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Hogyan befolyásolja a rheumatoid arthritis a csuklóját? A

Hogyan befolyásolja a rheumatoid arthritis a csuklóját? A

rheumatoid arthritisben szenvedő embereknek gyakran tünetei vannak a csuklójukban. Számos gyakorlat segíthet csökkenteni ezeket a tüneteket, ideértve a fájdalmat és a merevséget. A

rheumatoid arthritis (RA) több mint 1,3 millió amerikai érint. A kezek, a csukló és a térd az általánosan érintett területek.

Ebben a cikkben megvizsgáljuk, hogy az RA hogyan befolyásolja a csuklóját, a tüneteket, a diagnózist és a kezeléseket.

Hogyan befolyásolja a rheumatoid arthritis a csuklóját? A

ra gyakran gyulladást okoz az egyik vagy mindkét csuklóízületben, ami fájdalomhoz és duzzanathoz vezet a területen. Az emberek az ízületi merevséget is észreveszik, ami ronthatja a csukló mozgását.

A csukló egy komplex ízület, amely sok kisebb ízületet tartalmaz. Két nagy csontból és nyolc kisebbből áll. A

ra egy progresszív állapot, amely általában kis ízületekben, például az ujjakban és a lábujjakban kezdődik, és közepes ízületekben, beleértve a csuklót is, a nagyobb ízületekre történő elterjedés előtt. Noha a tünetek kezdetben enyhe, nagyon fájdalmasak lehetnek. A

előrehaladtával az RA befolyásolhatja a csuklócsuklók mozgásának és rugalmasságának tartományát. Az a személy, akinek állapotában van, valószínűleg merevséget és korlátozott mozgástartományt tapasztal.

A tünetek az idő múlásával jönnek és mennek, a Flares nevű epizódokban. Ha az RA az egyik csuklóját érinti, akkor valószínűleg végül befolyásolja a másikot.

ra károsíthatja a porcot, amely általában párnázza az ízületet, és lehetővé teszi, hogy simán mozogjon. Amikor az állapot lebontja a porcot, az ízület csontjai együtt dörzsölhetnek, ami tartós károkat okozhat.

Ez további problémákat okozhat. Például az ujjak mozgásáért felelős inak megszakadhatnak, megakadályozva, hogy az ember teljes mértékben meghosszabbítsa az ujjaikat.

A csukló duzzanat a carpalis alagút szindrómához is vezethet, ami a RA -ban szenvedő emberek általános állapota.

A csuklóban lévő RA tünetei

RA duzzanatot és fájdalmat okozhatnak a csuklócsuklókban. Az idő múlásával ez a gyulladás tartós károsodást okozhat, ami a csuklócsuklók alakjának megváltozását eredményezheti.

Az RA -val rendelkező személy a csukló közelében képződött csomókat is észreveheti. Ezek kicsi, szilárd dudorok. A csomók nagyobb valószínűséggel alakulnak ki más érintett ízületek körül, például az ujjak vagy a könyökben.

Eleinte a RA tünetei általában enyhe. Az ember csak bizonyos időpontokban érezheti magát, ha nyomást gyakorol a csuklócsuklókra, például amikor a kezével forduló mozgást készít.

A korai szakaszban az ízületek mozgási tartománya általában csak enyhén korlátozott.

Az idő múlásával a fájdalom szigorúbbá és tartósabbá válik. Az emberek még akkor is kellemetlenséget érezhetnek, ha nincsenek fáklyuk.

Az ízületi tüneteken túl, az RA okozhat:

  • fogyás
  • alacsony fokú láz
  • izom Gyengeség

RA

diagnosztizálása az RA diagnosztizálására, az orvos fizikai vizsgálatot végez a területről, és elvégzi az ember kórtörténetét. Felmérik a csukló fizikai változásait és a mozgástartományát.

Az orvosok a képalkotó teszteket is javasolhatják, például röntgenfelvételeket, ultrahangokat vagy MRI-vizsgálatokat. Ezek segítenek meghatározni a sérülés mértékét és az érintett pontos helyeket.

A vérvizsgálatok megmutathatják, hogy van -e egy embernek RA vagy más típusú artritisz, a vérben az antitestek összetétele alapján.

RA csuklófájdalom kezelése

Az ízületi gyulladás nem gyógyul meg, tehát a kezelés célja a tünetek kezelése, a fájdalom csökkentése, az ízületi károk megelőzése és a mobilitás növelése.

