Imibuzo ebalulekileyo ekumele uyibuze emva koPhononongo lweArthritis
Umxholo
- Ngaba iyanyangeka iPSA?
- 2. Ngawaphi amalungu adla ngokuchaphazeleka yi-PsA?
- 3. Zeziphi iimeko ezinxulunyaniswa ne-PsA?
- 4. Ndazi njani ukuba loluphi unyango olulungileyo kum?
- 5. Ndingazilawula njani iintlungu?
- 6. Ngaba ndiza kufuna utyando kwi-PsA yam?
- 7. Ndidinga kangaphi ukuya kugqirha?
- 8. Luluphi utshintsho endinokulwenza ukunceda iPSA yam?
- 9. Ndenza njani umthambo ngePSA?
- 10. Ngaba kufuneka ndenze utshintsho kwindlela enditya ngayo?
- 11. Ndingasebenza ne-PsA?
- Yise kude
Ushwankathelo
Ukuxilongwa kwe-psoriatic arthritis (PsA) kunokutshintsha ubomi. Ngokuqinisekileyo unemibuzo emininzi malunga nokuba kuthetha ntoni ukuhlala ne-PsA kunye nendlela yokuphatha ngayo.
Nayi imibuzo eli-11 onokuzibuza yona, kunye neempendulo zayo. Ndiyathemba ukuba ezi zinokukunceda uluqonde ngcono unyango, ukuguqulwa kwendlela yokuphila, kunye nokunye okunxulumene ne-PsA.
Ngaba iyanyangeka iPSA?
I-PsA yimeko engapheliyo echaphazela amalungu akho. Ngelishwa, akukho lunyango.
Okwangoku, kubalulekile ukuba ufune unyango ukunqanda ukonakala kumalungu akho. Ukutyeshela iimpawu kunye nokulibazisa unyango kunokubangela umonakalo omkhulu emzimbeni wakho ekuhambeni kwexesha. Zininzi iindlela zonyango ezikhoyo zokucothisa ukuqhubela phambili kwale meko kunye nokuthintela ukonakala ngokudibeneyo.
Abanye abantu bafumana ukuxolelwa, oko kuthetha ukuba abanazimpawu ze-PsA. Oku kwenzeka malunga neepesenti ezintlanu zamatyala.
2. Ngawaphi amalungu adla ngokuchaphazeleka yi-PsA?
I-PsA inokuchaphazela nayiphi na indibaniselwano emzimbeni wakho, kubandakanya amalungu amakhulu afana namadolo kunye namagxa kunye namalungu amancinci eminwe nasezinzwaneni. Unokufumana neempawu kumqolo wakho.
Unokufumana ukudumba kwilungu elinye ngexesha, ezimbalwa ngexesha, okanye ezininzi ngaxeshanye. I-PsA inokubangela nokudumba kwiindawo zomzimba wakho ezinxibelelana namathambo akho, njengeetoni kunye nemisipha. Oku kudumba kubizwa ngokuba yi-enthesitis.
3. Zeziphi iimeko ezinxulunyaniswa ne-PsA?
Unokuba semngciphekweni omkhulu wokukhulisa enye imeko yezempilo ukuba une-PsA.
Kukho iimeko ezininzi ezongezelelweyo ezinokubakho ukuba une-PsA, kubandakanya:
- ianemia
- ukudakumba
- isifo seswekile
- ukudinwa
- igazi elonyukayo
- cholesterol ephezulu
- isifo metabolic
- isifo sesibindi esinamafutha esingatyisi
- ukutyeba kakhulu
- osteoporosis
Xoxa ngomngcipheko wale meko nogqirha wakho. Kuya kufuneka uhlengahlengise indlela ophila ngayo ukunciphisa umngcipheko wokuphuhlisa ezinye iimeko.
4. Ndazi njani ukuba loluphi unyango olulungileyo kum?
Ukunyanga i-PsA kuhlala kubandakanya amayeza ahlukeneyo kunye notshintsho kwindlela yokuphila. Kuya kufuneka usebenze nogqirha wakho ukumisela esona sicwangciso sonyango silungileyo kuwe kunye neempawu zakho. Unyango lwe-PsA lunokubandakanya indibaniselwano yeendlela zonyango.
Ezinye zeenjongo zokunyanga i-PsA yakho zezi:
- ukunciphisa iintlungu, ukuqina, kunye nokudumba kwamalungu akho
- Ukujolisa kwezinye iimpawu zePSA
- yeka okanye ucothise ukuqhubela phambili kwe-PsA
- gcina ukuhamba kumalungu akho
- thintela okanye unciphise iingxaki ezinokubakho kwi-PsA
- phucula umgangatho wobomi bakho
Izinto ezinokuchaphazela unyango zibandakanya ubungqongqo be-PsA yakho, umonakalo eyenzileyo emzimbeni wakho, unyango lwangaphambili, nokuba unayo nayiphi na imeko yonyango.
