis, osteoarthritis yenye yezona ntlobo zixhaphakileyo abantu abaninzi, ingakumbi abadala abadala, abachatshazelwayo. Njengoko umzimba ukhula ngokwemvelo ngeminyaka yobudala, ukulungiswa kokulimala kuqala ukucotha, kwaye i-cartilage (izicubu ezixhamlayo ezikhusela amathambo omnye komnye) ziya kuqala ukuncipha, zibangele ukuxubha amathambo kunye, kubangela ukuvuvukala kwenzeke, i-bone spurs, kunye neentlungu ezingenakuthintelwa. I-osteoarthritis idla ngokudityaniswa nobudala kwaye kunjalo izinto ezininzi njengezinto ezinokonyusa umngcipheko wokuphuhlisa i-osteoarthritis ziquka:
Ngesondo
ubudala
ukutyeba
Ukulimala kwamalungu
Genetics
Ukukhubazeka kwamathambo
Izichaphazela Njani Iinyonga?
Ekubeni i-osteoarthritis ichaphazela amalungu, ingaba yintoni impembelelo kwi-hips? Xa imiba yezempilo ichaphazela umzimba, inokubangela ukuba iimpawu ezibuhlungu zibe nzima ngakumbi kwaye zibe ngumngcipheko wokuphuhlisa intlungu ye-hip. Uphando lutyhila ukuba intlungu ye-hip ixhaphake kubo bonke abantu abadala kunye namanqanaba omsebenzi kwiindawo zangaphambili, ezisecaleni, okanye ezisemva kufuphi ne-hip.
Intlungu ye-hip yangaphambili : Oonobangela iintlungu ezibhekisiweyo (intlungu eviwayo kwindawo enye yomzimba kodwa eneneni ikwindawo eyahlukileyo) enxulumene neenkqubo zangaphakathi zamalungu.
Intlungu ye-hip ecaleni : Ibangela intlungu yokugqoka kunye nokukrazula kwizicubu ezithambileyo zemisipha emacaleni ezinqeni.
Intlungu ye-hip yangasemva : Oonobangela iintlungu ezibhekisiweyo ezinxulumene ne-lumbar spinal pathology njenge-sciatic nerve entrapment ehambelana nesifo esinzulu se-gluteal syndrome.
Yonke le miba echaphazela i-hips ihamba kunye nemiba eyahlukeneyo ehambelana ne-osteoarthritis. Xa iintlungu ze-hip zisuka kwi-osteoarthritis, izinto ezinjengomsebenzi omncinci womzimba okanye ukunyakaza okuncinci ngelixa uphumle ebhedini kunokuba mandundu ngenxa yokuba amalungu e-hip anentshukumo encinci okanye ethintelweyo. Uphando lutyhila ukuba iintlungu ze-hip zihambelana nokukhubazeka okuhamba okulula okwenza kube nzima ukuxilonga ngenxa yeentlungu ezigqithisiweyo ezivela kumqolo, amadolo, okanye nakwindawo ye-groin.
I-hip osteoarthritis idibana njani neentlungu ze-groin? Uphando lutyhila ukuba xa umntu ejongene ne-hip osteoarthritis, iintlungu ze-groin kunye neempundu zixhaphake kakhulu. Umdibaniso we-hip usemva kwe-groin muscle, yiyo loo nto intlungu ye-groin idlula kunye neentlungu ze-hip njengengcambu. Iintlungu ze-Hip kunye ne-groin zinokubandakanyeka kunye neentlungu eziphumayo eziya emadolweni emzimbeni.
Ukuzivocavoca kwi-Hip Osteoarthritis- Ividiyo
VIDEO
Ngaba unengxaki yesinyi? Kuthekani ngokuqina kufutshane okanye malunga nesinqe sakho kunye nendawo ye-groin? Ngaba imiba efana neentlungu ezisezantsi kunye ne-sciatica? Ukuhlangabezana nale miba kunokuba yimiqondiso ye-hip osteoarthritis echaphazela umzimba wakho ophantsi. Uphando lutyhila ukuba i-hip osteoarthritis ingumthombo obalulekileyo wokugula, intlungu, ukungahambi kakuhle, kunye nokukhubazeka okusebenzayo okunokuthi kubandakanyeke neminye imiba. Ngethamsanqa, kukho iindlela zokulawula i-hip osteoarthritis, njengoko le vidiyo ingasentla ibonisa imithambo esibhozo ye-hip osteoarthritis. Imithambo ethile iyashukuma kubantu abane-hip osteoarthritis banokunceda ukuqinisa imisipha ejikelezayo ejikeleze amalunga ngelixa ukwandisa ukuhamba kwamalungu ukunciphisa intlungu kunye nokuqina. Ukuzilolonga kunokuba luncedo kumntu ngamnye njengoko kunokubonelela:
Ukwandisa ukuhamba kwegazi
Gcina ubunzima
Ibonelela ngamandla amandla
Ukuphucula ukulala
Ikhuthaza ukunyamezela kwemisipha
Olunye unyango olukhoyo lunceda ukulawula i-hip osteoarthritis ngelixa unciphisa iimpawu ezichaphazela umzimba.
Ukulawula Intlungu ye-Hip Osteoarthritis
Abantu abaninzi abane-hip osteoarthritis bazama ukufumana iindlela zokuthomalalisa iintlungu. Nangona bengenakwenza nantoni na ukuthintela ukunxiba kunye nokukrazula kumalungu ngokupheleleyo, kukho iindlela zokunciphisa inkqubo kunye nokulawula i-hip osteoarthritis emzimbeni. Utshintsho oluncinci olufana nokubandakanya ukutya lunokunciphisa iziphumo ezivuthayo kumalungu ngelixa ubonelela ngezondlo emzimbeni. Ulawulo lokuzivocavoca lunokunceda ukuqinisa izihlunu ezibuthathaka ezixhasa amajoyina ngelixa ukwandisa ukuhamba kunye noluhlu lokuhamba. Unyango olufana ne-spinal traction kunye nokhathalelo lwe-chiropractic kuphelisa iintlungu kunye nokuqina kokuphazamiseka kwamalungu afana ne-osteoarthritis. Ukhathalelo lweChiropractic lubonelela ngokuguqulwa komqolo kumqolo kunye namalungu ukuze ahlengahlengiswe. Ngelixa i-spinal traction inceda ii-discs ezicinezelekileyo zibeka uxinzelelo kwiimbilini ezijikelezayo ezinxulumene neentlungu ze-hip. Ukudibanisa nayiphi na kwezi kunokunceda ukucotha ukuqhubela phambili kwe-hip osteoarthritis kunye nokubuyisela ukuhamba kwi-hip.