A csukló rheumatoid arthritis kezelése tartalmazhat:

A csukló nyomásának csökkentése

A csuklóra gyakorolt nyomást gyakorló aktivitás hatékony módja lehet. Csökkentse a fájdalmat.

Nehéz teljesen elkerülni a csukló használatát. A szilánkok és más eszközök azonban támogatást nyújthatnak.

Gyakorlatok

Alapvető fontosságú, hogy a csuklócsatlakozást mozgatják a további károk megakadályozása érdekében.

A csukló gyakorlása javíthatja az izmok rugalmasságát, mozgási tartományát és erősségét, amelyek csökkenthetik a kellemetlenséget.

A következő gyakorlatok segíthetnek:

  • A csukló nyújtása és hajlítása rendszeresen a keringés előmozdítása, valamint a rugalmasság és a mozgástartomány javítása érdekében.
  • Minden nap szorítson meg egy stresszgolyót, hogy az inak aktív maradjanak a csuklóban és felépítsük a kézizmokat.
  • Helyezze a kezét az asztalra, lefordítva őket, majd megismételve. Ez elősegíti a csukló erejét és rugalmasságát.

Egyéb gyakorlatok, amelyek segíthetnek az RA teljes test tüneteiben, a következők:

  • Az úszás, mivel a víz támogatja a testet, kevesebb nyomást gyakorolva az ízületekre
  • A testmozgás olyan formái, amelyek folyó mozgásokat tartalmaznak, mint például a tai chi és a jóga
  • séta, mert ez egy alacsony hatású gyakorlat, és az emberek vázlatok vagy járdák is lehetnek, ha szükséges

A gyógytornászok más gyakorlatokat is javasolhatnak a csukló mobilitásának javítása érdekében.

gyógyszeres kezelés

A gyógyszerek segíthetnek enyhíteni a fájdalmat, csökkenthetik a gyulladást és lassíthatják a RA előrehaladását.

Az orvosok gyakran nem szteroid gyulladáscsökkentő gyógyszereket (NSAID-t) javasolnak a gyulladás szabályozására. Ez egy fontos lépés a fájdalom korlátozása és a csukló mozgásának helyreállításához.

Más típusú gyógyszerek, amelyek csökkenthetik a gyulladást, a következők:

  • Betegség módosító antirheumatikus gyógyszerek (DMARD)
  • Biológiai gyógyszerek

  • fájdalomcsillapítók
  • kortikoszteroid injekciók

műtét

Ha az RA tartós károkat okozott a csuklóízületben vagy más kezelésekben, nem működtek, az orvos az orvos lehet Ajánlja a műtétet. A cél általában az ízület sérült részeinek eltávolítása vagy cseréje.

Bizonyos típusú műtétek magukban foglalhatják a csontok összeolvadását az ízületben, amelyek egymás ellen dörzsölnek.

A csuklóban lévő RA -val rendelkező emberek megnövekedett kockázata van egy olyan állapot kialakulásának, amely befolyásolja az inak, az úgynevezett dorsalis tenosynovitis.

Ha a gyulladás a kezére terjed ki, és fennáll az inakkárosodás veszélye, az orvos az embert egy speciális kézsebészre utalhatja, mivel a szakadt inak nehéz kezelni.

Ellenkező esetben az orvosok javasolhatják a szteroidok befecskendezését a szinoviális szövetbe, ami szintén megelőző intézkedés lehet.

Outlook

ra gyakran érinti a csuklóját. A betegség előrehaladtával a tünetek általában rosszabbá válnak, és az embereknek gyakorlatokat, gyógyszereket vagy terápiák kombinációját kell használniuk a tünetek enyhítésére. A

ra krónikus állapot. Az idő múlásával tartós károkat és korlátozott mobilitást okozhat a csuklóban.

Ha egy orvos korán észlel, és egy személynek megfelelő kezelések kombinációja van, az RA sok éven át csak enyhe tüneteket okozhat.

  • Rheumatoid arthritis
  • Fájdalom/érzéstelenítés

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Πώς επηρεάζει η ρευματοειδή αρθρίτιδα τους καρπούς;

Πώς επηρεάζει η ρευματοειδή αρθρίτιδα τους καρπούς;

Τα άτομα με ρευματοειδή αρθρίτιδα συχνά έχουν συμπτώματα στους καρπούς τους. Μια σειρά ασκήσεων μπορεί να βοηθήσει στη μείωση αυτών των συμπτωμάτων, τα οποία περιλαμβάνουν πόνο και ακαμψία.

