Mang kapa mang ea sa tsebeng seo rheumatologist e se phekolang, o lokela ho hopola hore enoa ke setsebi se sebetsanang le lefu la lefu la rheumatological. Mesebetsi ea ngaka e joalo e kenyelletsa le ho khetholla bakuli ba kotsing, ho bontša mehato e thibelang e fokotsang monyetla oa ho hlaolela lefu le tebileng.
Rheumatology - ke eng?
Pele o qala ho tseba mesebetsi ea rheumatologist, o lokela ho tseba hore na rheumatology ka kakaretso ke eng. Rheumatology ke lekala la meriana ea ka hare e ithutang ho fokolisa-maloetse a khothalletsang ho ruruha, mafu a maiketsetso a tloaelehileng. Pelo ea pathogenesis ea maloetse e ke ke ea e-ba feela ho ruruha, empa le mekhoa ea ho itšireletsa mafung. Rheumatology e sebetsa haufi-ufi le makala a mang a meriana:
- lefu la ts'oaetso;
- orthopedics,
- se-purpent-septic, opereishene ea majoe;
- thuto ea ho qetela;
- hematology;
- nephrology;
- lefu la pelo;
- infectology;
- oncology;
- Toxicology;
- immunologia;
- neuralgia;
- neurosurgery.
Rheumatologist - ke mang, hona ke mang ea folisang?
Lentsoe "rheumatism" le kile la hlahisoa ke ngaka ea boholo-holo Claudius Galen, ea ileng a khetha mafu a tsamaiso ea mesifa. Empa karohano e ikemetseng ea meriana, tataiso ena e ne e le feela lekholong la bo20 la lilemo. Kajeno, rheumatologist ke setsebi seo boikarabelo bo kenyeletsang maloetse a bakoang ke liphetoho tse fokolang-dystrophic le inflammatory li-joints, mafu a tsamaiso ea lihlahisoa tse sebetsang, lintho tse ikemetseng.
Rheumatologist - ke eng e folisang batho ba baholo?
Batho ba bangata ba tloaelane le mafu a fokolang, a lokelang ho fetisetsoa ho rheumatologist. Ho lemoha ho rarahane ke hore mafu a mangata a etsahala ka matšoao a tšoanang. Ka lebaka la matšoao a fapaneng, mafu a rheumatological hangata a tšoaroa ke litsebi tse tsoang liindastering tse amanang le tsona. Ho utloisisa - motho e moholo-rheumatologist - hore na ke mang-o hloka ho fumana hore na ke mafu afe ao a sebetsang le 'ona. Rheumatologist e tšoara batho ba baholo joang?
- Hangata motho e moholo oa li-rheumatologist o thusa batho ba nang le lefu la masapo a mabeli , e leng ho fokotsang likoloi tsa batho ba tsofetseng.
- Bakuli ba Rheumatologist le bona ke batho ba nang le ramatiki ea ramatiki, e ka qalang lilemong tsa bocha 'me ea mpefala haholo ho batho ba tsofetseng.
- Rheumatologist e boetse e sebetsana le phekolo ea bakuli ba nang le lefu la Bechterew, le mahlaba-a-laotsoe le lefu la ramatiki, lefu la masapo le kotsi, e leng kotsi ea ho hōla ha ankylosis ka potlako.
- Gout ke boloetse bo tebileng bo hlahang ka lebaka la keketseho ea mafura a uric ka mali, e leng se etsang hore manonyeletso ho batho ba hōlileng le ba lilemong tsa bohareng ba ruruhe habohloko.
- Symptom scleroderma ke mokhoa oa systemic sclerosis o bakoang ke ho ruruha ha lijana tse nyenyane tsa 'mele, tse bakang liphetoho tsa fibro-sclerotic masapong, mesifa, letlalo le litho tsa ka hare.
- Hammoho le litsebi tse ling, li-rheumatologists li tšoara vasculitis, collagenoses ea tsamaiso.
Rheumatologist e tšoara bana ka eng?
Hammoho le motho e moholo, setsing sa bongaka sa bongaka ho na le rheumatologist ea bana. Setsebi sa boemo bo joalo ke sa bohlokoa haholo, kaha mafu a rheumatological a bana a le mabifi mme a hloka thuto e tebileng le phekolo ea bophelo bohle. Ho ea ka lipalo-palo tsa WHO, palo ea bana ba kulang e ntse e eketseha selemo le selemo. Seo rheumatologist e se etsang ho bakuli ba bongoaneng:
- lesea la ramatiki la ramatiki;
- phekolo ea masapo;
- Lefu la Bechterew;
- scleroderma;
- nodular polyarthritis;
- dermatopolymiosis.
Nako ea ho iteanya le rheumatologist?
