Abantu abaningi bacabanga ukuthi i-Ankylosing Spondylitis, noma i-AS ngamafuphi, yisimo esithinta umgogodla kuphela, okubangela ubuhlungu nokuqina. Lokho kuyiqiniso, umphumela oyinhloko walesi sifo usemgogodla. Kodwa bewazi ukuthi cishe isiguli esisodwa kwezintathu ze-AS singaba nezinkinga kwezinye izingxenye zomzimba, ikakhulukazi ezinyaweni? Yebo, lesi simo singabangela ukuqina nobuhlungu ezindaweni ezifana namaqakala akho, izithende, izinzwane, noma amathe ezinyawo zakho. Ngezinye izikhathi lobu buhlungu buncane, kodwa kwabanye abantu bungaba bukhulu kangangokuthi abakwazi ngisho nokuhamba. Ngakho-ke namuhla, ake sixoxe ngemiphumela ye-AS ezinyaweni.
Yiziphi izinkinga ezingabangelwa yi-AS ezinyaweni?
I-Ankylosing spondylitis (AS) ingathinta izinyawo zakho ngezindlela ezahlukene. Imbangela eyinhloko ukuvuvukala kwamalunga kanye nalapho imisipha nemisipha inamathela khona emathanjeni (okubizwa ngokuthi 'ama-entheses'). Kalula nje, amasosha omzimba ahlasela lezi zindawo. Nazi ezinye zezinkinga eziyinhloko ezingabangelwa yilokhu kuvuvukala.
| Isimo sezinyawo | Kalula nje, yilokhu okwenzekayo. |
|---|---|
| I-Plantar Fasciitis | I-Plantar fasciitis ukuvuvukala kwebhande elijiyile lezicubu phansi konyawo lwakho elixhumanisa ithambo lesithende sakho nesisekelo sezinzwane zakho. Lokhu kubangela ubuhlungu obukhulu phansi konyawo lwakho kanye nesithende uma unyathela phansi noma ubeka isisindo phezu kwalo. Abanye abantu bazwa ubuhlungu obukhulu kangangokuthi abakwazi ngisho nokuthatha isinyathelo sokuqala sokuphuma embhedeni ekuseni. Ubuhlungu buvame ukuphela phakathi nemizuzu emi-5-10. |
| I-Achilles Tendonitis | I-Achilles tendon, i-tendon enkulu kunazo zonke ngemuva komlenze, ngaphezu kwethambo lesithende, ivuvukile. Yilokhu okusisiza ukuphakamisa izithende zethu lapho sihamba futhi sigijima. Uma lokhu kuvuvukala, umhlane wesithende nendawo yesithende kuba buhlungu futhi kuqine. Ngezinye izikhathi, ungabona ngisho nokuvuvukala namaqhubu kuleyo ndawo. |
| I-Toe Dactylitis | Uma i-AS ithinta izinzwane, izinzwane ziyavuvukala futhi zibe bomvu. Lesi simo sibizwa nangokuthi "ama-sausage digits" ngoba izinzwane ezivuvukile zibukeka njengama-sausage. Lokhu kungaba buhlungu kakhulu. Ngezinye izikhathi ubuhlungu buyaphela, kodwa ukuvuvukala kungase kuqhubeke. |
| Ushintsho ekumeni kokuhamba | Ngenxa yobuhlungu nokuqina emhlane nasezindaweni ezahlukene zomzimba, sishintsha ngokungazi indlela esihamba ngayo, esihlala ngayo, nesima ngayo ukuze sigweme ubuhlungu. Lokhu kubeka umthwalo owengeziwe emisipheni yemilenze, okungaholela ebuhlungwini nasekukhubazekeni kwemilenze. |
Into ebaluleke kakhulu ukuthi, uma une-AS futhi uqala ukuzwa ubuhlungu obusha ezinyaweni zakho, ungabunaki. Qiniseka ukuthi utshela udokotela wakho ngakho.
Ungalawula kanjani ubuhlungu bomlenze obubangelwa yi-AS?
Izindlela ezinhle kakhulu zokunciphisa ubuhlungu bezinyawo nokuqina kwazo ukwenza izinto ezifanayo ozenzayo ukuze uphathe i-AS yakho. Ukwelashwa okunconywa udokotela wakho kuzoncika ezintweni eziningi, okuhlanganisa ubukhali bezimpawu zakho kanye nempilo yakho iyonke. Uhlelo olujwayelekile lokwelashwa lungafaka:
Ukuzivocavoca, Ukwelashwa Komzimba, kanye Nokuqeqeshwa Kokuma Kwesimo
Lokhu kungasiza ekunciphiseni ubuhlungu nokuqina, kuvimbele ukulimala kwamalunga, futhi kuthuthukise ukuma kwakho. Uhlelo lwakho lokuzivocavoca cishe luzofaka phakathi ukujima okunethonya elincane okungafaki ukucindezeleka okukhulu emalungeni akho. Ukujima kwengqondo nomzimba njenge-tai chi ne-yoga nakho kungakusiza uphumule futhi unciphise ubuhlungu.