Η ρευματοειδής αρθρίτιδα (RA) επηρεάζει πάνω από 1,3 εκατομμύρια Αμερικανούς. Τα χέρια, οι καρποί και τα γόνατα είναι οι περιοχές που επηρεάζονται συνήθως.

Σε αυτό το άρθρο, εξετάζουμε τον τρόπο με τον οποίο η RA επηρεάζει τους καρπούς, μαζί με τα συμπτώματα, τη διάγνωση και τις θεραπείες.

Πώς επηρεάζει η ρευματοειδή αρθρίτιδα τους καρπούς;

Η RA συχνά προκαλεί φλεγμονή σε μία ή και τις δύο αρθρώσεις του καρπού, οδηγώντας σε πόνο και πρήξιμο στην περιοχή. Οι άνθρωποι παρατηρούν επίσης την κοινή δυσκαμψία, η οποία μπορεί να βλάψει την κίνηση του καρπού.

Ο καρπός είναι μια σύνθετη άρθρωση που περιέχει πολλές μικρότερες αρθρώσεις. Αποτελείται από δύο μεγάλα οστά και οκτώ μικρότερα.

ra είναι μια προοδευτική κατάσταση που ξεκινά συνήθως σε μικρές αρθρώσεις, όπως τα δάχτυλα και τα δάχτυλα των ποδιών, και σε μεσαίες αρθρώσεις, συμπεριλαμβανομένου του καρπού, πριν εξαπλωθεί σε μεγαλύτερες αρθρώσεις. Ενώ τα συμπτώματα είναι ήπια αρχικά, μπορούν να γίνουν πολύ οδυνηρά.

Καθώς εξελίσσεται, η RA μπορεί να επηρεάσει το εύρος της κίνησης και της ευελιξίας των αρθρώσεων του καρπού. Ένα άτομο με την κατάσταση πιθανώς βιώνει ακαμψία και περιορισμένο εύρος κίνησης.

Τα συμπτώματα έρχονται και πηγαίνουν με την πάροδο του χρόνου, σε επεισόδια που ονομάζονται Flares. Εάν η RA επηρεάζει έναν καρπό, είναι πιθανό να επηρεάσει τελικά το άλλο.

ra μπορεί να βλάψει τον χόνδρο, ο οποίος συνήθως μαχαιρώνει την άρθρωση και του επιτρέπει να κινείται ομαλά. Όταν η κατάσταση διασπά τον χόνδρο, τα οστά της άρθρωσης μπορούν να τρίβουν μαζί, με αποτέλεσμα μόνιμη βλάβη.

Αυτό μπορεί να προκαλέσει περαιτέρω προβλήματα. Για παράδειγμα, οι τένοντες που είναι υπεύθυνοι για την κίνηση στα δάχτυλα μπορούν να ρήξουν, εμποδίζοντας ένα άτομο να επεκτείνει πλήρως τα δάχτυλά του.

Οίδημα καρπού μπορεί επίσης να οδηγήσει σε σύνδρομο καρπιαίου σήραγγας, μια κοινή κατάσταση για άτομα με RA.

Τα συμπτώματα της RA στους καρπούς

RA μπορούν να προκαλέσουν πρήξιμο και πόνο στους αρθρώσεις του καρπού. Με την πάροδο του χρόνου, αυτή η φλεγμονή μπορεί να οδηγήσει σε μόνιμη βλάβη, με αποτέλεσμα αλλαγές στο σχήμα των αρθρώσεων του καρπού.

Ένα άτομο με RA μπορεί επίσης να παρατηρήσει οζίδια που σχηματίζονται κοντά στους καρπούς. Αυτά είναι μικρά, σταθερά χτυπήματα. Τα οζίδια είναι πιο πιθανό να αναπτυχθούν γύρω από άλλες προσβεβλημένες αρθρώσεις, όπως αυτά στα δάχτυλα ή στον αγκώνα.

Στην αρχή, τα συμπτώματα της RA είναι συνήθως ήπια. Ένα άτομο μπορεί να αισθάνεται ενόχληση μόνο σε ορισμένες χρονικές στιγμές όταν ασκεί πίεση στους αρθρώσεις του καρπού, όπως όταν κάνει μια στροφή με το χέρι.

