Ngaba kufuneka sazi ngemiphumo emibi yamayeza e-Ankylosing Spondylitis?

Ukuba une-ankylosing spondylitis, mhlawumbi uyazi ukuba kubaluleke kangakanani ukuzilolonga kunye namayeza achazwe ngugqirha wakho. Olu nyango lunokunceda ukunciphisa iintlungu zakho kwaye lukuncede udlule usuku lwakho ngokulula. Nangona kunjalo, ngamanye amaxesha la mayeza anokubangela iziphumo ezingephi. Kodwa ungakhathazeki, oku akunjalo kuwo wonke umntu. Umzimba womntu wonke usabela ngokwahlukileyo kumayeza. Ke ngoko, kubalulekile ukufumana amayeza afanelekileyo kuwe, kunye neziphumo ezimbalwa ezibi. Namhlanje, siza kuthetha ngala mayeza kunye neziphumo zawo ezibi ezinokubakho.

Amayeza okuqala: ii-NSAID

La ngamayeza okuqala okuthomalalisa iintlungu adla ngokunikwa ngoogqirha kubantu abane-ankylosing spondylitis. La abizwa ngokuba ngamayeza angengo-steroidal anti-inflammatory, okanye ii-NSAID . Usenokuba uqhelene nala magama: i-Ibuprofen, i-Naproxen, i-Indomethacin, i-Celecoxib, njl. La ngamayeza awela kolu didi.

Ezi zisebenza kakhulu ngokunciphisa ukudumba kunye nentlungu emalungeni akho. Nangona kunjalo, la mayeza anokubangela ezinye iziphumo ebezingalindelekanga xa ethathwa ngamanani aphezulu ixesha elide.

Amayeza anamhlanje: I-Biologics (IL-17 kunye ne-JAK Inhibitors)

Ukuba ii-NSAIDs kunzima ukuzilawula iimpawu zakho, ugqirha wakho unokucebisa udidi olukhethekileyo lwamayeza abizwa ngokuba yi-biologics. La mayeza asebenza ngokujolisa kwiikhemikhali ezithile emzimbeni ezibangela ukudumba nokuzithintela ekusebenzeni kwazo.

Izithinteli ze-IL-17

I-Secukinumab (Cosentyx) kunye ne-Ixekizumab (Taltz) zezinye zeentlobo zamayeza. Zinikwa njengeenaliti. Nangona zisebenza kakuhle, zinokuba nemiphumo emibi.

• Isifo Sesisu Esivuthayo (IBD): Eli yeza linokubangela ukuqala kwe-IBD kwabanye abantu okanye iimpawu zibe zimbi ngakumbi ukuba sele unayo.
• Izifo: Ngenxa yokuba la mayeza anefuthe elincinci kwinkqubo yomzimba yokuzikhusela, umngcipheko wokufumana izifo eziqhelekileyo (ezifana nomkhuhlane kunye nomkhuhlane) unokwanda kancinci.
• Umngcipheko womhlaza: Nangona uvavanyo lwelabhoratri lubonise umngcipheko womhlaza xa lunikwa iimpuku, akukabikho bungqina bucacileyo bomngcipheko ebantwini. Musa ukukhathazeka ngokungeyomfuneko ngale nto, ugqirha wakho uza kukufundisa ngale nto.

Izithinteli zeJAK

I-Tofacitinib (Xeljanz) luhlobo lwamayeza anokuthatyathwa njengepilisi. Ikwasebenza ngokunciphisa ukudumba. Ezinye zeziphumo ebezingalindelekanga ezinxulumene nayo ziquka:

• Intloko ebuhlungu
• Urhudo
• Ukudinwa
• Ukubetha kwentliziyo
• Ingozi encinci yokonakala kwesibindi

Amayeza angasetyenziswa rhoqo

Kwezinye iimeko, amanye amayeza anokongezwa kwisicwangciso sakho sonyango.

Amayeza e-steroid (ii-Corticosteroids)

Ezi aziqhelekanga ukuba zisetyenziswe kunyango lwe-ankylosing spondylitis ixesha elide. Nangona kunjalo, ukuba intlungu kunye nokudumba kugqithisile ngequbuliso, ugqirha wakho unokukunika inaliti ye-steroid kwilungu elidumbileyo. Ukusetyenziswa kwexesha elide kwala mayeza kunokubangela iziphumo ezininzi ebezingalindelekanga. Ke ngoko, asetyenziswa kuphela kwixesha elifutshane, xa kuyimfuneko. Ezinye zeziphumo ebezingalindelekanga zezi:

• Ukwanda komnqweno wokutya kunye nokunyuka kobunzima
• Ukudumba kobuso, i-acne
• Ukukhula kweenwele zomzimba
• Ukudumba okulula
• Isifo seswekile (isifo seswekile) okanye ukuba sibi kakhulu ukuba sikhona
• Igazi elonyukayo
• Iingxaki ze-cataracts okanye i-glaucoma
• I-Osteoporosis

Amanye amayeza entlungu yamalungu (iSulfasalazine kunye neMethotrexate)

Ukuba, ukongeza kwintlungu yakho yomqolo, unentlungu nakwamanye amalungu, afana namagxa akho, iingalo, nemilenze, ugqirha wakho unokucebisa la mayeza.

I-Sulfasalazine (i-Azulfidine): Le yipilisi. Iziphumo ebezingalindelekanga azixhaphakanga, kodwa abanye abantu banokuba nomkhuhlane, isicaphucaphu, ukurhawuzelela kolusu, kunye nentloko ebuhlungu.

I-Methotrexate: Le ingasetyenziswa njengepilisi okanye njengenaliti . Xa usebenzisa le mithi, ugqirha wakho unokucebisa ukuba uthathe i-vitamin folic acid ukunciphisa iziphumo ebezingalindelekanga . Iziphumo ebezingalindelekanga zingabandakanya isicaphucaphu, izilonda emlonyeni, kunye nokudinwa.

Yintoni omawuyenze xa kuvela iziphumo ebezingalindelekanga?

Le yeyona nxalenye ibalulekileyo. Ukuba ufumana naluphi na utshintsho okanye ukungakhululeki emzimbeni wakho ngenxa yamayeza owaselayo, into yokuqala neyona ilungileyo onokuyenza kukuxelela ugqirha wakho.

Xa uxelela ugqirha wakho ngale nto, unokuthi:

• Nciphisa umthamo wakho wamayeza.
• Tshintshela kwelinye iyeza elikufaneleyo.
• Nika elinye iyeza longezelelweyo ukulawula imiphumo emibi.

Umzekelo, ukuba unesifo sesisu esibangelwa yi-NSAID, ugqirha wakho unokukunika elinye iyeza elikhusela isisu sakho ngaxeshanye. Ngoko ke, ungoyiki ukuthetha nogqirha wakho ngazo zonke ezi zinto ngokukhululekileyo. Kunye, wena nogqirha wakho ninokufumana isicwangciso sonyango esisebenza kakuhle kuwe kwaye sineziphumo ebezingalindelekanga ezimbalwa.