Ukwazi iimpawu ze-Ankylosing Spondylitis Flare-Up

Umxholo

• Iimpawu zokuqhambuka
• Iimpawu zokuqala zokuqhambuka
• Intlungu kumqolo ongezantsi, iinyonga, kunye neempundu
• Ukuqina
• Intlungu yomqala kunye nokuqina
• Ukudinwa
• Ezinye iimpawu zokuqala
• Iimpawu zexesha elide zokuqhambuka
• Ubuhlungu obungapheliyo
• Intlungu kwezinye iindawo
• Ukuqina
• Ukuphulukana nokuba bhetyebhetye
• Kunzima ukuphefumla
• Kunzima ukuhamba
• Iminwe eqinileyo
• Ukudumba kwamehlo
• Umqala kunye nentliziyo ukudumba
• Ihlala ixesha elingakanani i-flare-ups
• Oonobangela kunye nezinto ezibangela ukuvutha komlilo
• Ukuthintela kunye nokulawula i-flare-ups
• Yintoni imbonakalo?

I-Ankylosing spondylitis (AS) luhlobo lwe-arthritis ezizimeleyo ezichaphazela ngqo umqolo wakho kunye ne-hip okanye amajoyina angaphantsi. Le meko ibangela ukudumba okukhokelela kwintlungu, ukudumba, ukuqina, kunye nezinye iimpawu.

Njengezinye iintlobo zesifo samathambo, i-ankylosing spondylitis ngamanye amaxesha inokubakho. Ukuqhuma kwenzeka xa iimpawu ziba zimbi. Ngexesha lokuphakama, unokufuna ukhathalelo olungakumbi kunye nonyango kunokuba ufuna ngamanye amaxesha. Ukuxolelwa okanye ukuxolelwa ngokuyinxenye kuxa uneempawu ezimbalwa, ezinzima, okanye ezingenazimpawu.

Ukwazi xa unokuba ne-flare-up kunye nento onokuyilindela kunokukunceda ulawule impilo yakho. Thetha nogqirha wakho malunga nendlela efanelekileyo yokunceda ukukhusela kunye nokuzola iimpawu. Kukho iindlela ezininzi zokunciphisa iimpawu kunye nokunyanga i-ankylosing spondylitis.

Iimpawu zokuqhambuka

I-flare-ups kunye neempawu zabo zinokwahluka kakhulu kuye wonke umntu one-ankylosing spondylitis.

Uninzi lwabantu abanale meko bayazibona iimpawu ukusuka kwiminyaka eli-17 ukuya kwengama-45. Iimpawu zingaqala ngexesha lobuntwana okanye kubantu abadala. I-Ankylosing spondylitis ngamaxesha e-2.5 aqhelekileyo kumadoda kunabafazi.

Zimbini iintlobo eziphambili ze-ankylosing spondylitis flare-ups:

• yendawo: kwindawo enye okanye ezimbini kuphela
• ngokubanzi: kuwo wonke umzimba

Iimpawu kunye neempawu ze-ankylosing spondylitis flare-ups zingatshintsha ngokuxhomekeka ekubeni unexesha elingakanani unale meko. Ixesha elide i-ankylosing spondylitis flare-ups ibangela iimpawu kunye neempawu ngaphezulu kwenxalenye enye yomzimba.

Iimpawu zokuqala zokuqhambuka

Intlungu kumqolo ongezantsi, iinyonga, kunye neempundu

Intlungu ingaqala ngokuthe chu kwiiveki ezimbalwa ukuya kwiinyanga. Unokuziva ungonwabanga kwicala elinye kuphela okanye macala atshintshanayo. Intlungu ihlala iziva imfiliba kwaye isasazeka kwindawo leyo.

Ngokuqhelekileyo akuyiyo intlungu ebukhali. Iintlungu zihlala zisiba mbi kusasa nasebusuku. Ukuphumla okanye ukungasebenzi kunokuzenza mandundu iintlungu.

Unyango:

• umthambo olula kunye nokuzolula
• ishawa eshushu okanye ibhafu
• unyango lobushushu, olufana necompress eshushu
• iziyobisi ezichasayo (ii-NSAID), ezinje nge-aspirin, ibuprofen, okanye naproxen
• ulungiso lwenyama

Ukuqina

Unokuba nobunzima kumqolo ongezantsi, ezinqeni, nasezimpundu. Umqolo wakho unokuziva uqinile kwaye kunokuba nzima kancinci ukuma emva kokuhlala okanye ukulala phantsi. Ubunzima buba mandundu kusasa nasebusuku, kwaye buye buphucule emini. Isenokuba mandundu ngexesha lokuphumla okanye ukungasebenzi.

Unyango:

• ukuzolula, ukuhamba, kunye nokwenza umthambo omncinci
• ulungiso lwenyama
• unyango lobushushu
• unyango lokuthambisa

Intlungu yomqala kunye nokuqina

Umbutho waseSpondylitis waseMelika uqaphele ukuba abasetyhini banokuba nakho ukuba neempawu eziqala entanyeni hayi ezantsi.