Στα αρχικά στάδια, το εύρος κίνησης των αρθρώσεων είναι συνήθως μόνο ελαφρώς περιορισμένη.

Με την πάροδο του χρόνου, ο πόνος γίνεται πιο σοβαρός και επίμονος. Οι άνθρωποι μπορεί να αισθάνονται δυσφορία ακόμη και όταν δεν έχουν φλόγα.

Πέρα από τα συμπτώματα που σχετίζονται με την άρθρωση, η RA μπορεί να προκαλέσει:

  • Απώλεια βάρους
  • Ένας πυρετός χαμηλής ποιότητας
  • μυς Αδυναμία

ΔΙΑΓΝΩΣΗ RA

Για να διαγνώσει το RA, ένας γιατρός θα εκτελέσει μια φυσική εξέταση της περιοχής και θα πάρει το ιατρικό ιστορικό ενός ατόμου. Θα αξιολογήσουν τις φυσικές αλλαγές στον καρπό και το φάσμα της κίνησης.

Οι γιατροί μπορούν επίσης να συστήσουν δοκιμές απεικόνισης, όπως ακτίνες Χ, υπερήχους ή σαρώσεις μαγνητικής τομογραφίας. Αυτά θα βοηθήσουν στον προσδιορισμό της έκτασης των ζημιών και των ακριβών τοποθεσιών που επηρεάζονται.

Οι εξετάσεις αίματος μπορούν να δείξουν εάν ένα άτομο έχει RA ή άλλο τύπο αρθρίτιδας με βάση τη σύνθεση αντισωμάτων στο αίμα.

θεραπεία για τον πόνο του καρπού RA

Δεν υπάρχει θεραπεία για την αρθρίτιδα, οπότε η θεραπεία στοχεύει στη διαχείριση των συμπτωμάτων, να μειώσει τον πόνο, να αποτρέψει τη βλάβη των αρθρώσεων και να αυξήσει την κινητικότητα.

Οι θεραπείες για τη ρευματοειδή αρθρίτιδα στους καρπούς μπορούν να περιλαμβάνουν:

μείωση της πίεσης στους καρπούς

Μειώστε τον πόνο.

Είναι δύσκολο να αποφευχθεί πλήρως η χρήση των καρπών. Ωστόσο, οι νάρθηκες και άλλες συσκευές μπορούν να παρέχουν υποστήριξη.

Ασκήσεις

Είναι απαραίτητο να διατηρηθούν οι αρθρώσεις του καρπού για να αποφευχθούν πρόσθετες ζημιές.

Η άσκηση των καρπών μπορεί να βελτιώσει την ευελιξία, το εύρος κίνησης και τη δύναμη των μυών, που μπορούν να μειώσουν την ταλαιπωρία.

Οι ακόλουθες ασκήσεις μπορούν να βοηθήσουν:

  • Τεντώνοντας και κάμπτοντας τακτικά τους καρπούς για να προωθήσουν την κυκλοφορία και να βελτιώσουν την ευελιξία και το εύρος κίνησης.
  • συμπιέζοντας μια σφαίρα στρες κάθε μέρα για να κρατήσει τους τένοντες στον καρπό ενεργό και να δημιουργήσει τους μυς των χεριών.
  • Τοποθετώντας τα χέρια φοίνικα στο τραπέζι, στρέφοντας τα φοίνικα και στη συνέχεια επαναλαμβάνοντας. Αυτό θα προωθήσει τη δύναμη και την ευελιξία στον καρπό.

Άλλες ασκήσεις που μπορούν να βοηθήσουν με τα συμπτώματα ολόκληρου του σώματος της RA περιλαμβάνουν:

  • Οι μορφές άσκησης που περιλαμβάνουν ρέουσες κινήσεις, όπως το tai chi και η γιόγκα
  • περπάτημα, επειδή είναι μια άσκηση χαμηλού αντίκτυπου και οι άνθρωποι μπορούν να καλύψουν ή να περιπατήσουν αν χρειαστεί

    • Οι φυσιοθεραπευτές μπορούν να συστήσουν άλλες ασκήσεις για τη βελτίωση της κινητικότητας στους καρπούς.

    φάρμακα

    Τα φάρμακα μπορούν να βοηθήσουν στην ανακούφιση του πόνου, στη μείωση της φλεγμονής και στην επιβράδυνση της εξέλιξης της RA.

