Ngaba nawe unengxaki yomqolo, intamo, kunye ne-hip stuff engapheliyo kwaye uzive udiniwe imini yonke? Kuqhelekile ukuba uzive ulusizi, uxinezelekile, kwaye udanile xa uphila nesi sifo esinje ixesha elide. Kodwa kubalulekile ukulawula ezi mvakalelo ngaphambi kokuba zikhule zibe luxinzelelo. Makhe sithethe ngale nto namhlanje.
Yintoni kanye kanye i-Ankylosing Spondylitis?
Ngamafutshane, i-Ankylosing Spondylitis (AS) luhlobo lwe-arthritis oluchaphazela kakhulu umqolo. Ngamanye amaxesha lubizwa ngokuba yi-radiographic axial spondylitis. Ibonakaliswa kukudumba, okukudumba nokuqina, kwamalungu e-sacroiliac, adibanisa umqolo kunye nomqolo osezantsi kwithambo lesinqe. Idla ngokuqala ebusheni, malunga neminyaka eli-17-20.
Makhe sibone ukuba zeziphi iimpawu eziphambili zesi sifo.
| Uphawu | Ingcaciso elula |
|---|---|
| Intlungu yomqolo nesinqe | Intlungu ebuhlungu, ingakumbi emqolo ongezantsi nasemaqatheni. |
| Ukuqina kwasekuseni | Xa uvuka kusasa, umqolo wakho nentamo yakho ziqina. Olu luvo luyaphela xa ujikeleza kancinci. |
| Iingxaki ngamanye amalungu | Intlungu, ukudumba, ukuba bomvu, kunye nokuziva ufudumele kwiindawo ezifana neminwe, izithende, amaqatha, amadolo, iimbambo, amahlombe kunye nentamo. |
| Ukudinwa okungapheliyo | Ukuziva udiniwe kakhulu kwaye ungenabomi nangona ulele kakuhle. |
| Umnqweno wokutya | Umnqweno wokutya uyancipha. |
Njengoko isifo siqhubeka, amathambo omqolo anokucinezelwa. Oku kunokunciphisa kakhulu amandla okugoba nokujika umqolo, oku kuwenze uqine njengenduku. Ukuba iimbambo zicinezelwe ngale ndlela, ukusebenza kwemiphunga nako kunokuchaphazela. Ukongeza, iingxaki ezifana ne-uveitis, ukudumba kwamehlo, ukwaphuka kwamathambo, kunye nesifo sentliziyo nazo zinokuvela.
Into ebalulekileyo kukuba nangona esi sifo singenakunyangwa ngokupheleleyo, ngonyango olufanelekileyo, iintlungu zinokulawulwa, umqolo ungagcinwa uthe tye, amalungu kunye nezitho zomzimba zinokuthintelwa ekubeni zonakale, kwaye umgangatho wobomi obuhle unokugcinwa .
Luluphi ulwalamano phakathi kwesi sifo kunye nokudakumba?
Uphando lufumanise ukuba abantu abane-ankylosing spondylitis (AS) basengozini enkulu yokuba noxinzelelo. Isizathu soku sicacile. Intlungu enganyamezelekiyo, ukudinwa, kunye nokungakwazi ukusebenza konke oku kunokubangela ulonwabo lomntu.
Cinga ngayo, oku kufana nomjikelo onzima.
1. Intlungu kunye nokungonwabi okubangelwa yi-AS kukwenza uzive udandathekile kwaye ulusizi.
2. Xa uxinezelekile, oko kukuthi, xa uxinezelekile engqondweni, ubuninzi bentlungu ozivayo emzimbeni wakho buyakhula.
3. Njengoko intlungu isanda, intliziyo iya isiba buthathaka ngakumbi.
Ukuze ubaleke kule meko, kubalulekile ukuba uzazi iimpawu zokudakumba.
| Iimpawu ekufuneka uziqaphele xa uxinezelekile | |
|---|---|
| Ukuziva ulusizi okanye ungenamvakalelo ngalo lonke ixesha | Ukucinga ngendlela engafanelekanga ngobomi |
| Ukulahlekelwa ngumdla kwizinto obukade uzonwabela | Ukungalali okanye ukulala kakhulu |
| Ukudinwa rhoqo kunye nokuziva ubuthathaka emzimbeni | Utshintsho ekutyeni (ukuncipha okanye ukwanda) |
| Ubunzima bokunikel' ingqalelo kwinto ethile | Iintlungu zomzimba ezingachazwanga, iintloko ezibuhlungu, isisu esibuhlungu |
Ngoku ungabona ukuba ezinye zezi mpawu (ezifana nokudinwa, iintlungu zomzimba) ziyafana nezo ze-AS. Ngoko ke eyona ndlela ilungileyo yokwazi ngokuqinisekileyo ukuba oku kungenxa ye-AS okanye ukudakumba kukubona ugqirha wakho uze uthethe ngokukhululekileyo ngazo zonke ezi mpawu. Emva koko unokugqiba ukuba zezomzimba okanye zezengqondo aze akuthumelele unyango olufunekayo.
Singenza ntoni ukuze sijongane nale meko?
Zininzi izinto onokuzenza ukuze uqhawule lo mjikelo wentlungu noxinzelelo. Isicwangciso esidibanisa amayeza, unyango, kunye notshintsho kwindlela yokuphila sinokunceda ukulawula iimpawu ngaphambi kokuba zibe mbi.