isiphelo
Izinqe zibonelela ngokuzinza kwiindawo eziphezulu nezisezantsi zomzimba. Ngelixa uxhasa ubunzima besiqingatha esingaphezulu kunye nokunyakaza ukuya kwisiqingatha esisezantsi, izinqe ziyakwazi ukugoba ukunxiba kunye nokukrazula emzimbeni. Xa amalunga e-hip aqala ukugqoka kunye nokukrazula ngokukhawuleza, kunokukhokelela ekuqhubeni kwe-hip osteoarthritis, apho i-cartilage yamalungu iqala ukubangela ukuba amathambo adibanise omnye nomnye, abangele ukuvuvukala. I-Hip osteoarthritis yenza ukuxilongwa kube nzima ngenxa yokuba iintlungu ezigqithisiweyo ezivela kumnqonqo, amadolo, okanye indawo ye-groin zidlula iimpawu. Yonke into ayilahlekanga, njengoko kukho unyango olukhoyo lokulawula i-hip osteoarthritis enokunceda ukucothisa inkqubela phambili yesi sifo kunye nokubuyisela ukuhamba kwesiqingatha esisezantsi somzimba.
Ucaphulo
Ahuja, Vanita, et al. "Intlungu engapheliyo ye-Hip kubantu abadala: ulwazi lwangoku kunye nekamva elilindelekileyo." Ijenali ye-Anaesthesiology, iClinical Pharmacology , Wolters Kluwer-Medknow, 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC8022067/ .
Chamberlain, uRakeli. "Intlungu ye-Hip kubantu abadala: uVavanyo kunye nokuxilongwa okwahlukileyo." Ugqirha wezeMerika waseMerika Ngomhla woku-15 kaJanuwari 2021, www.aafp.org/pubs/afp/issues/2021/0115/p81.html .
Khan, AM, et al. "I-Hip Osteoarthritis: Iphi Intlungu?" Iingxelo zeRoyal College of Surgeons yaseNgilani , ILayibrari yeSizwe yaseMelika yoNyango, Mar. 2004, yentshutshiso.ncbi.nlm.nih.gov/15005931/ .
UKim, uChan, et al. "Ukudityaniswa kweentlungu ze-Hip kunye nobungqina beRadiographic ye-Hip Osteoarthritis: iSifundo soVavanyo lokuxilonga." I-BMJ (uPhando lwezonyango u-Ed.) , BMJ Publishing Group Ltd., 2 Dec. 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4667842/ .
USen, uRouhin, kunye noJohn A Hurley. "I-Osteoarthritis-Statpearls-i-NCBI Bookshelf." Ku: StatPearls [Internet]. Isiqithi saseTreasure (FL) , iStatPearls Publishing, 1 May 2022, www.ncbi.nlm.nih.gov/books/NBK482326/ .
isikhanyeli
by UGqr Alex Jimenez | Arthritis , Chiropractic , Ubuhlungu obungapheliyo , LweMpilo , impilo , Unyango , I-Viscerosomatic Reflex , Ukuphila
intshayelelo
Abantu abaninzi baye bajongana nemiba echaphazela ubomi babo ngandlel’ ithile okanye ngendlela ethile. Abantu abane izifo kufuneka bafunde ukuphatha inkqubo yomzimba ukusuka rhoqo ukuhlasela imizimba yabo ukuze isebenze ngokuqhelekileyo. Umsebenzi ophambili wamajoni omzimba kukuhlasela izinto ezisingqongileyo ezonakalisa iiseli, izihlunu kunye namalungu. Xa umntu enesifo se-autoimmune, nokuba sisuka kwimbali yosapho lwakhe okanye imeko yokusingqongileyo, amajoni akhe omzimba aya kuqala ukuhlasela iiseli eziqhelekileyo zomzimba kuba ecinga ukuba ngumhlaseli wangaphandle emzimbeni. Ezinye iingxaki eziqhelekileyo ze-autoimmune abantu abaninzi abanazo ziquka i-lupus, i-ankylosing spondylitis , kunye nesifo samathambo. Uninzi lwezi ngxaki ziqhelekileyo ze-autoimmune zihambelana neempawu eziqhelekileyo ezongeza kweminye imiba echaphazela umzimba. Inqaku lanamhlanje lijonga isifo samathambo, iimpawu zayo, indlela esidibana ngayo nokudinwa, kunye nokuba lukhona njani unyango olukhoyo lokulawula isifo samathambo kunye nokudinwa. Sithumela izigulane kubaboneleli abaqinisekisiweyo abakhethekileyo kunyango lwe-musculoskeletal ukuze bancede abo baphethwe yi-rheumatoid arthritis kunye nokukhathala. Sikwakhokela izigulana zethu ngokubhekisa kubaboneleli bethu bezonyango abanxulumeneyo ngokusekelwe kuvavanyo lwabo xa kufanelekile. Sifumanisa ukuba imfundo sisisombululo sokubuza ababoneleli bethu imibuzo ecacileyo. UDkt Alex Jimenez DC unikezela ngolu lwazi njengenkonzo yemfundo kuphela. isikhanyeli
Yintoni i-Rheumatoid Arthritis?
Ngaba ubuziva ukuqina kunye nokudumba malunga namalungu akho? Ngaba ukhe wahlangabezana nemiba yamathumbu echaphazela ubomi bakho? Okanye ngaba iingxaki zokungalali okanye ukudinwa zibonakala ziwuchaphazela umgangatho wobomi bakho? Uninzi lwezi mpawu zidibene ne-rheumatoid arthritis. I-Rheumatoid arthritis sisifo esizimelayo esibangela ukuvuvukala kunye nokudumba kumalungu. Ividiyo engentla ichaza indlela yokulawula i-rheumatoid arthritis kunye neempawu ezinxulumene nayo. Ukukhathala yenye yeempawu ezinxulumene ne-rheumatoid arthritis njengoko i-cytokines evuthayo inokuba yi-co-morbidity ekuguquleni ukusebenza kwengqondo okunokukhokelela ekugqithiseni intlungu kunye nokudinwa emzimbeni, njengoko izifundo zityhila . Nangona akuzange kubekho unyango lwe-rheumatoid arthritis, iindlela ezahlukeneyo zonyango zinokunceda abantu balawule iimpawu ze-rheumatoid arthritis.
