Uma une-Ankylosing Spondylitis, noma i-AS ngamafuphi, cishe ujwayelene nobuhlungu bomhlane kanye nokuqina kwasekuseni. Kodwa bewazi ukuthi lesi simo asigcini nje ngomgogodla kuphela? Cishe ingxenye yesithathu yeziguli ze-AS nazo zithola ukuvuvukala kwezinye izingxenye zomzimba. Isifuba singenye yezindawo ezivame ukuthinteka kakhulu. Ingabe uzizwa ubuhlungu esifubeni sakho uma uphefumula kakhulu, ukhwehlela, uthimula, noma uvivinya umzimba? Khona-ke lesi sihloko sizoba sibaluleke kakhulu kuwe.
I-AS iyithinta kanjani isifuba sakho?
Kalula nje, i-AS yisimo esibangela ukuba amalunga omzimba avuvuke, noma avuvuke. Siqala emalungeni omgogodla, kodwa ngokuhamba kwesikhathi singasakazekela kwamanye amalunga emzimbeni. Amalunga e-cartilaginous axhumanisa izimbambo zakho nethambo eliyisicaba eliphakathi kwesifuba sakho elibizwa ngokuthi i-sternum nawo angavuvukala ngale ndlela.
Uma la malunga evuvukala, ngokwezokwelapha sikubiza ngokuthi i-costochondritis . Lesi yisimo esivame kakhulu phakathi kweziguli ze-AS. Ngokusho kocwaningo, ama-70% eziguli ze-AS abhekana nalolu buhlungu besifuba ngesikhathi esithile empilweni yawo.
Ingxenye engcono kakhulu ukuthi i-costochondritis ayiyona inkinga eyingozi. Kodwa ingaba buhlungu. Ngezinye izikhathi lobu buhlungu bungahlala kusukela emavikini ambalwa kuya ezinyangeni ezimbalwa, noma ngisho nonyaka. Kodwa ngokuvamile buba ngcono ngokwabo.
Ubuhlungu besifuba abuyona into okufanele ithathwe kalula. Bungabangelwa yi-costochondritis, noma kungaba uphawu lwesimo esibucayi kakhulu, njengokuhlaselwa yinhliziyo. Ngakho-ke, uma unenkinga, qiniseka ukuthi ubona udokotela ngokushesha.
Ziyini izimpawu zobuhlungu besifuba?
Izimpawu eziyinhloko ze-costochondritis ezibangelwa yi-AS ubuhlungu besifuba, ukuqina, kanye nokuthamba. Lobuhlungu bungahlukahluka kumuntu nomuntu. Kwabanye, bungase buzwe njengobuhlungu obungajabulisi, kanti kwabanye, bungase buzwe njengobuhlungu obuhlabayo.
Ake sichaze lezi zimpawu ngokuningiliziwe kuthebula elingezansi.
| Isici / Ithuba | Incazelo |
|---|---|
| Izenzo ezandisa ubuhlungu |
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| Isikhathi sosuku | Abanye abantu bangase bezwe ubuhlungu obukhulu nokuqina lapho bevuka ekuseni, kodwa kancane kancane buyaphela ngemva kwemizuzu engaba ngu-15-30. |
| Izimpawu eziyisixwayiso ezidinga usizo lwezokwelapha ngokushesha! | |
| Izimo eziphuthumayo | Uma unesinye noma ngaphezulu salezi zinto kanye nobuhlungu besifuba, hamba uye emnyangweni wezimo eziphuthumayo wesibhedlela (ETU) ngokushesha:
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Ungaphatha kanjani ubuhlungu besifuba obubangelwa yi-AS?
Lobuhlungu besifuba bungaphazamisa imisebenzi yakho yansuku zonke. Ngakho-ke, kunokulinda ukuthi buphele bodwa, kungcono ukubona udokotela wakho bese uthola ukwelashwa okufanele. Udokotela wakho angase akuncomele imithi yobuhlungu, ukuzivocavoca umzimba, ukwelashwa ngokomzimba, noma inhlanganisela yakho konke lokhu. Nakuba lokhu kwelashwa kungenakukwelapha ngokuphelele lesi sifo, kungakusiza ukulawula ubuhlungu futhi kukunikeze impumuzo.
Ukwelashwa Kwezokwelapha
Okubaluleke kakhulu, ungasebenzisi noma yimiphi imithi yokwelapha izinhlungu ngaphandle kweseluleko sikadokotela wakho. Eminye imithi inemiphumela emibi kakhulu kanye nengozi yokuba umlutha.
