Ingabe une-Ankylosing Spondylitis? Uma kunjalo, ungase ube novalo futhi ube nesifiso sokwazi ngokuhlinzwa. Ungase uzibuze, "Ingabe kuzodingeka ngihlinzwe?" Kodwa ukuhlinzwa akuvamile ukuba kudingeke kulesi simo. Abantu abaningi baba ngcono ngemithi kanye nokwelashwa ngokomzimba. Kodwa kwezinye izimo ezinzima, uma ezinye izindlela zokwelapha zingalawuli ubuhlungu nezimpawu, udokotela wakho angase akuncome ukuhlinzwa. Ake sixoxe ngalokhu ngokucacile nangokulula.
Kungani kufanele uhlinzwe?
Khumbula ukuthi akuwona wonke umuntu one-ankylosing spondylitis (AS) ozodinga ukuhlinzwa. Kodwa-ke, kunezizathu eziningana eziyinhloko zokuthi kungani udokotela engase acabangele ukuhlinzwa.
- Uma unobuhlungu obungabekezeleleki: Uma unobuhlungu obukhulu obungenakulawuleka ngisho nangemithi yobuhlungu futhi bukhulu kangangokuthi awukwazi ukwenza imisebenzi yansuku zonke.
- Uma ungakwazi ukuhamba kahle: Uma ukuhamba kunzima ngenxa yokukhubazeka komgogodla nasemalungeni, ubuthakathaka bemisipha, noma ubuhlungu.
- Uma ukuphuka komgogodla kubangela ukucindezelwa kwemizwa: Ngezinye izikhathi, lapho amathambo omgogodla ephukile (ukuqhekeka), izingcezu eziphukile zingacindezela intambo yomgogodla noma imizwa evela kuyo. Lokhu kungaba yingozi futhi kudinga ukuhlinzwa.
Into ebaluleke kakhulu ukuthi lesi sinqumo senziwe udokotela wakho, owazi kahle isimo sakho. Uzohlola isimo sakho ngokucophelela bese enquma ukuthi ukuhlinzwa kuyadingeka noma cha.
Yiziphi izinhlobo zokuhlinzwa ezenziwayo?
Kunezinhlobo eziningana zokuhlinzwa kwe-AS. Uhlobo lokuhlinzwa olukhethayo luzoncika ekutheni inkinga yakho iyini. Ake sibheke izinhlobo eziyinhloko zokuhlinzwa. Iningi lalezi zinqubo zokuhlinzwa zenziwa ngaphansi kwe-anesthesia ejwayelekile, okusho ukuthi ulele ngokuphelele futhi awazi lutho.
| Igama lokuhlinzwa | Kwenzekani ngalokhu? | Incazelo emfushane |
|---|---|---|
| Ukuhlinzwa kwe-Laminectomy | Kuqeda ubuhlungu ngokunciphisa ingcindezi emizweni yomgogodla. Lokhu kuyindlela yokuhlinzwa evame kakhulu ye-AS. | Ingxenye emathambo yomgogodla ebizwa ngokuthi i-lamina iyasuswa ukuze kwenziwe isikhala esengeziwe sezinzwa. Kungasetshenziswa izigxobo ezengeziwe zamathambo noma izinduku zensimbi ukuze kuqiniswe umgogodla. Kuthatha ihora eli-1-2, futhi ungase ukwazi ukuya ekhaya ngalolo suku. |
| Ukuhlinzwa kwe-Osteotomy | Ukuhlinzwa kokuqondisa umgogodla kanye nesimo esifanele sokuma kwabantu abane-kyphosis. Lokhu kwenziwa kaningi kakhulu. | Kususwa ingcezu yethambo emgogodleni bese umgogodla uhlelwa kabusha. Lokhu kwenza ukuhamba kube lula futhi kunciphisa ubuhlungu. Kungase kudingeke uhlale esibhedlela cishe izinsuku ezi-5-7. |
| Ukuhlanganiswa Komgogodla | Ukuhlinzwa kokuqinisa umgogodla. Ngokuvamile, ukuhlinzwa okubili okukhulunywe ngakho ngenhla kwenziwa ndawonye. | Kusetshenziswa izinduku zensimbi nezintambo, amathambo omgogodla ayaxhunywa futhi aqiniswe. Lokhu kusheshisa inqubo yokuphulukiswa. Kuthatha amahora angu-2-7 futhi kudinga ukuhlala esibhedlela izinsuku ezingu-2-4. |
| Ukufakwa Kwesinqe Esithambile | Kwenzelwa abantu abalimele kakhulu i-hip joint ngenxa ye-AS futhi abasezinhlungwini ezinkulu kangangokuthi abakwazi ukuhamba. | Ilunga lesinqe elonakele liyasuswa bese lithathelwa indawo yilunga lokwenziwa elenziwe ngensimbi, i-ceramic, noma ipulasitiki. Kungase kudingeke uhlale esibhedlela izinsuku ezingu-1-2. |
Ziyini izingozi zokuhlinzwa?