Iimpawu
Ezinye zezona mpawu zixhaphakileyo ze-rheumatoid arthritis ezenza emzimbeni ziquka intlungu, ukudumba kunye nokudumba kwamalungu, ukukhubazeka kwamalungu, kunye nokuqina. Ngokungafaniyo nomonakalo owenziweyo ovela kwiindidi ezahlukeneyo zemiba eqhelekileyo yokuvuvukala, iimpawu ze-rheumatoid arthritis zinokuza kwaye zihambe ezinokusuka kwizinto ezithambileyo, eziphakathi, okanye ezinzima. Xa oku kusenzeka, i-rheumatoid arthritis ingaba ngumphumo wokwenza kube nzima ukwenza imisebenzi elula kwaye ibangele ukuguqulwa kwamalungu. Uphando lubonisa ukuba i-rheumatoid arthritis ehambelana nokudumba inokonakalisa amalungu ahlukeneyo omzimba njengethumbu. Iingxaki zesisu esifana nokuvuza kwamathumbu, i-IBS, okanye i-SIBO zinokubangela ukugqabhuka kwabantu abane-rheumatoid arthritis. Oku kwaziwa ngokuba i-somato-visceral intlungu, apho izihlunu zichaphazela izitho ezibalulekileyo, ezibangela iingxaki kumzimba.
Ukudinwa kunxulumana njani neRA?
Abantu abane-rheumatoid arthritis baphathwa ziimpawu ezahlukeneyo ezinxulumene nemiba yokuvuvukala. Xa ukuvuvukala kuqala ukuchaphazela umzimba, kunokugqithisa iiprofayili zokukhathala kunye nomgangatho ophantsi wobomi kumntu ngamnye. Ke ukukhathala kuhambelana njani ne-rheumatoid arthritis? Uphando lutyhila ukuba ukudinwa kuthathwa njengenye yeempawu ezibukhali ze-rheumatoid arthritis ebeka umthwalo kubantu ngabanye, ngaloo ndlela inxulunyaniswa nokunciphisa impilo kunye nempilo yabo. Ukudinwa kunemilinganiselo emininzi echaphazela abantu abaninzi. Abanye abantu baya kucacisa koogqirha babo abaphambili ukuba bahlala bediniwe, besebenza kakhulu, kwaye becinezelekile ngokuphindaphindiweyo kubomi bemihla ngemihla okanye ukuphazamiseka okuchaphazela imizimba yabo. Kubantu abanesifo samathambo, izifundo zityhila ukuba izinto eziphezulu zokudumba ezinxulumene nokudinwa zinokubenza bazive bediniwe. Oku kunxulumene nabantu abanengxaki yokuphuthelwa kwezinye iimeko.
Ukulawula I-Rheumatoid Arthritis-Ividiyo
VIDEO
Ngaba ubuziva ukuqina kunye nokudumba malunga namalungu akho? Ngaba ukhe wahlangabezana nemiba yamathumbu echaphazela ubomi bakho? Okanye ngaba iingxaki zokungalali okanye ukudinwa zibonakala ziwuchaphazela umgangatho wobomi bakho? Uninzi lwezi mpawu zidibene ne-rheumatoid arthritis. I-arthritis ye-Rheumatoid sisifo esingapheliyo somzimba esibangela ukuvuvukala kunye nokudumba kumalungu. Ividiyo engentla ichaza indlela yokulawula i-rheumatoid arthritis kunye neempawu ezinxulumene nayo. Ukukhathala yenye yeempawu ezinxulumene ne-rheumatoid arthritis njengoko i-cytokines evuthayo inokuba yi-co-morbidity ekuguquleni ukusebenza kwengqondo okunokukhokelela ekugqithiseni intlungu kunye nokudinwa emzimbeni, njengoko izifundo zityhila . Nangona akuzange kubekho unyango lwe-rheumatoid arthritis, iindlela ezahlukeneyo zonyango zinokunceda abantu balawule iimpawu ze-rheumatoid arthritis.
Unyango Kuba RA & Ukudinwa
Nangona akuzange kubekho unyango lwe-rheumatoid arthritis, kukho iindlela zokulawula iimpawu ezinxulumene ne-rheumatoid arthritis. Ukutya ukutya okutyebileyo okuchasene nokudumba kunokuthoba isiphumo sokudumba kumalungu. Enye indlela ngelixa umthambo unokunceda ukukhulula amalungu aqinileyo kwaye ubuyisele amandla emisipha, ngaloo ndlela ubuyisela ukunyakaza kwamalungu. Unyango olufana nokhathalelo lwe-chiropractic lunokubonelela ngesiqabu kwiintlungu kunye nolawulo kubantu abajongana ne-rheumatoid arthritis. Ukhathalelo lweChiropractic lubandakanya iindlela zonyango ezingasebenziyo kunye nezisebenzayo kwi-rheumatoid arthritis kunye nokukhathala. I-Chiropractors isebenzisa uhlengahlengiso lomqolo kunye nokunyanzeliswa ngesandla ukuze kuncitshiswe ukungahambi kakuhle okanye ukunyanzeliswa komgudu. Ukhathalelo lweChiropractic lunokunceda ngeempawu ezininzi ezinjengokukhathala okuhambelana ne-rheumatoid arthritis ngaphandle konyango oluhlaselayo okanye amayeza. Ukhathalelo lweChiropractic lunokuphucula ukusebenza kwamathambo, amalungu, kunye nenkqubo yemithambo-luvo emzimbeni.
isiphelo
I-Rheumatoid arthritis sisifo esingapheliyo sokuvuvukala okubangela ukuqina kwamalungu kunye nokuvuvukala. Unobangela wesi sifo esizimelayo asaziwa. Nangona kunjalo, izinto ezinjengoxinzelelo, imiba yamathumbu, kunye nokutyeba kakhulu zinxulunyaniswa neempawu ezinjengokukhathala, ukuvuza amathumbu, ukuqina kwemisipha, kunye nomgangatho wobomi obuhlwempuzekileyo kunokubandakanyeka kwi-rheumatoid arthritis. Unyango olufana nokutya ukutya okuchasene nokudumba, ukwenza umthambo, kunye nokhathalelo lwe-chiropractic lunokunceda ukulawula imiba yokukrala ebangela isifo samathambo kwaye inokunciphisa iziphumo zokudinwa emzimbeni, ngaloo ndlela icothisa ukuqhubeka kunye nokubuyisela umgangatho wobomi bomntu.
