Ukuba une-Ankylosing Spondylitis, okanye i-AS ngamafutshane, kusenokwenzeka ukuba ukhe waziva ubuhlungu obuqatha emqolo nasesinqeni. Kuvakala ngathi esi sifo siye saba mandundu ngequbuliso. Ngokwezonyango, oku sikubiza ngokuba 'yi-flare-up', okanye i-flare-up. Kunokuba ngamava abangela uxinzelelo nokukhathazeka kakhulu. Kodwa awuwedwa, abantu abaninzi abane-AS bayakuva oku.
Yintoni i-AS 'flare-up'? Uziva njani?
Enyanisweni, noogqirha abanayo ingcaciso ecacileyo efana nencwadi yokuba yintoni i-flare-up. Kodwa ukuba uhlangabezana nale meko, uyazi ukuba injani. Indlela oziva ngayo isenokungafani nendlela omnye umntu aziva ngayo. Kwabanye, ichaphazela umzimba wabo wonke, ngelixa kwabanye, ichaphazela indawo ethile kuphela, njengomqolo okanye isinqe sabo.
Khawucinge nje, ngezinye iintsuku awukwazi nokuvuka ebhedini kusasa, umzimba wakho wonke uziva uqinile, kwaye umqolo wakho uziva ubuhlungu kangangokuba awukwazi nokuwulungisa. Nangona usuku luhamba, loo kudinwa nokuqina akunciphi. Lelo luphawu oluphambili 'lokuqaqamba'.
Makhe sijonge ezona mpawu zixhaphakileyo ngeli xesha.
| Uphawu | Indlela evakalelwa ngayo |
|---|---|
| Intlungu ebuhlungu | Intlungu embi kakhulu kunesiqhelo, ingakumbi emqolo, esinqeni, entanyeni nakwamanye amalungu. |
| Ukudinwa | Ukuziva ungenabomi nokuba uphumle okanye ulele kangakanani. Ukuziva ulele imini yonke. |
| Ukuqina | Ubunzima bokushukumisa umzimba wakho, ingakumbi xa uvuka kusasa nasemva kokuba ukwindawo efanayo okwethutyana. Oku kungathatha imini yonke. |
| Utshintsho lwengqondo | Intlungu eqhubekayo kunye nokungonwabi kunokukhokelela ekulahlekelweni ngumdla kuyo nayiphi na into, ukucaphuka, kwaye ngamanye amaxesha uxinezeleko. |
| Ezinye iimpawu | Abanye abantu banokuba nomkhuhlane, ukubanda, ukubila, ukutsha kwamalungu, kunye nokuqaqamba kwemisipha. |
Kutheni esi sifo sisanda ngequbuliso ngolu hlobo?
Kunzima ukuqaphela unobangela omnye woku, kodwa eyona nto iphambili kukuba kukho ukwanda kokudumba emzimbeni. Oku kudumba kuyanda kwaye iimpawu ziya zisiba mandundu ngenxa yotshintsho oluthile ekusebenzeni kwenkqubo yethu yokuzikhusela komzimba.
Ukongeza, ezinye izizathu ezininzi zinokuchaphazela oku:
- Ezinye iimeko zempilo: Ukuba unenye imeko yezempilo ukongeza kwi-AS, inokubangela ukudumba kwemithambo yegazi.
- Izifo: Nokuba umkhuhlane omncinci, umkhuhlane, okanye usulelo lomchamo lunokunyusa ukudumba emzimbeni kwaye lube mandundu ngakumbi.
- Ukulimala: Nokuba ukwenzakala okuncinci emqolo, esinqeni, okanye kwelinye ilungu kunokubangela ukudumba.
- Ukutsiba amayeza: Oku kubaluleke kakhulu. Ukuba awuwasebenzisi amayeza anikwe ngugqirha wakho ngexesha, okanye ukuba uphoswe yidosi, kukho ithuba elikhulu lokuba isifo singalawuleki size sibe mandundu.
- Uxinzelelo kunye nokusebenza kakhulu: Abantu abaninzi bathi le ngxaki iyanda xa uxinezelekile kakhulu kwaye uwenza ngokugqithisileyo. Khawuthelekelele unomsebenzi omkhulu ekhaya, okanye uxakeke kakhulu emsebenzini, izinto ezinje zinokuba yimbangela.
- Utshintsho lwemozulu: Kusenokubonakala kungaqhelekanga, kodwa kwabanye abantu, iimpawu ziya zisiba mandundu xa kubanda kwaye kumanzi.
Ngamanye amaxesha, ngaphandle kwesizathu esicacileyo, umsebenzi wesifo unokwanda nje kwaye ubangele 'ukuqhambuka'.
Ungayilawula njani i-flare-ups?
Kunzima ukumelana nokuphazamiseka kwengqondo, kodwa kukho izinto ezimbalwa esinokuzenza ukuze sikulawule.
