Cishe uyazi ukuthi i-Ankylosing Spondylitis (AS) yisimo esibuhlungu kakhulu esibangela ubuhlungu nokuqina komgogodla nasemalungeni. Lapho welapha lokhu, kubaluleke kakhulu ukuzivocavoca nokusebenzisa imithi enqunywe udokotela wakho ngendlela efanele. Kodwa-ke, ngezinye izikhathi le mithi ingabangela imiphumela emibi emincane. Kodwa ungesabi. Akuwona wonke umuntu othola le miphumela emibi, futhi ulwazi lomuntu ngamunye luhlukile. Into ebaluleke kakhulu ukukhuluma nodokotela wakho bese ukhetha indlela yokwelapha esebenza kahle kuwe futhi enemiphumela emibi embalwa kakhulu.
Ama-painkiller ohlobo lokuqala: ama-NSAID
Odokotela bavame ukunikeza lolu hlobo lomuthi kuqala nge-AS. Sibiza lezi zidakamizwa ezingezona eze-steroidal Anti-inflammatory, noma ama-NSAID ngamafuphi. Lezi zisebenza ukunciphisa ukuvuvukala nobuhlungu emalungeni. Kungenzeka ukuthi uke wezwa ngala magama:
- I-Ibuprofen (Advil, Motrin)
- I-Naproxen (i-Naprosyn)
- I-Indomethacin (Indocin, Tivorbex)
- I-Celecoxib (i-Celebrex)
Kodwa-ke, uma le mithi ithathwa ngemithamo ephezulu isikhathi eside, ungqimba lwe-mucus oluvikelayo ngaphakathi esiswini sethu lungaba luncane, okungaholela emiphumeleni ethile emibi.
| Imiphumela emibi engaba khona ye-NSAID |
|---|
| Isilungulela |
| Ukuvuvukala kolwelwesi lwesisu |
| Izilonda zesisu kanye nokopha kwegazi |
| Uma unesifo senhliziyo esivele sikhona, ingozi yakho yokuhlaselwa yinhliziyo noma isifo sohlangothi iyanda. |
Into ebaluleke kakhulu ukusebenzisa lo muthi kuphela ngokwesilinganiso nangesikhathi esinqunyiwe ngudokotela wakho. Uma uzizwa uphatheke kabi esiswini, tshela udokotela wakho ngokushesha.
Indlela yesimanje yokwelapha: I-Biologics (IL-17 Inhibitors)
Lezi uhlobo lomuthi oluthuthuke kancane, olukhethekile. Zisebenza ngokugxila kumakhemikhali athile emzimbeni abangela ukuvuvukala futhi avimbele ukusebenza kwawo. I-Secukinumab (Cosentyx) kanye ne-Ixekizumab (Taltz) ziyizinhlobo ezimbili zalezi zinhlobo zemithi. Zibizwa ngokuthi ama-IL-17 inhibitors . Nakuba lezi ziyindlela yokwelapha ephumelela kakhulu, zingabangela imiphumela emibi ethile.
| Imiphumela emibi engaba khona ye-biologics | Kalula nje... |
|---|---|
| Isifo Sokuvuvukala Kwamathumbu (IBD) | Lo muthi ungabangela ukuqala okusha kwe-IBD noma izimpawu ezimbi kakhulu kumuntu osenayo kakade. |
| Izifo | Lokhu kunganciphisa ukusebenza kwesimiso somzimba sokuzivikela ngezinga elithile, okungase kwandise kancane ingozi yokuthola izifo ezifana nomkhuhlane kanye ne-flu. |
| Ingozi yomdlavuza | Nakuba izifundo zezilwane zibonise ingozi yomdlavuza, akukacaci ukuthi iyini le ngozi kubantu. Ungakhathazeki ngokungadingekile ngalokhu, kodwa khuluma nodokotela wakho ngakho. |
Ama-JAK inhibitors athathwa njengamaphilisi
Lolu olunye uhlobo lwemithi enciphisa ukuvuvukala. I-Tofacitinib (Xeljanz) ingenye yale mithi ethathwa njengephilisi. Lokhu kungaba nemiphumela emibi.
- Ikhanda elibuhlungu
- Uhudo
- Ukukhathala
- Ukushaya kwenhliziyo
- Ingozi yokulimala kwesibindi
Ngakho-ke, udokotela wakho uzohlola impilo yakho njalo ngenkathi uthatha lo muthi.