Ucaphulo
Chauhan, Krati, et al. "I-Rheumatoid Arthritis-Statpearls-ithala leencwadi leNCBI." Ku: StatPearls [Internet]. Isiqithi saseTreasure (FL) , iStatPearls Publishing, 30 Epreli 2022, www.ncbi.nlm.nih.gov/books/NBK441999/ .
Korte, S Mechiel, kunye noRainer H Straub. "Ukukhathala kwi-Inflammatory Rheumatic Disorders: Iindlela zePathophysiological." IRheumatology (eOxford, eNgilani) , Oxford University Press, 1 Nov. 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6827268/ .
Pope, uJanet E. “Ulawulo lokudinwa kwiRheumatoid Arthritis.” Vula i-RMD , IQela loPapasho leBMJ, ngoMeyi 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC7299512/ .
Santos, Eduardo JF, et al. "Impembelelo yokukhathala kwi-Rheumatoid Arthritis kunye neMingeni yoVavanyo lwayo." IRheumatology (eOxford, eNgilani) , Oxford University Press, 1 Nov. 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6827262/ .
Abasebenzi, iKliniki yaseMayo. "Irheumatoid arthritis." Clinical Mayo , Isiseko seMayo seMfundo yezoNyango noPhando, nge-18 kaMeyi 2021, www.mayoclinic.org/diseases-conditions/rheumatoid-arthritis/symptoms-causes/syc-20353648 .
isikhanyeli
by UGqr Alex Jimenez | Arthritis , Ukutya
I-Spondylitis Anti-Inflammation Diet : Abantu abaneentlungu ezingapheliyo ezibuhlungu banokucetyiswa ukuba babe nee-vertebrae ezimbini okanye ngaphezulu ezidityanisiweyo ukulungisa ingxaki / kunye nokunciphisa intlungu. Nangona kunjalo, ifom ye ukudumba kwamathambo omqolo inokubangela ukuba i-vertebrae idibanise ngokwayo, eyaziwa ngokuba yi-ankylosing spondylitis. Enye indlela ecetyiswayo yokuzisa isiqabu kwiintlungu kukutya ukutya okuchasene nokudumba. Uphononongo lubonise ukuba ukutya okunokuvuvukala okuncinci kunokunceda ukuphucula spondylitis iimpawu.
I-Spondylitis Anti-Inflammation Diet
I-Ankylosing spondylitis sisifo esiqhubekayo sokuvuvukala esichaphazela ngokukodwa umqolo; nangona kunjalo, iimpawu zomntu ngamnye ziyahluka . Iimpawu ziquka ukuqina kunye nentlungu entanyeni, ezinqeni, umva ophantsi, kunye nokukhathala. Ayikho intsingiselo yepateni ecacileyo:
Iimpawu zinokuphucuka.
Iimpawu zinokuba mandundu okanye zigqabhuke.
Iimpawu zinokuyeka ixesha elithile.
Abasetyhini bachaphazeleka rhoqo kunamadoda ngaphandle konobangela waziwayo . Alukho unyango lwe-ankylosing spondylitis, kodwa unyango kunye nokuzinyamekela kunokucothisa ukuqhubeka kwesi sifo kwaye kuncede ukulawula iimpawu.
Ukutya kunye noKudumba
Ukutya akusiyo ingcambu yesifo sokuvuvukala, kodwa ukutya ukutya okubangela ukudumba zinokuzenza zibe mandundu iimpawu. Ukunciphisa ukuvuvukala kunokuncedisa ukunciphisa intlungu.
Ukuphelisa ukutya okubangela okanye ukwandisa ukuvuvukala kunconywa ukunceda umzimba ube namandla kwaye ulawule iimpawu.
Enye indlela kukudibanisa spondylitis anti-ukudumba ukutya .
Iingcali zonyango ezisebenzayo inokunceda ukukhokela abantu ekwandiseni ukutya okunempilo kunye nokuyisebenzisa ukunciphisa iintlungu kunye neempawu.
Ukuba umntu unemfuza, ukutya kwakhe kunokubaluleka ukuthomalalisa iimpawu kwaye uncede ukuguqula isifo se-autoimmune.
Ukutya okuchasene nokudumba kwe-spondylitis kufuneka kutyebe kwimifuno, iziqhamo, iinkozo, kunye ne-omega-3 fatty acids. Ubungqina bubonisa ukuba ukutya okuphantsi kwesitatshi kunokukhokelela ekusebenzeni kancinci kwe-spondylitis ye-ankylosing. Isitatshi esisezantsi sinokunceda ukunciphisa ubukho be Klebsiella pneumoniae , ibhaktheriya eyondla kwi-starch kwaye yinto eyaziwayo yokuqala kunye nophuhliso lwe-spondylitis ye-ankylosing.
Ukutya okuKutyiweyo
Imifuno eluhlaza
Ezi ziquka isipinatshi, i-kale, i-Swiss chard, kunye ne-collard eluhlaza equlethe magnesium kwaye polyphenols oko kunciphisa ukudumba.
Ezi zinokuba zikrwada okanye ziphekwe ngegalikhi kunye neoyile yomnquma eyongeziweyo ukuze kwandiswe inzuzo.
Imifuno yeCruciferous
Ezi ziqulathe sulforaphane, i antioxidant oko kubandakanya ikholifulawa ye-broccoli kwaye inokutyiwa ikrwada okanye iphekwe, yosiwe ngeoyile yomnquma, igalelwe i-sauteed, kunye ne-stir-fried.
Imifuno yeAllium
Ezi ziqulethe iikhompawundi zesulfuric kunye iquercetin, a i-flavonoid oko kunceda ukunciphisa ukuvuvukala.
Ezi ziquka itswele elibomvu nelityheli, iiliki, ikonofile, neshallots.
Zinokutyiwa zikrwada okanye ziphekwe kwiisaladi, kwi-stir-fry, kunye neesandwich.
