Uma udokotela wakho ekutshela ukuthi une -Ankylosing Spondylitis (AS), ungase uzizwe wesaba futhi ukhathazekile kancane. Lokho kwesaba kungenzeka ukuthi kuye kwanda uma uzwa, "Akukho khambi lalokhu." Kodwa ungakhathazeki. Kuyiqiniso ukuthi akukho khambi okwamanje. Kodwa-ke, akuwona wonke umuntu ophila nalesi sifo onolwazi olufanayo. Kunezindlela eziningi zokwelapha ezingakusiza ukulawula ubuhlungu bakho, ukunciphisa ukulimala kwamalunga, futhi uphile impilo evamile. Ake sixoxe ngazo namuhla.
Imithi esetshenziselwa ukwelashwa
Kubalulekile ukuqala ukwelashwa ngokushesha okukhulu kwalesi sifo. Lokhu kuzosiza ekulawuleni umonakalo emalungeni obangelwa yilesi sifo. Udokotela wakho angase akunike umuthi owodwa noma ngaphezulu kwale mithi.
Ama-NSAID (ama-painkiller)
Kalula nje, le yimithi enciphisa ubuhlungu nokuqina . Ngokuvamile iyimithi yokuqala okufanele iqalwe ngayo. Akuwona wonke umuntu ozothola uhlobo olufanayo lwe-NSAID, ngakho kungathatha isikhathi ukuthola efanele wena. Nakuba le mithi ingasiza ekunciphiseni ubuhlungu, izifundo zibonisa ukuthi ayivimbeli umonakalo emalungeni obangelwa yilesi sifo.
Ungathenga amanye ama-NSAID, njenge-ibuprofen ne-naproxen, ekhemisi. Kodwa-ke, uma lokhu kungasizi, udokotela wakho angase akunikeze i-NSAID enamandla.
| Ezinye izinhlobo ze-NSAID udokotela angase azinikeze | |
|---|---|
| I-Celecoxib (i-Celebrex) | I-Diclofenac (i-Voltaran) |
| I-Diclofenac kanye ne-misoprostol (i-Arthrotec) | I-Indomethacin (Indocin) |
| I-Meloxicam (i-Mobic) | |
Okubalulekile: Ama-NSAID angandisa kancane ingozi yesifo senhliziyo. Uma unomlando wesifo senhliziyo, khuluma nodokotela wakho ngakho.Mtshele udokotela nakanjani.
Imithi yokuguqula izifo (i-DMARD)
Lezi izindlela zokwelapha zesikhathi eside. Udokotela wakho angase anqume ukukuqala ngalolu hlobo lwemithi uma ungazizwa ukhululekile ngokwanele kuma-NSAID noma uma unemiphumela emibi. Lokhu kuvimbela ukuvuvukala futhi kuvimbele ukulimala okwengeziwe emalungeni akho.
- I-Methotrexate (i-Rheumatrex)
- I-Sulfasalazine (i-Azulfidine)
Ngesikhathi ethatha lo muthi, udokotela wakho uzokwenza ukuhlolwa kwegazi njalo ukuze ahlole ukusebenza kwesibindi sakho kanye nezinye izinkinga.
Ama-Corticosteroids
Lezi yi-steroid zokwenziwa. Zinciphisa ngokushesha ukuvuvukala. Zaziwa ngokuthi i-prednisone noma i-cortisone. Zisetshenziswa njengamaphilisi, okhilimu, noma imijovo ngqo emalungeni. Kodwa-ke, lezi yizixazululo zesikhashana, hhayi izixazululo zesikhathi eside . Udokotela wakho angase akunike lawa maconsi amehlo ukusiza ngokuvuvukala emehlweni, okuyinkinga evamile ye-AS.
I-Biologicals
Lezi izindlela zokwelapha eziqondiwe ezenziwe ngamaseli aphilayo. Zingasebenza ngokushesha nangokuphumelelayo ku-AS.
| Uhlobo lwebhayoloji | Incazelo nezibonelo |
|---|---|
| Izithibi ze-TNF | Isebenza kahle kakhulu ekuvuvukeni kwamalunga, amathumbu, kanye namehlo. Lezi yi: I-Adalimumab (Humira), I-Certolizumab (Cimzia), I-Etanercept (Enbrel), I-Infliximab (Remicade), I-Golimumab (Simponi). |
| Izithibi ze-Interleukin 17 (IL-17) | Lokhu kunikezwa uma izithibi ze-TNF zingasebenzi. Izibonelo: Ixekizumab (Taltz), Secukinumab (Cosentyx). |
| Isithibi se-JAK | Ilawula ukuvuvukala emathunjini nakwezinye izitho zomzimba. Izibonelo: I-Tofacitinib (Xeljanz, Xeljanz-XR). |
| Qaphela: Le mithi yebhayoloji inganciphisa ikhono lomzimba wakho lokulwa nezifo ( amasosha omzimba ). Ngakho-ke, kufanele uqaphele kakhulu ukuzivikela ezifweni ngenkathi uthatha lezi zindlela zokwelapha. | |
Imithi yokulwa nezilonda
Ngezinye izikhathi i-AS ingabangela izinkinga zokugaya ukudla, njengobuhlungu besisu kanye nesifo sohudo. Imithi efana ne-misoprostol (Cytotec) noma i-sucralfate (Carafate) ingasiza ekuvikeleni ulwelwesi lwesisu namathumbu.
