Ingabe nawe uhlushwa ubuhlungu obungapheli emhlane, entanyeni, nasesinqeni futhi uzizwa ukhathele usuku lonke? Kuvamile ukuzizwa udangele, ucindezelekile, futhi ukhungathekile uma uphila nesimo esifana nalesi isikhathi eside. Kodwa kubalulekile ukulawula le mizwa ngaphambi kokuba ikhule ibe ukucindezeleka. Ake sixoxe ngalokhu namuhla.
Iyini ngempela i-Ankylosing Spondylitis?
Kalula nje, i-Ankylosing Spondylitis (AS) uhlobo lwe-arthritis oluthinta kakhulu umgogodla. Ngezinye izikhathi lubizwa ngokuthi i-radiographic axial spondylitis. Lubonakala ngokuvuvukala, okuwukuvuvukala nokuqina kwamalunga e-sacroiliac, axhumanisa umgogodla kanye nomhlane ongezansi nethambo lesinqe. Ngokuvamile luqala ebusheni, cishe eminyakeni eyi-17-20.
Ake sibone ukuthi yiziphi izimpawu eziyinhloko zalesi sifo.
| Isibonakaliso | Incazelo elula |
|---|---|
| Ubuhlungu bomhlane kanye nenqulu | Ubuhlungu obubuhlungu, ikakhulukazi emhlane ongezansi nasemaqakaleni. |
| Ukuqina kwasekuseni | Uma uvuka ekuseni, umhlane wakho nentamo yakho kuzwakala kuqinile. Lo muzwa uyaphela uma uhamba kancane. |
| Izinkinga ngamanye amalunga | Ubuhlungu, ukuvuvukala, ukubomvu, kanye nomuzwa wokufudumala ezindaweni ezifana neminwe, izithende, amaqakala, amadolo, izimbambo, amahlombe kanye nentamo. |
| Ukukhathala okungapheli | Ukuzizwa ukhathele kakhulu futhi ungenampilo ngisho nangemva kokulala kahle. |
| Isifiso sokudla | Isifiso sokudla siyancipha. |
Njengoba lesi sifo siqhubeka, amathambo omgogodla angacindezelwa. Lokhu kunganciphisa kakhulu ikhono lokugoba nokuguqula umgogodla, kuwenze uqine njengenduku. Uma izimbambo zicindezelwa ngale ndlela, ukusebenza kwamaphaphu nakho kungathinteka. Ngaphezu kwalokho, izinkinga ezifana ne-uveitis, ukuvuvukala kwamehlo, ukwaphuka kwamathambo, kanye nesifo senhliziyo nazo zingavela.
Into ebalulekile ukuthi nakuba lesi sifo singelapheki ngokuphelele, ngokwelashwa okufanele, ubuhlungu bungalawulwa, umgogodla ungagcinwa uqondile, amalunga nezitho zomzimba kungavinjelwa ekulimaleni, futhi impilo enhle ingagcinwa isezingeni elihle .
Buyini ubudlelwano phakathi kwalesi sifo nokucindezeleka?
Ucwaningo luthole ukuthi abantu abane-ankylosing spondylitis (AS) basengozini enkulu yokuthola ukucindezeleka. Isizathu salokhu sisobala impela. Ubuhlungu obungabekezeleleki, ukukhathala, kanye nokungakwazi ukusebenza konke kungayilimaza injabulo yomuntu.
Cabanga ngakho, lokhu kufana nomjikelezo omubi.
1. Ubuhlungu nokungakhululeki okubangelwa yi-AS kukwenza uzizwe ucindezelekile futhi udangele.
2. Uma ucindezelekile, okungukuthi, uma ucindezelekile engqondweni, ubuhlungu obuzwayo emzimbeni wakho buyakhula.
3. Njengoba ubuhlungu bukhula, inhliziyo iya ngokuya ishona.
Ukuze ubalekele lo mjikelezo, kubalulekile ukuthi wazi izimpawu zokucindezeleka.
| Izimpawu okufanele uziqaphele ekucindezelekeni | |
|---|---|
| Ukuzizwa udabukile noma ungenamizwa ngaso sonke isikhathi | Ukucabanga kabi ngempilo |
| Ukulahlekelwa isithakazelo ezintweni obuzijabulela ngaphambili | Ukungalali noma ukulala kakhulu |
| Ukukhathala okuqhubekayo kanye nomuzwa wobuthakathaka emzimbeni | Ukushintsha kwesifiso sokudla (ukuncipha noma ukwanda) |
| Ubunzima bokunaka okuthile | Ubuhlungu bomzimba obungachazeki, ikhanda elibuhlungu, ubuhlungu besisu |
Manje usuyabona ukuthi ezinye zalezi zimpawu (njengokukhathala, izinhlungu zomzimba) zifana neze-AS. Ngakho-ke indlela engcono kakhulu yokwazi ngokuqinisekile ukuthi lokhu kungenxa ye-AS noma ukucindezeleka ukubona udokotela wakho bese ukhuluma ngokukhululekile ngazo zonke lezi zimpawu. Ngemuva kwalokho anganquma ukuthi zingokomzimba noma ngokwengqondo bese ekudlulisela ukuze uthole ukwelashwa okudingekayo.
Yini esingayenza ukuze sibhekane nalesi simo?
Kunezinto eziningi ongazenza ukuze uqede lo mjikelezo wobuhlungu nokucindezeleka. Uhlelo oluhlanganisa imithi, izindlela zokwelapha, kanye nezinguquko zendlela yokuphila lungasiza ekulawuleni izimpawu ngaphambi kokuba zibe zimbi kakhulu.
