Uma une-Ankylosing Spondylitis, noma i-AS ngamafuphi, ukugxila kwakho konke kukulawula lesi sifo nokuvimbela izimpawu zaso ukuthi zingabi zimbi kakhulu. Ngesikhathi ubhekene naso, izindleko zezokwelapha ezingalindelekile kanye nokuvakashelwa kodokotela kungaba nzima kakhulu. Ngakho-ke namuhla sizoxoxa ngendlela yokulungiselela lezi zindleko ezingalindelekile ngaphandle kokumangala.
Okokuqala, ake sibone, iyini i-ankylosing spondylitis (AS)?
Kalula nje, i-ankylosing spondylitis uhlobo lwe-arthritis. Abanye abantu bayibiza nangokuthi "isifo sikaBechterew." Into eyinhloko eyenzekayo kulesi simo ukuthi amalunga aphakathi kwamathambo omgogodla wakho avuvukala futhi avuvuke. Ngokuhamba kwesikhathi, la mathambo angahlangana ndawonye, futhi umgogodla wakho ungalahlekelwa ukuguquguquka kwawo. Lokhu kungaholela ekumeni okugobile phambili nokugobile.
Akukhona lokho kuphela, lesi sifo singadala ubuhlungu nokungakhululeki ezindaweni ezifana nezimbambo, amalunga ezinqe, kanye namalunga ehlombe, kanye nokuvuvukala kwamehlo ngezinye izikhathi okubuhlungu.
Into ebalulekile ukuthi ayikho ikhambi le-AS okwamanje. Kodwa-ke , ngemithi efanele kanye nokwelashwa ngokomzimba, izimpawu zingalawulwa futhi lesi sifo singancishiswa . Ukuhlinzwa kuyadingeka kuphela ezimweni ezimbi kakhulu, njengalapho kunomonakalo omkhulu emalungeni.
Ake sibheke kabanzi ukwelashwa kanye nezindleko zako.
Uma i-AS yakho ivutha, izindleko zakho zezokwelapha zinganda. Lokhu kungaba yiqiniso ikakhulukazi uma kufanele ubonane nodokotela wakho kaningi futhi usebenzise imithi ebizayo. Ngisho noma unomshuwalense wezempilo, ungase ungahlangabezi izindleko eziphelele, ngakho-ke kungase kudingeke usebenzise imali ethile. Ngakho-ke, ngokucwaninga nangokuqaphela lezi zindleko kusengaphambili, ungawuphatha kangcono lo mthwalo wezezimali.
Ukuvakashela udokotela njalo
Ngalesi simo, kuzodingeka ubonane nodokotela wamathambo njalo. Ngokuvamile, kuzodingeka ubabone cishe kanye njalo ezinyangeni ezi-3 ukuze uxoxe ngesimo sakho kanye nohlelo lokwelashwa. Uma izimpawu zakho nobuhlungu bakho bukhulu, kungase kudingeke ubabone kaningi.
ESri Lanka, cishe uyazi ukuthi ukubona uchwepheshe mathupha kubiza imali. Ngakho-ke lokhu kuvakasha njalo kuyinto okufanele uyifake ohlwini lwakho lwezindleko.
Izinhlobo zemithi kanye namanani ayo
Izindleko ezinkulu ekwelashweni imithi. Okokuqala, udokotela wakho cishe uzokunikeza uhlobo lomuthi wokuqeda ubuhlungu esiwaziyo sonke. Lokhu sikubiza ngokuthi `(imithi elwa nokuvuvukala engeyona eye-steroidal)` noma ama-NSAID ngamafuphi. Izibonelo zifaka phakathi `i-Ibuprofen` kanye ne-`Naproxen`. Lokhu kushibhile kakhulu.
