Kev mob caj dab rau menyuam yaus yog ib yam mob uas tshwm sim ntau dua rau menyuam yaus. Cov menyuam yaus mob caj dab ua rau mob pob qij txha, nrog rau o thiab nruj. Qee cov menyuam uas muaj mob caj dab rau menyuam yaus tseem muaj cov tsos mob hauv lwm qhov ntawm lawv lub cev, xws li tawv nqaij lossis qhov muag. Qee tus menyuam tsuas muaj cov tsos mob tshwm sim, thaum lwm tus pom cov tsos mob thoob plaws lawv lub neej. Kev mob caj dab rau menyuam yaus feem ntau raug kho nrog tshuaj thiab kho lub cev, nrog rau kev hloov pauv hauv lub neej. Kev kho mob yog txhawm rau txo qhov mob, tswj kev txav chaw, thiab txo kev puas tsuaj rau cov pob qij txha.
Cov kauj ruam
Txoj Kev 1 ntawm 3: Siv Tshuaj Kho Mob Hlwb Mob Hlwb
Kauj Ruam 1. Siv NSAIDs
Nonsteroidal anti-inflammatory drugs, tseem hu ua NSAIDs, yog cov tshuaj siv ntau yam siv los kho mob caj dab rau menyuam yaus. Yog tias qhov mob los ntawm kev mob caj dab me me, cov tshuaj kho mob no tsuas yog xav tau kev kho mob nkaus xwb. Ntau NSAIDs tuaj yeem yuav tom khw, suav nrog ibuprofen (Advil thiab Motrin) thiab naproxen (Aleve).
- NSAIDs tuaj yeem pab txo qhov mob hnyav thiab o.
- Koj tus kws kho mob yuav sau ntawv NSAIDs muaj zog yog tias cov khw muag khoom tom khw tsis pab. Cov menyuam yaus yuav tau txhaj cov kua ua kua.
- Cov kev mob tshwm sim suav nrog teeb meem plab zom mov zoo li mob plab.
Kauj Ruam 2. Sim tshuaj-kho kab mob antirheumatic
Kho cov tshuaj tiv thaiv kab mob antirheumatic (DMARDs) tau teev tseg thaum NSAIDs tsis ua haujlwm hauv kev kho mob rau menyuam yaus mob caj dab. DMARDs qeeb kev sib koom ua ke puas tsuaj thiab ua rau mob caj dab los ntawm lub hom phiaj tiv thaiv kab mob. Tus kws kho mob yuav sau ntawv DMARDs nrog rau NSAIDs los pab txo qhov o thiab mob.
- Piv txwv ntawm DMARDs yog methotrexate, leflunomide, infliximab, anakinra, cyclosporine, sulfasalazine, thiab tocilizumab.
- DMARDs tuaj yeem ua rau muaj kev phom sij tsis zoo. Koj yuav tsum tham nrog cov kws kho mob thiab saib xyuas tus menyuam thaum lawv noj tshuaj.
Kauj Ruam 3. Siv cov qog necrosis factor blockers
Tumor necrosis factor (TNF) blockers tuaj yeem pab yog tias lwm yam tshuaj tsis tuaj yeem ua. Cov tshuaj no pab daws qhov mob, txo cov pob qij txha o tuaj, thiab ua rau kom khov thaum sawv ntxov.
- Cov tshuaj no tuaj yeem muaj kev phiv loj. Piv txwv li, tej zaum yuav muaj kev pheej hmoo kis mob ntau ntxiv thiab muaj kev pheej hmoo mob qog noj ntshav zoo li qog ntshav qog ntshav qab zib.
- Piv txwv ntawm TNF blockers suav nrog etanercept (Enbrel) thiab adalimumab (Humira).
Kauj Ruam 4. Tau txhaj tshuaj steroids
Qee qhov xwm txheej, cov tshuaj steroids tuaj yeem siv los kho menyuam yaus mob caj dab. Corticosteroids tuaj yeem muab los ntawm qhov ncauj lossis txhaj tshuaj. Qhov no tuaj yeem siv tau yog tias muaj kev cuam tshuam ib leeg. Qhov kev kho mob no tsuas tuaj yeem muab rau lub sijhawm tsawg ntawm qhov koob tshuaj tsawg.
Steroids siv ntev rau menyuam yaus tuaj yeem ua rau hnyav nce, teeb meem kev loj hlob, teeb meem pob txha, cataracts, kub siab, thiab nce kev pheej hmoo kis mob
Txoj Kev 2 ntawm 3: Nrhiav Lwm Yam Kev Kho Mob
Kauj Ruam 1. Tsim pab pawg tshwj xeeb
Koj tus menyuam yuav tsum tau pom los ntawm cov kws tshwj xeeb thaum raug kho mob rau menyuam yaus mob caj dab. Koj tus menyuam yuav tsum tau mus ntsib tus kws kho mob rheumatologist, uas tshwj xeeb hauv kev kho txhua yam kev mob caj dab rau menyuam yaus. Koj tus menyuam tus kws kho mob thiab pab kws saib xyuas mob nkeeg tseem yuav koom nrog hauv lawv txoj kev saib xyuas.
