Iingcebiso ezili-10 zokuLawula iintlungu zeeseli ezinkulu

Umxholo

• 1. Yiya kugqirha
• 2. Thatha amayeza akho
• 3. Hlala endleleni
• 4. Thetha nogqirha wakho malunga neziphumo ebezingalindelekanga
• 5. Xela naluphi na utshintsho kwiintlungu
• 6. Yazi xa kukho imeko engxamisekileyo
• 7. Fumana ivithamin D yakho
• 8. Hambisa yonke imihla
• 9. Yitya ukutya okuchasayo
• 10. Landela
• Yise kude

Ubuhlungu yinxalenye enkulu yokuphila ne-cell cell arteritis (GCA), uhlobo lwe-vasculitis echaphazela okwethutyana, i-cranial, kunye neminye imithambo yenkqubo ye-carotid. Uhlala uziva iintlungu entlokweni yakho, entlonzeni, emhlathini nasentanyeni.

Akunyanzelekanga ukuba uzinze ubomi obunentlungu. Unyango luyafumaneka ukulawula i-GCA yakho.

Amayeza anokuhlisa ukudumba emzimbeni wakho. Banokuthomalalisa iintlungu kunye nezinye iimpawu ngokukhawuleza.

Zama ezi ngcebiso zilishumi ukukunceda ulawule iintlungu zakho zeGCA.

1. Yiya kugqirha

Ukuba unayo nayiphi na intlungu entsha engaqhelekanga entlokweni yakho, ebusweni, okanye kwezinye iindawo zomzimba wakho, jonga ugqirha wakho. Ungaqala ngotyelelo kumboneleli wakho wokuqala.

Ugqirha wakho unokukuthumela kwi-rheumatologist okanye enye ingcali kuvavanyo kunye nonyango. Ngenxa yokuba iimpawu ze-GCA ziyafana nezo zezinye iimeko zonyango, kubalulekile ukufumana ukuxilongwa ngokuchanekileyo. Emva koko ungaqala unyango olululo.

Kukwabalulekile ukuba uqale ukuthatha amayeza akho ngokukhawuleza. Ayizukuphelisa kuphela iintlungu zakho, iya kuthintela neengxaki ezinzulu, njengokulahleka kombono kunye nokubetha.

2. Thatha amayeza akho

Olona nyango luphambili lwe-GCA ngamayeza aphezulu e-steroid prednisone. Xa uyithatha njengoko ugqirha wakho ekuyalela, iintlungu zakho kufuneka ziqale ukudambisa ngaphakathi kosuku okanye ezimbini.

3. Hlala endleleni

Kubalulekile ukulandela imiyalelo kagqirha kwaye uthathe eyona idosi yamayeza ubumiselwe. Uya kuthatha i-prednisone unyaka okanye emibini ukulawula iimpawu zakho, kodwa ugqirha wakho uya kunciphisa idosi yakho ngokuthe ngcembe.

Ukuba uyeka ukuthatha amayeza akho okanye ukunciphisa idosi yakho ngaphandle kokuba ugqirha wakho alungile, iintlungu zakho zingabuya.

4. Thetha nogqirha wakho malunga neziphumo ebezingalindelekanga

IPrednisone sisiyobisi esomeleleyo. Ingabangela iziphumo ebezingalindelekanga, kubandakanya:

• ukuphazamiseka kunye nokungazinzi
• ukutyunyuzwa ngokulula
• ubunzima bokulala
• ukutyeba kwakho
• ukugcinwa kwamanzi kunye nokudumba
• ukungaboni kakuhle

Iziphumo ezibi kakhulu zokuthatha amayeza e-steroid kwixesha elide zibandakanya:

• isifo seswekile
• uxinzelelo lwegazi oluphakamileyo
• ukubunjwa kwamehlo okanye i-glaucoma
• kunciphise ukumelana nosulelo
• osteoporosis

Xela naziphi na iziphumo ebezingalindelekanga onazo kugqirha wakho. Sukuyeka nje ukuthatha amayeza akho.

