Imibuzo eyi-10 i-Rheumatologist yakho ifuna ukuba ubuze malunga ne-Ankylosing Spondylitis

Umxholo

• 1. Ngaba unamava ekunyangeni i-AS?
• 2. Ngaba kukho imithambo ethile ekufuneka ndiyenzile?
• 3. Ngawaphi amayeza anokunceda?
• 4. Ngaba kufuneka ndilandele ukutya okukhethekileyo?
• 5. Ndifanele ukubuya kangaphi ukuze ndihlolwe? Uza kwenza oluphi uvavanyo?
• 6. Ngaba ikhona into endinokuyenza malunga nokuma kwam?
• 7. Ngaba ukuthambisa, ukunyanga, okanye unyango lwe-chiropractic lukhuselekile?
• 8. Yintoni imbono yam?
• 9. Ngaba ikhona into endifanele ukuyenza?
• 10. Ngaba zikhona ezinye iingcali endifanele ukuzibona?

Nokuba sele uzilungiselele ngokupheleleyo ukuqeshwa kwe-ankylosing spondylitis (AS) ngokwenza uluhlu lwamayeza akho, uqaphela iimpawu ezintsha, kwaye usenza nonyango lwakho, amathuba okuba zikho izinto ozilahlekileyo. Nazi imibuzo ezili-10 i-rheumatologist yakho enqwenela ukuyizisa.

1. Ngaba unamava ekunyangeni i-AS?

Lo ingangowona mbuzo ubalulekileyo owubuzayo, kwaye ugqirha olungileyo akazukucaphuka yiyo.

Iingcali zeRheumatologists ziqeqeshelwe ukunyanga isifo samathambo, kodwa zininzi iintlobo zesifo samathambo.

NJENGOKO kuhlala kufunyaniswa ukuba kunabantu abancinci, kwaye kuthatha ixesha lokulawula izifo. Oko kuthetha ukuba uyakufuna ukwenza intsebenziswano nogqirha oziqondayo iinkcukacha ze-AS kunye neengxaki ezinokubakho, kwaye usexesheni kunyango lwamva nje.

Nokuba ukhe wayibona le rheumatologist ngaphambili, ihlala ingumbono olungileyo ukubuza malunga namava abo ahambelana ne-AS.

2. Ngaba kukho imithambo ethile ekufuneka ndiyenzile?

Ukuzivocavoca yinxalenye ebalulekileyo yonyango lwe-AS. Umsebenzi womzimba unokunceda ukunciphisa iintlungu, ukwandisa ukuguquguquka, kunye nokuphucula impilo yonke. Ewe uya kufuna ukuqinisekisa ukuba wenza uhlobo olufanelekileyo lokuzilolonga ngendlela eyiyo.

I-rheumatologist yakho iyaziqhelanisa neempawu zakho kwaye iya kuba nakho ukucebisa eyona mithambo ilungileyo. Iirejimeni yakho iya kubandakanya ukomeleza izihlunu kunye noqeqesho lokuhamba-hamba.

Unokufuna kwakhona ukubuza ukuthunyelwa kwiphysical Therapist onokuyilungiselela inkqubo ukuhambelana neemfuno zakho. Iinkqubo ezijongiweyo zifunyenwe zisebenza ngakumbi kunokuzihambela wedwa.

3. Ngawaphi amayeza anokunceda?

Amayeza sisixhobo esibalulekileyo kunyango lwe-AS. Kukho amayeza ayilelwe ukunciphisa inkqubela phambili, ukunciphisa iintlungu, kunye nokunciphisa ukudumba. Phakathi kwazo kukho:

• Iziyobisi ezichaphazela isifo se-antirheumatic (DMARDs)
• iziyobisi ezingasebenziyo ezichasayo (ii-NSAID)
• icorticosteroids
• iiarhente zebhayoloji

I-rheumatologist yakho iya kukunceda uthathe isigqibo kumayeza asekwe kwiimpawu zakho, ukuqhubela phambili kwesifo kunye nezinto ozikhethayo.

Uya kuxoxa ngezibonelelo ezinokubakho zonyango ngalunye, kunye neziphumo ebezingalindelekanga ezinokubakho. Ungalibali ukubuza ukuba iyeza ngalinye linxibelelana njani notywala, kunye nezinye iindlela ozithathayo. Ukuqala ngeyona dosi iphantsi kakhulu, amayeza kufuneka ahlengahlengiswe ukuhlangabezana neemfuno zakho.

Ugqirha wakho uya kujonga impendulo yakho kumayeza kutyelelo lwexesha elizayo. Kodwa unganqikazi ukubiza phakathi kotyelelo ukuba ayisebenzi.

4. Ngaba kufuneka ndilandele ukutya okukhethekileyo?

Akukho kutya ngokukodwa kwi-AS, kodwa kufanelekile ukubuza umbuzo. Ugqirha wakho uya kwazi malunga nazo naziphi na ezinye iingxaki zonyango, ukuswela ukutya, kunye nemeko yempilo yakho ngokubanzi.

Ukuthwala ubunzima obongezelelekileyo kongeza uxinzelelo kumalungu akho, ke banokukucebisa ngendlela yokunciphisa umzimba ngokukhuselekileyo okanye ukugcina ubunzima obusempilweni.

Ukuba ukulungelelanisa indlela otya ngayo kubonakala kuyingxaki, cela ukuthunyelwa kugqirha wezonyango okanye kwisondlo ukuze akuncede uqalise.

