Xa ugqirha wakho ekuxelela ukuba une -Ankylosing Spondylitis (AS), usenokuziva usoyika kwaye uxhalabile kancinci. Olo loyiko lusenokuba luye lwanda xa usiva, "Akukho nyango lwale nto." Kodwa ungakhathazeki. Liyinyaniso elokuba akukho nyango okwangoku. Nangona kunjalo, ayinguye wonke umntu ophila nesi sifo onamava afanayo. Kukho unyango oluninzi olunokukunceda ukulawula iintlungu zakho, ukunciphisa umonakalo wamalungu, kunye nokuphila ubomi obuqhelekileyo. Makhe sithethe ngazo namhlanje.
Amayeza asetyenziselwa unyango
Kubalulekile ukuqala unyango ngokukhawuleza kwesi sifo. Oku kuya kunceda ukulawula umonakalo owenzeka kumalungu abangelwa sisifo. Ugqirha wakho angakunika elinye okanye ngaphezulu la mayeza.
Ii-NSAID (izithomalalisi zentlungu)
Ngamafutshane, la ngamayeza anciphisa iintlungu nokuqina . Adla ngokuba ngamayeza okuqala ukuqala ngawo. Asinguye wonke umntu oza kufumana uhlobo olufanayo lwe-NSAID, ngoko ke kungathatha ixesha ukufumana ekufaneleyo. Nangona la mayeza enokunceda ukunciphisa iintlungu, izifundo zibonisa ukuba awawuyeki umonakalo kumalungu omalungu obangelwa sisifo.
Ungathenga ezinye ii-NSAID, ezifana ne-ibuprofen kunye ne-naproxen, kwikhemesti. Nangona kunjalo, ukuba ezi azincedi, ugqirha wakho unokukunika i-NSAID enamandla.
| Ezinye iintlobo ze-NSAIDs ugqirha anokuzinika | |
|---|---|
| I-Celecoxib (iCelebrex) | I-Diclofenac (iVoltaran) |
| I-Diclofenac kunye ne-misoprostol (i-Arthrotec) | I-Indomethacin (Indocin) |
| I-Meloxicam (iMobic) | |
Kubalulekile: Ii-NSAID zinokunyusa kancinci umngcipheko wesifo sentliziyo. Ukuba unembali yesifo sentliziyo, thetha nogqirha wakho ngaso.Mxelele ugqirha ngokuqinisekileyo.
Ii-DMARD (amayeza okuguqula izifo)
Ezi ziindlela zonyango ezithatha ixesha elide. Ugqirha wakho angagqiba ekubeni akuqalise ngolu hlobo lwamayeza ukuba awuziva ukhululekile ngokwaneleyo kwi-NSAIDs okanye ukuba uneziphumo ebezingalindelekanga. Ezi zithintela ukudumba kwaye zithintele umonakalo ongakumbi kumalungu akho.
- I-Methotrexate (iRheumatrex)
- I-Sulfasalazine (i-Azulfidine)
Ngelixa usela eli yeza, ugqirha wakho uya kwenza uvavanyo lwegazi rhoqo ukujonga ukusebenza kwesibindi sakho kunye nezinye iingxaki.
Ii-Corticosteroids
Ezi zii-steroids ezenziwe ngokwenziwa. Zinciphisa ngokukhawuleza ukudumba. Zaziwa ngokuba yi-prednisone okanye i-cortisone. Zisetyenziswa njengeepilisi, iikhrimu, okanye iinaliti ngqo kwilungu. Nangona kunjalo, ezi zizisombululo zexesha elifutshane, hayi izisombululo zexesha elide . Ugqirha wakho unokukunika la mathontsi amehlo ukunceda ukudumba emehlweni, oku kuyinkinga eqhelekileyo ye-AS.
I-Biologics
Ezi ziindlela zonyango ezijoliswe kuzo ezenziwe ngeeseli eziphilayo. Zingasebenza ngokukhawuleza nangokufanelekileyo kwi-AS.
| Uhlobo lwebhayoloji | Inkcazo kunye nemizekelo |
|---|---|
| Izithinteli ze-TNF | Isebenza kakhulu ekuvuvukeni kwamalungu, amathumbu kunye namehlo. Ezi zezi: I-Adalimumab (Humira), I-Certolizumab (Cimzia), I-Etanercept (Enbrel), I-Infliximab (Remicade), I-Golimumab (Simponi). |
| Izithinteli ze-Interleukin 17 (IL-17) | Ezi zinikwa ukuba izithinteli ze-TNF azisebenzi. Imizekelo: Ixekizumab (Taltz), iSecukinumab (Cosentyx). |
| I-JAK inhibitor | Ilawula ukudumba kwamathumbu kunye nezinye izitho zomzimba. Imizekelo: I-Tofacitinib (Xeljanz, Xeljanz-XR). |
| Qaphela: La mayeza ebhayoloji anokunciphisa amandla omzimba wakho okulwa nosulelo ( amasosha omzimba ). Ke ngoko, kufuneka uzikhusele kwiintsholongwane ngelixa usebenzisa la mayeza. | |
Amayeza okulwa nezilonda
Ngamanye amaxesha i-AS inokubangela iingxaki zokugaya ukutya, njengentlungu yesisu kunye norhudo. Amayeza anjenge-misoprostol (Cytotec) okanye i-sucralfate (Carafate) anokunceda ukukhusela ulwelo lwesisu kunye namathumbu.