Unyango:

• umthambo olula kunye nokuzolula
• ishawa eshushu okanye ibhafu
• unyango lobushushu
• IiNSAID
• ulungiso lwenyama
• unyango lokuthambisa

Ukudinwa

Ukuvuvukala kunye nentlungu kunokukhokelela ekukhathaleni nasekudiniweni. Oku kunokuba kubi ngakumbi kukuphazamiseka kokulala ebusuku ngenxa yeentlungu kunye nokuphazamiseka. Ukulawula ukudumba kunceda ukulawula ukudinwa.

Unyango:

• Ii-NSAID
• ulungiso lwenyama

Ezinye iimpawu zokuqala

Ukuvuvukala, iintlungu, kunye nokungonwabi kunokubangela ukulahleka kwesidlo, ukwehla kobunzima, kunye nomkhuhlane omncinci ngexesha lokuqhambuka. Ukulawula iintlungu kunye nokudumba kunceda ukunciphisa ezi mpawu.

Unyango:

• Ii-NSAID
• ulungiso lwenyama
• amayeza kagqirha

Iimpawu zexesha elide zokuqhambuka

Ubuhlungu obungapheliyo

I-ankylosing spondylitis flare-up inokubangela iintlungu ezingapheliyo emva kwexesha. Unokuziva utyhafile kukutshisa iintlungu kumacala omabini asezantsi, iimpundu, kunye nesinqe. Iintlungu ezingapheliyo zinokuhlala iinyanga ezintathu okanye nangaphezulu.

Unyango:

• Ii-NSAID
• amayeza kagqirha
• inaliti steroid
• unyango lomzimba, olufana nomgangatho womgangatho kunye namanzi

Intlungu kwezinye iindawo

Ubuhlungu bunokusasazeka kwamanye amalungu ngaphezulu kweenyanga ezimbalwa ukuya kwiminyaka. Unokuba nentlungu kunye nokuthamba embindini ukuya phezulu, entanyeni, emagxeni, kwiimbambo, emathangeni, nasezithendeni.

Unyango:

• Ii-NSAID
• amayeza kagqirha
• inaliti steroid
• unyango lomzimba, olufana nomgangatho womgangatho kunye namanzi

Ukuqina

Unokuba nokuqina ngakumbi emzimbeni wakho ekuhambeni kwexesha. Ukuqina kunokusasazeka kumqolo ongaphezulu, entanyeni, emagxeni, kunye neembambo. Ukuqina kunokuba mandundu kusasa kwaye kube ngcono kancinci emini. Unokuba nemisipha okanye udibanise.

Unyango:

• Ii-NSAID
• amayeza kagqirha
• iziyobisi ezihlaziya izihlunu
• ulungiso lwenyama
• umthambo namanzi
• i-infrared sauna
• unyango lokuthambisa

Ukuphulukana nokuba bhetyebhetye

Ungaphulukana nokuguquguquka okuqhelekileyo kwamanye amalungu. Ukudumba kwexesha elide kumalungu kunokudibanisa okanye ukudibanisa amathambo kunye. Oku kwenza ukuba amalungu aqine, abe buhlungu, kwaye kube nzima ukuhamba. Unokuba nokuguquguquka okuncinci kumqolo wakho nasezinqeni.

Unyango:

• Ii-NSAID
• amayeza kagqirha
• iziyobisi ezihlaziya izihlunu
• inaliti steroid
• umqolo okanye utyando
• ulungiso lwenyama

Kunzima ukuphefumla

Amathambo kwi-cage cage yakho anokudibanisa okanye adibane kunye. Umbambo wenzelwe ukuba ubhetyebhetye ukukunceda uphefumle. Ukuba amalungu odibaniso ayaqina, kunokuba nzima ukuba sandise isifuba nemiphunga. Oku kunokwenza isifuba sakho sizive siqinile.

Unyango:

• IiNSAID
• amayeza amayeza anti-ukudumba
• inaliti steroid
• ulungiso lwenyama

Kunzima ukuhamba

I-Ankylosing spondylitis inokuchaphazela amanye amalungu ngaphezulu kwexesha. Unokuba nentlungu kunye nokudumba esinqeni, emadolweni, emaqatheni, kwizithende nakwiinzwane. Oku kunokwenza kube nzima ukuma, ukuhlala nokuhamba.

Unyango:

• IiNSAID
• amayeza kagqirha
• iziyobisi ezihlaziya izihlunu
• inaliti steroid
• ulungiso lwenyama
• idolo okanye unyawo

Iminwe eqinileyo

I-Ankylosing spondylitis flare-ups inokusasazeka kwiminwe ngokuhamba kwexesha. Oku kunokwenza amalungu omnwe aqine, adumbe, kwaye abe buhlungu. Unokuba nobunzima bokuhambisa iminwe yakho, uchwetheze kwaye ubambe izinto.

