Ngaba uziva neentlungu nokuqina emqolo nasemaqakaleni xa uvuka ebhedini kusasa? Ngaba ezi ntlungu zibonakala zincipha kancinci xa uhamba kancinci kwaye wenza imisebenzi yakho yemihla ngemihla? Ngaba ngamanye amaxesha uvuka ebusuku ngenxa yentlungu? Ezi azizo nje iintlungu zomqolo, kodwa zinokuba ziimpawu zesifo esibizwa ngokuba yi -Ankylosing Spondylitis (AS) . Esi sisifo samathambo esenzeka emgogodleni nakwamanye amalungu ngenxa yengxaki yenkqubo yomzimba yokuzikhusela. Ngoko ke, xa usiya kubona ingcali ukuze sithethe ngale nto, siza kuthetha ngento ekufuneka uyiqaphele kunye nendlela yokuzilungiselela.
Kutheni kufuneka sibone ingcali yokwenza oku?
I-Ankylosing Spondylitis (AS) ayisiyonto eza kuphela kwiintsuku ezimbalwa njengomkhuhlane. Yimeko ehlala ixesha elide . Oku kuthetha ukuba kufuneka sifunde ukuhlala nayo ubomi bethu bonke. Ngoko ke umntu ongcono wokunyanga le meko yingcali yamathambo .
Ngamafutshane, iRheumatologist ngugqirha ogxile kwizifo ezinxulumene namalungu, izihlunu kunye namathambo emzimbeni wethu. Unolwazi oluhle ngazo zonke iintlobo ze-arthritis, kuquka ne-AS.
Iinjongo eziphambili zonyango zezi:
- Ukunciphisa iintlungu nokuqina komzimba wakho.
- Ukukunceda ukuba uhambe ngcono .
- Ukulawula ukuqhubela phambili kwesi sifo kangangoko kunokwenzeka.
Ngoko ke, emva kokufumana ingcebiso yokuqala evela kugqirha oqhelekileyo, kungcono ukubona iRheumatologist kwaye wenze isicwangciso sonyango esifanelekileyo kuwe.
Nantsi indlela yokulungiselela ngaphambi kokuba uye kugqirha
Ixesha esinalo lokubona ugqirha lilinganiselwe. Ngoko ke ukuze silisebenzise kakuhle elo xesha, kufuneka silungiselele kakuhle. Qokelela ulwazi ngezi zinto. Ukuze kube lula oku, makhe sijonge le theyibhile.
| Izinto ekufuneka uzilungiselele | Inkcazo (Kutheni ibalulekile?) |
|---|---|
| Iimpawu zakho | Sixelele ngqo ukuba intlungu iphi (egxalabeni, esinqeni, esithendeni), ukuba yenzeka ngaliphi ixesha emini (kusasa, ebusuku), ukuba ibikho ixesha elingakanani, kwaye yintoni eyenza ibe mandundu/ibe mandundu. Ezi nkcukacha ziya kunceda kakhulu ekwenzeni uxilongo oluchanekileyo. |
| Usebenzisa liphi iyeza? | Sixelele yonke into oyithathayo, kungekuphela nje kwesi sifo, kodwa nakwezinye izifo ezifana nesifo seswekile, uxinzelelo lwegazi oluphezulu, kunye nezinye amayeza, kuquka iivithamini kunye namayeza esintu. Ukuba unawo nawaphi na amayeza abangela ukuba ungabi namdla, ungalibali ukusixelela nangawo. |
| Ezinye iingxaki zempilo | Xelela ugqirha wakho ngazo naziphi na ezinye iimeko zempilo oye waba nazo okanye ojamelene nazo ngoku (umz. izifo zamehlo, izifo zolusu, izifo zamathumbu). Ezi zinokunxulunyaniswa ne-AS. |
| Imbali yezonyango yosapho | Xelela abazali bakho, abantakwenu, kunye nabahlobo bakho ukuba baneentlungu zamalungu, iintlungu zomqolo, okanye ezinye iimeko ezinxulumene ne-arthritis. Kukho utyekelo lwemfuza kwi-AS. |
| Uvavanyo lwangaphambili | Ukuba ukhe wavavanywa ii-X-ray okanye ii-MRI zomqolo okanye isinqe sakho ngaphambili, yiza nengxelo uze uyifake ifilimu. Okanye, buza iofisi yengcali yezifo zamathambo apho uvavanyo lwenziwe khona ukuze luthunyelwe kuwe. |
Imibuzo ekufuneka uyibuze ugqirha wakho ngokuqinisekileyo
Ayingogqirha wakho kuphela owenza izigqibo malunga nesifo sakho kunye nonyango lwakho, nawe kufuneka ubandakanyeke. Eyona ndlela ilungileyo yokwenza oko kukumamela yonke into esengqondweni yakho. Licebo elihle ukufumana imvume kugqirha wakho uze ubhale iimpendulo zakhe kwifowuni yakho okanye kwincwadi yencwadana. Kuba unokulibala ezinye izinto xa ufika ekhaya.
