Uma une-Ankylosing Spondylitis, noma i-AS ngamafuphi, kungenzeka ukuthi uke wabhekana nokwanda okungazelelwe kobuhlungu bomhlane kanye nokuqina kwenqulu. Kuzwakala sengathi lesi sifo sesibe sibi kakhulu. Ngokwezokwelapha, lokhu sikubiza ngokuthi 'ukuqubuka', noma ukuqubuka. Kungaba yinto ekhathazayo kakhulu futhi ekhungathekisayo. Kodwa awuwedwa, abantu abaningi abane-AS bayabhekana nalokhu.
Kuyini i-AS 'flare-up'? Uzizwa kanjani?
Eqinisweni, ngisho nodokotela abanayo incazelo ecacile, efana nencwadi yokuthi kuyini ukuqubuka kwesikhumba. Kodwa uma ubhekene nalesi simo, uyazi ukuthi kuzwakala kanjani. Indlela ozizwa ngayo ingase ihluke endleleni omunye umuntu azizwa ngayo. Kwabanye, kuthinta umzimba wabo wonke, kanti kwabanye, kuthinta indawo ethile kuphela, njengomhlane noma izinqe zabo.
Cabanga nje, ngezinye izinsuku awukwazi ngisho nokuvuka embhedeni ekuseni, umzimba wakho wonke uzizwa uqinile, futhi umhlane wakho uzizwa ubuhlungu kangangokuthi awukwazi ngisho nokuwuqondisa. Ngisho noma usuku ludlula, lokho kukhathala nokuqina akunciphi. Leso yisici esiyinhloko 'sokuqhuma'.
Ake sibheke izimpawu ezivame kakhulu ngalesi sikhathi.
| Isibonakaliso | Indlela okuzwakala ngayo |
|---|---|
| Ubuhlungu obukhulu | Ubuhlungu obukhulu kunobujwayelekile, ikakhulukazi emhlane, ezinqeni, entanyeni nakwamanye amalunga. |
| Ukukhathala | Ukuzizwa ungenampilo kungakhathaliseki ukuthi uthola ukuphumula noma ubuthongo obungakanani. Ukuzizwa ulele usuku lonke. |
| Ukuqina | Ubunzima bokunyakaza umzimba wakho, ikakhulukazi uma uvuka ekuseni nangemva kokuba sesimweni esifanayo isikhashana. Lokhu kungaqhubeka usuku lonke. |
| Izinguquko zengqondo | Ubuhlungu obuqhubekayo kanye nokungakhululeki kungaholela ekulahlekelweni yisithakazelo kunoma yini, ukucasuka, kanye nokucindezeleka ngezinye izikhathi. |
| Ezinye izici | Abanye abantu bangase babe nomkhuhlane, amakhaza, ukujuluka, umuzwa wokushisa emalungeni, kanye nokuqina kwemisipha. |
Kungani lesi sifo sikhula ngokuzumayo kanje?
Kunzima ukukhomba imbangela eyodwa yalokhu, kodwa into eyinhloko ukuthi kukhona ukwanda kokuvuvukala emzimbeni. Lokhu kuvuvukala kuyanda futhi izimpawu ziya ziba zimbi ngenxa yezinguquko ezithile ekusebenzeni kwesimiso sethu somzimba sokuzivikela.
Ngaphezu kwalokho, ezinye izizathu eziningana zingathinta lokhu:
- Ezinye izimo zezokwelapha: Uma unesinye isimo sezokwelapha ngaphezu kwe-AS, singabangela nokuqhuma kwesikhumba.
- Ukutheleleka: Ngisho nomkhuhlane omncane, umkhuhlane, noma ukutheleleka komgudu womchamo kungandisa ukuvuvukala emzimbeni futhi kubhebhethekise i-AS.
- Ukulimala: Ngisho nokulimala okuncane emhlane, esinqeni, noma kwelinye ilunga kungabangela ukuqubuka.
- Ukweqa imithi: Lokhu kubaluleke kakhulu. Uma ungayithathi imithi udokotela wakho ayinikezile ngesikhathi, noma uma uphuthelwa umthamo, kunethuba elikhulu lokuthi lesi sifo sizodlula amandla futhi sibe sibi kakhulu.
- Ukucindezeleka Nokusebenza Kakhulu: Abantu abaningi bathi le nkinga iyanda uma ucindezelekile kakhulu futhi uwenza ngokweqile. Cabanga ukuthi unomsebenzi omkhulu ekhaya, noma umatasa kakhulu emsebenzini, izinto ezinjengalezi nazo zingaba imbangela.
- Izinguquko zesimo sezulu: Kungase kubonakale kungavamile, kodwa kwabanye abantu, izimpawu ziya ziba zimbi kakhulu uma kubanda futhi kunemvula.
Ngezinye izikhathi, ngaphandle kwesizathu esibonakalayo, umsebenzi wesifo ungavele wande futhi ubangele 'ukuqhuma'.
Ungakulawula kanjani ukuqubuka kwezifo?