Iibhere
Ezi ziqulathe i-anthocyanin, i-antioxidant flavonoid, kunye nezinye i-antioxidants kunye ne-polyphenols ezinceda ukuvutha.
Ezi ziquka amaqunube, amaqunube, amaqunube, amaqunube amnyama kwaye angatyiwa ekrwada, kwi-smoothies, kwiisaladi, kunye ne-oatmeal, okanye axutywe kwiyogathi engenasweet.
Fruits
Iziqhamo ezithile ziqulethe i-quercetin kunye ne-polyphenols ukunceda ukuvuvukala.
Ezi ziquka ii-apile, i-cherries, iiorenji.
Iioli ezisempilweni
Qinisekisa ioleocanthal esebenza ngokufana namayeza achasene nokudumba kunye ne-antioxidant eyahlukeneyo.
Ezi ziquka ioli ye-olive yokupheka ubushushu obuphantsi kunye ne-oyile yeeavokhado ekuphekeni ubushushu obuphezulu endaweni yebhotolo kunye nemajarini.
Inokunikwa kwiimpahla zokunxiba kwaye igalelwe ukutya.
Amantonga kunye nembewu
Ezi ziqulathe i-alpha-linolenic acid , oluluhlobo lwe-omega-3 fatty acid.
Imizekelo ibandakanya i-walnuts, i-almonds, i-peanuts, i-pistachios, imbewu ye-chia, kunye ne-flaxseeds yomhlaba.
Ezi zinokuhanjiswa njengee-snacks, iisaladi, ezixutywe kwisitya esisecaleni, ukuthambisa, okanye ukongeza kwiyogathi engenaswekile okanye ioatmeal.
Iintlanzi ezinamafutha
I-Omega-3 fatty acids inceda ukunciphisa ukuvuvukala.
Imizekelo ibandakanya isalmon, cod, rainbow trout, mackerel, kunye nesardadi.
Ezi zinokubhakwa, zigcadwe, zosiwe, zixutywe kwiisaladi, kwaye ziqhotse.
Kuphephe Oku Kutya
Xa uhlengahlengisa indlela yokuphila kwi-spondylitis ukutya okuchasene nokudumba , gxininisa ekunciphiseni okanye ekususeni ukutya okucutshungulweyo kunye namafutha ahluthayo . Ezi ziquka:
Iiswekile ezivela kuyo yonke imithombo efana nesoda, iziselo ezineswekile, ishukuma, iilekese, kunye nezimuncumuncu.
Amafutha eTrans, afana nalawo akukutya okuqhotsiweyo okufana neetships kunye neefries.
Isitatshi, ezifana nezifumaneka kwiitapile.
Icarbohydrates ecocekileyo, iinkozo ezicutshungulweyo eziquka isonka esimhlophe, kunye namaqebengwana.
Inyama ebomvu.
Abanyolukile.
Zobisi.
Amaqanda.
Abantu banokungabi nazimpawu ngokutya okuthile, kodwa oko akuthethi ukuba ukutya kufuneka kutyiwe. I-gluten, ubisi, kunye namaqanda zinokubangela iingxaki ezinokuthi zibekho njengoko zibeka esichengeni amathumbu kunye namajoni omzimba. Ezi zinto zinokubuyisela umva ukuphiliswa okanye uxolelo lomntu.
UkuBumbiswa kweBhunga
VIDEO
Kwenzeka Ntoni Emzimbeni Xa Kutyiwa Isiqhamo
Isiqhamo senziwe ngeswekile elula ebizwa fructose , ukubonelela umzimba ngomthombo wamandla wecarbohydrate. Iswekile yendalo umzimba uyifumana kwiqhekeza lesiqhamo ayifani nefructose esetyenzisiweyo yongezwa kwiimveliso ezicutshungulwayo ezifana isiraphu yengqolowa ye-fructose . Iimveliso ezicutshungulwayo zihlala zizaliswe ngeekhalori ezingenanto kunye nesondlo esincinci kakhulu. Xa umzimba uneziqhamo, isibindi siqhuba i-fructose ngaphambi kokuba ifunxwe ngamathumbu amancinci. Research ibonisa ukuba ukubeka amathumbu kukutya okutyebileyo kwefayibha ngakumbi njengeziqhamo kunceda amathumbu ukuba afezekise imeko echasene nokutyeba ngokwandisa ibhaktheriya elungileyo kunye nokunciphisa ukutyeba. iibhaktheriya ezityebileyo . Izakhamzimba ezingundoqo ezisuka kwiziqhamo ziquka:
Ifayile
Vitamin C
Vitamin B1
The USDA icebisa ukuba kwenziwe isiqingatha sesidlo/ipleyiti nganye ibe sisiqhamo nemifuno.
Ucaphulo
UPapasho lwezeMpilo lwaseHarvard. (NgoNovemba 16, 2021) “Ukutya Okulwa Nokudumba.” www.health.harvard.edu/staying-healthy/foods-that-fight-inflammation
Macfarlane, Tatiana V et al. "Ubudlelwane phakathi kokutya kunye ne-ankylosing spondylitis: uphononongo olucwangcisiweyo." Ijenali yaseYurophu ye-rheumatology vol. 5,1 (2018): 45-52. doi:10.5152/eurjrheum.2017.16103
Nielsen, Forrest H. "Ukunqongophala kweMagnesium kunye nokwanda kokuvuvukala: iimbono zangoku." Ijenali yophando lokudumba vol. 11 25-34. NgoJanuwari 18 2018, doi:10.2147/JIR.S136742
URashid T, uWilson C, u-Ebringer A. Ikhonkco phakathi kwe-Ankylosing Spondylitis, i-Crohn's Disease, i-Klebsiella, kunye ne-Starch Consumption. UClin Dev Immunol. 2013;2013:872632. doi: 10.1155/2013/872632.