Nazi ezinye zemibuzo ebalulekileyo onokuyibuza:
"Gqirha, yeyiphi indlela engcono yokulawula iintlungu zam? Ingaba ngamayeza nje, okanye kukho umthambo?"
"Ndingazinciphisa ezi mpawu ukuba nditshintsha indlela enditya ngayo? Zeziphi ukutya ezilungileyo nezingalunganga ekufuneka ndizitye?"
"Andikwazi ukulala kakuhle ebusuku ngenxa yentlungu. Ndingenza ntoni ukuze ndilale lula?"
"Ngaba esi sifo siya kuba ngcono okanye sibe sibi ngakumbi ekuhambeni kwexesha? Ndingalindela ntoni?"
"Ngaba ndiza kuba nezinye iingxaki zempilo (umz., isifo sentliziyo, iingxaki zamehlo) kwixesha elizayo ngenxa ye-AS?"
"Kudla ngokuthatha ixesha elingakanani ukubona iziphumo zonyango olunikayo?"
"Zithini iziphumo ebezingalindelekanga zale mithi? Ndingenza ntoni ukuba ndifumana nayiphi na kwezi?"
"Ngaba kukho imisebenzi endifanele ndiyiphephe, efana nokuphakamisa iintsimbi?"
"Ndiza kubuya nini kwakhona kugqirha?"
Le mibuzo iza kukunceda uqonde ngcono imeko yakho.
Yintoni eninokuyilindela kwintlanganiso?
Idinga lakho lokuqala liza kuthatha iyure okanye ngaphezulu. Ugqirha uza kukubuza imibuzo aze akuhlole.
Imibuzo ebuzwe ngugqirha
Ukuze aqonde ngakumbi iimpawu zakho, unokubuza imibuzo efana nale:
- "Iqale nini kanye kanye intlungu?"
- "Intlungu ifika kangaphi ngemini?"
- "Yintoni eyenza intlungu ibe mandundu?" (umz., kusasa, xa ume ngxi)
- "Ingaba iintlungu azivakali kangako xa uqeqesha ilungu lakho okanye uhamba?"
Uvavanyo lomzimba
Okulandelayo, ugqirha wakho uza kwenza uvavanyo lomzimba ukuze abone ukuba umqolo wakho kunye namalungu akho ahamba kakuhle kangakanani. Angakucela ukuba:
- Goba phambili, ngasemva, namacala.
- Tsala umoya onzulu (jonga isifuba sakho sikhula).
- Shukumisa imilenze yakho kunye nezinqe zakho kwiindlela ezahlukeneyo.
Uza kujonga nokuba uziva na iintlungu ngeli xesha.
Uvavanyo lweLebhu
Ezi mvavanyo zingasetyenziselwa ukuqinisekisa ukuxilongwa:
- Uvavanyo lweMifanekiso: I-X-ray okanye i-MRI ukujonga ukudumba okanye utshintsho kumalungu e-sacroiliac, akwinxalenye esezantsi yomqolo kunye neengqukuva.Ibhekisa kuvavanyo. Olu luphawu oluphambili lwe-AS.
- Uvavanyo lweGazi: Kuza kwenziwa uvavanyo lwegazi ukujonga iimpawu zokudumba egazini lakho. Ungavavanywa nejini ebizwa ngokuba yi-HLA-B27 . Le jini ifumaneka kubantu abangaphezu kwama-95% abane-AS. Kodwa khumbula, ayinguye wonke umntu onale jini oza kuba ne-AS.
Umyalezo Wokuya Ekhaya
- I-Ankylosing Spondylitis (AS) sisifo esihlala ixesha elide esichaphazela amalungu kunye nomqolo. Kubaluleke kakhulu ukubona ugqirha wezifo zamathambo ukuze akuncede.
- Ngaphambi kokuba uye kugqirha, lungiselela uluhlu oluneenkcukacha lweempawu zakho, amayeza owasebenzisayo, kunye nembali yezonyango zosapho.
- Zive ukhululekile ukubuza ugqirha wakho nayiphi na imibuzo onayo malunga nemeko yakho kunye nonyango lwakho. Lilungelo lakho, kwaye kuya kunceda ukuqinisekisa impumelelo yonyango lwakho.
- Landela unyango, imithambo, kunye nemiyalelo enikwe ngugqirha wakho ngokuchanekileyo. Esi sisifo esifuna unyango oluhlala ixesha elide, ngoko ke ukuzinikela kwakho kubaluleke kakhulu.
- Ukuphila nesi sifo kunokuba nzima ngamanye amaxesha, kodwa khumbula ukuba ngonyango olufanelekileyo nolawulo, ungazilawula iintlungu zakho kwaye uphile ubomi obukhutheleyo nobanelisayo.
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