Ngaba une -Ankylosing Spondylitis ? Ukuba kunjalo, mhlawumbi unentlungu emqolo, esinqeni, nakwamanye amalungu, kunye nokuqina kwasekuseni. Xa unyanga le meko, oogqirha baqala ngokuzama ukukunika amayeza okudambisa iintlungu afana ne-Ibuprofen kunye ne-Naproxen, abizwa ngokuba yi-NSAIDS (iziyobisi ezichasene nokuvuvukala ezingezizo ii-steroidal) . Kodwa ngamanye amaxesha la mayeza awasebenzi kuwe. Okanye usenokungakwazi ukusebenzisa la ma-NSAID ngenxa yezinye iingxaki zempilo. Kulapho ugqirha wakho anokujonga khona elinye iyeza elifana ne-Sulfasalazine. Ingakumbi ukuba une-ankylosing spondylitis kunye nesifo samathumbu esivuthayo (IBD) , i-Sulfasalazine inokuba sisisombululo esilungileyo.
Eli yeza elibizwa ngokuba yiSulfasalazine lisebenza njani emzimbeni?
Ngamafutshane, iSulfasalazine liyeza elilawula ukudumba emzimbeni. Kukho iikhemikhali ezibizwa ngokuba yi -prostaglandins ezinceda ekubangeleni iintlungu nokudumba emizimbeni yethu. ISulfasalazine isebenza ngokuthintela ukuveliswa kwezo khemikhali. Eli yeza lavunywa ekuqaleni ukuba linyange imeko ebizwa ngokuba yi -ulcerative colitis , echaphazela amathumbu.
Kodwa ayinciphisi nje iintlungu. Oogqirha babiza eli yeza ngokuthi yi-DMARD (iyeza eliguqula izifo elilwa namathambo) . Kuthetha ukuthini oko? Oku kuthetha ukuba ukongeza ekulawuleni iintlungu kunye nokudumba okubangelwa yi-arthritis, eli yeza linokutshintsha nohlobo lwesifo ngokwaso. Oku kuthetha ukuba alinakuphelisa nje kuphela iimpawu, kodwa likwathintela nomonakalo wexesha elide kumalungu akho. Ke ngoko, eli yeza linokukunceda nasekuthinteleni imisebenzi yakho yemihla ngemihla ukuba ingabi namandla ngenxa ye-ankylosing spondylitis.
Ingaba eli yeza lisebenza kangakanani kwi-ankylosing spondylitis?
I-Ankylosing spondylitis ichaphazela kakhulu umqolo. I-Sulfasalazine iluncedo kakhulu ukuba uneengxaki ngamalunga akho angaphandle, ukongeza kumqolo wakho. Oku kuthetha ukuba inokunceda ukunciphisa iintlungu kunye nokudumba kwamalungu akho. Inokunceda ekunciphiseni ukuqina komqolo wakho kwaye ikwenze uzive ukhululekile kancinci.
Kodwa masibe nenyani. Izifundo azikabonakalisi ngokucacileyo ukuba ukusebenzisa eli yeza kuya kuyiphucula kakhulu intshukumo yomqolo okanye kuphucule kakhulu ukusebenza komzimba wakho. Kwakhona alinampembelelo ingako kwiimeko zokudumba ezenzeka kwimisipha edibene namalungu.
Kolunye uphando, i-sulfasalazine ithelekiswa nelinye iyeza elibizwa ngokuba yi-etanercept . I-Etanercept ikudidi lwamayeza abizwa ngokuba yi-TNF-alpha inhibitors asebenza ngendlela eyahlukileyo. Kolo phononongo, i-etanercept ifunyenwe isebenza ngcono kune-sulfasalazine. Ngoko ke, ukuba ii-NSAID azikusebenzeli, kunokubakho amanye amayeza anokusebenza ngcono kuwe kune-sulfasalazine. Eyona nto ilungileyo onokuyenza kukuthetha nogqirha wakho malunga nokuba yintoni ekulungeleyo na kunye nokuba i-sulfasalazine ifanelekile na ukuyizama.
Ndingayisebenzisa njani iSulfasalazine?
Oku kuza ngendlela yepilisi. Eyona nto ibalulekileyo kukuthatha eli yeza kunye nokutya. Ukuze uphephe ukuphatheka kakubi sisisu, lisele neglasi yamanzi. Ugqirha wakho uya kukuqalisa ngepilisi enye okanye ezimbini ngosuku. Emva koko, ungayandisa kancinci kancinci idosi njengoko kufuneka.
Khumbula, kubalulekile ukusela amanzi amaninzi okanye ezinye izinto ezilulwelo imini yonke ngelixa usebenzisa eli yeza. Musa ukulisebenzisa eli yeza ungenanto esiswini. Kwakhona, musa ukulisebenzisa eli yeza emva kokusebenzisa i-antacids kwi-gastritis.
Enye ingongoma ebalulekileyo kukuba eli yeza linokuba nefuthe elincinci ekufunxweni kwezakhamzimba ze-folate emzimbeni. Ke ngoko, ugqirha wakho uhlala ekuxelela ukuba uthathe ipilisi ye-folic acid kunye neli yeza. Oku kubaluleke kakhulu ukuba ukhulelwe okanye uceba ukukhulelwa.