Kunzima ukubhekana nokuqhuma kwesimo, kodwa kunezinto ezimbalwa esingazenza ukuze sikulawule.
Into ebaluleke kakhulu ukulandela imiyalelo kadokotela wakho. Kuwusizo ukukhuluma nodokotela wakho kusenesikhathi bese wenza uhlelo lokuthi yini okufanele uyenze uma unesifo sokuvuvukala kwesikhumba.
Nazi izinto ovame ukuzenza ngesikhathi esinjengalesi:
Ukusetshenziswa kwezidakamizwa
Uma udokotela wakho ekunike imithi yokudambisa izinhlungu, okungukuthi imithi ye-NSAID (isib. i-Ibuprofen, i-Diclofenac), ungase ucelwe ukuthi wandise umthamo kancane ngesikhathi esinjengalesi. Kodwa khumbula, ungashintshi umthamo womuthi ngokubona kwakho. Kufanele nakanjani ukwenze lokho kuphela ngemva kokubonisana nodokotela wakho.
Uma uthatha uhlobo oluthile lomuthi olubizwa ngokuthi 'i-biologic', udokotela wakho angase anqume ukushintsha umthamo walowo muthi noma akushintshele komunye umuthi.
Izindlela ezingezona izidakamizwa
Ngaphezu kwemithi, lezi zinto zizokusiza futhi.
- Lala kahle futhi uphumule ngokwanele: Nikeza umzimba wakho ukuphumula ngangokunokwenzeka. Ukulala kahle ebusuku kusiza ekunciphiseni ukuvuvukala.
- Ukuzivocavoca okuthambile: Akukuhle ukuhlala nje lapho ngoba umzimba wakho uqinile. Ezinye izivivinyo zokulula umzimba ongakwenza uhleli embhedeni zingasiza kakhulu ngalesi sikhathi. Kunciphisa ukuqina komzimba futhi kwenza ukunyakaza kwamalunga kube lula.
- Ukusetshenziswa kokushisa nokubanda: Ukufaka ibhodlela lamanzi ashisayo endaweni ebuhlungu kungasiza ekuphumzeni imisipha futhi kunciphise ubuhlungu. Abanye abantu bathola impumuzo emaphaketheni eqhwa. Bona ukuthi yini ekusebenzela kahle.
- Ukugeza ngamanzi ashisayo: Ukugeza ngamanzi ashisayo kunganciphisa kakhulu ukuqina nobuhlungu.
- Ukuhlikihla: Ukuhlikihla okuthambile nokuthambile kungaphumuza imisipha futhi kunciphise ubuhlungu.
Kunini lapho kufanele nakanjani ubonane nodokotela?
Nakuba ukuqubuka kwesifo kungaphathwa ekhaya, kunezinye izimo lapho iseluleko sezokwelapha sidingeka khona ngempela.
Uma ubuhlungu bakho bube bubi kakhulu ngemva kwezinsuku ezingaba ngu-7, futhi ungakhululeki ngemithi yasekhaya kanye nemithi ejwayelekile, kufanele nakanjani ubone udokotela wakho futhi.
Futhi, qaphela lezi zinto:
- Uma ubuhlungu bukhulu kakhulu kunokuvamile: Uma ubuhlungu onabo kulokhu bukhulu kakhulu kunokuvamile, isibonelo, uma ubuhlungu bomhlane obungabekezeleleki, funa iseluleko sezokwelapha ngokushesha.
- Uma unama-flare-ups amaningi: Uma unama-flare-ups amaningi kanje, noma uma ama-flare-ups akho ethatha isikhathi eside ukuphola, khuluma nodokotela wakho ngakho. Kungaba uphawu lokuthi sekuyisikhathi sokushintsha ukwelashwa kwakho.
Ukubhala phansi izimpawu zakho nokuthi zimbi kangakanani kuzosiza udokotela wakho ukuthi aqonde isimo sakho ngokunembe kakhudlwana.
Umlayezo Wokuya Nawe Ekhaya
- Kuvamile ukuba nokuvuvukala kwesikhumba, noma ukuvuvukala kwesikhumba, kwe-Ankylosing Spondylitis (AS). Ungakhathazeki, awuwedwa.
- Ukucindezeleka, ukusebenza ngokweqile, izifo, kanye nokweqa imithi kungaba yizizathu eziyinhloko ezenza lesi simo sibe sibi kakhulu. Qaphela ngangokunokwenzeka ngalezi zinto.
- Thatha umuthi udokotela wakho awunikezayo ngesikhathi esifanele. Ungalokothi ushintshe umthamo ngokubona kwakho.
- Khuluma nodokotela wakho (udokotela wamathambo) kusenesikhathi bese wenza uhlelo lokuthi yini okufanele uyenze uma unesifo sokuqaqamba kwamalunga.
- Uma ubuhlungu bukhulu, bungapheli ezinsukwini ezimbalwa, noma uma uvame ukuqubuka, qiniseka ukuthi ubona udokotela.
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