Imithi
Udokotela wakho angakunikeza imithi elandelayo kuye ngohlobo lwesimo sakho:
- Imithi elwa nokuvuvukala engeyona eye-steroidal (ama-NSAID): Lena imithi enciphisa ukuvuvukala nobuhlungu. Eminye yayo ingathengwa ngaphandle kwemithi kadokotela, kodwa kubalulekile ukuyisebenzisa njengoba kuqondiswe udokotela wakho.
- Imithi yokwelapha ukuvuvukala kwamalunga (i-DMARD): Le yimithi eshintsha indlela isifo esiqhubeka ngayo futhi ivimbele ukulimala kwamalunga.
- I-Biologics: Lezi ziyingxenye yeqembu le-DMARD lezindlela zokwelapha eziqondiwe. Zisebenza ngokugxila kumaprotheni athile (njenge-tumor necrosis factor - TNF) abangela ukuvuvukala emzimbeni.
- Ama-Corticosteroids: Nakuba lawa enganikezwa ubuhlungu bomhlane, uma kukhona ubuhlungu obukhulu nokuvuvukala kwelinye ilunga, njengedolo noma ihlombe, anganikezwa njengomjovo ngqo kulelo lunga.
Ukwelashwa Komzimba Nomsebenzi
Udokotela wezokwelapha uzokufundisa izivivinyo ezifanele zokuqinisa imisipha yakho, asize ukugcina umgogodla wakho uqondile, futhi anciphise ubuhlungu. Udokotela wezokwelapha osebenzayo uzokufundisa ngemishini namasu angasiza ekwenzeni imisebenzi yakho yansuku zonke ibe lula.
Izinguquko Zendlela Yokuphila
- Ukuzivocavoca: Uma ungasebenzisi amalunga akho, angaba lukhuni futhi abe buhlungu. Ukuzivocavoca okufana nokuhamba, ukubhukuda, kanye ne-yoga kuhle kakhulu. Thola usizo kudokotela wezokwelapha ukuze udale uhlelo lokuzivocavoca olufanele wena.
- Ukudla okuhle: Faka inhlanzi, izithelo, imifino, ubhontshisi, kanye nokusanhlamvu okuphelele ekudleni kwakho. Nciphisa inyama ebomvu, ushukela, kanye nokudla okucutshungulwe ngangokunokwenzeka.
- Gcina ukuma okuhle:Ngesikhathi usebenza, zama ukushintshashintsha izikhundla zakho zokuhlala nokuma. Ngezinsuku lapho uzwa khona ubuhlungu obukhulu, lalela umzimba wakho bese uthatha ikhefu emsebenzini.
- Gwema ukubhema: Ukubhema kungenza izimpawu ze-AS zibe zimbi kakhulu kanye nomonakalo wamalunga, futhi kunganciphisa impumelelo yokwelashwa.
- Lala ngokwanele: Ukungalali kahle kungenza ubuhlungu bube bubi nakakhulu. Ukuze ulale kahle, thatha imithi yakho ngesikhathi, vivinya umzimba emini, gwema ukuphuza ikhofi/itiye ebusuku, futhi unciphise isikhathi sakho sokubuka ifoni/i-TV ngaphambi kokulala.
Ukubaluleka kokuzinakekela wena kanye nobudlelwano bakho
Ukucindezeleka kuyisici esiyinhloko esenza izimpawu ze-AS zibe zimbi kakhulu. Ngakho-ke, kubaluleke kakhulu ukulawula ukucindezeleka. Zibandakanye ezintweni ezizolisa ingqondo. Isibonelo, ungenza izinto ezifana nokuzindla, ukulalela umculo, ukuchitha isikhathi nesilwane esifuywayo, noma ukufunda incwadi.
Uma ubhekene nemicabango yokuphelelwa yithemba noma usenkingeni enkulu yengqondo, sicela uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha. Noma shayela ku- 1333 ucele usizo ku-Sumithrayo . Lena isevisi eyimfihlo.
Enye into ebalulekile ukunqoba isizungu. Khuluma ngemizwa yakho nomuntu omethembayo futhi ozolalela. Lokhu kungaba yilungu lomndeni noma umngane. Uma kudingeka, funa ukwelulekwa. Ukwelashwa kokuziphatha kwengqondo (i-CBT) kuyindlela yokwelapha ephumelela kakhulu yokucindezeleka nokukhathazeka. Ukukhuluma nomeluleki kungakusiza uqonde ukuthi imicabango yakho, imizwa, kanye nokuziphatha kwakho kuthintana kanjani futhi kwakha amandla owadingayo ukuze ubhekane nempilo.
Umlayezo Wokuya Nawe Ekhaya
- I-Ankylosing spondylitis (AS) akuyona nje ubuhlungu bomhlane. Yisifo esingamahlalakhona esingathinta umzimba wakho wonke kanye nekhwalithi yempilo.
- Impilo yengqondo ibaluleke njengempilo yomzimba . Ubuhlungu bungakwenza ucindezeleke, kanti ukucindezeleka kungakwenza uzizwe ucindezeleke kakhulu.
- Khuluma nodokotela wakho ngaphandle kokungabaza ngobuhlungu bakho obungokomzimba, kanye nokudabuka kwakho ngokomzwelo, ukukhungatheka, kanye nokucindezeleka.
- Ngokwelashwa okufanele, ukwelashwa ngokomzimba, kanye nezinguquko ezinhle endleleni yokuphila, ungaphila ngempumelelo nalesi sifo.
- Awuwedwa. Thola ukwesekwa kwabathandekayo bakho, odokotela bakho, futhi, uma kudingeka, umeluleki wezempilo yengqondo.
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