Sharma, Satya P et al. "Iimpembelelo eziPhakamisayo zeSiqhamo ekutyebeni kakhulu." Izondlo vol. 8,10 633. 14 Okt. 2016, doi:10.3390/nu8100633
van Buul, Vincent J et al. "Iingcamango ezingezizo malunga neeswekile ezinefructose kunye nendima yazo kubhubhani wokutyeba." Uphononongo lophando lwezondlo vol. 27,1 (2014): 119-30. doi:10.1017/S0954422414000067
by UGqr Alex Jimenez | Arthritis
I-arthritis ingaba sisifo esiphazamisayo esiphazamisa ubomi bemihla ngemihla. Kukho ngaphezu kwe-20% yabantu abadala abaneminyaka eyi-65 nangaphezulu abane-arthritis kunye nazo zonke iimpawu ezifana neentlungu, ukuqina, ukudumba, kunye nokunciphisa uluhlu lwentshukumo. Awona malungu achaphazeleka kakhulu abandakanya amagxa, izandla, umqolo, isinqe, namadolo. I-arthritis ivela kumonakalo kwi-cartilage edibeneyo evela kwizinto ezahlukeneyo ezifana nobudala, ukuguga, ukukrazula, ukwenzakala, ukutyeba kakhulu, kunye nesifo. Ngelixa amayeza kunye notyando lukhetho oluqhelekileyo lonyango, i-chiropractor ye-arthritis inokunika i-conservative, indalo, inketho engabonakaliyo yokulawula iimpawu.
I-Arthritis Chiropractor iNceda Ngu
Ngelixa isifo samathambo, nokuba sibangelwa kukunxiba kunye nokukrazula-i-Osteoarthritis okanye isifo-i-Rheumatoid Arthritis ayinakunyangeka. I-chiropractor ye-arthritis inokunceda ukulawula iimpawu kunye nokuthintela ukuqhubela phambili. Iingcali zeChiropractors ziqeqeshelwa ukusebenzisa iindlela ezahlukeneyo zokunceda ukunciphisa intlungu kunye noxinzelelo, kubandakanya isifo samathambo. Unyango lweChiropractic lujolise ekunciphiseni intlungu ngokulungelelanisa, ukuphulula, kunye nokulungelelanisa inkqubo ye-musculoskeletal ukukhulula uxinzelelo, ukunweba imisipha, iigaments, i-tendon, kunye nokubuyisela ukulinganisela ngaphakathi komzimba. Bavula umzimba ukuvumela amandla afanelekileyo / afanelekileyo e-nerve kunye nokujikeleza kwegazi. Oku kunenzuzo kumalungu e-arthritic ukunciphisa ubunzima obungeyomfuneko, ukuguqulela ukunciphisa ukuguga kumalungu kunye nokugcina umzimba usebenza.
benefits
Kukho izibonelelo ezibalulekileyo ezinokuthi zinikezelwe unyango lwe-chiropractic rhoqo. Ezi ziquka:
Uluhlu olubuyiselweyo lwesindululo
Isiqabu iintlungu
Ukunciphisa ukudumba
Ukuphuculwa komsebenzi we-nerve ukwenzela ukuphiliswa kwezicubu ezifanelekileyo
Phuculwa biomechanics
Ukuphucula uguquko
impatho
Emva kovavanyo olunzulu, i-chiropractor iya kuncoma iindlela ezifanelekileyo zonyango. Unyango lubandakanya:
Ulawulo lwezinhlungu
Uncedo lweentlungu lunokwenzeka ngaphandle kwamayeza anokhetho olunje:
Ukuvuselelwa kombane
I-massage ye-Percussive
Unyango lokutsala
Iiphedi zokufudumeza
Uhlengahlengiso lweChiropractic kunye noNyango loMzimba
Ukuhlengahlengiswa rhoqo kuya kugcina umzimba ulungelelaniswa ngokufanelekileyo kwaye usebenze kakuhle.
I-Arthritis chiropractors inokubona utshintsho olufihlakeleyo.
Uhlengahlengiso kwindlela yokuphila
Uhlengahlengiso lwendlela yokuphila enempilo inceda ukulawula isifo samathambo.
Isikhokhelo kwimikhwa esempilweni ebandakanya:
Ukutya okuchasayo
Ukuhla ukusinda
Imikhwa efanelekileyo yokulala
Uqeqesho lokuzilolonga
Uxinzelelo lweengxaki
Ngokukhawuleza ukhathalelo lwe-chiropractic lufunwa, kungcono ukukhusela iimpawu ukuba zibe nzima. I-Chiropractic inokuvelisa iziphumo ezintle kunye nesidingo esincinci samayeza / amayeza okanye utyando.
UkuBumbiswa kweBhunga
VIDEO
Ukuchonga uMngcipheko weSarcopenia kunye nokuNcitshiswa kokuhamba
Njengoko umzimba uguga, uqala ukulahlekelwa yimisipha, kwaye njengoko ukuziphatha okungapheliyo kwamkelwa, izinga lelahleko liyenyuka kunye nokulimala okunxulumene nobudala. Ukuchonga olu tshintsho lunxulumene nobudala kwimisipha kunye nendlela ehambelana ngayo nomngcipheko wobuthathaka kunokuba ngumngeni ukuchonga nokulandelela. Ngokulinganisa ngokuchanekileyo ubunzima obungenawo amanqatha kwindawo nganye yomzimba, I-Skeletal Muscle Index - SMI ngokukhawuleza ichaza ubunzima bemisipha kunye nomngcipheko wobuthathaka. Sarcopenia kunye nobuthathaka obuchaphazela ngokukodwa abantu abadala, okuchaphazela ukufa, ukusebenza kwengqondo, kunye nomgangatho wobomi. Ukulahleka kwezihlunu ezingalweni nasemilenzeni kudityaniswa noku:
Ukunciphisa ukuhamba
Ukwanda komngcipheko wokuwa
Unoburharha
Ukuhlala esibhedlele okwandisiweyo
Ukuwa kunye nokwaphuka rhoqo kubangela umjikelezo wokuhla kwemisipha. Izixhobo zokuhlalutya zinokunceda ukulandelela utshintsho lokwakheka komzimba ukunciphisa ukuchithwa kwemisipha kunye nomngcipheko wokuhamba okungahambi kakuhle. Ukuvavanya ubunzima be-skeletal muscle kwizigulane ezingaphandle kunye nesibhedlele kunokunciphisa iziphumo eziphazamisayo ngaphambi kokuba zenzeke. Uhlalutyo lwe-InBody lukhawuleza kwaye lulula, lubonelela ngokubalwa kwesalathisi se-skeletal muscle kunye nesamba sobunzima obuncinci kwiingalo nasemilenzeni. Ukulula kokwenza uvavanyo lwe-InBody kunika oogqirha ixesha elingakumbi lokusebenza kunye nokufundisa abantu ngokwamkela utshintsho kwindlela yokuphila ukunceda ukukhusela. isarcopenia .