Udokotela wakho uvame ukuncoma imithi engeyona eye-steroidal yokulwa nokuvuvukala (ama-NSAID) , njenge-ibuprofen ne-naproxen. Lokhu kungadinga ukuthathwa amasonto noma izinyanga eziningana.
Uma ama-NSAID engasebenzi kuwe noma engalawuli ubuhlungu bakho, udokotela wakho angase ancome eminye imithi, njenge:
- Imithi yokunciphisa ubuhlungu efana ne-acetaminophen.
- Ama-opioid imithi yesikhashana yobuhlungu obukhulu.
- Imijovo ye-glucocorticoid enikezwa ngqo esilungwini esibuhlungu.
- Imithi ethile elawula ukuvuvukala okuyisisekelo kwe-AS. Izibonelo:
- Imithi yokulwa ne-TNF: i-Adalimumab, i-Golimumab
- Izidakamizwa ze-Anti-interleukin 17: Ixekizumab, Secukinumab
- Izivimbeli zeJanus kinase (JAK): I-Tofacitinib
- Eminye imithi yokwelapha ukucindezeleka kanye nemithi yokulwa nokuquleka nayo isetshenziselwa ukulawula ubuhlungu bemizwa.
Ukuzivocavoca kanye nokwelashwa ngokomzimba
Ukuzivocavoca umzimba kuyingxenye ebalulekile yokuphathwa kwesifo se-AS. Ukuzivocavoca okufanele kungasiza ekuvimbeleni ukuqina kwamalunga nokulimala kwawo.
- Ukuzivocavoca okulula: Udokotela uncoma uhlelo lokuzivocavoca olungenamthelela omkhulu, njengokuhamba noma ukubhukuda, olungandisi ubuhlungu.
- Ukuzivocavoca ngengqondo nomzimba: Ukuzivocavoca okufana ne-yoga noma i-Tai Chi kunganciphisa ukucindezeleka futhi kunikeze ukukhululeka ebuhlungwini.
Udokotela wakho angakudlulisela kudokotela we-physiotherapist , ozokwakhela uhlelo oluthile.
- Ukuzivocavoca kokwelula: Lokhu kusiza ekunciphiseni ukuqina kwesifuba futhi kwenze ukuphefumula kube lula.
- Ukuvuselela imizwa: Idivayisi ekhethekile izama ukuvimba izimpawu zobuhlungu ukuthi zingafiki ebuchosheni.
- Ukuqeqeshwa kokuqina komzimba: Ukugcina ukuma okufanele kunganciphisa ukucindezeleka emalungeni.
Izinto ongazenza wena (Izinguquko Zendlela Yokuphila)
Kanye nokwelashwa, izinguquko ezincane endleleni yakho yokuphila zingasiza kakhulu ekukusizeni ukuphatha lobu buhlungu.
- Nciphisa izinto ezandisa ubuhlungu: Cabanga ukuthi ukuphakamisa into esindayo kukwenza uzizwe kabi kakhulu. Bese uyeka ukwenza lokho isikhashana.
- Ukusetshenziswa okushisayo noma okubandayo: Ukufaka ibhodlela lamanzi ashisayo noma iphakethe leqhwa endaweni ebuhlungu kunganikeza impumuzo yesikhashana.
- Ukuphumula: Uma uzizwa ukhathele, zinike ukuphumula okudingekayo.
- Inhlalakahle yengqondo: Yenza izinto ezikusiza uphumule. Izinto ezifana nokuzindla noma ukulalela umculo zingasiza. Kubalulekile futhi ukufuna iseluleko ukuze sikusize ulawule ukucindezeleka kokuphila ne-AS.
Umlayezo Wokuya Nawe Ekhaya
- Abantu abane-Ankylosing Spondylitis (AS) bangase babe nobuhlungu besifuba ngaphezu kobuhlungu bomhlane. Imbangela eyinhloko yalokhu yisimo esibizwa ngokuthi i-costochondritis.
- Lokhu ngokuvamile akuyona inkinga eyingozi, kodwa kungaba buhlungu. Kodwa-ke, kubalulekile ukufuna iseluleko sezokwelapha ukuqinisekisa ukuthi azikho ezinye izimbangela ezinkulu zobuhlungu besifuba.
- Ubuhlungu obukhula ngokuphefumula okujulile, ukukhwehlela, noma ukuthimula kuyimpawu evamile.
- Ungalokothi uthathe imithi yokubulala izinhlungu ngaphandle kweseluleko sikadokotela. Khuluma nodokotela wakho ngaso sonke isikhathi.
- Lobuhlungu bungaphathwa kahle ngokuzivocavoca okufanele, ukwelashwa ngokomzimba, kanye nokushintsha indlela yokuphila.
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