Kodi muli ndi Ankylosing Spondylitis? Ngati ndi choncho, mwina mukuopa pang'ono komanso mukufuna kudziwa zambiri za opaleshoni. Mwina mukudzifunsa kuti, "Kodi ndiyenera kuchitidwa opaleshoni?" Koma opaleshoni siifunikira kwenikweni pa vutoli. Anthu ambiri amachira ndi mankhwala ndi physiotherapy. Koma nthawi zina zovuta, ngati mankhwala ena saletsa ululu ndi zizindikiro, dokotala wanu angakulangizeni opaleshoni. Tiyeni tikambirane izi momveka bwino komanso mosavuta.
N’chifukwa chiyani muyenera kuchitidwa opaleshoni?
Kumbukirani kuti si aliyense amene ali ndi ankylosing spondylitis (AS) amene angafunike opaleshoni. Komabe, pali zifukwa zingapo zazikulu zomwe dokotala angaganizire zochitira opaleshoni.
- Ngati muli ndi ululu wosapiririka: Ngati muli ndi ululu waukulu womwe sungathetsedwe ngakhale mutagwiritsa ntchito mankhwala ochepetsa ululu ndipo ndi woopsa kwambiri moti simungathe kuchita zinthu za tsiku ndi tsiku.
- Ngati simungathe kuyenda bwino: Ngati kuyenda kuli kovuta chifukwa cha kupunduka kwa msana ndi mafupa, kufooka kwa minofu, kapena kupweteka.
- Ngati kusweka kwa msana kumayambitsa kupsinjika kwa mitsempha: Nthawi zina, mafupa a msana akasweka (kusweka), zidutswa zosweka zimatha kufinya chingwe cha msana kapena mitsempha yomwe imachokera mmenemo. Izi zitha kukhala zoopsa ndipo zimafuna opaleshoni.
Chofunika kwambiri ndichakuti chisankhochi chipangidwe ndi dokotala wanu, amene amadziwa bwino vuto lanu. Iye adzafufuza bwino vuto lanu ndikusankha ngati opaleshoni ndi yofunika kapena ayi.
Ndi mitundu yanji ya opaleshoni yomwe imachitidwa?
Pali mitundu ingapo ya opaleshoni ya AS. Mtundu wa opaleshoni yomwe mungasankhe idzadalira vuto lanu. Tiyeni tiwone mitundu ikuluikulu ya opaleshoni. Ma opaleshoni ambiriwa amachitidwa pansi pa anesthesia, zomwe zikutanthauza kuti muli mtulo wonse ndipo simukudziwa chilichonse.
| Dzina la opaleshoni | Kodi chimachitika ndi chiyani ndi izi? | Kufotokozera mwachidule |
|---|---|---|
| Kuchotsa Laminectomy | Iyi ndi opaleshoni yofala kwambiri ya AS, chifukwa imachepetsa kupanikizika kwa mitsempha ya msana ndikuchepetsa ululu. | Gawo la mafupa la msana lotchedwa lamina limachotsedwa kuti mitsempha ikhale ndi malo ambiri. Zingwe zina za mafupa kapena zitsulo zingagwiritsidwe ntchito kuti msana ukhazikike bwino. Zimatenga maola 1-2, ndipo mutha kupita kunyumba tsiku lomwelo. |
| Osteotomy | Opaleshoni yowongola msana ndi kaimidwe koyenera kwa anthu omwe ali ndi kyphosis. Izi zimachitika kawirikawiri. | Chidutswa cha fupa chimachotsedwa pamsana ndipo msana umakonzedwanso. Izi zimapangitsa kuyenda kukhala kosavuta komanso kuchepetsa ululu. Mungafunike kukhala m'chipatala kwa masiku pafupifupi 5-7. |
| Kusakanikirana kwa Msana | Opaleshoni yolimbitsa msana. Nthawi zambiri, maopaleshoni awiri omwe atchulidwa pamwambapa amachitikira limodzi. | Pogwiritsa ntchito ndodo zachitsulo ndi mawaya, mafupa a msana amalumikizidwa ndikukhazikika. Izi zimathandizira kuti munthu achire msanga. Zimatenga maola awiri mpaka asanu ndi awiri ndipo zimafuna kuti munthu akhale m'chipatala kwa masiku awiri kapena anayi. |
| Kubwezeretsa Chiuno | Izi zimachitika kwa anthu omwe avulala kwambiri chiuno chifukwa cha AS ndipo akumva ululu waukulu kotero kuti sangathe kuyenda. | Cholumikizira cha m'chiuno chomwe chawonongeka chimachotsedwa ndikusinthidwa ndi cholumikizira chopangidwa ndi chitsulo, ceramic, kapena pulasitiki. Mungafunike kukhala kuchipatala kwa masiku 1-2. |
Kodi zoopsa za opaleshoni ndi ziti?
Opaleshoni ya AS nthawi zambiri imakhala yopambana. Komabe, monga tikudziwira, pali zoopsa zina ndi opaleshoni iliyonse. Ndikofunikira kuzidziwa.