- Koj tus menyuam pab pawg yuav muaj xws li kws kho mob lub cev, kws kho mob ua haujlwm, thiab kws kho paj hlwb.
- Koj tus menyuam tus kws kho mob yuav ntau dua qhov yuav kuaj tau koj tus menyuam. Tom qab ntawd lawv yuav xa koj mus rau kws kho mob rheumatologist.
Kauj Ruam 2. Ua raws li kev kho lub cev
Koj tus menyuam yuav tau mus ntsib kws kho mob lub cev ua ib feem ntawm lawv txoj kev npaj kho mob. Tus kws kho mob lub cev lossis tus kws tshaj lij kho kom rov zoo tuaj yeem ua haujlwm nrog tus menyuam kom rov siv tau cov pob qij txha thiab txhim kho ntau yam kev txav mus los.
Tus kws kho mob lub cev tuaj yeem tsim qhov kev tawm dag zog tsim nyog rau tus menyuam kom txog thaum cov tsos mob tsawg dua thiab lawv tuaj yeem ua tau ntau yam kev txav mus los
Kauj Ruam 3. Tau txais kev kho mob ua haujlwm
Txoj haujlwm kho mob yog lwm txoj kev kho tseem ceeb uas koj tus menyuam yuav xav tau, nyob ntawm qhov mob hnyav ntawm lawv cov menyuam yaus mob caj dab. Thaum kho txoj haujlwm, tus kws kho mob ua haujlwm yuav qhia koj tus menyuam li cas los hloov kho lawv tus mob kom txo tau qee qhov mob ntawm pob qij txha. OT tau siv ntau heev rau mob caj dab uas cuam tshuam rau tes.
- OT tau siv los pab ua haujlwm nrog menyuam yaus txhawm rau txhim kho lawv mus txog, nkag siab, thiab siv khoom. Thaum kho, cov menyuam kawm paub yuav hnav li cas, da dej, thiab noj mov nrog cov ceg lossis pob qij txha cuam tshuam los ntawm kev mob caj dab.
- Tus kws kho mob ua haujlwm tuaj yeem muab tus menyuam sib tsoo lossis lwm yam cuab yeej los pab ua kom tus menyuam pob txha thiab kev loj hlob sib koom.
Kauj Ruam 4. Xav txog kev phais
Hauv qhov xwm txheej tsawg heev, koj tus menyuam yuav xav tau kev phais. Nws tsis yog feem ntau kho mob rau menyuam yaus mob caj dab, tab sis yog tias tsis muaj lwm yam kev kho mob tau txo cov tsos mob, cov kws kho mob yuav txiav txim siab phais. Kev phais tuaj yeem siv los txhim kho txoj haujlwm ntawm kev sib koom tes. Nws kuj tseem yuav siv tau yog tias qhov sib koom ua ke deformed.
Txoj Kev 3 ntawm 3: Sim Lwm Txoj Kev Kho
Kauj Ruam 1. Koom nrog pab pawg txhawb nqa
Koj tus menyuam yuav tau txais txiaj ntsig los ntawm kev mus ntsib pab txhawb rau cov uas muaj mob caj dab rau menyuam yaus. Qhov no tuaj yeem pab koj tus menyuam zoo li lawv tsis nyob ib leeg vim tias lawv tuaj yeem ntsib lwm tus menyuam nrog tib tus mob. Lawv tseem tuaj yeem kawm los ntawm lwm tus menyuam txog yuav ua li cas nrog thiab tswj hwm lawv cov mob caj dab.
- Nug koj tus menyuam tus kws kho mob lossis tshawb hauv online rau pab pawg txhawb nqa hauv koj thaj chaw.
- Muaj lub caij ntuj sov rau cov menyuam yaus uas muaj mob caj dab.
- Pab pawg txhawb nqa yuav yog rau menyuam yaus thiab lawv tsev neeg.
Kauj Ruam 2. Txhawb kev tawm dag zog
Kev tawm dag zog yog ib qho tseem ceeb rau kev tswj cov menyuam yaus mob caj dab. Kev tawm dag zog thiab ua haujlwm lub cev tsis tu ncua tuaj yeem pab txhim kho kev ua haujlwm thiab txav ntawm cov pob qij txha. Nws kuj tseem tuaj yeem txo cov tsos mob. Thaum cov tsos mob raug tswj, cov menyuam tuaj yeem koom nrog feem ntau kis las.