Umgaqo omtsha wokunyanga i-PsA uchongiwe njengendlela "yokuphatha ukujolisa", apho injongo yesiphelo kukuxolelwa kwe-PsA.
Xa uxoxa ngonyango nonyango lwakho, cinga ngale mibuzo ilandelayo:
- Lwenza ntoni unyango?
- Ndiza kuluthatha kangaphi unyango?
- Ngaba kufuneka ndiphephe nantoni na xa ndizama olu nyango okanye ndithatha la mayeza?
- Ngaba zikhona iziphumo ebezingalindelekanga kunye nobungozi bonyango?
- Kuthatha ixesha elingakanani ukuqaphela unyango?
Kuya kufuneka uthethe nogqirha wakho rhoqo malunga nonyango lwakho ukuze uqiniseke ukuba isicwangciso sakho siyasebenza kwimeko yakho yangoku. Kuya kufuneka uhlengahlengise unyango njengoko kufuneka ngokusekwe kwiimpawu zakho nakwindlela ophila ngayo.
5. Ndingazilawula njani iintlungu?
Ukujongana nentlungu kunokuba yinto ephambili kuwe. Ukudumba okujikeleze amalungu akho kunokungahambi kakuhle. Oku kunokuchaphazela impilo-ntle yakho kunye nomgangatho wobomi.
Ugqirha wakho unokucebisa ukuba usebenzise ii-nonsteroidal anti-inflammatory drug (NSAIDs) okanye i-aspirin njengonyango lodidi lokuqala lwentlungu ebangelwa yi-PsA. Intlungu ebukhali okanye iintlungu ezinganciphi ngokusebenzisa ezi ndlela zonyango zinokufuna amayeza abukhali ngakumbi. Umzekelo, iibhayoloji zinikwa ngenaliti okanye ngemithambo.
Ukuba iintlungu zakho aziphenduli kwezi ndlela, ugqirha wakho unokucebisa amayeza anceda nge-neurological pain okanye uvakalelo lwakho kwintlungu.
Unokufuna ukuzama ezinye iindlela zokuphucula iintlungu kunye neendlela zokuphumla. Oku kunokubandakanya ukucamngca, ukwenza i-acupuncture, okanye iyoga.
6. Ngaba ndiza kufuna utyando kwi-PsA yam?
Ukunyanga i-PsA kwangoko kunokukunceda uthintele unyango olungenayo njengonyango.
Utyando lunokunceda ukunciphisa ukungonwabi, ukuphucula ukusebenza, kunye nokulungisa amalungu awonakeleyo. Kwiimeko ezinqabileyo, ugqirha wakho unokucebisa utyando ukulungisa umonakalo kwiithenda zakho okanye nokutshintsha ilungu.
7. Ndidinga kangaphi ukuya kugqirha?
Ukulawula i-PsA kuya kufuna ukutyelelwa rhoqo kugqirha wakho. Ugqirha wakho uya kufuna ukuba uza rhoqo kwiinyanga ezimbalwa okanye amaxesha ambalwa ngonyaka ukubeka iliso kwi-PsA yakho. Inani lamaxesha ubona ugqirha wakho lahluka ngokuxhomekeka kubuzaza bemeko yakho kunye namayeza athile owathathayo, njengoko amayeza eneeshedyuli ezahlukeneyo zokujonga.
Ukutyelela rhoqo ugqirha kunokubandakanya:
- uvavanyo lomzimba
- ingxoxo malunga nonyango lwakho lwangoku
- iimvavanyo zegazi ukulinganisa ukudumba
- I-X-ray, ii-MRIs, okanye ii-ultrasound ukugcina utshintsho kumalungu akho
Ezinye iingcali onokufuna ukuzibona zibandakanya oku kulandelayo:
- ugqirha wamathambo
- ugqirha womzimba
- Ingcali yezonyango
- ugqirha wesikhumba
- ugqirha wengqondo
- ugqirha wamehlo
- ugqirha wamazinyo
Iqela lakho loogqirha linokukunceda uphathe yonke imiba ye-PsA. Oku kubandakanya iimpawu ezinxulumene ne-psoriasis kunye nezinye iimeko ezi-comorbid, kunye nempilo yakho yengqondo.