Kodwa-ke, ngokuhamba kwesikhathi, lawa maphilisi okubulala izinhlungu avamile angase anganele ukulawula lesi sifo. Khona-ke udokotela wakho angase abhekisele emithini eyinkimbinkimbi nebiza kakhulu. Ake siqonde le mithi evela kuleli thebula.
| Isigaba Sezidakamizwa | Incazelo elula nezibonelo |
|---|---|
| Ama-DMARD | Izinhlobo zamaphilisi avame ukunikezwa ukulawula ubuhlungu nokuvuvukala emalungeni amancane. Izibonelo: I-Sulfasalazine, i-Methotrexate . |
| Ama-TNF Blockers | Lezi yimithi yebhayoloji. Ziyimijovo enikezwa ukunciphisa ubuhlungu, ukuqina, kanye nokuvuvukala emalungeni. Izibonelo: i-adalimumab (Humira), i-etanercept (Enbrel), i-infliximab (Remicade) . |
| Ama-JAK Inhibitors | Uhlobo lwephilisi olunikezwa abantu abangaphenduli kuma-TNF blockers. Isibonelo: i-tofacitinib (Xeljanz) . |
| Izithibi ze-IL-17 | Lezi futhi ziyimithi yebhayoloji. Zisiza ekunciphiseni ukuvuvukala emzimbeni. Izibonelo: i-secukinumab (i-Cosentyx), i-ixekizumab (i-Taltz) . |
Le mithi emisha, ikakhulukazi ama-TNF blockers (biologics), ibiza kakhulu . Ingaba nezindleko ezinkulu zanyanga zonke. Ngakho-ke kubalulekile ukuba nengxoxo evulekile nodokotela wakho ngaphambi kokushintshela komunye wale mithi.
Ukwelashwa Komzimba
Ukwelashwa ngokomzimba nakho kuyingxenye ebalulekile yalolu hlobo lokwelashwa. Uchwepheshe wezokwelapha ngokomzimba omuhle angakusiza ukunciphisa ubuhlungu bakho, athuthukise amandla akho nokuguquguquka, futhi akufundise ukuzivocavoca ongakwenza ekhaya.
Kodwa lokhu futhi kuza nezindleko. Cabanga ukuthi kungabiza malini ukuya ekwelashweni ngokomzimba kanye ngesonto, ngenyanga noma ngonyaka. Ngakho-ke kubalulekile ukucabangela izindleko ngaphambi kokungeza lokhu ohlelweni lwakho lokwelashwa.
Masibe nesibindi, singabi novalo ngezindleko!
Kuyiqiniso ukuthi i-ankylosing spondylitis ingaba yisimo esinzima, kokubili ngokomzimba, ngokwengqondo nangokwezimali. Kodwa uma ucwaninga ngalezi zindleko kusengaphambili futhi uzilungiselela ngokuzikhandla, ungawunciphisa kakhulu lo mthwalo.
Khuluma ngokukhululekile ngalezi zindleko nodokotela wakho. Kungase kube neminye imithi (imithi ejwayelekile) eshibhile kodwa enezakhiwo ezifanayo. Noma ungase ukwazi ukuthola usizo lokulungisa uhlelo lokwelashwa oluhambisana nesimo sakho sezezimali. Khuluma ngalokhu ngaphandle kokwesaba noma amahloni. Ngoba impilo yakho nokuthula kwakho kwengqondo kubaluleke ngendlela efanayo.
Umlayezo Wokuya Nawe Ekhaya
- I-Ankylosing spondylitis (AS) yisimo esidinga ukuphathwa kwesikhathi eside, okuqhubekayo kanye nezindleko ezihlobene naso.
- Lezi zindleko zifaka phakathi ukuvakashela odokotela abangochwepheshe, imithi ebizayo (ikakhulukazi i-biologics), kanye nokwelashwa ngokomzimba.
- Khuluma ngokukhululekile ngezindleko nodokotela wakho (udokotela wamathambo). Bangase bakwazi ukusikisela izinketho ezingabizi kakhulu noma izinhlelo zokukhokha.
- Lungiselela kusenesikhathi. Cwaninga izindleko, qonda umshwalense wakho (uma unawo), bese uhlela izimali zakho. Ungavumeli izikweletu ezingalindelekile zikwengeze ekucindezelekeni kwakho.
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