Uma une-ankylosing spondylitis (AS), umzabalazo wakho omkhulu ukuphatha lesi sifo ngandlela thile, ukunciphisa ubuhlungu, nokuqhubeka nemisebenzi yakho yansuku zonke. Ngenkathi ulwa nalezo zinkinga zomzimba, ungazizwa ukhungathekile ngokufika ngokuzumayo kwezindleko ezinkulu zezokwelapha kanye nezimali zikadokotela. Ngakho-ke ngaphandle kokuchitha isikhathi, ake sixoxe ngezindleko zalesi sifo nokuthi singaziphatha kanjani.
Okokuqala, iyini i-ankylosing spondylitis (AS)?
Kalula nje, i-ankylosing spondylitis uhlobo lwe-arthritis. Ithinta kakhulu umgogodla wakho. Ngokuhamba kwesikhathi, lesi sifo singabangela ukuthi amathambo akho ahlangane. Lokhu kungabangela ukuthi umgogodla wakho ulahlekelwe ukuguquguquka kwawo futhi ugobe phambili.
Ngaphezu kwalokhu, ungase uzwe ubuhlungu nokungakhululeki ezimbanjeni zakho, emalungeni ezinqeni, nasemalungeni amahlombe. Ngezinye izikhathi, ukuvuvukala okubuhlungu kwamehlo nakho kungase kwenzeke.
Into ebaluleke kakhulu ukuthi ayikho ikhambi lalesi sifo okwamanje . Kodwa-ke, ngemithi efanele kanye nokwelashwa ngokomzimba, izimpawu zingalawulwa futhi ukuqhubeka kwesifo kungalawulwa kakhulu. Ukuhlinzwa kuyadingeka kuphela uma kunomonakalo omkhulu emalungeni, futhi lokho akuvamile kakhulu.
Ziyini izindleko zokwelashwa?
Ngesikhathi sokuqubuka kwe-AS, izindleko zakho zezokwelapha ziyanda. Lezi zindleko zingahlukaniswa ngezigaba eziningana eziyinhloko.
1. Ukuvakashelwa Kwamahhovisi Okuvamile
Ngenxa yalesi simo, cishe uzobona udokotela wamathambo . Ngokuvamile bazokuhlola futhi baxoxe ngohlelo lwakho lokwelashwa cishe njalo ezinyangeni ezi-3. Kodwa-ke, ngezikhathi zobuhlungu obukhulu nokungakhululeki, kungadingeka ukuthi ubonane nodokotela kaningi. Njengoba wazi, konke lokhu kuxhumana kubiza imali.
2. Izikhathi Zokwelapha Ngomzimba
Ukwelashwa ngokomzimba kuyingxenye ebaluleke kakhulu yohlelo lokwelashwa lwe-AS. Uchwepheshe wezokwelapha ngokomzimba omuhle angakusiza ukunciphisa ubuhlungu bakho, athuthukise amandla akho nokuguquguquka, futhi akufundise ukuzivocavoca ongakwenza ekhaya.
Kodwa-ke, lokhu kwelashwa nakho kuza nezindleko. Njengoba kuvame ukudingeka izikhathi eziningi, zingahlanganiswa ngokuhamba kwesikhathi. Uma unomshwalense wezempilo, kuwumqondo omuhle ukuhlola kusenesikhathi ukuze ubone ukuthi ukwelashwa ngokomzimba kuyakhokhelwa yini.
Izinhlobo zemithi esetshenziswa ekwelapheni kanye nezindleko zayo
Kunezinhlobo eziningana zemithi esetshenziswa ukwelapha i-AS. Udokotela wakho uzokunikeza le mithi ngokusekelwe esimweni sesimo sakho. Kungaba nomehluko omkhulu phakathi kwale mithi kanye nezindleko zayo.