Kukho iindlela zokulawula iziphumo ebezingalindelekanga ze-prednisone. Ugqirha wakho unokunciphisa idosi yakho. Banokumisela elinye iyeza ukulawula ezinye iziphumo ebezingalindelekanga, njenge-bisphosphonate ukomeleza amathambo akho okanye iproton pump inhibitor yokuthintela i-acid reflux.

5. Xela naluphi na utshintsho kwiintlungu

Gcina incwadi yeempawu zakho. Yazisa ugqirha wakho kwangoko ukuba iintlungu zakho ziqala ukwanda. Unokufuna uhlengahlengiso lwedosi, okanye ugqirha wakho unokongeza elinye iyeza njenge-tocilizumab (Actemra) ukulawula ukudumba kunye nentlungu.

6. Yazi xa kukho imeko engxamisekileyo

Biza ugqirha wakho okanye uye kwigumbi likaxakeka ngokukhawuleza ukuba uvelisa iimpawu ezinzulu, njengentlungu yomhlathi okanye ulwimi xa usitya, okanye umbono utshintsha njengombono ophindwe kabini.

Ezi mpawu zinobuzaza kakhulu kwaye zinxulunyaniswa namathuba aphezulu okuphucula ubumfama. Unokufuna unyango lwe-intravenous (IV) nge-steroids ukuthintela ukulahleka kombono kunye nezinye iingxaki.

7. Fumana ivithamin D yakho

Buza ugqirha wakho ukuba kufuneka uthathe i-calcium kunye ne-vitamin D. Amathambo abuthathaka asisiphumo esibi sokusetyenziswa kwe-prednisone yexesha elide. Ukuxhasa ezi zondlo kunokunceda ukomeleza amathambo akho kunye nokuthintela ukwaphuka.

8. Hambisa yonke imihla

Ukurhweba ngebhayisekile omileyo okanye nokuthatha uhambo kungabonakala kungenakwenzeka xa ungonwabanga, kodwa ukuzilolonga sisixhobo esisebenzayo sokuthomalalisa iintlungu.

Xa usebenza, umzimba wakho ukhupha imichiza yokunciphisa iintlungu zendalo ekuthiwa zii-endorphins ezikunceda uzive ungcono.

Ukuzilolonga kukomeleza amathambo kunye nezihlunu, ezinceda ukunqanda ukwaphuka kwaye zithathe noxinzelelo kumalungu abuhlungu. Kwaye ukusebenza, kukukhuthaza ubuthongo obunamandla kunye noxinzelelo lwebhasi. Bobabini ukulala kakubi kunye noxinzelelo kunokufaka isandla kwiintlungu.

9. Yitya ukutya okuchasayo

Intlungu evela kwi-GCA ibangelwa kukudumba. Ukuzisa ukudumba ngokutya yenye yeendlela zokuzinceda uzive ungcono.

Yitya ukutya kwendalo okuchasayo, njengoku:

• iziqhamo kunye nemifuno
• iintlanzi ezinamanqatha njenge salmon kunye ne tuna
• amazimba
• amandongomane nembewu
• ioyile yomnquma kunye nezinye iioyile ezisempilweni

Gwema okanye unciphise nantoni na enokubangela ukuvuvukala, kuquka:

• iilekese
• ukutya okuthosiweyo
• ukutya okwenziwe

10. Landela

Uya kubona ugqirha wakho kanye ngenyanga ekuqaleni, emva kanye emva kweenyanga ezi-3 njengoko imeko yakho izinzile.

Olu tyelelo lunika ugqirha wakho ithuba lokujonga kunye nawe kwaye ubone ukuba uqhuba njani. Ezi zithuba zibalulekile kugqirha wakho ukugcina umkhondo weempawu zakho.

Yise kude

Intlungu yenye yeempawu eziphambili ze-GCA. Inokuba nzima ngokwaneleyo ukuba iphazamise ubomi bakho bemihla ngemihla.

Ukuqala kwi-prednisone ngokukhawuleza kuya kunceda ukulawula iintlungu zakho. Kwiintsuku ezimbalwa zokuthatha la mayeza, kuya kufuneka uqale uzive ngcono kakhulu.