Uma une-ankylosing spondylitis, cishe uyazi ukuthi kubaluleke kangakanani ukuzivocavoca kanye nemithi udokotela wakho ayinikezayo. Lokhu kwelashwa kungasiza ekunciphiseni ubuhlungu bakho futhi kukusize udlule osukwini lwakho kalula. Kodwa-ke, ngezinye izikhathi le mithi ingabangela imiphumela emibi emincane. Kodwa ungakhathazeki, lokhu akunjalo kuwo wonke umuntu. Umzimba wawo wonke umuntu usabela ngendlela ehlukile emithini. Ngakho-ke, kubalulekile ukuthola imithi efanele wena, enemiphumela emibi embalwa kakhulu. Namuhla, sizoxoxa ngale mithi kanye nemiphumela yayo emibi engaba khona.
Imithi yokuqala: ama-NSAID
Lena imithi yokuqala yokudambisa izinhlungu odokotela abavame ukuyinika abantu abane-ankylosing spondylitis. Le mithi ibizwa ngokuthi imithi engeyona eye-steroidal anti-inflammatory, noma ama-NSAID . Ungase ujwayelene nala magama: i-Ibuprofen, i-Naproxen, i-Indomethacin, i-Celecoxib, njll. Lena imithi ewela kulesi sigaba.
Lokhu kusebenza kakhulu ngokunciphisa ukuvuvukala nobuhlungu emalungeni akho. Kodwa-ke, le mithi ingabangela imiphumela emibi uma ithathwa ngemithamo ephezulu isikhathi eside.
Into ebalulekile ukuthi akuwona wonke umuntu othola le miphumela emibi, futhi uma uhlangabezana nomunye noma emibili yayo, kubalulekile ukukhuluma nodokotela wakho ngayo.
| Umphumela ongemuhle | Ake sifunde ngalokhu kalula. |
|---|---|
| Isilungulela | Kungabangelwa ukuncipha kolwelwesi oluvikelayo lwesisu. Kuzwakala sengathi kukhona umuzwa oshisayo esifubeni. |
| Ukuvuvukala kwesisu kanye nezilonda | Ukusebenzisa lo muthi ngokuqhubekayo kungabangela ukuvuvukala noma izilonda ezincane ezindongeni zesisu. |
| Ukopha | Akuvamile kakhulu ukuthi izilonda zesisu zingabangela ukopha kwangaphakathi. |
| Ingozi yesifo senhliziyo | Uma usuvele unesifo senhliziyo, lo muthi ungandisa kancane ingozi yakho yokuhlaselwa yinhliziyo noma isifo sohlangothi. Kubalulekile ukwazisa udokotela wakho ngalokhu. |
Imithi yesimanje: I-Biologics (IL-17 kanye ne-JAK Inhibitors)
Uma ama-NSAID enganele ukulawula izimpawu zakho, udokotela wakho angase ancome uhlobo olukhethekile lwemithi ebizwa ngokuthi i-biologics. Lokhu kusebenza ngokugxila kumakhemikhali athile emzimbeni abangela ukuvuvukala nokuvimbela ukusebenza kwawo.
Izithibi ze-IL-17
I-Secukinumab (Cosentyx) kanye ne-Ixekizumab (Taltz) yizinhlobo ezimbili zalezi zidakamizwa. Zinikezwa njengemijovo. Nakuba zisebenza kahle kakhulu, zingaba nemiphumela emibi.
- Isifo Sokuvuvukala Kwamathumbu (IBD): Lo muthi ungase ubangele ukuqala okusha kwe-IBD kwabanye abantu noma ubangele izimpawu ezimbi kakhulu uma usuvele unayo.
- Ukutheleleka: Ngenxa yokuthi le mithi inethonya elincane ohlelweni lokuzivikela komzimba, ingozi yokuthola izifo ezivamile (njengomkhuhlane kanye nomkhuhlane) inganda kancane.
- Ingozi yomdlavuza: Nakuba ukuhlolwa kwelabhorethri kukhombisile ingozi yomdlavuza uma kunikezwa amagundane, abukho ubufakazi obucacile bengozi kubantu. Ungakhathazeki ngokungadingekile ngalokhu, udokotela wakho uzokufundisa ngalokhu.
