Tele >> Aoga Soifua Maloloina >> Osteoarthritis vs. rheumatoid gugu: O le fea o ia te aʻu?

Osteoarthritis vs. rheumatoid gugu: O le fea o ia te aʻu?

Aoga Soifua Maloloina

Tele o tagata iloa o gugu o se tulaga e mafua ai soʻoga tiga ma fulafula, ae i ai moni lava eseese ituaiga o gugu e mafai e tagata ona atiaʻe. Osteoarthritis ma rheumatoid gugu o le lua o le sili ona taatele ituaiga o gugu, ma latou aafia ai tagata i auala eseese. Osteoarthritis e afaina ai lima, tulivae, tuasivi, ma suilapalapa, ae o le rheumatoid arthritis e masani ona afaina ai tapulima, lima ma tulivae. Sei o tatou vaʻavaʻai atu i le eseesega i le va osteoarthritis ma rheumatoid gugu.

Mafuaʻaga

Osteoarthritis

Osteoarthritis o le sili ona taatele ituaiga o gugu, e tusa ai ma le Nofoaga Autu mo Faamaʻi Pule ma Puipuiga ( CDC ). O nisi taimi o le osteoarthritis e taʻua o le degenerative joint disease ona e mafua ai le soʻoga o ponaivi i pito o ponaivi e faʻaletonu i le taimi. O le fulafula poʻo le manuʻa e afua ai ona malepe le cartilage, ma mulimuli ane, amata ona suia le ponaivi autu. Lenei faiga mafua ai tiga ma fulafula i tamatamailima soʻoga, tulivae, suilapalapa, ivitū, poʻo tamatamaivae.

Rheumatoid gugu

Rheumatoid gugu ( FUA I fafo ) o se faʻamaʻi autoimmune e mafua ai le malosi o le tino i le osofaʻia o le sinovial membrane e puipuia ai soʻoga maloloina. A osofaʻia e le immune system le puipuia o lenei membrane, o sooga e mafai ona faʻamaʻaina ma faʻaleagaina. E masani lava ona aʻafia lima, tapulima ma tulivae i le gugu o le Rheumatoid, ma e mafai ona faʻataʻitaʻia le tele o soʻoga i le taimi e tasi. I isi tulaga, o le gugu i le gugu e mafai foi ona afaina ai le fatu, mama, ma mata.

Osteoarthritis vs. rheumatoid gafatia mafua
Osteoarthritis	Rheumatoid gugu
Fula Manua O le cartilage i ponaivi i lima, suilapalapa, ivitu, tulivae, ma tamatamaivae e afaina	Fula Faamai o le Autoimmune E afaina soʻoga maloloina o lima, tulivae ma tapulima

Faʻatele

Osteoarthritis

Osteoarthritis aafia ai sili atu 32 miliona tagata matutua i le Iunaite Setete, ma e uiga i le 80% o tagata matutua i luga o le 55 tausaga faʻaalia faʻamaonia osteoarthritis luga o latou X-ave. Sili atu i le 240 miliona tagata matutua i le lalolagi atoa ua fuafuaina e maua i le osteoarthritis. I totonu o le Iunaite Setete, o faʻailoga o le tulivae osteoarthritis e masani ona taatele i 10% o aliʻi ma 13% o fafine matua atu i le 60

Rheumatoid gugu

Rheumatoid gugu o se tasi o le sili ona taatele ituaiga o gugu. E aʻafia ai le 1% o le faitau aofaʻi o le lalolagi ma e ova atu i le 1.3 miliona tagata Amerika. Fafine toeititi tolu taimi sili atu ono maua i le rheumatoid gugu nai lo tamaloloa, ma latou foi ono sili atu ona atiina ae i le laititi tausaga.