Yintoni omawuyenze ukuba uphoswe yidosi yeyeza?
Ukuba ulibele ukusela ipilisi , yisele kwangoko xa ukhumbula. Kodwa ungaze uthathe iidosi ezimbini ngaxeshanye. Ukuba sele kusondele ixesha lokusebenzisa idosi yakho elandelayo, yitsibe idosi oyiphosileyo uze uthathe idosi yakho elandelayo ngexesha elicwangcisiweyo.
Zithini iziphumo ebezingalindelekanga zale yeza?
Njengalo naliphi na iyeza, iSulfasalazine inokuba nemiphumo emibi. Nangona kunjalo, ayinguye wonke umntu oyifumanayo. Makhe sijonge iziphumo ebezingalindelekanga eziqhelekileyo nezingaqhelekanga.
| Iziphumo ebezingalindelekanga zeSulfasalazine | |
|---|---|
| Iziphumo ebezingalindelekanga eziqhele ukubonwa | |
| Intloko ebuhlungu | Oku kunokwenzeka xa umthamo weyeza unyuka. |
| Isicaphucaphu nokuhlanza | Ixhaphake kakhulu kwizigaba zokuqala zokuqalisa amayeza. |
| Ifiva | Inokwenzeka njengempendulo emzimbeni. |
| Ukuqhambuka kwesikhumba | Isenokuba luphawu lokuba kukho into ebangela ukuba umntu angabi namdla. |
| Ukungazali kwamadoda | Inani lesidoda lisenokuncipha, kodwa oku kubuyela kwimeko yesiqhelo emva kokuyeka amayeza. |
| Uvelwano elangeni | Ulusu lunokutsha lula. |
| Ukutyheli kolusu nomchamo | Oku akunanto yakwenza nokukhathazeka kwaye kubangelwa ngamayeza. Nangona kunjalo, kubalulekile ukwazisa ugqirha. |
| Iziphumo ebezingalindelekanga ezingaqhelekanga kodwa ezinokuba yingozi | |
| I-Hepatitis, i-pneumonia, i-Stevens-Johnson syndrome, i-hemolysis, ukudumba kwezintso, kunye nomlinganiselo ophantsi weeseli ezimhlophe zegazi. | |
Akufanele woyikiswe zezi ziphumo zingalindelekanga kodwa zinzima. Ugqirha wakho uza kukujonga ngokusondeleyo ngelixa usela eli yeza. Emva kweeveki ezi-6 zokuqala, uze emva koko rhoqo emva kweenyanga ezi-6, igazi lakho liya kuvavanywa ukujonga inani leeseli zakho zegazi kunye nokusebenza kwezintso. Ukuba ufumanisa naziphi na iimpawu ezintsha ocinga ukuba zinokuba yimpembelelo engalindelekanga yeyeza, xelela ugqirha wakho ngoko nangoko.
Ngubani ongafanele asebenzise iSulfasalazine?
Ukuba une-allergy kwiziyobisi ze-sulfa, akufanele ulisebenzise eli yeza. Nangona kunjalo, ngamanye amaxesha, nokuba ufumana iimpawu ezincinci ze-allergy xa uqala ukulisebenzisa eli yeza, eli yeza lisebenza kakuhle kwimeko yakho ye-ankylosing spondylitis. Kwiimeko ezinjalo, thetha nogqirha wakho malunga nokuba kufanelekile na ukuqhubeka nokulisebenzisa eli yeza. Kusenokwenzeka ukuba umzimba wakho uya kuqhelana kancinci neyeza kwaye impendulo iya kuphela. Kwiimeko ezinjalo, ugqirha wakho uya kuqala ngedosi ephantsi kakhulu aze anyuse idosi kancinci kancinci.
Umyalezo Wokuya Ekhaya
- I-Sulfasalazine ayisiyonto yokubulala iintlungu nje kuphela, kodwa liyeza eliguqula izifo elilwa namathambo (DMARD ) elithintela ukonakala kwamalungu.
- Soloko usela eli yeza kunye nokutya kunye namanzi amaninzi. Kuphephe ukulisela isisu esingenanto.
- Ngelixa usebenzisa amayeza , qiniseka ukuba ugqirha wakho unika uvavanyo lwegazi ngexesha elifanelekileyo . Oku kubaluleke kakhulu kukhuseleko lwakho.
- Xelela ugqirha wakho ngokukhawuleza ukuba ufumana naziphi na iimpawu ezingaqhelekanga, ingakumbi umkhuhlane, amaqhakuva esikhumba, okanye ukudinwa kakhulu.
- Nangona inani lamadlozi kumadoda linokuchaphazeleka, lihlala ixesha elifutshane kwaye libuyela kwisiqhelo emva kokuyeka amayeza.
- Musa ukuyeka ukuthatha amayeza okanye utshintshe umthamo nangasiphi na isizathu ngaphandle kwengcebiso kagqirha.
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