Imikhwa Yokuphila
Amayeza yinxalenye enye yonyango. Umzamo omncinci kuwe unokunceda kakhulu ekukuncedeni uphile kakuhle nesi sifo.
Hlala usebenza.
Ukuzilolonga kubonakaliswe kuluncedo kakhulu kubantu abane-AS. Kunganciphisa iintlungu zakho, komeleze izihlunu zakho, kwaye konyuse ukuguquguquka kwakho . Ukuzilolonga neqela lukhetho olufanelekileyo. Okanye ungazenza ezi zinto wedwa.
- Ukuqubha
- Ukuhamba ngeenyawo
- Ukuziqhelanisa nendlela echanekileyo yokuma
- Ukuzilolonga ukuphefumla
- Ukolula
- Ukuphakamisa iintsimbi (iintsimbi zasimahla)
- I-yoga
- I-Tai chi
Ukutya okunempilo
Ukutya okuthile kunokunceda ukunciphisa ukudumba kwamalungu nokuphucula impilo yamathambo.
- Yitya ukutya okutyebileyo kwi-calcium.
- Yitya iintlanzi, iimbotyi, amandongomane kunye namaqanda amaninzi.
- Nciphisa inyama ebomvu.
- Yitya ii-Omega-3 fatty acids ezingaphezulu, ezifumaneka ekutyeni okufana nesalmon kunye ne-flaxseed.
- Nciphisa utywala.
- Yitya iziqhamo nemifuno emitsha.
- Sela iiglasi zamanzi ezisi-8-10 ngosuku.
- Nciphisa ukutya okunamafutha, okucutshungulweyo, nokuqhotsiweyo.
- Thetha nogqirha wakho malunga nokuthatha isongezelelo seevithamini imihla ngemihla.
Ukuvezwa lilanga
Kufunyaniswe ukuba izigulane ze-AS zinomlinganiselo ophantsi wevithamini D. Ivithamini D inceda ekukhuseleni amathambo ethu kwaye iwagcine eqinile. Imizimba yethu ivelisa ivithamini D xa ilanga lifika eluswini lwethu. Ke ngoko , kulungile kakhulu ukuzibeka elangeni ixesha elifutshane yonke imihla kusasa .
Kuphephe ukutshaya.
Ukuba uyatshaya, enye yezona zinto zilungileyo onokuzenza kukuzama ukuyeka namhlanje . Ukutshaya kunokukhawulezisa umonakalo wamalungu kwaye kwenze ukuphefumla kube nzima ngakumbi. Buza ugqirha wakho malunga nokufumana uncedo lokuyeka ukutshaya.
Unyango oluQokelelweyo nolunye unyango
Olu nyango, xa ludityaniswe namayeza akho kunye nokuzilolonga, lunokunceda ngakumbi ekunciphiseni iimpawu.
- Unyango lwe-Acupuncture: Oku kufanele kwenziwe ngumntu oqeqeshiweyo. Oku kunokunceda ekunciphiseni iintlungu.
- Ukuphulula: Izifundo zibonise ukuba ukuphulula kunokunciphisa iintlungu, ukuqina, kunye nokudinwa okubangelwa yi-AS.
- Unyango olushushu nolubandayo: Ukuhlamba okushushu kunye nee-heating pads zinokunceda ekunciphiseni iintlungu nokuqina. Izinto ezibandayo ezifana nee-ice packs, zinokunceda ekunciphiseni ukudumba.
- Unyango Lomzimba: Kubaluleke kakhulu ukubona ingcali yonyango lomzimba nokufunda umthambo wokuqinisa izihlunu kunye nokolula umzimba ofanelekileyo kuwe.
- Unyango Lokuthetha: Kuqhelekile ukuba uzive ulusizi, uxhalabile, okanye udandathekile xa uphila nesifo esifana nesi ixesha elide. Ngamaxesha anjalo, kubaluleke kakhulu ukuthetha nomcebisi uze uzole ingqondo yakho.
Utyando
Olu khetho lunqabile kakhulu kwizigulane ze-AS. Ugqirha wakho unokucebisa utyando kuphela ukuba unentlungu enzima engenakulawulwa ngamayeza okanye ukuba umqolo wakho ugobile kakhulu kwaye kwenza kube nzima ukwenza imisebenzi yemihla ngemihla. Ezinye zezi tyando ziquka i-Laminectomy, i-Osteotomy, i-Spinal fusion, kunye ne-Hip replacement. Oku kuya kugqitywa emva kokuhlolwa ngokucokisekileyo kwemeko yakho.
Umyalezo Wokuya Ekhaya
- Nangona i-Ankylosing Spondylitis (AS) ingenakunyangwa ngokupheleleyo, inokulawulwa kakuhle ngokulawula iintlungu nokunciphisa umonakalo wamalungu.
- Kubaluleke kakhulu ukuqala unyango kwangoko emva kokuba isifo sifunyenwe, ulandele imiyalelo kagqirha.
- Kunye namayeza, utshintsho kwindlela yokuphila olufana nokuzilolonga, ukutya okunempilo, kunye nokuphepha ukutshaya nako kubalulekile ekulawuleni esi sifo.
- Nyamekela impilo yakho yengqondo kunye neyomzimba. Ukuba uziva uxinezelekile, ungathandabuzi ukuthetha ngayo.
- Soloko uxoxa nogqirha wakho malunga nonyango olulungele wena.
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