Okubaluleke kakhulu: Ngaphambi kokuqala noma yiluphi uhlelo lokuzivocavoca, qiniseka ukuthi ukhuluma nodokotela wakho ukuze akunike iseluleko. Uzokutshela ukuthi yikuphi ukuzivocavoca okungcono kakhulu kuwe.
Imithi
Udokotela wakho angase akunike imithi efana nalena yokunciphisa ukuvuvukala nokulawula ubuhlungu nokuqina:
- Imithi elwa nokuvuvukala engeyona i-steroidal (ama-NSAID): Izibonelo zalokhu zifaka phakathi imithi efana ne-ibuprofen ne-naproxen.
- Imijovo ye-Glucocorticoid: Le yimijovo ye-steroid enikezwa ngqo esilungwini esibuhlungu.
- Imithi yokulwa namathambo eguqula izifo (DMARDs): Imithi efana ne-sulfasalazine kanye ne-methotrexate.
- Imithi yebhayoloji:Lezi yizidakamizwa zesimanje ezihlasela izingxenye ezithile zesimiso somzimba sokuzivikela. Izibonelo zifaka phakathi izidakamizwa ezikumakilasi e-anti-TNF, anti-interleukin 17, kanye ne-JAK inhibitors (njenge-`infliximab`, `adalimumab`, `secukinumab`, `tofacitinib`).
- Ama-Painkiller (ama-Opioid): Anganikezwa isikhathi esifushane kakhulu ngenxa yobuhlungu obukhulu.
Ngezinye izikhathi udokotela wakho angakuthumela kudokotela wezinyawo , ongakweluleka ngezicathulo, i-taping, kanye ne-orthotics ezithinta inkinga yakho yezinyawo.
Yiziphi izinto ongazenza ekhaya?
Kanye nokwelashwa okuhlinzekwa udokotela wakho, ungakunciphisa kakhulu lokhu buhlungu bezinyawo ngezinto ezimbalwa ezilula ongazenza ekhaya.
- Faka iqhwa: Faka iphakethe leqhwa endaweni ebuhlungu cishe kane ngosuku, cishe imizuzu engama-20 ngesikhathi. Lokhu kuzonciphisa ukuvuvukala nobuhlungu.
- Yinike ikhefu: Yinike ikhefu imilenze yakho noma nini lapho kungenzeka. Kungcono nakakhulu uma ungayigcina iphakeme.
- Linganisa ukuzivocavoca kwakho: Nciphisa ukuzivocavoca okunamandla njengokugijima nokugxuma ngangokunokwenzeka. Kodwa-ke, lokho akusho ukuthi hlala endaweni eyodwa usuku lonke. Ukwenza kanjalo kungandisa ukuqina nobuhlungu. Okuthile okufana nokuhamba ngokushesha kuhle.
- Yelula: Yelula imilenze yakho kalula, okuzosiza izinqe zakho, amaqakala nezinzwane.
- Nge-plantar fasciitis: Beka ibhola lethenisi ngaphansi kwezinyawo zakho, uhlale esihlalweni, bese uligingqa.
- Nge-Achilles Tendonitis: Yima ubheke odongeni, goba umlenze owodwa edolweni, bese ubeka umlenze obuhlungu uqonde ngemuva kwakho, isithende sakho sibekwe phansi. Manje sunduza izinqe zakho ubheke odongeni. Bamba uze uzizwe welula endaweni yakho yemisipha yethanga, bese uyeka. Yenza lokhu, bese uyeka uma ubuhlungu bukhula.
- Gqoka izicathulo ezifanele: Gwema ukuhamba ngezinyawo ugqoke izimbadada futhi ugqoke izimbadada ngangokunokwenzeka. Kubalulekile ukugqoka izicathulo ezinesisekelo esihle se-arch kanye nezithende ezigoqekile , ikakhulukazi izicathulo ezinhle zemidlalo.
Umlayezo Wokuya Nawe Ekhaya
- I-Ankylosing spondylitis (AS) akuyona nje isifo somgogodla, kodwa ingabangela nobuhlungu nezinye izinkinga ezinyaweni zakho.
- Uma unezinhlungu ezintsha, ukuvuvukala, noma ukuqina ezinyaweni zakho, ezithendeni, noma ezinzwaneni, ungakuzibi. Kungaba yingxenye ye-AS.
- Qiniseka ukuthi ukhuluma nodokotela wakho ngalokhu. Uzokunikeza ukwelashwa okufanele kanye neseluleko.
- Lobuhlungu bungalawulwa kakhulu ngokuzivocavoca njengoba kuqondiswe udokotela wakho, ngokusebenzisa izindlela zokwelapha ezilula zasekhaya (i-ayisikhilimu, ukwelula), kanye nokugqoka izicathulo ezifanele.
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