Yaya Ayyuka da Ritumatoid Arthritis Treatment Can Help
Wataƙila kun zo ne a lokacin sarcopenia lokacin da kuke koyo game da cututtuka na rheumatoid. Mene ne sarcopenia, kuma me ya sa ya kamata ka damu da shi? Waɗanne matakai za ku iya ɗauka don taimakawa wajen magance shi?
Menene Sarcopenia?
Gaba ɗaya, sarcopenia wani yanayin ne wanda ke haifar da hasara mai tsanani na ƙwayar tsoka. Ana iya la'akari da irin nauyin muscle .
Masu bincike na asali sunyi amfani da lokacin da za su bayyana raunin tsoka wanda ya faru a lokacin balagagge na al'ada amma kwanan nan, wasu sun fara amfani da kalma don bayyana lalata tsoka wanda za a iya haifar da shi ko kuma taƙasa ta wasu yanayi na kiwon lafiya, irin su cutar arthritis . Idan aka kwatanta da mutane ba tare da maganin wariyar launin fata ba, mutanen da ke dauke da cututtukan arthritis sun fi kuskure su fuskanci mummunan ƙwayar tsoka da ke faruwa a farkon rayuwarsu. Wannan wani lokaci ake kira sarcopenia rheumatoid.
Amfani da Muscle na al'ada
Kayi amfani da tsokoki na ƙwanƙwara don yin motsi na son kai na ƙwayoyin ka, da kuma sauran sassa na jikinka. Wadannan tsokoki na skeletal sun hada da nau'in ƙwayoyin tsoka mai tsayi. Wadannan zarutun suna dauke da sunadarai na musamman waɗanda zasu iya jawo juna da juna don rage tsokoki, ko shakatawa don bar tsokoki ya kara. Suna amsawa daga sakonni daga neurons (kuma daga ƙarshe daga kwakwalwa) don bari ka motsa jikinka.
Sauran kwayoyin halitta a cikin ƙwayar tsoka don gyaran gyaran al'ada da hawaye a jikin tsoka, saboda haka ba ya kaskantar da lokaci.
Canje-canje a Sarcopenia
A sarcopenia, yawan canje-canje ya faru a cikin tsoka:
- Wasu daga cikin ƙwayoyin tsoka sun fara raguwa.
- Wasu ƙwayoyin tsoka sun rasa haɗin haɗin su zuwa igiyoyi.
- Ƙananan ƙwayoyin cuta suna karuwa a girman girman.
- Ƙananan zarge-zarge sun ƙãra a yawan adadin.
- Wasu daga cikin sunadarin sunadarai da aka yi amfani da su a cikin ƙwayar tsoka sun fara raguwa, kuma tsarin tsarin salula basu yi aiki ba don gyara su.
- Wasu ƙwayoyin tsoka za a iya maye gurbin su da nauyin nama.
Matsaloli Daga Sarcopenia
Saboda wannan duka, tsoka yana karami. Ba abin mamaki ba, wannan zai haifar da wasu matsalolin, ciki har da waɗannan masu zuwa:
- Rage ƙarfin tsoka
- Ƙarin rashin lafiya
- Ƙãra frailty
- Ganin rage girman rayuwar
- Balance mara kyau
- Rashin haɗarin haɗari na tsanani (wanda zai iya zama barazanar rai)
Me ya sa Sarcopenia?
Sarcopenia yana aukuwa ne a cikin tsufa, har ma a mutanen da ba su da maganin arthritis. A cikin shekaru 8 na rayuwa, mutane da yawa sun rasa kashi 50 cikin 100 na asalin tsohuwar tsoka. Yawancin abubuwa daban-daban na iya taka muhimmiyar rawa a cikin wannan hasara, ciki har da:
- Ƙaddamar da wasu ƙwayoyin hormones
- Yada muscle physiology
- Rage lambobi na ƙwayoyin tsoka
- Abinci mai gina jiki
- Rage aiki na jiki
- Ƙara yawan ƙonewa
Kumburi da ke haifar da Sarcopenia a Rheumatoid Arthritis
Kumburi yana da mahimmanci mahimmanci ga sarcopenia a cikin mutane da rheumatoid arthritis. A lokacin kumburi, ƙananan kwayoyin jikinsu na suturar ƙwayoyin ƙwayoyin ƙwayoyin ƙwayoyin ƙwayar cuta .
Wadannan ƙayyadaddun kwayoyi ne wadanda ke haifar da amsawar ƙwayar cuta a jiki. Wannan amsa yana da alhakin aikin ƙwayar tsoka da aka samo a cikin tsofaffi.