Kaha mafu a mang a bakoang ke mafu a bakoang ke mafu a bakoang ke mafu a mangata a atisa ho ba le tšebetso ea ho itšireletsa mafapheng 'me hoo e ka bang kaofela a lebisa bokooa, o lokela ho tseba hore na o tla kopana le rheumatologist:
- Ka meso a mangata a letsatsi le leng le le leng a hlokomolohang, e leng ho iponahatsang ho le thata kapa ho sa khonehe ho khumama mangole kapa matsoho manonyeletsong. Matšoao a joalo a lefu la masapo a pelo a feta metsotso e 30-40, empa ka mor'a ho robala letsatsi ho bonahala hape.
- Ha ho ruruha kapa ho ruruha ha lenonyeletso - letšoao lena le bonahala ka ramatiki.
- Ka bothata bo kopaneng, e ka senyang kamehla kapa ea hlaha mantsiboea. Bohloko bo bontša ho qala ha mokhoa oa ho ruruha le ho timetsoa ha selekane.
- Ka bohloko bo bakoang ke liphallelo tsa hamorao tsa maoto le matsoho.
Ho khethoa ha rheumatologist ho joang?
Ha mokete o moholo oa rheumatologist, hangata batho ba tseba hore rheumatologist e phekola 'me e bone matšoao a mafu a rheumatological. Kamora ho hlahlojoa le ho hlahloba ka botlalo, ngaka e tla fana ka phekolo e entsoeng ho fokotsa mokhoa oa ho ruruha, ho tlosa kapa ho fokotsa bohloko (lithethefatsi tse seng li-steroidal tse thibelang ho ruruha, li-painkillers), ho lokisa lisele tse senyehileng (massage, physiotherapy, laboratory therapy, simulators).
Bothata bo tsoa ho rheumatologist joang?
Phuputsong e ka ntle, ngaka-rheumatologist qalong e lebisa tlhokomelo ho boemo ba manonyeletso - ebang ho na le tumescence, edema, morbidity. Ho itšetlehile ka sebaka sa lihlopha tse chesang, ho ka khoneha ho fihlela liqeto mabapi le sethala sa lefu lena - e kholoanyane manonyeletso a ameha, kotsi e tebileng haholo. Ho phaella moo, ngaka e lebisa tlhokomelo ho khethollo ea litho tse amehang - ena ke e 'ngoe ea matšoao a lefu la ramatiki.
E hlahlobisisa rheumatology
E le ho hlakisa lefu lena, ngaka e hlalosa liteko tsa mali. Rheumatologist - ke liteko life tsa mali tse tla hlokoa:
- tlhahlobo ea likokoana-hloko;
- ka protheine ea C-reactive;
- ho ESR;
- ka sesebelisoa sa rheumatoid (kapa lipatlisiso tsa synovial fluid);
- li-anti-nuclear nyane le li-anti-citrulline.
Ho buisana le rheumatologist
Ho amoheloa ha rheumatologist ho ka 'na ha kenyelletsa ho mamela matšoafo le pelo, kaha mafu a rheumatological a nang le tekanyo e phahameng ea monyetla a baka tšenyo ho litho tsena. Hangata, ka maloetse a rheumatological, bofokoli ba mesifa kapa boloetse ba ho tsuba bo boetse bo bonahala. Maemong a joalo ho kgothaletswa hore o iteanye le ditsebi tse tshwanetseng. Bakeng sa tlhahlobo e tsitsitseng haholoanyane, ngaka e fana ka litlhahlobo tsa ho hlahloba:
- electrocardiogram ;
- electromyogram;
- Tlhahlobo ea X-ray;
- computed tomography ;
- tlhahlobo ea lisebelisoa tsa ultrasound;
- densitometry .
Keletso ea Rheumatologist
E le hore bophelo ba mokuli bo se ke ba fetoha tlhokofatso, hoa hlokahala ho tseba lintlha tse mpefatsang maemo a batho ba nang le mafu a rheumatological. Lintlha tsena li kenyelletsa: meroalo e feteletseng, boima bo feteletseng, ts'oaetso ea boima, ho se tšoanelehe ha motlakase, botsofali, botsofali.
Ntle le phekolo ea meriana e laetsoeng, mokuli ea tšoeroeng ke lefu la rheumatological, ke habohlokoa ho latela keletso ea rheumatologist bakeng sa mahlaba ka manonyeletso:
- Ho hlokahala hore u hlokomele mosebetsing le lapeng le ho qoba likotsi tse senyang bophelo bo botle ba tsamaiso ea mesifa.
- Ke habohlokoa ho boloka mosebetsi oa motlakase, empa ntle le ho chesehela maikutlo.
- Ho hlokahala hore u tlose liponto tse eketsehileng - ena ke moroalo o eketsehileng.
- Ho bohlokoa ho ja hantle - ho hlokahala hore ho boloke botšepehi ba manonyeletso ka nako e telele kamoo ho khonehang.