    Οι γιατροί συχνά συνιστούν μη στεροειδή αντιφλεγμονώδη φάρμακα (NSAID) για τον έλεγχο της φλεγμονής. Αυτό είναι ένα σημαντικό βήμα προς τον περιορισμό του πόνου και τη συμβολή στην αποκατάσταση του εύρους κίνησης στους καρπούς.

    Άλλοι τύποι φαρμάκων που μπορούν να μειώσουν τη φλεγμονή περιλαμβάνουν: > ΠΑΝΕΠΙΣΤΗΜΑΤΑ

  • Ενέσεις κορτικοστεροειδών

    • Προτείνετε χειρουργική επέμβαση. Ο στόχος είναι συνήθως η κατάργηση ή η αντικατάσταση των κατεστραμμένων τμημάτων της άρθρωσης.

    Ορισμένοι τύποι χειρουργικής επέμβασης μπορεί να περιλαμβάνουν τη συγχώνευση τμημάτων των οστών στην άρθρωση που τρίβονται μεταξύ τους.

    Τα άτομα με RA στον καρπό έχουν αυξημένο κίνδυνο ανάπτυξης μιας κατάστασης που επηρεάζει τους τένοντες, που ονομάζεται ραχιαία tenosynovitis.

    Εάν η φλεγμονή επεκτείνεται στα χέρια και υπάρχει κίνδυνος βλάβης των τενόντων, ένας γιατρός μπορεί να παραπέμψει ένα άτομο σε ειδικό χειρούργο χεριού, επειδή οι ρήξη των τένοντων είναι δύσκολο να διαχειριστούν.

    Διαφορετικά, οι γιατροί μπορούν να συστήσουν μια ένεση στεροειδών στον αρθρικό ιστό, η οποία μπορεί επίσης να είναι ένα προληπτικό μέτρο.

    Outlook

    Το RA συχνά επηρεάζει τους καρπούς. Καθώς η κατάσταση εξελίσσεται, τα συμπτώματα συνήθως γίνονται χειρότερα και οι άνθρωποι μπορεί να χρειαστεί να χρησιμοποιούν ασκήσεις, φάρμακα ή συνδυασμό θεραπειών για την ανακούφιση των συμπτωμάτων.

    ra είναι μια χρόνια κατάσταση. Με την πάροδο του χρόνου, μπορεί να προκαλέσει μόνιμη ζημιά και περιορισμένη κινητικότητα στους καρπούς.

    Εάν ένας γιατρός το ανιχνεύει νωρίς και ένα άτομο έχει το σωστό συνδυασμό θεραπειών, η RA μπορεί να προκαλέσει μόνο ήπια συμπτώματα για πολλά χρόνια.

    • Rheumatoid Arthritis
    • Πόνος/Αναισθητικός

    MySQL: Setting, changing and recovering your root password

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    5 Easy Very First Date Mistakes In Order To Prevent

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    You dressed in old filthy denim jeans and a t-shirt. You’ll find nothing incorrect with this look in case you are in the home viewing the overall game, but also for a first big date? It is not good. Put some energy into the gown – clean clothes merely, and preferably a nice clothing or coat and sealed boots, not flip flops. Think of the go out as an important business meeting. You wish to wow your customers, consider impress your own time?

    You kept exploring the space. Maybe there are enough appealing ladies at bar that evening and also you could not assist your self. But your date would like to feel the woman is unique, about for time you two take the time. Consider and build relationships their, and check out to not ever get therefore distracted.

    You allow her to grab the check. You’ll find nothing wrong with splitting the balance or having changes paying when you’re online dating someone, but if it is a primary time, spend the bill. It shows you’re sophisticated. I realize that lots of individuals do not have a pile of cash to blow on times, and that’s okay. For this reason you’re one preparing it – choose a spot you really can afford, like a restaurant, r do something free like a walk in the park. Then you certainly understand what you may anticipate as soon as the check comes.

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    Folks Show Their Own Roaching Stories

    We had gotten individuals to present Their unique Roaching Stories – and they are perhaps not Pretty

    Roaching, a term created by AskMen early in the day in 2010, is online dating slang that relates to a relationship this is certainly provided as serious and special, however in fact, your spouse is actually privately dating several other people.

    Your own hot, enchanting, and reassuring connection was actually destroyed by realizing there clearly was a cockroach gift. Therefore be aware of the reality about cockroaches — there’s never ever one.