Amayeza
Ugqirha wakho unokukunika la mayeza alandelayo kuxhomekeke kwimeko yakho:
- Amayeza angengowe-steroidal anti-inflammatory (NSAIDs): La ngamayeza anciphisa ukudumba kunye nentlungu. Amanye awo angathengwa ngaphandle kwekhawuntara, kodwa kubalulekile ukuwasebenzisa njengoko ugqirha wakho eyalele.
- Amayeza okuguqula izifo (ii-DMARD): La ngamayeza atshintsha indlela esi sifo sihamba ngayo aze athintele umonakalo wamalungu.
- I-Biologics: Ezi zikwayinxalenye yeqela le-DMARD lezonyango ezijoliswe kuzo. Zisebenza ngokujolisa kwiiproteni ezithile (ezifana ne-tumor necrosis factor - TNF) ezibangela ukudumba emzimbeni.
- IiCorticosteroids: Nangona ezi zinganikwa iintlungu zomqolo, ukuba kukho iintlungu eziqatha kunye nokudumba kwelinye ilungu, njengedolo okanye igxalaba, zinokunikwa njengenaliti ngqo kuloo lungu.
Unyango Lomzimba Nomsebenzi
Ingcali yezonyango zomzimba iya kukufundisa imithambo efanelekileyo yokuqinisa izihlunu zakho, incede ukugcina umqolo wakho uthe tye, kwaye inciphise iintlungu. Ingcali yezonyango yomsebenzi iya kukufundisa ngezixhobo kunye neendlela ezinokukunceda ukwenza imisebenzi yakho yemihla ngemihla ibe lula.
Utshintsho kwindlela yokuphila
- Ukuzilolonga: Ukuba awusebenzisi amalungu akho, anokuqina aze abuhlungu. Ukuzilolonga okufana nokuhamba, ukudada, kunye neyoga kulungile. Fumana uncedo kwingcali yezonyango ukuze wenze isicwangciso sokuzilolonga esifanelekileyo kuwe.
- Ukutya okulungileyo: Faka intlanzi, iziqhamo, imifuno, iimbotyi, kunye neenkozo ezipheleleyo ekutyeni kwakho. Nciphisa inyama ebomvu, iswekile, kunye nokutya okucutshungulweyo kangangoko unako.
- Gcina ukuma kakuhle:Ngelixa usebenza, zama ukutshintsha indawo ohlala kuyo neyokuma kuyo. Ngeentsuku oziva ngazo kakhulu iintlungu, mamela umzimba wakho kwaye uthathe ikhefu emsebenzini.
- Kuphephe ukutshaya: Ukutshaya kunokwenza iimpawu ze-AS zibe zimbi ngakumbi kwaye kwenze umonakalo wamalungu ube mkhulu, kwaye kunokunciphisa impumelelo yonyango.
- Lala ngokwaneleyo: Ukungalali ngokwaneleyo kunokwenza iintlungu zibe mandundu. Ukuze ulale kakuhle, thatha amayeza akho ngexesha elifanelekileyo, qhelisa umzimba emini, uphephe ukusela ikofu/iti ebusuku, kwaye unciphise ixesha lakho lokubukela ifowuni/iTV ngaphambi kokulala.
Ukubaluleka kokuzikhathalela wena kunye nobudlelwane bakho
Uxinzelelo yeyona nto iphambili eyonyusa iimpawu ze-AS. Ngoko ke, kubaluleke kakhulu ukulawula uxinzelelo. Zibandakanye kwizinto ezizolisa ingqondo. Umzekelo, ungenza izinto ezinjengokucamngca, ukumamela umculo, ukuchitha ixesha nesilwanyana sasekhaya, okanye ukufunda incwadi.
Ukuba uziva uphelelwe lithemba okanye ukwingxaki enkulu yengqondo, nceda uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) elikufutshane nawe ngoko nangoko. Okanye utsalele umnxeba ku -1333 ucele uncedo kuSumithrayo . Le yinkonzo eyimfihlo.
Enye into ebalulekileyo kukoyisa isizungu. Thetha ngeemvakalelo zakho nomntu omthembayo noza kumamela. Oku kungaba lilungu losapho okanye umhlobo. Ukuba kuyimfuneko, funa ingcebiso. Unyango lokuziphatha kwengqondo (i-CBT) lunyango olusebenzayo kakhulu lokudakumba nokuxhalaba. Ukuthetha nomcebisi kunokukunceda uqonde indlela iingcinga zakho, iimvakalelo zakho kunye nokuziphatha kwakho okuchaphazelana ngayo kwaye kwakha amandla owadingayo ukuze ukwazi ukumelana nobomi.
Umyalezo Wokuya Ekhaya
- I-Ankylosing spondylitis (AS) ayisiyontlungu yomqolo nje kuphela, sisifo esingapheliyo esinokuchaphazela umzimba wakho wonke kunye nomgangatho wobomi bakho.
- Impilo yengqondo ibaluleke njengempilo yomzimba . Intlungu inokukwenza udandatheke, kwaye ukudandatheka kunokukwenza uzive ungonwabanga.
- Thetha nogqirha wakho ngaphandle kokuthandabuza malunga nentlungu yakho yomzimba, kunye nokudakumba kwakho ngokweemvakalelo, ukukhungatheka, kunye noxinzelelo.
- Ngonyango olufanelekileyo, unyango lomzimba, kunye notshintsho olusempilweni kwindlela yokuphila, ungaphila ngempumelelo nesi sifo.
- Awuwedwa. Fumana inkxaso kubantu obathandayo, koogqirha bakho, kwaye ukuba kuyimfuneko, umcebisi wezempilo yengqondo.
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