Ucaphulo
Aletaha, uDaniel. "Iyeza elichanekileyo kunye nolawulo lwe-rheumatoid arthritis." Ijenali ye-autoimmunity vol. 110 (2020): 102405. doi:10.1016/j.jaut.2020.102405
Beasley, uJeanine. "I-Osteoarthritis kunye ne-rheumatoid arthritis: ulawulo lonyango olulondolozayo." Ijenali yonyango lwezandla: ijenali esemthethweni ye-American Society of Hand Therapists vol. 25,2 (2012): 163-71; imibuzo 172. doi:10.1016/j.jht.2011.11.001
UDemoruelle, uM Kristen, kunye noKevin D Deane. "Izicwangciso zonyango kwi-rheumatoid arthritis kunye nokuthintela isifo samathambo." Iingxelo zangoku ze-rheumatology vol. 14,5 (2012): 472-80. doi:10.1007/s11926-012-0275-1
Kavuncu, Vural, kunye noDeniz Evcik. "I-Physiotherapy kwi-rheumatoid arthritis." I-MedGenMed: iyeza eliqhelekileyo le-Medscape vol. 6,2 3. 17 May. 2004
Inyanga, uJeong Jae et al. "Isalathiso esitsha seMiscle Mass Mass in Diagnosis yeSarcopenia." Ijenali yethambo lemetabolism vol. 25,1 (2018): 15-21. doi:10.11005/jbm.2018.25.1.15
by UGqr Alex Jimenez | Arthritis
I-Psoriatic arthritis inokukhula kubantu abane-psoriasis, echaphazela amalunga ahlukeneyo, ngakumbi amadolo . I-Psoriasis yimeko yolusu ebangela ukuba iiseli zolusu zakhiwe kwaye zenze amabala okurhawuzelelwa, ulusu olomileyo olwaziwa ngokuba plates . I-Psoriatic arthritis sisifo sokuvuvukala kwexesha elide esinokubangela ukuvuvukala, ukuqina, kunye neentlungu. Iimpawu zinokuba mbi kakhulu ngokuhamba kwexesha ngaphandle konyango. Ukuxilongwa kwangoko kubalulekile ukunciphisa umonakalo kumalungu kunye nokucothisa inkqubela yemeko ngonyango.
I-Psoriatic Arthritis
Iimpawu ze-Psoriatic arthritis ezifana nokuqina kunye nokudumba kunokubonisa ngokwahlukileyo kumntu nomntu. Ngokomzekelo, abanye abantu abane-psoriatic knee arthritis baya kuba nokuqina okanye intlungu kwelinye idolo, ngelixa abanye bafumana iimpawu emadolweni omabini. I-Psoriatic arthritis emadolweni inokubangela ukudumba kwindawo ejikelezileyo:
IiLigaments
Tendons
Iimbrane zeSynovial
Iimpawu zinokuvela nakwi:
Iibhokhwe
iinyawo
Hands
iimpawu
Iimpawu zihlala ziqala phakathi kweminyaka engama-30 kunye nengama-50. Iimpawu eziqhelekileyo ziquka:
Ubunzima emva kokuphumla okanye ukulala.
Ukudumba.
Ukuvuvukala emadolweni kunye nommandla ojikelezayo.
Isikhumba esishushu okanye esishushu emadolweni ukusuka ekudumbeni.
Intlungu ngaphakathi nangaphandle kwamalungu, iitendon, okanye iiligaments.
Ukunamathela ngokudibeneyo, ubunzima bokuhamba, okanye ukunciphisa uluhlu lwentshukumo.
Ezinye iimpawu ziquka:
Umqolo obuhlungu
Ukukhathala
Intlungu kunye nokubomvu emehlweni
Iminwe okanye iinzwane ezidumbileyo
Ubunzima bokuhamba kwiintlungu ezinyaweni okanye kwi-tendon ye-Achilles.
Ukugoba izikhonkwane okanye ukwahlula.
Ubunzima be-psoriasis abubonisi iimpawu ze-psoriatic arthritis. Iimpawu zinokuhamba ngepatheni yokubuyela umva kunye nokuxolelwa. Abantu ngabanye banokuhlaselwa ngequbuliso apho iimpawu ziba mandundu kwixesha elifutshane. Emva kokuqhambuka, iimpawu zinokuphucuka njengoko imeko isiya ekuxolweni. Iimpawu zisenokungabonakali ixesha elide de kube kuphinde kuqhambuke. Ngokomzekelo, umntu unokuba ne-psoriasis enzima kodwa kuphela i-psoriatic arthritis.
Izizathu
I-Psoriatic arthritis ikhula xa amajoni omzimba ahlasela ngempazamo iiseli kunye nezicubu ezisempilweni. Impendulo engalunganga yokuzikhusela komzimba ibangela ukuba umzimba ukhawuleze uvelise iiseli zolusu ezintsha ezibeka phezu komnye zenza amacwecwe. Xa imeko ichaphazela amalunga, ikhokelela ekudumbeni. Nangona kungekho sizathu esicacileyo se-psoriatic arthritis, abaphandi baye bafumanisa ukudibanisa kwi-genetics kunye nokusingqongileyo, kunye nabantu abanezihlobo ezisondeleyo ezine-psoriatic arthritis banokuthi bahlakulele imeko. Ezinye izinto ezinokuchaphazela uphuhliso ziquka:
I-psoriasis enzima
Ukwenzakala okubuhlungu
ukutyeba
Isifo sezikhonkwane
ukutshaya
Imeko inokwenzeka nakweyiphi na iminyaka, kodwa ngokutsho Isiseko seSizwe sePsoriasis , abantu abaninzi baqala ukuqaphela iimpawu malunga neminyaka elishumi emva kokuba i-psoriasis yabo iqalile. Nangona kunjalo, kuphela i-30% yabantu abane-psoriasis abahlakulela i-psoriatic arthritis.
Ukuqondwa
Oogqirha basebenzisa izixhobo zokucinga ukuxilonga i-psoriatic arthritis emadolweni. Baza kusebenzisa:
MRI
X-ray
omoya
Ukubanceda bajonge izitenxo okanye iimpawu zokudumba kwindawo edibeneyo kunye nezicubu ezijikelezileyo.