5. Ndifanele ukubuya kangaphi ukuze ndihlolwe? Uza kwenza oluphi uvavanyo?

Akukho mithetho inzima kwaye ikhawulezayo yokubeka iliso kwi-AS kuba ayifani kuye wonke umntu. I-rheumatologist yakho iya kuvavanya iimpawu zakho kunye nokuqhubela phambili kwesifo ukuza nesicwangciso sokusebenza.

Buza ukuba ixesha lakho elilandelayo kufuneka libe nini kwaye kufuneka ubhalise kwangaphambili kangakanani. Ukuba ugqirha wakho ulindele ukwenza naluphi na uvavanyo ngelo xesha, buza:

• Yintoni injongo yolu vavanyo?
• Ngaba ifuna naluphi na ulungiselelo kwicala lam?
• Ndingalindela nini kwaye njani iziphumo (umnxeba, i-imeyile, ukuqeshwa okulandelayo, ngokuthe ngqo kwilebhu, ngenkqubo yeerekhodi yezempilo ekwi-intanethi)?

Ishedyuli yakho yokujonga isifo iya kutshintsha njengoko imeko yakho isenza.

6. Ngaba ikhona into endinokuyenza malunga nokuma kwam?

Kuba AS ikakhulu ichaphazela umqolo wakho, lo ngumbuzo obalaseleyo. Abanye abantu abane-AS ekugqibeleni banengxaki yokulungisa umqolo wabo. Abanye bade bavelise i-vertebrae edibeneyo.

Oku akwenzeki kuwo wonke umntu. Iindaba ezimnandi zezokuba kukho iindlela zokuphucula indlela omile ngayo kwaye ugcine umqolo wakho uguquguquka kangangoko kunokwenzeka ixesha elide.

Emva kokuba ugqirha wakho evavanya umqolo wakho, baya kuba nakho ukunika iingcebiso ezinokubandakanya:

• ukuma kwengqondo xa uhleli kwaye umile
• umthambo owomeleza izihlunu
• ukuziqhelanisa nokuzilolonga
• iingcebiso zokubeka ixesha lokulala
• imikhwa emihle yokuhamba

7. Ngaba ukuthambisa, ukunyanga, okanye unyango lwe-chiropractic lukhuselekile?

Olunye unyango olongezelelekileyo lunokunceda ukunciphisa iimpawu kunye nokuphucula impilo yakho iyonke. Ngenxa yokuba i-AS iqhubela phambili ngokwahlukileyo kuye wonke umntu, unyango olunje ngokuthambisa lunokunceda abanye abantu, kodwa zonyuse iimpawu kwabanye.

Buza ugqirha wakho ukuba ezi zonyango zinokuba yingozi kuwe. Ukuba akunjalo, buza ukuthunyelwa kwabo baqeqeshiweyo, abaneengcali.

8. Yintoni imbono yam?

Kunzima ukusho ukuba i-AS izakuqhuba njani. Abanye abantu bafumana ikhondo elincinci lesi sifo. Abanye bade bonwabele uxolelo olude phakathi kweendawo zokudumba okusebenzayo. Kwabanye, ukukhula kwezifo kuyakhawuleza kwaye kukhokelela kukukhubazeka.

Akukho mntu usesikhundleni esingcono sokukunika umbono wokuba ungalindela ntoni kunokrelematologist wakho.

Okuninzi kuya kuxhomekeka kunyango olukhethileyo, ukuba ubambelela kangakanani kulo, kwaye lusebenza njani. Ungayiphucula indlela ojonga ngayo:

• ukuhlala ngokomzimba kangangoko unakho
• ukulandela ukutya okunezondlo
• ukugcina ubunzima obunempilo
• ukuyeka ukutshaya

9. Ngaba ikhona into endifanele ukuyenza?

Nangona ukuzilolonga kuyinxalenye yonyango lwakho, ugqirha wakho unokufuna ukuba uphephe iintshukumo ezithile okanye ukuphakamisa izinto ngaphezulu kobunzima obuthile. Lo inokuba ngowona mbuzo ubalulekileyo ukuba unomsebenzi onzima ngokwasemzimbeni.

Kananjalo, akufuneki utshaye kuba inxulunyaniswe nesiphumo esibi sokusebenza kubantu abane-AS. Ukuba uyatshaya kwaye khange ukwazi ukuyeka, thetha nogqirha wakho malunga neenkqubo zokuyeka ukutshaya.

10. Ngaba zikhona ezinye iingcali endifanele ukuzibona?

I-rheumatologist yakho iya kukhokela ekuphatheni i-AS yakho. Kodwa inokuchaphazela phantse onke amalungu omzimba wakho, kungakho amaxesha apho kuya kufuneka ubone enye ingcali enje:

• Ingcali yezomzimba yokunceda kwimithambo yakho
• ugqirha wamehlo ukunyanga iingxaki ezinokubakho ngamehlo akho
• i-gastroenterologist ukunyanga iimpawu ezinxulumene namathumbu (colitis)
• ingcali yokunceda kwiimfuno zakho zeemvakalelo
• ingcali yokutya okanye ingcali yezondlo ukukhuthaza imikhwa yokutya esempilweni

Okuninzi kuya kuxhomekeka kwiimpawu zakho ezithile. I-rheumatologist yakho iya kwenza izindululo ngokufanelekileyo.

Ugqirha wakho unokubonelela ngolwazi kumaqela enkxaso kunye nemithombo yolwazi olongezelelweyo.