| Uhlobo Lomuthi | Kungani kufanele usebenzise? | Izibonelo |
|---|---|---|
| Ama-Painkiller (ama-NSAID) | Ukulawula ubuhlungu nokuvuvukala ezigabeni zokuqala. Lokhu kushibhile kakhulu. | I-Ibuprofen, i-Naproxen, i-Indomethacin |
| Ama-DMARD (Imithi Yokulwa Namathambo Eguqula Izifo) | Ukunciphisa ukuvuvukala nobuhlungu bamalunga lapho lesi sifo kunzima ukusilawula ngemithi yokwelapha i-NSAID kuphela. | I-Sulfasalazine, i-Methotrexate |
| Imithi yezinto eziphilayo (i-Biologics) - Ama-blocker e-TNF - Izithibi ze-IL-17 | Imithi enamandla kakhulu esetshenziswa ezimweni ezinzima zesifo okunzima ukuzilawula. Inciphisa ubuhlungu, ukuqina, kanye nokuvuvukala. Lezi zibiza kakhulu. | Adalimumab (Humira), Etanercept (Enbrel), Infliximab (Remicade), Secukinumab (Cosentyx) |
| Ama-JAK Inhibitors | Olunye uhlobo olunamandla lwemithi esetshenziswa ezigulini ezingasabeli kwezinye izinto eziphilayo. Nazo zibiza kakhulu. | I-Tofacitinib (Xeljanz) |
Njengoba ubona, nakuba imithi yokuqala yokudambisa izinhlungu ingabizi kangako, imithi enikezwayo njengoba isifo siba nzima ukuyilawula, njengemithi yokwelapha izifo kanye nemithi yokuvimbela i-JAK, ingaba yindleko enkulu . Le mithi iza njengemijovo noma amaphilisi, futhi ungagcina ukhokha imali eningi ngomthamo ngamunye.
Ngakho-ke, uziphatha kanjani lezi zindleko?
Lesi sifo singakukhathaza ngokomzimba, ngokwengqondo nangokwezimali. Kodwa ungakhathazeki. Unganciphisa lo mthwalo ngokucabanga ngakho kusengaphambili bese uthatha isinyathelo.
- Khuluma nodokotela wakho ngokukhululekile: Lesi yisinyathelo esibaluleke kakhulu nesokuqala . Khuluma nodokotela wakho ngokwesaba kwakho kanye nokungakhululeki kwakho ngezindleko zokwelashwa ngaphandle kokungabaza. Uzokwazi ukukweluleka ngezindlela zokwelapha ezihlukile ezifanele futhi ezingabizi kakhulu kuwe.
- Qonda umehluko phakathi kwemikhakha kahulumeni neyangasese: Enye yezinzuzo ezinkulu esinazo eSri Lanka uhlelo lwezibhedlela zikahulumeni. Buza udokotela wakho ukuthi ungathola yini imithi ebizayo ngezibhedlela zikahulumeni. Uma uthola le mithi emkhakheni ozimele, kungumqondo omuhle futhi ukuqhathanisa amanani emakhemisi ahlukene.
- Hlola umshwalense wakho: Uma unomshwalense wezempilo ozimele, hlola ukuthi uhlanganisa yini ama-aphoyintimenti ezokwelapha, ukwelashwa ngokuzivocavoca, kanye nemithi ehlobene nalesi simo, nokuthi ngezinga elingakanani.
- Funa amaqembu okusekela: Kungase kube nezinhlangano noma amaqembu okusekela akhiwe ngabantu abanezifo ezinjalo zesikhathi eside. Ungathola ulwazi kanye nokusekelwa ngokomzwelo ezindaweni ezinjalo.
Umlayezo Wokuya Nawe Ekhaya
- I-Ankylosing spondylitis (AS) yisimo sesikhathi eside esidinga ukuphathwa okuqhubekayo.
- Lezi zindleko zifaka phakathi ukuvakashelwa odokotela, ukwelashwa ngokomzimba, kanye nemithi ebiza kakhulu njenge-biologics.
- Into ebaluleke kakhulu ukukhuluma ngokukhululekile nangokwethembeka nochwepheshe wakho mayelana nohlelo lwakho lokwelashwa kanye nezindleko ezihambisana nalo.
- Gwema ukuhlehlisa ukwelashwa ngenxa yezindleko. Kunalokho, hlela ukubhekana nale nkinga ngendlela efanelekile.
- Cwaninga ngezinsizakalo ezitholakala ezibhedlela zikahulumeni kanye nezinzuzo zomshuwalense uma unawo. Khumbula, awuwedwa kulolu hambo.
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