I-Ankylosing Spondylitis, okanye i-AS ngamafutshane, yimeko engaqhelekanga kakhulu efuna utyando. Kwiimeko ezininzi, le meko inokulawulwa ngezinye iindlela zonyango (ezifana namayeza kunye nokuzilolonga). Nangona kunjalo, kwezinye iimeko ezinzima, xa zonke ezinye iindlela zonyango zingaphumelelanga, ugqirha wakho unokugqiba ekubeni enze utyando. Ngoko ke, namhlanje, siza kuthetha ngezinye zeenkcukacha ezinokukunceda unciphise uloyiko lwakho kunye namathandabuzo malunga nale meko.
Kutheni utyando luyimfuneko?
Ayinguye wonke umntu one-AS oya kufuna utyando. Nangona kunjalo, inani elincinci kakhulu labantu linokufuna utyando. Kukho izizathu ezininzi eziphambili zokuba ugqirha wakho acinge ngotyando.
Ngamafutshane, utyando luqwalaselwa kuphela xa isifo sinzima kangangokuba awukwazi ukwenza imisebenzi yakho yemihla ngemihla. Umzekelo, cinga:
- Ukuba unentlungu enganyamezelekiyo . Oko kukuthi, ukuba awukwazi ukulawula intlungu nokuba sele usele amayeza anamandla okudambisa iintlungu achazwe ngugqirha.
- Ukuba awukwazi ukuhamba kakuhle ngenxa yokukhubazeka komqolo, ubuthathaka bemisipha, okanye intlungu.
- Ukuba kukho ukwaphuka komqolo kwaye iziqwenga zamathambo zicinezela imithambo-luvo ehamba ngomqolo.
Kulapho ke utyando luba yindlela yokukhetha. Uninzi lolu tyando lwenziwa phantsi kwe-anesthesia eqhelekileyo, oko kuthetha ukuba ulele ngokupheleleyo kwaye awazi nto. Oku sikubiza ngokuba yi-anesthesia eqhelekileyo .
Ziziphi ezi ntlobo zotyando?
Kukho iintlobo ezininzi eziphambili zotyando olwenziwa kwi-AS. Ayizizo zonke iintlobo zotyando ezenziwa ngesizathu esifanayo. Ugqirha wakho uya kukhetha utyando olufanela ingxaki yakho. Masiqonde olu tyando kwitheyibhile elula.
| Igama lotyando | Kwenzeka ntoni ngale nto? | Iinkcukacha malunga notyando |
|---|---|---|
| Utyando lweLaminectomy | Olu lolona tyando luqhelekileyo kwi-AS. Lunciphisa iintlungu eziphuma ezingalweni nasemilenzeni ngenxa yokucinezelwa kwemithambo-luvo yomqolo. | Ugqirha ususa 'i-lamina', ithambo eligubungela umqolo. Oku kudala indawo engakumbi yemithambo-luvo. Olu tyando luthatha malunga neyure enye ukuya kwezimbini. Usenokukwazi ukuya ekhaya ngaloo mini inye. |
| I-Osteotomy | Oku kwenziwa rhoqo. Olu tyando lwenziwa ukuze kulungiswe umqolo kwiimeko apho umqolo ugobile kakhulu kwaye ungakwazi ukuma okanye ukuhamba. | Inxalenye yethambo iyasuswa kumqolo kwaye umqolo ulungelelaniswe. Oku kunokunceda ukuphucula ukuma komzimba kunye nokunciphisa iintlungu. Kuya kufuneka uhlale esibhedlele malunga neentsuku ezi-5-7 emva kotyando. |
| Ukudibana koMgogodla | Idla ngokwenziwa kunye notyando lweLaminectomy okanye iOsteotomy. Ithambo elisusiweyo lithintela umqolo ukuba ungaqini kwaye liwuqinise. | Umqolo uqiniswa kusetyenziswa iintonga zentsimbi kunye neengcingo. Olu tyando lungathatha iiyure ezi-2-7. Kuya kufuneka uhlale esibhedlele iintsuku ezi-2-4. |
| Ukutshintshwa Kwesinqe | Olu tyando luyacetyiswa ukuba i-AS yonakalise amalungu esinqe kwaye ibangela iintlungu ezininzi zokuhamba. | Ilungu lesinqe elonakeleyo liyasuswa lize litshintshwe lilungu elenziwe ngentsimbi, iseramikhi, okanye iplastiki. Kuya kufuneka uhlale esibhedlele iintsuku ezi-1-2 emva kotyando. |
Into ebalulekileyo kukuba kunzima ukulindela ukuba zonke ezi tyando ziya kuyinyanga ngokupheleleyo intlungu yakho yomqolo. Uninzi lwexesha, zinciphisa kuphela intlungu ebangelwa kukucinezelwa kwemithambo-luvo kunye nokuma ngendlela efanelekileyo.
Zithini iingozi zotyando?