A cikin rheumatoid arthritis, wannan amsa mai ƙin ƙoshin lafiya yana ƙaruwa. Kwayoyin jiki ba su da yawa sunadarai irin na cytokine masu ƙumburi irin su interleukin 6 (IL-6) da kwayar necrosis na tumo-α (TNF-α). Daga karshe, wadannan cytokines zasu taimaka wajen haifar da bayyanar cututtukan cututtuka na rheumatoid kamar ciwon haɗin gwiwa da kumburi. (Wannan shine dalilin da ya sa wasu kwayoyi da ake amfani da su don magance cututtuka na rheumatoid, irin su TNF-inhibitors , an tsara don taimakawa wajen hana wadannan cytokines.)
Wadannan kyamaran ƙwayoyin cuta suna da wasu sakamako, ciki har da ƙãra ƙwayar tsoka. Abin da ya sa mutane da cututtuka na rheumatoid sun fi dacewa su kasance farkon sarcopenia da sarcopenia mai tsanani. Daga cikin marasa lafiya da cututtuka na rheumatoid, mutanen da suke da matakan da suka fi girma daga cikin wadannan cytokines masu ciwon jini suna da haɗari mafi girma na samun sarcopenia kuma rage ƙarfin murfin.
Wasu abubuwan da ke tattare da Sarcopenia a Rheumatoid Arthritis
Raunin kanta shine wata babbar hanyar da ta haifar da haɗarin sarcopenia a cikin mutanen da ke dauke da ciwon huhu. Idan kana da ciwo da rashin tausayi daga cututtuka na rheumatoid, za ka iya guje wa aikin jiki wanda ke damun waɗannan bayyanar cututtuka. Bayan lokaci wannan zai iya haifar da irin ƙwayar ƙwayar ƙwayar tsoka da ake kira atrophy . Sakamakon haka, wannan yana rage girman tsoka da ke faruwa a lokacin da tsoka ba ta da cikakkiyar motsa jiki na yau da kullum.
Mutanen da ke fama da ciwon hauka na rheumatoid kuma suna iya amfani da karin sunadaran da adadin kuzari fiye da al'ada saboda cutar. Tun da an bukaci gina jiki don gyaran tsoka, wannan zai iya ciwo sarcopenia rheumatoid.
Sanin asalin Rheumatoid Sarcopenia
Ka tambayi likitanka idan kana da damuwa game da rage ƙarfin tsoka saboda cututtuka na rheumatoid. Kwararku zai iya amfani da gwaje-gwaje daban don ganin idan kuna da sarcopenia. Wadannan zasu iya haɗa da wadannan:
- BIA gwajin (nazarin nazarin bazara)
- Binciken DEXA (dual-energy X-ray absorptiometry)
- Gwaje-gwaje don tantance ƙarfin tsoka da kuma cikakken aikin jiki
A BIA jarrabawa ne wanda ke aiki ta hanyar aika wani matakin ƙananan halin yanzu ta jiki. Daban daban-daban na jiki ya rage gudu zuwa digiri daban-daban. Bisa ga ƙididdigar jigilar wannan lantarki, mai fasaha zai iya kimanta darajar da aka kira "mashi maras kyauta" (FFM) wadda za a iya amfani dashi don tantance yawan ƙwayar tsoka.
Wani zaɓi shine gwajin DEXA (mafi yawan amfani da su don kimanta osteoporosis). Wannan wata gwaji ne marar zafi wanda ke amfani da X-ray tare da matakin low radiation. A wannan yanayin, za'a iya amfani dashi don lissafin darajar da ake kira sashin jikin jiki (LBM), wani nau'i na ƙwayar tsoka.
Kwararka na iya tambayarka ka yi ayyuka daban-daban na jiki, irin su tafiya da sauri ko kuma saka kayan aiki.
Lura cewa mutanen da suke da sarcopenia mai rudai ba dole ba ne su rasa nauyi na jiki. A cikin sarcopenia rheumatoid, wani ɓangare na zarutattun furotin muscle zai iya maye gurbinsu da mai. Saboda wannan, nauyin nauyi bazai canzawa sosai ba, koda kuwa mutum ya rasa nau'ikan ƙwayoyin tsoka. Wannan shine dalilin da ya sa jigilar kwayoyin halitta (BMI) ba gwaji mai kyau ga sarcopenia rheumatoid ba. Wannan gwajin ba ya auna ko taro yana zuwa daga tsoka ko daga mai. Wasu mutane tare da sarcopenia rheumatoid zasu rage BMI, amma a wasu mutane BMI na iya zama al'ada ko ma ƙara.
Cachexia Rheumatoid
Wata magana da za ku iya ji shi ne cachexia rheumatoid. Cachexia yana nufin wani nauyin nauyi mai nauyi, mai, da kuma asarar tsoka da ke faruwa saboda babban yanayin lafiya, irin su ciwon daji. A takaice dai, mafi yawan mutanen da ke dauke da cachexia na rheumatoid suna da sarcopenia rheumatoid. Amma ba kowa ba ne da sarcopenia rheumatoid yana da cachexia rheumatoid.