Zoopsa za opaleshoni ya msana
- Mavuto omwe angachitike panthawi yopumitsa mutu (monga kuiwalaiwala, kupuma movutikira, matenda aakulu monga matenda a mtima kapena sitiroko)
- Magazi amaundana
- Mavuto a m'mapapo, mwachitsanzo, chibayo
- Matenda a bala
- Zomangira zitsulo zotayirira kapena zotuluka m'malo mwake
- Kuwonongeka kwa mitsempha ya msana
- Ululu umene umapitirira kapena kuipiraipira pambuyo pa opaleshoni
- Kuika mphamvu kwambiri pa ziwalo zina za msana, zomwe zimapangitsa kuti ziwonongeke mwachangu
Zoopsa za opaleshoni yobwezeretsa chiuno
Opaleshoni iyi ili ndi chiwopsezo chachikulu kwambiri, koma nthawi zambiri zotsatirazi zimachitika:
- Magazi amaundana
- Matenda
- Kusamuka kwa cholumikizira chopatulidwa
Kodi mumakonzekera bwanji opaleshoni?
Njira yabwino kwambiri yochiritsira mwamsanga pambuyo pa opaleshoni ndi kukonzekera bwino. Nazi zina zomwe mungachite.
- Lembani mndandanda wa mafunso: Lembani mafunso onse omwe muli nawo, kuyambira ang'onoang'ono mpaka akulu, papepala ndipo pitani kwa dokotala. Funsani momveka bwino zomwe mungayembekezere kuchokera ku opaleshoni, nthawi yochira, ndi zoopsa zake.
- Uzani dokotala wanu za mankhwala onse omwe mumamwa (kuphatikizapo mavitamini ndi mankhwala azitsamba).
- Ngati mukusuta, siyani tsopano: Nikotini imachedwetsa kwambiri kuchira kwa zilonda. Ndikofunikira kusiya kusuta musanachite opaleshoni.
- Tsatirani malangizo okhudza chakudya, zakumwa, ndi mankhwala: Funsani dokotala wanu kuti muyenera kusiya kudya ndi kumwa maola angati musanachite opaleshoni, komanso ngati muyenera kusiya kumwa mankhwala enaake, ndipo muwatsatire moyenerera.
- Konzani kuti wina akuthandizeni pa ntchito zapakhomo: Ngati mukukhala nokha, konzani kuti wina akuthandizeni kugula zinthu, kuphika, ndi kuchita zinthu zina mukatha opaleshoni yanu.
- Konzani malo anu okhala panyumba: Sungani zinthu zomwe mukufuna pafupipafupi (foni, TV remote, botolo la madzi) pafupi ndi inu. Yendetsani zinthu kuti zikhale zosavuta kuyenda m'nyumba. Chotsani zinthu monga mapilo ndi zingwe zomwe zingakugwetseni m'mavuto.
Nthawi yochira pambuyo pa opaleshoni
Kumbukirani kuti zimatenga nthawi kuti munthu achire. Khalani oleza mtima. Ngakhale zitakhala zovuta, ndikofunikira kusuntha ndikuyenda momwe mungathere malinga ndi upangiri wa dokotala.
Dokotala wanu adzakutumizirani ku physiotherapy kapena kukupatsani masewera olimbitsa thupi oti muchite kunyumba. Onetsetsani kuti mwachita zinthu zimenezo. Dokotala wanu adzakupatsani malangizo omveka bwino a zomwe mungachite ndi zomwe simungachite mutachita opaleshoni (monga kunyamula zolemera, kupinda).
Chofunika: Ngati pali zizindikiro za matenda a bala (monga kufiira, kutupa, mafinya, malungo), kapena ngati ululu wanu ukukulirakulira, imbani dokotala wanu nthawi yomweyo. Ngati muli ndi vuto lalikulu, pitani ku Dipatimenti Yothandiza Pangozi (ETU) ya chipatala chapafupi.
Uthenga Wopita Nawo Kunyumba
- Opaleshoni siifunikira kawirikawiri pa matenda a ankylosing spondylitis (AS). Anthu ambiri saifunikira.
- Opaleshoni imalimbikitsidwa pokhapokha ngati pali ululu waukulu, kuyenda movutikira, kapena kupsinjika kwa mitsempha, komanso ngati njira zina zothandizira zalephera.
- Pali mitundu ingapo ya opaleshoni (monga Laminectomy, Osteotomy) yomwe ingakhale yoyenera vuto lanu. Dokotala wanu adzakufotokozerani izi.
- Kukonzekera bwino musanachite opaleshoni (kufunsa mafunso, kusiya kusuta fodya, kukonzekera nyumba) kumathandiza kwambiri kuti munthu achire msanga.
- Khalani oleza mtima pamene mukuchira, tsatirani malangizo a dokotala wanu komanso malangizo a physiotherapy mosamala, ndipo dziwitsani dokotala wanu nthawi yomweyo ngati mukukumana ndi vuto lililonse.
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