    Once you ask the roacher, „What provides? The reason why do you become this was significant when you happened to be in addition associated with multiple others, why actually make use of the front?“ they will usually poo poo your own concerns by claiming, well, we never DTR (identified the partnership).

    Or, they may be one of those „ethically non-monogamous“ folks who behave mature and communicative, main tenets of any available union, while forsaking the moral component.

    The truth is that nearly all of have been roached or roached various other sooner or later. AskMen requested five individuals to discuss their particular roaching scary tales.

    „we felt like this type of an idiot. She just had this entire additional existence I realized absolutely nothing when it comes to. We came across on Tinder, it appeared like things had been going well, immediately after which I got children disaster along with to go back to my personal parents for a little over each week. I-come as well as out of the blue this lady has a boyfriend. And she confessed that she was not merely making love with him, however additional dudes, as well, that whole time we were online dating. I must say I believed tricked and dumb for considering she cared about me.“

    – Elliot, 35

    „After getting away from the worst connection, positively psychologically abusive, I found myself single for a really few years plus it was actually a lot of enjoyment. I happened to be witnessing one man, Jay. He had been cool, we’d good intercourse, common interests, and might talk about songs, it simply was not, love love. Being special never ever emerged but we texted everyday and definitely acted couple-y. I happened to be resting along with other men and women but nothing serious, to ensure that failed to issue, but then as destiny will have it my good friend establishes me up with some body and that I fall in love like an idiot. I happened to be attempting to balance all of it, but between Jay, the one who is currently my boyfriend, the two other individuals I was casually resting with, not forgetting friends and a full-time work it was virtually impossible. I did not rest! Therefore, the guy who’s my personal boyfriend now questioned me to be exclusive and I mentioned yes. I met up with Jay and informed him face-to-face to attempt to end up being a reduced amount of an asshole but he had been injured. I discovered to him, he believed about me how I felt about my personal date, therefore ended up being this f*cked-up stability of understanding and energy. Thus I think I roached him but about i did not ghost.“

    – Alex, 27

    „i am polyamorous, that we’m really open about. I think just what transpired is actually par the program but somebody also known as me from it as roaching, thus I’ll let you judge. I became single and dating a number of ladies as a solo poly guy, as in, no primary union, no hierarchy. We invested one particular time with this one lady, Sasha, who is lots of fun and that I actually enjoyed. However we came across Charlotte, and simply, situations changed. We fell on her behalf that I can’t assist. And we chose to be monogamous for some and I let things fall off with Sasha. She shown that she felt like I pulled the carpet from under their and misrepresented my sexual identity, but a number of those who take to non-monogamy will testify that scenarios modification. I possibly could have communicated better with Sasha but Really don’t consider used to do such a thing completely wrong by following my union with Charlotte therefore we’re very happy. If only everyone top.“

    – Matt, 41

    „Oh, god. Therefore I understand i ought ton’t have already been stalking him but i consequently found out your man I became internet dating was still on OkCupid, happening dates on a regular basis, once I inquired him about it he forced me to feel like I was insane. He’s like, ‘We’ve never ever talked about becoming monogamous,‘ but also, you introduced us to your parents, bro. How can you invite anyone to Thanksgiving after which act like you aren’t actually that severe once they raise up that you’ve still got an OkCupid? I thought I became being cool by not asking when we had been actually a couple since again, the guy took me home for Thanksgiving, but I found myself becoming an idiot.“

    – Natasha, 23

    „Roaching wrecked my personal birthday. Usually do not put a birthday celebration invite on fb if you’re dating numerous individuals plus don’t would like them all meet up with. I became most severe with Stephanie and that I truly appreciated their and perhaps we’re able to have reached a significant commitment but I becamen’t indeed there however plus didn’t wish drop her and so I just held silent about everybody else as it additionally was not fundamentally her business. We’d been dating for some months and I was actually sleeping with a few f*ck friends this one girl from some office. Obviously, it is a tiny community and each is within my celebration. I guess i recently thought everybody would be having fun also it is chill. But Stephanie is within the bathroom, and is actually Nicole, the girl through the office. Stephanie requires Nicole how she knows myself, and Nicole was inebriated and I think finding some drama, so she goes, ‘Oh, we f*cked him on Tuesday.‘ Stephanie arrived on the scene weeping and accused me personally of cheating on her behalf in front of everybody else.“

    – Paul, 32

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