Duk da haka, ko da masu bincike ba koyaushe suna yin amfani da waɗannan sharuɗɗa ba. Wannan batu na iya zama rikicewa ga likitoci da marasa lafiya, saboda al'ummomin kiwon lafiya ba su ƙaura matakai masu wuyar ganewa da mutane da sarcopenia rheumatoid da cachexia rheumatoid. Musamman saboda wannan, ba mu da kimantaccen kimantawa don yawancin waɗannan ka'idodin. Mun san cewa mafi yawan marasa lafiya da cututtuka na rheumatoid suna da wani ƙananan ƙarfin tsoka.
Tsayawa da magance Sarcopenia Rheumatoid
Masu bincike basu kafa cikakkun bayanai don kula da sarcopenia rheumatoid. Duk da haka, masana sun gane dabarun da suka dace don magancewa da rigakafi:
- Karfafa magani na maganin rheumatoid arthritis kanta.
- Biye da tsarin gudanar da aikin dacewa da daidaituwa.
Tsayawa da maganin arthritis kanta a karkashin iko shi ne daya daga cikin mafi kyawun abubuwan da za ku iya yi don hanawa da magance sarcopenia rheumatoid. Magunguna irin su TNF-blockers da kuma IL-6 masu maganin magungunan IL-6 zasu iya taimakawa wajen rage kumburi da ke damun sarcopenia rheumatoid.
A halin yanzu, babu bincike da yawa game da ko wadannan cututtuka na tsawon lokaci na iya taimakawa wajen inganta sarcopenia a kan dogon lokaci. Duk da haka, shaidu na biyu suna nuna cewa waɗannan kwayoyi zasu iya amfani.
Har ila yau, ba mu da yawan bayanai da suka kwatanta yadda tasirin maganin cututtuka da kwayoyin maganin cututtuka (DMARDS) ke shawo kan sarcopenia. An sani cewa magani na tsawon lokaci tare da corticosteroids na iya yin sarcopenia mafi muni. A tsawon lokaci, masu bincike za su kara koyo game da abin da wasu cututtuka na musamman za su kasance mafi kyau ga marasa lafiya da sarcopenia.
Yin Jiyya
Exercise shine sauran mahimman hanyar magance sarcopenia rheumatoid. Shaidun suna nuna cewa horarwa ta musamman yana iya taimakawa tare da dukan waɗannan abubuwa masu zuwa:
- Ƙara ƙarfin tsoka
- Matakan ragewa na aikin cuta
- Rage cututtukan cututtuka
Nauyin nauyi, juriya, ko nauyin jikin mutum zai iya amfani dashi don yin tsokoki na aiki na dan kankanin lokaci. Irin wannan horo na horarwa zai iya taimakawa wajen kare halayyar inrophy muscle na sarcopenia rheumatoid.
Har ila yau, shaidun ya nuna cewa motsa jiki na motsa jiki (irin su yin iyo) zai iya taka rawar gani. Ka tambayi likitanka don shawara a tsara wani shirin aikin motsa jiki. Kuna iya taimakawa wajen aiki tare da mai horo na sirri na tsawon lokaci.
Tsayawa na shirin motsa jiki na yau da kullum zai iya samar da wani amfãni ga mutanen da ke dauke da ciwon sukari. Kwayar cutar tana haifar da hadarin cututtukan zuciya, amma shirin na motsa jiki na yau da kullum na iya taimakawa rage haɗari don ciwon zuciya da matsaloli masu dangantaka. Cin abinci mai cin gashi wanda ya ƙunshi cikakkiyar furotin da adadin kuzari na iya taimakawa wajen hana sarcopenia rheumatoid.
Kalma Daga
Yin hulɗa da sarcopenia rheumatoid zai iya zama takaici. Amma sanin cewa kana da hadari na asarar tsoka zai iya samar da ƙarin motsi. Don rage girman tasirin sarcopenia, ci gaba da cutar da kyau tare da magani kuma ku bi tsarin aikin motsa jiki.
> Daga Rocha OM, Batista AP, Maestá N, et al. Sarcopenia a cikin cachexia rheumatoid: fassarar, hanyoyin, magunguna da kuma hanyoyin kwantar da hankali . Bras J Rheumatol . 2009; 49 (3): 288-301.
> Doğan SC, Hizmetli S, Hayta E, Kaptanoğlu E, Erselcan T, Güler E. Sarcopenia a cikin mata da cututtukan arthritis. Turai Journal of Rheumatology . 2015; 2 (2): 57-61. Doi: 10.5152 / eurjrheum.2015.0038.
> Masche K. Rheumatoid cachexia ya sake dubawa: cututtukan da ke dauke da kwayar cuta a cikin rheumatoid arthritis. Faransanci a Gina Jiki . 2014; 1: 20. Doi: 10.3389 / fnut.2014.00020.
> Targowski T. Sarcopaenia da rheumatoid arthritis. Reumatologia . 2017; 55 (2): 84-87. Doi: 10.5114 / reum.2017.67603.