- Kev tawm dag zog kuj tseem pab txhim kho cov leeg nqaij, uas pab tiv thaiv pob qij txha. Kev txav mus los tsis tu kuj pab tsim kom muaj kev poob siab zoo rau cov pob qij txha.
- Koj tus menyuam tuaj yeem koom nrog ntau yam kis las. Kev ua luam dej yog ib qho haujlwm zoo rau mob caj dab vim tias nws tsis tso siab rau pob qij txha.
- Tham nrog koj tus menyuam tus kws kho mob ua ntej tso cai rau lawv koom nrog ncaws pob lossis tawm dag zog.
Kauj Ruam 3. Sim kho dej
Kev kho dej, tseem hu ua hydrotherapy, yog ib txoj kev kho rau mob caj dab. Koj tus menyuam tuaj yeem tsau rau hauv chav da dej sov kom pab ua kom cov pob qij txha nruj lossis so kom nruj lossis mob leeg.
Da dej sov los yog da dej ua ntej tawm dag zog tuaj yeem pab txo qhov mob lossis txhav kom tus menyuam muaj sijhawm yooj yim dua rau kev tawm dag zog
Kauj Ruam 4. Tau zaws
Zaws yog lwm txoj kev tswj hwm zoo rau menyuam yaus mob caj dab. Thaum tus menyuam tau txais kev zaws, nws pab cov leeg kom xoob thiab so, txo qhov nruj thiab nruj, txo qhov mob, thiab pab kom ncig. Zaws kuj pab nrog cov tsos mob ntawm kev ntxhov siab thiab kev nyuaj siab.
Cov niam txiv tuaj yeem muab lawv cov menyuam zaws. Tus kws kho lub cev tuaj yeem qhia koj yuav ua li cas muab tus menyuam zaws
Kauj Ruam 5. Txhawb cov txheej txheem so kom txaus
Ntau yam kev so kom zoo tuaj yeem siv los tswj qhov mob thiab tsis xis nyob cuam tshuam nrog mob caj dab rau menyuam yaus. Koj tus menyuam tuaj yeem kawm paub siv kev ua pa, ua kom cov leeg xis nyob, thiab ua cov duab xav tau. Cov txheej txheem kev xav ntawm lub cev no ua rau tsis muaj kev phom sij tsis zoo thiab tuaj yeem pab daws cov tsos mob.
Koj tuaj yeem tham nrog koj tus menyuam tus kws kho kev puas siab ntsws, tus kws pab tswv yim, lossis kws kho lub cev txog kev qhia koj tus menyuam lub siab lub cev lub cev los tswj hwm lawv tus mob
Kauj Ruam 6. Noj tshuaj ntxiv
Koj tus menyuam yuav tau txais txiaj ntsig los ntawm kev noj tshuaj ntxiv lossis nce qee cov vitamins thiab minerals hauv lawv cov zaub mov. Calcium tseem ceeb heev rau menyuam yaus uas muaj mob caj dab. Calcium pab nrog kev loj hlob ntawm pob txha thiab lub zog thiab pab tiv thaiv kev mob pob txha. Vitamin D kuj tseem xav tau siv calcium thiab txhawb kev noj qab haus huv ntawm pob txha.
- Yog tias koj tus menyuam muaj plaub txog yim leej, lawv xav tau 1000 mg ntawm calcium ib hnub, thiab lawv xav tau 1300 mg yog tias lawv muaj cuaj rau 18 xyoo.
- Koj tuaj yeem suav nrog ntau cov vitamin D lossis calcium hauv koj tus menyuam txoj kev noj haus. Cov nplooj ntsuab tsaus yog qhov zoo ntawm cov calcium, ib yam li cov noob thiab taum dawb. Koj tuaj yeem suav nrog cov zaub mov muaj zog vitamin D hauv koj tus menyuam txoj kev noj zaub mov, lossis txhawb kom lawv siv sijhawm 15 txog 20 feeb nyob rau ib hnub hauv tshav ntuj.
- Yog tias koj tab tom noj tshuaj methotrexate, txiav txim siab noj cov tshuaj folic acid ntxiv los txo cov kev phom sij. Methotrexate ntws lub cev ntawm folate (ib daim ntawv ntawm cov vitamin B9) thiab tuaj yeem ua rau cov neeg tsis muaj folate, qee zaum ua rau pom cov tsos mob xws li xeev siab, mob plab, ntshav tsis txaus, thiab qaug zog. Koj tseem tuaj yeem suav nrog ntau cov folate rau hauv koj tus menyuam txoj kev noj zaub mov, siv cov khoom noj xws li zaub paj, zaub ntsuab, thiab txiv kab ntxwv.