8. Luluphi utshintsho endinokulwenza ukunceda iPSA yam?
Ukunyanga i-PsA kunokubandakanya ngaphezulu kokunyanga kunye notyando. Ukwenza uhlengahlengiso kwindlela yakho yokuphila kunokunceda ukunciphisa iimpawu kunye nokulibazisa ukuqhubela phambili kwemeko.
Nazi iinguqu ezimbalwa onokuzenza ukulawula i-PsA yakho:
- gcina ubunzima obusempilweni
- usebenzise umzimba rhoqo, ulandela imiyalelo evela kugqirha wakho
- phumla xa kufuneka njalo
- lawula amanqanaba oxinzelelo lwakho
- yeka ukutshaya
- Ukubeka iliso kwiimpawu zakho ukuze unqande indlela yokuziphatha ekhulisa okanye ebangela iimpawu
Kuya kufuneka uhlale uhlelekile ukuba une-PsA yokukunceda ugcine umkhondo wokuqeshwa kunye namayeza.
9. Ndenza njani umthambo ngePSA?
Unokucinga ukuba kuya kufuneka uphumle kuphela xa unokuqina kunye neentlungu kumalungu akho. Kodwa ukwenza umthambo kunokunciphisa iintlungu kwaye kukuncede ujikeleze. Inokukunceda kwinqanaba lakho loxinzelelo, ukuphucula imeko yakho yengqondo, kunye nokunciphisa umngcipheko wokuphuhlisa imeko yempilo e-comorbid.
Ugqirha wakho okanye ingcali yonyango inokucebisa ngeendlela ezisempilweni zokuzilolonga ukuba unayo iPSA. Ukuzivocavoca okunempembelelo ephantsi kunokuba ngcono kuwe, njengokuhamba, ukuhamba ngebhayisikile, okanye ukuqubha. Unokufumana ukuba i-yoga okanye uqeqesho lwamandla amancinci kufanelekile kuwe.
Ukuba kukho imfuneko, ugqirha unokucebisa ngezixhobo zokuzilolonga okanye uhlengahlengiso ukulungiselela iimpawu zakho ze-PsA.
10. Ngaba kufuneka ndenze utshintsho kwindlela enditya ngayo?
Ukutya kwakho kunokudlala indima kwiimpawu zakho ze-PsA. Ukutshintsha into oyityayo akuyi kuyiphatha i-PsA uqobo, kodwa kunokuba nakho ukunciphisa ubuzaza beempawu zakho.
Ukugcina ubunzima obunempilo yinto ebalulekileyo ekulawuleni i-PsA yakho. I-2018 ivavanye izifundo ze-55 malunga nokutya kunye ne-psoriasis kunye ne-PsA. Abaphandi bacebisa ukutya ukutya okunciphise ikhalori ukuba utyebe kakhulu okanye utyebe kakhulu. Ukufikelela kubunzima obunempilo kunokunciphisa iimpawu ze-PsA.
Isifundo sikwakhankanye ukuba ukuthatha izongezo ze vithamin D kunokuba neziphumo ezilungileyo kwiimpawu zePsA.
Ungaqala ukutya okwehlisiweyo kweekhalori ngokusika ii-carbohydrate ezingafunekiyo kunye nokuziqhelanisa nolawulo lwesahlulo. Ukuzilolonga rhoqo kunokukunceda ukunciphisa umzimba.
Awudingi ukusika ingqolowa okanye ezinye iintlobo zegluten ukuba awunaso isifo se-celiac okanye uvakalelo lwe-gluten.
11. Ndingasebenza ne-PsA?
Kuya kufuneka uphinde uqalele imisebenzi yomsebenzi emva kokuchongwa kwe-PsA. Kodwa unokufuna ukwenza uhlengahlengiso emsebenzini ukulawula iimpawu zakho.
Xoxa ngokulungiswa nomphathi wakho. Umzekelo, kusenokufuneka uhlengahlengise ishedyuli yakho yomsebenzi ukuze ube nokuhambela amadinga kagqirha okanye usebenzise izixhobo zokukunceda ukuba usebenze. Ukucwangcisa ikhefu rhoqo kunokunceda ukunciphisa iintlungu kunye nokuqina.
Yise kude
Emva kokuxilongwa kwe-PsA, unokuba nemibuzo engapheliyo ngekamva lakho. Thetha nogqirha wakho kwaye ufunde kangangoko unakho ngokwakho malunga nonyango, utshintsho kwindlela yokuphila, kunye nolawulo lweempawu. Ukwazi malunga ne-PsA linyathelo lokuqala lokuphila ubomi obunempilo kunye nokonwaba ngaphandle kwemeko yakho.