Iimvavanyo ezongezelelweyo zisetyenziselwa ukulawula ezinye iindlela eziqhelekileyo ze-arthritis ezifana rhumatoid kunye ne-osteoarthritis.
Uvavanyo lwegazi lujonga ukuvuvukala kunye nezilwa-buhlungu ezithile.
Kwezinye iimeko, ulwelo oluncinci olusuka kumdibaniso luthathwa ukunceda ukuphelisa ukuba nokwenzeka kwezinye iimeko ezinjengosulelo.
impatho
Okwangoku alukho unyango lwe-psoriatic arthritis, kodwa unyango luyaphuhliswa kwaye lubonisa isithembiso solawulo lwexesha elide. Unyango lwangoku lujolise ekulawuleni iimpawu kunye nokuphucula umgangatho wobomi kumntu ngamnye.
Biologics
Amayeza ebhayoloji afana isimilo necrosis factor okanye ii-TNF inhibitors ziyacetyiswa njengonyango lodidi lokuqala kubantu abaninzi abanoxilongo olutsha lwe-psoriatic arthritis. La mayeza anceda ukuvala i-TNF, edlala indima ebalulekileyo ekudumbeni. Ziye zabonisa ukuba zisebenza kakuhle ekunciphiseni ubunzima beempawu kunye nokuphindaphinda kwe-flare-ups. I-Biologics inokubangela iziphumo ebezingalindelekanga ezingafunekiyo, ngakumbi kubantu abafumana usulelo rhoqo kwaye bafuna ukujongwa rhoqo.
Amayeza amaNcinci amaNcinci
Abantu abangakwaziyo ukusebenzisa amayeza ebhayoloji banokucetyiswa iklasi entsha yamayeza ebizwa ngokuba ziimolekyuli ezincinci zomlomo okanye ii-OSM. Imizekelo ibandakanya i-apremilast - Otezla kunye ne-tofacitinib - Xeljanz .
Izifo-ukuguqula Amachiza eAntirheumatic
Izifo eziguqula iziyobisi ezichasayo – iiDMARDs lukhetho lwexesha elide. Zisetyenziselwa ukucothisa ukuqhubela phambili kwe-psoriatic arthritis, kwaye imizekelo ibandakanya i-methotrexate kunye ne-cyclosporine. Ii-DMARD zisebenza ngcono xa umntu eqala ukuzithatha kwangoko njengoko zinokuthatha ixesha lokusebenza. Nangona kunjalo, abantu bayakhuthazwa ukuba baqhubeke bezithatha, nokuba iimpawu aziphucuki ngoko nangoko.
Ukunciphisa Ukukrala
Ugqirha unokumisela amayeza achasene nokudumba-i-NSAIDs kunye nenaliti ye-corticosteroid xa iimpawu zedolo zivutha. Olu lunyango lwexesha elifutshane olubonelela ngokukhawuleza, njengoko ukusetyenziswa kwexesha elide kunokukhokelela kwimiphumo emibi. Abantu ngabanye banokufumana isiqabu ngokuzikhathalela okudityanisiweyo okubandakanya:
Ukuthatha ii-NSAID ezingaphezulu kwe-counter ezifana ne-ibuprofen/Advil okanye naproxen/Aleve.
Ukusebenzisa iipakethi zomkhenkce kunye nobushushu.
Ukuzivocavoca okuthambileyo ukukhuthaza uluhlu olupheleleyo lokunyakaza.
Ukuzolula kancinci okanye i-yoga kunokunceda ukukhulula izihlunu eziqinileyo.
IChiropractic.
Ukwenza i-Acupuncture.
I-Masaji yoNyango.
Ukutya okuchasayo.
Ukuvuselela kombane.
Unyango lweChiropractic lunokunceda:
Ukuphelisa umvandedwa.
Thintela ukuqhawuka kwezihlunu.
Amalungu okulungelelanisa.
Ukuphucula ukuhamba.
Nangona kunjalo, i-chiropractic ayilona unyango oluphambili lwe-arthritis kodwa ijoliswe ukuba isetyenziswe ngokudibeneyo ukukhulula intlungu, ukukhulula kunye nokwelula imisipha kunye nokulinganisela umzimba.
InBody
VIDEO
Amandla, Ukulungelelana, kunye nokuPhuculwa koBume boMzimba
Ukomelela okusebenzayo kukukwazi ukuhamba kakuhle yonke imihla . Iinzuzo zomsebenzi womzimba nazo zinegalelo ekuphuculeni ukubunjwa komzimba. Ukusebenza ukufikelela kwinqanaba elithile lokufaneleka kokusebenza kunokuncedisa inkqubo yokuguga ebonakaliswe ukunciphisa izinga lomzimba. Ukungasebenzi kungenxa yokuba abantu bephulukana noMzimba oBonelekileyo njengoko bekhula, nto leyo ekhokelela ekunyukeni kwamafutha omzimba. I-Lean Body Mass inegalelo kumlinganiselo womzimba wonke we-Basal Metabolic Rate okanye i-BMR, ekwaziwa njenge-metabolism. Eli linani leekhalori ezifunwa ngumzimba ukuxhasa imisebenzi ebalulekileyo. Wonke umntu uyakhuthazwa ukuba abandakanyeke uqeqesho lwamandla okanye imithambo yokuxhathisa , kodwa ngokukodwa abantu abadala. Oku kunokunceda ukubuyisela ukulahleka kwemisipha enokukhokelela ekwandeni kobunzima bomzimba obunzima. Ukonyuka kwe-Lean Body Mass yonyusa i-BMR, enceda ukuthintela ukwanda kwamafutha.
Ucaphulo
Chang, KL, et al. (2015). Ulawulo lweentlungu ezingapheliyo: Unyango lwe-Nonpharmacological for chronic pain [Abstract]. www.ncbi.nlm.nih.gov/pubmed/25970869
Ukunyamekela kweChiropractic kwi-arthritis. (nd). isifo samathambo
IChiropractic: Ngokunzulu. (2019). nccih.nih.gov/health/chiropractic-in-depth
Ukufumana njani ukuxolelwa kwi-psoriatic arthritis. (nd). arthritis.org/diseases/more-about/how-to-achieve-remission-in-psoriatic-arthritis
Ukuphila nge-psoriatic arthritis. (nd). psoriasis.org/living-with-psoriatic-arthritis/
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