I-Ankylosing Spondylitis, noma i-AS ngamafuphi, yisimo esingavamile kakhulu esidinga ukuhlinzwa. Ezimweni eziningi, lesi simo singaphathwa ngezinye izindlela zokwelapha (njengemithi nokuzivocavoca). Kodwa-ke, kwezinye izimo ezinzima, lapho zonke ezinye izindlela zokwelapha zehlulekile, udokotela wakho angase anqume ukwenza ukuhlinzwa. Ngakho-ke, namuhla, sizoxoxa ngeminye yemininingwane ukusiza ekunciphiseni ukwesaba kwakho nokungabaza ngalesi simo.
Kungani ukuhlinzwa kuyadingeka?
Akuwona wonke umuntu one-AS ozodinga ukuhlinzwa. Kodwa-ke, inani elincane kakhulu labantu lingadinga ukuhlinzwa. Kunezizathu eziningana eziyinhloko ezenza udokotela wakho acabangele ukuhlinzwa.
Kalula nje, ukuhlinzwa kucatshangelwa kuphela uma isifo sibi kakhulu kangangokuthi awukwazi ukwenza imisebenzi yakho yansuku zonke. Isibonelo, cabanga ngalokhu:
- Uma unezinhlungu ezingabekezeleleki . Okusho ukuthi, uma ungakwazi ukulawula ubuhlungu ngisho nangemva kokuthatha imithi enamandla yokudambisa izinhlungu oyinikezwe udokotela.
- Uma ungakwazi ukuhamba kahle ngenxa yokukhubazeka komgogodla, ubuthakathaka bemisipha, noma ubuhlungu.
- Uma kukhona ukuphuka komgogodla futhi izingcezu zamathambo zicindezela imizwa edlula emgogodleni.
Yilapho ukuhlinzwa kuba yindlela yokukhetha. Iningi lalokhu kuhlinzwa lenziwa ngaphansi kwe-anesthesia ejwayelekile, okusho ukuthi ulele ngokuphelele futhi awazi lutho. Lokhu sikubiza ngokuthi i-anesthesia ejwayelekile .
Yiziphi lezi zinhlobo zokuhlinzwa?
Kunezinhlobo eziningana eziyinhloko zokuhlinzwa okwenziwa nge-AS. Akuzona zonke izinhlobo zokuhlinzwa ezenziwa ngesizathu esifanayo. Udokotela wakho uzokhetha ukuhlinzwa okufanelana kahle nenkinga yakho. Ake siqonde lokhu kuhlinzwa etafuleni elilula.
| Igama lokuhlinzwa | Kwenzekani ngalokhu? | Imininingwane mayelana nokuhlinzwa |
|---|---|---|
| Ukuhlinzwa kwe-Laminectomy | Lokhu kuyindlela yokuhlinzwa evame kakhulu ye-AS. Kunciphisa ubuhlungu obuphuma ezingalweni nasemilenzeni ngenxa yokucindezelwa kwemizwa yomgogodla. | Udokotela ususa 'i-lamina', ithambo elimboza umgogodla. Lokhu kudala isikhala esengeziwe sezinzwa. Lokhu kuhlinzwa kuthatha cishe ihora eli-1-2. Ungase ukwazi ukuya ekhaya ngalolo suku. |
| Ukuhlinzwa kwe-Osteotomy | Lokhu kwenziwa kaningi kakhulu. Lokhu kuhlinzwa kwenziwa ukuze kuqondiswe umgogodla ezimweni lapho umgogodla ugobile kakhulu futhi ungakwazi ukuma noma ukuhamba. | Ingxenye yethambo iyasuswa emgogodleni bese umgogodla uhlelwa kabusha. Lokhu kungasiza ekuthuthukiseni ukuma komzimba nokunciphisa ubuhlungu. Kuzodingeka uhlale esibhedlela cishe izinsuku ezi-5-7 ngemuva kokuhlinzwa. |
| Ukuhlanganiswa Komgogodla | Ngokuvamile kwenziwa kanye nokuhlinzwa kwe-Laminectomy noma i-Osteotomy. Ithambo elisusiwe livimba umgogodla ukuthi ungazinzile futhi liwuqinise. | Umgogodla uqiniswa kusetshenziswa izinduku zensimbi nezintambo. Lokhu kuhlinzwa kungathatha amahora angama-2-7. Kuzodingeka uhlale esibhedlela izinsuku ezingama-2-4. |
| Ukufakwa Kwesinqe Esithambile | Lokhu kuhlinzwa kuyanconywa uma i-AS yonakalise amalunga esinqe futhi ibangela ubuhlungu obukhulu kakhulu bokuhamba. | Ilunga lesinqe elonakele liyasuswa bese lithathelwa indawo yilunga lokwenziwa elenziwe ngensimbi, i-ceramic, noma ipulasitiki. Kuzodingeka uhlale esibhedlela izinsuku ezingu-1-2 ngemva kokuhlinzwa. |
Into ebalulekile ukuthi kunzima ukulindela ukuthi konke lokhu kuhlinzwa kuzokwelapha ngokuphelele ubuhlungu bomhlane wakho. Esikhathini esiningi, kunciphisa kuphela ubuhlungu obubangelwa ukucindezelwa kwemizwa kanye nokuma kahle.
Ziyini izingozi zokuhlinzwa?