Ama-Corticosteroids, anikezwa ngezikhathi ezithile kuphela
Lezi akuzona imithi yesikhathi eside ye-AS. Kodwa-ke, uma ubuhlungu nokuvuvukala kwelungu elithile kukhula ngokuzumayo kakhulu (ukuqhuma) , i-corticosteroid inganikezwa lelo lungu kuphela.Udokotela angase anqume ukukujova. Le miphumela emibi ingenzeka kakhulu uma uyisebenzisa isikhathi eside. Kodwa ukujova kwesikhashana ngeke kubange zonke lezi zinto. Kodwa kuhle ukwazi.
| Imiphumela emibi engaba khona ye-corticosteroids (ikakhulukazi uma isetshenziswa isikhathi eside) | |
|---|---|
| Ukwanda kwesifiso sokudla kanye nokuzuza isisindo | Ukuphuka kalula |
| Izinguquko zesimo sengqondo | Ubuthakathaka bemisipha |
| Umbono ofiphele | Ukwehla kwamandla okulwa nezifo |
| Ukuvuvukala kobuso noma induna | Umfutho wegazi ophakeme |
| Isifo sikashukela noma ukwehla kwesifo sikashukela esikhona | Ukungalali |
Eminye imithi (i-Sulfasalazine ne-Methotrexate)
I-Sulfasalazine
Uma ama-NSAID engalawuli ubuhlungu bamalunga akho (ikakhulukazi emahlombe akho, ezingalweni nasemilenzeni), udokotela wakho angase akunike umuthi obizwa ngokuthi i-Sulfasalazine (Azulfidine). Lokhu kunemiphumela emibi engavamile kakhulu.
- Ubuhlungu bamalunga
- Imfiva
- Ikhanda elibuhlungu
- Ukwanda kokuzwela kwesikhumba elangeni
- Ukuqhuma kwesikhumba noma ukulunywa
- Isicanucanu
I-Methotrexate
Lo muthi ungathathwa njengephilisi noma njengomjovo. Udokotela uzoncoma nakanjani ukuthi uthathe i-folic acid vitamin ngenkathi uthatha lokhu. Isizathu salokhu ukuthi imiphumela emibi ye-Methotrexate ingancishiswa kakhulu yi-folic acid.
- Isicanucanu nokuhlanza
- Izilonda zomlomo
- Ikhanda elibuhlungu
- Ukuzizwa ukhathele
Yini okufanele uyenze uma kuvela le miphumela emibi?
Lena yingxenye ebaluleke kakhulu. Uma uhlangabezana nanoma yiziphi izinguquko emzimbeni wakho, izimpawu ezintsha, noma ukungakhululeki ngenxa yemithi oyiphuzayo ye-AS, into yokuqala nengcono kakhulu okufanele uyenze ukwazisa udokotela wakho ngokushesha.
Ungalokothi uyeke ukuthatha imithi yakho noma ushintshe umthamo ngokwakho. Ukwenza kanjalo kungenza kube nzima ukulawula isimo sakho.
Udokotela wakho uzokusiza. Angase:
- Umthamo womuthi owunikezwayo uzoncishiswa kancane .
- Uzoshintshelwa komunye umuthi .
- Kanye nomuthi wamanje, kuzonikezwa omunye umuthi ukulawula imiphumela emibi .
Iphuzu lapha ukuthi wena nodokotela wakho nibambisane njengeqembu ukuze nithole ukwelashwa okungcono kakhulu okusebenzela umzimba wakho, okunemiphumela emibi emincane kakhulu, futhi okunengozi encane kakhulu. Ngakho-ke ungesabi lutho, futhi khuluma nodokotela wakho ngakho konke obala.
Umlayezo Wokuya Nawe Ekhaya
- Akuyona yonke imithi ye-Ankylosing Spondylitis (AS) ebanga imiphumela emibi, futhi akuwona wonke umuntu ozobhekana nemiphumela emibi.
- Ukuqaphela imiphumela emibi kungenye yezinyathelo ezinhle kakhulu zokuyilawula.
- Uma uzwa ubuhlungu obubangelwa imithi yakho, ungalokothi wenze izinqumo wedwa, futhi khuluma nodokotela wakho njalo.
- Umgomo kadokotela wakho ukuthola ukwelashwa okukusebenzela kahle kakhulu futhi okunemiphumela emibi embalwa kakhulu.
- Kubaluleke kakhulu ukuya emitholampilo ngesikhathi futhi uxoxe njalo ngesimo sakho nodokotela wakho.
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