Ngaba i-Ankylosing Spondylitis (AS) ibangela iintlungu zesifuba? Masifumanise ukuba yintoni kanye kanye

Ukuba une-Ankylosing Spondylitis, okanye i-AS ngamafutshane, mhlawumbi uqhelene neentlungu zomqolo kunye nokuqina kwasekuseni. Kodwa ubusazi na ukuba le meko ayisoloko ichaphazela umqolo kuphela? Malunga nesithathu kwisithathu sezigulane ze-AS nazo zifumana ukudumba kwezinye iindawo zomzimba. Isifuba sesinye sezona ndawo zichaphazeleka kakhulu. Ngaba uziva neentlungu esifubeni sakho xa uphefumla nzulu, ukhohlela, uthimla, okanye usenza umthambo? Eli nqaku liza kuba luncedo kakhulu kuwe.

I-AS iyichaphazela njani isifuba sakho?

Ngamafutshane, i-AS yimeko ebangela ukuba amalungu omzimba adumbe, okanye avuvuke. Iqala kumalungu omqolo, kodwa ekuhambeni kwexesha inokusasaza kwamanye amalungu emzimbeni. Amalungu e-cartilaginous adibanisa iimbambo zakho nethambo elithe tyaba eliphakathi kwesifuba sakho elibizwa ngokuba yi-sternum nawo anokuvuvuka ngale ndlela.

Xa la malungu evuvukala, ngokwezonyango siwabiza ngokuba yi-costochondritis . Le yimeko eqhelekileyo kakhulu phakathi kwabaguli be-AS. Ngokwezifundo, ama-70% abaguli be-AS bafumana le ntlungu yesifuba ngaxa lithile ebomini babo.

Eyona nto ingcono kukuba i-costochondritis ayisiyongxaki. Kodwa inokuba buhlungu. Ngamanye amaxesha le ntlungu inokuhlala iiveki ezimbalwa ukuya kwiinyanga ezimbalwa, okanye unyaka wonke. Kodwa idla ngokuba ngcono ngokwayo.

Iintlungu zesifuba azifanele zithathwe lula. Zingabangelwa yi-costochondritis, okanye zingaba luphawu lwemeko embi kakhulu, njengokuhlaselwa yintliziyo. Ngoko ke, ukuba uneengxaki, qiniseka ukuba ubona ugqirha ngoko nangoko.

Zithini iimpawu zentlungu yesifuba?

Iimpawu eziphambili ze-costochondritis ezibangelwa yi-AS ziintlungu zesifuba, ukuqina, kunye nokuthamba. Le ntlungu inokwahluka kumntu nomntu. Kwabanye, inokuvakala njengentlungu ebuhlungu, ngelixa kwabanye, inokuvakala njengentlungu ebukhali nehlabayo.

Masichaze ezi mpawu ngokweenkcukacha kwitheyibhile engezantsi.

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Ungayilawula njani intlungu yesifuba ebangelwa yi-AS?

Le ntlungu yesifuba inokuphazamisana nemisebenzi yakho yemihla ngemihla. Ke ngoko, endaweni yokulinda ukuba iziphelele zodwa, kungcono ukubona ugqirha wakho uze ufumane unyango olufanelekileyo. Ugqirha wakho unokucebisa amayeza okudambisa iintlungu, umthambo, unyango lomzimba, okanye indibaniselwano yazo zonke ezi zinto. Nangona ezi ndlela zonyango zingenakunyanga ngokupheleleyo isifo, zinokukunceda ukulawula intlungu kwaye zikunike isiqabu.

Unyango lwezonyango

Okubaluleke kakhulu, musa ukusebenzisa nayiphi na imithi yokuthomalalisa iintlungu ngaphandle kwengcebiso kagqirha wakho. Amanye amayeza anemiphumo emibi kakhulu kunye nomngcipheko wokuba likhoboka.

Ugqirha wakho uhlala ecebisa amayeza angengowe-steroidal anti-inflammatory (NSAIDs) , anjenge-ibuprofen kunye ne-naproxen. La mayeza anokufuneka athathwe kangangeeveki okanye iinyanga eziliqela.

Ukuba ii-NSAID azikusebenzeli okanye azilawuli iintlungu zakho, ugqirha wakho unokucebisa amanye amayeza, afana nala:

• Izithomalalisi zentlungu ezifana ne-acetaminophen.
• Ii-opioids ngamayeza exesha elifutshane okunceda iintlungu eziqatha.
• Inaliti ye-glucocorticoid enikwa ngqo kwilungu elibuhlungu.
• Amayeza athile alawula ukudumba okusisiseko kwe-AS. Imizekelo:
• Amayeza okulwa ne-TNF: i-Adalimumab, i-Golimumab
• I-Anti-interleukin iziyobisi ze-17: Ixekizumab, i-Secukinumab
• Izithinteli zeJanus kinase (JAK): I-Tofacitinib
• Amanye amayeza okulwa noxinzelelo kunye namayeza okulwa nokuxhuzula nawo asetyenziswa ukulawula iintlungu zemithambo-luvo.

Ukuzilolonga kunye noNyango loMzimba

Ukuzilolonga yinxalenye ebalulekileyo yolawulo lwesifo se-AS. Ukuzilolonga ngokufanelekileyo kunokunceda ekuthinteleni ukuqina kwamalungu kunye nomonakalo.

• Umthambo olula: Ugqirha ucebisa inkqubo yokuzilolonga engenampembelelo ingako, njengokuhamba okanye ukudada, engayongezi iintlungu.
• Ukuzilolonga ngengqondo: Ukuzilolonga okufana neyoga okanye iTai Chi kunokunciphisa uxinzelelo kwaye kunike isiqabu kwiintlungu.

Ugqirha wakho angakuthumela kwingcali ye-physiotherapist , eya kukwenza inkqubo ethile.

• Ukuzilolonga: Oku kunceda ekunciphiseni ukuxinana kwesifuba kwaye kwenze ukuphefumla kube lula.
• Ukuvuselela imithambo-luvo: Isixhobo esikhethekileyo sizama ukuthintela imiqondiso yentlungu ukuba ingafiki engqondweni.
• Ukuzilolonga ngendlela yokuma: Ukugcina indlela yokuma efanelekileyo kunokunciphisa uxinzelelo kumalungu.

Izinto onokuzenza ngokwakho (Utshintsho kwindlela yokuphila)

Kunye nonyango, utshintsho oluncinci kwindlela ophila ngayo lunokunceda kakhulu ekulawuleni le ntlungu.

• Nciphisa izinto ezibangela intlungu: Khawuthelekelele ukuba ukuphakamisa into enzima kukwenza uzive ungonwabanga. Emva koko yeka ukwenza loo nto okwethutyana.
• Ukusetyenziswa kwento eshushu okanye ebandayo: Ukufaka ibhotile yamanzi ashushu okanye ipakethe yomkhenkce kwindawo ebuhlungu kunokubonelela ngoncedo lwexeshana.
• Phumla: Ukuba uziva udiniwe, zinike ukuphumla okufunekayo.
• Impilo-ntle yengqondo: Yenza izinto ezikunceda uphumle. Izinto ezinje ngokucamngca okanye ukumamela umculo zinokunceda. Kubalulekile nokufuna iingcebiso ukuze zikuncede ulawule uxinzelelo lokuphila ne-AS.