Arthritis

WAT IS ATRITIS?

Eenvoudig gestel, is artritis die inflammasie van die voering van een of meer gewrigte (nie die areas waar die twee bene ontmoet nie). Indien hierdie toestand nie reg behandel word nie, kan die inflammasie vir lang periodes aanhou en permanente skade aan die gewrigte aanrig deur die verlies aan kraakbeen en erosie van die bene.

Nog ‘n wanopvatting is dat artritis ‘n enkel siekte is, terwyl dit meer as 100 afsonderlike, maar verwante siektes insluit wat elke deel van die liggaam kan affekteer, insluitend die vel en interne organe. Afgesien van rumatoïede artritis, sitemiese lupus erythamatosus en osteo-artritis, sluit ander vorme jig, ankiloserende spondilitis, psoriatiese artritis en sistemiese sklerose in.

Arthritis is one of the leading disabling diseases in our country and at least one in seven South Africans is affected by this disease. Worldwide, one in every 100 people either has rheumatoid arthritis or systemic lupus erythmatosus, both of which commonly affect the joints and cause pain.

Artritis is nie ‘n siekte wat net ouer mense affekteer nie. Die oorgrote meerderheid pasiënte is tussen 20 en 50 jaar oud en selfs babas so jonk as 6 maande, is al met jong rumatoïede artritis gediagnoseer.

 

WHO IS AT RISK OF DEVELOPING ARTHRITIS?

Rheumatoid arthritis and lupus commonly affect people from Asian or Caucasian descent, but other groups may also be affected.

If you are overweight, you have a higher risk of developing arthritis, especially in the back, knees and hips. If you injured a joint in an accident or as a result of overuse, you are also at risk of developing osteoarthritis.

Arthritis is NOT caused by what you eat. People with gout should however, avoid purine-containing foods and excessive alcohol intake.

WHEN SHOULD I SUSPECT THAT I HAVE ARTHRITIS?

If you experience painful swelling of the hands or other joints, with early morning stiffness for more than a month, you should consult your doctor.

If you have rheumatoid arthritis, treatment should ideally commence within six months of onset, because the earlier you are treated, the better your outcome.

HOW IS ARTHRITIS DIAGNOSED?

Various tests are available. Your doctor will take a thorough medical history from you (including family history of illnesses) and do a physical examination. He or she will test for fluid around your joints, check whether your joints appear warm, red and tender and do tests to determine if you have difficulty moving a joint. You may also be sent for blood tests and joint x-rays. A sample of joint fluid may be taken and sent to a laboratory for diagnosis.

HOE WORD ARTRITIS BEHANDEL?

Daar is ‘n wanopvatting dat artritis nie suksesvol behandel kan word nie. Artritis moet as ‘n chroniese deurlopende siekte behandel word. Die doel van die behandeling is om verdere gewrigskade te voorkom, om funksionaliteit te verbeter en pyn sodanig te verlig dat pasiënte ‘n normale lewe kan lei, sonder pyn.

Steroïde inspuitings en anti-inflammatoriese medikasie kan ook voorgeskryf word. Gewigsverlies speel ook ‘n belangrike rol aangesien dit die gewig-draende vermoë van jou knieë affekteer terwyl oefening weer die spierkrag verbeter.

Steroïde (kortisoon) word gebruik om inflammasie te verminder en kan ingespuit word of mondelings geneem word om akute opvlammings te behandel.Anti-inflammatoriese medikasie word gebruik om inflammasie te behandel en pyn te verlig. Moontlike newe-effekte van die anti-inflammatoriese medikasie sluit in gesuis in die ore, maag irritasies of gastrointestinale bloeding, hartkwale en lewer- en nierskade. Kortisoon word geassosieer met die verdunning van bene, katarakte, toename in gewig en diabetes.

Biologics - genetically engineered proteins derived from human genes, which is used to inhibit specific components of the immune system that cause inflammation – are by far the best treatment for patients with arthritis.

 

 ONS KYK NOU NA DIE VERSKILLENDE TIPES ARTRITIS

 

*Osteo-artritis

*Sistemiese lupus eritromatose

*Spinale artritis

*Rumatoïede artritis

*Ankiloserende spondilitis

*Gout/Jig

*Sistemiese sklerose

 

 TYPES OF ARTHRITIS

OSTEOARTHRITIS

This type of arthritis develops when the cartilage covering the end of the bones gradually wear away as you age. As a result, bones rub against each other, causing pain and swelling.

