Ingabe une-ankylosing spondylitis (AS)? Ngezinye izikhathi, ubuhlungu emhlane wakho, ezinqeni, nasemzimbeni buyanda ngokuzumayo, okwenza kube nzima ukuvuka embhedeni ekuseni, futhi kwenze kube nzima ukwenza noma yini. Odokotela bakubiza lokhu ngokuthi 'ukuqubuka', noma ukubhebhetheka kwalesi sifo. Kufana nomlilo ocinyiwe futhi ngokuzumayo uvutha futhi. Akuwona wonke umuntu ozwa lobu buhlungu ngendlela efanayo. Kodwa yilabo kuphela abake babhekana nabo abaziyo ukuthi kungaba nzima kangakanani.
Kwenzekani ngempela ngesikhathi 'sokuqhuma'?
Kalula nje, 'ukuqhuma' yisikhathi lapho i-Ankylosing Spondylitis (AS) yakho isebenza kakhulu okwesikhashana. Phakathi nalesi sikhathi, izimpawu zingaba zimbi kakhulu. Nakuba abanye abantu bengase bazizwe benobuhlungu emzimbeni wabo wonke, abanye bangase babe nobuhlungu obukhulu endaweni eyodwa nje, njengomhlane noma izinqe.
Ake sibone ukuthi yiziphi izimpawu ezivame ukubonakala phakathi nalesi sikhathi.
| Isibonakaliso | Incazelo |
|---|---|
| Ubuhlungu obukhulu | Ubuhlungu obukhulu, ikakhulukazi emhlane, ezinqeni nakwamanye amalunga. |
| Ukukhathala/ukukhathala ngokweqile | Ukukhathala ngokweqile kanye nokulala ngisho nangemva kokungenzi lutho. |
| Ubunzima bokuhambisa umzimba | Amalunga aqinile kanye nomhlane kwenza kube nzima ukugoba noma ukujika. Lesi simo sibi kakhulu ekuseni. |
| Izinguquko zengqondo | Imizwa evamile yentukuthelo, ukukhungatheka, kanye nokucindezeleka ngezinye izikhathi. |
| Ngaphezu kwalokho, ezinye izimpawu abanye abantu ababhekana nazo zifaka: | |
| Ezinye izici | Ukuzizwa ushisa, ujuluka, ukuvuvukala kwamalunga nokufudumala, kanye nokuqina kwemisipha . |
Ngezinye izikhathi, ngaphambi kokuqhuma, ukuqina kwasekuseni kungaba nzima kakhulu kunokujwayelekile. Kufana nesibonakaliso sesixwayiso.
Kungani lesi sifo sikhula ngokuzumayo kanje?
Kunzima ukukhomba isizathu esisodwa salokhu. Kungaba nezici eziningana ezihilelekile.
- Ukuvuvukala okwandayo: Imbangela eyinhloko ukwanda okungazelelwe kokuvuvukala emzimbeni, ikakhulukazi emalungeni omgogodla.
- Ezinye izifo noma ukulimala: Okunye ukutheleleka okungena emzimbeni, noma ngisho nokulimala okuncane, ngezinye izikhathi kungabangela ukuqhuma okukhulu.
- Ukungathathi imithi ngendlela efanele: Lena inkinga ebaluleke kakhulu. Uma ungayithathi imithi oyinikezwe udokotela wakho ngesikhathi, noma uma uphuthelwa umthamo, kunethuba elikhulu lokuthi lesi simo sizokwenzeka.
- Ukukhathala ngokweqile kanye nokucindezeleka: Ake sithi ukhathele ngenxa yephathi enkulu ekhaya, noma ulahlekelwe ubuthongo ngenxa yomsebenzi omkhulu ehhovisi. Ezinye iziguli zithi lesi simo singabangelwa nokucindezeleka kanye nokukhathala ngokweqile .
- Izinguquko zesimo sezulu: Abanye abantu bathola ubuhlungu bube bubi kakhulu uma kubanda.
- Ushintsho ekwelashweni: Mhlawumbe ukwelashwa okwenzayo njengamanje akulungele umzimba wakho. Lokho kungabangela nokuqhuma kwesikhumba.
Kodwa ngezinye izikhathi, kuye ngohlobo lwesifo, ubunzima bungakhula ngale ndlela ngaphandle kwesizathu esithile.
Ungayithola kanjani induduzo phakathi nalesi sikhathi esinzima?