Eyona nto ibalulekileyo kukulandela imiyalelo kagqirha wakho. Kuluncedo ukuthetha nogqirha wakho kwangaphambili uze wenze isicwangciso sento omawuyenze xa unesicaphucaphu.
Nazi izinto onokuzenza rhoqo ngexesha elinje:
Ukusetyenziswa kweziyobisi
Ukuba ugqirha wakho ukunike amayeza okuthomalalisa iintlungu, oko kukuthi amayeza e-NSAID (umz. i-Ibuprofen, i-Diclofenac), ungacelwa ukuba wonyuse umthamo kancinci ngexesha elinje. Kodwa khumbula, ungatshintshi umthamo wamayeza ngokubona kwakho. Ngokuqinisekileyo kufuneka wenze njalo kuphela emva kokubonisana nogqirha wakho.
Ukuba uthatha uhlobo oluthile lwamayeza olubizwa ngokuba yi-'biologic', ugqirha wakho unokugqiba ekubeni atshintshe umthamo waloo mayeza okanye akutshintshele kwenye iyeza.
Iindlela ezingezizo ezonyango
Ukongeza kumayeza, ezi zinto ziya kukunceda.
- Lala ngokwaneleyo kwaye uphumle: Nika umzimba wakho uphumle kangangoko unako. Ukulala kakuhle ebusuku kunceda ekunciphiseni ukudumba.
- Ukuzilolonga okuthambileyo: Akulunganga ukuhlala nje apho kuba umzimba wakho uqinile. Ezinye iindlela zokuzilolonga ezithambileyo onokuzenza ngelixa uhleli ebhedini zinokuba luncedo kakhulu ngeli xesha. Zinciphisa ukuqina komzimba kwaye zenze kube lula ukuhamba kwamalungu.
- Ukusetyenziswa kwe-eshushu nebandayo: Ukufaka ibhotile yamanzi ashushu kwindawo ebuhlungu kunokunceda ukukhulula izihlunu nokunciphisa iintlungu. Abanye abantu bafumana isiqabu kwiipakethe zomkhenkce. Jonga ukuba yeyiphi ekusebenzela kakuhle.
- Ukuhlamba ngamanzi ashushu: Ukuhlamba ngamanzi ashushu kunokunciphisa kakhulu ukuqina kunye nentlungu.
- Ukuphulula: Ukuphulula okuthambileyo nokuthambileyo kunokukhulula izihlunu kwaye kunciphise iintlungu.
Kufuneka nini ngokuqinisekileyo ubonane nogqirha?
Nangona ukudumba kwentloko kunokulawulwa ekhaya, kukho iimeko apho ingcebiso kagqirha iyimfuneko.
Ukuba intlungu yakho iye yanda emva kweentsuku ezisi-7, kwaye awukhululeki ngamayeza asekhaya namayeza aqhelekileyo, ngokuqinisekileyo kuya kufuneka udibane nogqirha wakho kwakhona.
Kwakhona, qaphela ezi zinto:
- Ukuba intlungu imbi kakhulu kunesiqhelo: Ukuba intlungu onayo ngeli xesha imbi kakhulu kunesiqhelo, umzekelo, ukuba uneentlungu zomqolo ezinganyamezelekiyo, funa ingcebiso kagqirha ngokukhawuleza.
- Ukuba uneentlungu ezininzi: Ukuba uneentlungu ezininzi ezifana nale, okanye ukuba iintlungu zakho zithatha ixesha elide ukuphola, thetha nogqirha wakho ngayo. Isenokuba luphawu lokuba lixesha lokutshintsha unyango lwakho.
Ukubhala phantsi iimpawu zakho xa zisiba mandundu kuya kunceda ugqirha wakho aqonde imeko yakho ngokuchanekileyo.
Umyalezo Wokuya Ekhaya
- Kuqhelekile ukuba ne-Ankylosing Spondylitis (AS) ebangela ukudumba, okanye ukudumba, kwe-Ankylosing Spondylitis (AS). Musa ukukhathazeka, awuwedwa.
- Uxinzelelo, ukusebenza kakhulu, usulelo, kunye nokungasebenzisi amayeza zinokuba zezona zizathu ziphambili zokuba le meko ibe mandundu. Lumka kangangoko unako ngezi zinto.
- Sela amayeza achazwe ngugqirha wakho ngokuchanekileyo nangexesha elifanelekileyo. Ungaze utshintshe umthamo ngokubona kwakho.
- Thetha nogqirha wakho (ingcali yezifo zamathambo) kwangaphambili uze wenze isicwangciso sento omawuyenze xa unesicaphucaphu.
- Ukuba iintlungu zinzima, azipheli kwiintsuku ezimbalwa, okanye ukuba usoloko uqaqanjelwa, qiniseka ukuba ubona ugqirha.
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