Ama-JAK Inhibitors
I-Tofacitinib (Xeljanz) uhlobo lomuthi olungathathwa njengephilisi. Isebenza futhi ngokunciphisa ukuvuvukala. Eminye yemiphumela emibi ehambisana nayo ihlanganisa:
- Ikhanda elibuhlungu
- Uhudo
- Ukukhathala
- Ukushaya kwenhliziyo
- Ingozi encane yokulimala kwesibindi
Imithi engasetshenziswa njalo
Kwezinye izimo, eminye imithi ingase ingezwe ohlelweni lwakho lokwelashwa.
Imithi ye-steroid (i-Corticosteroids)
Lokhu akuvamile ukunqunywa ekwelapheni isikhathi eside i-ankylosing spondylitis. Kodwa-ke, uma ubuhlungu nokuvuvukala kuba kukhulu ngokuzumayo, udokotela wakho angakunika umjovo we-steroid esilungwini esivuvukile. Ukusetshenziswa kwale mithi isikhathi eside kungabangela imiphumela eminingi emibi. Ngakho-ke, isetshenziswa kuphela isikhathi esifushane, uma kudingeka. Eminye yemiphumela emibi yile:
- Ukwanda kwesifiso sokudla kanye nokuzuza isisindo
- Ukuvuvukala kobuso, induna
- Ukukhula kwezinwele emzimbeni
- Ukudumba okulula
- Isifo sikashukela (isifo sikashukela) noma ukuba sibi kakhulu uma sikhona
- Umfutho wegazi ophakeme
- Izimo ze-cataract noma i-glaucoma
- I-Osteoporosis
Eminye imithi yobuhlungu bamalunga (i-Sulfasalazine ne-Methotrexate)
Uma, ngaphezu kobuhlungu bakho emhlane, ubuye ube nobuhlungu kwamanye amalunga, njengamahlombe akho, izingalo, nemilenze, udokotela wakho angase ancome le mithi.
I-Sulfasalazine (i-Azulfidine): Leli iphilisi. Imiphumela emibi ayivamile, kodwa abanye abantu bangase babe nomkhuhlane, isicanucanu, ukuqubuka kwesikhumba, kanye nekhanda elibuhlungu.
I-Methotrexate: Lokhu kungathathwa njengephilisi noma njengomjovo . Uma uthatha lo muthi, udokotela wakho angase ancome ukuthi uthathe i-vitamin folic acid ukuze unciphise imiphumela emibi . Imiphumela emibi ingafaka isicanucanu, izilonda emlonyeni, kanye nokukhathala.
Yini okufanele uyenze uma kuvela imiphumela emibi?
Lena yingxenye ebaluleke kakhulu. Uma uhlangabezana nanoma yiziphi izinguquko noma ukungakhululeki emzimbeni wakho ngenxa yemithi oyiphuzayo, into yokuqala nengcono kakhulu okufanele uyenze ukutshela udokotela wakho.
Ungalokothi uyeke ukuthatha imithi yakho noma ushintshe umthamo ngokwakho. Ukwenza kanjalo kungase kube kubi kakhulu isimo sakho ngokuzumayo.
Uma utshela udokotela wakho ngalokhu, angase:
- Nciphisa umthamo wakho wemithi.
- Shintshela komunye umuthi ofanelana nawe.
- Nikeza omunye umuthi owengeziwe ukulawula imiphumela emibi.
Isibonelo, uma unesifo sesisu esibangelwa yi-NSAID, udokotela wakho angase akunikeze omunye umuthi ovikela isisu sakho ngesikhathi esifanayo. Ngakho-ke, ungesabi ukukhuluma nodokotela wakho ngakho konke lokhu ngokukhululekile. Ngokubambisana, wena nodokotela wakho ningathola uhlelo lokwelapha olusebenza kahle kuwe futhi olunemiphumela emibi embalwa kakhulu.
Umlayezo Wokuya Nawe Ekhaya
- Imithi ye-ankylosing spondylitis ingabangela imiphumela emibi, kodwa ayenzeki kuwo wonke umuntu. Ngakho-ke ungesabi ngokungadingekile.
- Uma uthola izimpawu ezintsha noma ukungakhululeki ngenxa yemithi oyiphuzayo, yazisa udokotela wakho ngokushesha.
- Ungayeki ukuthatha imithi noma ushintshe umthamo nganoma yisiphi isizathu ngaphandle kokubonisana nodokotela wakho.
- Ukuthola umuthi osebenza kahle kuwe futhi onemiphumela emibi embalwa kakhulu kuwuhambo wena nodokotela wakho enizoluthatha ndawonye. Kungathatha isikhathi.
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