Unyango:

• Ii-NSAID
• amayeza kagqirha
• inaliti steroid
• ulungiso lwenyama
• ukubamba ngesandla okanye isihlahla

Ukudumba kwamehlo

Ngaphezulu kwesinye kwisine sabantu abane-ankylosing spondylitis banokudumba kwamehlo. Le meko ibizwa ngokuba yi-iritis okanye uveitis. Ibangela ubomvu, iintlungu, ukungaboni kakuhle, kunye neefestile kwelinye okanye omabini amehlo. Amehlo akho anokuba nemvakalelo yokukhanya okuqaqambileyo.

Unyango:

• wamehlo e-steroid
• wamehlo ukunciphisa abafundi
• amayeza kagqirha

Umqala kunye nentliziyo ukudumba

Rhoqo, i-ankylosing spondylitis flare-ups inokuchaphazela intliziyo kunye nemiphunga ngokuhamba kwexesha kwabanye abantu.

Unyango:

• Ii-NSAID
• amayeza kagqirha
• inaliti steroid

Ihlala ixesha elingakanani i-flare-ups

Abantu abane-ankylosing spondylitis banesifo esinye ukuya kwesihlanu ngonyaka. I-flare-ups inokuhlala ukusuka kwiintsuku ezimbalwa ukuya kwiinyanga ezintathu okanye ngaphezulu.

Oonobangela kunye nezinto ezibangela ukuvutha komlilo

Akukho zizathu zaziwayo ze-ankylosing spondylitis. I-flare-ups nayo ayinakusoloko ilawulwa. Abanye abantu abane-ankylosing spondylitis banokuziva ngathi i-flare-ups yabo inezinto ezithile ezibangela. Ukwazi izinto zakho ezibangela-ukuba unayo nayiphi na into-kunokunceda ekuthinteleni i-flare-ups.

Ugqirha wafumanisa ukuba iipesenti ezingama-80 zabantu abane-ankylosing spondylitis baziva ngathi uxinzelelo lubangela ukuba bavuleke.

Ukuthintela kunye nokulawula i-flare-ups

Ukukhetha indlela yokuphila esempilweni nako kunokunceda ekulawuleni ii-flares. Umzekelo, ukuzilolonga rhoqo kunye nokunyanga ngokwasemzimbeni kunokunceda ukunciphisa iintlungu kunye nokuqina.

Yeka ukutshaya kwaye uphephe ukutshaya okutshaya. Abantu abane-ankylosing spondylitis abatshayayo basemngciphekweni omkhulu womonakalo womqolo. Le meko ichaphazela nentliziyo yakho. Unokuba nomngcipheko ophezulu wesifo sentliziyo kunye nokufa icala ukuba uyatshaya.

Thatha onke amayeza ngokuchanekileyo njengoko kumiselwe ukunceda ukuthintela kunye nokuthomalalisa ukuvutha. Ugqirha wakho unokukunika iyeza elinye okanye nangaphezulu elinceda ukulawula ukudumba. Oku kunokunceda ukuthintela okanye ukunciphisa ukungqubana. Iziyobisi ezisetyenziselwa ukunyanga i-ankylosing spondylitis zibandakanya:

• adalimumab (Humira)
• I-etanercept (i-Enbrel)
• igolimumab (iSimponi)
• infliximab (I-Remicade)
• iziyobisi ezichasene ne-TNF
• iziyobisi chemotherapy
• I-IL-17 inhibitor, efana ne-secukinumab (iCosentyx)

Yintoni imbonakalo?

Nasiphi na isifo okanye imeko inokukhokelela kwiimpawu zeemvakalelo. Ku, malunga neepesenti ezingama-75 zabantu abane-ankylosing spondylitis baxela ukuba baziva bedandathekile, benomsindo kwaye bebodwa. Thetha nogqirha wakho malunga neemvakalelo zakho okanye ufune uncedo lwengcali yezempilo yengqondo.

Ukujoyina iqela lenkxaso kunye nokufumana ulwazi oluthe kratya kunokukunceda uzive ulawula unyango lwakho. Joyina umbutho we-ankylosing spondylitis ukugcina usesikhathini kunye nophando olutsha lwezempilo. Thetha nabanye abantu abanale meko ukufumana eyona ndlela yokulawula i-ankylosing spondylitis yakho.

Amava akho nge-ankylosing spondylitis flare-ups awayi kufana nomnye umntu onale meko. Nika ingqalelo umzimba wakho. Gcina uphawu lwemihla ngemihla kunye nonyango. Kwakhona rekhoda izinto ezinokubangela ukuba uqaphele.

Tshela ugqirha wakho ukuba ucinga ukuba unyango luyakunceda ukukhusela i-flares okanye ukunciphisa iimpawu okanye ukuba uziva ngathi unyango alukuncedi. Into ebe ikusebenzela ngaphambili isenokungakusebenzeli ngokuhamba kwexesha. Ugqirha wakho unokutshintsha unyango lwakho njengoko utshintsho lwakho lwe-ankylosing spondylitis.