Kunzima kakhulu uma kuvela ukuqubuka komlilo, kodwa kunezinto ezimbalwa esingazenza ukuze sikulawule.
- Imithi: Kungadingeka imithi yokulawula ubuhlungu.
- Uma usuvele usebenzisa ama-NSAID (Nonsteroidal Anti-inflammatory Drugs) , udokotela wakho angase akucebise ukuthi wandise umthamo okwesikhashana.
- Uma uthatha uhlobo oluthile lomuthi olubizwa ngokuthi i-biologic , udokotela wakho angase anqume ukushintsha umthamo walowo muthi noma akushintshele komunye umuthi. Ungalokothi ushintshe umthamo womuthi wena.
- Ukuphumula nokulala: Kubaluleke kakhulu ukunikeza umzimba wakho ukuphumula okwanele. Lala kahle ebusuku.
- Ukuzilolonga okulula:Unganciphisa ukuqina kwamalunga ngokwenza ukwelula okuhamba kancane, okulula, kunokuba uvivinye umzimba onzima.
- Ukwelapha ngokushisa nokubanda: Ukufaka ibhodlela lamanzi ashisayo noma iphakethe leqhwa endaweni ebuhlungu kunganikeza impumuzo.
- Ukugeza ngamanzi ashisayo: Ukugeza ngamanzi ashisayo kungaphumuza imisipha namalunga futhi kunciphise ubuhlungu.
- Ukuhlikihla: Ukuhlikihla okuthambile kunganikeza impumuzo ebuhlungwini bemisipha.
Yini esingayenza ukuze sivimbele ukuqubuka kwezifo?
Nakuba kungenakwenzeka ukuvimba ngokuphelele ukuqubuka kwalezi zimpawu, ungazama ukunciphisa ukuvama kwazo.
Into ebaluleke kakhulu ukukhuluma nodokotela wakho wamathambo bese wenza uhlelo kusenesikhathi lokuthi yini okufanele uyenze uma unesifo sokuqaqamba kwamalunga. Mcele ukuthi acacise okulandelayo:
- Ingabe kufanele ngishintshe umthamo wemithi yami ngesikhathi sokuqubuka kwesifo? Uma kunjalo, yimuphi umthamo ofanele okufanele ngiwuthathe?
- Yiliphi izinga eliphezulu kakhulu elingathathwa ngosuku?
- Le mithi ingasetshenziswa isikhathi esingakanani futhi kangaki?
Bhala le miyalelo ndawana thize. Futhi, tshela udokotela wakho ngayo yonke imithi oyithathayo (ngisho nemithi yokubulala ubuhlungu etholakala ngaphandle kwemithi kadokotela).
Kunini lapho kungcono ukubona udokotela?
Nakuba kungezona zonke izinhlungu ezidinga ukuya kudokotela, ngezinye izikhathi kubalulekile ukufuna iseluleko sezokwelapha. Qiniseka ukuthi ukhuluma nodokotela wakho uma unezinye zezimo ezilandelayo:
| Isimo | Okufanele ngikwenze |
|---|---|
| Uma ubuhlungu bungapheli ngemva kwezinsuku ezi-7 zokwelashwa ngokwecebo lakho. | Shayela udokotela wakho ngokushesha bese ucela iseluleko. |
| Uma ukuqubuka kobuhlungu kukhulu kakhulu kunokujwayelekile (isib. ubuhlungu bomhlane obungabekezeleleki). | Shayela udokotela wakho ngokushesha. |
| Uma ukuqubuka kwenzeka kaningi noma kuthatha isikhathi eside kunokujwayelekile . | Yazisa udokotela wakho ngalokhu ngesikhathi sakho esilandelayo sokubonana nodokotela. |
Umlayezo Wokuya Nawe Ekhaya
- Ukuvuvukala kwesikhumba kuvame kakhulu ku-Ankylosing Spondylitis (AS), futhi ukungakhululeki okubangelwayo kungahlukahluka kuye ngomuntu nomuntu.
- Izinto ezinjengokukhandleka ngokweqile, ukucindezeleka, kanye nokuntuleka kwemithi enikezwe udokotela kungabangela ukuqubuka kwesifo.
- Khuluma nodokotela wakho mayelana nendlela yokuphatha ukuqubuka kwesikhumba bese wenza uhlelo kusenesikhathi.
- Uma ubuhlungu bukhulu, bungathuthuki ezinsukwini ezimbalwa, noma kuvela ukuqubuka kaningi, ungangabazi ukufuna iseluleko sezokwelapha.
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