Ukuhlinzwa kwe-AS ngokuvamile kuyaphumelela futhi kuphephile. Kodwa-ke, nganoma yikuphi ukuhlinzwa, kunezingozi ezithile. Kubalulekile ukuzazi lezi kusengaphambili.
| Uhlobo lwengozi | Incazelo |
|---|---|
| Izingozi Ezivamile Zokuhlinzwa Komgogodla (i-Laminectomy, i-Osteotomy, i-Spinal Fusion) | |
| Izinkinga ezihlobene nokubulala izinzwa | Izimo ezinzima njengobunzima bokuphefumula, izinkinga zokukhumbula, ukuhlaselwa yinhliziyo noma isifo sohlangothi. (Lezi azivamile kakhulu) |
| Amahlule egazi | Kukhona ingozi yokuqhekeka kwegazi, ikakhulukazi emilenzeni. |
| Izifo | Ukutheleleka kwesilonda sokuhlinzwa noma ukukhula kokutheleleka kwamaphaphu (i-pneumonia). |
| Ukulimala kwemizwa | Kukhona ingozi encane kakhulu yokulimala kwemizwa yomgogodla ngesikhathi sokuhlinzwa. |
| Ubuhlungu abunciphi | Ngezinye izikhathi ubuhlungu bungase buqhubeke ngemva kokuhlinzwa noma bube bubi kakhulu kunangaphambili. |
| Izingozi Zokuhlinzwa Kokubuyiselwa Kwezinqe | |
| Izingozi ezivamile | Kukhona futhi ingozi yokuqhekeka kwegazi kanye nokutheleleka. |
| Ukuhlukana | Kukhona ingozi encane yokuthi ilunga lokufakelwa elifakwe endaweni yalo lisuke endaweni yalo. |
Ulungiselela kanjani ukuhlinzwa?
Indlela engcono kakhulu yokululama ngokushesha ngemva kokuhlinzwa iwukulungiselela kahle. Nazi ezinye izinto ongazenza.
- Bhala phansi yonke imibuzo onayo engqondweni bese ubuza udokotela. Buza ngokucacile ukuthi izinzuzo zokuhlinzwa zizoba yini, nokuthi yini ongayilindela ngesikhathi nangemva kokuhlinzwa.
- Tshela udokotela wakho ngayo yonke imithi oyithathayo (kufaka phakathi imithi ongayithenga esitolo).
- Uma ubhema, yeka . I-Nicotine ibambezela ukuphola kwenxeba.
- Thola ukuthi kufanele uyeke ukudla nokuphuza isikhathi esingakanani ngaphambi kokuhlinzwa, nokuthi ngabe udinga ukuyeka yini ukuthatha imithi ethile.
- Uma uhlala wedwa, hlela ukuthi othile akusize uma ufika ekhaya ngemva kokuhlinzwa. Ungase udinge usizo ngezinto ezifana nokuthenga nokulungisa ukudla.
- Gcina izinto ozidingayo njalo ekhaya (ucingo, i-TV remote, ibhodlela lamanzi) ziseduze nawe.
- Susa izinto ezinjengamakhaphethi nezintambo ezingabambeka ngenkathi uhamba, bese wenza ikhaya lakho liphephe ukuze ukwazi ukuhambahamba kulo .
Isikhathi sokululama ngemva kokuhlinzwa
Khumbula, kuthatha isikhathi ukululama ngokuphelele ngemva kokuhlinzwa. Zibekezelele . Kubalulekile ukuhlala usebenza ngangokunokwenzeka, noma ngabe uzizwa ubuthakathaka ngezinye izikhathi.
Udokotela wakho angase akuncome ukwelashwa ngokomzimba noma akunikeze izivivinyo ezilula ongazenza ekhaya. Udokotela wakho ohlinzayo uzokuchazela ukuthi yini okufanele uyenze nokungafanele uyenze ngemva kokufika ekhaya. Buza udokotela wakho ukuthi ungaqala nini ukwenza izivivinyo ezikhandlayo.
Uma uhlinzwe i-laminectomy, kufanele ukwazi ukubuyela emsebenzini emavikini ambalwa, ngaphandle kokuthi unomsebenzi odinga ukuphakamisa noma ukuhamba kakhulu. Uma uhlinzwe i-osteotomy entanyeni, uzocelwa ukuthi ugqoke ikhola. Ungase futhi welulekwe ukuthi ugqoke amasokisi okucindezela ukuze usize ekuvimbeleni ukuqhekeka kwegazi.
Okubaluleke kakhulu: Uma unezimpawu zokutheleleka (njengomkhuhlane, ukuphuma kobomvu), noma uma ubuhlungu buba bubi kakhulu, shayela udokotela wakho ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kwe-ankylosing spondylitis (AS) akuvamile kakhulu futhi kunconywa kuphela ezimweni ezimbi kakhulu lapho ezinye izindlela zokwelapha zehlulekile.
- Kunezinhlobo ezahlukene zokuhlinzwa (njenge-Laminectomy, i-Osteotomy) ukunciphisa ubuhlungu, ukunciphisa ukucindezelwa kwemizwa, kanye nokuqondisa umgogodla ogobile.
- Ukuhlinzwa ngakunye kunengozi ethile, futhi kubalulekile ukuxoxa ngazo zonke lezi zingozi ngokukhululekile nodokotela wakho ngaphambi kokuhlinzwa.
- Ukulungiselela kahle ukuhlinzwa nokulandela imiyalelo kadokotela ngemva kokuhlinzwa kubaluleke kakhulu ukuze ululame ngokushesha.
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