Utyando lwe-AS ludla ngokuba yimpumelelo kwaye lukhuselekile. Nangona kunjalo, kulo naluphi na utyando, kukho iingozi ezithile. Kubalulekile ukuzazi ezi zinto kwangethuba.
| Uhlobo lomngcipheko | Inkcazo |
|---|---|
| Iingozi Eziqhelekileyo Zotyando Lomqolo (iLaminectomy, iOsteotomy, iSpinal Fusion) | |
| Iingxaki ezinxulumene ne-anesthesia | Iimeko ezinzima ezifana nobunzima bokuphefumla, iingxaki zokukhumbula, ukuhlaselwa yintliziyo okanye isifo sohlangothi. (Ezi aziqhelekanga kakhulu) |
| Amahlwili egazi | Kukho umngcipheko wokuqhekeka kwegazi, ingakumbi emilenzeni. |
| Iintsholongwane | Usulelo lwenxeba lotyando okanye usulelo lwemiphunga (i-pneumonia). |
| Umonakalo wemithambo-luvo | Kukho umngcipheko omncinci kakhulu wokonakala kwemithambo-luvo yomqolo ngexesha lotyando. |
| Intlungu ayinciphi | Ngamanye amaxesha intlungu isenokuqhubeka emva kotyando okanye ibe mandundu kunangaphambili. |
| Iingozi Zotyando Lokutshintshwa Kwesinqe | |
| Iingozi eziqhelekileyo | Kukwakho nengozi yokuqhekeka kwegazi kunye nosulelo. |
| Ukufuduka | Kukho umngcipheko omncinci wokuba ilungu elenziweyo elifakelweyo lisuke endaweni yalo. |
Ulungiselela njani utyando?
Eyona ndlela ilungileyo yokuchacha ngokukhawuleza emva kotyando kukulungiselela kakuhle. Nazi ezinye zezinto onokuzenza.
- Bhala phantsi yonke imibuzo onayo engqondweni uze ubuze ugqirha. Buza ngokucacileyo ukuba ziya kuba yintoni iingenelo zotyando, kunye nento onokuyilindela ngexesha nasemva kotyando.
- Xelela ugqirha wakho ngazo zonke iziyobisi ozisebenzisayo (kuquka amayeza athengiswa ngaphandle kwemvume kagqirha).
- Ukuba uyatshaya, yeka . I-Nicotine iyalibazisa ukuphola kwenxeba.
- Fumanisa ukuba kufuneka uyeke ukutya nokusela ixesha elingakanani ngaphambi kotyando, nokuba kufuneka uyeke na ukusebenzisa amayeza athile.
- Ukuba uhlala wedwa, lungiselela umntu oza kukunceda xa ufika ekhaya emva kotyando. Ungadinga uncedo ngezinto ezifana nokuthenga nokulungiselela ukutya.
- Gcina izinto ozidinga rhoqo ekhaya (umnxeba, i-TV remote, ibhotile yamanzi) kufutshane nawe.
- Susa izinto ezifana neekhaphethi kunye neentambo ezinokubhideka xa uhamba, kwaye wenze ikhaya lakho likhuseleke ukuba ukwazi ukuhambahamba kulo .
Ixesha lokuchacha emva kotyando
Khumbula, kuthatha ixesha ukuchacha ngokupheleleyo emva kotyando. Yiba nomonde kuwe . Kubalulekile ukuhlala usebenza kangangoko unako, nokuba uzive ubuthathaka ngamanye amaxesha.
Ugqirha wakho unokucebisa unyango lomzimba okanye akunike umthambo olula omele uwenze ekhaya. Ugqirha wakho uza kukuchazela into omele uyenze nengamele uyenze emva kokuba ufikile ekhaya. Buza ugqirha wakho ukuba ungaqala nini ukwenza umthambo onzima ngakumbi.
Ukuba wenze i-laminectomy, kufuneka ukwazi ukubuyela emsebenzini kwiiveki ezimbalwa ezizayo, ngaphandle kokuba unomsebenzi ofuna ukuphakamisa okanye ukuhamba kakhulu. Ukuba wenze i-osteotomy yentamo, uya kucelwa ukuba unxibe ikhola. Ungacetyiswa nokuba unxibe iisokisi zokucinezela ukuze uthintele ukuqhekeka kwegazi.
Okubaluleke kakhulu: Ukuba uneempawu zosulelo (ezifana nomkhuhlane, ukuphuma kobofu), okanye ukuba intlungu iya isiba mandundu, tsalela umnxeba ugqirha wakho ngoko nangoko.
Umyalezo Wokuya Ekhaya
- Utyando lwe-ankylosing spondylitis (AS) lunqabile kakhulu kwaye lucetyiswa kuphela kwiimeko ezinzima apho ezinye iindlela zonyango zingaphumelelanga.
- Kukho iintlobo ngeentlobo zotyando (ezifana neLaminectomy, iOsteotomy) ukunciphisa iintlungu, ukunciphisa uxinzelelo lwemithambo-luvo, kunye nokolula umqolo ogobileyo.
- Lonke utyando lunomngcipheko othile, kwaye kubalulekile ukuxoxa ngazo zonke ezi ngozi ngokukhululekileyo nogqirha wakho ngaphambi kotyando.
- Ukulungiselela kakuhle utyando nokulandela imiyalelo kagqirha emva kotyando kubaluleke kakhulu ukuze uphile ngokukhawuleza.
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