Osteoarthritis vs. rheumatoid gafatia faʻateleina
Osteoarthritis	Rheumatoid gugu
Sili ona taatele ituaiga o gugu 32 miliona tagata matutua i Amerika ua faʻamaonia e maua i le OA 240 miliona tagata matutua i le lalolagi atoa ua maua i le aʻafia ile OA 80% o tagata matutua matutua nai lo le 55 faʻaalia faʻailoga o le OA	Tasi o le sili ona taatele ituaiga o gugu 1.3 miliona tagata matutua i Amerika ua faʻamaonia e maua i le RA 1% o tagata matutua i le lalolagi atoa ua maua i le RA E tele fafine ua aafia ile RA nai lo alii

Faʻailoga

Osteoarthritis

Osteoarthritis mafai ona mafua ai tiga, fulafula, fulafula, malo, ma faʻaititia le faʻaititia. Tele o tagata o le a iloa o faʻailoga o le OA faʻateleina leaga i le taimi o le cartilage i le va o ponaivi faʻaauau pea ona leaga.

Rheumatoid gugu

Rheumatoid galu masani mafua ai tiga, tiga, fulafula, malulu, ma soʻoga malo i lima, tulivae, ma tapulima. E ono aʻafia i soʻoga tetele ma laʻititi i soʻoʻoga o le tino, e ono aʻafia uma ai lima, tapulima, poʻo tulivae i le taimi e tasi. Talu ai o se faʻamaʻi autoimmune, e mafai foi ona mafua ai isi faʻailoga pei o le lelava, vaivaiga, mamafa paʻu, ma fiva.

Osteoarthritis vs. rheumatoid gaioi faʻailoga
Osteoarthritis	Rheumatoid gugu
Tiga Fulafula Maʻaʻa Fula Faʻaitiitia fetuʻutuʻunaʻi	Tiga Fulafula Maʻaʻa Ua tiga Agamalu Le lavava Vaivaiga Fiva Paʻu pauna Leai o le fiaai

Faʻamaoniga

Osteoarthritis

Ina ia faʻamaonia le osteoarthritis, e manaʻomia e se fomaʻi poʻo se fomaʻi faʻapitoa se suʻega i le tino, faia se talaʻaga atoa o togafitiga o se tagata, ma faʻatautaia suʻega toto. X-ray e mafai ona iloa ai le soʻoga o ponaivi ma ponaivi, ae mafai e le MRI ona tuʻuina i fomaʻi se vaaiga sili atu i soʻoga ma ponaivi. O nisi taimi e ono manaʻomia e ave ai le suavai mai se soʻoga (o se gaioiga e taʻua o le tuʻinanau faʻatasi) e vaʻai pe ua afaina se soʻoga.

Rheumatoid gugu

Rheumatoid gugu ua faʻamaonia i se tutusa auala i osteoarthritis. O le fomaʻi poʻo le rheumatologist o le a faia se faʻamatalaga tino atoa, fesili i le tagata maʻi mo a latou talaʻaga faʻafomaʻi, ma ono faia ni suʻega toto, X-ray, ultrasounds, poʻo MRI. Faʻailoa e le CDC, e sili le faʻailoaina o le gugu i totonu o le ono masina muamua ina ia mafai e tagata mamaʻi ona amata togafitiga e faifai lemu ai le gasologa o le faʻamaʻi.

Osteoarthritis vs. faʻamaoniga o le gugu rheumatoid
Osteoarthritis	Rheumatoid gugu
Suʻega faʻaletino Talaʻaga faʻafomaʻi Suʻega fale suesue X-ray MRI Faanaunauga soʻofaʻatasi	Suʻega faʻaletino Talaʻaga faʻafomaʻi Suʻega fale suesue X-ray MRI Ultrasound

Togafitiga

Osteoarthritis

E leai se fofo i le taimi nei mo le osteoarthritis. E ui lava o le faʻaleagaina na faia e le tulaga le mafai ona suia, e mafai ona togafitia faʻailoga ma taofia latou mai le leaga. Osteoarthritis togafitiga togafitiga ono aofia ai se tasi pe sili atu o mea nei:

Vailaau

O vailaʻau tiga ma fualaʻau e mafai ona fesoasoani e faʻaititia ai le tiga, tiga, ma le fulafula.

Nonsteroidal anti-inflammatory vailaʻau (NSAIDs) pei ibuprofen
Cymbalta
Acetaminophen

FUAFUA: Faʻamaonia e le FDA vailaʻau o le gugu o le toto Voltaren mo le faʻaaogaina o le OTC

Togafitiga

Faʻamalositino faʻamalositino ma galuega faʻamalositino mafai ona fesoasoani ia i latou ma le osteoarthritis faʻaititia le tiga, faʻateleina latou fetuutuunai, ma faʻamalosia maso o loʻo mamafa mamafa soʻoga.