Osteoarthritis mostly affects the hands and weight-bearing joints such as the knees, hips and spine. Symptoms include pain, stiffness and difficulty in moving the affected joint. Pain is mostly experienced at night and tends to worsen with overuse of the joints.

SYSTEMIC LUPUS ERYTHAMATOSUS(SLE)

This is a chronic auto-immune disorder that affects multiple organ systems such as the skin, joints, kidneys and brain. Joints that are affected include the fingers, hands, wrists and knees.

Symptoms include chest pain when you take a deep breath and you may also experience fatigue and fever with no OTHER cause. Other symptoms include a general feeling of discomfort, hair loss, mouth sores, sensitivity to sunlight, skin rash, swollen lymph glands, headaches, numbness, tingling, seizures, vision problems, personality changes and darker urine.

LAE RUGPYN OF SPINALE ARTRITIS

Oor die algemeen word mense oor 40 jaar deur spinale artritis geaffekteer. Hierdie tipe artritis kan geweldig pynlik wees en jou bedlêend laat of jou glad nie in staat stel om jou daaglikse take te verrig nie.

Spinale artritis word oor die algemeen veroorsaak deur die agteruitgang van die bene of vorige beserings. Seunuwees word vasgeknyp of platgedruk wat erge pyn of gevoelloosheid veroorsaak.

RUMATOïEDE ARTRITIS

Tipiese simptome van rumatoïede artritis is vroeë oggend styfheid in die hande met pynlike swelsels in die kleiner gewrigte van die hande en polse.

Hierdie tipe artritis is ‘n immuunsiekte wat veroorsaak word deur die liggaam se immuunsistseem wat “deurmekaar” raak en dan verkeerdelik die normale en gesonde gewrigte aanval. Dit veroorsaak inflammasie van die gewrigte se voering. Inflammasie versprei na die aangrensende weefsel en veroorsaak uitgebreide skade aan die been en kraakbeen.

ANKYLOSING SPONDYLITIS

Inflammation of the joints between the spinal bones as well as those between the spine and pelvis, causes ankylosing spondylitis. This disease often starts in the joints between the pelvis and spine and usually between the ages of 20 and 40.

This type of arthritis is hereditary and symptoms include pain and stiffness that is worse at night or in the morning when you are not yet active. This pain often gets better as you become active or exercise.

Other symptoms include loss of motion in the lower spine and you may not be able to fully expand your chest, because this disease can also affect the rib joints. A very common symptom is fatigue.

GOUT

Gout is caused by the body’s inability to eliminate uric acid, a chemical created when the body breaks down substances called purines. Purines occur naturally in the body, but you can also get them when you eat certain foods such as organ meats (kidneys and liver), anchovies, herring, asparagus and mushrooms. Because the body cannot eliminate uric acid, it forms needle-like crystals in the joints that cause swelling and pain. This condition normally affects the big toe, knee and wrist joints.

Symptoms include intense pain, swelling and extreme tenderness in a joint. Often these symptoms start in a different joint such as the knee or ankle. The skin around the affected joint may appear red or purplish and as the attack subsides, the area around the inflamed joint may start peeling and become itchy.

SYSTEMIC SCLEROSIS

Also known as scleroderma, this condition normally affects women between the ages of 30 and 50. This is an autoimmune disease and is characterised by the thickening and tightening of the skin. Inflammation and scarring can lead to lung, kidney, heart and intestinal system problems.

Symptoms include changes to the colour of the fingers. Fingers will first become pale then turn blue as blood flow is cut off and when blood flow is restored, the fingers will become red. Other symptoms are tingling and pain in the affected areas.

Dit is belangrik om u geneesheer te kontak as u vermoed dat u een van die verskillende tipes artritis onder lede het. Die regte diagnose en tydige behandeling is van kardinale belang om die siektetoestand effektief te behandel.

 

 

 

 

 

 

Comments:

Write new comment:

Pieter Smit on 2017-04-18 01:40:19 AM

Ek het permanente lyfseer/spierpyn van inflammasie....was al by verskeie Rhematoloë...het ook al verskeie knoppe aan my hande laat verwyder...help asb ek benodig die regte meds of inligting...moedeloos!!

Smithk326 on 2017-11-04 09:51:15 PM

I would definitely not recommend these as ways to break the ice however. dffdeddecbfegfde