Imikhuba Yokuphila
Imithi iyingxenye eyodwa nje yokwelashwa. Umzamo omncane wakho ungasiza kakhulu ekukusizeni ukuthi uphile kahle nalesi sifo.
Hlala usebenza.
Ukuzivocavoca umzimba kuye kwabonakala kuzuzisa kakhulu abantu abane-AS. Kunganciphisa ubuhlungu bakho, kuqinise imisipha yakho, futhi kwandise ukuguquguquka kwakho . Ukuzivocavoca neqembu kuyisinqumo esihle. Noma ungenza lezi zinto wedwa.
- Ukubhukuda
- Ukuhamba ngezinyawo
- Ukuzijwayeza ukuma ngendlela efanele
- Ukuzivocavoca kokuphefumula
- Ukunweba
- Ukuphakamisa izinsimbi (Izisindo zamahhala)
- I-Yoga
- I-Tai chi
Ukudla okunempilo
Ukudla okuthile kungasiza ekunciphiseni ukuvuvukala emalungeni futhi kuthuthukise impilo yamathambo.
- Yidla ukudla okucebile nge-calcium.
- Yidla izinhlanzi eziningi, ubhontshisi, amantongomane namaqanda.
- Nciphisa inyama ebomvu.
- Yidla ama-fatty acid e-Omega-3 amaningi, atholakala ekudleni okufana ne-salmon kanye nembewu ye-flax.
- Nciphisa utshwala.
- Yidla izithelo nemifino emisha.
- Phuza izingilazi zamanzi ezingu-8-10 ngosuku.
- Nciphisa ukudla okunamafutha, okucutshunguliwe, nokuthosiwe.
- Khuluma nodokotela wakho mayelana nokuphuza i-vitamin supplement nsuku zonke.
Ukuchayeka elangeni
Kutholakale ukuthi iziguli ze-AS zinamazinga aphansi e-vitamin D. I-Vitamin D iyasiza ekuvikeleni amathambo ethu futhi iwagcine eqinile. Imizimba yethu ikhiqiza i-vitamin D lapho ukukhanya kwelanga kushaya isikhumba sethu. Ngakho-ke , kuhle kakhulu ukuziveza elangeni isikhashana nsuku zonke ekuseni .
Gwema ukubhema.
Uma ubhema, enye yezinto ezinhle kakhulu ongayenza ukuzama ukuyeka namuhla . Ukubhema kungasheshisa umonakalo wamalunga futhi kwenze ukuphefumula kube nzima kakhulu. Buza udokotela wakho mayelana nokuthola usizo lokuyeka ukubhema.
Ukwelashwa Okuhambisanayo Nokunye
Lokhu kwelashwa, uma kuhlanganiswa nemithi yakho kanye nokuzivocavoca, kungasiza kakhulu ekunciphiseni izimpawu.
- Ukwelashwa nge-acupuncture: Lokhu kufanele kwenziwe ngudokotela oqeqeshiwe. Lokhu kungasiza ekunciphiseni ubuhlungu.
- Ukubhucunga: Ucwaningo lubonise ukuthi ukubhucunga kunganciphisa ubuhlungu, ukuqina, kanye nokukhathala okubangelwa yi-AS.
- Ukwelashwa ngokushisa nokubanda: Ukugeza okushisayo nama-heating pad kungasiza ekunciphiseni ubuhlungu nokuqina. Ukucindezela okubandayo, njenge-ice packs, kungasiza ekunciphiseni ukuvuvukala.
- Ukwelashwa Komzimba: Kubaluleke kakhulu ukubonana nodokotela wezokwelapha umzimba nokufunda ukuqinisa imisipha kanye nokuzivocavoca okwelula okufanele wena.
- Ukwelashwa Ngengxoxo: Kuvamile ukuzizwa udabukile, ukhathazekile, noma ucindezelekile uma uphila nesifo esifana nalesi isikhathi eside. Ngezikhathi ezinjalo, kubaluleke kakhulu ukukhuluma nomeluleki bese uzolalisa ingqondo yakho.
Ukuhlinzwa
Lena inketho engavamile kakhulu ezigulini ze-AS. Udokotela wakho angancoma ukuhlinzwa kuphela uma unobuhlungu obukhulu obungenakulawulwa ngemithi noma uma umhlane wakho ugobile kakhulu futhi okwenza kube nzima ukwenza imisebenzi yansuku zonke. Ezinye zalezi zihlinzeko zifaka phakathi i-Laminectomy, i-Osteotomy, i-Spinal fusion, kanye ne-Hip replacement. Lokhu kuzonqunywa ngemuva kokuhlolwa okuphelele kwesimo sakho.
Umlayezo Wokuya Nawe Ekhaya
- Nakuba i-Ankylosing Spondylitis (AS) ingelapheki ngokuphelele, ingaphathwa kahle ngokulawula ubuhlungu nokunciphisa umonakalo wamalunga.
- Kubaluleke kakhulu ukuqala ukwelashwa ngokushesha nje lapho isifo sesitholakele, ngokulandela imiyalelo kadokotela.
- Kanye nemithi, izinguquko zendlela yokuphila njengokuzivocavoca umzimba, ukudla okunempilo, nokugwema ukubhema nakho kubalulekile ekulawuleni lesi sifo.
- Nakekela impilo yakho yengqondo kanye nempilo yakho yomzimba. Uma uzizwa ucindezelekile, ungangabazi ukukhuluma ngakho.
- Xoxa njalo nodokotela wakho ukuthi iyiphi indlela yokwelapha engcono kakhulu kuwe.
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