Taotoga

O nisi tagata e maua ile osteoarthritis e ono iʻu ane manaʻomia se taotoga. Nei o ni sili ona masani ai taualumaga mo osteoarthritis:

Togafitiga soʻofaʻatasi e sui ai le soʻoga soʻoga
Tui tui ole Cortisone
Faʻasaʻoina soʻoga

Rheumatoid gugu

E leai se vailaʻau mo le rheumatoid gugu, ae o togafitiga lelei e mafai ona faʻatautaia ai faʻailoga. Nei o nisi o togafitiga masani mo rheumatoid gugu:

Vailaau

O vailaʻau mo le rheumatoid gugu e taulaʻi i le togafitia o tiga, faifai lemu le faʻamaʻi, ma le puipuia o faʻasoesa soʻoga. O nei vailaʻau ono aofia ai:

Faʻamaʻi-fesuiaʻi vailaʻau antirheumatic (DMARDs), pei o methotrexate ma sulfasalazine
Fesuiaiga o tali a le Biologic
Steroids
Nonsteroidal anti-inflammatory vailaʻau (NSAIDs) pei naproxen
Celebrex (celecoxib)

FUAFUA: O le a le Celebrex?

Togafitiga

O se faʻamalositino faʻapitoa poʻo ni tagata faigaluega e mafai ona fesoasoani i tagata e maua i le gugu rumatika e faʻateleina a latou gaioiga ma faʻaititia tiga o aso uma.

Taotoga

Tagata e maua i le gugu rheumatoid atonu e manaʻomia ona faia se faʻataʻitaʻiga faia e fesoasoani e aveʻesea tiga ma faʻateleina o latou gaioiga:

Togafitiga soʻofaʻatasi
Tendon lipea taotoga
Fusion soʻofaʻatasi
Synovectomy

Togafitiga osteoarthritis vs. rheumatoid
Osteoarthritis	Rheumatoid gugu
NSAIDs Cymbalta (duloxetine) Acetaminophen Togafitiga o le tino Faʻaleleia togafitiga Togafitiga soʻofaʻatasi Tui tui ole Cortisone Faʻasaʻoina soʻoga	NSAIDs Celebrex (celecoxib) Faʻamaʻi-fesuiaʻi vailaʻau antirheumatic (DMARDs) Methotrexate Sulfasalazine Faʻafouina tali o meaola Steroids Togafitiga o le tino Faʻaleleia togafitiga Togafitiga soʻofaʻatasi Tendon lipea taotoga Fusion soʻofaʻatasi Synovectomy

FUAFUA: Togafitiga o le gugu ma vailaʻau

Tulaga lamatia

Osteoarthritis

O nisi tagata e ono maua i le osteoarthritis nai lo isi. Nei o le pito i luga tulaga lamatia mo osteoarthritis:

Avea ma puta tele
Avea ma se fafine
Matua
Manuʻa soʻoga poʻo soʻoga soʻoga soʻoga
Talafaʻasolopito o le aiga o le osteoarthritis
Faʻaletonu o ponaivi
Maʻi suka

Rheumatoid gugu

O nisi tagata e maualuga le avanoa e maua ai i le gugu rheumatoid. Nei o le pito i luga tulaga lamatia mo le tulaga:

Avea ma puta tele
Avea ma se fafine
Matua
Ulaula
Talafaʻasolopito o le aiga o le rheumatoid gugu
Faʻailoaina o le siosiomaga (asbestos, pefu, asu lua, ma isi)

Osteoarthritis vs. rheumatoid gugu tulaga lamatia
Osteoarthritis	Rheumatoid gugu
Puta tele Tausaga Fafine Manua soʻoga Faʻaaogaina soʻoga o sooga Talafaʻasolopito o aiga Faʻaletonu o ponaivi Maʻi suka	Puta tele Tausaga Fafine Ulaula Talafaʻasolopito o aiga Faʻailoaina o le siosiomaga

Puipuiga

Osteoarthritis

Osteoarthritis le mafai ona 100% puipuia, ae e mafai ona faʻaititia avanoa e maua ai. Fai mai le Iunivesite o Rochester Medical Center , faia o mea nei e mafai ona faʻaititia ai le ono maua o le osteoarthritis:

Faʻamalositino e le aunoa
Puipuia le manuʻa i ou sooga
Faatumauina o le soifua maloloina mamafa mamafa
Faʻatonutonuina o lou suka suka

Rheumatoid gugu

Oe le mafai ona puipuia atoa rheumatoid gugu, ae e i ai ni auala e faʻaititia ai le ono maua o ia ma faʻaititia le ogaoga o faʻailoga mo i latou o loʻo maua ai. Nei o ni auala sili e faia ai:

Tuu le ulaula
Faatumauina o le soifua maloloina mamafa mamafa
Faʻatapulaʻa ona aafia i siʻosiʻomaga oona ma vailaʻau leaga

Faʻafefea ona puipuia le osteoarthritis vs. rheumatoid gugu
Osteoarthritis	Rheumatoid gugu
Faʻamalositino e le aunoa Faatumauina o le soifua maloloina mamafa mamafa Faʻatonutonuina le maualuga ole suka ile toto Puipuia le manuʻa i soʻoga	Tuu le ulaula Faatumauina o le soifua maloloina mamafa mamafa Faʻatapulaʻa le papala i vailaʻau oona ma faʻaleagaina

O afea e vaʻai ai i le fomaʻi mo le osteoarthritis poʻo le rheumatoid gugu

A iai sau tiga, faʻaletonu, maʻaa, pe fulafula i ou soʻoga e le o alu ese, e sili ona e vaai se fomaʻi i se taimi e te mafaia ai. O nei faʻailoga e ono faʻaalia ai o loʻo ia oe le osteoarthritis poʻo le rheumatoid gugu. Mauaina vave se faʻamaoniga mo se tasi o nei tulaga e taua tele e fesoasoani lemu ai lo latou alualu i luma. O le fomaʻi faʻapitoa e ono mafai ona faʻamaonia oe, pe faʻafesoʻotaʻi foʻi oe i se fomaʻi o le mafaufau poʻo se fomaʻi tipitipi.

Fesili masani e uiga i le osteoarthritis ma le rheumatoid gugu

Faʻafefea ona ou iloa pe ua ou maua i le osteoarthritis po o le rheumatoid gugu?

Osteoarthritis tiga e masani ona tupuola aʻe i le aluga o taimi, ae o le rheumatoid gugu mafua ai tiga e sili atu ona leaga i ni nai vaiaso po o masina. Pau lava le auala e te iloa mautinoa ai le ituaiga o gugu o loʻo ia te oe o le maua lea o se faʻamaoniga aloaia mai se fomaʻi polofesa.

Mafai e le X-ray faʻaali le eseesega i le va osteoarthritis ma rheumatoid gugu?

X-ave e mafai ona fesoasoani e iloa faʻatasi ma ponaivi faʻaleagaina, ae latou te le mafai ona taʻuina i se fomaʻi tonu le ituaiga o gugu o loʻo i ai i se tasi. E mafai foi mo X-ave e le faʻaalia se faʻaleagaina soʻofaʻatasi, ae mo se tasi ia maua pea gugu.

E mafai ona e maua ile rheumatoid arthritis ma le osteoarthritis?

E ui lava e seasea tupu, e mafai ona maua i le gugu rheumatoid ma le osteoarthritis i le taimi e tasi. O se manuʻa ono mafua ai uma ituaiga o gugu, ma a o se tagata matua, latou ono maua i tele ituaiga o gugu.

O a eseʻese faʻailoga ile va ole osteoarthritis ma le rheumatoid gugu?

Osteoarthritis mafua ai tiga, malo, fulafula, ma faʻaititia le faʻaititia masani i tulivae, lima, ma suilapalapa. O le gasegase o le Rheumatoid e mafua ai le tiga, maʻaʻa, fulafula, malu, ma le tiga o lima, tapulima ma tulivae. E mafai foi ona mafua ai le lelava, paʻu pauna, ma vaivaiga. O se tasi o eseʻesega taua i faʻailoga o le RA ma le OA o le rheumatoid gugu mafua ai le maaa o le taeao e tusa ma le itula e alu ai.