Ukuhlinzwa kwe-AS kuvame ukuphumelela. Kodwa-ke, njengoba sazi, kunezingozi ezithile nganoma yikuphi ukuhlinzwa. Kubalulekile ukuzazi.
Izingozi zokuhlinzwa komgogodla
- Izinkinga ezingase zenzeke ngesikhathi sokubulala izinzwa (isib., ukulahlekelwa yinkumbulo, ubunzima bokuphefumula, izimo ezibucayi njengokuhlaselwa yinhliziyo noma isifo sohlangothi)
- Amahlule egazi
- Izinkinga zamaphaphu, isibonelo, i-pneumonia
- Ukutheleleka kwenxeba
- Izimila zensimbi ezikhululekile noma ezikhishwe
- Ukulimala kwemizwa emgogodleni
- Ubuhlungu obuqhubekayo noma obuba bubi ngemva kokuhlinzwa
- Ukucindezela okwengeziwe kwezinye izingxenye zomgogodla, okubangela ukuba ziguge ngokushesha
Izingozi zokuhlinzwa kokufakelwa inqulu
Lokhu kuhlinzwa kunezinga eliphezulu kakhulu lempumelelo, kodwa akuvamile kakhulu ukuthi okulandelayo kwenzeke:
- Amahlule egazi
- Izifo
- Ukuhlukaniswa kwelungu elitshalwe kabusha
Ulungiselela kanjani ukuhlinzwa?
Indlela engcono kakhulu yokululama ngokushesha ngemva kokuhlinzwa iwukulungiselela kahle. Nazi ezinye izinto ongazenza.
- Bhala phansi yonke imibuzo onayo, kusukela kwencane kuya kwenkulu, ephepheni bese uya kudokotela. Buza ngokucacile ukuthi yini ongayilindela ekuhlinzweni, isikhathi sokululama, kanye nezingozi.
- Tshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi amavithamini kanye nemithi yamakhambi).
- Uma ubhema, yeka manje: I-Nicotine ibambezela kakhulu ukuphola kwenxeba. Kubalulekile ukuyeka ukubhema ngaphambi kokuhlinzwa.
- Landela imiyalelo mayelana nokudla, iziphuzo, kanye nemithi: Buza udokotela wakho ukuthi kufanele uyeke ukudla nokuphuza amahora amangaki ngaphambi kokuhlinzwa, nokuthi kufanele uyeke yini ukuthatha imithi ethile, bese uyilandela ngokufanele.
- Hlela ukuthi othile akusize endlini: Uma uhlala wedwa, hlela ukuthi othile akusize ukuyothenga, ukupheka, nokwenza ezinye izinto ngemva kokuhlinzwa kwakho.
- Hlela indawo yasekhaya lakho: Gcina izinto ozidingayo njalo (ucingo, i-TV remote, ibhodlela lamanzi) ziseduze. Hambisa izinto ukuze kube lula ukuhambahamba endlini. Susa izinto ezifana nemicamelo nezintambo ezingakukhubekisa.
Isikhathi sokululama ngemva kokuhlinzwa
Khumbula ukuthi kuthatha isikhathi ukululama. Yiba nesineke. Ngisho noma kungakhululekile, kubalulekile ukunyakaza nokuhamba ngangokunokwenzeka ngokweseluleko sezokwelapha.
Udokotela wakho uzokudlulisela ekwelashweni ngokomzimba noma akunikeze izivivinyo ongazenza ekhaya. Qiniseka ukuthi uyazenza lezo zinto. Udokotela wakho ohlinzayo uzokunikeza imiyalelo ecacile yalokho ongakwenza nalokho ongenakukwenza ngemva kokuhlinzwa (njengokuphakamisa izinsimbi, ukugoba).
Okubalulekile: Uma kunezimpawu zokutheleleka kwenxeba (isib. ukubomvu, ukuvuvukala, ubomvu, umkhuhlane), noma uma ubuhlungu bakho buba bubi kakhulu, shayela udokotela wakho ngokushesha. Ezimweni ezimbi kakhulu, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa akuvamile ukudingwa ngenxa ye-ankylosing spondylitis (AS). Abantu abaningi abakudingi.
- Ukuhlinzwa kunconywa kuphela ezimweni ezinzima kakhulu, njengobuhlungu obungabekezeleleki, ubunzima bokuhamba, noma ukucindezelwa kwemizwa, kanye nalapho ezinye izindlela zokwelapha zehlulekile.
- Kunezinhlobo eziningana zokuhlinzwa (njenge-Laminectomy, i-Osteotomy) ezingase zifanele inkinga yakho. Udokotela wakho uzokuchazela lokhu.
- Ukulungiselela kahle ngaphambi kokuhlinzwa (ukubuza imibuzo, ukuyeka ukubhema, ukulungiselela indlu) kusiza kakhulu ekusheshiseni ukululama.
- Yiba nesineke ngesikhathi sokululama kwakho, landela imiyalelo kadokotela wakho kanye neyokwelashwa ngokomzimba ngokucophelela, futhi wazise udokotela wakho ngokushesha uma uhlangabezana nanoma yiziphi izinkinga.
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